Ni Luh Putu Inca Buntari Agustini
Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia

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Community-Based Health Education on Healthy Foods to Reduce Blood Pressure among Hypertensive Patients in the Community Israfil Israfil; Ni Luh Putu Inca Buntari Agustini; I Gede Putu Darma Suyasa; Ni Luh Dwi Indrayani; I Ketut Swarjana; Ni Kadek Sriasih; Ganyanee Nooiad; I Gusti Agung Yogi RS; I Nyoman Tripayana; I Gusti Agung Tresna Wicaksana
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.750

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.
Critical Aspects in Assessing Palliative End-of-Life Care: A Narrative Review of Family Support and Spiritual Needs Ni Luh Putu Inca Buntari Agustini; Israfil Israfil; I Gede Putu Darma Suyasa; Untung Sujianto
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.44511

Abstract

Aims: To review the existing evidence on the assessment of spiritual needs and family support in palliative end-of-life nursing care. Methods: A narrative review was conducted using databases, including ScienceDirect, EBSCOhost, ProQuest, and PubMed. Keywords included “palliative care,” “assessment tools,” “family,” and “spiritual.” After applying the inclusion criteria, 12 relevant articles were analyzed. Results: Two major assessment domains were identified. First, spiritual needs encompass perceptions of death, hopelessness, dependency, fear, avoidance, anxiety, stress, depression, Quality of Life (QoL), and religious barriers. Second, family support includes caregiver burden, fatigue, depression, declining physical health, anxiety, and financial stress. These factors influence both patient well-being and the family’s capacity to provide end of life care. Conclusion: Spiritual needs and family support are interconnected and critical components of a comprehensive palliative nursing assessment. Integrating structured spiritual and family assessment tools into clinical practice is essential for developing culturally sensitive holistic care plans that enhance quality of life and death. Future nursing education, clinical training, and policies should prioritize systematic assessment approaches and interdisciplinary collaboration to strengthen end-of-life care.