Main Article Content
Abstract
Background: Hipertensi dan diabetes melitus merupakan penyakit tidak menular yang sering dialami kelompok lanjut usia. Upaya edukasi gizi menggunakan pendekatan My Healthy Plate dapat membantu meningkatkan pemahaman lansia mengenai pola makan seimbang. Metode: Penelitian ini menggunakan desain one group pre-test post-test pada 15 lansia di Puskesmas Gandus Palembang. Edukasi gizi disampaikan melalui ceramah interaktif dan media visual My Healthy Plate. Data tidak berdistribusi normal berdasarkan uji Shapiro–Wilk (p < 0,05), sehingga analisis dilakukan menggunakan uji Wilcoxon Signed-Rank Test. Hasil: Rata-rata pengetahuan meningkat dari 60% menjadi 90% setelah intervensi, dengan hasil uji Wilcoxon menunjukkan perbedaan signifikan (p = 0,001). Skor N-Gain >76% menunjukkan bahwa edukasi My Healthy Plate efektif dalam meningkatkan pemahaman lansia terkait pencegahan hipertensi dan diabetes melitus. Kesimpulan: Edukasi gizi berbasis My Healthy Plate terbukti efektif dalam memperbaiki pengetahuan lansia tentang pola konsumsi sehat sebagai langkah pencegahan komplikasi hipertensi maupun diabetes melitus.
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© 2025 Oleh authors. Lisensi Jurnal SOLMA, LPPM-Uhamka, Jakarta. Artikel ini bersifat open access yang didistribusikan di bawah syarat dan ketentuan Creative Commons Attribution (CC BY) license. (http://creativecommons.org/licenses/by/4.0/).
References
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- Blodgett, J. M., Birch, J., Musella, M., Harkness, F., & Kaushal, A. (2022). What works to improve wellbeing? A rapid systematic review of 223 interventions evaluated with the Warwick-Edinburgh Mental Well-Being Scales. International Journal of Environmental Research and Public Health, 19(23), 15845. https://doi.org/10.3390/ijerph192315845
- Camargo-Plazas, P., Robertson, M., Alvarado, B., Paré, G. C., Costa, I. G., & Duhn, L. (2023). Diabetes self-management education (DSME) for older persons in Western countries: A scoping review. PLOS ONE, 18(8), e0288797. https://doi.org/10.1371/journal.pone.0288797
- Dafriani, P., Sartini, W., & Dewi, R. I. (2023). Edukasi hipertensi pada lansia di Lubuk Buaya Kota Padang. Abdimas Galuh, 5(1), 90–91.
- Dinas Kesehatan Kota Palembang. (2022). Laporan tahunan program kesehatan Kota Palembang 2022. Dinas Kesehatan Kota Palembang.
- Dinas Kesehatan Kota Palembang. (2023). Laporan tahunan Puskesmas Gandus 2023. Palembang: Dinkes Kota Palembang.
- Dzerounian, J., Pirrie, M., AlShenaiber, L., Angeles, R., Marzanek, F., & Agarwal, G. (2022). Health knowledge and self-efficacy to make health behaviour changes: A survey of older adults living in Ontario social housing. BMC Geriatrics. https://doi.org/10.1186/s12877-022-03116-1
- Erika, C., Rosalina, E., & Susilo, W. H. (2021). Pengaruh promosi kesehatan dengan media leaflet terhadap peningkatan pengetahuan pencegahan hipertensi pada lansia di Kampung Sawah Jakarta Utara. Carolus Journal of Nursing, 4(1), 1–12.
- Garg, R., Awasthi, S., & Gupta, N. (2024). Mindfulness-based cognitive behavioral intervention as a preventative approach for elderly individuals at risk of depression and anxiety: A randomized controlled trial. https://doi.org/10.21203/rs.3.rs-5386036/v1
- Harvard T.H. Chan School of Public Health. (2023). Healthy eating plate & healthy eating pyramid. https://www.hsph.harvard.edu/nutritionsource/healthy-eating-plate
- Huang, J., Zou, Y., Huang, W., Zhou, Y., Lin, S., Chen, J., & Lan, Y. (2020). Factors associated with physical activity in elderly nursing home residents: A path analysis. https://doi.org/10.21203/rs.3.rs-19293/v1
- Hsiung, Y., Chen, Y., Lin, L., & Wang, Y. (2023). Effects of mindfulness-based elder care (MBEC) on symptoms of depression and anxiety and spiritual well-being of institutionalized seniors with disabilities: A randomized controlled trial. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04220-6
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- Kusuma, I. Y., Rahmawati, E., & Putri, S. (2024). Efektivitas leaflet dalam meningkatkan pengetahuan hipertensi pada lansia di Desa Gandatapa. Jurnal Pengabdian, 4(5), 431–437.
