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MANAJEMEN KESEHATAN KELUARGA PADA PASIEN YANG MENDERITA HIPERTENSI DI MASA PANDEMI COVID-19: STUDI KASUS Suhari, Suhari; Sulistyono, Raden Endro; Fibriansari, Rizeki Dwi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 2 (2022)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i2.352

Abstract

ABSTRAKPeningkatan penyakit tidak menular (PTM) menjadi tantangan kesehatan di dunia dan Indonesia dalam menjaga kualitas kehidupan pasien. Salah satu PTM, yaitu hipertensi telah menjadi masalah keluarga dalam melakukan perawatan dan pengelolaan kesehatan pasien di rumah serta proses penyembuhan, apalagi pada situasi pandemi Corona Virus Disease 2019 (Covid-19). Tujuan penelitian: Menggambarkan asuhan keperawatan pada klien yang mengalami hipertensi, khususnya pada aspek manajemen kesehatan keluarga melalui kunjungan rumah. Keluhan utama pasien: Ny. R (70 tahun) jarang memeriksakan kesehatan ke puskesmas karena adanya kondisi pandemi dan kesulitan transportasi. Ny. R telah menderita hipertensi sejak 10 tahun yang lalu, sering merasakan kepala terasa berat, tetapi ia tidak tahu cara mengatasinya. Ny. R juga kurang menerapkan protokol kesehatan (memakai masker) dan kurang mendapat dukungan keluarga. Masalah keperawatan manajemen kesehatan keluarga tidak efektif disebabkan oleh kompleksitas program perawatan. Hasil: Intervensi keperawatan melalui kunjungan rumah efektif mengatasi masalah keperawatan, yaitu manajemen kesehatan keluarga tidak efektif.  Diskusi: Melalui kunjungan rumah, perawat dapat memberikan intervensi, yaitu dukungan koping keluarga dalam menfasilitasi pengambilan keputusan jangka panjang, pemenuhan kebutuhan dasar, dan memberikan informasi fasilitas perawatan kesehatan yang dapat dijangkau oleh keluarga. Kesimpulan: Perawat kesehatan komunitas berperan dalam meningkatkan motivasi dan mengembangkan sikap pasien untuk menggunakan fasilitas perawatan kesehatan. Upaya promotif dan preventif yang dilakukan melalui kunjungan rumah dapat mengendalikan faktor risiko hipertensi pada lanjut usia (lansia). Kunjungan rumah yang mematuhi protokol kesehatan efektif dilakukan di masa pandemi Covid-19 karena pasien lansia merasa lebih nyaman.Kata Kunci: Covid-19, hipertensi, keluarga Family Health Management in Hypertensive Patients During the Covid-19 Pandemic: A Case Study ABSTRACTThe increase in non-communicable diseases (NCDs) is a health challenge in the world and Indonesia in maintaining patients' quality of life. Hypertension, one of the NCDs, has become a family problem in caring for and managing patients' health at home and in the healing process, especially in the Corona Virus Disease 2019 (Covid-19) pandemic. Objective: To describe nursing care for hypertensive clients, especially in family health management through home visits. Primary complaint: Mrs. R (70 years old) rarely went to the Public Health Centre to have her health examined due to the pandemic and transportation difficulties. Mrs. R had been suffering from hypertension since 10 years ago and often had a heavy head feeling, but she did not know how to manage it. Mrs. R also did not apply health protocols (wearing masks) and lacked family support. Family health management nursing was ineffective due to the complexity of the care program. Results: Nursing interventions through home visit has an effect to overcome nursing probem, which was ineffective family health management.  Discussion: Through home visits, nurses can make interventions, namely family coping support in facilitating long-term decision making, meeting basic needs, and providing information on health care facilities that families can reach. Conclusion: Community health nurses play a role in increasing motivation and developing patient attitudes to use health care facilities. Promotive and preventive efforts made through home visits can control risk factors for hypertension in the elderly. Home visits that comply with health protocols are effective during the Covid-19 pandemic because elderly patients feel more comfortable.Keywords: Covid-19, Hypertension, Family
MOBILISASI BERTAHAP PASCA-SECTIO CAESARIA: STUDI KASUS DI RSUD dr. HARYOTO LUMAJANG Wahyuningsih, Sri; Hayati, Nurul; Fibriansari, Rizeki Dwi; Ulfa, Maria
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 2 (2022)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i2.351

