Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 The Effect of Cucumber Juice Administration on Blood Pressure Reduction in Elderly Hypertension: A Case Study in Purwodiningrat Village.
Surakarta Annisa Nur Khasanah1*.
Ida Nur Imamah1 .
Tri Harwanto2 AoAisyiyah University of Surakarta.
Indonesia Article History Submitted: 28-06-2025 Revised: 29-11-2025 Accepted: 01-12-2025 org/10.
58545/jkki.
Copyright .
2025 Annisa Nur Khasanah This is an open-access article under the CC-BY-SA License.
Abstract Background: Hypertension remains a leading global public health concern, particularly among older adults.
Non-pharmacological interventions, including dietary approaches, are increasingly recognized as complementary strategies for managing blood pressure.
Cucumber juice, rich in potassium and water, has been proposed as a natural and accessible adjunctive therapy for hypertension.
Objective: This study aimed to evaluate the effect of daily cucumber juice administration on blood pressure reduction in hypertensive patients in RW 07.
Purwodiningratan Village.
Surakarta City.
Indonesia.
Methods: A descriptive case study was conducted over seven days (April 27AeMay 3, 2.
, involving two hypertensive respondents aged 45 years or older who were concurrently receiving amlodipine.
Cucumber juice .
mL/da.
was administered daily, and blood pressure was measured before and two hours after consumption using a digital Data were analyzed descriptively by comparing pre- and post-intervention blood pressure categories.
Results:
Respondent 1Aos blood pressure decreased from 168/100 mmHg (Stage 2 hypertensio.
to 127/84 mmHg .
after seven days.
Respondent 2Aos blood pressure improved from 186/119 mmHg (Stage 3 hypertensio.
to 148/90 mmHg (Stage 1 hypertensio.
Both cases demonstrated a consistent daily decline in systolic and diastolic values throughout the intervention period.
Conclusion: The daily administration of cucumber juice contributes to a significant reduction in blood pressure in hypertensive patients when used in conjunction with standard pharmacological treatment.
These findings support the potential of cucumber juice as a feasible, low-cost non-pharmacological adjunct in community-based hypertension management.
Further research with larger samples and controlled designs is recommended to validate these preliminary results.
Keywords: Hypertension.
Blood pressure.
Cucumber juice.
Elderly Correspondence Annisa Nur Khasanah.
Faculty of Health Sciences.
AoAisyiyah University of Surakarta.
Jl.
Ki Hajar Dewantara No.
Jawa.
Kec.
Jebres.
Kota Surakarta.
Jawa Tengah 57146 Email: Annisakhasanah64@gmail.
How to cite:
Khasanah.
Imamah.
, & Harwanto.
The Effect of Cucumber Juice Administration on Blood Pressure Reduction in Elderly Hypertension: A Case Study in Purwodiningrat Village.
Surakarta.
Jurnal Kesehatan Komunitas Indonesia, 5.
, 302-312.
https://doi.
org/10.
58545/jkki.
The Effect of Cucumber Juice Administration on Blood Pressure Reduction in Elderly Hypertension Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 highest burden.
At the community level.
BACKGROUND Hypertension is a major public health Purwodiningratan Village recorded 284 challenge worldwide and a leading risk hypertensive patients in 2024, 66% of factor for cardiovascular morbidity and whom were women, highlighting both Defined as systolic blood gender and age disparities in disease pressure (SBP) of 140 mmHg or higher or diastolic blood pressure (DBP) of 90 While pharmacological therapy .
mmHg or higher, hypertension affects calcium channel blockers like amlodipin.
3 billion people globally.
remains the cornerstone of hypertension contributes to nearly 10.
4 million deaths management, its long-term use presents annually due to complications such as challenges, including cost, side effects, and stroke, heart failure, and chronic kidney adherence issues.
Consequently, non- disease (World Health Organization.
Often termed the Ausilent killer,Ay undetected until severe organ damage Lifestyle modifications such as reducing occurs, given its asymptomatic nature in sodium intake, increasing physical activity, early stages (Kurdi et al.
, 2.
managing stress, and enriching the diet The burden of hypertension is potassium-rich particularly pronounced in low- and recommended by global guidelines .
middle-income countries, where access to WHO.
ESC/ESH) for controlling blood consistent pharmacological treatment and monitoring may be limited.
In Indonesia.
Among dietary strategies, cucumber the prevalence of hypertension among (Cucumis sativus L.
) has garnered interest adults aged 18 years and above reached due to its high water content, potassium, 1% in 2018 (Riskesda.
, with recent data magnesium, and fiber, all of which suggesting a continued upward trend contribute to vasodilation, natriuresis, and exceeding 61% in 2022 among older adults improved vascular tone.
Recent studies (Ministry of Health.