- Lee, J., Aziz, A. A., Chan, S., Sahrizan, R. S. F. binti R. A., Ooi, A. Y. Y., Teh, Y., Iqbal, U., Ismail, N. A., Yang, A., Yang, J., Teh, D. B. L., & Lim, L. (2023). Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis. Journal of Diabetes, 15(1), 47–57. https://doi.org/10.1111/1753-0407.13346
- NCD Risk Factor Collaboration (NCD-RisC). (2024). Worldwide trends in diabetes prevalence and treatment from 1990 to 2022: A pooled analysis of 1108 population-representative studies with 141 million participants. The Lancet, 404(10334), 2077–2093. https://doi.org/10.1016/S0140-6736(24)02317-1
- Novrianti, E., Ikhsan, I., & Rahmawati, S. (2022). Pengaruh edukasi melalui media audio visual. Jurnal Mitra Rafflesia, 14(2).
- Notoatmodjo, S. (2012). Promosi kesehatan dan perilaku kesehatan. Jakarta: Rineka Cipta.
- Purimahua, S. L., Wahyuni, N., & Lestari, R. (2021). Pengaruh media leaflet terhadap pengetahuan dan sikap dalam upaya pencegahan Covid-19 pada pedagang di pasar tradisional Oesapa Kota Kupang. Afiasi: Jurnal Kesehatan Masyarakat, 6(3), 186–196.
- Putri, E. W. K., Widajati, E., & Palupi, F. D. (2025). Perbedaan efektivitas leaflet dan cakram gizi terhadap pengetahuan, kepatuhan diet, dan kadar glukosa darah pasien Diabetes Mellitus Tipe 2. Nutriture Journal, 4(1), 35–53. https://doi.org/10.31290/nj/v4i1.5257
- Retnoningrum, D. (2024). Skrining dan edukasi diabetes mellitus dan dislipidemia pada lansia di Posyandu Lansia Kelurahan Jomblang Semarang. Pro:aktif, 3(1), 6–12.
- Ruswadi, I., Asyari, H., Marsono, Akhmadi, & Purwanta. (2023). The relationship between self-efficacy and family support with hypertension treatment adherence of elderly. Jurnal Pendidikan Keperawatan Indonesia, 9(1), 59–68. https://doi.org/10.17509/jpki.v9i1.59455
- Safitri, M. N., & Wahyuningsih, U. (2024). Media poster dan permainan emo-demo dapat meningkatkan pengetahuan pra-lansia dan lansia di wilayah kerja UPTD Puskesmas Cinere, Kota Depok. Jurnal Pengabdian Teratai, 5(1), 33–45.
- Shim, J.-S., Heo, J. E., & Kim, H. C. (2020). Factors associated with dietary adherence to the guidelines for prevention and treatment of hypertension among Korean adults with and without hypertension. Clinical Hypertension, 26, Article 5. https://doi.org/10.1186/s40885-020-00138-y
- Siregar, N., Manurung, S., Riyadi, R., & Simanjuntak, D. (2024). Sosialisasi konsep piring model-T pada family caregiver untuk lansia dengan diabetes mellitus. Jurnal Pengabdian kepada Masyarakat.
- Susanti, N., Ahmad, A. S., & Yandrizal. (2017). Efektifitas leaflet terhadap pengetahuan dan mengatur pola makan lansia penderita hipertensi di Puskesmas Serasan Kabupaten Natuna. Photon: Jurnal Sain dan Kesehatan, 8(2), 90–95.
