Jurnal Edukasi Ilmiah Kesehatan

Influence of social media influencers on adolescents’ confidence and emotions in health education

Nancy Sylvia Bawiling, Suprapto Suprapto — Tue, 11 Nov 2025 00:00:00 +0000

Introduction: The growing popularity of social media has positioned influencers as important agents in shaping adolescents’ attitudes, behaviors, and perceptions toward reproductive health topics. Adolescence is a critical developmental period when understanding and confidence regarding reproductive issues are often limited. This study aimed to analyze the influence of exposure to influencer-generated content on adolescents’ positive emotions and self-confidence in the context of reproductive health education.

Methods: A quantitative quasi-experimental design was employed, involving 100 students, divided equally into intervention and control groups. Data collection instruments included the Positive and Negative Affect Schedule (PANAS) to assess positive emotions and the Rosenberg Self-Esteem Scale to measure self-confidence. The intervention group received reproductive health education through influencer-created social media content, while the control group did not receive any exposure. Data were analyzed using the Paired Sample T-Test and the Independent T-Test.

Results: The findings showed significant improvements in the intervention group across all variables: reproductive health knowledge (p=0.000), self-confidence (p=0.000), and positive emotions (p=0.000). In contrast, the control group exhibited no significant changes, indicating that influencer-based education effectively enhanced adolescents' cognitive and psychological aspects.

Conclusion: Exposure to accurate, empathetic, relatable influencer content significantly improved adolescents’ emotional engagement and confidence. Therefore, collaboration among health educators, professionals, and social media influencers is recommended to develop credible, appealing, and youth-centered digital reproductive health communication strategies.

Health education with dietary adherence for people with diabetes mellitus in the community

Indra Tri Astuti, Ching Min Chen — Tue, 11 Nov 2025 00:00:00 +0000

Introduction: Dietary adherence remains a critical challenge for individuals with diabetes mellitus (DM), especially within community settings where lifestyle factors strongly influence disease control. Health education plays an crucil role in enhancing self-management behaviors and improving glycemic outcomes. This study aimed to evaluate the effect of structured health education on dietary adherence among people with DM in the community.

Methods: A quasi-experimental pre–post design was conducted among 120 participants with type 2 DM in a community health program. Participants received four weekly sessions of health education focusing on nutrition knowledge, meal planning, and behavioral motivation, delivered through interactive workshops and visual aids. Data were collected using the Diabetes Self-Management Questionnaire (DSMQ) and a 24-hour dietary recall, and analyzed using paired t-tests and multiple regression to assess changes in adherence and identify influencing factors.

Results: Post-intervention findings showed a significant improvement in dietary adherence scores (p < 0.001) and a mean reduction in fasting blood glucose levels (p < 0.05). Education level, social support, and perceived self-efficacy were strong predictors of adherence improvement (R² = 0.48). Participants reported enhanced understanding of carbohydrate control and portion management.

Conclusion: Community-based health education effectively improves dietary adherence and metabolic outcomes in people with DM. Integrating culturally relevant education and continuous community engagement is crucial to sustaining behavioral changes. This approach supports primary prevention efforts and strengthens community health systems in diabetes management

Effect of home care visits on the quality of life of the elderly with hypertension in the health center area

Hijrah Hijrah, Nur Syamsi Norma Lalla — Tue, 11 Nov 2025 00:00:00 +0000

Introduction: Hypertension is a major public health concern among the elderly, contributing significantly to morbidity, mortality, and reduced quality of life. Home care visits represent a community-based approach to enhance disease management, promote treatment adherence, and improve well-being among older adults. This study aimed to evaluate the effect of home care visits on the quality of life (QoL) of elderly individuals with hypertension in a primary health center area.

Methods: A quasi-experimental pre–post design with a control group was conducted involving 100 elderly participants diagnosed with hypertension. The intervention group received structured home care visits conducted by community nurses over a period of eight weeks, focusing on health education, medication adherence, diet modification, blood pressure monitoring, and lifestyle counseling. The control group received standard outpatient care. Quality of life was assessed using the WHOQOL-BREF instrument, and blood pressure measurements were recorded at baseline and post-intervention. Data were analyzed using paired t-tests and ANCOVA to compare changes between groups.

