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Bimanese Traditional Healing Practices in Patients with Hypertension in West Nusa Tenggara, Indonesia Martiningsih, Martiningsih; Enie Novieastari; Astuti Yuni Nursasi; Ella Nurlaella Hadi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.18-28

Abstract

Background: Incorporating cultural factors into nursing care can support the achievement of therapeutic goals. The use of traditional medicine alongside conventional treatment has gained attention in managing hypertension, especially in culturally diverse settings. Purpose: This study aims to explore the medication practices of patients with hypertension from a nursing perspective, emphasizing cultural influences and traditional medicine use. Methods: Employing a qualitative ethnographic design, the research was conducted at three public health centers in rural and urban Bima, Sumbawa Island, West Nusa Tenggara, from February to August 2024. Sixteen patients with hypertension, purposively selected via snowball sampling, participated through in-depth interviews and participant observation. Data analysis involved thematic analysis and triangulation, with validation from informants and experts. Results: Findings reveal that patients often combine prescribed antihypertensive medications with traditional remedies. Three main themes emerged. The first, cultural care practices in medication, includes six subthemes: oral traditional medicine, traditional body scrubs for warming, Bimanese munching-spraying medicine, and treatments applied to the head. The second theme highlights the combination of Bimanese traditional treatments with hypertension medication, divided into two subthemes. The third emphasizes belief in the effectiveness of Bimanese treatments. These practices are deeply rooted in local cultural beliefs and traditions. Conclusions: Recognizing and integrating traditional treatments into nursing care can improve medication adherence among hypertensive patients. Respecting cultural practices and fostering trust in traditional medicine are essential for culturally competent care. Healthcare providers should consider these factors to enhance treatment outcomes and patient satisfaction.
Calgary family intervention model enhances dietary compliance and knowledge in T2DM patient Muhtar, Muhtar; Aniharyati, Aniharyati; Julhana, Julhana; Fadlurahmi, Fadlurahmi; Zainaro, Muhammad Arifki; Martiningsih, Martiningsih
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.26901

Abstract

The urgency was in developing a more holistic and sustainable approach to supporting type 2 diabetes mellitus (T2DM) patients. This study evaluated the effectiveness of the Calgary Family Intervention Model (CFIM) in improving dietary adherence and knowledge in patients with T2DM. This study used a quantitative method with a quasi-experimental design, involving 280 patients with type 2 diabetes mellitus at the Bolo Community Health Center from January to October 2025. The sample was divided into two groups: intervention (CFIM education) and control (booklet). Data were collected using a valid and reliable questionnaire to measure knowledge and dietary adherence. Data analysis was performed using the Wilcoxon and Mann-Whitney tests. The analysis showed significant results, with the mean knowledge score in the intervention group increasing from 4.84±1.235 to 8.98±2.851 (p < 0.05), while in the control group, it increased from 4.64±1.120 to 7.06±1.219. For dietary adherence, the intervention group showed an increase from 27.00±6.518 to 61.38±7.171 (p = 0.000), compared to the control group, which increased from 27.28±5.592 to 49.44±10.194(p < 0.05). The implications of these results have the potential to strengthen the family-based health intervention model and improve the overall well-being of T2DM patients. This study contributes significantly to family nursing practice by demonstrating the efficacy of the CFIM in enhancing dietary adherence and knowledge among patients with T2DM.