- Syafitri, I. W., Yasin, N. M., & Sari, I. P. (2023). Pengaruh edukasi oleh apoteker dengan metode brief counseling terhadap pengetahuan, kepatuhan, dan glukosa darah pasien DM tipe 2 di Puskesmas Kabupaten Pemalang. Jurnal Manajemen dan Pelayanan Farmasi, 13(1), 12–22. https://doi.org/10.22146/jmpf.74821
- Vásquez, E., O’Malley, I., Cruz‐Gonzalez, M., Velásquez, E., & Alegría, M. (2021). The impact of social support on treatment participation and completion in a disability prevention intervention for older adults. Journal of Aging and Health, 33(7–8), 557–564. https://doi.org/10.1177/0898264321999897
- Wang, W., Luan, W., Zhang, Z., & Mei, Y. (2023). Association between medication literacy and medication adherence and the mediating effect of self-efficacy in older people with multimorbidity. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04072-0
- Wang, X., Wu, Y., Miao, J., Pu, K., Ming, W., & Zang, S. (2023). Factors associated with eating behaviors in older adults from a socioecological model perspective. BMC Public Health. https://doi.org/10.1186/s12889-023-16651-2
- Widhowati, S. S., Ningsih, D. A., & Indriono, A. (2022). The effect of health education with audio-visual media on older adults’ knowledge about hypertension. Indonesian Journal of Community Health Nursing, 7(1), 25–29.
- World Health Organization. (2023). Global report on hypertension: The race against a silent killer. Geneva: World Health Organization. https://www.who.int/publications/i/item/9789240081062
- Xie, K., Perna, L., Schöttker, B., Kliegel, M., Brenner, H., & Mons, U. (2022). Type 2 diabetes mellitus and cognitive decline in older adults in Germany – Results from a population-based cohort. BMC Geriatrics, 22(1). https://doi.org/10.1186/s12877-022-03151-y
- Xu, L.-S., Gao, Z.-G., He, M., & Yang, M.-D. (2024). Effectiveness of the knowledge, attitude, practice (KAP) intervention model in the management of hypertension in the elderly. Journal of Clinical Hypertension, 26(4), 722–730. https://doi.org/10.1111/jch.14770
References
Andriyani, S., Handayani, R., & Sari, A. (2021). Promosi kesehatan pada masyarakat Kelurahan Margomulyo usia produktif dengan media leaflet dan poster sebagai upaya pencegahan dan pengendalian hipertensi. Jurnal Pengabdian Masyarakat, 2(1), 10–15.
Barunawati, A. T., & Paturusi, S. A. (2016). Pengembangan daya tarik wisata budaya. Jurnal Master Pariwisata (JUMPA), 2(2), 95–110. https://doi.org/10.24843/JUMPA.2016.v02.i02.p06
Blodgett, J. M., Birch, J., Musella, M., Harkness, F., & Kaushal, A. (2022). What works to improve wellbeing? A rapid systematic review of 223 interventions evaluated with the Warwick-Edinburgh Mental Well-Being Scales. International Journal of Environmental Research and Public Health, 19(23), 15845. https://doi.org/10.3390/ijerph192315845
Camargo-Plazas, P., Robertson, M., Alvarado, B., Paré, G. C., Costa, I. G., & Duhn, L. (2023). Diabetes self-management education (DSME) for older persons in Western countries: A scoping review. PLOS ONE, 18(8), e0288797. https://doi.org/10.1371/journal.pone.0288797
Dafriani, P., Sartini, W., & Dewi, R. I. (2023). Edukasi hipertensi pada lansia di Lubuk Buaya Kota Padang. Abdimas Galuh, 5(1), 90–91.
Dinas Kesehatan Kota Palembang. (2022). Laporan tahunan program kesehatan Kota Palembang 2022. Dinas Kesehatan Kota Palembang.
Dinas Kesehatan Kota Palembang. (2023). Laporan tahunan Puskesmas Gandus 2023. Palembang: Dinkes Kota Palembang.
Dzerounian, J., Pirrie, M., AlShenaiber, L., Angeles, R., Marzanek, F., & Agarwal, G. (2022). Health knowledge and self-efficacy to make health behaviour changes: A survey of older adults living in Ontario social housing. BMC Geriatrics. https://doi.org/10.1186/s12877-022-03116-1
Erika, C., Rosalina, E., & Susilo, W. H. (2021). Pengaruh promosi kesehatan dengan media leaflet terhadap peningkatan pengetahuan pencegahan hipertensi pada lansia di Kampung Sawah Jakarta Utara. Carolus Journal of Nursing, 4(1), 1–12.
