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RELAKSASI OTOT PROGRESIF TERHADAP STRES PSIKOLOGIS DAN PERILAKU PERAWATAN DIRI PASIEN DIABETES MELLITUS TIPE 2 Maghfirah, Sholihatul; Sudiana, I Ketut; Widyawati, Ika Yuni
Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015): JURNAL KESEHATAN MASYARAKAT (KEMAS) JANUARY 2015
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3374

Penderita DM tipe 2 sering mengalami stres berkaitan dengan terapi yang harus dijalani. Pengalaman stres sebelum dan selama terapi berpengaruh terhadap perilaku perawatan diri. Relaksasi otot progresif merupakan salah satu manajemen stres. Tujuan penelitian ini adalah untuk menjelaskan pengaruh relaksasi otot progresif terhadap stres psikologis dan perilaku perawatan diri pada pasien DM Tipe 2 ang dilakukan pada tahun 2014. Desain penelitian ini kuasi eksperimen dengan pre-test dan post-test. Jumlah sampel 30 responden yang terdiri dari kelompok 14 orang kelompok perlakuan dan 16 orang kelompok kontrol. Teknik pengambilan sampel menggunakan purpossive sampling. Analisa data khusus menggunakanÂ Wilcoxon Signed Rank Test dan Mann-Whitney U Test. Berdasarkan Wilcoxon Signed Rank TestÂ untuk menguji pre-test dan post-test pada kelompok perlakuan didapatkan hasil stres psikologis p=0,014 (p<0,05) dan perilaku perawatan diri p=0,003 (p<0,05). Mann-Whitney U Test pada post-test kelompok perlakuan dan kontrol didapatkan hasil stres psikologis p=0,035 (p<0,05) dan perilaku perawatan diri p=0,058 (p>0,05) Kesimpulan dari penelitian ini: ada pengaruh relaksasi otot progresif terhadap penurunan stres psikologis pada pasien DM tipe 2 dan tidak ada pengaruh relaksasi otot progresif terhadap perilaku perawatan diri pada pasien DM tipe 2. Penelitian lebih lanjut post-test perilaku perawatan diri perlu dilakukan dengan selang waktu yang lebih lama dibandingkan dengan stres psikologis.Â Patients with Type 2 Diabetes mellitus often have stress experience related to diabetes therapy. Stress experience before and during therapy affects self-care behaviors. Progressive muscle relaxation is one of stress management. The purpose of this study is to clarify the effect of progressive muscle relaxation on the psychological stress and self-care behavior in patients with Type 2 Diabetes mellitus in 2014. The research design was quasy-experiment with pre-test and post-test design. Total sample was 30 respondents consisting of 14 people in treatment group and 16 people in control group recruited by purpossive sampling. Data were analyzed using the Wilcoxon Signed Rank Test test and Mann-Whitney U Test. The result showed in the experimental group of psychological stress p=0.014 (p<0,05) and self-care behavior of p=0,003 (p<0,05). Mann-Whitney U test to post-test treatment and control groups showed psychological stress p=0,035 (p<0,05) and self-care behavior of p=0,058 (p>0,05).Â It is concluded that there was an effect of progressive muscle relaxation on reducing psychological stress in patients with type 2 diabetes and no effect of progressive muscle relaxation on self-care behavior in patients with type 2 diabetes mellitus. Further research about self-care behaviors post-test needs to be done at longer intervals than the psychological stress.

