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Hypertension is a major non-communicable disease burden in rural Acehnese communities. Family support plays a critical role in long-term blood pressure control; however, the lived experiences of families caring for hypertensive members in Posbindu PTM settings remain underexplored. This study aimed to explore the meaning and forms of family role and social support in hypertension management among Posbindu PTM participants in Meunasah Timu Village, Aceh. Methods: A descriptive phenomenological design using Colaizzi's method was employed. Twelve family members of hypertensive patients were recruited purposively from Posbindu PTM, Desa Meunasah Timu. In-depth face-to-face interviews were conducted until data saturation. Trustworthiness was ensured through member checking, peer debriefing, and audit trail. Results: Three themes emerged: (1) Emotional and instrumental family support as a cornerstone of hypertension control; (2) Cultural and religious values as mediators of caregiving behavior; and (3) Barriers to consistent family involvement including knowledge deficits and caregiving fatigue. Conclusion: Family support is multidimensional and culturally embedded in hypertension management. Community health nurses and Posbindu PTM programs should integrate family-centered interventions that address knowledge gaps and caregiver well-being to optimize blood pressure control outcomes.

Effective communication through the SBAR (Situation, Background, Assessment, Recommendation) method is a crucial component in improving patient safety and the quality of nursing care. However, nursing students often fail to systematically implement SBAR communication during clinical practice. This community service project aims to improve students' SBAR communication competency through mentoring-based training with an experiential learning approach at RSU Haji Medan. The method used was a pretest–posttest design without a control group involving 15 nursing students. The intervention was carried out through the stages of reinforcing the SBAR concept, direct mentoring in the treatment room, and observation- and reflection-based evaluation. Competency was measured using an observation sheet covering the aspects of Situation, Background, Assessment, Recommendation, communication clarity, and self-confidence. The results showed an increase in the average score from 65.6 in the pretest to 83.8 in the posttest, with an average increase of 18.2 points and all participants experienced an increase (100%). These findings indicate that experiential learning-based mentoring is effective in improving students' SBAR communication competency. In addition to improving individual skills, this program also contributes to building a culture of professional communication and supporting patient safety in the hospital environment

Personality development is a fundamental aspect in the formation of nursing students as prospective professional nurses, especially in services in the Emergency Unit (ER). The personality of nurses in the ER is reflected in the ability to think critically, effectively communicate, caring attitudes, and professional performance that supports the quality of service. This community service activity aims to increase the knowledge of nursing students about personality development in the ER through educational video media. The method used is health education with a pre-test and post-test design involving 19 nursing students. The results of the activity showed an increase in the average score of student knowledge from 14.58 in the pre-test to 19.16 in the post-test. These findings indicate that educational video media is effective in increasing students' understanding of the role of critical thinking, communication, caring, and performance in the ER. In addition, this activity also contributes to strengthening student readiness to face the challenges of clinical practice in an emergency environment. Thus, the use of video media as an educational means can be an innovative strategy in supporting the personality development of nursing students, as well as strengthening the professional competencies needed in emergency health services.

Hospitalization often triggers anxiety in children because of unfamiliar environments, invasive procedures, and disruption of daily routines. Pediatric nurses are expected to implement atraumatic care through developmentally appropriate, non‑pharmacological interventions. This community service program aimed to strengthen nurses’ and families’ skills in delivering puzzle‑based play therapy and to evaluate short‑term changes in children’s anxiety responses in the pediatric ward of Awal Bros Hospital, Batam. The program was conducted in December 2025 using an action-based approach: coordination with the ward team, preparation of graded puzzle sets and education media, bedside education for parents, and supervised play sessions. Four hospitalized children with different diagnoses (chemotherapy, childhood‑onset lupus erythematosus, febrile illness, and stoma care) participated. Anxiety was assessed before and after the session using an observation sheet and a faces anxiety scale adapted for clinical use. After a 20–30 minute session adjusted to the child’s developmental stage, all participants demonstrated lower anxiety scores and better cooperative behaviors. Caregivers also reported increased understanding of play therapy as part of holistic nursing care. Puzzle play therapy is feasible, low‑cost, and can be integrated into routine pediatric nursing to support coping during hospitalization.