Abstract

ABSTRAKPasca-sectio caesarea (SC), pasien diharapkan melakukan mobilisasi secara bertahap untuk mencegah bahaya fisiologis dan psikologis yang mungkin dapat terjadi. Namun, masih sedikit informasi yang melaporkan tentang pelaksanaan mobilisasi dini di lapangan. Tujuan penelitian: Menggambarkan asuhan keperawatan pada pasien pasca-SC, khususnya pada aspek hambatan mobilitas fisik. Keluhan utama: Pasien 1 (21 tahun) ditemani suami datang ke RS atas rujukan puskesmas. Mereka sudah memahami bahwa harus melahirkan secara SC karena panggul sempit. Selanjutnya, dilakukan operasi SC dengan anestesi lumbal, insisi melintang, luka ± 10 cm. Pasien 1 mengalami anemia sehingga dilakukan transfusi darah. Pasien 2 (32 tahun), datang ke RS ditemani suami, dirujuk karena panggul sempit dari puskesmas, kemudian dilakukan operasi SC dengan anestesi lumbal, insisi melintang, luka ± 10 cm.  Pengkajian melalui wawancara, obervasi, pemeriksaan fisik, dan studi dokumentasi.  Hasil:Intervensi untuk mobilisasi dilakukan setelah tindakan operasi selesai secara bertahap selama tiga hari perawatan. Hari pertama dilakukan pemberian informasi dan ambulasi awal di tempat tidur. Hari kedua pengaturan posisi semi-fowler, membantu perpindahan, latihan keseimbangan berdiri, berjalan. Hari ketiga pasien melakukan aktivitas mandiri tanpa bantuan, penyuluhan perawatan di rumah setelah operasi. Diskusi: Peran perawat pada pasien dengan melakukan mobilisasi secara bertahap serta berkolaborasi dengan tenaga kesehatan yang lain dapat mendukung percepatan pasien melakukan tindakan mobilisasi secara mandiri. Simpulan: Perawat perlu meningkatkan mobilisasi pasien secara bertahap dengan memerhatikan faktor ibu dan keluarga. Perawat disarankan meningkatkan pengetahuan, misalnya mengenai ERAC dan dalam proses asuhan keperawatan menggunakan rangkaian standar pelayanan untuk penyelenggaraan praktik keperawatan di Indonesia, yaitu SDKI, SIKI, SLKI, dan SPO.Kata kunci: mobilisasi dini, sectio caesaria             Gradual Mobilization in Post Cesarean Section: A Case Study at Dr. Haryoto Hospital of Lumajang ABSTRACTAfter the caesarean section (CS), patients are expected to mobilize gradually to prevent physiological and psychological hazards. However, there is still little information reporting about the implementation of early mobilization. Objective: to describe nursing care in post-CS patients, especially regarding physical mobility barriers. Primary complaint: Patient 1 (21 years old), accompanied by her husband, came to the hospital based on the referral of the Public Health Center. They already understood that they had to give birth by cesarean section because the pelvis was narrow. Next, SC surgery was performed with lumbar anesthesia, transverse incision, and wound ± 10 cm. Patient 1 was anemic, so a blood transfusion was performed. Patient 2 (32 years) came to the hospital accompanied by her husband and was referred by the Public Health Center because of a narrow pelvis; then, an SC operation was performed with lumbar anesthesia, transverse incision, and wound ± 10 cm. Assessment through interviews, observations, physical examinations, and documentation studies.  Results: interventions for mobilization were performed after the surgery was completed in stages for 3 days of treatment. On the first day, information was given and early ambulation was performed in bed. On the second day, the activities included adjusting semi-Fowler's position, assisting the movement, exercising balanced standing, and walking. On the third day, the patient did independent activities without assistance and counseling on home care after surgery. Discussion: The nurses play a role by gradually mobilizing patients and collaborating with other health workers to support patients' acceleration to mobilize independently. Conclusion: Nurses need to increase patient mobilization gradually by paying attention to maternal and family factors. Nurses are advised to increase knowledge, for example, about ERAS and the nursing care process by using a series of service standards for implementing nursing practice in Indonesia, namely SDKI, SIKI, SLKI, dan SPO.Keywords: early mobilization, cesarean section
Hubungan Efikasi Diri dengan Activity of Daily Living (ADL) pada Pasien Post Operasi: Relationship Between Self-Efficacy and Activity of Daily Living (ADL) in Post-operative Patients Fibriansari, Rizeki Dwi; Astuti, Anggia; Mulyantoro, Adi; Mustikawati, Aleikh
Binawan Student Journal Vol. 6 No. 1 (2024)
Publisher : Direktorat Penelitian, Pengabdian Masyarakat, Dan Kerjasama Universitas Binawan (DPPMK Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/xd6ryh42

