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Journal of Community Nursing and Primary Care
Published by Science Center Group
ISSN : -     EISSN : 3089140X     DOI : https://doi.org/10.63202/jcnpc
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
The Journal of Community Nursing and Primary Care aims to serve as a platform for high-quality, innovative, and evidence-based research in the fields of community nursing and primary healthcare. The journal focuses on promoting health equity, improving access to care, and advancing best practices to enhance the health and well-being of diverse populations. Key areas of interest include, but are not limited to: Community Health Nursing Community-based interventions and nursing practices Health education, promotion, and preventive care strategies Health assessment, diagnostics, and primary prevention in communities Culturally sensitive care in diverse communities Partnerships with community organizations and public health agencies Primary Health Care and Services Models and approaches for delivering primary healthcare services to diverse populations Integrated healthcare delivery in primary care settings Screening, early intervention, and preventive services in primary care Patient-centered care and continuity of care in primary healthcare Accessibility, affordability, and quality improvement in primary care services Family Nursing Nursing approaches to support the health of families as units of care Family dynamics, health education, and caregiver support Interventions for managing family health crises and chronic conditions Family resilience and adaptation in health and illness contexts Gerontology Nursing Nursing care for aging populations in community and primary care settings Health promotion, chronic disease management, and support for elderly individuals Addressing physical, cognitive, and social needs in geriatric care Strategies for promoting healthy aging and quality of life for older adults Health Promotion and Disease Prevention Strategies for improving public health awareness and engagement Screening, early detection, and risk reduction for prevalent diseases Community initiatives for addressing social determinants of health Lifestyle, behavior change, and self-management education for chronic diseases Innovations in Community and Primary Care Technology and telehealth applications in community and primary care settings Data-driven approaches for community health improvements Interprofessional collaboration and team-based care models Health policy, advocacy, and strategies for health system improvement Global Health and Health Equity Approaches to improving health equity and access in low-resource settings Addressing health disparities in rural and underserved areas Community nursing strategies for improving global health outcomes Emergency response, disaster preparedness, and resilience-building in communities
Arjuna Subject : Keperawatan - Community and Home Care
Articles 20 Documents
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Innovations in Indian healthcare: Unlocking the benefits of telehealth and telemedicine Parekh, Zainab; Suryawanshi, Yogesh
Journal of Community Nursing and Primary Care Vol. 2 No. 1 (2025): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i1.61

Abstract

Telehealth and telemedicine enable virtual consultations between healthcare providers and patients through video calls, telephone, and online platforms, improving access to healthcare services, particularly for populations in remote areas. These technologies help overcome geographical barriers and enhance healthcare delivery efficiency. This review examines the development, applications, challenges, and future opportunities of telehealth and telemedicine in India, including issues related to technological infrastructure, digital literacy, and regulatory frameworks. It also highlights the potential of emerging technologies such as artificial intelligence, remote monitoring, and data analytics to strengthen telehealth services, reduce healthcare disparities, and improve health outcomes.
The effect of pregnancy exercise on the sleep quality of pregnant women in the third trimester : A pre-experimental study Pratiwi, Dewi Sari; Armayani, Armayani; Poddar, Ruma
Journal of Community Nursing and Primary Care Vol. 2 No. 2 (2025): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i2.79

