Hypertension is the number one cause of death in the world every year, including in Indonesia. It has been proven that in Indonesia alone in 2020 there will be around 80 million people with hypertension. For this reason, prevention and control of hypertension in the community must be strengthened and improved in terms of quality of service, health promotion, community empowerment in early detection and monitoring of hypertension risk factors at First Level Health Facilities through Integrated Services for non-communicable diseases. The role of nurses is very important in preventing and controlling hypertension in the community, especially in First Level Health Facilities. Objective: To determine the implementation of family nursing care in hypertensive patients with a family approach as an effort to reduce blood pressure. Objective: To determine the implementation of family nursing care in hypertensive patients with a family approach as an effort to reduce blood pressure. Research Method: The design of this study used a case study method that implemented the application of family nursing care in hypertensive patients with a family approach as an effort to reduce blood pressure. This research was conducted on hypertensive patients in Mr. S's family with hypertension problems in Pedurenan Village, RT 08 RW 02 Karang Tengah, Tangerang. Results: Implementation of family nursing care with a family approach for 3 days reduced hypertension from 160/100mmHg to 140/80 mmHg.