Development Model of Family Empowerment and Peer Group Support in Independence of Caring on Indonesianâs Migrant Worker (TKI) Infected by HIV Nursalam, Nursalam; Yusuf, Ah.; Widyawati, Ika Yuni; Asmoro, Candra Panji
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Human Immunodeficiency Virus (HIV) is a retrovirus that infects cells of the immune system, destroying or damaging the function of cells of the immune system. This makes the immune system becomes weaker, and people become more liable to infection. A lot of new detected HIV transmission source comes from former workers who work abroad. The challenge in dealing the number of transmission performed comprehensive care of patients and their family empowerment and peer support groups. The aimed of this study was to develop the ability of a family of Indonesian Workers who are infected with HIV and Peer Support Group in independence of care. Methods: This study was used an explanatory design and quasy-experimental. Population in this study were the closest family who care for patients infected with HIV during work abroad as migrant workers in East Java. Samples were selected using simple random sampling technique. The independent variable was the peer group and family support, the dependent variable is the level of independence of care on the respondent. Data were collected using a questionnaire that has been tested for validity and reliability and results were tested using the Wilcoxon Signed Rank Test with alpha â¤0.05. Results: The results showed that this method can improve the independence of the family of the HIV-infected client care during labor as migrant workers abroad with a significance value of p=0.004. Conclusion: Empowerment of family and peer group support can be used to increase the independence of families and patients in the treatment of HIV-infected patients during work abroad as migrant workers. Future studies are expected to use a larger sample.Keywords: empowerment of the family, peer group support, independence treatment, TKI (Indonesian Labor), Human Immunodeficiency Virus (HIV)

RELAKSASI OTOT PROGRESIF TERHADAP STRES PSIKOLOGIS DAN PERILAKU PERAWATAN DIRI PASIEN DIABETES MELLITUS TIPE 2 Maghfirah, Sholihatul; Sudiana, I Ketut; Widyawati, Ika Yuni
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3374

Penderita DM tipe 2 sering mengalami stres berkaitan dengan terapi yang harus dijalani. Pengalaman stres sebelum dan selama terapi berpengaruh terhadap perilaku perawatan diri. Relaksasi otot progresif merupakan salah satu manajemen stres. Tujuan penelitian ini adalah untuk menjelaskan pengaruh relaksasi otot progresif terhadap stres psikologis dan perilaku perawatan diri pada pasien DM Tipe 2 ang dilakukan pada tahun 2014. Desain penelitian ini kuasi eksperimen dengan pre-test dan post-test. Jumlah sampel 30 responden yang terdiri dari kelompok 14 orang kelompok perlakuan dan 16 orang kelompok kontrol. Teknik pengambilan sampel menggunakan purpossive sampling. Analisa data khusus menggunakanÂ Wilcoxon Signed Rank Test dan Mann-Whitney U Test. Berdasarkan Wilcoxon Signed Rank TestÂ untuk menguji pre-test dan post-test pada kelompok perlakuan didapatkan hasil stres psikologis p=0,014 (p<0,05) dan perilaku perawatan diri p=0,003 (p<0,05). Mann-Whitney U Test pada post-test kelompok perlakuan dan kontrol didapatkan hasil stres psikologis p=0,035 (p<0,05) dan perilaku perawatan diri p=0,058 (p>0,05) Kesimpulan dari penelitian ini: ada pengaruh relaksasi otot progresif terhadap penurunan stres psikologis pada pasien DM tipe 2 dan tidak ada pengaruh relaksasi otot progresif terhadap perilaku perawatan diri pada pasien DM tipe 2. Penelitian lebih lanjut post-test perilaku perawatan diri perlu dilakukan dengan selang waktu yang lebih lama dibandingkan dengan stres psikologis.Â Patients with Type 2 Diabetes mellitus often have stress experience related to diabetes therapy. Stress experience before and during therapy affects self-care behaviors. Progressive muscle relaxation is one of stress management. The purpose of this study is to clarify the effect of progressive muscle relaxation on the psychological stress and self-care behavior in patients with Type 2 Diabetes mellitus in 2014. The research design was quasy-experiment with pre-test and post-test design. Total sample was 30 respondents consisting of 14 people in treatment group and 16 people in control group recruited by purpossive sampling. Data were analyzed using the Wilcoxon Signed Rank Test test and Mann-Whitney U Test. The result showed in the experimental group of psychological stress p=0.014 (p<0,05) and self-care behavior of p=0,003 (p<0,05). Mann-Whitney U test to post-test treatment and control groups showed psychological stress p=0,035 (p<0,05) and self-care behavior of p=0,058 (p>0,05).Â It is concluded that there was an effect of progressive muscle relaxation on reducing psychological stress in patients with type 2 diabetes and no effect of progressive muscle relaxation on self-care behavior in patients with type 2 diabetes mellitus. Further research about self-care behaviors post-test needs to be done at longer intervals than the psychological stress.