Abstract

Background: Sleep disturbances are commonly experienced by women during the third trimester of pregnancy due to physiological, hormonal, and anatomical changes that may negatively affect maternal comfort and fetal well-being. Non-pharmacological interventions, including pregnancy exercise, have been recommended to alleviate physical discomfort and improve sleep quality safely during pregnancy. Objective: This study aimed to examine the effect of pregnancy exercise on sleep quality among pregnant women in the third trimester. Methods: A quantitative pre-experimental study with a one-group pretest–posttest design was conducted among 44 third-trimester pregnant women recruited using purposive sampling from the working area of Siotapina Public Health Center, Buton Regency, Indonesia. Sleep quality was assessed using a structured sleep quality questionnaire before and after the pregnancy exercise intervention. Descriptive statistics were used to summarize sleep quality distributions, and the Wilcoxon Signed Rank Test was applied to evaluate differences between pre-intervention and post-intervention sleep quality scores. Results: Prior to the intervention, the majority of participants experienced poor sleep quality, whereas after participating in pregnancy exercise the proportion of women reporting good sleep quality increased substantially. Statistical analysis demonstrated a significant improvement in sleep quality following the intervention (Z = −3.742; p < 0.001), indicating that pregnancy exercise effectively reduced sleep disturbances among pregnant women in the third trimester. Conclusion: Pregnancy exercise significantly improves sleep quality among women in the third trimester of pregnancy. Incorporating structured pregnancy exercise programs into routine antenatal care may help reduce sleep disturbances and enhance maternal well-being through safe, non-pharmacological interventions.
Enhancing the role of health cadres in stunting prevention in the Munjul region through elderly support for breastfeeding: A participatory action research Deswani, Deswani; Mulyanti, Yuli; Djuwitaningsih, Sri; Syafdewiyani, Syafdewiyani; Siti, Eros
Journal of Community Nursing and Primary Care Vol. 2 No. 2 (2025): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i2.81

Abstract

Background: Stunting remains a major public health problem in Indonesia, particularly in urban communities with limited resources and suboptimal breastfeeding support. Health cadres play a strategic role in maternal and child health programs; however, their effectiveness can be enhanced through innovative approaches that actively involve community members, including the elderly, as breastfeeding support agents. This study aimed to evaluate the impact of a health cadre training program that empowered elderly groups as breastfeeding support agents in preventing stunting. Methods: A Participatory Action Research (PAR) design was employed involving 47 participants, consisting of health cadres and elderly community members. Participants were selected using purposive sampling based on their active involvement in maternal and child health activities. The intervention comprised structured training sessions covering exclusive breastfeeding, balanced nutrition, breastfeeding techniques, breast care, and child growth monitoring. Data were collected using pre-test and post-test questionnaires, observations, and focus group discussions. Quantitative data were analyzed using descriptive statistics and paired t-tests. Results: The findings demonstrated a significant improvement in participants’ knowledge following the intervention. The mean pre-test score was 77.56 (SD = 8.46), which increased to 84.65 (SD = 8.46) in the post-test assessment. The training also strengthened collaboration between health cadres and elderly participants, enhanced community engagement in breastfeeding support activities, and increased participation in child growth monitoring. Conclusion: Empowering health cadres through elderly-supported breastfeeding training effectively improved knowledge and community involvement in stunting prevention. Integrating elderly groups into community-based breastfeeding support initiatives represents a promising and sustainable strategy to strengthen maternal and child health programs and reduce the risk of stunting.
Navigating the shadows and understanding psychosocial pathways to mental health support among young adults : A Qualitative Study Joesep, Bermudez; Mary, Harvey; Mae, Garlitoz
Journal of Community Nursing and Primary Care Vol. 2 No. 2 (2025): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i2.97

Abstract

Background: Access to mental health services remains a critical public health issue, especially among young adults in urbanizing regions. Structural barriers and sociocultural stigma often hinder timely and appropriate mental health care. This study aimed to explore the barriers and facilitators that influence access to mental health services among young adults with mental health conditions. Methods: A qualitative descriptive design was employed. Sixty participants aged 18–32 years, diagnosed with depression, anxiety, or bipolar disorder, were purposively recruited. Data were collected via WhatsApp chat interviews and Google Forms between September and December 2024. Thematic analysis was used to identify emerging patterns in participants’ experiences. Results: Three major barriers to accessing mental health services were identified: stigma and social silence, limited availability of mental health professionals, and financial constraints. Conversely, three key facilitators emerged: supportive relationships, digital peer communities, and self-awareness. Participants highlighted the role of personal motivation and online networks in bridging formal care gaps, while systemic limitations remained prevalent in local service infrastructure. Findings reveal the dual nature of access to mental health services—where institutional barriers coexist with emerging forms of psychosocial resilience. Conclusion: Strengthening local mental health systems, improving service literacy, and expanding community-based and digital interventions are crucial steps to address mental health disparities among urban youth.
Association between functional status and self-care behavior among adults at high risk of stroke : A cross-sectional study Anurak, Atid; Chaow, Chalermchai
Journal of Community Nursing and Primary Care Vol. 2 No. 1 (2025): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i1.98