Abstract

Operasi merupakan jenis pengobatan dengan menggunakan cara invasif yang sering menyebabkan nyeri, edema, imobilisasi paska pembedahan, sehingga terjadi penurunan kekuatan otot serta kemampuan ambulasi. Peningkatan mobilisasi pasien post operasi dengan efikasi diri dapat meningkatkan kemandirian pasien melakukan aktifitas. Penelitian bertujuan menganalisis hubungan antara efikasi diri dengan Activity of Daily Living (ADL) pada pasien post operasi. Desain penelitian yaitu deskriptif dengan menggunakan pendekatan cross sectional study. Kriteria inklusi, yaitu pasien yang menjalani jenis operasi mayor, usia >18 tahun, di rawat inap selama 24-48 jam dan kesadaran compos mentis. Pengumpulan data pada 57 responden menggunakan kuesioner General Self Efficacy (GSE) dan Care Depedency Scale (CDS). Hasil penelitian menunjukkan uji statistik spearman rank dengan nilai p value =0,001 hal ini menunjukkan adanya hubungan yang signifikan dengan arah korelasi positif antara efikasi diri dengan ADL pada pasien post operasi di Ruang Asparaga RSUD Dr Haryoto Lumajang. Efikasi diri merupakan aspek penting dalam mempengaruhi kemandirian melakukan ADL pada pasien post operasi. Peran perawat dalam fase post operasi salah satunya yaitu memberikan pelayanan fisik maupun psikologis melalui efikasi diri dapat bepengaruh terhadap keyakinan dan motivasi.
PROBLEM-BASED LEARNING MODEL IN ACHIEVEMENT OF COMPETENCE OF NURSING STUDENTS DURING THE COVID-19 PANDEMIC Abidin, Zainal; Fibriansari, Rizeki Dwi; Astuti, Anggia
Nurse and Health: Jurnal Keperawatan Vol 12 No 2 (2023): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v12i2.499

