This study aimed to explore perceptions about a healthy-eating lifestyle and reasons to practice a healthy-eating lifestyle of women with type 2 diabetes in a city of West Java by using a case study design. Six female patients, with type 2 diabetes, ages 47-63 from a hospital were interviewed guided by the health promotion model. Their healthyeating lifestyle included currently practicing or not practicing a healthy-eating lifestyle. Reasons to practice were: beliefs for health and for physical energy to work for family, definition of multidimensional health and self-efficacy increased by: support from God, support from family, support from health professionals and improved or deteriorated health status by prior experience. Reasons not to practice were: difficulty in arranging diet, rejecting eating, controlling appetite, and accessing health care services. Related difficulties were interpersonal relations with family and social situation such as social events, expensive medical fee, and distance to the hospital. These findings suggest that women with type 2 diabetes in Indonesia need to be supported with the reasons to practice a healthy-eating lifestyle.Key words: Diet, health promotion, Indonesia, type 2 diabetes, women. Persepsi Wanita Perkotaan Penderita Diabetes tentang Gaya HidupMemakan Makanan Sehat dari Jawa Barat AbstrakTujuan dari penelitian ini adalah untuk mengeksplorasi persepsi tentang gaya hidup mengonsumsi makanan sehat dan alasan untuk mempraktikkan gaya hidup memakan makanan sehat pada wanita penderita diabetes tipe 2 di satu kota di Jawa Barat dengan menggunakan desain penelitian studi kasus. Enam pasien wanita penderita diabetes tipe 2 berumur antara 47-63 tahun. Penelitian ini dilakukan di sebuah rumah sakit. Pasien diwawancara secara terbimbing menggunakan model promosi kesehatan. Gaya hidup partisipan dalam mengonsumsi makanan sehat dinilai dalam penelitian ini, termasuk yang sedang dipraktikkan atau tidak sedang dipraktikkan. Hasil penelitian menunjukkan alasan partisipan untuk mengonsumsi makanan sehat adalah: keyakinan untuk sehat dan kekuatan fisik untuk bekerja bagi keluarga, definisi kesehatan multidimensi dan efikasi diri meningkat oleh dukungan Tuhan, dukungan dari keluarga, dukungan dari petugas kesehatan, dan meningkatnya atau menurunnya status kesehatan oleh pengalaman sebelumnya. Alasan untuk tidak mengonsumsi makanan sehat adalah kesulitan dalam: mengatur diet, menolak makan, mengontrol nafsu makan, dan kesulitan mengakses pelayanan kesehatan. Kesulitan-kesulitan yang terkait dengan masalah ini adalah hubungan interpersonal dengan keluarga dan situasi sosial seperti acaraacara sosial, biaya medis yang mahal, dan jarak ke rumah sakit. Penelitian ini menyarankan peningkatan dukungan bagi wanita penderita diabetes tipe 2 di Indonesia agar mempraktikkan gaya hidup memakan makanan yang sehat.