Abstract

Background: Stroke remains a major public health concern and a leading cause of mortality and long-term disability worldwide, particularly among individuals with chronic diseases living in rural areas. Self-care behavior plays an essential role in stroke prevention; however, limited evidence exists regarding how functional status influences the ability of high-risk individuals to engage in preventive health behaviors. Objective: This study aimed to examine the association between functional status and self-care behavior among adults at high risk of stroke in rural communities. Methods: A quantitative cross-sectional correlational study was conducted among 100 adults aged 30 years and older who were identified as having a high risk of stroke using the Thai Cardiovascular Risk Score (≥20%). Participants were recruited from ten health-promoting hospitals in rural Thailand using a multi-stage random sampling technique. Functional status and self-care behavior were assessed using validated self-report questionnaires. Data were analyzed using descriptive statistics and Pearson’s product–moment correlation to examine the relationship between the two variables. Results: Participants demonstrated moderate levels of functional status (M = 55.87, SD = 9.34) and self-care behavior (M = 65.42, SD = 6.78). Pearson’s correlation analysis revealed a statistically significant positive relationship between functional status and self-care behavior (r = 0.392, p < 0.001), indicating that individuals with higher functional capacity were more likely to engage in stroke-preventive behaviors such as medication adherence, healthy diet, physical activity, and stress management. Conclusion: Functional status is an important determinant of self-care behavior among adults at high risk of stroke. Interventions aimed at maintaining or improving functional capacity may enhance self-care practices and contribute to more effective stroke prevention strategies, particularly in rural communities with limited healthcare access.
The level of independence of children with intellectual disabilities in maintaining dental and oral hygiene at home: A literature review Siahaan, Joni; Setiawan, Yana; Harissya, Zulaika; Pohan, Dessy Syahfitri; Estiadewi, Primalova Septiavy; Nurshadrina, Kharina; Hernando, Zahfia Nadzwa Clarisa
Journal of Community Nursing and Primary Care Vol. 2 No. 1 (2025): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i1.99

Abstract

Background: Limitations in cognitive and motor skills make these children more dependent on external support, particularly from their families. Family involvement is therefore considered an important factor in promoting independence and improving oral hygiene behaviors among children with intellectual disabilities. Objective: This study aimed to analyze the relationship between family support and the level of independence of children with intellectual disabilities in maintaining dental and oral hygiene at home. Methods: This study employed a literature review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. A systematic search was conducted in several scientific databases, including Google Scholar, ScienceDirect, and PubMed, using combinations of keywords related to family support, oral hygiene, intellectual disability, and children with special needs. Articles published between 2020 and 2025 were screened based on predefined inclusion and exclusion criteria. The quality of the selected studies was evaluated using the Critical Appraisal Skills Programme (CASP) tool. Results: Ten studies met the inclusion criteria and were included in the analysis. The findings consistently indicated a strong positive relationship between family involvement and the oral hygiene status of children with intellectual disabilities. Parental education, supervision, and training programs were shown to significantly improve children’s tooth-brushing behavior, reduce plaque accumulation, and enhance oral hygiene practices at home. However, several barriers were identified, including limited parental knowledge, inadequate supervision, and the motor and behavioral limitations experienced by children with intellectual disabilities. Conclusion: Family support plays a crucial role in improving the independence of children with intellectual disabilities in maintaining dental and oral hygiene at home. Strengthening family-based education, parental training, and supportive home-care interventions may enhance oral health outcomes and improve the overall quality of life of children with intellectual disabilities.
A qualitative inquiry into dietary adherence among adults with type 2 diabetes mellitus in India Alee, Imran; Ayub, Zahid; Ahmad, Naveed
Journal of Community Nursing and Primary Care Vol. 2 No. 1 (2025): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i1.102

