Evaluating a Community-Based Agronursing Program for Hypertension and Diabetes Mellitus Management in Rural East Java: A Project Evaluation: Community-Based Agronursing Program

Maulana Thoriq Aziz; Nadya Fammy Dienova; Fairuza Fajar Yumna; Nur Faiza Iswatiningtyas; Nur Savitri; Malikal Balqis; Trisya Ainur Alula; Tantut Susanto

Authors

Maulana Thoriq Aziz Universitas Jember Author
Nadya Fammy Dienova Universitas Jember Author
Fairuza Fajar Yumna Universitas Jember Author
Nur Faiza Iswatiningtyas Universitas Jember Author
Nur Savitri Universitas Jember Author
Malikal Balqis Universitas Jember Author
Trisya Ainur Alula Universitas Jember Author
Tantut Susanto Author

Keywords:

agronursing, diabetes melitus, hypertension, program evaluation, rural health interventions

Abstract

Background: Non-communicable diseases (NCDs), particularly hypertension and type 2 diabetes mellitus (DM), present an escalating public health challenge in rural, agriculturally dominated environments. In RW 06 Dusun Jubung Lor, Desa Jubung, Jember, early screenings revealed substantial rates of uncontrolled hypertension among adults and type 2 DM among older adults, driven by low health literacy, non-adherence to treatment, and risky lifestyle choices like high-sodium diets and smoking. This project evaluation assessed the impact of an integrated community-based agronursing program on behavioral and physiological health outcomes.

Methods: This project evaluation utilized a pre-post assessment of 50 active participants to evaluate health literacy (KAP questionnaires) and clinical metrics (blood pressure and blood glucose) over a 3-week intervention. The multi-component intervention included tailored health education, Focus Group Discussions (FGDs), aerobic exercise, and herbal formulation demonstrations. Data were analyzed using paired t-tests.

Results: Program implementation achieved high fidelity. Mean Knowledge, Attitude, and Practice (KAP) scores for hypertension significantly surged from baseline. Physiologically, mean systolic blood pressure decreased from 148.83 mmHg to 135.70 mmHg (p<0.001), while mean blood glucose among older adults with type 2 diabetes mellitus decreased by 17.8%, from 160.36 mg/dL to 138.25 mg/dL(p<0.001).

Conclusion: The community-based agronursing program demonstrated promising preliminary clinical and educational outcomes in a rural setting. These findings suggest that the agronursing approach may be a viable model for community health promotion, though further long-term studies are needed to confirm definitive effectiveness.

View(31)Download(29)

References

Kundapur R, Modi B, Rashmi A, et al. A Community Trial in Coastal Karnataka using Life Style Modifications to Assess its Impact on Hypertension and Diabetes. Indian Journal of Community Medicine 2023; 48: 684–691.

Proctor C, Hopkins N. Stressors and Coping Strategies in Rural Farmers: A Qualitative Study. J Agromedicine 2023; 28: 415–424.

Susanto T, Kumboyono, Kusuma IF, et al. Community-based intervention of chronic disease management program in rural areas of Indonesia. Frontiers of Nursing 2022; 9: 187–195.

Susanto T, Berdida DJE. Roles of agro-nursing in bringing health services in rural and remote areas of Indonesia. Jurnal Keperawatan Padjadjaran 2025; 13: 1–6.

Meilani DA, Widiharti W, Sari DJE, et al. Perbedaan Kadar Gula Darah Pada Penderita DM Sebelum Dan Setelah Intervensi Latihan Fisik Senam Diabetes Di Wilayah Kerja Puskesmas Duduksampeyan. Indonesian Journal of Professional Nursing 2023; 4: 129–134.

Lestari HEP, Sebtalesy CY, Villasari A, et al. Penyuluhan Keluarga Berencana Berbasis Komunitas Untuk Meningkatkan Pengetahuan dan Sikap Pasangan Usia Subur di Desa Sidomukti, Kecamatan Plaosan, Kabupaten Magetan. JGEN: Jurnal Pengabdian Kepada Masyarakat 2026; 4: 1–7.

Anggreini SN, Lahagu EL. Pengaruh pendidikan kesehatan tentang diabetes melitus terhadap sikap pasien diabetes melitus tipe 2 di wilayah Puskesmas Rejosari Pekanbaru. Menara Ilmu: Jurnal Penelitian dan Kajian Ilmiah 2021; 15: 62–71.

Arimbi DSD, Lita L, Indra RL. Pengaruh pendidikan kesehatan terhadap motivasi mengontrol kadar gula darah pada pasien DM tipe II. Jurnal Keperawatan Abdurrab 2020; 4: 66–76.

Nurcahyani I, Pakarti AT, Ayubbana S. Implementasi Senam Aerobik Terhadap Kadar Gula Darah Diabetes Mellitus Tipe II. Jurnal Cendikia Muda 2025; 5: 337–343.

Syahleman R, Julianus J, Ningtyas NWR. Pengaruh Senam Diabetes Terhadap Kadar Gula Darah Penderita Diabetes Melitus Tipe II. Jurnal Borneo Cendekia 2020; 4: 115–122.

Weber P, Weberová D. Complementary herbal therapies in type 2 diabetes mellitus management: A systematic evaluation of efficacy and safety. Global Health Informatics 2023; 12: 210–219.

Martani RW, Kurniasari G, Angkasa MohP. Pengaruh Senam Hipertensi Terhadap Tekanan Darah Pada Lansia: Studi Literature. Jurnal Ilmu Keperawatan dan Kebidanan 2022; 13: 83–87.

Patria DKA, Eka N, Maulana M. Relationship between Exercise with Blood Pressure Stability among Hypertension Elderly. Genius Journal 2023; 4: 229–236.

Filippou CD, Tsioufis CP, Thomopoulos CG, et al. Dietary Approaches to Stop Hypertension (DASH) Diet and Blood Pressure Reduction in Adults with and without Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Advances in Nutrition 2020; 11: 1150–1160.

Rodhiah WS, Saldaw A, F AA, et al. Pemanfaatan Tanaman Obat Keluarga (TOGA) Sebagai Terapi Non Farmakologis Untuk Pengendalian Hipertensi Di Kampung Situhiang, Desa Puraseda. RENATA: Jurnal Pengabdian Masyarakat Kita Semua; 3.

Susanto T, Rif’ah EN, Kusuma IF, et al. Empowerment and Partnership Programs in Healthy Community Movements Through Integrated Development Posts (IDP) of Non-Communicable Disease (NCD). Warta Pengabdian 2022; 16: 154–163.

Susanto T, Hairrudin, Indriana T, et al. Community-Based Occupational Health Promotion for Reducing Blood Pressure: A Randomized Control Trial of Agricultural Health Program. Journal of Occupational Health and Epidemiology 2024; 13: 252–260.