Hypertension as a silent killer is the most common cause of premature death. Most hypertensive patients are not aware that they have hypertension or are not aware of the treatment. Control efforts are needed, one of which is non-pharmacological therapy using black garlic. The aim is to determine the effect of giving black garlic on reducing blood pressure in uncontrolled hypertension patients. The research design was a pre-experimental one-group pretest and posttest design, a sample of 20 patients with undiagnosed or uncontrolled hypertension was taken by purposive sampling technique. Data collection was carried out by measuring blood pressure before and after the intervention by giving 2 pieces of black garlic, 2 times per day for 1 week, statistical tests using Paired sample t-test. The results showed that the average systolic and diastolic blood pressure before the intervention was 152.25 mmHg and 95.25 mmHg. After the intervention, the average systolic and diastolic blood pressure was 135.15 mmHg and 81.50 mmHg, and the p-value was 0.001, which means that there was an effect of giving black garlic on reducing blood pressure in uncontrolled hypertension patients. Giving black garlic inhibits the activity of angiotensin-converting enzymes, especially angiotensin II, thereby increasing the relaxation of blood vessels which can further reduce blood pressure.Keywords: black garlic; blood pressure; uncontrolled hypertensionPengaruh Pemberian Bawang Putih Hitam Terhadap Penurunan Tekanan Darah Yang Tidak Terkendali Pasien HipertensiABSTRAKHipertensi sebagai silent killer merupakan penyebab paling umum kematian dini. Sebagian besar pasien hipertensi tidak sadar mengidap hipertensi atau tidak mengetahui pengobatannya. Diperlukan upaya pengendalian yang salah satunya adalah terapi non farmakologi menggunakan black garlic. Tujuan untuk mengetahui pengaruh pemberian black garlic terhadap penurunan tekanan darah penderita hipertensi yang tidak terkontrol. Desain penelitian adalah pre-experimental one group pretest and posttest design, sampel 20 penderita hipertensi tidak terdiagnosis atau tidak terkontrol diambil dengan teknik purposive sampling. Pengumpulan data dilakukan dengan mengukur tekanan darah sebelum dan sesudah intervensi dengan pemberian 2 buah bawang hitam, 2 kali per hari selama 1 minggu, uji statistik menggunakan Paired sample t-test. Hasil menunjukan rata-rata tekanan darah sistolik dan diastolik sebelum intervensi adalah 152,25 mmHg dan 95,25 mmHg. Setelah dilakukan intervensi rata-rata tekanan darah sistolik dan diastolik adalah 135,15 mmHg dan 81,50 mmHg, p-value 0,001 yang berarti ada pengaruh pemberian black garlic terhadap penurunan tekanan darah pada pasien hipertensi yang tidak terkontrol. Pemberian black garlic menghambat aktivitas angiotensin-converting enzymes, khususnya angiotensin II sehingga meningkatkan relaksasi pembuluh darah yang selanjutnya dapat menurunkan tekanan darah.Kata kunci: bawang putih hitam; tekanan darah; hipertensi yang tidak terkontrol

Booklet merupakan media yang berbentuk buku berisikan tulisan disertai gambar bersifat edukatif. Dengan adanya booklet diet hipertensi ini pembaca dapat memperoleh pengetahuan tentang diet hipertensi seperti membaca buku, dengan waktu membaca yang singkat, dan dalam keadaan apapun. Tujuan dari penelitian ini adalah mengidentifikasi proses pengembangan dan mengidentifikasi kelayakan media edukasi booklet diet hipertensi. Metode yang digunakan dalam penelitian ini yaitu Research and Development, dengan prosedur penelitian model pengembangan ADDIE sampai tahap implementasi. Penelitian ini dilakukan di posbindu-PTM Kelurahan Bendogerit, Kecamatan Sananwetan, Kota Blitar dengan 15 partisipan uji coba. Hasil penelitian ini menunjukkan produk media edukasi booklet diet hipertensi memenuhi kriteria layak untuk digunakan berdasarkan penilaian dari validator ahli dan partisipan uji coba. Diharapkan booklet ini dapat dijadikan panduan diet hipertensi bagi keluarga. Diharapkan peneliti selanjutnya dapat melakukan uji keefektifan terhadap penelitian yang dikembangkan.Kata Kunci: Media Edukasi; Booklet; Pengembangan; Diet Hipertensi Abstract Booklet is a media in the form of a book containing writing accompanied by an educational image. With this hypertension diet booklet the reader can gain knowledge about the hypertension diet such as reading a book, with a short reading time, and under any circumstances. The purpose of this study is to identify the development process and identify the feasibility of hypertension diet booklet education media. The method used in this research is Research and Development, with the procedure of ADDIE development model research to the implementation stage. This research was conducted in the Posbindu-PTM of Bendogerit Sub-District, Sananwetan District, Blitar City with 15 trial participants. The results of this study indicate that the hypertension diet booklet education media products meet the criteria to be used based on the assessment of expert validators and trial participants. It is hoped that this booklet can be used as a hypertension diet guide for families. It is hoped that further researchers can test the effectiveness of the research developed.Keywords: Educational Media; Booklet; Development; Hypertension Diet

The quality of service have to be started from the need of patient and ended on patient satisfaction. Nursing service can be evaluated by patient satisfaction with RATER dimension. Method: Research design was descriptive exploratorative. Research subject was 30 patients whose check in Poli Penyakit Dalam RSD Mardi Waluyo Blitar, and who was selected using quota sampling technique. Collecting data was structured interviews with help the check list. The interviewer only puts the sign of Ö (check) at appropriate patient answer. Instrument of data collecting was 20 questions items based on the quality of RATER dimension. Result: The nursing service quality in Poli Penyakit Dalam RSD Mardi Waluyo Blitar based on RATER dimension was in bravo position, which means what the customers got is suitable with the patient’s expectation. Discussion: To maintain and improve the quality of nursing care quality, assessment needs to be done periodically and enhanced for in-patient ward.