Community-Based Health Education on Healthy Foods to Reduce Blood Pressure among Hypertensive Patients in the Community

Authors

  • Israfil Israfil Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
  • Ni Luh Putu Inca Buntari Agustini Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
  • I Gede Putu Darma Suyasa Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
  • Ni Luh Dwi Indrayani Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
  • I Ketut Swarjana Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
  • Ni Kadek Sriasih Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
  • Ganyanee Nooiad Department of Nursing, Faculty of Nursing, Saint Louis College, Bangkok, Thailand
  • I Gusti Agung Yogi RS Department of Food Technology, Faculty of Technology, Institute of Technology and Health Bali, Denpasar, Indonesia
  • I Nyoman Tripayana Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
  • I Gusti Agung Tresna Wicaksana Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia

DOI:

https://doi.org/10.53770/amjpm.v5i2.750

Keywords:

Hypertension, Health Education, Non-Pharmacological Therapy, Healthy Food, Community Empowerment

Abstract

Hypertension is one of the non-communicable diseases whose prevalence continues to increase and remains a major risk factor for cardiovascular disease. The management of hypertension does not rely solely on pharmacological therapy but also requires non-pharmacological interventions, such as adopting a healthy diet rich in fruits and vegetables and low in salt. However, public knowledge regarding types of foods that effectively help lower blood pressure remains limited, particularly in rural areas. This community service program (PKM) aimed to provide education on healthy foods that can reduce blood pressure as a form of non-pharmacological therapy for patients with hypertension in the community. The activity employed the Preparation, Action, Reflection, and Evaluation (PARE) approach and was conducted in Melinggih Village, Gianyar Regency, Bali Province, involving 29 participants with hypertension. The program began with a pre-test, followed by health education sessions supported by visual educational media, consultations, discussions, and question-and-answer sessions, and concluded with a post-test evaluation. The results showed that the proportion of participants with good knowledge increased from 34.5% before the intervention to 100% after the implementation of the program. The Wilcoxon test results indicated Z = -4.300; p = 0.001, demonstrating a statistically significant difference in participants’ knowledge levels before and after the activity. The success of the program was supported by lecture methods, consultations, and interactive discussions conducted bilingually (Indonesian and Balinese), as well as the use of colorful leaflets illustrating vegetables and fruits beneficial in lowering blood pressure. Thus, this community-based educational intervention proved effective in improving community knowledge and awareness regarding healthy food choices for hypertension management.

References

Apriyani, D., Djamil, M., & Kumorowulan, S. (2020). Effectiveness of Chayote Extract on Lowering Blood Pressure of Post Partum Hypertension. STRADA Jurnal Ilmiah Kesehatan, 9(2), 801–812. https://doi.org/10.30994/sjik.v9i2.370

Budiman, & Erisandi, T. D. (2021). The Difference of Celery Leaves And Bay Leaves Water to Decrease Blood Pressure among Pre-Elderly With Primary Hypertension in Public Health Center Cigugur. Jurnal Keperawatan Komprehensif, 7(2), 1–11. http://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/view/253

Dhungana, R. R., Pedisic, Z., & De Courten, M. (2022). Implementation of non-pharmacological interventions for the treatment of hypertension in primary care: a narrative review of effectiveness, cost-effectiveness, barriers, and facilitators. BMC primary care, 23(1), 298. https://doi.org/10.1186/s12875-022-01884-8

Doubeni, C. A., Nelson, D., Cohn, E. G., Paskett, E., Asfaw, S. A., Sumar, M., Ahmed, S. M., McClinton-Brown, R., Wieland, M. L., Kinney, A., Aguilar-Gaxiola, S., Rosas, L. G., & Patino, C. M. (2022). Community engagement education in academic health centers, colleges, and universities. Journal of clinical and translational science, 6(1), e109. https://doi.org/10.1017/cts.2022.424

Galmarini, E., Marciano, L., & Schulz, P. J. (2024). The effectiveness of visual-based interventions on health literacy in health care: a systematic review and meta-analysis. BMC Health Services Research, 24(1), 1–10. https://doi.org/10.1186/s12913-024-11138-1

Israfil, I., & Making, M. A. (2020). Blood Glucose Level, Blood Pressure, and Medication Behavior are related to Cardiovascular Complication in Hypertension Patient at Sikumana Public Health Center. Unnes Journal of Public Health, 9(1). https://doi.org/https://doi.org/10.15294/ujph.v9i1.28051

Jayadi, Y. I., Maharani, W., & Nurdiyanah, N. (2021). Health Education About Hypertension Using Leaflet Media Effective On People’s Knowledge And Attitudes Of The Community In Tanete Labba Hamlet, Maros. Preventif : Jurnal Kesehatan Masyarakat, 12(2), 409. https://doi.org/10.22487/preventif.v12i2.453