Republic of Indonesia, have reported significant reductions in Central Java Province reported over both systolic and diastolic blood pressure 6 million cases in 2024, with Surakarta following daily consumption of cucumber City ranking among the areas with the juice in hypertensive populations (Karina Khasanah et al.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 & Fadilah, 2024.
Nurjaya et al.
, 2.
However, awareness and utilization of this accessible, low-cost intervention remain implementation, and evaluation, with a low in community settings.
A preliminary survey In RW 07.
Two adult respondents were Purwodiningratan Village in April 2025 purposively selected based on predefined revealed that hypertensive residents relied inclusion and exclusion criteria.
The inclusion criteria consisted of voluntary medication, with no knowledge or prior participation, a cooperative attitude, the use of complementary dietary therapies ability to communicate verbally, regular This underscores the need for community-based health promotion efforts that integrate evidence-based non-pharmacological approaches into routine hypertension care.
Therefore, this study aims to evaluate reduction among hypertensive patients in this setting, contributing to the growing body of evidence supporting plant-based, non-pharmacological strategies in primary METHODS This study employed a descriptive case study design to investigate the effect of administering cucumber juice on blood patients in RW 07.
Purwodiningrat Village.
Jebres Subdistrict.
Surakarta City.
The approach followed the nursing process amlodipine .
o maintain pharmacological homogeneit.
, and an age of at least 45 Exclusion criteria included the presence of comorbid chronic diseases and personal aversion to cucumbers.
Data collection was conducted at Rejosari Hamlet.
RT 01/RW 07, from April 27 to May 3, 2025.
Prior to the intervention, informed consent was obtained from both respondents, and ethical principlesAi veracity, and justiceAiwere strictly upheld Baseline characteristics, medical history, lifestyle factors .
uch as dietary salt intake, physical activity level, stress patterns, and medication adherenc.
, and initial blood pressure measurements using a calibrated digital sphygmomanometer.
Respondent I was a 55-year-old male with a family history of hypertension, low physical The Effect of Cucumber Juice Administration on Blood Pressure Reduction in Elderly Hypertension Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 activity, and consistent medication use.
reviewed literature and national health Respondent II was a 54-year-old female with a family history of hypertension, high Data dietary salt intake, low fiber consumption, descriptively by comparing pre- and post- and chronic psychological stress, all of intervention blood pressure values over which are known contributors to elevated seven days.
Trends in systolic and diastolic blood pressure.
readings were examined to assess the The intervention consisted of daily direction and magnitude of change, oral administration of freshly prepared supported by shifts in the categorization of cucumber juice .
mL) for seven hypertension staging.
The findings were consecutive days.
The juice was prepared interpreted in conjunction with subjective under standardized hygienic conditions symptom change.
and objective clinical (Cucumis .
well-being, minimal water and no added sugar or Blood
RESULTS
measured twice daily: once in the morning .
re- The intervention was implemented over seven consecutive days (April 27AeMay interventio.
and again two hours after All respondents residing in Rejosari Hamlet.
RT 01/RW 07.
Purwodiningratan Village.
Jebres Subdistrict.
Surakarta City.
Both respondents were concurrently receiving Data were collected through amlodipine as part of their routine direct observation, structured interviews, and clinical documentation.
Primary data initiating the intervention, baseline blood were gathered from the respondents and local community health volunteers, while secondary data were derived from peer- individuals (Table .
ost-interventio.
ESC/ESH
Before Table 1.
Baseline blood pressure readings prior to cucumber juice administration Respondent Mr.
Mrs.
Date Blood Pressure .
Hypertension Category* April 27, 2025
168/100
Stage 2
April 27, 2025
186/119
Stage 3 *Classification based on 2018 ESC/ESH guidelines.
Khasanah et al.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 Following daily consumption of 200 intervention period (May 3, 2.
Mr.
AAos mL of freshly prepared cucumber juice, blood pressure had decreased to 127/84 mmHg .
ormal rang.
, while Mrs.
SAos progressive reductions in systolic and reading improved to 148/90 mmHg (Stage 1 diastolic blood pressure.
By the end of the hypertensio.
, as shown in Table 2.
Table 2.
Blood Pressure Measurements of Both Respondents After Cucumber Juice Administration Respondent Mr.
Mrs.
Date May 3, 2025 May 3, 2025 Blood Pressure 127/84 mmHg 148/90 mmHg Category Normal Stage 1 Hypertension The day-to-day progression of blood in a full normalization of blood pressure.
pressure changes is summarized in Tables Mrs.
S showed a 38 mmHg reduction in Both respondents exhibited consistent systolic and 29 mmHg in diastolic pressure, declines across the intervention period.
