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Model Community-Based Health Management dalam Pengendalian Hipertensi di Wilayah Kerja Puskesmas Tanasitolo Ruslang Ruslang; Anugerah Yanuar Azis; Muhammad Amaliah S; Nirmawati Darwis; Nurhikmah Wijaya; A. Rizky Amaliah
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 2 No. 1 (2026): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/y272tw44

Hypertension is a public health problem that requires continuous management through the involvement of patients, families, health cadres, and healthcare professionals. This study aimed to analyze the effectiveness of the Community-Based Health Management Model in improving knowledge, hypertension control behaviors, medication adherence, and blood pressure control among hypertensive patients in the working area of Tanasitolo Public Health Center. This quantitative study employed a pre-experimental one-group pretest–posttest design. A total of 40 hypertensive patients were selected using purposive sampling. The eight-week intervention included patient identification, four community-based education sessions, blood pressure monitoring, and hypertension management assistance. Data were collected using questionnaires assessing knowledge, hypertension control behaviors, and medication adherence, while blood pressure was measured using a digital device. The approach positioned the community as an active partner in monitoring risk factors, adopting a healthy diet, performing physical activity, managing stress, and maintaining regular therapy. The results showed that mean knowledge scores increased from 61.25 to 82.75, hypertension control behavior scores from 58.40 to 77.65, and medication adherence scores from 60.15 to 79.80. Mean systolic blood pressure decreased from 158.45 mmHg to 143.20 mmHg, while diastolic blood pressure decreased from 94.75 mmHg to 87.30 mmHg. All variables showed statistically significant differences (p<0.001). The Community-Based Health Management Model effectively improved hypertension self-management and supported blood pressure control. This model may be developed as a community-based hypertension management approach in primary healthcare by continuously involving health cadres and families.

Evaluasi Kebijakan Pelayanan Rawat Inap dalam Meningkatkan Mutu Pelayanan di RS Prima Husada Sengkang Khaeriah B; Idarwati Mustafa; Eka Wulansari; Nirmawati Darwis
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 2 No. 1 (2026): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/4y25cz60

The quality of inpatient services is an important indicator of hospital performance and is strongly influenced by the implementation of service policies. This study aimed to evaluate inpatient service policies in improving service quality at Prima Husada Hospital, Sengkang. A qualitative design with an evaluative approach was employed. Twelve participants were selected using purposive sampling, including hospital management, the head of the service division, inpatient ward heads, staff nurses, and patients or their family members. Data were collected through semi-structured in-depth interviews, observations, and document reviews and were analyzed thematically. Data credibility was ensured through source and method triangulation. The findings identified five main themes: implementation of inpatient service policies, compliance with standard operating procedures, human resources and workload, availability of facilities and infrastructure, and service quality monitoring and evaluation. Policies and standard operating procedures were available and used as service guidelines; however, policy dissemination was not conducted regularly. Staff compliance with standard operating procedures was generally good, although increased patient volume could increase workload and affect service responsiveness. Basic facilities were available, but several facilities required maintenance and improvement. Monitoring was conducted through supervision, meetings, and follow-up on patient complaints. The study concludes that policy implementation has supported service quality improvement; however, stronger policy dissemination, workforce management, facility improvement, and more structured monitoring and evaluation documentation systems are required. Strengthening management commitment and interprofessional coordination is also necessary to ensure consistent, responsive, and patient-centered policy implementation.

Eksplorasi Pendidikan Kesehatan Ibu tentang Stimulasi Perkembangan Anak pada Masyarakat Nelayan Kabupaten Bone Nirmawati Darwis; Ruslang Ruslang; Yammar Yammar; Anugerah Yanuar Azis; Haswinda Puspita
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 1 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/sjdf7628

Early childhood development stimulation has a significant impact on their cognitive, motor, and social growth. The knowledge and practices of mothers in providing developmental stimulation are crucial, especially in communities facing social and economic challenges, such as fishing communities. This study aims to explore the knowledge, practices, challenges, and sources of information related to child development stimulation among mothers in Bone Regency. This study uses a qualitative approach with in-depth interviews. A total of 15 mothers with children aged 0-24 months were selected using purposive sampling. The collected data were analyzed using the Colaizzi method to identify key themes. The majority of mothers have basic knowledge about motor and language stimulation, but they lack understanding of social and cognitive stimulation. The stimulation practices they carry out focus on gross motor stimulation and language through daily conversations. The main challenges faced are limited time due to work as fishermen and economic constraints that affect access to information. The primary sources of information come from personal experience, family, and close friends, with few accessing health services or mass media.The results of the study emphasize the importance of enhancing maternal health education on social and cognitive child stimulation. Additionally, better access to information through effective channels is needed, especially for mothers in areas with time and economic constraints. Community-based education and outreach can improve mothers' understanding and practices in child development stimulation.

Hubungan Usia dengan Tekanan Darah Sistolik dan Diastolik Lansia Hipertensi Ruslang Ruslang; Nirmawati Darwis; Anugerah Yanuar Azis; Yammar Yammar; Salmawati B
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 1 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/vt7f3p05

Hypertension is one of the most common diseases suffered by the elderly. Hypertension is also referred to as “the silent disease” because there are no signs or symptoms that can be seen from the outside. The development of hypertension runs slowly, but is potentially very dangerous. In the initial survey conducted by the researcher, it was obtained data on the number of elderly people who experienced the most hypertension in Nepo Village. The purpose of this study was to determine the correlation between age and blood pressure of elderly hypertension. The method used in this study uses a descriptive method with a quantitative approach. The population in this study were 38 elderly people. The sampling technique used Accidental sampling with a total sample of 27 people according to the inclusion and exclusion criteria. Measurement of blood pressure using a Sphygmomanomater or Tensimeter (blood pressure measuring device), the use of an observation sheet to record the results of measuring the blood pressure of the elderly and informed consent as a statement of the elderly's willingness to become respondents which contains general elderly data such as identity. The results of statistical tests using the chi-square test obtained a correlation of age with systolic blood pressure p 0.046 <α 0.05 and a correlation of age with diastolic blood pressure p 0.044 <α 0.05, so it can be concluded that there is a correlation between age and blood pressure in elderly hypertension.

