The effects of a self-control program using yoga meditation on stress and blood pressure levels of older adults with essential hypertension in the community

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Prapaporn Suvarnakuta
Sirirat Joomjana
Kritsana Boonmung


Background: Hypertension is a major health problem in Thailand and worldwide and affects the lifestyle of the patient and their family. Furthermore, hypertension is a risk factor related to other complications and causes high medical costs.

Objectives: To study the effects of a self-control program by yoga meditation practice on stress and blood pressure levels of older persons with high blood pressure in the community.

Methods: This quasi-experimental study used a one-group, pre-posttest design. The subjects consisted of 30 older persons with essential hypertension and they participated in the program for 8 weeks. Data were collected by using demographic data, stress assessment, and a standard mercury sphygmomanometer. The reliability of the Cronbach’s alpha coefficient of stress assessment was .86. Data were analyzed using descriptive statistics and a paired t-test.

Results: The results showed that the average stress score of the sample receiving Yoga meditation practice was significantly lower than that before receiving the program (p<.05). Moreover, both  the average systolic and diastolic blood pressure of the sample after yoga meditation practice was lower than before practice (p<.05)

Conclusions: Yoga meditation practice can reduce stress levels and blood pressure levels in the elderly with essential hypertension.


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Suvarnakuta, P., Joomjana, S., & Boonmung, K. (2021). The effects of a self-control program using yoga meditation on stress and blood pressure levels of older adults with essential hypertension in the community. OURNAL F EALTH CIENCE ESEARCH, 15(2), 88-99. etrieved from
นิพนธ์ต้นฉบับ (Original Articles)


World Health Organization. A global brief on hypertension: silent killer, global public health crisis: World Health Day. [internet]. 2013. [cited 2018 Jan 20]. Available from: s//pdf/global_brief_hypertension.pdf.

Public Health System Development Group Bureau of Non-communicable Diseases Department of Disease Control. World Hypertension Day Campaign. [internet]. 2018. [cited 2018 Mar 1]. Available from: news_1421769. (in Thai).

ICT Office of Permanent Secretary. Report NCDs.[internet]. 2020 [cited 2020 Dec 10] Available from: https://pte.hdc. pformated/format1.php&cat_id=b2b59e64c4e6c92d4b1ec16a599d882b&id=2e3813337b6b5377c2f68affe247d5f9. (in Thai).

Sarkar A, Roy D, Chauhan MM, Dave P, Makwana NR, Parmar DV. A lay epidemiological study on coexistent stress in hypertension: Its prevalence, risk factors, and implications in patients' lives. J Family Med Prim Care. 2019;8(3):966-71. doi: 10.4103/jfmpc.jfmpc_60_19.

Rengganis AD, Rakhimullah AB, Garna H. The correlation between work stress and hypertension among industrial workers: A cross-sectional study. IOP Conference Series: Earth and Environmental Science. 2020;441: 1-5. doi:10.1088/1755-1315/441/1/012159.

Department of Thai Traditional and Alternative Medicine. Yoga for chronic disease. [internet]. 2019. [cited 2019 Aug 5]. Available from: (in Thai).

Suwannakich P, Sukted P, Wongsa S, Audta, Saengpanya N. Effects of sahaja yoga practice on blood pressure, heart rate and stress among hypertension patients. Journal of Nursing and Health Science. 2010;4(2):28-35. (in Thai).

Lu X, Juon H, He X, Dallal CM, Wang MQ, Lee S. The association between perceived stress and hypertension among Asian Americans: Does social support and social network make a difference? J Community Health. 2019; 44(3):451–62. doi: 10.1007/s10900-018-00612-7.

Satyanand V, Reddy B, Shaik M, Mohanan D, Salma S, Nuzhath FJ. Effect of yoga on hypertension. Narayana Medical Journal. 2016;5(1):5-11.

Nejati S, Zahiroddin A, Afrookhteh G, Rahmani S, Hoveida S. Effect of group mindfulness-based stress-reduction programm and conscious yoga on lifestyle, coping strategies, and systolic and diastolic blood pressure in patients with hypertension. J Teh Univ Heart Ctr. 2015;10(3):140-8. PMID: 26697087.

Suvarnarong K. The path of yoga: The science challenging nurses’ role, Journal of Nursing Science. 2014;32(4):15-24. (in Thai).

Burn N, Grove SK. The practice of nursing research, conduct, critique, and utilization. 4th ed. Philadephia: W.B. Saunders; 2001.

Mahatnirunkul S, Pumpaisalchai W, Tapanya P. Suanprung stress test. Chiang Mai: Suanprung hospital; 1997. (in Thai).

Leventhal H, Johnson JE. Laboratory and field experimentation: Development of a theory of self-regulation. In: Wolldridge PJ, Schmitt MH, Skipper JK, Leonard RC, editors. Behavioral science and nursing theory. Mosby: St. Louis; 1983.

Kantharadusadee-Triamchisri S. Meditation practice for health remedies. 11th ed. Bangkok; 2011. (in Thai).

Kosirimongkol V, Ua-kit N, Tantikosoom P. The effects of slow breathing exercise program on blood pressure levels among essential hypertensive patients. Journal of The Police Nurses. 2018;10(1):30-40. (in Thai).

Prasawang N, Koshakri R, Jewpattankul Y. Effects of the sitting breathing meditation combined with usual care on blood pressure among patients with essential hypertension in primary care unit. Journal of Nursing and Health Care. 2018;36(1):33-42. (in Thai).

Wolff M, Sundquist K, Lonn SL, Midlov P. Impact of yoga on blood pressure and quality of life in patients with hypertension – a controlled trial in primary care, matched for systolic blood pressure. BMC Cardiovasc Disord. 2013;13(111):1417-2261. doi: 10.1186/1471-22 61-13-111.