PENGARUH TERAPI TERTAWA TERHADAP TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI

Abstract

ABSTRAKHipertensi merupakan masalah yang sering terjadi pada lansia dan berpotensi menimbulkan komplikasi jika tidak dikendalikan. Selain terapi farmakologis, diperlukan intervensi nonfarmakologis yang mudah dan aman, salah satunya terapi tertawa. Penelitian ini bertujuan untuk mengetahui pengaruh terapi tertawa terhadap tekanan darah pada lansia dengan hipertensi di wilayah kerja Puskesmas Gandus. Penelitian ini menggunakan desain pra-eksperimen dengan pendekatan one group pretest-posttest design. Sampel berjumlah 17 lansia dengan hipertensi yang dipilih menggunakan purposive sampling. Penelitian ini dilaksanakan pada tanggal 19 – 21 Desember 2025. Tekanan darah diukur sebelum dan sesudah intervensi. Analisa data yang digunakan adalah uji paired sample t-test. Hasil penelitian menunjukkan adanya penurunan rata-rata tekanan darah sistolik dari 155,53 mmHg menjadi 145,24 mmHg dan diastolik menurun dari 95,59 mmHg menjadi 80,47 mmHg dan diperoleh p-value 0,000 (p < 0,05). Dengan demikian terdapat pengaruh yang signifikan terapi tertawa terhadap penurunan tekanan darah pada lansia dengan hipertensi. Disarankan bagi puskesmas dan posyandu agar terapi tertawa dapat direkomendasikan sebagai intervensi nonfarmakologis sebagai pendukung dalam kegiatan posyandu lansia dalam upaya promotif dan preventif.Kata kunci: Terapi tertawa, Tekanan darah, Lansia, Hipertensi. ABSTRACTHypertension was a common health problem among older adults and had the potential to cause complications if not properly controlled. In addition to pharmacological therapy, safe and simple non-pharmacological interventions were needed, one of which was laughter therapy. This study aimed to determine the effect of laughter therapy on blood pressure in older adults with hypertension in the working area of Gandus Public Health Center. This study used a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 17 older adults with hypertension who were selected using purposive sampling. The study was conducted from December 19 to 21, 2025. Blood pressure was measured before and after the intervention. Data analysis was performed using the paired sample t-test. The results showed that the mean systolic blood pressure decreased from 155.53 mmHg to 145.24 mmHg, and the mean diastolic blood pressure decreased from 95.59 mmHg to 80.47 mmHg, with a p-value of 0.000 (p < 0.05). Therefore, it was concluded that laughter therapy had a significant effect on reducing blood pressure in older adults with hypertension. It was recommended that public health centers and integrated health posts for older adults consider laughter therapy as a supportive non-pharmacological intervention to enhance promotive and preventive health efforts.Keywords: Blood pressure, Elderly, Hypertension, Laughter therapy.