Nasrun Pakaya
Dosen Program Studi Ilmu Keperawatan UNG

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The Relationship between Nurse Support and Compliance Level of Hemodialysis Therapy in Chronic Kidney Failure Patients in the Dialysis Room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City Airy Mahsya Elika R. Adam; Nasrun Pakaya; Indra
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 3: 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i3.11152

Abstract

Chronic kidney failure is a growing health problem and requires regular hemodialysis therapy. The success of therapy is determined by the patient's compliance, but it is still found that patients do not comply with the therapy schedule and recommendations. This study aims to analyze the relationship between nurse support and the level of compliance with hedialysis therapy in patients with chronic kidney failure in the dialysis room of Prof. Dr. dr. H. Aloei Saboe Hospital, Gorontalo City. The research method uses a quantitative design of correlational analytics through a cross-sectional approach. The independent variable is the nurse's support and the dependent variable is the patient's level of compliance with hemodialysis therapy. The population in this study is all patients with chronic kidney failure who underwent hemodialysis as many as 70 patients with total sampling techniques. Data collection using questionnaires and data analysis using the Chi-Square test. The results of the study obtained a p-value = 0.003 (p<0.05). The conclusion of this study is that there is a relationship between nurse support and the level of patient compliance undergoing hemodialysis in patients with chronic kidney failure in the dialysis room of Prof. Dr. dr. H. Aloei Saboe Hospital, Gorontalo City. It is recommended that nurses improve the quality of support through therapeutic education and communication, as well as that patients be more active in increasing awareness and adherence to therapy.
The Relationship of Home Environmental Conditions with the Status of Acute Respiratory Infections in Adults in the East City Health Center Area Alysa Salsabillah Ahmad; Nasrun Pakaya; Sartika
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 3: 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i3.9301

Abstract

Acute Respiratory Infection (ARI) is one of the health problems that still often occurs in the community and can be affected by unhealthy home environmental conditions. Home environmental conditions such as poor ventilation, lack of lighting, high humidity, occupancy density, and inadequate sanitation can increase the risk of ISPA. This study aims to determine the relationship between home environmental conditions and ISPA status in adults in the East City Health Center area. This study uses a quantitative design with a cross sectional approach. The study population amounted to 1,720 adults who had experienced ISPA in the East City Health Center area. A sample of 95 respondents was obtained using the purposive sampling technique based on the Slovin formula. The research instrument used questionnaires of home environmental conditions and medical record data to determine ISPA status. Data analysis was carried out univariate and bivariate using the Spearman Rho test with a significance level of ? = 0.05. The results of the study showed that most of the respondents had poor home environmental conditions and experienced severe ARI. The results of the statistical test showed that there was a significant relationship between the condition of the home environment and the status of ISPA in adults in the East City Health Center area with a p-value of < 0.05. This study concludes that poor home environmental conditions increase the risk of severe ISPA in adults.
The Effect of Health Education on Low-Salt Diet Knowledge in Hypertensive Patients at Limboto Health Center Dhea Putri Puluhulawa; Nasrun Pakaya; Sitti Fatimah M. Arsad
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10505

Abstract

Hypertension is one of the non-communicable diseases with an increasing prevalence and is a public health problem because it is often asymptomatic but at risk of causing serious complications. One of the non-pharmacological efforts that plays an important role in controlling hypertension is the implementation of a low-salt diet. However, low patient knowledge about low-salt diets is still a major obstacle in the management of hypertension. This study aims to determine the effect of health education on the knowledge of low-salt diets in hypertensive patients at the Limboto Health Center. This study uses a quantitative design with a pre-experimental approach through one group pretest-posttest design. The study population is hypertension patients recorded in November 2025 with a sample of 44 respondents taken using purposive sampling techniques. Data collection was carried out using a low-salt diet knowledge questionnaire that has been tested for validity and reliability. Health education is provided through counseling methods using leaflet and Power Point media. Data analysis was carried out using the Paired Sample T-Test to see differences in knowledge levels before and after health education. The results of the study showed that after being given health education, most hypertensive patients had a good level of low-salt diet knowledge but still found patients with sufficient and insufficient knowledge levels. These findings show that there is a knowledge gap in some patients regarding the implementation of a low-salt diet. This study emphasizes the importance of continuous health education by health workers to improve patient understanding in hypertension control.
The Relationship of Physical Activity and Hypertension in the Elderly at the Limboto Health Center, Gorontalo Regency Johan Arya Harun; Nasrun Pakaya; Nirwanto K. Rahim
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10684

Abstract

Hypertension is one of the non-communicable diseases that is a global health problem because it can cause serious complications such as heart disease, stroke, and kidney failure. One of the factors that affect the increase in blood pressure is physical activity. Lack of physical activity can increase the risk of hypertension to a higher degree, especially in the elderly group. This study aims to determine the relationship between physical activity and the degree of hypertension in the elderly in the working area of the Limboto Health Center, Gorontalo Regency. The type of research used is quantitative with a correlational analytical design through a cross sectional approach. The study population was all Prolanis hypertension patients in the working area of the Limboto Health Center, with a sample of 75 respondents selected using the purposive sampling technique. The research instruments were in the form of physical activity questionnaires and blood pressure observation sheets. Data analysis was carried out using the Chi-Square test. The results showed that most of the respondents had poor physical activity as many as 44 respondents (58.7%) and the majority were in the category of degree 2 hypertension as many as 36 respondents (48.0%). The results of the statistical test showed a p-value of < 0.05, which means that there is a significant relationship between physical activity and the degree of hypertension. It was concluded that physical activity is related to the degree of hypertension in the elderly. People with hypertension are advised to increase physical activity regularly to help control blood pressure and prevent further complications.