Abstract 10862: The Effects of a New Medication Monitoring Programme on Blood Pressure Control Among Elderly Home Residents With Multiple Medications

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Martin CS Wong ◽  
Harry HX Wang ◽  
Mandy WM Kwan ◽  
Shannon TS Li ◽  
Sian M Griffiths
Keyword(s):  
Blood Pressure ◽  
Hong Kong ◽  
Repeated Measures ◽  
Intervention Group ◽  
The Elderly ◽  
Monitoring Programme ◽  
Control Group ◽  
Elderly Home ◽  
Medication Monitoring ◽  
Home Based

Objective: A high prevalence of hypertension among the elderly has raised public concern in Asia particularly in Hong Kong. It is commonly observed among elderly being prescribed with more than one antihypertensive agent. However, poor adherence can serve as one of the major causes of suboptimal blood pressure (BP) control, and particular in elderly homes where the residents often lack family support. The study aimed to evaluate the effects of a new medication monitoring programme on BP control among elderly home residents with multiple medications. Methods: We recruited study subjects from three elderly homes enrolled in a pharmacist-led home-based medication monitoring programme launched by the Hong Kong Pharmaceutical Care Foundation. The programme aimed to optimise drug therapy and achieve better BP control. We used a cluster sampling to recruit elderly people (aged ≥65 years) prescribed with multiple medications, who were then followed up for six months. Subjects in the intervention group received medications under pharmacist-led medication monitoring programme, while the control group received usual care. Intention-to-treat analysis was adopted. Systolic BP and diastolic BP were measured at each 3-monthly follow-up as primary outcomes. Secondary outcomes included healthcare utilisation and staff satisfaction. Repeated measures analysis of variance (RMANOVA) was used to estimate the intervention effect after adjusting for other covariates. Results: A total of 290 residents were recruited. The study showed distinct patterns of changes in SBP and DBP between groups. After 6 months, participants in the intervention group (n=200) had an average of 5.16mmHg (p=0.134) and 2.66mmHg (p=0.198) decrease in SBP and DBP, respectively; while the control group (n=90) showed 12.40mmHg (p=0.027) and 6.60mmHg (p=0.061) increase in SBP and DBP, respectively, after adjusting for other covariates. Conclusions: Elderly home residents enrolled in this new pharmacist-led home-based medication monitoring programme had better BP parameters, suggesting that future programmes on other cardiovascular disease medications based on similar approach could potentially be effective in achieving favourable outcomes among the elderly population in primary care.

scholarly journals Negative Air Pressure on Wet Cupping in Decreasing Blood Pressures in Hypertensive Patients

2018 ◽  
Vol 7 (2) ◽  
pp. 116
Author(s):  
Budi Darmawan ◽  
Diyah Fatmasari ◽  
Rr. Sri Endang Pujiast
Keyword(s):  
Blood Pressure ◽  
Repeated Measures ◽  
Community Health Centers ◽  
Intervention Group ◽  
Air Pressure ◽  
Control Group ◽  
P Value ◽  
Decrease Blood Pressure ◽  
Blood Pressures ◽  
The Mean

Background: Wet cupping, furthermore mentioned cupping, decreases blood pressures through the level of negative air pressures added by hydrostatics filtration pressure to reinforce the power of fluids filtration in capillaries. However, an appropriate negative air pressure to decrease blood pressure remains an uncertainty.Purpose: This study aimed to analyze negative air pressure differences on cupping in decreasing blood pressures in hypertensive patients.Methods: This is a quasi-experimental design conducted in three Community Health Centers in Langsa City, Aceh, Indonesia. The samples were 36 hypertensive males with age from 45 to 55, who were randomly stratified into two groups with cupping pressures 400 mbar (n=18) as the control group; and 540 mbar (n=18) as the intervention group. The cupping session was performed to each group on T1 (alkahil) point and in the middle line of both shoulders blade points. The systolic blood pressure (SBP) and diastolic blood pressures (DBP) were measured by validated automatic sphygmomanometer. The follow-up periods were one week and two weeks. The data were then analyzed by repeated measures ANOVA.Results: Cupping pressure of 400 mbar decreased the mean of SBP and DPB with a p-value of 0.450 and 0.026, respectively after two weeks of intervention. Meanwhile, cupping pressure of 540 mbar decreased the mean of SBP and DBP with a p-value of 0.006 and 0.057, respectively. Tests of within-subjects resulted in the p-value of 0.250 (SBP) and 0.176 (DBP) after two weeks of intervention. There were no significant differences in SBP and DBP between the intervention group and the control group.Conclusion: The cupping pressure between 400 mbar and 540 mbar could reduce blood pressure; however, the cupping pressure of 540 mbar yielded greater effect in decreasing blood pressure than the 400 mbar. Negative air vacuum pressure loads on cupping to decrease blood pressure should be considered between 400 to 540 mbar, and further studies are needed.

