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Joko Prasetyo
Department Of Agrotechnology (Plant Protection Division) University Of Lampung, Bandar Lampung
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Journal : Nursing Sciences Journal

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PATIENT COMPLIANCE IN CHRONIC DISEASE MANAGEMENT PROGRAMS BASED ON THE HEALTH BELIEF MODEL HOLISTIC NURSING APPROACH IN BANTUL Widarto, Widarto; Joko Prasetyo; Anggraeni, Novita Anna
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.6926

Abstract

The Chronic Disease Management Program (Prolanis) is a systematic strategy aimed at improving the quality of life for patients with chronic illnesses such as hypertension and diabetes mellitus. However, patient adherence to this program remains relatively low, particularly in semi-rural areas such as the Dlingo II Primary Health Center, Bantul. Understanding the factors that influence adherence is crucial for designing more effective and contextually appropriate interventions. This study aims to analyze the determinants of patient adherence to Prolanis using the Health Belief Model (HBM) framework and interpret the findings through a holistic nursing perspective. A quantitative approach with a cross-sectional design was employed, involving 163 active Prolanis patients within the working area of Dlingo II Primary Health Center. The variables examined included perceived benefits, perceived barriers, social support, and cues to action, analyzed using bivariate chi-square tests and multivariate binary logistic regression. The results indicate that all variables within the HBM framework significantly influence patient adherence (p < 0.05), with cues to action being the most dominant factor (OR = 8.615), followed by perceived benefits (OR = 5.637), social support (OR = 5.026), and perceived barriers (OR = 2.878). These findings highlight the importance of contextual education, meaningful reminders, and supportive social environments as key factors for program success. Adherence to Prolanis is influenced not only by individual perceptions but also by social dynamics and local cultural values. Integrating the HBM approach with holistic nursing provides a more comprehensive understanding of patient behavior and supports the effectiveness of community-based interventions in semi rural settings.
Co-Authors Adhe Anniza Pramesti Agung Dwi Laksono Agus Heselo Agus Jatmiko Alexander Turnip Andes Galuh Natalia Andy Mustafa Akad Anggraeni, Novita Anna Anise Wulandari Ari Saputra Arif, Renny Febrina Armaini Armaini Arno, Giarno Cahyono, Ibnu CIPTA GINTING Cipta Ginting Dame Trully Gultom Daning Nurhalisa Kairupan Darwin H. Pangaribuan Darwin H. Pangaribuan Dede Rahayu Dedi Iryanto Deva Vanola Devita Alfandri Dewi Maya Maharani Dimas Ardiansyah Dwi Fuji Ginting Dwi Retnoningsih Edy Sarwono Efri Efri Efri Efri Efri Efri Efri Efri Eka Candra Lina Elisa Dwi Aprilia Elsa Wulandari Erlanda Kurnia Erni Aslinda Etty Khamdiyah Evi Kurniati F. X. Susilo F. X. Susilo F.X. Soesilo Faris Faishol Fikriyah Shofiah Mawaddah Gigih Widyawantoro Gita Yulistia Gregorius Bambang Heru Haikal Nurkalam Haryono, Wasis Hasriadi Mat Akin Hasriadi Mat Akin Herpiah Herpiah Herpiah I Dewa Made Subrata I Gede Swibawa Ichwan Surya Nugraha Ilmana Bintang Lazuardi Indasah Indra Nurita Octavia Intan Zahara Arie Irma Putri Pujianti Irman Mahbudi Irwandi Irwandi Isak Waine ito, Wulan Permatasari Ivayani Ivayani Ivayani Ivayani Juwita Suri Maharani Kamsiatun Eka Pratama Kusyani, Asri La Choviya Hawa Lestari Wibowo Lulu Rom Adonie Maria Haryanti Butarbutar Masruroh Hasyim Miriam Baersady Mochamad Rochman Moh Khoirul Anam Mohammad Hidayatur Rozaq Muhamad Arief Yulianto Muhamad Idola Hartas Muhammad Andrian Muhammad Deri Bastian Muhammad Nurdin Muhammad Nurdin Muhammad Nurdin Muhammad Nurdin Muhammad Ridwan Na’im Muhammad Rifky Zulkarnaen Mulya Juarsa Murniati Murniati Musthofa Lutfi Nadi Chaidir Niar Nurmauli Nikmatur Rohmah Nirwana Haidar Hari Nova Adelina Lubis Novia Lusiana NOVRI NELLY Nur Alfian, Rizal Nur Wijayanti Nurhasanah Pahlawansjah Harahap Paulus Wardoyo Pratiwi Iswari Prima Fithri Radix Suharjo Radix Suharjo Rahman Yadi Ratna Wardani Rayhan Fadhlurrahman Retno Damayanti Reza Putri Reza Rienaldy Putra Richa Latifatin Nisa' Rusli Rustam Safitri Wulansari Salama Sely Sandra Sandra Senja Aklirinhua Sentot Imam Suprapto Septa Chandra Septya Eka Prasetia Rani Seputro Edhy S Setiawan, Eko Supri Sindi Alfianti Siti Amina Zainal Slamet Djoko S Slamet Djoko Sunarko Suci Nurjannah Sudiono Sudiono Sudiono Sudiono Suskandini Ratih Dirmawati Sutrisno Hadi Wibisono Tarsisius Susilo Tiara Puspa Yendi Tin Dwi Kartiningsih Tin Dwi Kartiningsih Tineke Mandang Titiek Nur Aeny Titik Nur Aeny Titik Nur Aeny Titik Nur Aeny Titin Susanti Tiya Oviana Tri Maryono Wahyunanto Agung Nugroho Wildan Novel Winda Giofanny Yugiantoro, Bekti Setiawan Yuly Peristiowati Yunita Fitri Astuti Yusron Haries Yuzita Nurfitriani Zavira Riswinda Azzahra