The years proximate to menopause are accompanied by an increase in blood pressure and the
prevalence of hypertension that may lead to complaints that attributed to menopause. High blood
pressure is a potentially life-threatening condition that affects some menopausal women and is
linked to heart attacks and strokes.This study aimed to assess the impact of nursing intervention on
blood pressure and stress among perimenopausal women. Quasi-experimental research design was
conducted to meet the aim of the study. The research was carried out at outpatient clinic of the
University Hospital and Shebin El-kom Teaching Hospital in the Shebin El-kom District. Menoufia
Governorate, Egypt. A purposive sample for a group of 100 perimenopausal women with stage I
hypertension was chosen at random. Study group received a structured instruction and planned
clinical supervision about relaxation techniques which include progressive muscle relaxation &
guided imagery and walking exercise program as well nursing and medical routine care provided in
the outpatient clinic, while the control group follow nursing and medical routine care provided in
the outpatient clinic. The data gathering instruments were Instrument I: structured interview
questionnaire. Instrument II: physiological measurements. Instrument III: Perceived stress scale.
The main findings of the study were there is no statistically significant difference between a study
and a control group for systolic and diastolic blood pressure mean at pretest while at posttest there is
statistically significant decrease in a mean value of systolic and diastolic blood pressure for a study
group than a control group. There is a highly statistically significant reduction for both stress level
and the mean value for a study group than a control group at posttest and follow up following the
nursing intervention. The study concluded that nursing intervention which includes progressive
muscle relaxation & guided imagery and walking exercise program can improve their knowledge,
decrease stress and blood pressure among premenopausal women.