scholarly journals The Effect of the Mobile ‘Blood Pressure Management Application’ on Hypertension Self-Management Enhancement: A Randomised Controlled Trial

2019 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Clinical Trial ◽  
Repeated Measures ◽  
Patient Adherence ◽  
Intervention Group ◽  
Public Hospitals ◽  
Self Management ◽  
Control Group ◽  
Management Application

Abstract Background : Self-management of blood pressure is of great significance given the increasing incidence of hypertension and associated disabilities. With the increased use of mobile health in medicine, the present study evaluated the effect of the self-management application on patient adherence to hypertension treatment. Methods : This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up to 24 th weeks. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model). Results : The treatment adherence score increased by an average of 5.9 (95%CI: 5.0-6.7) in the intervention group compared to the control group. Scores of adherence to the low-fat and low-salt diet plans were 1.7 (95%CI: 1.3-2.1) and 1.5 (95%CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95%CI: 61.7-138.3) per week in the intervention group. Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones , mhealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries. Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on 1 January 2016.

scholarly journals Effect of 12 weeks of recreational soccer on bone mineral density and sarcopenia in the elderly: a randomized clinical trial

1989 ◽  
Author(s):  
Guilherme Henrique de Lima Matias ◽  
◽  
André dos Santos Costa ◽  
Romulo Maia Carlos Fonseca
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Repeated Measures ◽  
Intervention Group ◽  
The Elderly ◽  
Whole Body ◽  
Control Group ◽  
Mineral Density ◽  
Before And After ◽  
Post Hoc

Objective: To verify the effect of recreational soccer on bone mineral density and sarcopenia in the elderly. Methods: Fourteen elderly people aged 65.9 ± 3.4 years were selected. They were separated into two groups: the intervention group and the control group; the intervention group played recreational soccer for 12 weeks on two days of the week. Assessments were performed for bone mineral density and body muscle mass before and after the intervention. For statistical analysis, the repeated measures ANOVA with Bonferroni’s post hoc test was used. Results: After 12 weeks, there was a significant change in bone mineral density in the region of the total femur (p = 0.020). Analyzing the participants’ sarcopenia, no significant results were found after the intervention period. Conclusion: Playing recreational soccer causes a significant improvement in the total femur and maintains bone regions in the spine, whole body, and femoral neck. Also, it promotes a removal from the threshold for sarcopenia screening in the elderly.

scholarly journals Reduction of stress and blood pressure with meditation therapy in elderly groups in balai pelayanan sosial tresna werdha (BPSTW) in Yogyakarta

2019 ◽  
Vol 1 (1) ◽  
pp. 31-38
Author(s):  
Fajarina Lathu A
Keyword(s):  
Blood Pressure ◽  
Physical Health ◽  
Stress Measurement ◽  
Intervention Group ◽  
The Elderly ◽  
Nursing Intervention ◽  
Health Problems ◽  
Control Group ◽  
Depression Anxiety Stress Scale ◽  
Physical Health Problems