Abstract

Background: A new policy has occurred in the world of education due to the impact of the COVID-19 pandemic, which has changed learning that must come to a class or a building or campus, to become independent learning, including nursing students. In this case, they are still required to have abilities by existing competency standards, including cognitive, affective, and psychomotor abilities that can be achieved by applying case-based learning and project-based learning models. Objectives: Find out the problem-based learning model in the competency achievement of nursing students during the COVID-19 pandemic. Methods: The research method used is analytic observational with a case-control approach. The variables in this research are teaching methodology as an independent variable and competency achievement as a dependent variable. The research was conducted for 5 months at the Diploma Nursing Study Program, Faculty of Nursing, Universitas Jember. The data collection technique in this study was by using an instrument in the form of Nursing Clinical Exercise (NCEx). The research respondents were Diploma Nursing Study Program Students with a total of 101 treatment groups with the criteria of having passed in 2022. Results: The research results show that learning models based on Case case-based learning and project-based learning are very important to develop in the classroom, laboratory, and clinical learning where students need real conditions about real cases that require direct identification and recognition. The use of PjBL may lead to improved competency achievement among nursing students. This could be reflected in higher scores on competency assessments, better clinical performance, and a deeper understanding of nursing concepts. Students also really need to be in real contact with nursing cases, especially the conditions of the COVID-19 pandemic which is a challenge for educators and students in the world of health. Conclusion: The problem-based learning method is very helpful for students in meeting the competency targets for graduates of the third diploma in nursing.
PEER GROUP LEARNING DALAM BUDAYA MASYARAKAT PANDALUNGAN TANGGUH BENCANA Rizeki Dwi Fibriansari; Arista Maisyaroh; Eko Prasetya Widianto; Saifuddin Kurnianto
Jurnal Hasil Pengabdian kepada Masyarakat Universitas Jember Vol 1 No 1 (2022): Jurnal Hasil Pengabdian Kepada Masyarakat Universitas Jember
Publisher : LP2M Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpmunej.v1i1.53

Abstract

Natural disasters are natural disasters caused by natural events, including earthquakes, tsunamis, volcanic eruptions, floods, droughts, hurricanes, and landslides. The disasters that occurred in Indonesia have claimed hundreds or even thousands of human lives and hundreds of infrastructure damaged by disasters, one of which is an earthquake. Earthquakes are natural events whose time and place of occurrence cannot be predicted. Although earthquakes are prone to occur in the ring of the fire, where and when they will occur cannot be scientifically determined. Therefore, there is a need for natural disaster mitigation that is socialized to the public. This service aims to carry out disaster response lessons for the Pandalungan community. The method used in the service is the field study practice method and learning practicum through training through lectures, discussions, and simulations as well as mentoring. This activity is carried out by providing health education on the management of earthquake emergencies, and disaster simulation activities. Efforts to increase community knowledge and skills in dealing with earthquake emergencies can be carried out by providing counseling and simulations as well as emergency skills training, especially for the community on the slopes of Mount Semeru. This simulation activity is expected to be natural disaster mitigation so that it can reduce victims in the event of a natural disaster.
PENDAMPINGAN KADER GAPOKTAN DALAM KOMUNIKASI PELAPORAN TANGGAP DARURAT TERHADAP KEJADIAN KEGAWATAN SEHARI-HARI DI AREA PERTANIAN Rizeki Dwi Fibriansari; Arista Maisyaroh; Eko Prasetya Widianto
Jurnal Hasil Pengabdian kepada Masyarakat Universitas Jember Vol 2 No 2 (2023): Jurnal Hasil Pengabdian Kepada Masyarakat Universitas Jember
Publisher : LP2M Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpmunej.v2i2.441

Abstract

Daily emergencies happen all around us. The Indonesian people in general have not been well socialized when responding to life-threatening events, both in terms of reporting techniques, initial handling and transportation methods, increasing the risk of death or experiencing complications due to late or mishandling at the beginning of the incident. So that group-based mentoring is needed to be able to effectively train and teach the community the right methods and techniques. One of the groups of people who are prone to emergencies is the farmer group, because of the high risk of emergencies related to the work of farmers in agricultural areas. Assistance to community groups through Gapoktan (Farmer Group Association) meetings which are held regularly every month, so we provide assistance for the formation of Gapoktan cadres in Jatiroto District to be empowered in their groups in reducing the risk of emergencies due to trauma and illness due to work in the agricultural area. This activity is carried out through a series of assistance stages, starting from how the initial response, reporting techniques, asking for emergency assistance and first aid techniques to evacuation techniques to be moved to a health service place. Through the collaboration between the research group, Faculty of Nursing, University of Jember and the Agriculture and Health Office of Lumajang Regency, we provide assistance to Gapoktan Jatiroto District, Lumajang Regency. Assistance for the introduction of emergencies that threaten death due to accidents and occupational diseases as well as methods of reporting communication to PSC Si Lugas 119 Lumajang Regency. After mentoring is carried out, there is an increase in the ability of farmers to recognize and report emergencies, it is hoped that with community service, this Gapoktan assistance can reduce the risk of emergencies due to trauma and diseases due to work in the agricultural area.
STRATEGIES FOR NURSING STUDENTS IN ACHIEVING BASIC NURSING COMPETENCIES THROUGH SELF-DIRECTED LEARNING READINESS Astuti, Anggia; Abidin, Zainal; Wijaya, Dodi; Fibriansari, Rizeki Dwi; Yuliani, Nur
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.694

