Edukasi Kesehatan tentang Pemanfaatan Daun Durian Secara Tradisional untuk Mengatasi Nyeri Sendi, Peradangan Ringan, dan Pembengkakan pada Lansia Health Education on the Traditional Use of Durian Leaves for Managing Joint Pain, Mild Inflammation, and Swelling among Older Adults
Article Sidebar
Main Article Content
Abstract
Joint pain, mild inflammation, and swelling are common health complaints among older adults and often interfere with daily activities and quality of life. In rural communities, older adults frequently rely on medical drugs without adequate knowledge of complementary traditional therapies. Durian (Durio zibethinus) leaves are locally available and traditionally believed to have anti-inflammatory properties; however, limited knowledge regarding their benefits, preparation, and safe use restricts their optimal utilization among older adults.
This community service program employed a pre–post test design with a one-group approach. The participants consisted of 10 older adults aged 60 years and above living in Rambah Tengah Utara Village. The intervention was a health education session focusing on the benefits, preparation methods, and safe traditional use of durian leaves to manage mild inflammation and joint pain. Educational methods included lectures, discussions, and the use of leaflets and posters. Data on participants' knowledge were collected before and after the intervention using a structured questionnaire. Data analysis was conducted descriptively and supported by statistical comparison of pre- and post-intervention scores using Wilcoxon signed-rank test.
The results showed a significant improvement in participants' knowledge after the health education intervention. The mean pre-test score was 4.8 ± 1.3, which increased to 8.7 ± 0.9 in the post-test (p < 0.001). All participants (100%) demonstrated increased understanding of the benefits of durian leaves, appropriate preparation techniques, and limitations of their use as complementary therapy for joint pain and mild inflammation.
Health education on the traditional use of durian leaves effectively improves older adults' knowledge regarding complementary management of joint pain and mild inflammation. Community-based educational interventions utilizing local resources are recommended to support health promotion and improve the quality of life of older adults.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Ang, A. M. G., Nalda, C. M. D. R., & Sabejon, S. E. (2018). Brine shrimp lethality and antioxidant activity of the leaf, rind, and seed ethanolic extracts of Durio zibethinus L. Asian Journal of Biological and Life Sciences, 7(3), 105–111.
Arendt-Nielsen, L., Mansikka, H., Staahl, C., Rees, H., Tan, K., Smart, K., Monhemius, R., Suzuki, R., & Drewes, A. M. (2011). A translational study of the effects of ketamine and pregabalin on temporal summation of experimental pain. Regional Anesthesia and Pain Medicine, 36(6), 585–591.
Aruan, D. G. R., Barus, T., Haro, G., Siburian, R., & Simanjuntak, P. (2019). Phytochemical screening and antidiabetic activity of Durio zibethinus leaf extracts. Oriental Journal of Chemistry, 35(1), 487–490. https://doi.org/10.13005/ojc/350166
Azwar, S. (2020). Metode penelitian. Pustaka Pelajar.
Blyth, F. M., Briggs, A. M., Schneider, C. H., Hoy, D. G., & March, L. M. (2019). The global burden of musculoskeletal pain—Where to from here? American Journal of Public Health, 109(1), 35–40.
Bodeker, G., Ong, C. K., Grundy, C., Burford, G., & Shein, K. (2016). WHO global atlas of traditional, complementary and alternative medicine. Journal of Alternative and Complementary Medicine, 22(8), 642–648.
Dewi, R., & Wati, L. M. (2019). Efektivitas media leaflet terhadap peningkatan pengetahuan lansia tentang hipertensi. Jurnal Kesehatan Masyarakat, 7(2), 112–119.
Dharma, K. K. (2021). Metodologi penelitian keperawatan: Panduan melaksanakan dan menerapkan hasil penelitian. Trans Info Media.
Elfahmi, Woerdenbag, H. J., & Kayser, O. (2021). Jamu: Indonesian traditional herbal medicine towards rational phytopharmacological use. Journal of Herbal Medicine, 11, 51–73.
Ernawati, E., & Susilawati, D. (2021). Efektivitas penyuluhan kesehatan berbasis komunitas terhadap pengetahuan lansia tentang pemanfaatan tanaman obat tradisional. Jurnal Pengabdian Kesehatan, 4(2), 78–85.
Fitranty, R., & Safitri, N. (2016). Pengaruh penyuluhan obat tradisional terhadap peningkatan pengetahuan lansia. Jurnal Kesehatan Masyarakat, 12(2), 85–92.
Green, L. W., & Kreuter, M. W. (2018). Health program planning: An educational and ecological approach (4th ed.). McGraw-Hill.
Handayani, F., & Rahayu, S. P. (2017). Assessment of genetic diversity in Durio cultivars using ISSR markers. Biodiversitas, 18(2), 525–529.
Handayani, L., Suharmiati, & Mariyam. (2021). Pemanfaatan obat tradisional oleh masyarakat pedesaan di era jaminan kesehatan nasional. Buletin Penelitian Sistem Kesehatan, 24(3), 146–154.
Harahap, U., Marianne, M., & Dalimunthe, A. (2020). Phytochemical screening and antibacterial activity of durian (Durio zibethinus Murr.) leaves extract. Rasayan Journal of Chemistry, 13(1), 538–542.
Hunter, D. J., & Bierma-Zeinstra, S. (2019). Osteoarthritis. The Lancet, 393(10182), 1745–1759.
