Publication Search

Background:Tuberculosis remains a serious public health challenge in Indonesia, including in Pekalongan City, which sees an annual increase in cases. The still high number of TB cases and deaths each year indicates that the program being implemented is not yet fully effective, therefore requiring active community involvement, increased capacity of health workers, and closer cross-sector integration. Aims: This activity aims to provide comprehensive community nursing care through a promotive and preventive approach, with an emphasis on identifying risky behaviors, knowledge deficits, and non-adherence to TB treatment. Method: The methods used included community assessment, establishing a community nursing diagnosis, planning education-based interventions, implementing outreach and simulation activities, and evaluating outcomes. Results: The results of the activity indicated that most people have limited knowledge about TB prevention, and that risky behaviors and non-adherence to therapy persist. Interventions, including group outreach, interactive discussions, and education on the importance of medication adherence, demonstrated increased knowledge and healthier behavior changes. Conclution: The conclusion of this activity emphasized the importance of the active role of community nurses in reducing TB transmission rates through educational approaches, active surveillance, and cross-sector collaboration. Recommendations focused on strengthening ongoing education and the involvement of families and community health workers in early detection and monitoring of TB patient therapy.

Independent Nursing Practice (INP) is a form of healthcare service that provides direct care to the community, including Homecare services. Public interest in these services is influenced by various factors; however, the dominant factors affecting interest in the Tambah Rejo area have not been clearly identified. This study aimed to identify and analyze factors associated with interest in Homecare services at independent nursing practices and to determine the most influential factor. This study employed a quantitative approach using an analytical survey design with a cross-sectional method. A total of 153 respondents were selected through purposive sampling. Data were collected using questionnaires and analyzed using the Chi-square test and multiple logistic regression. The results showed significant relationships between economic factors (p = 0.023; OR = 2.187), distance (p = 0.003; OR = 0.361), comfort (p < 0.001; OR = 49.67), service quality (p = 0.009; OR = 0.404), family support (p < 0.001; OR = 52.62), patient satisfaction (p < 0.001; OR = 0.212), and interest in Homecare services. Multiple logistic regression analysis revealed that comfort was the most dominant factor influencing interest in Homecare services (p < 0.001; OR = 0.124). Comfort was identified as the strongest determinant affecting community interest in Homecare services at independent nursing practices. Therefore, improving comfort in service delivery should be a primary priority in the development of independent nursing practices.

Independent Nursing Practice (INP) is a form of healthcare service that provides direct care to the community, including Homecare services. Public interest in these services is influenced by various factors; however, the dominant factors affecting interest in the Tambah Rejo area have not been clearly identified. This study aimed to identify and analyze factors associated with interest in Homecare services at independent nursing practices and to determine the most influential factor. This study employed a quantitative approach using an analytical survey design with a cross-sectional method. A total of 153 respondents were selected through purposive sampling. Data were collected using questionnaires and analyzed using the Chi-square test and multiple logistic regression. The results showed significant relationships between economic factors (p = 0.023; OR = 2.187), distance (p = 0.003; OR = 0.361), comfort (p < 0.001; OR = 49.67), service quality (p = 0.009; OR = 0.404), family support (p < 0.001; OR = 52.62), patient satisfaction (p < 0.001; OR = 0.212), and interest in Homecare services. Multiple logistic regression analysis revealed that comfort was the most dominant factor influencing interest in Homecare services (p < 0.001; OR = 0.124). Comfort was identified as the strongest determinant affecting community interest in Homecare services at independent nursing practices. Therefore, improving comfort in service delivery should be a primary priority in the development of independent nursing practices.

