Perbedaan Tekanan Darah Sebelum Dan Sesudah Penerapan Diet Dietary Approaches To Stop Hypertension (DASH) Pada Lansia Hipertensi

Pramitha Yudha; Imam Subekti; Arief Bachtiar; Joko Wiyono; Dyah Widodo

doi:10.52774/jkfn.v8i2.428

Authors

Pramitha Yudha
pramithayudha101@gmail.com
Politeknik Kesehatan Kemenkes Malang
Imam Subekti Politeknik Kesehatan Kemenkes Malang
Arief Bachtiar Politeknik Kesehatan Kemenkes Malang
Joko Wiyono Politeknik Kesehatan Kemenkes Malang
Dyah Widodo Politeknik Kesehatan Kemenkes Malang

Keywords:

elderly, blood pressure, DASH diet, hypertension

Abstract

Hypertension is a non-communicable disease that is a leading cause of morbidity and mortality, especially in the elderly. Diet is a key factor in controlling blood pressure, yet many older adults still do not follow an appropriate diet, including the Dietary Approaches to Stop Hypertension (DASH) diet. This dietary inadequacy contributes to the difficulty of controlling blood pressure in elderly with hypertension. The Objective to determine the difference in blood pressure before and after the implementation of the DASH diet in elderly with hypertension. This study used a quasi-experimental design with a non-equivalent control group approach, involving 30 respondents who were divided into treatment and control groups through total sampling. Respondents were selected based on the criteria of elderly with pre-hypertension, grade 1, and grade 2 hypertension. The independent variable was the DASH diet, while the dependent variable was changes in blood pressure. Data analysis included univariate analysis for respondent characteristics and comparison of blood pressure, as well as bivariate analysis using the Paired T-Test and Mann Whitney Test.The Paired T-Test in the control group was 0.719 for systolic and 0.546 for diastolic. Paired T-Test test in the treatment group 0.000 in systolic and 0.002 in diastolic. Mann-Whitney Test in the control and treatment groups 0.027 in systolic and 0.032 in diastolic. There was a significant difference between systolic and diastolic blood pressure before and after implementing the DASH diet in elderly people with hypertension. The DASH diet is effective as a non-pharmacological intervention in controlling blood pressure. The results of this study recommend that nurses play an active role in providing education, support, and monitoring the implementation of the DASH diet as part of comprehensive nursing care for elderly people with hypertension.

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References

Abera, B., Yazew, T., Legesse, E., & Kuyu, C. G. (2024). Dietary adherence and associated factors among hypertensive patients in governmental hospitals of Guji zone, Oromia, Ethiopia. Journal of Health, Population and Nutrition, 43(108), 1–9. https://doi.org/10.1186/s41043-024-00598-0.

Astuti, A. P., Damayanti, D., & Ngadiarti, I. (2021). Penerapan Anjuran Diet DASH Dibandingkan Diet Rendah Garam Berdasarkan Konseling Gizi Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Puskesmas Larangan Utara. Journal of The Indonesian Nutrition Association, 44(1), 109–120. https://doi.org/10.36457/gizindo.v44i1.559.

Dewi, F. U., Sugiyanto, & Wira C, Y. (2015). Pengaruh Pemberian Diet Dash Terhadap Perubahan Tekanan Darah Pada Penderita Hipertensi Di Puskesmas Pahandut Palangka Raya. Jurnal Forum Kesehatan, 1–8.

Epstein, D. E., Sherwood, A., Smith, P. J., Craighead, L., Caccia, C., Lin, P. H., Babyak, M. A., Johnson, J. J., Hinderliter, A., & Blumenthal, J. A. (2012). Determinants and Consequences of Adherence to the Dietary Approaches to Stop Hypertension Diet in African-American and White Adults with High Blood Pressure: Results from the ENCORE Trial. Journal of the Academy of Nutrition and Dietetics, 112(11), 1763–1773. https://doi.org/10.1016/j.jand.2012.07.007.

Fianita, R. D. (2017). Pengaruh Pemberian Konseling Diet DASH Terhadap Perubahan Tekanan Darah Pada Penderita Hipertensi Peserta Prolanis Di Puskesmas Sentolo I Kabupaten Kulonprogo.

Fitria, Y., Desreza, N., & Mulfianda, R. (2025). Penerapan Diet Dash Terhadap Penurunan Tekanan Darah Pada Penderita hipertensi. Jurnal Keperawatan Cikini, 6(1), 118–126. https://jurnal.akperrscikini.ac.id/index.php/JKC.

Fitriyana, M., & Karunianingtyas, M. (2022). Penerapan Pola Diet DASH Terhadap Tekanan Darah Pada Penderita Hipertensi Di Desa Kalikangkung Semarang. Jurnal Manajemen Asuhan Keperawatan, 6(1), 17–24.

Guo, R., Li, N., Yang, R., Liao, X. Y., Zhang, Y., Zhu, B. F., Zhao, Q., Chen, L., Zhang, Y. G., & Lei, Y. (2021). Effects of the Modified DASH Diet on Adults With Elevated Blood Pressure or Hypertension: A Systematic Review and Meta-Analysis. Frontiers in Nutrition, 8, 1–9. https://doi.org/10.3389/fnut.2021.725020.