Abstract

Background: Dietary adherence is a fundamental component of effective management of type 2 diabetes mellitus (T2DM). However, maintaining dietary compliance remains challenging in culturally diverse and food-centered societies such as India, where traditional dietary practices, social expectations, and family dynamics significantly influence eating behaviors. Objective: This study aimed to explore the lived experiences of adults with type 2 diabetes mellitus in India regarding adherence to dietary recommendations, with particular attention to sociocultural, behavioral, and emotional factors influencing dietary practices. Methods: A qualitative case study design with a positivist approach was employed. Fourteen adults diagnosed with T2DM were recruited through snowball sampling from three Primary Health Centers in India. Data were collected through in-depth semi-structured interviews and analyzed using thematic analysis. Strategies to ensure trustworthiness included member checking, audit trails, and data triangulation. Results: Three major themes emerged from the analysis: cultural negotiation of food choices, internalizing health literacy and self-regulation, and family roles and emotional anchors. Participants described challenges in balancing traditional dietary practices with medical recommendations, particularly during social and religious events. Individuals who were able to translate dietary knowledge into daily routines demonstrated stronger adherence behaviors. Family members played an influential role by providing emotional encouragement, assisting with meal preparation, and motivating individuals to maintain dietary discipline. Conclusion: Dietary adherence among adults with T2DM in India is shaped by complex interactions between cultural traditions, health literacy, and family dynamics. Interventions aimed at improving dietary adherence should incorporate culturally sensitive strategies and family-inclusive educational programs to support sustainable self-management.
Social support and associated factors among caregivers of elderly China: A cross-sectional study Yun, Hu; Ji, Shen
Journal of Community Nursing and Primary Care Vol. 2 No. 1 (2025): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i1.103

Abstract

Background: The rapid aging of the global population has increased the demand for long-term care, with family members often serving as primary caregivers for older adults. In China, cultural values such as filial piety strongly influence caregiving responsibilities, placing significant physical, emotional, and social demands on family caregivers. Social support has been identified as an important factor that may alleviate caregiving burden and improve caregiver well-being. Objective: This study aimed to assess perceived social support among family caregivers of older adults in China and to examine demographic factors associated with variations in social support. Methods: A descriptive cross-sectional study was conducted among 260 family caregivers of older adults aged 60 years and above in Jiangsu Province, China. Participants were recruited using convenience sampling from urban and rural communities. Data were collected using a structured questionnaire consisting of demographic characteristics and the Multidimensional Scale of Perceived Social Support (MSPSS). Descriptive statistics were used to summarize caregiver characteristics and levels of perceived support, while inferential analyses, including independent t-tests and one-way analysis of variance (ANOVA), were performed to identify demographic factors associated with perceived social support. Results: Caregivers reported the highest perceived social support from family members (M = 5.39), followed by significant others (M = 5.22) and friends (M = 4.88). Male caregivers reported significantly higher levels of perceived social support compared to female caregivers (p = 0.005). In addition, caregivers who had provided care for more than ten years reported significantly greater social support than those with shorter caregiving durations (p < 0.001). No significant associations were found between perceived social support and caregiver age, income, education, employment status, or caregiver training. Conclusion: Family remains the primary source of social support for caregivers of older adults in China. Gender and caregiving duration significantly influence perceived support levels. Strengthening community-based and peer support networks may help improve caregiver well-being and reduce caregiving burden
The meaning of family medicinal plants for family health: A phenomenological study among rural housewives Annisa, Tia Nur; Muis, Noor
Journal of Community Nursing and Primary Care Vol. 2 No. 2 (2025): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i2.115