Stroke is a neurological disorder caused by impaired blood flow to the brain, resulting in brain tissue damage and various functional impairments. One of the common problems experienced by stroke patients is sleep disturbance, which may be influenced by neurological deficits, limited physical mobility, pain, and post-stroke anxiety. Persistent sleep disturbances can delay the recovery process and reduce patients’ quality of life. The long-term use of sleeping medications may lead to adverse effects; therefore, safe and easily applicable complementary therapies are needed. This study aimed to determine the effectiveness of peppermint oil aromatherapy in improving sleep quality among stroke patients in the working area of Barebbo Community Health Center, Bone Regency. The method used was the implementation of complementary therapy through the administration of peppermint oil aromatherapy to stroke patients experiencing sleep disturbances. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. The assessment results showed that before the intervention, patients experienced poor sleep quality, characterized by difficulty initiating sleep, frequent nighttime awakenings, insufficient sleep duration, and daytime fatigue. After receiving peppermint oil aromatherapy, patients demonstrated increased comfort, reduced anxiety, improved ability to initiate sleep, and better overall sleep quality compared to their condition before the intervention. Therefore, peppermint oil aromatherapy was found to be effective in improving sleep quality among stroke patients and can be used as a complementary non-pharmacological intervention in nursing care.

Background: Community nursing is a specialty field that combines nursing science skills, public health sciences, and social assistance in addressing individual and family health problems, including non-communicable diseases such as gout arthritis. Gout arthritis is a metabolic disease characterized by pain and joint inflammation due to the accumulation of purine crystals (hyperuricemia). The WHO reports a prevalence of gout arthritis reaching 3.74% globally, while in Indonesia the prevalence reaches 11.9% based on health worker diagnosis. In Brebes Regency, the prevalence reaches 13.67%, with 3,078 sufferers out of 22,550 productive-age population. Objective: To provide comprehensive community nursing care to Ny. R with musculoskeletal system disorder: gout arthritis in Tonjong Village, Tonjong District, Brebes Regency. Method: This study uses a case study approach with data collection through interview, observation, physical examination, and documentation study conducted on December 26–28, 2025. Results: Assessment findings showed that Ny. R, a 60-year-old woman, had a history of gout arthritis for 3 months with uric acid levels of 9.6 mg/dL, complaining of pain and aching in the left foot with pain scale 3. Two nursing diagnoses were established: acute pain and knowledge deficit. Nursing interventions included pain management, uric acid level monitoring, lemongrass stem decoction foot soak complementary therapy, and health education using leaflets. After 2 days of implementation, uric acid levels decreased to 8.2 mg/dL and pain scale decreased to 2. Conclusion: Community nursing care through complementary therapy (lemongrass stem decoction foot soak) and health education effectively reduced pain and improved knowledge about gout arthritis in Ny. R.

Background: Community nursing is a service process that is a combination of nursing and public health. Family nursing care is health services focused on the family where the entire process from assessment, diagnosis, planning, implementation to evaluation involves all family members both in healthy and sick conditions. The elderly are individuals in the age range of 60 years and above. Stroke is a disorder of brain function that appears suddenly accompanied by clinical signs both local and global in nature that last more than 24 hours caused by disruption of blood flow to the brain. Objective: To provide family nursing care to Tn. W with Neurological System Disorders: Stroke in Karangjati Village RT 02 RW 05 Tonjong District, Brebes Regency. Methods: This scientific paper is compiled using a descriptive narrative study approach following the stages of the nursing process including assessment, diagnosis, intervention, implementation, and evaluation. Data collection techniques include interviews, observation, physical examination, and documentation studies. Results: Nursing diagnoses that emerged were physical mobility impairment and knowledge deficit. Nursing interventions for physical mobility impairment included recognizing health problems and understanding stroke management, particularly related to mobilization through passive and active range of motion (ROM) exercises. For knowledge deficit, interventions included health education about stroke using educational media. Conclusion: After implementation over three days (December 27–29, 2025), the physical mobility impairment problem was partially resolved and knowledge deficit was resolved. It is expected that patients can increase their knowledge about health, particularly stroke disease.  

Postpartum depression is a postpartum mental health disorder that significantly impacts maternal well-being, infant development, and family functioning. The high prevalence of postpartum depression in Indonesia is due to limited access to health services, low mental health literacy, and social stigma in the community. This indicates a significant gap between the need for maternal mental health services and the availability of existing interventions, making education a crucial component in efforts to prevent postpartum depression early. This study aims to analyze the prevention of postpartum depression in postpartum mothers through telenursing-based education and screening using the Edinburgh Postnatal Depression Scale (EPDS) in the community. A descriptive case study design was used, involving one respondent, a 25-year-old primigravida mother residing in the Bantul area. The intervention was implemented online via WhatsApp and video calls, including structured health education on postpartum psychological changes, adaptive coping strategies, and the importance of social support. The intervention also included daily remote monitoring of the respondent's condition via the WhatsApp mobile application. The EPDS was administered as a pre-test and post-test to evaluate changes in the respondent's psychological condition. The findings showed a significant decrease in the EPDS score from 16 (moderate depression) to 6 (minimal depression), indicating significant psychological improvement. These results imply that integrating EPDS screening, structured health education, and daily monitoring is an effective and accessible community-based approach to preventing postpartum depression, particularly for mothers with limited mobility and access to health services.