Stress in elderly institution residents is an interesting phenomenon to study. Sustained stress in the elderly can be harmful and cause mental and physical health problems. Hypertension is one of the physical health problems that can result from stress. Nursing Intervention Classification 2013 recommends the use of Meditation Therapy to address the problem. Meditation is a self-directed exercise to relax and calm the mind, besides that meditation is an easy and inexpensive activity. This certainly provides benefits for the institution in caring for the elderly. Less information on meditation therapy, challenging nurses to perform scientific verification.Scientific proof of reduced stress and blood pressure in elderly groups at the Balap Pelayanan Tresna Werdha (BPSTW) in Yogyakarta This research is a quasy experiment with pretest and posttest with control group. The treatment group was given meditation therapy for 7 times a week, while the control group was not given treatment. Respondents were selected using simple random sampling. Stress measurement using the DASS (Depression Anxiety Stress Scale) and blood pressure were measured using a digital sphygmomanometer. The stress in intervention group of elderly after being treated results decreased by 1.8, whereas in the control group it increased by 0.029. The systole blood pressure in the intervention group of elderly decreased 6.257 mmHg and 0.457 mmHg in the control group. When the elderly diastole blood pressure in the intervention group experienced an average decrease of 3.4 mmHg, while in the control group it increased by 1.057 mmHg. Conclusion: Meditation therapy is significant for reducing stress and blood pressure in the elderly at the Balai Pelayanan Tresna Werdha (BPSTW) in Yogyakarta

scholarly journals The Effect of the Mobile ‘Blood Pressure Management Application’ on Hypertension Self-Management Enhancement: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Clinical Trial ◽  
Repeated Measures ◽  
Patient Adherence ◽  
Intervention Group ◽  
Public Hospitals ◽  
Self Management ◽  
Control Group ◽  
Management Application

Abstract Background: Self-management of hypertension is of great significance given its increasing incidence and its associated disabilities. In view of the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment.Methods: This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up until the 24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model).Results: The treatment adherence score increased by an average of 5.9 (95% CI: 5.0-6.7) in the intervention group compared to the control group. Scores of 'adherence to the low-fat and low-salt diet plans' were 1.7 (95% CI: 1.3-2.1) and 1.5 (95% CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95% CI: 61.7-138.3) per week in the intervention group.Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries.Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on January 1st 2016.

scholarly journals JUS MENTIMUN DAPAT MENURUNKAN TEKANAN DARAH PADA WANITA MENOPAUSE

2021 ◽  
Vol 7 (4) ◽  
pp. 697-703
Author(s):  
Fika Kusmawati ◽  
Sri Dinengsih ◽  
Risza Choirunisa Choirunisa
Keyword(s):  
Blood Pressure ◽  
Postmenopausal Women ◽  
Intervention Group ◽  
Sampling Technique ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Purposive Sampling ◽  
Work Area ◽  
Quasi Experimental