This study aimed to explore perceptions about a healthy-eating lifestyle and reasons to practice a healthy-eating lifestyle of women with type 2 diabetes in a city of West Java by using a case study design. Six female patients, with type 2 diabetes, ages 47-63 from a hospital were interviewed guided by the health promotion model. Their healthyeating lifestyle included currently practicing or not practicing a healthy-eating lifestyle. Reasons to practice were: beliefs for health and for physical energy to work for family, definition of multidimensional health and self-efficacy increased by: support from God, support from family, support from health professionals and improved or deteriorated health status by prior experience. Reasons not to practice were: difficulty in arranging diet, rejecting eating, controlling appetite, and accessing health care services. Related difficulties were interpersonal relations with family and social situation such as social events, expensive medical fee, and distance to the hospital. These findings suggest that women with type 2 diabetes in Indonesia need to be supported with the reasons to practice a healthy-eating lifestyle.Key words: Diet, health promotion, Indonesia, type 2 diabetes, women. Persepsi Wanita Perkotaan Penderita Diabetes tentang Gaya HidupMemakan Makanan Sehat dari Jawa Barat AbstrakTujuan dari penelitian ini adalah untuk mengeksplorasi persepsi tentang gaya hidup mengonsumsi makanan sehat dan alasan untuk mempraktikkan gaya hidup memakan makanan sehat pada wanita penderita diabetes tipe 2 di satu kota di Jawa Barat dengan menggunakan desain penelitian studi kasus. Enam pasien wanita penderita diabetes tipe 2 berumur antara 47-63 tahun. Penelitian ini dilakukan di sebuah rumah sakit. Pasien diwawancara secara terbimbing menggunakan model promosi kesehatan. Gaya hidup partisipan dalam mengonsumsi makanan sehat dinilai dalam penelitian ini, termasuk yang sedang dipraktikkan atau tidak sedang dipraktikkan. Hasil penelitian menunjukkan alasan partisipan untuk mengonsumsi makanan sehat adalah: keyakinan untuk sehat dan kekuatan fisik untuk bekerja bagi keluarga, definisi kesehatan multidimensi dan efikasi diri meningkat oleh dukungan Tuhan, dukungan dari keluarga, dukungan dari petugas kesehatan, dan meningkatnya atau menurunnya status kesehatan oleh pengalaman sebelumnya. Alasan untuk tidak mengonsumsi makanan sehat adalah kesulitan dalam: mengatur diet, menolak makan, mengontrol nafsu makan, dan kesulitan mengakses pelayanan kesehatan. Kesulitan-kesulitan yang terkait dengan masalah ini adalah hubungan interpersonal dengan keluarga dan situasi sosial seperti acaraacara sosial, biaya medis yang mahal, dan jarak ke rumah sakit. Penelitian ini menyarankan peningkatan dukungan bagi wanita penderita diabetes tipe 2 di Indonesia agar mempraktikkan gaya hidup memakan makanan yang sehat.

Introduction: Restrictions on mobility during the COVID-19 pandemic have worsened lifestyle and made it harder for people with hypertension to manage their condition, which can lead to complications. Knowledge and attitude have a significant correlation toward hypertension self-management. This study aimed to determine the correlation between knowledge and attitudes of hypertensive patients toward hypertension self-management practice during the COVID-19 pandemic. Method: The method used was a descriptive-analytic correlation with a cross-sectional approach.  The sample used was 50 hypertensive patients aged ≥ 15 years old, samples obtained through the accidental sampling technique. Data collection through the google form online questionnaire containing a modified Indonesian version of the Knowledge, Attitudes, and Practice Level of Hypertensive Patients on Lifestyle Modification questionnaire. Statistical test for bivariate using Pearson and Spearman correlation. Result: The study found that 54% respondents had good knowledge and practice, and 50% had a positive attitude toward hypertension self-management during the COVID-19 pandemic. Poor hypertension self-management practices include 56% of respondents did not exercise; 54% did not plan a diet to control blood pressure; 32% did not measure blood pressure regularly; and 46% did not take antihypertensive drugs. Bivariate analysis showed that there was a correlation between knowledge (p = 0.000; r = +0.320), and attitudes (p = 0.001; r = +0.471) toward hypertension self-management practice during the COVID-19 pandemic. Conclusion: The study results showed that the correlation is positive, but the strength of the correlation is weak. therefore, it is necessary to educate the public regarding hypertension and self-management during the COVID-19 pandemic, especially regarding the definition of hypertension, medication adherence, and lifestyle modifications to control hypertension.   Keywords: Attitude; COVID-19; Hypertension; Knowledge; Self-management

Hypertension is the major risk factor for death as 23.7% out of around 1.7 million deaths in Indonesia were caused by hypertension. The combination of pharmacological and non-pharmacological management can increase the effectiveness of therapy. This study aimed to collect non-pharmacological therapies in Indonesia that can be used as additional therapy to reduce systolic and diastolic blood pressure in hypertensive elderly. The inclusion criteria used were full text journals indexed by SINTA, ISSN or DOI with the topic of non-pharmacological therapy, samples of pre-elderly hypertension, effective therapy to reduce systolic and diastolic blood pressure with a quasi-experimental design, journals using Indonesian and English with a span of time 2015-2020. Nonpharmacological therapy used in Indonesian elderly and were effective include dietary regulation, increased physical activity, and relaxation therapy. Future researchers can continue their research with more journals and higher evidence.