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Hubungan Sikap Lansia Hipertensi Dengan Pelaksanaan Self Management Di Puskesmas Tigo Baleh Kota Bukittinggi Sovia Khoirun Nisa; Izzati, Wisnatul; Andriani, Aida
Jurnal Kesehatan Lentera 'Aisyiyah Vol. 8 No. 2 (2025): Jurnal Kesehatan Lentera 'Aisyiyah
Publisher : BPPM Politeknik 'Aisyiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58170/jkla.v8i2.267

Abstract

Hypertension is a degenerative disease with a high mortality rate that reduces quality of life and productivity, especially among the elderly, where attitude plays an important role in self-management. This study aimed to examine the relationship between elderly attitudes and self-management at the Tigo Baleh Bukittinggi Community Health Center using a quantitative cross-sectional design with purposive sampling of 169 respondents. Data were collected through an attitude questionnaire and the Hypertension Self-Management Behavior Questionnaire (HSMBQ). Results showed that 100 respondents (59.4%) had a fair attitude, while 84 respondents (49.7%) demonstrated good self-management. Statistical analysis revealed a p-value of 0.00 (p < 0.05) and correlation coefficient r = 0.502, indicating a significant moderate relationship between attitude and self-management. The conclusion is that better self-management among hypertensive elderly is associated with more positive attitudes. It is expected that the Tigo Baleh Health Center can use these findings to improve the daily attitudes and practices of elderly patients with hypertension.
Penguatan Kader Kesehatan Masyarakat untuk Meningkatkan Pemanfaatan Antenatal Care pada Ibu Hamil: Studi Kuasi-Eksperimen: Strengthening Community Health Cadres to Improve Antenatal Care Utilization among Pregnant Women: A Quasi-Experimental Study Putri, Diana; Andriani, Aida
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.179

Abstract

delayed detection of pregnancy-related risks. Community health cadres play a strategic role in promoting maternal health; however, their capacity to encourage regular ANC visits is often limited due to inadequate knowledge and skills. Strengthening the role of health cadres is therefore essential to improve maternal health service utilization. This study employed a quasi-experimental design with a pretest–posttest approach without a control group. The participants were 25 active community health cadres in the working area of Mandiangin Public Health Center, Bukittinggi City. The intervention consisted of structured health education and mentoring sessions focusing on ANC standards, danger signs during pregnancy, and cadres' roles in motivating pregnant women to attend ANC visits. Data on cadres' knowledge and roles were collected using structured questionnaires before and after the intervention. Data analysis was conducted using descriptive statistics and the Wilcoxon signed-rank test. The results demonstrated a significant improvement in cadres' knowledge regarding ANC, with mean scores increasing from 60.4 ± 12.3 (pretest) to 82.6 ± 8.7 (posttest) (p < 0.001). The proportion of cadres with good knowledge category increased from 32% to 88% after the intervention. Similarly, cadres' role performance showed significant improvement, with median scores rising from 28.0 (IQR: 24.0–31.0) to 36.0 (IQR: 34.0–38.0) (p < 0.001). The proportion of cadres demonstrating good role performance increased from 48% to 84%. The findings indicate that educational and mentoring-based interventions are effective in enhancing cadres' capacity to support maternal health programs at the community level. Strengthening the role of community health cadres through continuous education and mentoring can serve as an effective strategy to improve ANC utilization. Integrating cadre empowerment programs into routine public health center activities is recommended to support sustainable improvements in maternal and child health services.