Garg, R., Awasthi, S., & Gupta, N. (2024). Mindfulness-based cognitive behavioral intervention as a preventative approach for elderly individuals at risk of depression and anxiety: A randomized controlled trial. https://doi.org/10.21203/rs.3.rs-5386036/v1
Harvard T.H. Chan School of Public Health. (2023). Healthy eating plate & healthy eating pyramid. https://www.hsph.harvard.edu/nutritionsource/healthy-eating-plate
Huang, J., Zou, Y., Huang, W., Zhou, Y., Lin, S., Chen, J., & Lan, Y. (2020). Factors associated with physical activity in elderly nursing home residents: A path analysis. https://doi.org/10.21203/rs.3.rs-19293/v1
Hsiung, Y., Chen, Y., Lin, L., & Wang, Y. (2023). Effects of mindfulness-based elder care (MBEC) on symptoms of depression and anxiety and spiritual well-being of institutionalized seniors with disabilities: A randomized controlled trial. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04220-6
International Diabetes Federation. (2025). IDF Diabetes Atlas (11th ed.). International Diabetes Federation. https://diabetesatlas.org
Istiqomah, F., Tawakal, A. I., Haliman, C. D., & Atmaka, D. R. (2022). Pengaruh pemberian edukasi terhadap pengetahuan hipertensi peserta Prolanis perempuan di Puskesmas Brambang, Kabupaten Jombang. Media Gizi Kesmas, 11(1), 159–165. https://doi.org/10.20473/mgk.v11i1.2022.159-165
Kafi, I. A., Prihatin, S., & Jaelani, M. (2023). Pengaruh pemberian edukasi gizi diet DASH. Jurnal Riset Gizi, 11(1), 5–12.
Kementerian Kesehatan Republik Indonesia. (2016). Elderly health handbook (Buku Kesehatan Lansia). Direktorat Kesehatan Keluarga. https://cdn.who.int/media/docs/default-source/searo/indonesia/non-who-publications/2016-elderly-health-handbook-bahasa.pdf
Kementerian Kesehatan Republik Indonesia. (2023). Prevalensi, dampak, serta upaya pengendalian hipertensi dan diabetes di Indonesia: Visualisasi Data SKI 2023. Badan Kebijakan Pembangunan Kesehatan. https://www.kemkes.go.id
Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia (SKI) 2023 dalam Angka. Badan Kebijakan Pembangunan Kesehatan. https://www.kemkes.go.id
Kusuma, I. Y., Rahmawati, E., & Putri, S. (2024). Efektivitas leaflet dalam meningkatkan pengetahuan hipertensi pada lansia di Desa Gandatapa. Jurnal Pengabdian, 4(5), 431–437.
Lee, J., Aziz, A. A., Chan, S., Sahrizan, R. S. F. binti R. A., Ooi, A. Y. Y., Teh, Y., Iqbal, U., Ismail, N. A., Yang, A., Yang, J., Teh, D. B. L., & Lim, L. (2023). Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis. Journal of Diabetes, 15(1), 47–57. https://doi.org/10.1111/1753-0407.13346
NCD Risk Factor Collaboration (NCD-RisC). (2024). Worldwide trends in diabetes prevalence and treatment from 1990 to 2022: A pooled analysis of 1108 population-representative studies with 141 million participants. The Lancet, 404(10334), 2077–2093. https://doi.org/10.1016/S0140-6736(24)02317-1
Novrianti, E., Ikhsan, I., & Rahmawati, S. (2022). Pengaruh edukasi melalui media audio visual. Jurnal Mitra Rafflesia, 14(2).
Notoatmodjo, S. (2012). Promosi kesehatan dan perilaku kesehatan. Jakarta: Rineka Cipta.
Purimahua, S. L., Wahyuni, N., & Lestari, R. (2021). Pengaruh media leaflet terhadap pengetahuan dan sikap dalam upaya pencegahan Covid-19 pada pedagang di pasar tradisional Oesapa Kota Kupang. Afiasi: Jurnal Kesehatan Masyarakat, 6(3), 186–196.