Abstract

Background: Clinical practice learning is designed to prepare nursing students to become professional nurses, students are required to meet competency achievement targets. To comprehensively achieve these targets, students must employ effective learning strategies, one of which is Self-Directed Learning Readiness. Objectives: To explore the strategies nursing students use to meet basic nursing competencies through Self-Directed Learning Readiness. Methods: This research used a quasi-experimental design with a one-group pretest-posttest model with total sampling, about 91 respondents of second-semester students from the Diploma 3 Nursing Program who conducted clinical practice. The intervention was carried out during the basic nursing clinical practice, with the approach of the stages in SDLR (plan-implementation-monitoring-evaluation). Respondents were given daily journaling which was filled in every day regarding the plan, implementation, monitoring, and evaluation of 58 basic nursing competency achievements. After the basic nursing clinical practice ended, respondents completed the post-test questionnaire. Data analysis was performed using an independent sample t-test. Results: The results showed that the majority of students achieved excellent scores (91%) in meeting basic nursing clinical practice competencies. The competency assessment covers three main aspects: knowledge, attitude, and psychomotor skills, with average scores of 82, 84.3, and 83, respectively. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05. Conclusion: Students with higher levels of SDLR tend to be more independent in managing time, utilizing various learning resources, and practicing clinical skills. The basic competencies achieved include cognitive, affective, and psychomotor aspects, reflecting their readiness to provide comprehensive nursing care.
IMPLEMENTASI HEAD-UP ELEVASI 30° PADA PASIEN STROKE DENGAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF Khasanah, Yunnik Fatun; Fibriansari, Rizeki Dwi; Astuti, Anggia
Jurnal Penelitian Sains dan Teknologi Indonesia Vol 3 No 2 (2024): Jurnal Penelitian Sains dan Teknologi Indonesia (JPSTI)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpsti.v3i2.4041

Abstract

Stroke is a condition of lack of oxygen caused by blockage of blood vessels leading to the brain which causes cerebral disorders. A stroke occurs when blood flow to the brain is suddenly blocked for more than 24 hours because a blood vessel is blocked or ruptured. This can occur due to several factors, including uncontrolled blood pressure, headache, dizziness nausea, and vomiting. To overcome some of these problems, non-pharmacological therapy is needed, namely providing a head-up position with an elevation of 30° with the risk that cerebral perfusion can be effective. The aim is to explore medical surgical nursing care using the implementation of head-up elevation in stroke patients with nursing problems at risk of ineffective cerebral perfusion. This research used a case study design conducted on one respondent with the inclusion criteria being age over 50 years and risk factors for hypertension. This research was conducted for 3 days in the Kenanga Room at RSUD dr. Haryoto Lumajang in June 2024. Data collection used interview, observation, and documentation techniques with decisive intervention. The tools or instruments used are head-up SOPs and observation sheets. Implementation of 30° head-up elevation for 30 minutes for three days in stroke patients who were at risk of ineffective cerebral perfusion with initial blood pressure values of 161/101 mmHg to final blood pressure of 141/58 mm Hg and initial MAP results of 121 mmHg and final MAP of 85. 6 mmHg. It is recommended that nurses use it as a working guide for stroke patients with risk problems for ineffective cerebral perfusion through the implementation of 30° elevation head-up intervention. Thus, providing 30° elevation head-up therapy affects reducing intracranial pressure, the aim of which is to maximize venous return so that blood flow to the brain becomes smooth, increasing cerebral tissue metabolism and maximizing oxygenation of brain tissue so that the brain becomes more active.
Pengembangan Model Health Self-Empowerment : Analisis Deskriptif Indeks Massa Tubuh dan Gaya Hidup Masyarakat di Area Agrikultural Fibriansari, Rizeki Dwi; Asmaningrum, Nurfika; Astuti, Anggia
Jurnal Kesehatan Vokasional Vol 10, No 1 (2025): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.103402