Mr.
representing a two-stage improvement AAos systolic pressure decreased by 41 .
rom Stage 3 to Stage .
mmHg and diastolic by 16 mmHg, resulting Table 3.
Daily blood pressure progression for Respondents .
re- and post-interventio.
Mr.
Mr.
Date Apr 27 Apr 28 Apr 29 Apr 30 May 1 May 2 May 3 Pre .
168/100 155/95 148/98 142/95 140/93 140/95 Ae Post .
159/99 150/92 145/94 141/90 136/89 132/88 127/84 Hypertension Category Change Stage 2 Ie Stage 1 Stage 2 Ie Stage 1 Stage 2 Ie Stage 1 Stage 2 Ie Stage 1 Stage 2 Ie High-normal Stage 2 Ie High-normal Normal Pre .
186/119 178/105 167/105 162/100 158/98 152/95 Ae Post .
183/110 175/103 165/101 159/95 155/97 150/90 148/90 Hypertension Category Change Stage 3 Ie Stage 2 Stage 2 Ie Stage 2 Stage 2 Ie Stage 1 Stage 2IeStage 1 Stage 1 Ie Stage 1 Stage 1 Ie Stage 1 Stage 1 Table 4.
Summary of blood pressure changes before and after the intervention Respondent Mr.
Mrs.
Pre-intervention .
168/100 186/119 No adverse effects were reported Post-intervention .
127/84 148/90 Change in Category Stage 2 IeNormal Stage 3 Ie Stage 1 densely populated areas.
Mr.
AAos home had during the intervention.
Both respondents noted subjective improvements, including ventilation, while Mrs.
SAos residence was reduced headache frequency and increased cleaner but had limited airflow.
These contextual factors were documented but Environmental observations indicated that both lived in The Effect of Cucumber Juice Administration on Blood Pressure Reduction in Elderly Hypertension Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 not controlled due to the descriptive case dietary salt intake, low fiber consumption, study design.
DISCUSSION
Chronic stress, in particular, activates the Blood Pressure Measurement Results sympathetic nervous system and elevates Before the Administration of Cucumber cortisol and catecholamine levels, leading Juice Prior to the intervention, both Respondent (Mr.
presented with a blood pressure of 168/100 increased peripheral resistance (Li et al.
Andrena & Kurdi, 2.
These limitations of pharmacotherapy when nonpharmacological mmHg (Stage 2 hypertensio.
, while Respondent II (Mrs.
S) recorded a Blood Pressure Reduction After the markedly elevated 186/119 mmHg (Stage 3 Administration of Cucumber Juice hypertensio.
according to the 2018 Following ESC/ESH classification.
These findings reflect a common clinical reality in mL/da.
, both respondents demonstrated community settings, where medication clinically meaningful reductions in blood adherence alone is often insufficient to Mr.
AAos readings normalized to achieve optimal blood pressure control 127/84 mmHg, while Mrs.
S improved from without concurrent lifestyle modifications Stage 3 to Stage 1 hypertension .
/90 (Whelton et al.
, 2.
These outcomes align with prior Several modifiable risk factors likely seven days of daily contributed to the poor baseline control.
(Cucumis Mr.
A reported low physical activity and a antihypertensive effects through multiple family history of hypertension physiological pathways.
established determinants of elevated blood Cucumber is rich in potassium, pressure (Kurdi et al.
, 2024.
Mahmood et magnesium, and water, nutrients known to , 2.
Mrs.
S, in contrast, exhibited support vascular homeostasis.
Potassium multiple compounding risk behaviors: high promotes sodium excretion and reduces vascular tone, while magnesium enhances Khasanah et al.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 endothelial function and vasodilation This pattern supports the hypothesis (Suryarinilsih et al.
, 2.
Additionally, that cucumber juice may act rapidly the high water content of cucumber through osmotic and electrolyte-mediated contributes to mild diuretic activity, mechanisms, rather than through long- lowering blood volume and, consequently, term structural vascular changes.
The blood pressure (Shreejha et al.
, 2.
These mechanisms are supported by implies a cumulative effect, possibly findings from Karina & Fadilah .
, who observed a mean post-intervention adjustments prompted by the study .
reduction from 150.
6/95.
6 mmHg to increased awareness, placebo effect, or 1/80.
0 mmHg after similar cucumber juice administration.
Comparable results uncontrolled variables such as stress and were reported by Ahmad et al.
and diet cannot be ruled out, the temporal Nurjaya et al.
, reinforcing the association between juice consumption biological plausibility of the observed and blood pressure reduction coupled with biological plausibility strengthens the Before After Cucumber While potential therapeutic Juice Comparison of Final Results Between Administration Daily Development of Blood Pressure Changes consistent and progressive decline in both the Two Respondents Before and After Cucumber Juice Administration systolic and diastolic pressures across the The differential responses between intervention period.