Access to healthcare services is a crucial determinant in improving community health, particularly in rural areas that face geographic and social challenges. This study aims to describe the accessibility and utilization of healthcare services among residents of Desa Sama Subur, Kecamatan Motui, Kabupaten Konawe Utara. A descriptive quantitative design was employed, with the population comprising all active household heads in the village. A total of 45 household heads were selected using total sampling. Data were collected through face-to-face interviews using structured questionnaires during the 2025 Field Learning Experience (Pengalaman Belajar Lapangan, PBL). Descriptive analysis was conducted and results were presented in frequency distributions and percentages.The findings indicate that the majority of respondents possess health insurance (88.9%); however, the utilization of healthcare facilities remains suboptimal, with only 48.9% having ever accessed services. Perceptions of healthcare accessibility varied, with 51.1% considering it easy and 46.7% reporting difficulty. Motorcycles were the most commonly used mode of transportation (77.8%), and community health centers (Puskesmas) were the most frequently utilized facilities (60.0%). Regarding service satisfaction, nursing staff behavior received the highest satisfaction rating (28.9%), while waiting time remained the main concern. In conclusion, healthcare access in rural communities is multidimensional, influenced not only by health insurance ownership but also by geographic factors, transportation availability, and service experience. Enhancing the utilization of healthcare services requires strengthening primary care and improving physical access to healthcare facilities.

Breastfeeding failures frequently result in issues. Lack of information about proper breastfeeding technique is one of the issues that frequently arises in nursing women, leading to uncomfortable nipples when the infant does not suck the nipple down to the areola. According to the 2022 Indonesian Demographic Health Survey, 79.3 individuals had painful nipples. The purpose of this study is to ascertain how well breastfeeding practices work in relation to the prevalence of painful nipples among nursing moms at the South Bulango Community Health Center in 2025. This kind of study employs a cross-sectional, quantitative research approach. 47 nursing women who were chosen by accidental sampling served as the study's population and sample. There is a correlation between breastfeeding practices and the incidence of sore nipples at the South Bulango Health Center in 2025, according to the results of statistical testing using the chi-square test. The p value (0.000) is not greater than α (0.05), so H0 is rejected and Ha is accepted. It is intended that the community, especially postpartum moms, would gain more understanding of the connection between breastfeeding methods and the prevalence of painful nipples in nursing moms.

ABSTRACT Background: Tourist areas are regions with a high potential risk of disasters, so tourism actors are required to have basic knowledge of Basic Life Support as part of disaster preparedness. The Tourism Health Nursing approach emphasizes the importance of the health capacity of the tourist community to prevent and respond to emergency conditions. Objective: This study aims to understand the effect of BLS training on improving the knowledge of tourism actors in managing disaster preparedness based on Tourism Health Nursing. Method: The research design was a quasi-experiment with a one group pretest–posttest design. The sample consisted of 30 tourism actors, selected using purposive sampling. Analysis was conducted using the paired t-test. Result: The average score after receiving Basic Life Support (BLS) training showed that the average BLS knowledge score of respondents before training was 58.9, with a minimum-maximum range of 60-73. with an average score difference of 6.4. Conclusion: It can be concluded that there is an effect of Basic Life Support (BLS) training on public knowledge. BLS training has a significant impact on increasing the knowledge of tourism actors in disaster preparedness.

Community preparedness for disasters and emergencies is an essential component in reducing morbidity and mortality. This community service program aimed to empower the community in emergency response through optimizing the role of tourism actors based on Tourism Health Nursing in Versel Village, Pasean District. The methods implemented included socialization, risk screening, the establishment of health cadres, the development of an emergency response handbook, creation of health education media, as well as training and simulation activities. The training covered topics such as recognizing emergency conditions, management of cardiac arrest and respiratory failure, choking, first aid (P3K), utilization of household materials in emergency response, management of febrile seizures, and stress management. The results showed a significant improvement in cadres’ understanding, where prior to education, training, and simulation, most participants (60%) had low comprehension, while after the intervention, almost all (90%) demonstrated good understanding. These findings indicate that the program successfully enhanced the capacity and preparedness of the community—particularly health cadres—in managing emergencies and disasters within the tourism-based community environment.

