Background: Progressive Muscle Relaxation (PMR) is the simplest and most 
effective method to decrease muscle tension, reduce the level of stress, anxiety and 
lower blood pressure. The aim of the study is to evaluate the effect of relaxation 
technique on blood pressure, stress and quality of life among female patients with 
hypertension in Damanhur City. Design: Quasi experimental design (two groups) 
research design was adopted to carry out this study. Setting: This study was conducted 
in the outpatient clinic at the National Institute of Medicine in Damanhour. Sample: A 
purposive sample of 60 female patients was included in the study. Tools of data 
collection: Three tools were used for data collection Tool I: Structured Interview 
Schedule for female patients' basic data. It consists of three parts. Tool II: Perceived 
Stress Scale (PSS). Tool III: Quality of Life Scale (WHOQoL-BREF- 26). Result: The 
systolic blood pressure mean score among the study group was 153.30 ± 6.564 in the 
initial assessment , and dropped to 126.50 ± 4.883 after 2 weeks of the relaxation 
techniques and then decreased to 124.63±5.196 after 4 weeks, with a statistically 
significant difference between them (F=246.49, P=0.000). Conclusion: Based on the 
results of the present study it can be concluded that progressive muscle relaxation 
program proved to be significantly effective in decreasing levels of stress and 
controlling blood pressure level as well as increase the level of quality of life among the 
study group. Recommendation: Awareness about stress as a risk for hypertension 
should be done among masses. Measures to mitigate stress should be emphasized in the 
initiatives for prevention and control of hypertension. Include different relaxation 
technique in treatment plan of hypertensive patients. Use different instructional/mass 
media to illustrate risk factors, manifestations and controlling factors of hypertension 
and stress including relaxation technique.