Penerapan Mindfulness-Based Cognitive Therapy Menurunkan Tingkat Stress Pasien Hipertensi: Internalisasi Ontologi Epistemologi, Aksiologi
Misrawati Misrawati, Salsa Adelia Rahmadani, Fera Rahmawati, Endang Dwi Rukmini, Riza Fouzia Khainingsih, Triswan Simatupang
Khatulistiwa Nursing Journal January 31, 2026 DOI: 10.53399/knj.v8i1.397 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Pre-post intervention study Peer reviewed |
|---|---|
| Population | People with hypertension at Puskesmas Simpang Tiga, Pekanbaru |
| Interventions | Mindfulness-Based Cognitive Therapy (MBCT) guided mindfulness meditation reflective stress-management sessions |
| Duration | Three days |
| Measures | Perceived Stress Scale (PSS-10), Mindful Attention Awareness Scale (MAAS) |
| Topics | Meditation |
| Key points | Most participants showed reduced blood pressure and decreased stress scores after the three-day MBCT intervention, and mindfulness levels increased. The authors argue the intervention also demonstrates integration of ontological, epistemological, and axiological nursing values into holistic hypertension care. |
Abstract
Background: A significant worldwide health concern that raises morbidity and death, particularly in older persons, is hypertension. Psychological stress can worsen blood pressure, making non-pharmacological approaches such as Mindfulness-Based Cognitive Therapy (MBCT) valuable. This study applies MBCT using the Neuman Systems Model while integrating ontological, epistemological, and axiological principles of nursing.
Objective: To assess how well MBCT reduces stress in people with hypertension and to identify the integration of nursing philosophical values in the intervention.
Methods: The intervention was carried out over three days at Puskesmas Simpang Tiga, Pekanbaru. Activities included education on stressors, guided mindfulness meditation, and reflective stress-management sessions. Stress and mindfulness levels were assessed before and after the intervention using the Perceived Stress Scale (PSS-10) and the Mindful Attention Awareness Scale (MAAS).
Results: Most participants showed reduced blood pressure and decreased stress scores after the intervention. Mindfulness levels also increased. Ontological values were reflected in viewing patients as holistic beings; epistemological values through evidence-based practice; and axiological values through empathy and ethical nursing care.
Conclusion: When used as a non-pharmacological treatment, MBCT helps individuals with hypertension feel less stressed. The intervention strengthens holistic nursing practice grounded in ontological, epistemological, and axiological principles.
Comparable studies
Other non-randomized and open-label trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients | 2003 | Pre-post intervention study | n = 59 |
| Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample | 2010 | Pre-post intervention study | |
| Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students | 2003 | Prospective nonrandomized cohort-controlled study | n = 302 |
| Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls | 2011 | Controlled trial with wait-list control group | n = 60 |
| The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents | 2011 | Within-group waitlist controlled trial | n = 22 |