Abstract. Stunting remains a major public health issue in Indonesia, necessitating health promotion and prevention efforts through health education. The purpose of this study was to assess the effectiveness of leaflets in health promotion to prevent stunting in mothers with toddlers. The method used was a literature review with the PRISMA approach, by searching for articles in the Google Scholar, Garuda, PubMed, and Neliti databases using the keywords "stunting," "leaflet," "health promotion," and "health education." Of the 55 articles found, 16 met the inclusion criteria for analysis. The results of the analysis showed that the use of leaflets can improve mothers' understanding and attitudes regarding stunting prevention, including knowledge about balanced nutrition, exclusive breastfeeding, complementary feeding, and the First 1000 Days of Life (HPK). Leaflets were considered practical, easy to understand, and can be used repeatedly as a means of public health education. The conclusion of this study states that leaflets are effective for use in health promotion as a measure to prevent stunting in community nursing practice.

Exclusive breastfeeding is a crucial step in improving infant health, yet it remains under-practiced in Indonesia. This is primarily due to a lack of knowledge and positive attitudes among mothers. Health education using leaflets has become a popular strategy in community-based nursing due to its simplicity and ease of understanding. The purpose of this study was to evaluate the effectiveness of leaflets in improving maternal knowledge, attitudes, and practices regarding exclusive breastfeeding. A systematic literature search was conducted using the PRISMA methodology. Data were collected from scientific articles published between 2020 and 2025 that met the inclusion criteria for intervention studies using information leaflets with pregnant, breastfeeding, and postpartum women. Twenty original articles meeting these criteria were analyzed. The results showed that most studies found a significant increase in maternal knowledge after distribution of information leaflets (p < 0.005). Furthermore, improvements in attitudes toward exclusive breastfeeding were observed, although practices varied. Many studies have shown that audiovisual materials are more effective than leaflets, although leaflets are easier to use and distribute. Factors such as social support and infrastructure influence the success of exclusive breastfeeding. This study concluded that leaflets were effective in improving mothers' knowledge and attitudes toward exclusive breastfeeding and remained valuable inhome care, especially when combined with other educational methods

Abstract. Stunting remains a major public health issue in Indonesia, necessitating health promotion and prevention efforts through health education. The purpose of this study was to assess the effectiveness of leaflets in health promotion to prevent stunting in mothers with toddlers. The method used was a literature review with the PRISMA approach, by searching for articles in the Google Scholar, Garuda, PubMed, and Neliti databases using the keywords "stunting," "leaflet," "health promotion," and "health education." Of the 55 articles found, 16 met the inclusion criteria for analysis. The results of the analysis showed that the use of leaflets can improve mothers' understanding and attitudes regarding stunting prevention, including knowledge about balanced nutrition, exclusive breastfeeding, complementary feeding, and the First 1000 Days of Life (HPK). Leaflets were considered practical, easy to understand, and can be used repeatedly as a means of public health education. The conclusion of this study states that leaflets are effective for use in health promotion as a measure to prevent stunting in community nursing practice.