Islami, D. R., Tanziha, I., Martianto, D., & Rachman, P. H. (2019). DASH Diet Quality and Status of Mental Emotional Disorder among Hypertensive Women in Rural Area. Jurnal Gizi Dan Pangan, 14(3), 127–134. https://doi.org/10.25182/jgp.2019.14.3.127-134.

Kemenkes RI. (2021). Hipertensi Penyebab Utama Penyakit Jantung, Gagal Ginjal, dan Stroke. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20210506/3137700/hipertensi-penyebab-utama-penyakit-jantung-gagal-ginjal-dan-stroke/.

Luthfiana, S. N., Arwani, & Widiyanto, B. (2019). The Effect Of Dietary Approach To Stop Hypertension (Dash) Counseling On Reducing Blood Pressure. Jendela Nursing Journal, 3(2), 98–103. http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jnj/about/submissions#authorGuidelines.

Mandagi, A. M., Ulfa, I. F., Prayogi, A. R. Y., Pratama, R. A., Adnin, A. B. A., Aisyiyah, F. A. N., & Katmawanti, S. (2022). Analisis Status Depresi Sebagai Faktor Penyebab Hipertensi Berbasis Gender di Indonesia (Studi Indonesian Family Life Survey 5). Preventia : The Indonesian Journal of Public Health, 7(1), 14–19. https://doi.org/10.17977/um044v7i12022p14-19.

Nortajulu, B., Zainaro, M. A., & Trismiyana, E. (2023). Penerapan Anjuran Dietary Approaches to Stop Hypertension (DASH) terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di Puskesmas Karang Anyar. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(7), 2659–2668. https://doi.org/10.33024/jkpm.v6i7.9974.

Onvani, S., Haghighatdoost, F., & Azadbakht, L. (2015). Dietary approach to stop hypertension (DASH): Diet components may be related to lower prevalence of different kinds of cancer: A review on the related documents. Journal of Research in Medical Sciences, 20, 707–713. https://doi.org/10.4103/1735-1995.166233.

Onwuzo, C., Olukorode, J. o, Omokore, O. A., Odunaike, O. S., Omiko, R., Osaghae, O. w, Sange, W., Orimoloye, D. A., Kristilere, H. O., Addeh, E., Onwuzo, S., & Omoragbon, L. (2023). DASH Diet: A Review of Its Scientifically Proven Hypertension Reduction and Health Benefits. Cureus, 15(9), 1–6. https://doi.org/10.7759/cureus.44692.

Pramitasari, A., & Cahyati, W. H. (2022). Kejadian Hipertensi Pada Lansia di Wilayah Kerja Puskesmas Banyudono 1 Kabupaten Boyolali. Higeia Journal Of Public Health Research And Development, 6(4), 204–215. https://doi.org/10.15294/higeia/v6i4/57037.

Purnomo, S., Sabri, A., & Sari, S. (2023). Brisk Walking Dan Diet DASH Exercise Terhadap Perubahan Tekanan Darah Pada Penderita Hipertensi: Literature Review. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(3), 1053–1064. http://journal.stikeskendal.ac.id/index.php/PSKM.

Silvianah, A., & Indrawati. (2024). Hubungan Kepatuhan Minum Obat Hipertensi Dengan Perubahan Tekanan Darah Pada Lansia Di Posyandu Lansia. Jurnal Keperawatan, 52–61.

Siswanto, Y., Ambar Widyawati, S., Asyura Wijaya, A., Dewi Salfana, B., & Karlina. (2020). Hipertensi pada Remaja di Kabupaten Semarang. Jurnal Penelitian Dan Pengembangan Kesehatan Masyarakat Indonesia, 1(1), 11–17. https://journal.unnes.ac.id/sju/index.php/jppkmi.

Sudirman, A. N. A., Paneo, I., & Dama, H. (2023). Asuhan Keperawatan Keluarga Dengan Penerapan Diet DASH Dalam Menurunkan Tekanan Darah Pada Penderita Hipertensi Di Desa Mongolato. BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia), 11(1), 9–16. https://doi.org/10.53345/bimiki.v11i1.394.

Sugiyono. (2014). Metode Penelitian Kuantitatif, Kualitatif Dan R & D. Alfabeta.

Uliatiningsih, R., & Fayasari, A. (2019). Pengaruh Edukasi Diet DASH Terhadap Kepatuhan Diet Dan Tekanan Darah Pada Penderita Hipertensi Di Rumkital Marinir Cilandak. J.Gipas, 3(2), 120–132. http://jos.unsoed.ac.id/index.php/jgps.

Van Dijck, A. S., Szymlek-Gay, E. A., & Grimes, C. A. (2025). Dietary Approaches to Stop Hypertension (DASH) dietary pattern is not associated with blood pressure in a cross-sectional sample of Australian primary schoolchildren. European Journal of Nutrition, 64(178), 1–11. https://doi.org/10.1007/s00394-025-03696-9.

Wahyuningsih, R., Darni, J., & Abdi, L. K. (2024). Intervention of the DASH (Dietary Approach to Stop Hypertention) Diet on Blood Pressure Reduction in the Elderly at BSLU Mandalika. Journal of Local Therapy, 3(1), 12. https://doi.org/10.31290/jlt.v3i1.3683.

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