PENGARUH PEMBERIAN MODEL LATIHAN ISOMETRIK TERHADAP KADAR GLUKOSA DARAH PADA MENCIT (MUS MUSCULUS) DIABETES MELLITUS Hadiyanti, Sonia; Harmayetty, Harmayetty; Widyawati, Ika Yuni
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 1, No 1 (2019): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Berdasarkan penelitian terbaru, olahraga/ latihan mempunyai efek yang signifikan dalam menurunkan glukosa darah penelitian ini bertujuan untuk mengidentifikasi efek dari model latihan isometrik terhadap kadar glukosa darah pada mencit yang dikondisikan mengalami diabetes mellitus. Penelitian ini adalah penelitian eksperimen murni (True Experiment). Menggunakan rancangan eksperimen The Randomise Post Test Only Control Group Design. Sampel adalah mencit jantan dengan berat 20-27 gram. 27 ekor mencit jantan dibagi menjadi tiga kelompok yaitu kelompok control terdiri dari mencit normal yang diinjeksi NaCl sebagai placebo. Kelompok kedua adalah mencit diabetes yang tidak diberikan latihan isometrik dan kelompok ketiga adalah mencit diabetes diberikan latihan isometrik. Kelompok kedua dan ketiga diinjeksi streptozotocin (STZ) untuk meginduksi DM. Setelah 48 jam diinjeksi, kedua kelompok diberikan glukosa oral (Dextrose-40%). Kelompok ketiga diberikan latihan isometrik menggunakan treadmill selama 23.31 menit dengan kecepatan 21 cm/detik dan sudut elevasi 0°. Data dianalisa menggunakan One Kolmogorov-Smirnov test, ANOVA test dan Least Significance Difference (LSD) dengan α<0.05. Analisa One Kolmogorov-Smirnov test p=0.94 pada kelompok kontrol, p=0.50 pada kelompok mencit diabetes, and p=0.19 pada kelompok perlakuan. Hasil ANOVA tes adalah p=0.08. Hasil LSD untuk gluksa darah adalah p=0.23 untuk kelompok perlakuan. Hal ini mungkin terjadi karena pada kelompok kedua terdapat 2 mencit dengan glukosa darah normal dan pada kelompok ketiga kadar glukosa darah awal tidak diketahui. Sehingga, mungkin saja kelompok tersebut juga memiliki kadar glukosa darah normal. Dapat disimpulkan bahwa tidak ada efek latihan isometrik dalam menurunkan kadar glukosa darah. Penelitian selanjutnya disarankan mengidentifikasi lebih jauh tentang frekuensi dan intensitas latihan isometrik yang dapat mempengaruhi penurunan kadar glukosa darah.

Smartphone sebagai Media Edukasi pada Pasien Diabetes Mellitus: A Systematic Review Ainul Mufidah; Ninuk Dian Kurniawati; Ika Yuni Widyawati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 1 (2021): Januari
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12122