Type 2 diabetes mellitus (DM type 2) is a chronic metabolic disorder marked by elevated blood glucose due to insulin resistance and impaired insulin secretion. Its prevalence continues to rise worldwide, including in Indonesia. Psychological stress is known to worsen glycemic control by activating the sympathetic nervous system and increasing cortisol levels, which can cause fluctuations in blood glucose. This case report aims to describe the effect of combining Benson relaxation techniques with warm foot soaking on blood glucose regulation in a type 2 DM patient. The subject was Mrs. M, a 52-year-old woman diagnosed with type 2 DM. The intervention was conducted for seven consecutive days and consisted of daily Benson relaxation followed by warm foot soaking for 15–20 minutes. Blood glucose levels were measured before and after each session using a glucometer and analyzed descriptively. After seven days, the patient’s blood glucose level decreased from 248 mg/dL to 186 mg/dL. She also reported improved relaxation, better sleep quality, reduced anxiety, and decreased fatigue. These findings suggest that Benson relaxation helps activate the parasympathetic response and reduce stress hormones, while warm foot soaking supports improved circulation and metabolic processes. In conclusion, the combination of Benson relaxation and warm foot soaking is a simple, safe, and effective complementary therapy to support blood glucose regulation in type 2 DM patients. This intervention can be integrated into self-care routines and community nursing practice as part of evidence-based non-pharmacological management.

Mental disorders constitute a significant public health issue that necessitates family support in daily caregiving processes. This study aims to analyze the relationship between family knowledge levels and their ability to care for family members with mental disorders at the Neglasari Community Health Center (Puskesmas) in Tangerang City. This quantitative research employed a cross-sectional design and involved 45 respondents selected through total sampling. Data were collected using structured questionnaires on knowledge (Guttman scale) and caregiving ability (Likert scale), and were analyzed using univariate and bivariate methods through the chi-square test. The findings revealed that 51.1% of families had low levels of knowledge, while 40% were assessed as unable to provide adequate care. Bivariate analysis demonstrated a significant association between family knowledge and caregiving ability (p = 0.009). These findings suggest that family health literacy plays a crucial role in enhancing the quality of care for individuals with mental disorders. The implementation of family psychoeducation programs in primary healthcare settings is therefore essential to improve both knowledge and caregiving skills within home-based care. This study contributes to the development of community-based mental health services and provides a foundation for further research on educational interventions and family support systems.

This study aims to examine the relationship between family support and quality of life of patients with diabetes mellitus at the Srandakan Health Center, Bantul, Yogyakarta. Diabetes mellitus (DM) is a chronic metabolic disease that has a significant impact on the physical, psychological, social, and environmental aspects of the patient. The increasing prevalence of DM, especially in the elderly population in Indonesia, demands a more effective and holistic management strategy. Family support has an important role in improving self-care behaviors and adherence to treatment, which has a direct impact on patients' quality of life. This study uses a quantitative correlational analytical design with a cross-sectional approach. An independent variable is family support measured through informational, emotional, instrumental, and appreciative dimensions. Dependent variables are quality of life that include physical, psychological, social, and environmental aspects. The study population consisted of DM patients who visited the Srandakan Health Center. The results of the study are expected to show that supportive family involvement contributes positively to improving the quality of life of patients. These findings provide theoretical and practical implications for the development of nursing care and public health programs, particularly in the context of chronic diseases. This research also emphasizes the importance of comprehensive education and community participation in strengthening the role of the family as the main support system in the management of diabetes mellitus.

Hypertension is one of the most common diseases experienced by the community and poses a high risk of causing serious complications. Persistently elevated blood pressure can damage vital organs and increase the risk of cardiovascular diseases such as heart attacks, strokes and kidney failure. The purpose of this study is to determine the implementation of foot reflexology massage to reduce blood pressure in patients with hypertension. This research employed a case study approach involving two hypertensive patients at TK II Putri Hijau Hospital Medan. The Nursing care process included assessment, nursing diagnosis, planning, implementation, and evaluation. The results showed a decrease in both systolic and diatolic blod pressure after the foot reflexology intervention. The first patient experienced a reduction in blood pressure from 145/90 mmHg to 130/82 mmHg, while the second patient’s blood pressure from 144/89 mmHg to 128/82 mmHg. The study cocludes that the implementation of foot reflexology massage is proven to be efeective in lowering blood pressure in hypertensive patients. This therapy is recommended as a complementary intervention in nursing practice to assist in controlling hypertension.

