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Sekitar 972 juta (24,4%) penduduk dunia menderita hipertensi dan resiko hipertensi semakin meningkat seiring penambahan usia. Begitu juga di wilayah kerja Puskesmas Baruah Gunuang, sepanjang tahun 2020 tercatat sebanyak 321 (54,68%) lansia penderita hipertensi. Penelitian ini bertujuan untuk mengetahui pengaruh cognitive behavior therapy terhadap perilaku dan tekanan darah lansia hipertensi. Jenis penelitian ini pra experiment dengan pendekatan one group pre test post test design yang telah dilaksanakan pada bulan Januari Februari 2023 dengan populasi seluruh lansia hipertensi yaitu sebanyak 321 orang. Pengambilan sampel menggunakan teknik purposive sampling dengan besaran sampel sebanyak 30 responden. Pengumpulan data menggunakan lembar observasi dan kuisioner perilaku. Analisis data meliputi analisis univariat dan analisa bivariat. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata tekanan darah responden antara sebelum (158,16/95,5 mmHg) dengan sesudah (149/89,16 mmHg) dengan nilai p = 0,000/0,000. Adanya peningkatan rata-rata perilaku sebesar 2,36 dan nilai p = 0,000. Disimpulkan bahwa pemberian pemberian cognitive behavior therapy berpengaruh signifikan terhadap penurunan tekanan darah dan peningkatan perilaku pada lansia hipertensi. Diharapkan kepada pihak Puskesmas Baruah Gunuang untuk dapat memanfaatkan intervensi cognitive behavior therapy sebagai salah satu program intervensi hipertensi pada SPM PTM.

There are 972 million (24.4%) of the world's population suffer from hypertension and the risk of hypertension increases with age. Likewise, in the working area of Baruah Gunuang Community Health Center, throughout 2020 there were 321 (54.68%) elderly people with hypertension. This study aimed to determine the effect of cognitive behavior therapy on the behavior and blood pressure of elderly hypertensives. The type of this research was pre experimental with one group pre-test post-test design. It was carried out in January - February 2023 with all elderly hypertensives, namely 321 people. By using purposive sampling technique, 30 respondents were chosen as the samples. The data were collected through observation sheets and behavioral questionnaires. Then, it was analyzed by univariate analysis and bivariate analysis. The results showed that there was a difference in the average blood pressure of the respondents between before (158.16/95.5 mmHg) and after (149/89.16 mmHg) with p = 0.000/0.000. Then, there was an increase in the average behavior of 2.36 and the value of p = 0.000. In short, it can be concluded that cognitive behavior therapy had a significant effect on reducing blood pressure and increasing behavior in elderly hypertensives. It is hoped that Baruah Gunuang Community Health Center will be able to take advantage of cognitive behavior therapy interventions as one of the hypertension interventions programs in PTM MSS.