Results: The results showed a significant improvement in the mean QoL score of the intervention group (from 56.3 ± 7.5 to 68.7 ± 6.8; p < 0.001), particularly in the physical and psychological domains. Mean systolic blood pressure decreased by 11.4 mmHg and diastolic by 6.8 mmHg (p < 0.05). No significant change was observed in the control group.

Conclusion: Regular home care visits effectively enhance the quality of life and blood pressure control among elderly patients with hypertension. Integrating home-based nursing interventions within primary health services can promote holistic, continuous care and support aging-in-place initiatives.

Effectiveness of simulation learning methods on improving the clinical skills of nursing students in midwifery care

Andi Suriyani, Darmi Arda, Ismarulyusda Ishak — Tue, 11 Nov 2025 00:00:00 +0000

Introduction: Clinical competence is a crucial component of nursing education, particularly in midwifery care, where students must integrate knowledge, technical skills, and decision-making to ensure the safety of both mothers and newborns. Traditional classroom learning often fails to provide sufficient opportunities for hands-on experience. Simulation-based learning has emerged as an innovative pedagogical approach to enhance clinical competence in a safe and controlled environment. This study aimed to evaluate the effectiveness of simulation learning methods in improving the clinical skills of nursing students in midwifery care.

Methods: A quasi-experimental pre–post design was conducted among 80 nursing students enrolled in a midwifery course. The intervention group participated in a structured simulation learning program involving high-fidelity obstetric manikins and scenario-based training on antenatal, intrapartum, and postpartum care. The control group received conventional lectures and demonstrations. Data were collected using an Objective Structured Clinical Examination (OSCE) checklist and a self-efficacy questionnaire before and after the intervention. Paired and independent t-tests were used to analyze changes in clinical skill scores and confidence levels.

Results: The findings revealed a significant improvement in the clinical performance of students in the simulation group (mean score increase from 68.4 ± 7.2 to 86.7 ± 6.5; p < 0.001) compared to the control group (72.1 ± 8.0 to 75.8 ± 7.6; p = 0.054). Students also reported enhanced confidence and readiness for real clinical practice.

Conclusion: Simulation-based learning effectively improves clinical skills and self-efficacy in midwifery education. Integration of simulation into nursing curricula can bridge the gap between theory and practice, ensuring better preparedness for clinical settings.

Impact of nursing interventions on the implementation of primary health care policies: A Systematic Review

Awatiful Azza, Zusana A. Sasarari, Etty Komariah Sambas, A. Wardah Muzfah — Tue, 11 Nov 2025 00:00:00 +0000

Introduction: Primary health care (PHC) is recognized as the foundation of equitable and sustainable health systems. Nursing interventions are essential in translating PHC principles into effective practice. However, limited synthesized evidence exists on the effectiveness of nursing-led initiatives within PHC policy frameworks. This review aimed to evaluate the impact of nursing interventions on the implementation of PHC policies, with the hypothesis that structured nursing interventions enhance health outcomes, policy adherence, and community engagement.

Methods: Following the PRISMA guidelines, a systematic search was conducted across PubMed, CINAHL, Scopus, and Cochrane Library for studies published between 2010 and 2025. Eligible studies included randomized controlled trials, quasi-experimental, and observational designs assessing nursing-led interventions in PHC settings. Two reviewers independently performed data extraction and quality appraisal. Due to methodological heterogeneity, a narrative synthesis was employed.

Results: A total of studies demonstrated that nursing interventions such as health education, chronic disease management, maternal-child health support, and community empowerment significantly improved service accessibility, patient satisfaction, and adherence to PHC policy objectives. Moreover, community-based nursing initiatives strengthened preventive care delivery and promoted equity in service utilization.

Conclusion: The findings confirm that nurses are pivotal in operationalizing PHC policies. Strengthening nursing capacity through training, policy integration, and resource allocation can accelerate progress toward universal health coverage. Further research is needed to establish standardized evaluation frameworks and measure long-term policy impacts of nursing interventions in PHC systems.