Application Of Bilimbii Juice In Reducing Cholesterol Levels Among Elderly Patients With Hyper Cholesterolemia

Abstract

Hypercholesterolemia is a common health problem among older adults and is characterized by elevated blood cholesterol levels, which can increase the risk of cardiovascular disease. This condition is often associated with physiological changes due to the aging process, decreased organ function, and unhealthy dietary habits. Therefore, effective management is needed to prevent complications and improve the quality of life of older adults. One non-pharmacological therapy that can be used is bilimbi fruit juice (Averrhoa bilimbi L.), which contains flavonoids, pectin, and vitamin C that help reduce cholesterol levels by enhancing fat metabolism. This study aimed to describe the application of bilimbi fruit juice in reducing cholesterol levels among older adults with hypercholesterolemia. The study employed a case study design using a gerontological nursing care approach involving two older adults with cholesterol levels above the normal range. The intervention consisted of administering bilimbi fruit juice regularly for three consecutive days. Data were collected through interviews, observations, and cholesterol level measurements before and after the intervention. The results showed a decrease in cholesterol levels in both subjects. Subject I experienced a reduction from 220 mg/dL to 198 mg/dL, while Subject II experienced a reduction from 215 mg/dL to 167 mg/dL. These findings indicate that bilimbi fruit juice can be used as an effective independent nursing intervention to help control hypercholesterolemia in older adults.