abstract
A single blind randomized pretest-posttest control group-quasi experiment was done to analyze the effect of star fruit and cucumber juice
to decrease systolic and diastolic blood pressure of hypertension patients at Grati Public Health Care Center, Pasuruan, East Java. Screening
test was done to find out the hypertension patient, and 28 patients were got and then grouped into treatment and control group consisting
of 14 patients each. Each patient in treatment group drank a glass of the juice everyday during two weeks, on the other hand the patients in
control group did not. However, the blood pressures of both groups patients were controlled by having them take the same medicine given by
the health care center. After two weeks, posttest to measure systolic and diastolic blood pressures was measured to find out whether there was
any difference in blood pressure before and after the treatment and also the difference of decreasing of the blood pressure between the patients
in treatment and control group after the treatment. Anacova test was applied to analyze factors suspected to affect blood pressure. However,
since the result showed that there were no significant variables affecting blood pressure, then t-test was applied further. The result of the study
showed that there was no difference in systolic and diastolic blood pressures between the two groups at the beginning of this research. However,
in treatment group, there was difference in systolic and diastolic blood pressure before and after treatment. While in control group, there was
no difference in systolic and diastolic blood pressures. Another finding showed that there was no difference in the decrease of systolic blood
pressure between treatment and control group, but there was difference in the decrease of diastolic blood pressure.
Key words: systolic and diastolic blood pressure, star fruit and cucumber juice, hypertension
pendahuluan
25
26
Penelitian Pendahuluan
Penelitian pendahuluan dilakukan untuk penilaian
tingkat kesukaan rasa, aroma, dan warna.
Gambaran distribusi rata-rata penilaian tingkat
kesukaan panelis terhadap karakteristik rasa, aroma,
warna, dan penilaian umum jus belimbing dan mentimun
dapat dilihat pada tabel 1.
Tabel 1. Gambaran distribusi rata-rata tingkat kesukaan
panelis terhadap jus belimbing dan mentimun
Jenis
formula
F1
F2
F3
The Indonesian Journal of Public Health, Vol. 4, No. 1, Juli 2007: 25-34
Karakteristik Responden
Kelompok Perlakuan
n (14)
%
Kelompok Kontrol
n (14)
%
1
4
5
4
7,1
28,6
35,7
28,6
2
2
2
8
14,3
14,3
14,3
57,1
2
12
14,3
85,7
3
11
21,4
78,6
13
1
92,9
7,1
14
0
100,0
0,0
4
0
8
2
28,6
0,0
57,1
14,3
1
3
10
0
7,2
21,4
71,4
0,0
1
0
13
7,1
0,0
92,9
1
2
11
7,1
14,3
78,6
7
2
5
50
14,3
35,7
4
3
7
28,6
21,4
50,0
14
100,0
14
100,0
7
7
50,0
50,0
3
11
21,4
78,6
3
4
2
5
21,4
28,6
14,3
35,7
2
1
2
9
14,3
7,1
14,3
64,3
6
1
3
4
42,9
7,1
21,4
28,6
3
2
3
6
21,4
14,3
21,4
42,9
1
2
11
7,1
14,3
78,6
6
0
8
42,9
0,0
57,1
27
Lanjutan Tabel 2
Kelompok Perlakuan
n (14)
%
Variabel
Tingkat Konsumsi Karbohidrat
Cukup
Kurang
Lebih
Tingkat Konsumsi Vitamin A
Cukup
Kurang
Lebih
Tingkat Konsumsi Natrium
Cukup
Kurang
Lebih
Kelompok Kontrol
n (14)
%
5
9
0
35,7
64,3
0,0
2
12
0
14,3
85,7
0,0
1
8
5
7,1
57,1
35,7
2
9
3
14,3
64,3
21,4
0
12
2
0,0
85,7
14,3
0
13
1
0,0
92,9
7,1
Tingkat kecukupan vitamin C, vitamin E dan Kalium semua dalam kategori kurang
Tekanan Darah
Tabel 3. Rata-rata penurunan tekanan darah responden sebelum dan sesudah perlakuan pada kelompok perlakuan dan
kelompok kontrol
Kelompok Perlakuan
Tekanan
Darah
Post
(mmHg)
179,57 8,446 165,36 14,569
111,43 12,930 100,07 11,790
Pre (mmHg)
Sistolik
Diastolik
Kelompok Kontrol
Selisih
(mmHg)
14,21
11,36
Pre
(mmHg)
175,50 22,090
104,86 12,569
Selisih
(mmHg)
8,21
3,29
200
220
210
190
200
190
180
170
180
170
160
160
150
150
140
140
130
120
130
1
Sebelum
9 10 11 12 13 14
Sesudah
28
Post
(mmHg)
167,29 21,025
101,57 9,221
Sebelum
10 11 12 13 14
Sesudah
The Indonesian Journal of Public Health, Vol. 4, No. 1, Juli 2007: 25-34
130
125
120
115
110
105
100
95
90
85
80
140
130
120
110
100
90
80
70
1
Sebelum
10 11 12 13 14
Sesudah
5 6 7
Sebelum
9 10 11 12 13 14
Sesudah
185
115
180
110
175
105
170
100
165
95
160
90
155
85
150
1
perlakuan
10
11
12
13
14
perlakuan
kontrol
10
11
12
13
14
kontrol
Variabel
Tekanan darah sistolik kelompok perlakuan dan
kontrol
Tekanan darah diastolik kelompok perlakuan dan
kontrol
Selisih tekanan darah sistolik kelompok
perlakuan dan kontrol
Selisih tekanan darah diastolik kelompok
perlakuan dan kontrol
Tekanan darah sistolik awal kelompok perlakuan
dan kontrol
Tekanan darah diastolik awal kelompok
perlakuan dan kontrol
Uji Statistik
Kolmogorov-Smirnov
Nilai p
0,621
Arti
Distribusi normal
Kolmogorov-Smirnov
0,929
Distribusi normal
Kolmogorov-Smirnov
0,376
Distribusi normal
Kolmogorov-Smirnov
0,949
Distribusi normal
t-sampel bebas
0,528
t-sampel bebas
0,184
29
Lanjutan Tabel 4
No
7.
8.
9.
10.
11.
12.
Variabel
Penurunan tekanan darah sistolik kelompok
perlakuan dan kontrol
Penurunan tekanan darah diastolik kelompok
perlakuan dan kontrol
Tekanan darah sistolik sebelum dan sesudah pada
kelompok perlakuan
Tekanan darah diastolik sebelum dan sesudah
pada kelompok perlakuan
Tekanan darah sistolik sebelum dan sesudah pada
kelompok kontrol
Tekanan darah diastolik sebelum dan sesudah
pada kelompok kontrol
Uji Statistik
t-sampel bebas
Nilai p
0,374
Arti
Tidak ada beda
t-sampel bebas
0,046
Ada beda
t-sampel berpasangan
0,02
Ada beda
t-sampel berpasangan
0,000
Ada beda
t-sampel berpasangan
0,161
t-sampel berpasangan
0,343
The Indonesian Journal of Public Health, Vol. 4, No. 1, Juli 2007: 25-34
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The Indonesian Journal of Public Health, Vol. 4, No. 1, Juli 2007: 25-34
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The Indonesian Journal of Public Health, Vol. 4, No. 1, Juli 2007: 25-34