Background: Type 2 diabetes (T2D) is associated with various health complications and health service visits, resulting in high costs for patients and the community. As a result, worldwide exponential growth of T2D has become a major issue. One strategy is to provide electronic (e-) health interventions. This intervention can reach many individuals in cost-effective and effective way to change behavior.Objective: To find out the development of smartphones as an educational medium in patients with type 2 diabetes mellitus. Method: This Systematic Review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). The database used in this study was Scopus, Proquest and Pubmed were limited to the last 5 years of publication from 2016 to 2020, full text article and in English. The keywords used were "diabetes mellitus type 2" AND "education" AND "smartphone". This systematic review used 10 articles that fit the inclusion criteria. Results: Increased used of technology in the treatment of diabetes facilitates increased communication between nurses and patients. Social networking technology was developing at an impressive pace. Recent advances in mobile health (mHealth) have created new opportunities to improve DMT2 self-management through tools to facilitate healthy eating, exercise, and access to health services. One such innovative model involves an integrated system that connects patients via smartphone phones with their support network. Keywords: diabetes mellitus type 2; smartphone; education ABSTRAK Latar belakang: Diabetes tipe 2 (T2D) dikaitkan dengan berbagai komplikasi kesehatan dan kunjungan pelayanan kesehatan, sehingga biaya tinggi untuk pasien dan masyarakat. Akibatnya, seluruh dunia pertumbuhan eksponensial dari T2D telah menjadi isu utama. Salah satu strategi adalah untuk memberikan elektronik (e-) intervensi kesehatan. Intervensi ini dapat mencapai banyak individu dalam cara yang hemat biaya dan efektif dalam mengubah perilaku. Tujuan: Untuk mengetahui pengembangan smartphone sebagai media edukasi pada pasien diabetes mellitus tipe 2. Metode: Systematic Review ini disusun berdasarkan Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Database yang digunakan dalam penelitian ini adalah Scopus, Proquest dan Pubmed terbatas untuk publikasi 5 tahun terakhir dari 2016 hingga 2020, full text article dan berbahasa Inggris. Kata kunci yang digunakan adalah “diabetes mellitus type 2” AND “education” AND “smartphone”. Systematic review ini menggunakan 10 artikel yang sesuai dengan kriteria inklusi. Hasil: Peningkatan penggunaan teknologi dalam pengobatan diabetes memfasilitasi peningkatan komunikasi antara perawat dan pasien. Teknologi jaringan sosial berkembang dengan kecepatan yang mengesankan. Kemajuan terbaru dalam kesehatan keliling (mHealth) telah menciptakan peluang baru untuk meningkatkan manajemen diri DMT2 melalui alat untuk memfasilitasi makan sehat, olahraga, dan akses ke pelayanan kesehatan. Salah satu model inovatif seperti melibatkan sistem terintegrasi yang menghubungkan pasien via ponsel smartphone dengan jaringan dukungan mereka. Kata kunci: diabates mellitus tipe 2; smartphone; edukasi

Penerapan Program Edukasi dalam Kontrol Glikemik Pasien DM Tipe 2: Systematic Review Firda Yusniar; Shrimarti Rukmini Devy; Ika Yuni Widyawati; Abd. Rivai Dunggio
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 1 (2022): Januari 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i1.1489

Worldwide incidence of Type 2 Diabetes Mellitus (T2DM) has increased, almost 9% of the global population was estimated to suffered T2DM in 2035. The aim of this study was to evaluated impact of education programs on glycemic control in T2DM Patients. Scopus, PubMed, ProQuest and ScienceDirect were databases used to search for the keywords “Diabetes Education Programs OR Diabetes Self-Management Education” AND “Glycemic Control” AND “Type 2 DM OR Diabetes Mellitus Type 2” then obtained a number of 456 articles. Eligibility criteria assessed by PICOT framework. Fifteen studies selected with inclusion criteria: T2DM patients were has no severe symptoms, aged 18-65 years. Then obtain total of 2762 patients in this study. Interventions were given during period ranges from 3 till 24 months, each session reached 30 to 80 minutes. Averages studies showed educational programs had positive impact on self-monitoring of blood glucose and HbA1c levels. Educational programs provided conventionally by therapists, based on SMS, e-health applications and web access combined with standard care. Education helps in glycemic controlled among T2DM patients, it could be effective to applied as support program to improved diabetes self-management.Keywords: education program; diabetes self-management education; glycemic control ABSTRAK Insiden Diabetes Mellitus Tipe 2 (DMT) di seluruh dunia telah meningkat, hampir 9% dari populasi global diperkirakan menderita DMT2 pada tahun 2035. Tujuan dari penelitian ini adalah untuk mengevaluasi pelaksanaan program edukasi terhadap kontrol glikemik Pasien DMT2. Scopus, PubMed, ProQuest dan ScienceDirect merupakan database yang digunakan untuk mencari kata kunci “Diabetes Education Programs OR Diabetes Self-Management Education” AND “Glycemic Control” AND “Type 2 DM OR Diabetes Mellitus Type 2” kemudian diperoleh sejumlah 456 artikel. Kriteria kelayakan yang dinilai dengan kerangka PICOT. Lima belas studi dipilih sesuai kriteria inklusi: pasien DMT2 yang tidak memiliki gejala berat, berusia 18-65 tahun. Sebanyak 2762 responden termasuk dalam studi ini. Intervensi diberikan selama rentang waktu 3 hingga 24 bulan, setiap sesi mencapai 30 hingga 80 menit. Studi rata-rata menunjukkan program edukasi berdampak positif pada pemantauan mandiri gula darah dan kadar HbA1c. Program edukasi yang diberikan yakni secara konvensional oleh terapis, dengan media SMS, aplikasi seluler dan akses web yang dikombinasikan dengan perawatan standar. Edukasi membantu dalam kontrol glikemik pasien DMT2, serta efektif sebagai program pendukung dalam meningkatkan manajemen diri diabetes.Kata kunci: program edukasi; diabetes self-management education; kontrol glikemik

