Treatment of Hypertension by Nurses as non-pharmacological intervention, can do by self-care actions such as reducing environmental distraction, providing day time activities as indicated, teaching deep breathing relaxation techniques or progressive muscle relaxation, back massage and self-healing therapy. Aim: The purpose of this research is to know the difference of back massage and self-healing therapy to decrease blood pressure in elderly with hypertension in PSTW Khusnul Khotimah Pekanbaru. Method: This study was conducted on January 4-25, 2017. The population of all elderly people amounted to 28 people. Results: The result of this research is got difference of pre and post average rate of back massage group 10,31 and difference of mean pre and post value of Self healing group 5.07 The result of t-independent test shows p value 0,689 which means > 0,05, hence alternative hypothesis (Ha) accepted, means there is a difference between back massage and self healing. Pre and post back massage action 10.71 is greater than self healing 5.7 which means back massage more effective than self healing to lower blood pressure elderly. Keywords: Back massage, self-healing, blood pressure, elderly, hypertension