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GROUP-BASED HEALTH EDUCATION IN IMPROVING HYPERTENSION CONTROL BEHAVIORS IN COMMUNITIES: A SYSTEMATIC REVIEW Nara Dikna Aditya; Djazuly Chalidyanto; Rika Ramadhani Makatita
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7475

Abstract

Hypertension is a major risk factor for cardiovascular disease and remains one of the leading causes of death worldwide. Despite the availability of effective treatments, poor medication adherence and inadequate self-management continue to hinder optimal blood pressure control. These challenges highlight the need for innovative, community-based strategies to support patients in managing their condition. One such approach is group-based health education, which facilitates shared learning, peer support, and improved patient engagement. This study aimed to evaluate the effectiveness of group-based health education in improving hypertension control behaviors through a systematic review.This review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The PICO framework included adults with hypertension as the population, group-based health education as the intervention, standard care as the comparison, and hypertension control behaviors as the outcomes. These outcomes included reductions in systolic and diastolic blood pressure (SBP and DBP), medication adherence, self-care practices, and overall blood pressure control. Relevant articles were identified through PubMed, Scopus, and Google Scholar using keywords related to hypertension, group education, and community-based interventions. Studies meeting the inclusion criteria were analyzed descriptively. A total of twelve studies, primarily randomized controlled trials from various regions, were included. The findings consistently demonstrated that group-based education significantly improved blood pressure outcomes, adherence, and self-care behaviors. Overall, group-based health education is an effective and sustainable strategy that can be integrated into primary healthcare to enhance long-term hypertension management and patient outcomes.  
Homecare Utilization Funnel among Discharged Patients at University of Airlangga Hospital Elita Novriana Enisa; Djazuly Chalidyanto; Muhammad Ardian Cahya Laksana; Pipit Festi Wiliyanarti
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.854

Abstract

Background: Although homecare is increasingly recognized as an extension of hospital services, limited evidence exists on the operational pathway from identifying potential patients to the actual utilization of homecare following discharge. Objective: to audit the promotion and utilization funnel of Universitas Airlangga Hospital homecare services among discharged patients from July 2025 to March 2026. Methods: This retrospective descriptive operational audit examined aggregate secondary data from daily homecare operational reports at Universitas Airlangga Hospital between July 2025 and March 2026. The daily report served as the unit of analysis rather than individual patients. Variables included the number of potential homecare patients, documented offer status, willingness responses, realized visits, service-unit origin, and service-category mentions. Data were analyzed descriptively using frequencies, percentages, and utilization ratios Result: Over 181 reporting days, 1,007 potential homecare patients and 235 realized homecare visits were identified, corresponding to 23.3 visits per 100 potential patients. In 2025, documented offer status was available for 121 of 656 potential patients (18.4%), of whom 97 (80.2%) had been offered homecare services. Among those offered, 2 (2.1%) were willing to order the service, 94 (96.9%) were still considering, and 1 (1.0%) declined at initial contact. Offer-response variables were not available in the 2026 reporting format. Physiotherapy or medical rehabilitation accounted for the largest proportion of service-category mentions (60.6%), followed by physician or specialist visits (16.5%). Conclusion: Homecare services at Universitas Airlangga Hospital exhibited substantial post-discharge demand; however, incomplete documentation limited the ability to observe the utilization funnel. Implementing a standardized homecare dashboard integrated with discharge planning could enhance monitoring, follow-up, and evaluation of homecare service utilization.
The Social and Organisational Determinants of Protective Equipment Compliance Among Healthcare Workers: A Systematic Review Lakhsmie Herawati Yuwantina; Djazuly Chalidyanto; Inge Dhamanti; Tay Giat Sing; Arga Setyo Adji
ARRUS Journal of Social Sciences and Humanities Vol. 6 No. 5 (2026)
Publisher : PT ARRUS Intelektual Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35877/soshum5476

Abstract

This study examines the social, organisational and cultural conditions that shape healthcare workers' compliance with personal protective equipment, a practice ordinarily treated as a technical rather than a social phenomenon. The review synthesises 117 peer-reviewed quantitative, qualitative and mixed-methods studies retrieved from Scopus, PubMed, Web of Science, ProQuest and ScienceDirect, screened and appraised following PRISMA 2020 procedures and analysed through a best-fit framework synthesis that combined the Theoretical Domains Framework, safety-climate theory and a work-system perspective. Reported compliance ranged from 13.5% to above 98%, with most studies falling below the 80% threshold conventionally treated as adequate. Compliance was associated less with individual knowledge than with organisational conditions, namely supply reliability, clarity and perceived legitimacy of policy, supervisory presence, workload and the credibility of monitoring. Occupational hierarchy, professional socialisation and the social construction of risk accounted for systematic differences between nursing, medical and support-staff groups, while emergency settings displayed the weakest adherence. Multi-component interventions that altered the work system outperformed education-only approaches, and monitoring mechanisms were effective where staff experienced them as supportive rather than punitive. The findings indicate that protective-equipment compliance operates as an institutional and cultural accomplishment, embedded in the normative order of the workplace rather than residing in individual decision-making alone.
Co-Authors Achmad Noerkhaerin Putra Achmad Yudi Arifiyanto Achmad Yudi Arifiyanto Ade Nurma Ruditya Ade Nurma Ruditya, Ade Nurma Agung Dwi Laksono Akas Yekti Pulih Asih Alita Dewi Percunda Amen Desina Sari Ana Mariatul Ulfa Annisa Nurida Arga Setyo Adji Arif Setiawan Arindani, Farichah Septiana ARIS KURNIAWAN Aris Kurniawan Aris Sujoko Aris Sujoko, Aris Arlina, Launa Inayati AS, Andi Indahwaty Asri, Fusarina Mumpuni Intantyana Auli Fisty Noor Azizah Budhi Setianto Budi Pranoto Cahyadi, Rachmad Dahlui, Maznah Dewi Kusumawati Dewi Retno Suminar Dhamanti, Inge Dyah Yuniati Edwin Hafiz Effita Piscesiana Elida Zairina Elita Novriana Enisa Endang Lestari Ernawaty Ernawaty Eva Firdayanti Bisono Fandaruzzahra Putri Perdani Fany Arsyad Hidayaturachman Hadi Masyurrosyidi Hadinata, Immanuel Michael Handayani, Novia Hapsari, Niky Isa Harlin, Ririk Hendra Rakhma Hendrik Santoso Hikmah Ridho Hardyanti Hikmah Ridho Hardyanti, Hikmah Ridho I Gusti Bagus Wiksuana Indana Tri Rahmawati Indira Probo Handini Indira Probo Handini, Indira Probo Indra Gunawan Inge Dhamanti Intantyana Asri, Fusarina Mumpuni Iriandoko, Ossy Wijaya Irwandy Irwandy Ismawantri, Putu Jihan Anfa Kinanti Setyastuti Kristina Dewi Lakhsmie Herawati Yuwantina Laksana, Muhammad Ardian Cahya Lilik Wijayati Mahmudin, Ahmad Amin Mangilep, Adelia U. Ady Margarita, Livia Marlia Tanaya, Evelyn Martanto, Tri Wahyu Maznah Dahlui Mega Nurmalasari Wira Putri Michael Siswanto Mochammad Bagus Qomaruddin Moh Sholeh moh sholeh, moh Mohammad Hendra Kurniawan Monita Fenny Sudarsono Muhammad Atoillah Isfandiari Muhammad Miftahussurur Mustikawati, Bernadetta Indah Mutiara Sitha Putri Nadya Kumalasari Nara Dikna Aditya Nila Novita Nungky Taniasari Nurhasmadiar Nandini Nuzulul Kusuma Putri Nyoman Anita Damayanti Ongko, Tjindrawati Oskar Renagalih Amarta Ossy Wijaya Iriandoko Ossy Wijaya Iriandoko Paramita, Ristiya Galih Pathak, Yashwant Perdani, Fandaruzzahra Putri Permatasari, Ririn Indah Prayitno, Antonius Adji Rachmad Suhanda Raden Muhammad Ali Satria Rahmah, Fathiyah Raissa Manika Purwaningtias Raissa Manika Purwaningtyas Resty Varia Tutupoho Ria Asti Septianti Rien Rahmi Riandini Rika Ramadhani Makatita Rinanti Rahayunig Bekti Ririk Harlin Ririn Indah Permatasari Riris Diana Rachmayanti Rizmi Novishia Wijaya Rosally, Ruby Rizal Rosyidah Arafat, Rosyidah Ruby Rizal Rosally Saleh, Lalu Muhammad Setyastuti, Kinanti Shely Oktavia Puspita Ningrum Shely Oktavia Puspita Ningrum Siti Fatonah Siti Hunainah Siti Hunainah Soesianingsih , Njoman Oly Sri Ramadany, Sri Stella Herliantine Febreani Sugiyatmi, Tri A. Supangat, Ririn Widyowati Sururut Tazkiyah Tay Giat Sing Terivenna Wijaya Thinni Nurul Rochmah Umi Kulsum Ummu Kalsum Usman Hadi Wagiyo Wagiyo Warih Kusumaningtyas Widodo J. Pudjirahardjo Widodo Jatim Pudjirahardjo Wijaya , Terivenna Wilianarti, Pipit Festi Yenny Purwanti Yuanasika, Dwiky