Abstract

Background: Medicinal plants have long played an essential role in primary health care, especially in rural areas where access to biomedical services is limited. In many families, their use is deeply rooted in cultural traditions and intergenerational practices. Understanding how rural housewives perceive and experience medicinal plant use is vital to preserving ethnomedicinal knowledge and strengthening culturally grounded health strategies. This study aimed to explore the meaning of family medicinal plants for family health from the lived experiences of rural housewives. Methods: A qualitative study using a phenomenological approach was conducted with 12 rural housewives who were primary caregivers in their households and had regular experience using medicinal plants. Participants were recruited through purposive sampling and interviewed using in-depth semi-structured interviews. Data were analyzed using Colaizzi’s seven-step method to identify significant statements, formulate meanings, cluster themes, and construct the essential structure of the phenomenon. Results: Four major themes emerged: (1) medicinal plants as a family health heritage—participants described intergenerational transmission of knowledge as a symbol of family care; (2) empowerment and self-reliance in health care—participants expressed confidence and autonomy in treating common illnesses while reducing economic burden; (3) cultural and spiritual meaning of plant use—participants viewed plants as sacred gifts, integrating prayers and rituals into their preparation; and (4) challenges and adaptations in preserving knowledge—participants highlighted the decline of interest among younger generations while adapting by blending traditional and modern remedies. Conclusion: Family medicinal plants hold profound cultural, emotional, and practical significance in maintaining family health among rural housewives. They embody cultural heritage, empowerment, spirituality, and resilience, yet face threats of knowledge erosion.
Investigation of the relationship between internet addiction with emotion regulation in adolescent: A cross-sectional study Sharm, Aaras; Kappor, Priya
Journal of Community Nursing and Primary Care Vol. 2 No. 2 (2025): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i2.116

Abstract

Background: Internet addiction has emerged as a growing behavioral concern among adolescents, often associated with emotional dysregulation and psychological distress. Adolescents are in a critical developmental stage marked by emotional instability and heightened engagement with digital technologies, making them particularly vulnerable to compulsive internet use. Difficulties in emotion regulation are thought to play a central role in reinforcing maladaptive online behaviors. This study aimed to investigate the relationship between internet addiction and emotion regulation difficulties among adolescents. Methods: A cross-sectional quantitative study was conducted among 312 adolescents aged 15–18 years from several secondary schools. Participants were selected using stratified random sampling. Data were collected using a demographic questionnaire, the Internet Addiction Scale (IAS), and the Difficulties in Emotion Regulation Scale–16 (DERS-16). Descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation, and simple linear regression were performed to analyze the data. Ethical approval and informed consent were obtained before data collection. Results: The mean IAS score was 74.6 (SD = 15.2) and the mean DERS-16 score was 46.8 (SD = 11.7), indicating moderate levels of internet addiction and emotion regulation difficulties. Males reported significantly higher internet addiction scores than females (p < 0.01), while no gender differences were found in emotion regulation scores. Pearson analysis revealed a significant positive correlation between IAS and DERS-16 scores (r = 0.56, p < 0.001). The strongest correlations were found in impulse control difficulties (r = 0.62) and limited access to emotion regulation strategies (r = 0.58). Regression analysis showed that emotion regulation difficulties significantly predicted internet addiction (β = 0.55, p < 0.001). Conclusion: Adolescents with greater difficulties in emotion regulation are more likely to experience higher levels of internet addiction. Impulse control problems and limited emotion regulation strategies appear to be the strongest emotional risk factors for compulsive internet use. These findings highlight the need to view internet addiction not only as a behavioral issue but also as an emotional regulation problem.

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