Effect Of Health Education Model BASNEF On Knowledge And Compliance With Hypertension Diet In Elderly With Hypertension





Hypertension is a disease that mostly affects the elderly, this is due to unhealthy lifestyle changes, easy fast food, and excessive salt and fat consumption. Poor knowledge and adherence to the hypertension diet make the elderly not follow the hypertension diet properly. This study aimed to analyze the effect of the BASNEF model of health education on dietary knowledge and adherence in elderly people with hypertension. This study used Quasi-experimental one group pre-test and post-test design. The study population was elderly with hypertension taken by purposive sampling method, a total of 40 people with the criteria of being able to read, carry out activities independently, and live with family. The instrument used to measure variables is a questionnaire and data were analyzed using the Wilcoxon test. The average value obtained for knowledge of the hypertension diet increased by 14.78 and adherence to the hypertension diet also experienced an increase in the average value of 44.53. The results of the Wilcoxon test showed that there was an effect of the BASNEF model of health education on knowledge and adherence to the hypertension diet in elderly people with hypertension which was significant with p<0.05. The BASNEF method of health education can be an alternative to increasing knowledge and adherence to hypertension among elderly people in the community.


BASNEF model education, knowledge, compliance, elderly


Download data is not yet available.

Author Biographies

Setyoadi, Faculty of Health Sciences, Brawijaya University, Malang, Indonesia

Department of Community Nursing, Faculty of Health Sciences, Brawijaya University, Malang, Indonesia

Efris Kartika Sari, Faculty of Health Sciences, Brawijaya University, Malang, Indonesia

Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia


Abedini, Sedigheh, Pourjalil, Farzaneh, & Mohseni, Shokrallah. (2020). The Impact Of An Educational Program Based On The BASNEF Model On Knowledge And Self-Care Behaviors Of Patients With Hypertension. HEALTH SCOPE, 9(4), 0-0. SID. https://sid.ir/paper/982665/en DOI: https://doi.org/10.5812/jhealthscope.95588

Agrina Agrina, Sunarti Swastika Rini, Riyan Hairitama. (2011). Kepatuhan Lansia Penderita Hipertensi Dalam Pemenuhan Diet Hipertensi. Jurnal SOROT, Vol 6, No. 1. DOI: http://dx.doi.org/10.31258/sorot.6.1.46-53 DOI: https://doi.org/10.31258/sorot.6.1.2001

Amsalu, E. T., Messele, T. A., & Adane, M. (2021). Exploring The Effect Of Professional Experience On Knowledge Towards Geriatric Care Among Nurses Working In Adult Care Units. BMC Geriatrics, 21(1), 227. https://doi.org/10.1186/s12877-021-02156-3 DOI: https://doi.org/10.1186/s12877-021-02156-3

Azandjeme, C. S., Sossa, C. J., Hounkponou, M. E., Ahanhanzo-Glèlè, Y., Sodabi, B., Mizehoun, C., Darboux, A., & Houenassi, M. (2021). Factors Associated With Noncompliance Of Sodium Restriction In Hypertensive And Heart Failure Patients At The National Hospital Of Cotonou, Benin. Journal Of Public Health In Africa, 11(2), 1303. https://doi.org/10.4081/jphia.2020.1303 DOI: https://doi.org/10.4081/jphia.2020.1303

Baghianimoghadam MH, Rahaee Z, Morowatisharifabad MA, Sharifirad G, Andishmand A, Azadbakht L. Effects Of Education On Self-Monitoring Of Blood Pressure Based On BASNEF Model In Hypertensive Patients. J Res Med Sci. 2010 Mar;15(2):70-7. PMID: 21526062; PMCID: PMC3082790.

