Empowering older adults at Sekolah Lansia Purbaya through community-based exercise and audio-visual health education for hypertension management

  • Rosiana Eva Rayanti Universitas Kristen Satya Wacana
  • Sri Suwartiningsih Satya Wacana Christian University
  • Istananda Tirtaning Nugraheni Satya Wacana Christian University
  • Gracia Permatasari Satya Wacana Christian University
  • Natalia Esti Kristanti Satya Wacana Christian University
  • Aura Syafaroh Satya Wacana Christian University
  • Marsela Riska Raswandaru Satya Wacana Christian University https://orcid.org/0009-0001-5873-2672
  • Maria Satya Wacana Christian University
Abstract views: 29 , PDF downloads: 5
Keywords: Community engagement, Older adults, Hypertension management, Audio-visual health education, Active ageing

Abstract

Early detection and disease prevention are part of the health activities conducted at Sekolah Lansia Purbaya in Salatiga City, Central Java. A health survey on May 20, 2025, revealed that of 29 older women, most participants had hypertension (89.66%). In addition, 65.52% had a body mass index outside the normal range and 58.62% had abdominal obesity. These conditions showing the need of a community service program focusing on blood pressure management. This activity aimed to improve older adults’ understanding of hypertension through audiovisual education and exercise. A service-learning approach was used for 33 participants from Purbaya Senior Citizens’ School in Karangalit, Salatiga City. The activity included health needs assessment, program preparation, implementation, reflection, and evaluation. Participants received health examinations, take part in the Ngadi Salira hypertension exercise, watched the Healthy Heart and Controlled Blood Pressure (SEHATI) educational video, and had a group discussion. Health examinations in July 2025 showed that 60.61% of participants had stage 1 hypertension and 60.61% had abdominal obesity, while most had normal blood glucose, uric acid, and cholesterol levels. After the service-learning, all the participants reported enjoying the exercise session. During the discussion, many expressed interest in continuing the exercise at home and applying the information provided in the educational video. The Ngadi Salira exercise and SEHATI audiovisual serve as educational tools for managing high blood pressure at the Sekolah Lansia Purbaya.

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Author Biographies

Rosiana Eva Rayanti, Universitas Kristen Satya Wacana

Rosiana Eva Rayanti is a nursing lecturer at Satya Wacana Christian University. She completed her graduate studies at Silliman University with a specialization in Community Nursing. Her research interests include community nursing, aging, health education, and the application of local wisdom in healthcare practice.

Email: rosiana.evarayanti@uksw.edu

ORCID  https://orcid.org/0000-0002-8793-9170

Sri Suwartiningsih, Satya Wacana Christian University

Sri Suwartiningsih is a lecturer in the Sociology Study Program at the Faculty of Social Sciences and Communication, Satya Wacana Christian University. She earned her Doctoral degree in Development Studies from Satya Wacana Christian University. Her reserach interests are sociology, peace studies, and social harmony.

Email: sri.suwartiningsih@uksw.edu

Istananda Tirtaning Nugraheni, Satya Wacana Christian University

Istananda Tirtaning Nugraheni is an alumna of the Nursing Study Program, Faculty of Health Sciences, Satya Wacana Christian University.

Email: nandanugraheni577@gmail.com

Gracia Permatasari, Satya Wacana Christian University

Nursing Study Program, Satya Wacana Christian University

Natalia Esti Kristanti , Satya Wacana Christian University

Natalia Esti Kristanti is a student at Nursing Profession Study Program, Faculty of Health Sciences, Satya Wacana Christian University.

Email: 502025204@student.uksw.edu

Aura Syafaroh , Satya Wacana Christian University

Aura Syafaroh is a student at Nursing Profession Study Program, Faculty of Health Sciences, Satya Wacana Christian University.

Email: 502025219@student.uksw.edu

Marsela Riska Raswandaru , Satya Wacana Christian University

Marsela Riska Raswandaru is a nursing lecturer at Satya Wacana Christian University. She obtained her Master of Nursing degree from Diponegoro University. Her research focuses on non-communicable diseases and health management within correctional nursing settings.

Email: marsela.raswandaru@uksw.edu

ORCID  https://orcid.org/0009-0001-5873-2672

Maria, Satya Wacana Christian University

Maria is a lecturer in the Agribusiness Study Program, Faculty of Agriculture and Business, Satya Wacana Christian University. She earned her Doctoral degree in Agricultural Sciences from Gadjah Mada University. Her research interests include agricultural sociology, regional agricultural planning, and agribusiness development.

Email: maria.fpb@uksw.edu

References

Amalia, R. N., Arini, T., Kusumasari, R. V., & Daruwati, C. E. (2021). Pengaruh Edukasi Keluarga Tentang Manajemen Hipertensi Terhadap Self Managemen Hipertensi di Desa Ringinharjo, Bantul, Yogyakarta. Jurnal Keperawatan, 13(2), 66–74. https://doi.org/10.61758/nursing.v13i2.41

Ampugo, Y. A., Rayanti, R. E., & Natawirarindry, C. (2024). The role of nurses in hypertension management at community health centers. Care : Jurnal Ilmiah Ilmu Kesehatan, 12(3), 456–469. https://doi.org/10.33366/jc.v12i3.5324

Budiarti, G. A. K., Susanty, S., Madjid, R., & Tosepu, R. (2025). Video Animation: Improving Older Adults Patients Knowledge and Motivation Related to Hypertension Diet. Jurnal Keperawatan Indonesia, 28(1), 45–55. https://doi.org/10.7454/jki.v28i1.1475

Chantakeeree, C., Sormunen, M., Estola, M., Jullamate, P., & Turunen, H. (2022). Factors Affecting Quality of Life among Older Adults with Hypertension in Urban and Rural Areas in Thailand: A Cross-Sectional Study. The International Journal of Aging and Human Development, 95(2), 222–244. https://doi.org/10.1177/00914150211050880