Background: Exclusive breastfeeding is crucial for improving maternal and infant health, yet its success remains inconsistent, influenced by psychological factors such as breastfeeding self-efficacy. Mothers with high confidence are more likely to maintain exclusive breastfeeding despite physical and emotional challenges postpartum. Limited evidence exists regarding this relationship at the community level. Objective: This study analyzed the relationship between breastfeeding self-efficacy and successful exclusive breastfeeding among postpartum mothers. Methods: A quantitative cross-sectional study was conducted in Sliyeg Village, the working area of Puskesmas Sliyeg, Indramayu, in March 2026. The population included postpartum mothers with infants aged 0–6 months. A total of 68 respondents were selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and an observation sheet for exclusive breastfeeding success. The Chi-Square test was used for analysis with a significance level of α=0.05. Results: Most respondents had high breastfeeding self-efficacy (61.8%) and successfully practiced exclusive breastfeeding (66.2%). Statistical analysis showed a significant relationship between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.001). Conclusion: Breastfeeding self-efficacy is significantly associated with the success of exclusive breastfeeding among postpartum mothers. Enhancing lactation education, family support, and counseling is recommended to strengthen maternal confidence and promote successful exclusive breastfeeding practices.  

Exclusive breastfeeding is a crucial step in improving infant health, yet it remains under-practiced in Indonesia. This is primarily due to a lack of knowledge and positive attitudes among mothers. Health education using leaflets has become a popular strategy in community-based nursing due to its simplicity and ease of understanding. The purpose of this study was to evaluate the effectiveness of leaflets in improving maternal knowledge, attitudes, and practices regarding exclusive breastfeeding. A systematic literature search was conducted using the PRISMA methodology. Data were collected from scientific articles published between 2020 and 2025 that met the inclusion criteria for intervention studies using information leaflets with pregnant, breastfeeding, and postpartum women. Twenty original articles meeting these criteria were analyzed. The results showed that most studies found a significant increase in maternal knowledge after distribution of information leaflets (p < 0.005). Furthermore, improvements in attitudes toward exclusive breastfeeding were observed, although practices varied. Many studies have shown that audiovisual materials are more effective than leaflets, although leaflets are easier to use and distribute. Factors such as social support and infrastructure influence the success of exclusive breastfeeding. This study concluded that leaflets were effective in improving mothers' knowledge and attitudes toward exclusive breastfeeding and remained valuable inhome care, especially when combined with other educational methods

Background: Exclusive breastfeeding is crucial for improving maternal and infant health, yet its success remains inconsistent, influenced by psychological factors such as breastfeeding self-efficacy. Mothers with high confidence are more likely to maintain exclusive breastfeeding despite physical and emotional challenges postpartum. Limited evidence exists regarding this relationship at the community level. Objective: This study analyzed the relationship between breastfeeding self-efficacy and successful exclusive breastfeeding among postpartum mothers. Methods: A quantitative cross-sectional study was conducted in Sliyeg Village, the working area of Puskesmas Sliyeg, Indramayu, in March 2026. The population included postpartum mothers with infants aged 0–6 months. A total of 68 respondents were selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and an observation sheet for exclusive breastfeeding success. The Chi-Square test was used for analysis with a significance level of α=0.05. Results: Most respondents had high breastfeeding self-efficacy (61.8%) and successfully practiced exclusive breastfeeding (66.2%). Statistical analysis showed a significant relationship between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.001). Conclusion: Breastfeeding self-efficacy is significantly associated with the success of exclusive breastfeeding among postpartum mothers. Enhancing lactation education, family support, and counseling is recommended to strengthen maternal confidence and promote successful exclusive breastfeeding practices.  

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Digital transformation in hospitals through the Digital Hospital concept (HIMSS EMRAM) aims to improve efficiency and reduce the potential for human error. RS Panti Abdi Dharma Cirebon has initiated the implementation of digital systems since 2015; however, several technical obstacles remain in its execution. Nurses, as the primary care providers, frequently face challenges in using electronic nursing documentation, which can negatively impact the quality of service and the continuity of patient care. This community service activity aims to enhance nurses' proficiency in using digital nursing documentation systems to support the improvement of healthcare quality and patient safety. The activity is conducted through three main steps: 1) Situational analysis and identification of technical constraints via questionnaires; 2) Technical training and coaching regarding the standardized structure of electronic nursing care documentation; 3) Evaluation of results by comparing the results/values of digital document completeness observations. Through this activity, a significant increase in nurses' knowledge and skills in operating the hospital information system is expected. It is also anticipated that there will be an improvement in the completeness of nursing care documentation, thereby minimizing medical risks and strengthening RS Panti Abdi Dharma's position towards national accreditation standards.