Indraswari, D. (2019). Efektivitas media leaflet dan poster terhadap peningkatan pengetahuan kesehatan lansia. Jurnal Promosi Kesehatan Indonesia, 14(1), 45–53.
Insanu, M., Ruslan, K., Fidrianny, I., & Wijaya, S. (2018). Isolation and identification of flavonoid compounds from durian leaves (Durio zibethinus). Acta Pharmaceutica Indonesia, 43(1), 6–12.
Kementerian Kesehatan Republik Indonesia. (2018). Pelayanan kesehatan tradisional empiris. Kemenkes RI.
Kementerian Kesehatan Republik Indonesia. (2019). Profil kesehatan Indonesia tahun 2018. Kemenkes RI.
Kementerian Kesehatan Republik Indonesia. (2020). Pedoman pelayanan kesehatan lanjut usia di tingkat puskesmas. Kemenkes RI.
Kementerian Kesehatan Republik Indonesia. (2023). Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 tentang Kesehatan. Kemenkes RI.
Mubarak, W. I., & Chayatin, N. (2019). Ilmu kesehatan masyarakat: Teori dan aplikasi. Salemba Medika.
Muhtadi, M., Sari, N. M., Haryoto, H., Sujono, T. A., & Suhendi, A. (2016). Antihyperuricemic activity of plant extracts related to joint pain management. Journal of Ethnopharmacology, 190, 392–399. https://doi.org/10.1016/j.jep.2016.06.041
Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Rineka Cipta.
Nugraha, A. R., & Putri, R. D. (2020). Pemanfaatan obat tradisional pada lansia dengan keluhan nyeri sendi. Jurnal Keperawatan Indonesia, 23(3), 173–181.
Nugraha, A. S., Damayanti, Y. D., Wangchuk, P., & Keller, P. A. (2020). Anti-infective and anti-inflammatory activities of Indonesian medicinal plants. Journal of Ethnopharmacology, 258, 112920.
Nursalam. (2017). Metodologi penelitian ilmu keperawatan: Pendekatan praktis (4th ed.). Salemba Medika.
Nursalam, & Efendi, F. (2018). Pendidikan dalam keperawatan. Salemba Medika.
Park, Y. J., Lee, J., & Kim, S. H. (2019). Herbal medicine use among older adults with chronic musculoskeletal pain. BMC Complementary Medicine and Therapies, 19(1), Article 1–9. https://doi.org/10.1186/s12906-019-2502-1
Pratiwi, N. L., & Hapsari, W. (2021). Health education intervention to improve elderly knowledge on traditional medicine use. International Journal of Community Medicine and Public Health, 8(4), 1876–1882.
Putri, S. T., & Fitriana, L. A. (2020). Pengetahuan lansia tentang penanganan nyeri sendi secara mandiri. Indonesian Journal of Community Health Nursing, 5(1), 25–31.
Riset Kesehatan Dasar. (2018). Riset kesehatan dasar 2018. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI.
Saputra, R. A., Mulkiya, K., & Dasuki, U. A. (2017). Antioxidant activity and total flavonoid content of durian plant parts. Proceedings of Pharmacy, 3(1), 85–92.
Sari, D. P., & Wulandari, R. (2022). Peran perawat dalam edukasi terapi komplementer pada lansia. Jurnal Keperawatan Klinis dan Komunitas, 6(2), 101–109.
Sari, N. P., & Rahmawati, I. (2022). Faktor-faktor yang mempengaruhi kepatuhan penggunaan obat tradisional pada lansia. Jurnal Keperawatan Komunitas, 10(1), 45–53.
Setyawan, A. D., & Kusmoro, J. (2016). Ethnobotanical study of traditional medicinal plants in Indonesia. Asian Journal of Ethnobiology, 1(1), 1–10.
Sharma, L. (2021). Osteoarthritis of the knee. New England Journal of Medicine, 384(1), 51–59.
Somprasong, S., & Somsri, S. (2017). Production, diversity and utilization of durian in Southeast Asia. Acta Horticulturae, 1186, 1–13.
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Sulastri, E., & Yuliana, Y. (2020). Faktor-faktor yang memengaruhi pemanfaatan obat tradisional pada lansia. Jurnal Kesehatan Masyarakat Nasional, 15(1), 27–34.
Suryani, L., Widyastuti, Y., & Murti, B. (2020). Efektivitas penyuluhan kesehatan terhadap pengetahuan dan sikap lansia dalam pencegahan osteoartritis. Berita Kedokteran Masyarakat, 36(4), 156–162.
Widyaningsih, W., Murtini, S., & Nugraheni, S. A. (2022). Optimalisasi pemanfaatan tanaman obat keluarga (TOGA) dalam upaya kesehatan masyarakat. Jurnal Pengabdian Masyarakat Kesehatan, 8(2), 87–94.
Wijaya, A. K., Sudiana, I. K., & Wirawan, I. M. A. (2019). Formulasi dan uji aktivitas antiinflamasi gel ekstrak daun durian (Durio zibethinus Murray). Jurnal Farmasi Udayana, 8(1), 23–29.
World Health Organization. (2019). WHO global report on traditional and complementary medicine. WHO.
World Health Organization. (2021). Decade of healthy ageing: Baseline report. WHO.
World Health Organization. (2022). Integrated care for older people: Guidelines on community-level interventions. WHO.
Wulandari, D., & Pratiwi, H. (2021). Pengaruh edukasi kesehatan terhadap tingkat pengetahuan lansia tentang pemanfaatan herbal untuk nyeri sendi. Jurnal Ilmu Keperawatan, 9(2), 78–85.