Hubungan Kejadian Sibling Rivalry dengan Perkembangan Anak Pra Sekolah Di TK Ratu Alam Atakkae Kabupaten Wajo Nirmawati Darwis; Fatmawati Fatmawai; Ruslang Ruslang; Ikdafila Ikdafila; Arni AR
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 2 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/z7d76605

Sibling rivalry or competition between siblings arises when a child feels that parental attention is starting to decrease, the child experiences feelings of envy and dislike for the existence of his siblings. This kind of rivalry usually starts from the birth of the firstborn and can continue until they are adults and has the potential for long-term negative impacts. The purpose of this study was to determine the relationship between sibling rivalry and child development. This type of research is quantitative research using probability random sampling approach. This research was conducted in the Atakkae urban village area, Tempe District, Wajo Regency. Sampling consists of all parents who have children aged 3-6 years and have younger siblings with an age difference of under 3 years. The research instrument used a questionnaire sheet with data processing editing, coding, scoring, tabulating and analysis using the Chi-Square test and to assess frequency statistical data using a computer program, SPSS 2022. The results showed that most of the respondents, namely 19 people (55.9%), most children did not experience sibling rivalry. Most of the respondents, namely 17 people (50.0%), the development of pre-school children is doubtful. Based on the Chi-Square test, the significant value (p) = 0.000 α < 0.05, so Hi is accepted. The conclusion of this study is that there is a relationship between the incidence of sibling rivalry and the development of pre-school children at Ratu Alam Atakkae Kindergarten.

Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat Pasien Diabetes Mellitus Tipe II di Wilayah Kerja Puskesmas Salewangeng Ikdafila Ikdafila; Nirmawati Darwis; Ruslang Ruslang; Arni AR
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 2 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/t2n0x896

Type II Diabetes Mellitus is a chronic disease that requires long-term treatment, including adherence to taking medications, to prevent complications. Therefore, this study aims to determine the relationship between family support and medication adherence of patients with Type II Diabetes Mellitus in the work area of Salewangeng Health Center. This study uses a cross sectional design involving 65 respondents selected by purposive sampling technique. Data were collected through questionnaires to measure Family Support and medication adherence. Analysis performed with The Chi-Square test. The results showed that there was a significant relationship between the relationship of family support with adherence to taking medication (the value of p= 0.000 < 0.05). Overall, this study concluded that there is a significant relationship between family support and adherence to taking medication in patients with Type II diabetes mellitus in the work area of the Salewangeng Health Center.

Hubungan Tingkat Stres dengan Sikap pada Generasi Z yang Mengalami Pernikahan Dini di Kecamatan Belawa Kabupaten Wajo Arni AR; Ruslang Ruslang; Ikdafila Ikdafila; Nirmawati Darwis; Fitriani Fitriani; Uray Wika Suriandani
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 2 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/14avj290

Generation Z and has implications for psychological conditions, particularly stress, which can influence individuals’ attitudes in navigating married life. This study aims to determine the relationship between stress levels and attitudes among Generation Z individuals who experienced early marriage in Belawa District, Wajo Regency. This study employed a quantitative method with a cross-sectional design. The sample consisted of 30 respondents selected using a total sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) questionnaire to measure stress levels and a Likert scale to assess attitudes. Data analysis was performed using the Chi-Square test with the assistance of SPSS version 22. The results showed a significant relationship between stress levels and attitudes among Generation Z individuals who experienced early marriage, with a p-value of 0.000 (p < 0.05). Generation Z individuals experiencing severe stress tended to exhibit negative attitudes toward married life. It can be concluded that the higher the level of stress, the more negative the attitudes demonstrated.

Pola Asuh Orang Tua dan Kemampuan Interaksi Sosial Anak Prasekolah: Studi di TK PGRI 1 Keera Nirmawati Darwis; Rika Hardiyanti; Fatmawati Fatmawati; Ruslang Ruslang; Anugerah Yanuar Azis; Ikdafila Ikdafila; Arni AR
Journal Research of Nursing & Midwifery (JRNM) Vol. 2 No. 1 (2026): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/8dveef41

Social interaction skills are an essential aspect of preschool children's development, as they support children's ability to adapt, communicate, and cooperate with their surroundings. One factor presumed to influence these skills is parenting style. This study aimed to examine the relationship between parenting style and the social interaction skills of preschool children at TK PGRI 1 Keera. This quantitative study employed a descriptive correlational design with a cross-sectional approach. The study population consisted of 58 preschool children, with a sample of 37 respondents selected using probability sampling through proportionate stratified random sampling. Data were collected using a parenting style questionnaire and a children's social interaction skills questionnaire. The relationship between variables was analyzed using Fisher’s Exact Test with a significance level of 0.05. Most parents applied a democratic parenting style (31 respondents; 83.8%). The majority of children demonstrated a moderate level of social interaction skills (30 respondents; 81.1%). Statistical analysis yielded a p-value of 0.117 (p > 0.05), indicating no significant relationship between parenting style and preschool children's social interaction skills. Parenting style was not significantly associated with the social interaction skills of preschool children at TK PGRI 1 Keera. These findings suggest that children's social interaction skills may be influenced by other factors, such as the school environment, peer interactions, and children's daily social experiences.

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