Abstract Objective To determine the effect of foot massage on reducing blood pressure in patients with intradialytic hypertension. Method This study is a randomized controlled trial (RCT). Subjects were 32 hemodialyses (HD) patients randomly allocated into two groups: the control group and the intervention group. Foot massage was performed three times in intradialytic phase for 5–10 min in the first, second, and third HD hours. Measurement of blood pressure (BP) used portable sphygmomanometer. The measurement was conducted every hour. Results There is a different effect of foot massage on systolic and diastole blood pressure between the control group and intervention group with p Conclusion The foot massage is beneficial in controlling intradialytic hypertension and can be applied in the management of hemodialysis patients by nurses.