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All Journal Jurnal Edukasi Ilmiah Kesehatan Abdimas Polsaka
Natalia Datu
Stikes Datu Kamanre, South Sulawesi, Indonesia
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Effectiveness of community and home care programs on the quality of life of chronic disease patients Lumastari Ajeng Wijayanti; Natalia Datu; Ria Wahyuni
Jurnal Edukasi Ilmiah Kesehatan Vol. 3 No. 2 (2025): Volume 3 Number 2 August 2025
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v3i2.115

Abstract

Introduction: The increasing prevalence of chronic diseases such as diabetes, hypertension, and heart disease demands a more adaptive and sustainable healthcare system. Community-based care programs and home care are becoming increasingly relevant approaches to holistically improving patients' quality of life. This study aims to evaluate the effectiveness of community care and home care programs in improving the quality of life of patients with chronic diseases. Research Methodology: This study uses a quantitative approach with a quasi-experimental design. Respondents consisted of 120 patients diagnosed with chronic disease divided into two groups: intervention (receiving community care and home care for 12 weeks) and control (conventional care). Quality of life was measured using the WHOQOL-BREF instrument before and after the intervention. Results: Results showed a significant improvement in the physical, psychological, social, and environmental dimensions of quality of life in the intervention group compared to the control group (p < 0.05). The most contributing factors were active family involvement and ongoing education by community health workers. Conclusion: Community care and home care programs effectively improve the quality of life of chronic disease patients. This approach is feasible to develop as part of a long-term chronic disease management strategy, especially in areas with limited access to health facilities
Improvement of clean and healthy family living behavior through a home visit approach by community nurses Syahrir; Lumastari Ajeng Wijayanti; Nofita Tudang Rombeallo; Natalia Datu
Abdimas Polsaka Vol. 4 No. 2 (2025): Volume 4 Number 2 September 2025
Publisher : LPPM Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/abdimaspolsaka.v4i2.231

Abstract

Clean and Healthy Living Behavior (CHLB) is a critical indicator in improving public health status. However, many families have yet to fully implement CHLB practices in their daily lives, particularly in areas with limited education and access to health information. This community service program aimed to enhance family-level CHLB through a home visit approach conducted by community nurses. The method employed was an educational and participatory approach, where community nurses conducted regular home visits over three months. Each visit included direct health education, environmental observation, discussions with family members, and distribution of educational materials on CHLB. Topics included handwashing with soap, clean drinking water management, environmental sanitation, and prevention of infectious diseases. Based on local health data, the program targeted 30 households in a designated community. The results showed a significant improvement in both knowledge and practice of CHLB among the targeted families. Approximately 85% of the families demonstrated increased scores in the CHLB evaluation post-intervention. Positive behavioural changes were also observed, such as consistent handwashing before meals and after using the toilet, as well as better household waste management practices. These outcomes indicate that the home visit strategy by community nurses is an effective method for promoting health behavior change at the family level. This initiative is expected to serve as a replicable model for other communities, with the support of cross-sector collaboration. It emphasises the importance of family-based empowerment in health promotion and disease prevention efforts
Co-Authors Lumastari Ajeng Wijayanti Nofita Tudang Rombeallo Ria Wahyuni Syahrir