Glòria, R.-G., David, C.-L., Malagón-Aguilera, M. C., Pérez-Jiménez, B., Mantas-Jiménez, S., & Roqueta-Vall-llosera, M. (2022). Service Learning Experience on Health Habits in High School Students Conducted by Nursing Students: A Qualitative Design. Nursing Reports, 12(4), 804–813. https://doi.org/10.3390/nursrep12040078

Hasan, M. F., Mahdi, W. S., Hadi, F., Thanon, K. saleh, Atiyah, M. A., & Mutashar, M. K. (2025). Effect of Visceral Fat on Blood Pressure Levels. Indonesian Journal on Health Science and Medicine, 2(1). https://doi.org/10.21070/ijhsm.v2i1.105

Jones, D. W., Ferdinand, K. C., Taler, S. J., Johnson, H. M., Shimbo, D., Abdalla, M., Altieri, M. M., Bansal, N., Bello, N. A., Bress, A. P., Carter, J., Cohen, J. B., Collins, K. J., Commodore-Mensah, Y., Davis, L. L., Egan, B., Khan, S. S., Lloyd-Jones, D. M., Melnyk, B. M., … Williamson, J. D. (2025). Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Hypertension, 82(10), e212–e316. https://doi.org/10.1161/HYP.0000000000000249

Lee, L.-P., Har, A. W.-Y., Ngai, C.-H., Lai, D. W. L., Lam, B. Y.-H., & Chan, C. C.-H. (2020). Audiovisual integrative training for augmenting cognitive- motor functions in older adults with mild cognitive impairment. BMC Geriatrics, 20(1), 64. https://doi.org/10.1186/s12877-020-1465-8

Lestari, M. S., Azizah, L. M., & Khusniyati, E. (2020). Pengaruh Brain Gym terhadap Fungsi Kognitif pada Lansia di Panti Werdha Majapahit Kabupaten Mojokerto. Jurnal Ilmiah Kesehatan Rustida, 7(2), 125–132. https://doi.org/10.55500/jikr.v7i2.107

Lumowa, Y. R., & Rayanti, R. E. (2024). Pengaruh Usia Lanjut Terhadap Kesehatan Lansia. Jurnal Keperawatan, 16(1), 364–372. https://doi.org/10.32583/keperawatan.v16i1.1474

Nasrawi, D., Mill, M., Austen, K., Wilson, D., Barchetta, K., Romero, B., Greenhill, J., & Ward, L. (2026). Community service learning in undergraduate nursing education: A scoping review. Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2026.03.015

Puspita, D., Suharningsih, I. M., & Rayanti, R. E. (2023). Analisa Makanan yang dikonsumsi oleh lansia di Desa Ngrawan. Carolus Journal of Nursing, 5(2), 146.

Rayanti, R. E., Nugraheni, I. T., & Aini, I. (2026). Effectiveness of motivational educational videos on knowledge, body mass index, self-care, and empowerment among older women with hypertension. Jurnal Keperawatan Profesional, 14(1), 120–143. https://doi.org/10.33650/jkp.v14i1.13316

Rayanti, R. E., Werfete, R. A., Sasi, G. A., & Raswandaru, M. R. (2025). Gethok Tular: A Source of Self-Care Knowledge for Older Women with Hypertension in Rural Areas. Jurnal Keperawatan Komprehensif, 11(1), 154–165. https://doi.org/10.33755/jkk

Rebokh, F. Y., Rayanti, R. E., & Natawirarindry, C. (2024). Hubungan Perawat Edukator, Manajemen Hipertensi, dan Usia Pada Lansia. Jurnal Keperawatan, 16(2), 564–572. http://journal.stikeskendal.ac.id/index.php/Keperawatan

Sanubari, T. P. E., & Saragih, R. E. (2020). Berbagi dengan Panti Wreda: Pemeriksaan Kesehatan untuk Menilik Kondisi Kesehatan Lansia. Magistrorum Et Scholarium: Jurnal Pengabdian Masyaraka, 01(2), 269–277. https://doi.org/10.24246/jms.v1i22020p269-277

Setiawati, S. A. R., Lestari, A. S., Gama, K., Suardana, K., & Harini, I. G. A. (2023). Senam Tera Berpengaruh terhadap Tekanan Darah pada Lansia dengan Hipertensi. Jurnal Gema Keperawatan, 16(2), 300–311. https://doi.org/10.33992/jgk.v16i2.3087

Suwartiningsih, S., Rayanti, R. E., Sampoerno, Sari, F. F. K., Nugraheni, I. T., Sugiarto, M., & Raditya, A. (2025). Pelatihan Pengembangan Konsep Diri dan Citra Diri Lansia di Sekolah Lansia Purabaya, Karangalit, Salatiga, Jawa Tengah. Jurnal Abdimas Peradaban, 6(1), 1–13. https://doi.org/10.54783/hye62w41

Wibowo, F. P., Djuwadi, G., & Yudiernawati, A. (2024). The Effect of Javanese Language Educational Video on Compliance Blood Pressure Examination in Elderly People with A History of Hypertension at Posyandu Lansia Melati 5 Kepanjen Health Center Working Area. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(8), 2134–2141. https://doi.org/10.56338/mppki.v7i8.5477

Zhang, Z., Yin, A.-T., & Bian, Y. (2021). Willingness to Receive Periodic Health Examination Based on the Health Belief Model Among the Elderly in Rural China: A Cross-Sectional Study. Patient Preference and Adherence, 15, 1347–1358. https://doi.org/10.2147/PPA.S312806

Published
2026-06-25
Section
Articles