Penerapan Progressive Muscle Relaxation dan Terapi Dzikir Terhadap Kecemasan Pada Pasien Hipertensi di Sekolah Lansia Al Wustho Lampung

ABSTRACT Hypertension in the elderly is often accompanied by anxiety, which can worsen blood pressure. Non-pharmacological approaches such as Progressive Muscle Relaxation (PMR) and dhikr therapy can be alternatives for reducing anxiety and blood pressure. This study aimed to determine differences in anxiety and blood pressure levels in elderly hypertensive patients after receiving PMR, dhikr therapy, and a combination of PMR and dhikr This study used a quantitative design with a pre-experimental approach in three groups: PMR, dhikr therapy, and the combination. The sample consisted of 69 elderly hypertensive patients at the Al-Wustho Elderly School in Pringsewu. Anxiety was measured using the HARS (Hot Air Reflexology) and blood pressure using a sphygmomanometer. Analysis used ANOVA and post hoc Bonferroni tests. After the intervention, the lowest mean HARS score was found in the combination group, at 14.57±3.54. Post-test systolic and diastolic blood pressure were also lowest in the combination group, at 156.43±8.23 mmHg and 87.0±4.1 mmHg, respectively. ANOVA showed significant differences in post-test anxiety (p=0.008), post-test systolic (p0.001), and post-test diastolic (p0.001). Post hoc results showed a significant difference between the combination group and PMR in anxiety (p=0.006) and a significant difference between all groups in blood pressure. The combination of PMR and dhikr is more effective because it works simultaneously on both physical and psychological aspects, thus providing a more optimal relaxation effect. Keywords: Hypertension, Elderly, Anxiety, Progressive Muscle Relaxation, Dhikr. ABSTRAK Hipertensi pada lansia sering disertai kecemasan yang dapat memperburuk kondisi tekanan darah. Pendekatan nonfarmakologis seperti Progressive Muscle Relaxation (PMR) dan terapi dzikir dapat menjadi alternatif dalam menurunkan kecemasan dan tekanan darah. Penelitian ini bertujuan mengetahui perbedaan tingkat kecemasan dan tekanan darah pada lansia penderita hipertensi setelah diberikan PMR, terapi dzikir, dan kombinasi PMR-dzikir. Penelitian ini menggunakan desain kuantitatif dengan pendekatan pre-eksperimental pada tiga kelompok, yaitu PMR, terapi dzikir, dan kombinasi. Sampel berjumlah 69 lansia hipertensi di Sekolah Lansia Al-Wustho, Pringsewu. Pengukuran kecemasan menggunakan HARS dan tekanan darah menggunakan sphygmomanometer. Analisis menggunakan uji ANOVA dan post hoc Bonferroni. Setelah intervensi, rerata skor HARS terendah terdapat pada kelompok kombinasi yaitu 14,57±3,54. Tekanan darah sistolik dan diastolik post-test juga paling rendah pada kelompok kombinasi, yaitu 156,43±8,23 mmHg dan 87,0±4,1 mmHg. Uji Anova menunjukkan perbedaan bermakna pada kecemasan post-test (p=0,008), sistolik post-test (p0,001), dan diastolik post-test (p0,001). Hasil post hoc menunjukkan perbedaan signifikan antara kelompok kombinasi dengan PMR pada kecemasan (p=0,006) serta perbedaan signifikan antar seluruh kelompok pada tekanan darah. Kombinasi PMR dan dzikir lebih efektif karena bekerja secara simultan pada aspek fisik dan psikologis, sehingga memberikan efek relaksasi yang lebih optimal. Kata Kunci: Hipertensi, Lansia, Kecemasan, Progressive Muscle Relaxation, Dzikir.