The "Educating Social Awareness Creativity Through Craft Skills and Social Service Programs at the Karya Kasih Nursing Home" activity is part of a community service program implemented by lecturers and students at Budi Luhur University. This activity aims to provide moral and social support to the elderly through educational and social activities. The program includes craft skills training, providing basic food assistance, and entertainment activities involving lecturers, students, and nursing home residents. The activity implementation method uses a participatory approach, where students interact directly with the elderly for two weeks. This approach is designed to create positive social relationships, increase emotional engagement, and provide contextual learning experiences for students. The results of the activity indicate that this program has a positive impact on the elderly, particularly in increasing happiness, social interaction, and creative activities. In addition, this activity also contributes to the development of students' soft skills, especially in terms of social empathy, intergenerational communication, and social awareness. Thus, this community service program not only provides benefits for the elderly as recipients of the program

Hypertension is a chronic disease with a high prevalence worldwide and is a major risk factor for cardiovascular diseases. The management of hypertension not only relies on pharmacological therapy but also requires non-pharmacological interventions as effective complementary therapy. This study aims to analyze the implementation of health education and acupressure therapy in lowering blood pressure in hypertensive patients. This descriptive study involved three hypertensive patients from RT 35 Lebung Jaya, Talang Betutu Village, Palembang. The intervention included structured health education and acupressure therapy given over three consecutive days, with a duration of 15-20 minutes per session. The results of this study showed a reduction in systolic blood pressure between 10-20 mmHg and diastolic blood pressure between 2-7 mmHg. Additionally, there was an increase in knowledge and medication adherence among the patients. From these results, it can be concluded that the integration of health education and acupressure therapy can be an effective nursing intervention for hypertension management, particularly in a community setting. The implementation of this method is expected to become an alternative approach in managing hypertension within the community with a more holistic approach.

Hypertension is a non-communicable disease that remains a major public health problem in Indonesia, including in Aceh Besar District. The success of hypertension control is strongly influenced by patients’ self-management abilities. Self-management can be affected by psychological factors such as self-efficacy, social factors such as family support, and sociodemographic factors. This study aimed to determine the relationship between self-efficacy, family support, education, and occupation with self-management among hypertensive patients in the working area of the Ingin Jaya Community Health Center, Aceh Besar District. This study employed a quantitative research design with a cross-sectional approach. The study population consisted of hypertensive patients aged 15–59 years who visited or participated in the Posbindu program at the Ingin Jaya Health Center. A total of 90 respondents were selected using accidental sampling technique. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of p < 0.05. The results showed that most respondents had good self-management (54.4%). Bivariate analysis indicated a significant relationship between self-efficacy (p = 0.030) and family support (p = 0.000) with self-management, while education (p = 0.406) and occupation (p = 0.201) showed no significant relationship. This study concludes that self-efficacy and family support play an important role in hypertension self-management, whereas education and occupation are not significantly associated. The findings are expected to contribute to the development of nursing and public health science and serve as a basis for strengthening family-based health education and improving patients’ self-efficacy in optimizing independent hypertension management.

Hypertension is a non-communicable disease that remains a major public health problem in Indonesia, including in Aceh Besar District. The success of hypertension control is strongly influenced by patients’ self-management abilities. Self-management can be affected by psychological factors such as self-efficacy, social factors such as family support, and sociodemographic factors. This study aimed to determine the relationship between self-efficacy, family support, education, and occupation with self-management among hypertensive patients in the working area of the Ingin Jaya Community Health Center, Aceh Besar District. This study employed a quantitative research design with a cross-sectional approach. The study population consisted of hypertensive patients aged 15–59 years who visited or participated in the Posbindu program at the Ingin Jaya Health Center. A total of 90 respondents were selected using accidental sampling technique. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of p < 0.05. The results showed that most respondents had good self-management (54.4%). Bivariate analysis indicated a significant relationship between self-efficacy (p = 0.030) and family support (p = 0.000) with self-management, while education (p = 0.406) and occupation (p = 0.201) showed no significant relationship. This study concludes that self-efficacy and family support play an important role in hypertension self-management, whereas education and occupation are not significantly associated. The findings are expected to contribute to the development of nursing and public health science and serve as a basis for strengthening family-based health education and improving patients’ self-efficacy in optimizing independent hypertension management.