Boonyathee, S., Seangpraw, K., Ong-Artborirak, P., Auttama, N., Tonchoy, P., Kantow, S., Bootsikeaw, S., Choowanthanapakorn, M., Panta, P., & Dokpuang, D. (2021). Effects Of A Social Support Family Caregiver Training Program On Changing Blood Pressure And Lipid Levels Among Elderly At Risk Of Hypertension In A Northern Thai Community. Plos One, 16(11), E0259697. https://doi.org/10.1371/journal.pone.0259697 DOI: https://doi.org/10.1371/journal.pone.0259697

Chacko, S., & Jeemon, P. (2020). Role Of Family Support And Self-Care Practices In Blood Pressure Control In Individuals With Hypertension: Results From A Cross-Sectional Study In Kollam District, Kerala. Wellcome Open Research, 5, 180. https://doi.org/10.12688/wellcomeopenres.16146.1 DOI: https://doi.org/10.12688/wellcomeopenres.16146.1

Chotisiri, L., Yamarat, K., & Taneepanichskul, S. (2016). Exploring knowledge, attitudes, and practices toward older adults with hypertension in primary care. Journal of Multidisciplinary Healthcare, 9, 559–564. https://doi.org/10.2147/JMDH.S112368 DOI: https://doi.org/10.2147/JMDH.S112368

Dinkes Kota Malang. (2022). Profil Kesehatan Kota Malang Tahun 2021. https://dinkes.malangkota.go.Id

El Ati, J., Doggui, R., Ben Gharbia, H., & El Ati-Hellal, M. (2021). Prevalence Of Hypertension And Adherence To Dietary Approaches To Stop Hypertension Diet Score In Childbearing Age Tunisian Women: A Cross-Sectional Study. Biomed Research International, 2021, 6686299. https://Doi.Org/10.1155/2021/6686299 DOI: https://doi.org/10.1155/2021/6686299

Esquivel Garzón, N., & Díaz Heredia, L. P. (2019). Validity And Reliability Of The Treatment Adherence Questionnaire For Patients With Hypertension. Investigacion Y Educacion En Enfermeria, 37(3), E09. Https://Doi.Org/10.17533/Udea.Iee.v37n3e09 DOI: https://doi.org/10.17533/udea.iee.v37n3e09

Infodatin. (2022). Lansia Berdaya, Bangsa Sejahtera. https://www.kemkes.go.id/article/print/22111500004/2022-lansia-berdaya-bangsa-sejahtera.html

Kim, D., & Lee, O. (2019). Effects Of Audio-Visual Stimulation On Hand Hygiene Compliance Among Family And Non-Family Visitors Of Pediatric Wards: A Quasi-Experimental Pre-Post Intervention Study. Journal Of Pediatric Nursing, 46, E92–E97. https://Doi.Org/10.1016/J.Pedn.2019.03.017 DOI: https://doi.org/10.1016/j.pedn.2019.03.017

Khorasanchi, Z., Ahmadihoseini, A., Hajhoseini, O., Zare-Feyzabadi, R., Haghighi, M., Heidari, M., Esfehani, A. J., Dehnavi, Z., Sharifan, P., Rashidianyazd, S., Latifi, M. R., Rastgooy, F., Ildarabadi, D., Bajgiran, M. M., Soflaei, S. S., Ferns, G., & Mobarhan, M. G. (2022). Adherence to dietary approaches to stop hypertension (DASH) diet in relation to psychological function in recovered COVID-19 patients: a case–control study. BMC Nutrition, 8(1), 1–9. https://doi.org/10.1186/s40795-022-00633-5 DOI: https://doi.org/10.1186/s40795-022-00633-5

Kwan MW, Wong MC, Wang HH, Liu KQ, Lee CL, Yan BP, Yu CM, Griffiths SM. Compliance With The Dietary Approaches To Stop Hypertension (DASH) Diet: A Systematic Review. Plos One. 2013 Oct 30;8(10):E78412. Doi: 10.1371/Journal.Pone.0078412. PMID: 24205227; PMCID: PMC3813594. DOI: https://doi.org/10.1371/journal.pone.0078412

Ma, Y., Lu, H., Zhang, Y., Wang, Y., Li, S., Yan, F., & Han, L. (2021). Effectiveness Of Home Visiting On Patients With Hypertension: A Systematic Review And Meta-Analysis. Medicine, 100(10), E24072. https://Doi.Org/10.1097/MD.0000000000024072 DOI: https://doi.org/10.1097/MD.0000000000024072

