INOVASI LOKAL : Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan
Vol. 4 No. 1 (2026): Inovasi Lokal

Guided Autogenic Relaxation for Hypertensive Acute Pain: An Orem-Based Community Nursing Program

Dian Ratna Sari (Universitas Jember)
Evy Aristawati (Universitas Jember)
Apriana Rahmawati (Universitas Jember)
Heny Ekawati (Puskesmas Karangketug, Pasuruan City)



Article Info

Publish Date
29 Jul 2026

Abstract

Hypertension rarely presents in isolation; a substantial proportion of affected adults also live with acute pain, most often occipital headache and neck tension, that erodes daily functioning and pushes patients toward unsupervised analgesic use. Community-based, non-pharmacological interventions capable of addressing this dual burden inside patients' own homes remain underdocumented, particularly when explicitly grounded in a nursing theoretical framework. This community nursing program examined the effect of guided autogenic relaxation therapy, structured around Orem's Self-Care Deficit Theory, on acute pain intensity, blood pressure, and self-care behavior among hypertension patients in a primary care catchment area. A quasi-experimental, one-group pretest-posttest design, reported following TREND and TIDieR guidance, was applied to three male patients aged 49-56 years with moderate acute pain (Numeric Rating Scale 4-5). Each participant received a standardized 15-minute guided autogenic relaxation session daily for three consecutive days at home, with pain, blood pressure, vital signs, and pain-related behavior recorded before and after every session. Mean pain intensity fell from 4.67 to 1.33, a 71.5% reduction; systolic pressure declined by 21 mmHg and diastolic pressure by 13 mmHg; and observable pain behaviors resolved by the third day. Two of the three participants began practicing the technique independently before the scheduled session on day two, consistent with Orem's transition from a partially compensatory to a supportive-educative nursing system. These findings support incorporating guided autogenic relaxation into home-based community nursing as an accessible, theory-consistent strategy for strengthening self-care agency in hypertension management.

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Journal Info

Abbrev

noval

Publisher

Subject

Humanities Economics, Econometrics & Finance Education Languange, Linguistic, Communication & Media Social Sciences

Description

Inovasi Lokal is an academic journal published by Tarqabin Nusantara. Inovasi Lokal accepts articles on the results of community service activities from lecturers, students, researchers, practitioners throughout Indonesia. Inovasi Lokal is intended to contribute to the progress and improvement of ...