Kalsum, U., Gusmawati, P., Fitri, A., & Sitanggang, H. D. (2024). Determinants of the incidence of non-communicable diseases and early death among lecturers at the Health Polytechnic, Ministry of Health, Jambi. Riset Informasi Kesehatan, 13(1), 54-64. https://doi.org/10.30644/rik.v13i1.863

Kasumayanti, E. (2017). Efektivitas Pemberian Terapi Jus Pepaya Dalam Menurunkan Tekanan Darah Pasien Hipertensi Di Wilayah Kerja Puskesmas Sungai Piring Kabupaten Indragiri Hilir Tahun 2016. Jurnal Ners Universitas Pahlawan Tuanku Tambusai, 1(1), 89–97. https://doi.org/10.31004/jn.v1i1.93

Kementerian Kesehatan Republik Indonesia. (2018). Manajemen Program Pencegahan dan Pengendalian Hipertensi dan Perhitungan Pencapaian SPM Hipertensi. Jakarta: Kementerian Kesehatan Republik Indonesia. Retrieved from: http://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2018/05/Manajemen_Program_Hipertensi_2018_Subdit_PJPD_Ditjen_P2PTM.pdf

Kementerian Kesehatan Republik Indonesia. (2019). Hipertensi Si Pembunuh Senyap. Jakarta: Kementerian Kesehatan Republik Indonesia. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf

Maharani, A. (2022). Participation in community-based healthcare interventions and non-communicable diseases early detection of general population in Indonesia. SSM-Population Health, 19, 101236.

Maniero, C., Lopuszko, A., Papalois, K. B., Gupta, A., Kapil, V., & Khanji, M. Y. (2023). Non-pharmacological factors for hypertension management: a systematic review of international guidelines. European journal of preventive cardiology, 30(1), 17-33. https://doi.org/10.1093/eurjpc/zwac163

Nagamma, T., Ashok, L., Konuri, A., & Chandrasekaran, V. (2020). Effectiveness of Audio‑visual and Print Media Intervention on Knowledge of Cervical Health among Rural Women in Southern India. Nigerian Postgraduate Medical Journal, 27(4), 343–347. https://doi.org/10.4103/npmj.npmj_148_20

Rukmini, R., Handajani, A., Paramita, A., Andarwati, P., & Laksono, A. D. (2022). Non-communicable diseases among the elderly in Indonesia in 2018. Indian Journal of Forensic Medicine & Toxicology, 16(1), 1026-1036.

Sudikno, S., Mubasyiroh, R., Rachmalina, R., Arfines, P. P., & Puspita, T. (2023). Prevalence and associated factors for prehypertension and hypertension among Indonesian adolescents: a cross-sectional community survey. BMJ open, 13(3), e065056. https://doi.org/10.1136/bmjopen-2022-065056

Timsina, Y. P., Pandey, P., Mondal, I. H., & Dar, A. H. (2023). Non-pharmacological management of hypertension: A systematic review. Food Chemistry Advances, 3, 100406. https://doi.org/10.1016/j.focha.2023.100406

Tukan, R. (2018). Efektivitas Jus Mentimun Dalam Menurunkan Tekanan Darah Pada Pasien Hipertensi. Journal of Borneo Holistic Health, 3(2), 43–50.

Vaghela, C. (2024). Bilingualism: A Potential Approach for Enhancing Sustainable Development and Boosting Students'cognitive Abilities. Cahiers Magellanes-NS, 6(1), 1726-1736. https://doi.org/10.6084/m9.figshare.26314310

Wahidin, M., Mustikawati, I. S., Handayani, R., & Letelay, A. M. (2025). Overview of Hypertension Prevalence and Its Main Risk Factors in Indonesia–a District-Level Data Analysis. Amerta Nutrition, 9(3), 438-442.

WHO. (2023). Hypertension. Geneva: WHO. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/hypertension

Downloads

Published

2026-02-28

How to Cite

Israfil, I., Agustini, N. L. P. I. B., Suyasa, I. G. P. D., Indrayani, N. L. D., Swarjana, I. K. ., Sriasih, N. K., Nooiad, G. ., Yogi RS, I. G. A. ., Tripayana, I. N. ., & Wicaksana, I. G. A. T. . (2026). Community-Based Health Education on Healthy Foods to Reduce Blood Pressure among Hypertensive Patients in the Community. Ahmar Metakarya: Jurnal Pengabdian Masyarakat, 5(2), 241–248. https://doi.org/10.53770/amjpm.v5i2.750

Most read articles by the same author(s)