Mr.
A showed a steady respondents highlight the influence of trajectory from Stage 2 hypertension to individual behavioral and physiological normal blood pressure by Day 7, whereas factors on intervention outcomes.
Mr.
Mrs.
S experienced a more gradual but still achieved normotension by Day 7, likely due substantial improvement from Stage 3 to to his relatively stable lifestyle, consistent Stage 1.
Notably, the most pronounced medication use, and lower baseline stress reductions occurred within the first three In contrast.
Mrs.
S despite a larger days, suggesting an early physiological response to the intervention.
remained in the hypertensive range, .
/29 mmH.
possibly due to persistent high salt intake.
The Effect of Cucumber Juice Administration on Blood Pressure Reduction in Elderly Hypertension Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 medication adherence.
Purwodiningrat Village.
Jebres Subdistrict.
Surakarta City.
Before the intervention.
This divergence underscores a key both respondents had high blood pressure principle in hypertension management:
categorized as Stage 2 and Stage 3 non-pharmacological Hypertension.
After seven days of daily most effective when integrated into a cucumber juice consumption, there was a holistic care plan that includes behavioral significant decrease in blood pressure support and pharmacological compliance Respondent I's blood pressure (Sulistyowati et al.
, 2.
Cucumber juice improved to the normal category, while alone is not a substitute for comprehensive Respondent S's blood pressure decreased management but serves as a feasible, low- to Stage 1 Hypertension.
These findings cost adjunct that can amplify the effects of indicate a clear difference in blood pressure standard therapy, particularly in resource- before and after the implementation of limited community settings like RW 07, cucumber juice therapy.
Therefore, the Purwodiningratan.
administration of cucumber juice helps Nevertheless, lower blood pressure in individuals with The small sample size .
, lack of control group, and inability to For standardize external variables .
, diet, recommended that those suffering from stress, slee.
preclude causal inference.
hypertension use the results of this study as Future research should employ quasi- motivation to manage their blood pressure experimental or randomized controlled designs with larger cohorts to validate these preliminary findings and quantify the consuming cucumber juice regularly.
For independent effect of cucumber juice on the Integrated Health Post (Posyand.
, it is blood pressure outcomes.
recommended to develop and support
CONCLUSION
promotion initiatives related to non- Based on the implementation results pharmacological interventions, such as and discussion, the researcher concludes cucumber juice, as part of hypertension that administering cucumber juice has a management strategies in the community.
positive effect on reducing blood pressure in hypertensive patients in RW 07.
AUTHOR CONTRIBUTIONS Khasanah et al.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3.
December 2025, pp 302-312 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 Annisa Nur Khasanah.
Ida Nur Terapi Jus Mentimun Terhadap Imama.
Tri Harwanto: Conceptuali-zation.
Perubahan Tekanan Darah Pada Data curation.
Formal analysis.
Writing- Penderita Hipertensi.
Jurnal original draft.
Writing-review & editing.
Kesehatan, 16.
, 16Ae26.
Supervision.
Manuscript revision.
Annisa https://doi.
org/10.
23917/jk.
Nur Khasanah, and Ida Nur Imama:
Conceptualization.
Data curation.
Formal Writing-review Supervision.
Annisa Nur Khasanah:
Conceptualization.
Data curation.
Andrena.
Kurdi, .
Application of Relaxation Therapy on Chronic Pain in the Elderly with Hypertension at UPT PSTW Jember:
A Case Study.
Jurnal Kesehatan ACKNOWLEDGMENT The authors would like to express Komunitas Indonesia, 3.
, 59Ae80.
sincere gratitude https://doi.
org/10.
58545/jkki.
RW 07,
Purwodiningratan Village.
Surakarta City, for their invaluable support and facilitation during the conduct of this research.
Special thanks are also extended to the Aisyiyah University of Surakarta for guidance and institutional support.
Karina.
, & Fadilah.
Efektifitas Pemberian Jus Mentimun Terhadap Tekanan Darah Pada Klien Hipertensi Di Masyarakat.
Jurnal Keperawatan, 18.
, 178Ae188.
Kurdi.
Sunaryo.
Romadhonia.
CONFLICT OF INTEREST The authors declare that there are no conflicts of interest in this research.
Amini.
, & Ramadhan.
CERDIK Behavior in Elderly Hypertension COVID-19
DATA AVAILABILITY STATEMENT
The data are available from the corresponding author upon reasonable During Pandemic:
Perilaku AuCERDIKAy Pada Lansia Dengan Hipertensi Selama Pandemi COVID19.
Jurnal Kesehatan Komunitas Indonesia, 2.
, 42Ae56.
https://doi.
org/10.
58545/jkki.
REFERENCES