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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 Zainab Parekh; Yogesh Suryawanshi
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 have emerged as cutting-edge healthcare systems that facilitate virtual consultations between doctors and patients through video calls, telephonic consultations, and online platforms. This transformative approach has proved immensely beneficial for people living in remote areas, offering them a convenient means to access medical consultations without the need to physically visit a hospital. By eliminating the constraints of geographical distance, telehealth and telemedicine hold immense potential in bridging the gap between healthcare providers and patients in India. This comprehensive review aims to explore the origins, techniques, challenges, importance, and future opportunities of telehealth and telemedicine in India. By delving into these concepts, readers will develop a nuanced understanding of these innovative healthcare methods and their potential to reach a wide range of patients across the country. The review will shed light on the historical development and evolution of telehealth and telemedicine, elucidating the technological advancements that have facilitated their implementation in India's healthcare landscape. The review will also address the challenges encountered in implementing telehealth and telemedicine in India. Factors such as technological infrastructure, internet connectivity, digital literacy, and regulatory frameworks will be analyzed, as they significantly impact the successful adoption and scalability of these virtual healthcare systems. By acknowledging these challenges, the review aims to foster a deeper understanding of the current state of telehealth and telemedicine in India and the steps required to overcome barriers to their widespread implementation. The review will explore future opportunities and advancements in telehealth and telemedicine within the Indian context. It will examine emerging technologies, including artificial intelligence, remote monitoring devices, and data analytics, and their potential to enhance the effectiveness and reach of telehealth and telemedicine services. The review will also highlight the role of these systems in addressing healthcare disparities, improving preventive care, and augmenting overall healthcare outcomes in India. This review offers a comprehensive examination of telehealth and telemedicine in India, presenting their significance, challenges, and future prospects. By synthesizing these insights, readers will gain a nuanced understanding of how these innovative healthcare methods can contribute to bridging healthcare gaps and delivering quality care to a wide range of patients across India.
The effect of pregnancy exercise on the sleep quality of pregnant women in the third trimester : A pre-experimental study Dewi Sari Pratiwi; Armayani Armayani; Ruma Poddar
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 common among women in the third trimester of pregnancy due to physiological, hormonal, and anatomical changes that may negatively affect maternal and fetal well-being. Non-pharmacological interventions, such as pregnancy exercise, are increasingly recommended to 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 in the working area of Siotapina Public Health Center, Buton Regency. Methods: A quantitative pre-experimental study with a one-group pretest–posttest design was conducted. A total of 44 third-trimester pregnant women were selected using purposive sampling. Sleep quality was measured using a structured sleep quality questionnaire before and after the pregnancy exercise intervention. Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank Test to determine differences in sleep quality before and after the intervention. Results: Prior to the intervention, 63.6% of participants experienced poor sleep quality, while 36.4% reported good sleep quality. After participating in pregnancy exercise, the proportion of participants with good sleep quality increased to 68.2%, while those with poor sleep quality decreased to 31.8%. Statistical analysis showed a significant improvement in sleep quality following the intervention (Z = −3.742; p < 0.001). Conclusion: Pregnancy exercise is effective in improving sleep quality among pregnant women in the third trimester. The intervention helps reduce sleep disturbances by promoting relaxation and alleviating physical discomfort associated with late pregnancy.
Enhancing the role of health cadres in stunting prevention in the Munjul region through elderly support for breastfeeding: A Participatory action research Deswani Deswani; Yuli Mulyanti; Sri Djuwitaningsih; Syafdewiyani Syafdewiyani; Eros Siti
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 Bermudez Joesep; Harvey Mary; Garlitoz Mae
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 Atid Anurak; Chalermchai Chaow
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

Stroke remains a leading cause of mortality and long-term disability, particularly among individuals with chronic conditions living in rural areas. Self-care behavior plays a pivotal role in stroke prevention, yet limited evidence exists on how physical functioning influences such behaviors in high-risk populations. This study aimed to examine the relationship between functional status and self-care behavior among adults at high risk of stroke in rural. A cross-sectional correlational study was conducted among 100 adults aged 30 years and above who were identified as high risk for stroke using the Thai Cardiovascular Risk Score (≥20%). Participants were recruited from ten health-promoting hospitals using multi-stage random sampling. Functional status and self-care behavior were assessed using validated self-report questionnaires. Data were analyzed using descriptive statistics and Pearson’s correlation. Participants reported moderate levels of both functional status (M = 55.87, SD = 9.34) and self-care behavior (M = 65.42, SD = 6.78). A statistically significant positive correlation was found between functional status and self-care behavior (r = 0.392, p < 0.001), suggesting that higher functional ability is associated with better engagement in stroke-preventive behaviors. Functional status is a key determinant of self-care behavior in individuals at high risk of stroke. Nurses and healthcare professionals should prioritize interventions that enhance physical functioning to promote sustained self-care practices. Future research should investigate causal relationships and develop function-based health promotion strategies.
The Level of Independence of Children with Intellectual Disabilities in Maintaining Dental and Oral Hygiene at Home: A Literature Review Joni Siahaan; Yana Setiawan; Zulaika Harissya; Dessy Syahfitri Pohan; Primalova Septiavy Estiadewi; Kharina Nurshadrina; Zahfia Nadzwa Clarisa Hernando
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