Abstract

Latar   Belakang:     : Kesehatan merupakan aspek vital dalam kehidupan manusia dan erat kaitannya dengan indeks massa tubuh (IMT) dan gaya hidup. Konsep self-empowerment atau pemberdayaan diri semakin berkembang dalam dunia kesehatan, dengan fokus pada upaya individu untuk mengambil peran aktif dalam pemeliharaan dan peningkatan kesehatan mereka sendiri. Tujuan:        Tujuan penelitian ini adalah menganalisis dan mengukur distribusi IMT dan gaya hidup sehat berbasis pengembangan Model Health Self-Empowerment.Metode:         Rancangan penelitian menggunakan desain diskriptif analitik. Teknik pengambilan sampel menggunakan total sampling sebanyak 269 responden di area agrikultural wilayah kerja Puskesmas Sukodono. Pengumpulan data dilakukan dengan cara observasi, mengukur IMT dan kuesioner tentang perilaku gaya hidup sehat. Analisis data menggunakan statistik diskriptif.Hasil:            Hasil penelitian menunjukkan bahwa mayoritas responden adalah laki-laki (88%) dan berada dalam kelompok usia <40 tahun (48%). Responden memiliki kategori IMT overweight 55 responden (20,4%) dan obesitas sejumlah 27 responden (10%) yang paling banyak berada direntang usia 60-69 tahun. Laki-laki cenderung memiliki IMT yang lebih tinggi dibandingkan perempuan. Aktivitas gaya hidup sehat yang dominan dilakukan adalah perilaku hidup bersih (67%) dan yang jarang dilakukan makan teratur dan bergizi (54%).Kesimpulan:        Laki-laki usia produktif dengan prevalensi overweight dan obesitas yang signifikan, terutama pada kelompok lansia. Perlunya perhatian terhadap perilaku makan dan manajemen berat badan sebagai bagian dari promosi gaya hidup sehat. Gaya hidup sehat masyarakat agrikultural perlu ditingkatkan terutama dalam aspek manajemen stres, pola makan, dan cek kesehatan.
Implementation of Tomato Juice in Hypertension with Readiness to Improve Health Management in Farmers: Case Report: Case Report Khotijah; Istiqomah, Indriana Noor; Fibriansari, Rizeki Dwi; Azizah, Laili Nur
D'Nursing and Health Journal (DNHJ) Vol. 6 No. 1 (2025): Community-Based Health Management Procedures
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v6i1.1035

Abstract

ABSTRACT Introduction: Hypertension is a major concern in global health due to its high incidence rate. To overcome this problem, there needs to be a strong desire to manage the problem of readiness to improve health management. Efforts that can be made by maintaining a lifestyle in this case are strengthened by providing foods high in potassium, one of which is tomato juice. The purpose of this final project report is to describe the implementation of tomato juice in hypertensive. Method: This report uses a case study design, with participants including 1 member of the farmer group who has hypertension, is 45 years old, has no complications, meets 80% of the symptoms, and has major signs of readiness to improve health management. The study was conducted on June 1-7, 2024 using interview, observation, and documentation techniques. Result: Tomato juice was given for 7 days with a dose of 1 time a day, after meals. The results of the case study showed a decrease in systolic blood pressure of 5.3 mmHg and diastolic blood pressure of 4.8 mmHg and the evaluation criteria for readiness to improve health management increased with participants being able to take action to reduce risk factors, implementing care programs, fulfilling daily activities, not experiencing difficulties in implementing health programs and receiving family support.   Conclusion: Providing tomato juice can be educational material for farmer groups and health management in the community can improve healthy eating patterns by providing tomato juice to control blood pressure.