Hypertension is one of the degenerative diseases that is often experienced by the elderly and can cause serious complications such as stroke and heart disease. Non-pharmacological treatments such as ergonomic gymnastics and spiritual therapy through murottal Al-Qur'an can be an alternative to help lower blood pressure. This study aims to determine the effect of the combination of ergonomic gymnastics and murottal Surah Ar-Rahman on lowering blood pressure in the elderly with hypertension. The research design used was one group pre-posttest design. The sample consisted of 36 elderly with hypertension. The intervention carried out was ergonomic gymnastics while listening to murottal Surah Ar-Rahman for 30 minutes, three times a week for four weeks (January 9-February 9, 2025). Blood pressure measurements were taken before and after the intervention. The results showed a significant decrease in systolic and diastolic blood pressure (p <0.000). The combination of gymnastics and murottal is effective in lowering blood pressure in elderly hypertensive patients. This intervention can be used as a holistic and religious complementary therapy option in the care of the elderly with hypertension
                        
                        
                        
                        
                            
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