Background: The prevalence of hypertension in Indonesia is 45.9% for 55-64 years old, 57.6% for 65-74 years old and 63.8% for >75 years old. It is estimated that people with hypertension in Indonesia reach 15 million people but only 4% are controlled hypertension. The prevalence is 6-15% in the elderly, 50% are not aware of being hypertensive patients, so they tend to become severe hypertension because they do not avoid and do not know the risk factors and 90% are essential hypertension.The Purpose  Knowing the effect of giving cucumber juice on blood pressure in postmenopausal women in the work area of the Puskesmas baktijaya, south tangerang city in 2021 in the intervention group and control group.Methodology: The researcher used a quasi-experimental research design with a pre-test and with control design. The sample in this study amounted to 36 people consisting of 18 intervention groups and 18 control groups. The sampling technique used was purposive sampling. The research instrument consisted of an observation sheet on the state of blood pressure in patients with hypertension before being given cucumber juice and changes in blood pressure in postmenopausal women with hypertension after being given cucumber juice.Research result: There was an effect of giving cucumber juice on decreasing blood pressure in the intervention group with a mean rank of 13.72 and in the control group with a mean rank of 23.28. With a p value of 0.005 < 0.05. There is an effect of giving cucumber juice to decrease diastolic blood pressure in the intervention group with a mean rank of 23.94 and in the control group with a mean rank of 13.06. With a p value of 0.001 <0.05.Conclusions and suggestions: Giving cucumber juice can affect the reduction of blood pressure in postmenopausal women. Suggestion giving cucumber juice to menopausal women or the public can be applied and consumed regularly. Keywords:Menopausal Women, Hypertension, Cucumber ABSTRAK Latar Belakang: Prevalensi  hipertensi di  Indonesia  sebesar  45,9%  untuk  umur  55-64 tahun, 57,6% umur 65-74 tahun dan 63,8%  umur >75 tahun. Diperkirakan penderita hipertensi di Indonesia mencapai 15 juta jiwa tetapi  hanya  4%  yang  merupakan  hipertensi terkontrol. Prevalensi 6-15% pada orang lanjut usia, 50% tidak menyadari sebagai penderita hipertensi sehingga mereka cenderung menjadi hipertensi berat karena tidak menghindari dan tidak  mengetahui  faktor  risikonya  dan  90%  merupakan hipertensi esensial.Tujuan: Mengetahui pengaruh pemberian jus mentimun terhadap tekanan darah pada wanita menopause di wilayah kerja puskesmas baktijaya kota tangerang selatan tahun 2021 pada kelompok intervensi dan kelompok kontrol.Metodologi: Peneliti menggunakan desain penelitian quasi-eksperimen dengan rancangan pre-test and with control. Sampel dalam penelitian berjumlah 36 orang yang terdiri dari 18 kelompok intervensi dan 18 kelompok kontrol. Teknik pengambilan sampel menggunakan purposive sampling. Instrumen penelitian terdiri dari pada  lembar  observasi  keadaan  tekanan  darah pada  penderita  hipertensi sebelum diberikan jus mentimun dan  perubahan  tekanan  darah  pada  wanita menopause yang mengalami hipertensi setelah diberikan jus mentimun.Hasil Penelitian: Ada pengaruh pemberian jus mentimun terhadap penurunan tekanan darah pada kelompok intervensi dengan mean rank 13,72 dan pada kelompok kontrol dengan mean rank 23,28. Dengan nilai p value sebesar 0,005 < 0,05. Ada pengaruh  pemberian jus mentimun terhadap penurunan tekanan darah diastolik pada kelompok intervensi dengan mean rank 23,94 dan pada kelompok kontrol dengan mean rank 13,06. nilai p value sebesar 0,001 < 0,05.Simpulan Pemberian jus mentimun dapat berpengaruh terhadap penurunan tekanan darah pada wanita menopause.Saran pemberian jus mentimun pada wanita menopause atau masyarakat dapat diterapkan dan dikonsumsi secara rutin. Kata Kunci : Wanita Menopause, Hipertensi, Mentimun 

scholarly journals The Effect of the Mobile ‘Blood Pressure Management Application’ on Hypertension Self-Management Enhancement: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Clinical Trial ◽  
Repeated Measures ◽  
Patient Adherence ◽  
Intervention Group ◽  
Public Hospitals ◽  
Self Management ◽  
Control Group ◽  
Management Application

Abstract Background: Self-management of hypertension is of great significance given its increasing incidence and its associated disabilities. In view of the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment. Methods: This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up until the 24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model). Results: The treatment adherence score increased by an average of 5.9 (95% CI: 5.0-6.7) in the intervention group compared to the control group. Scores of 'adherence to the low-fat and low-salt diet plans' were 1.7 (95% CI: 1.3-2.1) and 1.5 (95% CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95% CI: 61.7-138.3) per week in the intervention group. Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries. Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on January 1st 2016.

scholarly journals The Effect of the Mobile ‘Blood Pressure Management Application’ on Hypertension Self-Management Enhancement: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Clinical Trial ◽  
Repeated Measures ◽  
Patient Adherence ◽  
Intervention Group ◽  
Public Hospitals ◽  
Self Management ◽  
Control Group ◽  
Management Application

Abstract Background: Self-management of hypertension is of great significance given its increasing incidence and its associated disabilities. With the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment. Methods: This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up until the24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes(adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model). Results: The treatment adherence score increased by an average of 5.9 (95% CI: 5.0-6.7) in the intervention group compared to the control group. Scores of 'adherence to the low-fat and low-salt diet plans' were 1.7 (95% CI: 1.3-2.1) and 1.5 (95% CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95% CI: 61.7-138.3) per week in the intervention group. Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries. Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on January 1st2016.