Family planning represents a community-based effort to promote awareness and participation through delaying the age of marriage, regulating births, strengthening family resilience, and improving family welfare to achieve small, joyful, and prosperous families (Suriana et al., 2021). The government targets Couples of Reproductive Age (CRA) to reduce population growth in Indonesia, as CRA consists of legally married couples who actively engage in sexual relations that may result in pregnancy. In addition to CRA, postpartum mothers also serve as a key target group in family planning programs. The “Four Too” components contribute to high-risk pregnancies that may lead to complications during pregnancy, childbirth, and the postpartum period, and maternal and infant mortality. These include being too young (under 20 years), too old (over 35 years), too many children (more than four), and too close birth spacing (less than two years) (Oktarina, 2022). This study employed a quantitative research design, specifically an analytical quantitative approach with a correlational design using the cross-sectional method. The sample consisted of 40 participants. The results show that 45% of respondents had a satisfactory level of knowledge about IUD contraception, 32.5% had a moderate level, and 22.5% had a low level of knowledge. In nursing practice, increasing knowledge about contraception—particularly IUD family planning—can enhance interest in its use. Moreover, the study recommends that husbands provide support for mothers in using IUD contraception.

Non-communicable diseases (NCDs) are a major challenge in today's health development. One category of these diseases is hypertension, which is classified as a chronic disease with a relatively high mortality rate. Hypertension serves as a major predictor for various chronic diseases and is a common disease found in the community (Putri et al., 2025). If not managed properly, hypertension can lead to more serious complications such as stroke, coronary heart disease, diabetes, kidney failure, and blindness. Stroke (51%) and coronary heart disease (45%) are the leading causes of death related to hypertension (Pokhrel, 2024). The increasing prevalence of hypertension along with changes in lifestyle and unhealthy eating patterns adds to the global health burden. Therefore, effective management of hypertension is essential to prevent further complications. Appropriate hypertension management and regular monitoring can reduce the risk of related diseases, improve quality of life, and reduce mortality caused by complications of heart disease and stroke. Preventive and promotive efforts through health education are key to reducing the prevalence of hypertension in the community.

Background: Nurses are the most dominant health workers in hospitals including inpatient installations. This dominance tends to have an impact on the main focus of the community including patients. When the nurse's performance is good, being able to cover all services in the hospital will be of good value in the eyes of the community and patients, making it a crucial point for nurses to work in accordance with the competencies, main tasks and functions and practice standards set by health care facilities. This study examines the relationship between nurse performance and patient satisfaction treated at the inpatient installation of Bhayangkara Hospital Jayapura. Method: This study is a type of non-experimental quantitative research with correlation studies. Data collection was carried out using questionnaires. The number of respondents was 98 people with the same number of nurses and patients, namely 49 people. The sampling technique used was incidental. Data were analyzed using spearmank rho. Result: Based on the results of the study, it was found that the age of 26-45 years, female, with a Diploma III education, and a length of work of more than 3 years. While the majority of patient respondents were aged 18-25 years, female, with the most education being high school, having a self-employed job, and a length of care of 1-3 days. The performance of nurses found to be categorized as good while the majority of patient satisfaction was very satisfied. The results of the spearman rho analysis obtained a correlation strength level of 0.924 with a p-value of 0.000. Conclusion: Nurse performance is related to patient satisfaction treated at the inpatient installation of Bhayangkara Hospital Jayapura. It is expected that the measurement of nurse performance with patient satisfaction will be carried out periodically, a maximum of once a year to evaluate nursing services.

A fracture is a condition where the continuity of the bone is disrupted due to a hard impact, often causing significant pain in sufferers. Pain management does not only rely on pharmacological therapy but can also be combined with non-pharmacological therapies, one of which is through cold compresses using ice packs. This therapy is effective because it can reduce pain nerve conduction and reduce blood flow to the injured area, thereby suppressing pain. This activity aims to provide public education on the use of cold compresses as an alternative pain management in fracture cases. Before the activity began, vital signs were measured and a pain scale was assessed as a basis for evaluation. The education was carried out using leaflets by a team of lecturers and nursing students to 30 village community participants. Based on interviews, most participants had never received information about the benefits of cold compresses in pain management. Before the education, 23 participants were accustomed to managing pain with pain relievers, while the other 7 used other non-pharmacological methods such as hot compresses, deep breathing relaxation, and behavioral therapy. After participating in the activity, the community demonstrated an understanding that cold compresses using ice packs applied for 20 minutes when pain occurs can be a simple, inexpensive, and effective method for reducing pain caused by fractures. This activity involves village officials and the community as a collaborative effort to improve health literacy. It is hoped that the community will be able to implement cold compress therapy as a self-help option for managing fracture pain, thereby reducing reliance on analgesic medications.

A high-sodium and low-potassium consumption pattern can increase the risk of hypertension. Excess sodium can cause fluid retention and increase blood volume, while potassium plays a role in regulating fluid balance and blood pressure. This study aims to determine the relationship between high-sodium and high-potassium consumption patterns and the incidence of hypertension at the City Community Health Center (UPT Puskesmas) in Bantaeng Regency. The research method used was quantitative analytic with a cross-sectional study approach. The study population was all 278 patients visiting the City Community Health Center (UPT Puskesmas) in Bantaeng Regency. The sample size was 74 residents of the community at the City Community Health Center (UPT Puskesmas). Purposive sampling was used. The research instrument used was a questionnaire, which was distributed to respondents. The Food Frequency Questionnaire (FFQ) was used for sodium and potassium consumption. The results showed a relationship between sodium consumption and the incidence of hypertension (p=0.003 meaning Ha was accepted.The results showed a relationship between potassium consumption and the incidence of hypertension (p=0.001) meaning Ha was accepted. Researchers hope that this research can be used as a support or source of information to develop knowledge in the field of community health, especially in nursing, related to sodium and potassium consumption in reducing blood pressure in hypertension patients.

Elderly individuals are a group vulnerable to sleep disorders, with over 50% of them reporting a decline in sleep quality. Sleep disturbances in the elderly can affect their quality of life, which in turn impacts their physical and mental health. One non-pharmacological intervention considered safe, simple, and effective for improving sleep quality in the elderly is foot soaking in warm water. This study aims to evaluate the effect of foot soaking in warm water on the sleep quality of elderly individuals in the working area of Slawi Health Center. The research design used was pre-experimental with a one-group pre-test post-test design. A total of 34 elderly participants were selected using total sampling technique. The intervention consisted of soaking feet in warm water at a temperature of 37°C–39°C for 10 minutes before sleep, conducted for three consecutive days. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data obtained were analyzed using Paired Sample T-test for normally distributed data. The results showed that the average sleep quality score before the intervention was 10.12, which decreased to 7.85 after the intervention. Statistical analysis showed a significant difference in the mean scores before and after the intervention with a significance value of 0.0001. This indicates that foot soaking in warm water significantly impacts the improvement of sleep quality in the elderly. This intervention can be recommended as an effective, practical, and easy-to-implement independent nursing action to improve sleep quality in the elderly. Based on these findings, foot soaking in warm water can be a good option to improve sleep quality in the elderly, especially in community healthcare services.

Schizophrenia is a chronic mental disorder characterized by cognitive, emotional, and behavioral disturbances that may lead to aggressive behavior. Violent behavior risk is one of the most common nursing diagnoses in paranoid schizophrenia patients, which can endanger themselves, others, and the environment. This study aimed to describe psychiatric nursing care for a patient with the main problem of violent behavior risk due to paranoid schizophrenia at Arimbi Ward, RSJD dr. Amino Gondohutomo, Central Java Province. A descriptive case study design was applied, involving data collection through interviews, observation, documentation review, and literature study. The nursing process included assessment, nursing diagnosis, planning, implementation, and evaluation. The results showed that the patient exhibited symptoms of verbal aggression, tension, and refusal to take medication. Nursing interventions provided included pharmacological therapy, family psychoeducation, and group activity therapy. After the interventions, the patient showed decreased frequency of anger, improved cooperation with nurses, and willingness to participate in group activities. These findings highlight the importance of comprehensive psychiatric nursing care that integrates medical treatment and psychosocial interventions to reduce violent behavior risk in schizophrenic patients and to promote recovery and reintegration into the community.

Stroke is a neurological disorder that often causes severe complications, including physical and cognitive impairments. Family involvement is essential in the recovery process, especially in home-based care. This case study aims to describe the application of family nursing care to a patient with hemorrhagic stroke in Purwodadi Village, Tonjong District, Brebes Regency. Data collection methods included interviews, observations, physical examinations, and nursing documentation using the SOAP format. The intervention focused on family support in mobilization, Range of Motion (ROM) exercises, and health education. The results showed an increase in family knowledge and participation, and improvements in the patient's mobility and self-care abilities. This study confirms that family-centered nursing care is effective in improving the quality of recovery and should be integrated into community nursing practice.