Children with disabilities still lack equal access to various aspects of child welfare, including healthcare services, education, and adequate caregiving. Dental and oral health issues are among the areas often neglected, primarily due to limited motor skills and insufficient parental supervision in dental care. The aim of this literature review is to analyze the relationship between family support and the independence of children with intellectual disabilities in maintaining oral hygiene at home. This study employs a literature review method to identify factors influencing dental and oral health in children with intellectual disabilities. The literature for this study was obtained from reputable databases such as Google Scholar, ScienceDirect, and PubMed, with sources published within the last five years (2020–2025). The article selection process was conducted systematically using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach to ensure transparency and accuracy. A total of ten research articles met the inclusion criteria for this review. All ten studies demonstrated a strong positive correlation between parental involvement and the oral hygiene status of children with special needs. Parent training programs were found to have a statistically significant impact on improving dental hygiene among children with autism. These findings highlight the need for continuous education and support for caregivers and parents in maintaining oral health in individuals with intellectual disabilities.
A Qualitative Inquiry into Dietary Adherence among Adults with Type 2 Diabetes Mellitus in India Imran Alee; Zahid Ayub; Naveed Ahmad
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

Dietary adherence remains a significant challenge for individuals with type 2 diabetes mellitus (T2DM), particularly in culturally diverse and food-centered societies like India. Socio-cultural norms, food preferences, family roles, and emotional motivations play a critical role in shaping dietary behavior. This study aimed to explore the lived experiences of Indian adults with T2DM in adhering to dietary recommendations, with a focus on the social, cultural, and behavioral dimensions of diet compliance. A qualitative case study design with a positivist approach was used. Fourteen participants were recruited through snowball sampling from three Primary Health Centers in India. In-depth, semi-structured interviews were conducted, transcribed, and analyzed using thematic analysis. Trustworthiness was ensured through member checking, audit trails, and triangulation. Three major themes emerged: (1) Cultural Negotiation of Food Choices, (2) Internalizing Health Literacy and Self-Regulation, and (3) Family Roles and Emotional Anchors. Participants described the tension between traditional food practices and medical advice, the importance of translating dietary knowledge into practice, and the significant impact of family dynamics and emotional goals on adherence. Dietary adherence among Indian adults with T2DM is a culturally embedded and emotionally driven process. Health professionals must consider cultural traditions, family involvement, and emotional motivations when designing dietary interventions. Family-inclusive and context-specific educational strategies are essential to support sustained adherence
Social Support and Associated Factors Among Caregivers of Elderly China: A Cross-Sectional Study Hu Yun; Shen Ji
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

The growing aging population in China has intensified the need for informal caregiving, predominantly provided by family members. While social support plays a crucial role in buffering caregiver burden, the dynamics of support and its associated factors in the Chinese context remain underexplored. This study aimed to assess perceived social support among family caregivers of older adults in China and identify key demographic factors associated with its variations. A cross-sectional study was conducted among 260 family caregivers recruited from urban and rural districts in Jiangsu Province using convenience sampling. Data were collected through self-administered questionnaires, including the Multidimensional Scale of Perceived Social Support (MSPSS) and demographic profiles. Descriptive and inferential statistics were used to analyze the data. Caregivers reported the highest level of perceived social support from family members (M = 5.39), followed by significant others (M = 5.22), and friends (M = 4.88). Male caregivers and those with caregiving duration exceeding ten years reported significantly higher levels of support (p < 0.05). No significant associations were found with age, income, education, or caregiver training. Family remains the central pillar of social support for caregivers in China, with gender and caregiving experience influencing perceived support. These findings highlight the importance of culturally appropriate interventions and the need to strengthen external support networks to improve caregiver well-being.
The meaning of family medicinal plants for family health: A phenomenological study among rural housewives Tia Nur Annisa
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 Aaras Sharm; Priya Kappor
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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