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All Journal Jurnal Pengabdian Masyarakat Edukasi Indonesia Abdimas Polsaka
Wahyudi Hardi
Politeknik Sandi Karsa, South Sulawesi, Indonesia
Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Implementation of the Community Nursing Model in Improving Postoperative Care Compliance for Postoperative Patients at Home Anita Lontaan; Darmi Arda; Wahyudi Hardi
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 3 No. 2 (2026): Volume 3 Number 2 June 2026
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v3i2.369

Abstract

Introduction: Postoperative care at home remains a critical challenge, particularly in community settings where patients often lack adequate knowledge and support, leading to low compliance and increased risk of complications. Community-based nursing approaches offer a strategic solution to improve patient outcomes through education and continuous monitoring. This community service program aimed to improve postoperative care compliance among patients at home by implementing the Community Nursing Model. Methods: A quasi-experimental one-group pretest–posttest design was employed involving 35 postoperative patients. The intervention included health education, wound-care demonstrations, medication management counselling, and home visits with family involvement. Data were collected using questionnaires and observation checklists, and analyzed using comparative statistical methods. Results: The findings showed a significant improvement in all measured indicators. Mean knowledge scores increased from 58.2 to 84.3, compliance scores improved from 62.4 to 81.6, and proper wound care practices rose from 54% to 88%. These results indicate enhanced patient understanding, skills, and adherence following the intervention. Conclusion: The Community Nursing Model is effective in improving postoperative care compliance in community settings. Integrating education, family support, and continuous monitoring can strengthen home-based care and reduce the risk of complications.
Enhancing medication adherence among patients with type 2 diabetes mellitus through pharmaceutical education and counseling at Nur Ichsan Pharmacy, Makassar, Indonesia Yuniharce Kadang; Wahyudi Hardi; Tirta Asprimi Angreani; Gerfan Patandung
Abdimas Polsaka Volume 5 Number 2 September 2026
Publisher : LPPM Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/abdimaspolsaka.v5i2.488

Abstract

Type 2 diabetes mellitus requires long-term pharmacological therapy, yet medication adherence remains a persistent challenge in community settings. Baseline data from 30 patients receiving medicines at Nur Ichsan Pharmacy, Makassar, showed that 43.34% had low adherence, 23.33% moderate adherence, and 33.33% high adherence. This community service program aimed to strengthen patients’ ability to take medication regularly through pharmaceutical education and individualized counseling. The activity used an educational, participatory, and problem-based approach. Its stages included coordination with the pharmacy partner, identification of adherence barriers, interactive education, individual counseling, preparation of medication schedules, selection of reminder strategies, family involvement, and process evaluation using discussion and teach-back. Educational content focused on the purpose of continuous therapy, risks of stopping medication without consultation, management of missed doses, preparation of medicines for travel, use of alarms or pill boxes, and communication with pharmacists or physicians when adverse effects were suspected. The main results showed that baseline adherence findings could be translated into practical and personalized educational messages. Participants actively discussed their difficulties and identified feasible strategies suited to their daily routines. The program produced educational materials, medication schedule cards, adherence-barrier notes, and recommendations for follow-up counseling. Its immediate impact was reflected in improved patient engagement, better recognition of personal barriers, and the availability of practical self-management plans. However, because no quantitative pre-test and post-test were conducted, changes in adherence scores could not be confirmed statistically. In conclusion, pharmacy-based education and counseling were relevant and feasible, but sustained monitoring and structured outcome evaluation are subsequently required.
Co-Authors Anita Lontaan Darmi Arda Gerfan Patandung Tirta Asprimi Angreani Yuniharce Kadang