Pemberian pesan Dietary Approaches to Stop Hypertensions-like diet melalui whatsApp untuk memperbaiki kepatuhan diet dan tekanan darah pasien hipertensi

https://doi.org/10.22146/ijcn.57687

Arum Wulandari(1), Weni Kurdanti(2*), Idi Setiyobroto(3)

(1) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(2) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(3) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(*) Corresponding Author

Abstract


Giving Dietary Approaches to Stop Hypertension-like diet messages via WhatsApp to improve dietary compliance and blood pressure in hypertensive patients

Background: Dietary Approaches to Stop Hypertension-like diet (DASH-like diet) is a non-pharmacological management of hypertension. The delivery of health information is currently being developed through social media such as WhatsApp.

Objective: To determine the effect of giving DASH-like diet messages via WhatsApp on the compliance of DASH-like diet and blood pressure in hypertensive patients. 

Methods: This study used a quasi-experiment by one group pretest-posttest design approach. The location was taken at Kasihan II Health Center Community with 26 hypertensive patients for the sample. Univariate analysis using the Shapiro-Wilk test. Wilcoxon test for analysis of the compliance scores of DASH-like diet and diastolic blood pressure analysis. Systolic blood pressure analysis used paired sample t-test with a 95% confidence level. 

Results: There was a significant difference in DASH-like diet compliance score (p=0,001) and systolic blood pressure (p=0,021) between before and after the intervention. In contrast, there was no significant difference in diastolic blood pressure before and after the intervention (p=0.110). 

Conclusion: Giving a DASH-like diet message can significantly increase compliance with a DASH-like diet and systolic blood pressure and reduce diastolic blood pressure, although not significantly.


Keywords


DASH-like diet; hypertension; nutrition counseling; WhatsApp

Full Text:

PDF


References

  1. Dinas Kesehatan D.I. Yogyakarta. Profil kesehatan D.I. Yogyakarta tahun 2018. [series online] 2018 [cited 2019 Des 6]. Available from: URL: https://dinkes.jogjaprov.go.id/download/download/27
  2. Hapsari DP. Hubungan pengetahuan dengan perilaku manajemen hipertensi: aktivitas fisik dan diet DASH penderita hipertensi di Desa Salamrejo. [series online] 2018 [cited 2019 Des 6]. Available from: URL: http://repository.umy.ac.id/handle/123456789/7319
  3. Nisa NK. Pengaruh psikoedukasi dan interactive nursing reminder berbasis short message services dengan pendekatan teori Lawrence Green terhadap peningkatan kualitas hidup klien tuberkulosis [Thesis]. Surabaya: Universitas Airlangga; 2018.
  4. Ekadinata N, Widyandana D. Promosi kesehatan menggunakan gambar dan teks dalam aplikasi WhatsApp pada kader posbindu. Berita Kedokteran Masyarakat. 2017;33(11):547-52. doi: 10.22146/bkm.26070
  5. World Health Organization. Adherence to long-term therapies: evidence for action. [series online] 2003 [cited 2019 Des 6]. Available from: URL: https://apps.who.int/iris/bitstream/handle/10665/42682/9241545992.pdf
  6. Montag C, Błaszkiewicz K, Sariyska R, et al. Smartphone usage in the 21st century: who is active on WhatsApp?. BMC Res Notes. 2015;8(1):331. doi: 10.1186/s13104-015-1280-z
  7. Maslakpak MH, Safaie M. A comparison between the effectiveness of short message service and reminder cards regarding medication adherence in patients with hypertension : a randomized controlled clinical trial. Int J Community Based Nurs Midwifery. 2016;4(3):209-218.
  8. Mitasari R, Heryudarini H, Desfita S. Pengaruh konseling melalui media sosial terhadap pengetahuan dan praktik pengelolaan hipertensi. Jurnal Kesehatan Komunitas. 2019;5(1):29-33.
  9. Rahadiyanti A, Setianto BY, Purba MB. Asupan makan DASH- like diet untuk mencegah risiko hipertensi pada wanita prediabetes. Jurnal Gizi Klinik Indonesia. 2015;11(03):115-25. doi: 10.22146/ijcn.19290
  10. Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Besar sampel dalam penelitian kesehatan. Yogyakarta: Gajah Mada University; 1997.
  11. Atun L, Siswati T, Kurdanti W. Asupan sumber natrium, rasio kalium natrium, aktivitas fisik, dan tekanan darah pasien hipertensi. Media Gizi Mikro Indonesia. 2014;6(1):63-71.
  12. Anisa M, Bahri TS. Faktor-faktor yang mempengaruhi kepatuhan diet hipertensi. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan. 2017;2(3):1-9.
  13. Andria KM. Hubungan antara perilaku olahraga, stress dan pola makan dengan tingkat hipertensi pada lanjut usia di posyandu lansia Kelurahan Gebang Putih Kecamatan Sukolilo Kota Surabaya. Jurnal Promkes. 2013;1(2):111-7.
  14. Noer ER, Laksmi K. Peningkatan angka kejadian obesitas dan hipertensi pada pekerja shift. Journal of Nutrition and Health. 2014;2(1).
  15. Asrinawaty, Norfai. Hubungan status gizi dengan kejadian hipertensi lansia di posyandu lansia kakaktua wilayah kerja Puskesmas Pelambuan. An-Nadaa. 2014;1(1):32-36.
  16. Kuntoro K, Wirjatmoko B, Muniroh L. Pengaruh pemberian jus buah belimbing dan mentimun terhadap penurunan tekanan darah sistolik dan diastolik penderita hipertensi. The Indonesian Journal of Public Health. 2007;4(1).
  17. Agrina, Rini SS, Hairitama R. Kepatuhan lansia penderita hipertensi dalam pemenuhan diet hipertensi. Sorot. 2011;6(1):46-53.
  18. Ulya Z, Iskandar A, Asih FT. Pengaruh pendidikan kesehatan dengan media poster terhadap pengetahuan manajemen hipertensi pada penderita hipertensi. Jurnal Keperawatan Soedirman. 2017;12(1):38-46. doi: 10.20884/1.jks.2017.12.1.715
  19. Alegantina, Sukmayati, Isnawati A. Profil disolusi tablet amlodipin dan perbandingan kadar dua produk generik dengan produk inovator. Jurnal Kefarmasian Indonesia. 2015;5(1):11-8.
  20. Mintarsih SN, Prihatin S, Jaelani M, Iryanti S. Pendampingan konseling gizi pada peserta prolanis di Puskesmas Leyangan Kabupaten Semarang. LINK. 2017;13(2):45-8. doi: 10.31983/link.v13i2.2926
  21. Putri FV, Syamsiatun NH, Kurdanti W. Hubungan antara asupan lemak jenuh, asupan lemak tidak jenuh, dan frekuensi konseling dengan status hipertensi di Puskesmas Sentolo I Kabupaten Kulonprogo tahun 2017. [series online] 2017 [cited 2019 Des 6]. Available from: URL: http://eprints.poltekkesjogja.ac.id/id/eprint/235
  22. Mehrabian F, Farmanbar R, Mahdavi-Roshan M, Omidi S, Aghebati R. The effect of nutrition education based on DASH diet on blood pressure and dietary adherence among patients with hypertension. Casp J Heal Res. 2018;3(2):48-52. doi: 10.29252/cjhr.3.2.48
  23. Puspita A, Aisah S, Sutoyo. Sikap terhadap kepatuhan diit hipertensi dengan tekanan darah pada penderita hipertensi di wilayah kerja Puskesmas Doro II Kabupaten Pekalongan. Jurnal Keperawatan. 2012;5(1):1-13.
  24. Padma V. DASH diet in preventing hypertension dash diet in preventing hypertension. Adv Biol Res. 2014;8(2):94-6.
  25. Saneei P, Salehi-Abargouei A, Esmaillzadeh A, Azadbakht L. Influence of dietary approaches to stop hypertension (DASH) diet on blood pressure: a systematic review and meta-analysis on randomized controlled trials. Nutr Metab Cardiovasc Dis. 2014;24(12):1253-61. doi: 10.1016/j.numecd.2014.06.008
  26. Haris S, Tambunan T. Hipertensi pada sindrom metabolik. Sari Pediatr. 2009;11(4):257-63. doi: 10.14238/sp11.4.2009.257-63
  27. National Heart, Lung, and Blood Institute (NIH). In brief: Your guide to lowering your blood pressure with DASH (No. 06-5834). [series online] 2015 [cited 2019 Des 6]. Available from: URL: https://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
  28. Cahyahati JS, Kartini A, Rahfiludin MZ. Hubungan asupan makanan (lemak, natrium, magnesium) dan gaya hidup dengan tekanan darah pada lansia daerah pesisir (studi di wilayah kerja Puskesmas Tegal Barat Kota Tegal). Jurnal Kesehatan Masyarakat. 2018;6(5):395-403.
  29. Susanti MR. Hubungan asupan natrium dan kalium dengan tekanan darah pada lansia di Kelurahan Pajang. Surakarta: Universitas Muhammadiyah Surakarta; 2017.
  30. Miller CJ, Smith SN, Pugatch M. Experimental and quasi-experimental designs in implementation research. Psychiatry Res. 2020;283:112452. doi: 10.1016/j.psychres.2019.06.027
  31. Handley MA, Lyles C, McCulloch C, Cattamanchi A. Selecting and improving quasi-experimental designs in effectiveness and implementation research. Annu Rev Public Health. 2018;39:5-25. doi: 10.1146/annurev-publhealth-040617-014128



DOI: https://doi.org/10.22146/ijcn.57687

Article Metrics

Abstract views : 2664 | views : 2645

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2023 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats