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All Journal Management of Aquatic Resources Journal (Maquares) Jurnal Manajemen Keperawatan Jurnal Keperawatan Komunitas Innofarm Jurnal Inovasi Pertanian JITRO (Jurnal Ilmiah dan Teknologi Peternakan Tropis) JFMR (Journal of Fisheries and Marine Research) JURNAL DINAMIKA VOKASIONAL TEKNIK MESIN Syntax Literate: Jurnal Ilmiah Indonesia International Journal of Remote Sensing and Earth Sciences (IJReSES) Bitnet: Jurnal Pendidikan Teknologi Informasi Respati JURNAL GIZI DAN KESEHATAN Journal of Holistics and Health Sciences (JHHS) Journal of Applied Nursing and Health Al Jahiz: Journal of Biology Education Research Indonesian Journal of Community Empowerment (IJCE) TOFEDU: The Future of Education Journal
Eko Susilo
Universitas Tribhuwana Tunggadewi
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Hubungan Keterjangkauan Pelayanan Kesehatan Primer dengan Kepatuhan Minum Obat pada Pasien Hipertensi di Daerah Tertinggal Puskesmas Pimping, Kalimantan Utara: The Relationship between Accessibility of Primary Health Care Services and Medication Compliance in Hypertension Patients in Underdeveloped Areas of Pimping Community Health Center, North Kalimantan Rismawati, Diah Hening; Susilo, Eko
Journal of Holistics and Health Sciences Vol. 7 No. 2 (2025): Journal of Holistics and Health Sciences (JHHS), September
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/jhhs.v7i2.613

Abstract

Hypertension is a chronic condition that requires long-term management through lifestyle changes and/or continuous use of antihypertensive medications (World Health Organization, 2021). This study aims to analyze the relationship between access to health care services and the level of medication adherence among hypertensive patients in the remote area of Pimping Public Health Center, Bulungan Regency, North Kalimantan. This is a quantitative study with a correlational design using a cross-sectional approach. The study population consisted of all hypertensive patients receiving health services at Pimping Public Health Center, totaling 94 patients. The sample comprised 77 respondents selected through purposive sampling. The research instruments included a health service access questionnaire and the Modified Morisky Adherence Scale (MMAS). Data analysis was conducted using univariate and bivariate analysis with the chi-square test. The majority of respondents (71 people or 92.2%) reported that access to health care services was not easy. All respondents demonstrated low adherence to hypertension medication. There was a statistically significant relationship between access to health care services and the level of medication adherence among hypertensive patients in the remote area of Pimping Public Health Center, Bulungan Regency, North Kalimantan, with a p-value of 0.022 (<0.05). ABSTRAK Hipertensi adalah kondisi kronis yang membutuhkan pengelolaan jangka panjang melalui perubahan gaya hidup dan/atau penggunaan obat antihipertensi secara terus menerus (World Health Organization, 2021) . Keberhasilan program terapi hipertensi terkendala oleh faktor keterjangkauan pelayanan kesehatan primer, terutama di wilayah tertinggal dengan kondisi geografis sulit dan keterbatasan sumber daya kesehatan. Tujuan penelitian ini untuk menganalisis hubungan keterjangkauan pelayanan kesehatan terhadap tingkat kepatuhan minum obat pasien hipertensi di daerah tertinggal Puskesmas Pimping, Kabupaten Bulungan, Kalimantan Utara. Penelitian ini berjenis kuantitatif dengan desain deskriptif korelatif yang rancangannya menggunakan cross sectional. Populasi penelitian ini adalah seluruh pasien hipertensi yang melakukan pemeriksaan kesehatan di Puskesmas Pimping, Kabupaten Bulungan, Kalimantan Utara sejumlah 94 pasien. Sampel penelitian ditentukan sejumlah 77 responden yang diambil dengan tehnik purposive sampling. Alat ukur penelitian menggunakan kuesioner akses pelayanan kesehatan dan Kuesioner Modifed Morisky Adherence Scale (MMAS). Analisis data dilakukan dengan analisis univariat dan analisis bivariat dengan uji chi square. Sebagian besar responden, yaitu 71 orang (92,2%), menyatakan bahwa akses terhadap pelayanan kesehatan tidak mudah. Seluruh responden memiliki kepatuhan rendah dalam minum obat hipertensi. terdapat hubungan antara akses pelayanan kesehatan terhadap tingkat kepatuhan minum obat pasien hipertensi di daerah tertinggal Puskesmas Pimping, Kabupaten Bulungan, Kalimantan Utara, dengan nilai p 0,022 <0,05.
Effectiveness of Tafakur Prayer Spiritual Therapy on Psychological, Spiritual Well-Being, and Pain In Cancer Patients: A Randomized Trial Priyanto, Priyanto; Susilo, Eko; Aini, Faridah; Ariani, Yulia Eka; Jannah, Luluk Nur
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.665

Abstract

Background: Despite growing evidence supporting spiritual interventions in cancer care, limited randomized controlled trials have examined the effectiveness of the culturally adapted Tafakur Prayer Spiritual Therapy (TPST). Therefore, this study aimed to evaluate its effectiveness on psychological well-being, spiritual well-being, and pain among hospitalized cancer patients. Methods: A single-masked randomized controlled trial, strictly guided by the CONSORT framework, was conducted. Forty-two hospitalized cancer patients were successfully recruited via purposive sampling and randomly assigned to either a four-day TPST intervention group or a standard-care control group using block permutation. Allocation concealment was ensured. Baseline characteristics were homogeneous. The independent variable was the intervention, and the dependent variables were measured using the Psychological Well-Being Index, the Spiritual Well-Being Scale, and the Brief Pain Inventory. Data were analyzed using independent and paired t-tests with statistical software. Results: Psychological well-being improved significantly in the intervention group compared with controls, demonstrating notable clinical significance for patients  (Mean Difference=9.4, 95% CI=0.70; 18.10, Cohen's d=0.67, p=0.035). Spiritual well-being also showed a significant increase (Mean Difference=13.7, 95% CI=1.64; 25.76, Cohen's d=0.71, p=0.027). Furthermore, pain intensity decreased significantly, successfully shifting these patients to a lower pain category (Mean Difference = -9.3, 95% CI = -15.63 to -2.97, Cohen's d = 0.92, p = 0.005). Conclusion: The culturally structured TPST significantly enhances holistic patient outcomes and alters the subjective pain experience. It should be routinely integrated into standard holistic oncology nursing protocols. Further multicenter randomized controlled trials with larger samples are needed to confirm the long-term effectiveness of this intervention across diverse hospital settings.
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Ghofar Abdul Wakhid Adi Swastan, I Gede Apriyatmoko, Raharjo Ariani, Yulia Eka Asih Fitriana Dewi, Asih Fitriana Camellia Kusuma Tito, Camellia Kusuma Chandra Anugrah Putra Dewi Ratna Nurhayati Didik G. Suharto, Didik G. Effendi, Muhammad Idris Eko Pangestu Erwin Komara Mindarta Evrita Lusiana Utari, Evrita Lusiana Faridah Aini Galih, Yunita Heni Purwaningsih Hermawan, Reza Irawadi Buyung, Irawadi Jannah, Luluk Nur Komang Iwan Suniada, Komang Iwan Komarudin Komarudin Kresnabayu, I Made Limbang Kustiawan Nuswantara Listyalina, Latifah Liyanovitasari, Liyanovitasari Luqmanul Hakim M. Imron Rosyidi Muhammad Rivai Neti Ariftaningsih Nuryani Widagti, Nuryani Priyanto Priyanto Retno Wulandari Rinda Noviyanti, Rinda Rismawati, Diah Hening Romadhon, Afif Rizqi Nizar Rosalina Rosalina Rosidi, Imron Setiawan, Rama Adi Siti Kholipah Siwi, Wingking Era Rintaka Supriyatna, Deddy Suriyansyah, Suriyansyah Thoriq, Muhammad Syiva Wulansari Yudianingsih, Yudianingsih Zumrotul Ch, Zumrotul