Maria Agnes Kun Mawardani, Kuswandewi Mutyara, Siska Wiramihardja. (2023).Knowledge, Subjective Norm, Attitude, Perceived Behavior Control, Intentions About Hemoglobin In Pandemic Pregnant Women,Jurnal Health Sains, 4(2). https://Doi.Org/10.46799/Jhs.V4i2.829 DOI: https://doi.org/10.46799/jhs.v4i2.829

Mbadhi, J., Limbu, R., & Ndoen, E. M. (2022). Educational Video Media To Increased Knowledge And Attitude Of The Elderly About Gout. Journal Of Health And Behavioral Science, 4(1), 69-77. https://Doi.Org/10.35508/Jhbs.V4i1.5173

Nina Sumarni; Citra Windanimambang Sari; Dadang Purnama. "Relationship Between Family Support And Compliance In Implementing Diet Programs For Elderly People With Hypertension". European Journal Of Molecular & Clinical Medicine, 8, 3, 2021, 99-106.

Oyewole, O. M., Olorunfemi, O., Ojewole, F., & Olawale, M. O. (2019). Effect Of A Training Programme On Knowledge And Practice Of Lifestyle Modification Among Hypertensive Patients Attending Out-Patient Clinics In Lagos. Iranian Journal Of Nursing And Midwifery Research, 25(1), 58–64. https://Doi.Org/10.4103/Ijnmr.IJNMR_201_18 DOI: https://doi.org/10.4103/ijnmr.IJNMR_201_18

Sharifirad, G., Najimi, A., Hassanzadeh, A., & Azadbakht, L. (2011). Application Of BASNEF Educational Model For Nutritional Education Among Elderly Patients With Type 2 Diabetes: Improving The Glycemic Control. Journal Of Research In Medical Sciences: The Official Journal Of Isfahan University Of Medical Sciences, 16(9), 1149–1158.

Shim, J. S., Oh, K., Jung, S. J., & Kim, H. C. (2020). Self-Reported Diet Management And Adherence To Dietary Guidelines In Korean Adults With Hypertension. Korean Circulation Journal, 50(5), 432–440. https://Doi.Org/10.4070/Kcj.2019.0230 DOI: https://doi.org/10.4070/kcj.2019.0230

Tol, A., Farhandi, H., Mohebbi, B., & Sadeghi, R. (2017). BASNEF Model Intervention On Blood Pressure Modification Among Hypertensive Diabetic Patients. Journal Of Education And Health Promotion, 6, 47. https://Doi.Org/10.4103/Jehp.Jehp_140_15

Vijna, Mishra, Chandra Pati.(2022). Prevalence And Predictors Of Hypertension: Evidence From A Study Of Rural India. Journal Of Family Medicine And Primary Care 11(3): P 1047-1054. DOI: 10.4103/Jfmpc.Jfmpc_967_21 DOI: https://doi.org/10.4103/jfmpc.jfmpc_967_21

Weatherhead, Drew, Maria M. Arredondo, Loreto Nácar Garcia, And Janet F. Werker. (2021). "The Role Of Audiovisual Speech In Fast-Mapping And Novel Word Retention In Monolingual And Bilingual 24-Month-Olds" Brain Sciences 11, No. 1: 114. https://Doi.Org/10.3390/Brainsci11010114 DOI: https://doi.org/10.3390/brainsci11010114

Wolde, M., Azale, T., Debalkie Demissie, G., & Addis, B. (2022). Knowledge About Hypertension And Associated Factors Among Patients With Hypertension In Public Health Facilities Of Gondar City, Northwest Ethiopia: Ordinal Logistic Regression Analysis. Plos One, 17(6), E0270030. https://Doi.Org/10.1371/Journal.Pone.0270030 DOI: https://doi.org/10.1371/journal.pone.0270030




How to Cite

Setyoadi, Sari, E. K., & Larasati, I. (2023). Effect Of Health Education Model BASNEF On Knowledge And Compliance With Hypertension Diet In Elderly With Hypertension. Journal of Rural Community Nursing Practice, 1(1), 32–42. https://doi.org/10.58545/jrcnp.v1i1.70