PENGALAMAN ISTRI DALAM PEMENUHAN SEKSUALITAS SUAMI DENGAN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS Siti Muniroh; Joni Haryanto; Ika Yuni Widyawati
Bahasa Indonesia Vol 6 No 1 (2017): Jurnal Keperawatan
Publisher : STIKes William Booth Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47560/kep.v6i1.158

Pendahuluan: Gagal Ginjal Kronik adalah penyakit dimana ginjal mengalami kerusakan yang progresif dan irreversible. Salah satu terapi pengganti ginjal adalah hemodialisis. Permasalahan akibat penyakit gagal ginjal kronik dengan hemodialisis diantaranya masalah seksualitas. Masalah seksualitas belum mendapatkan perhatian dari pemberi pelayanan kesehatan dan klien atau pasangan hemodialisis jarang melaporkan masalah seksualitas kepada petugas kesehatan. Perlu digali bagaimanakah pengalaman istri dalam pemenuhan seksualitas suami dengan gagal ginjal kronik yang menjalani hemodialisis. Metode: Penelitian ini menggunakan pendekatan kualitatif tipe penelitian studi kasus Intrinsik. Partisipan berjumlah 5 orang yang memenuhi kriteria penelitian. Instrumen penelitian berupa panduan wawancara terstruktur. Peneliti juga menggunakan metode observasi dengan cara melakukan pencatatan. Hasil: Hasil penelitian ini mengidentifikasi tujuh tema. Pengetahuan istri tentang seksualitas, pengetahuan istri tentang perubahan akibat penyakit gagal ginjal kronik, respon terhadap penampilan, perasaan dan gejolak emosional yang dirasakan, upaya yang dilakukan untuk memenuhi seksualitas, pola aktifitas seksual, dukungan dan harapan untuk klien gagal ginjal kronik yang menjalani hemodialisis. Diskusi: Klien dengan gagal ginjal kronis yang menjalani hemodialisis membutuhkan pemenuhan seksualitas. Istri harus memahami tentang cara dan upaya yang harus dilakukan untuk memenuhi seksualitas. Diperlukan kerja sama antara klien, istri dan petugas kesehatan untuk memberikan edukasi kepada istri supaya dapat memenuhi seksualitas kepada klien sehingga kualitas hidupnya menjadi lebih baik.

Development Model of Family Empowerment and Peer Group Support in Independence of Caring on Indonesian’s Migrant Worker (TKI) Infected by HIV Nursalam Nursalam; Ah. Yusuf; Ika Yuni Widyawati; Candra Panji Asmoro
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga

Introduction: Human Immunodeficiency Virus (HIV) is a retrovirus that infects cells of the immune system, destroying or damaging the function of cells of the immune system. This makes the immune system becomes weaker, and people become more liable to infection. A lot of new detected HIV transmission source comes from former workers who work abroad. The challenge in dealing the number of transmission performed comprehensive care of patients and their family empowerment and peer support groups. The aimed of this study was to develop the ability of a family of Indonesian Workers who are infected with HIV and Peer Support Group in independence of care.Methods: This study was used an explanatory design and quasy-experimental. Population in this study were the closest family who care for patients infected with HIV during work abroad as migrant workers in East Java. Samples were selected using simple random sampling technique. The independent variable was the peer group and family support, the dependent variable is the level of independence of care on the respondent. Data were collected using a questionnaire that has been tested for validity and reliability and results were tested using the Wilcoxon Signed Rank Test with alpha ≤0.05. Results: The results showed that this method can improve the independence of the family of the HIV-infected client care during labor as migrant workers abroad with a significance value of p=0.004.Conclusion: Empowerment of family and peer group support can be used to increase the independence of families and patients in the treatment of HIV-infected patients during work abroad as migrant workers. Future studies are expected to use a larger sample.

Nurse Behavior in Implementation of Diabetes Mellitus Education Based on Theory of Planned Behavior Nadia Rohmatul Laili; Sulistiawati Sulistiawati; Ika Yuni Widyawati
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga

Introductions: Education is the important component in self-management of Diabetes mellitus patients. Nurse as one of the health care provider should take active role in giving adequate education. The aim of this study were to analyze factors influencing nurse’s behavior in implementation of Diabetes mellitus education based on theory of planned behavior.Methods: This study used cross sectional design. Population in this study were all nurses in medicinal public hall whose were assigned to give education toward patients in 62 puskesmas induk in Surabaya city in 2016. Sampling technique used total sampling and 112 nurses obtained as samples. Variables in this study consist of attitude, subjective norm, perceived behavioral control (PBC), intention and practice in DM education. Data collection was using questionnaire and observation sheet and also analyzed using spearman rho with α 0,05.Results: Statistical analysis result shows there is significant relationship between attitudes, subjective norm, perceived behavioral control (PBC) toward intention with p value of 0,022; 0,048; dan 0,000 respectively and there is no significant relationship between intention and practice of Diabetes mellitus education with p value 0,194. Nurse’s attitudes, subjective norm, perceived behavioral control (PBC) had positive effect toward intention of Diabetes mellitus education but intention had no effect toward practice of Diabetes mellitus education in puskesmas.Conclusion: Theory of Planned Behavior (TPB) stated that individual behavior occurred because of intention that could be affected by attitude, subjective norm, and perceived behavioral control (PBC). Future study was expected to use qualitative approach, and related study regarding development of education media in Puskesmas.

Red Rosella Tea and Avocado As Simvastatin Therapy Support Reduce Total Cholesterol Budi Artini; Elyana Asnar; Ika Yuni Widyawati
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga

Introduction: Hypercholesterolemia is a condition characterized by high levels of total cholesterol in the blood. Many studies have proven that steeping tea rosella and flesh of an avocado can reduce total cholesterol levels. This study was conducted to determine the effectiveness of therapy companion rosella tea and avocado in lowering total cholesterol levels in hypercholesterolemia clients.Methods: This type of research is a quasi-experimental study with pre-post test control group design. The population study was a client with hypercholesterolemia in the working area of menganti health centers. First sample group consisted of nine respondents received the drug Simvastatin 10 mg and rosella tea consumed as much as 2 g 1x / day. The second group consisted of nine respondents received the drug Simvastatin 10 mg and avocado meat weighing 330 grams were consumed 1x / day. The control group consisted of 11 respondents have a drug Simvastatin 10 mg oral 1x daily at night before bed. All groups examined total cholesterol levels before treatment and after treatment on day 15.Results: The results of one-way ANOVA test showed a significant difference between before and after treatment in the first group (p=0,001) and second group (p= 0,005), and there is no significant difference before and after treatment in the control group (p= 0,248). The difference between the three groups showed p= 0.025.Conclusion: The conclusion of this study is giving rosella tea and avocado has the same effectiveness in lowering total cholesterol levels so that health workers can suggest the use of rosella tea and avocado as a companion therapy to reduce total cholesterol level.

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