The Effects of Home-Based Self-Care Education on Blood Pressure and Self-Care Behaviors among Middle-Aged Patients with Primary Hypertension in Iran: A Randomized Clinical Controlled Trial

2021 ◽  
pp. 108482232110127
Author(s):  
Sara Hazrati Gonbad ◽  
Masoumeh Zakerimoghadam ◽  
Shahzad Pashaeypoor ◽  
Shima Haghani
Keyword(s):  
Blood Pressure ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Primary Hypertension ◽  
Control Group ◽  
Middle Aged ◽  
Aged Patients ◽  
Care Education ◽  
Home Based

Self-care education (SCE) through home visit is one of the methods with potential effects on self-care. This study aimed to evaluate the effects of home-based SCE on blood pressure and self-care behaviors among middle-aged patients with primary hypertension in Iran. This randomized controlled trial was conducted on 110 middle-aged patients with hypertension recruited from public healthcare centers in the south of Tehran, Iran in September 2019. After convenience sampling, Participants were simple randomly allocated to control and intervention groups. Intervention group received a 2-month home-based SCE while control group received routine care services. Before and 2 months after the intervention, self-care behaviors were assessed using the Hypertension Self-Care Activity Level Effects (H-SCALE). Data were analyzed using the SPSS software (v. 16.0) at a significance level of less than .05. After 2 months, the posttest mean scores of self-care behaviors in medication adherence (17.42 ± 1.03 vs 14.49 ± 1.01, p = .04), physical activity (8.16 ± 0.39 vs 6.47 ± 0.52, p = .01), low-salt diet (52.51 ± 3.8 vs 35.36 ± 3.47, p = .001), and blood pressure control (3.47 ± 0.22 vs 2.42 ± 1.89, p = .001), in the intervention group were significantly greater than the control group. However, there were no significant between-group differences respecting the posttest mean scores of the weight management ( p = .06) and smoking cessation ( p = .2). Also, the mean blood pressure between the 2 groups changed after the intervention, but this difference was not statistically significant. This study suggests the effectiveness of home-based SCE in significantly improving self-care behaviors among patients with hypertension. But more studies are needed to measure the effectiveness of intervention on blood pressure. IRCT code: IRCT20190623043985N1. Registered 06/30/2019, https://fa.irct.ir/trial/40351 .

scholarly journals PENGARUH JUICE BELIMBING MANIS ( Averrhoa Carambola Linn ) TERHADAP TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI DESA LEMAH PUTIH KEC. BRATI KAB. GROBOGAN

2018 ◽  
Vol 9 (2) ◽  
pp. 118
Author(s):  
Noor Cholifah ◽  
Suyatno Suyatno ◽  
Dewi Hartinah
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Drugs ◽  
Intervention Group ◽  
The Elderly ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
High Potassium ◽  
Control Group Design ◽  
Averrhoa Carambola

Hypertension is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in moderate rest. Hypertensive disease can attack at any age, including the elderly. The sweet carambola (Averrhoa Carambola linn) is one of the traditional antihypertensive drugs, because it contains high potassium which is useful as a diuretic, maintaining the stability of the body electrolyte through the sodium potassium pump, reducing the amount of water and salt in the body and loosening the blood vessels, this condition helps the pressure drop blood. The purpose of this study was to determine the effect of giving sweet starfruit juice to blood pressure in the elderly in the village of Lemah Putih Kec. Brati Kab. Grobogan. This research design is quasi experiment design with the randomized pre-test post-test control group design. The sample size is 30 respondents. The results showed that based on statistic t dependent test showed p value of intervention group at blood pressure of systole sebebsar 0.03, and diastole was 0.014 (p <0,05) hence Ho was rejected which mean in intervention group there was influence of sweet starfruit juice to elderly blood pressure with hypertension. While p value of control group at systole blood pressure was 0.786, and diastole was 0.953 (p> 0,05) so Ho was received which mean in the control group there was no effect of star fruit juice to blood pressure lansia with hypertension. 

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