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Effect of Family-Centered Nursing-Based Health Education on Activities of Daily Living among Elderly Hypertensive Patients in Indonesia: A Quasi-Experimental Study Suprayitno, Emdat; Hannan, Mujib; Hidayat, Syaifurrahman; Permatasari, Dian; Huzaimah, Nailiy
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.392

Abstract

Background: Hypertension is a common chronic condition in the elderly, leading to decreased independence in performing Activities of Daily Living (ADL). Family support is a key determinant in maintaining the independence of the elderly. However, the family's role is still not optimal. Health education based on family-centered nursing (FCN) is expected to empower patients and families to manage hypertension and improve functional abilities. Methods: A quasi-experimental design with a non-equivalent control group was applied to evaluate the effect of Family-Centered Nursing (FCN)-based education on Activities of Daily Living (ADL) among elderly hypertensive patients. 64 participants meeting the inclusion criteria were selected using simple random sampling from the Rubaru Community Health Center, Indonesia. Data were collected using the validated Barthel Index questionnaire and analyzed with the Wilcoxon and Mann–Whitney tests using SPSS version 25. Results: Based on the paired t-test, the daily living activities score, p-value <.001, and the Independent test, p-value < .001 was obtained for both the control and treatment groups. This demonstrates the influence of family-centered nursing education on the independence of daily living activities of hypertension sufferers in the work area of the Rubaru Community Health Center. Conclusion: Family-centered nursing education has an impact and is effective on the daily living activities of older people with hypertension in the Rubaru Community Health Center (Puskesmas) area. It is recommended that the Community Health Center integrate family-based education programs into routine health services for the elderly.
Phenomenological Experiences of Grief Among Elderly Following Family Loss in Indonesia: A Roy’s Adaptation Model–Based Inquiry Maulidina, Nur Hasanah; Hidayat, Syaifurrahman; Huzaimah, Nailiy; Salat, Sri Yunita Suraida; Andrian, Maulana Widi
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.27

Abstract

Background: The loss of a family member presents a deeply emotional challenge for older adults, often disrupting their physical, psychological, and social equilibrium. Elderly individuals experiencing grief commonly face intense sorrow, isolation, and alterations in their daily routines. Without effective coping mechanisms, these emotional responses may negatively impact their bodily functions and social relationships. This study aimed to explore the grief experiences of elderly individuals in coping with family loss using the Roy Adaptation Model as a guiding framework. Methods: A qualitative phenomenological design was employed, underpinned by the Roy Adaptation Model. Participants were selected through purposive sampling, with inclusion criteria consisting of elderly individuals aged 60 or above who had lost a nuclear family member within the past 6 to 12 months. Exclusion criteria included the presence of cognitive, sensory, or severe physical impairments. The study involved seven elderly participants, two family members, and one healthcare provider from Kalianget District in 2025. Data were collected via in-depth interviews and analyzed thematically through open, axial, and selective coding. Data saturation was confirmed after the seventh participant. The research adhered to COREQ reporting standards and received ethical clearance from the Health Research Ethics Committee of Wiraraja University (No: 1234/EC/2025) Result: Participants experienced grief through crying, withdrawal, and denial. Coping strategies included engaging in religious practices, sharing stories, and staying occupied. Four central themes emerged: grief experience, coping mechanisms, physiological changes, and interdependence Conclusion: Grief significantly affects the emotional, physical, and social well-being of the elderly. Support from families, healthcare professionals, and communities is vital to promote adaptive coping.
Community-Based Health Education Improve Knowledge and Attitudes of COVID-19 Prevention Emdat Suprayitno; Hidayat, Syaifurrahman; Mumpuningtias, Elyk Dwi; Dian Permatasari; Wardita, Yulia
Journal Of Nursing Practice Vol. 5 No. 1 (2021): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.164

Abstract

Background: Corona Virus Disease-19 is becoming a pandemic. The easy-to-spread nature of the virus which requires good knowledge and good attitude in determining preventive measures to break Covid-19 transmission.Purpose: This study aimed to determine the effect of community-based health education on knowledge and attitudes of Covid-19 prevention.Methods: This is quantitative research with design of quasi-experimental. The sampling technique used was simple random sampling, the samples were 62 people divided into two groups. The intervention group that received the intervention of community-based health education and control group that received a Covid-19 leaflet.Results: The research result found that Mann Whitney U test score of knowledge between intervention and control group after the given intervention was p=0.004. Independent T test score of attitudes between intervention and control group after intervention was p=0.003. The Mann Whitney U test score of knowledge differences (?) between intervention group and the control group after intervention was p=0.002. Mann Whitney U test of attitudes differences (?) between intervention group and the control group after intervention was p=0.000.Conclusion: The research showed that respondents in the intervention group have better knowledge and better attitudes. The community-based health education method can be an alternative option to promote and prevent the spread of Covid-19 infection
Sociodemographic and Cultural Determinants of Hypertension-Controlling Beliefs Among Older Adults: A Cross-Sectional Study Based on the Health Belief Model Susilawati, Endang Fauziyah; Hidayat, Syaifurrahman; Amin, Edy Suryadi; Hakim, Arif Rahman; Nindawi, Nindawi
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.581

Abstract

Background: Hypertension control among older adults in Indonesia is hindered by low adherence and strong cultural beliefs. However, there is insufficient evidence on how sociodemographic and cultural determinants interact with health belief constructs to influence hypertension-control beliefs in older populations. This study examines sociodemographic and cultural determinants of hypertension-controlling beliefs using the Health Belief Model (HBM). Methods: A cross-sectional study was conducted among 232 older adults (≥60 years) in coastal Madura, Indonesia. Data were collected via structured interviews using the HBM Questionnaire (HBMQ) and cultural belief items. Descriptive, bivariate, and multivariate analyses were performed. Results: Higher education, retirement, and perceiving hypertension as a lifestyle consequence were significantly associated with stronger beliefs (p < 0.05). Although 76.3% trusted doctors, 40.9% still visited traditional healers. Belief in lifestyle etiology was the strongest predictor (β = 0.20, p = 0.002). Conclusion: Cultural and educational factors significantly shape hypertension beliefs. Interventions should integrate biomedical education with cultural sensitivity to improve self-management in older populations.
The Relationship Between Information and Self-Care Management in Leprosy Patients Mujib Hannan; Cory Nelia Damayanti; Syaifurrahman Hidayat
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4359

Abstract

Leprosy is still a health problem in endemic countries, one of which is Indonesia. It is caused by the lack of information about leprosy, which affects the self-care management of leprosy sufferers to increase the risk of leprosy severity. Leprosy is a chronic granular infection caused by the obligate intracellular organism M. leprae. These germs initially attack the peripheral nervous system, then the skin, mucosa, respiratory tract, retinal system, eyes, retina, bones, and tissues. This study aims to determine the relationship of information on self-care management in leprosy patients in the Sumenep Regency. This type of research was an observational analysis using a cross-sectional study approach. The population was 32 respondents, with a sample of 30 respondents. The sampling technique used simple random sampling. Data collection used a questionnaire, and data analysis used Rho Spearman with a significance level of p<0.005. The analysis result obtained significance, or the value of information availability (0.000) was much more standard significant than 0.05 or (p < a), then H0 was rejected, and H1 was accepted, which means that there is a relationship between information and self-care management in leprosy patients. Information can affect self-care management in leprosy patients. Self-care management has an important role in preventing the severity and transmission of leprosy. With enough information, leprosy patients can carry out good self-care- management and reduce the impact of leprosy effectively.
Telenursing Education Based on Health Belief Model Improves Self-Care for Hypertension Patients Emdat Suprayitno; Ratna Indriyani; Mujib Hannan; Syaifurrahman Hidayat; Suraying Suraying
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4798

Abstract

Non-communicable diseases (NCDs) are prevalent in society, especially in Indonesia, including hypertension. The emergence of health problems here is caused by individual negligence, such as unhealthy eating patterns and can also be caused by public ignorance about maintaining health. The purpose of this study was to determine the effect of telenursing education on self-care management in hypertension patients in the Manding Health Center work area. The research method used in this study uses quantitative research using design Quasi Experimental, with control group (pretest-posttest with control group design). The sampling method used in this study was simple random sampling. Data collection used a questionnaire with the Borg Scale and Leiceste Cugh Questionnaire instruments. This study began with a pretest then provided telenursing self-care management education once a week for one month in the treatment group and continued with a posttest. The results of this study indicate that there is an influence before and after being given telenursing education on the treatment group. Based on the Wilcoxon test in the treatment group before and after being given education, p = 0.000 (p <α) was obtained, which means that there is an influence of Telenursing Self Care Management Education on Self Care Management in hypertension patients. Seeing the results of this study, it is recommended for hypertension sufferers to pay more attention to their health and carry out all components of hypertension control in a disciplined manner.