Putri, E. W. K., Widajati, E., & Palupi, F. D. (2025). Perbedaan efektivitas leaflet dan cakram gizi terhadap pengetahuan, kepatuhan diet, dan kadar glukosa darah pasien Diabetes Mellitus Tipe 2. Nutriture Journal, 4(1), 35–53. https://doi.org/10.31290/nj/v4i1.5257
Retnoningrum, D. (2024). Skrining dan edukasi diabetes mellitus dan dislipidemia pada lansia di Posyandu Lansia Kelurahan Jomblang Semarang. Pro:aktif, 3(1), 6–12.
Ruswadi, I., Asyari, H., Marsono, Akhmadi, & Purwanta. (2023). The relationship between self-efficacy and family support with hypertension treatment adherence of elderly. Jurnal Pendidikan Keperawatan Indonesia, 9(1), 59–68. https://doi.org/10.17509/jpki.v9i1.59455
Safitri, M. N., & Wahyuningsih, U. (2024). Media poster dan permainan emo-demo dapat meningkatkan pengetahuan pra-lansia dan lansia di wilayah kerja UPTD Puskesmas Cinere, Kota Depok. Jurnal Pengabdian Teratai, 5(1), 33–45.
Shim, J.-S., Heo, J. E., & Kim, H. C. (2020). Factors associated with dietary adherence to the guidelines for prevention and treatment of hypertension among Korean adults with and without hypertension. Clinical Hypertension, 26, Article 5. https://doi.org/10.1186/s40885-020-00138-y
Siregar, N., Manurung, S., Riyadi, R., & Simanjuntak, D. (2024). Sosialisasi konsep piring model-T pada family caregiver untuk lansia dengan diabetes mellitus. Jurnal Pengabdian kepada Masyarakat.
Susanti, N., Ahmad, A. S., & Yandrizal. (2017). Efektifitas leaflet terhadap pengetahuan dan mengatur pola makan lansia penderita hipertensi di Puskesmas Serasan Kabupaten Natuna. Photon: Jurnal Sain dan Kesehatan, 8(2), 90–95.
Syafitri, I. W., Yasin, N. M., & Sari, I. P. (2023). Pengaruh edukasi oleh apoteker dengan metode brief counseling terhadap pengetahuan, kepatuhan, dan glukosa darah pasien DM tipe 2 di Puskesmas Kabupaten Pemalang. Jurnal Manajemen dan Pelayanan Farmasi, 13(1), 12–22. https://doi.org/10.22146/jmpf.74821
Vásquez, E., O’Malley, I., Cruz‐Gonzalez, M., Velásquez, E., & Alegría, M. (2021). The impact of social support on treatment participation and completion in a disability prevention intervention for older adults. Journal of Aging and Health, 33(7–8), 557–564. https://doi.org/10.1177/0898264321999897
Wang, W., Luan, W., Zhang, Z., & Mei, Y. (2023). Association between medication literacy and medication adherence and the mediating effect of self-efficacy in older people with multimorbidity. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04072-0
Wang, X., Wu, Y., Miao, J., Pu, K., Ming, W., & Zang, S. (2023). Factors associated with eating behaviors in older adults from a socioecological model perspective. BMC Public Health. https://doi.org/10.1186/s12889-023-16651-2
Widhowati, S. S., Ningsih, D. A., & Indriono, A. (2022). The effect of health education with audio-visual media on older adults’ knowledge about hypertension. Indonesian Journal of Community Health Nursing, 7(1), 25–29.
World Health Organization. (2023). Global report on hypertension: The race against a silent killer. Geneva: World Health Organization. https://www.who.int/publications/i/item/9789240081062
Xie, K., Perna, L., Schöttker, B., Kliegel, M., Brenner, H., & Mons, U. (2022). Type 2 diabetes mellitus and cognitive decline in older adults in Germany – Results from a population-based cohort. BMC Geriatrics, 22(1). https://doi.org/10.1186/s12877-022-03151-y
Xu, L.-S., Gao, Z.-G., He, M., & Yang, M.-D. (2024). Effectiveness of the knowledge, attitude, practice (KAP) intervention model in the management of hypertension in the elderly. Journal of Clinical Hypertension, 26(4), 722–730. https://doi.org/10.1111/jch.14770
