Implementation of the posbindu PTM program by community nurses in early detection of diabetes and hypertension in rural villages
Article Sidebar
Main Article Content
Abstract
Background: The increasing prevalence of non-communicable diseases (NCDs), particularly diabetes mellitus and hypertension, poses a significant health challenge in Indonesia. Early detection through Posbindu PTM (Integrated Non-Communicable Disease Health Post) is essential to prevent complications. Community nurses play a vital role in organizing and sustaining this program, especially in rural and remote regions such as Subang Regency, West Java.
Purpose: To describe the implementation of the Posbindu PTM program by community nurses in the early detection of diabetes and hypertension in rural villages within the Kalijati Health Center area, Subang Regency, West Java.
Methods: This quantitative descriptive study involved 90 adult participants aged 18 years and older who attended Posbindu PTM activities at Kalijati Health Center, Subang Regency, West Java, between January and March 2024. Data were collected through structured questionnaires and secondary data from screening records. Descriptive analysis was performed using SPSS version 27, focusing on coverage, participation, and outcomes of early detection activities. Of the 90 participants recruited, 82 were included in the final analysis; 8 were excluded due to incomplete data.
Results: Among 82 participants, 58.9% were female and 41.1% were male, with a mean age of 47.6 years (SD = 12.3). Screening results indicated that 21.1% had elevated fasting blood glucose levels (≥126 mg/dL), and 34.4% had high blood pressure (≥140/90 mmHg). Nurse involvement in Posbindu PTM was reported as active by 82% of respondents, particularly in health education and screening. However, challenges included irregular attendance, limited diagnostic equipment, and lack of follow-up visits.
Conclusion: The study highlights the crucial contribution of community nurses in detecting early-stage diabetes and hypertension through Posbindu PTM. Strengthening nurse capacity, ensuring equipment availability, and enhancing community participation are recommended to optimize program sustainability in rural areas
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Indonesian Nursing Journal is committed to the principles of Open Access to ensure the global exchange of knowledge. All articles published in this journal are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license.
Under this license, users are free to:
Under the following terms:
Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
This licensing framework ensures that authors retain copyright while allowing the public to utilize the research to the fullest extent possible, fostering innovation and collaboration in the field of nursing and healthcare.
Creative Commons Attribution 4.0 International License
References
[1] R. E. Black, L. H. Allen, and Z. A. Bhutta, “Addressing the rise of non-communicable diseases in low- and middle-income countries,” Lancet Glob Health, vol. 11, no. 4, pp. e321--e330, 2023.
[2] Dinas Kesehatan Kabupaten Muna, “Profil Kesehatan Kabupaten Muna 2024,” Muna, 2024.
[3] World Health Organization (WHO), “Noncommunicable Diseases Country Profiles 2022,” 2022, Geneva.
[4] Kementerian Kesehatan Republik Indonesia (Kemenkes RI), “Profil Kesehatan Indonesia 2023,” 2024, Jakarta.
[5] WHO Regional Office for South-East Asia, “Primary Health Care in the Control of Noncommunicable Diseases,” 2022, New Delhi.
[6] Kementerian Kesehatan Republik Indonesia, “Rencana Aksi Nasional Pengendalian Penyakit Tidak Menular 2023--2025,” 2023, Jakarta.
[7] Kementerian Kesehatan Republik Indonesia, “Pedoman Teknis Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM),” 2023, Jakarta.
[8] I. Purwanti, “Role of nurses in strengthening NCD prevention and early detection,” Jurnal Keperawatan Padjadjaran, vol. 11, no. 2, pp. 63–71, 2024.
[9] S. Raharjo and E. Nugraheni, “Effect of community nurse competency on NCD program implementation,” Jurnal Ilmu Keperawatan dan Kebidanan, vol. 14, no. 3, pp. 182–191, 2024.
[10] S. Fitriani and D. Kurnia, “Community nurse initiatives in non-communicable disease prevention through Posbindu PTM,” Jurnal Keperawatan Indonesia, vol. 25, no. 2, pp. 102–111, 2023.
[11] L. Rahmadani, R. Yusuf, and A. Handayani, “Implementation of community-based screening for hypertension and diabetes in eastern Indonesia,” BMC Nurs, vol. 22, no. 156, pp. 1–9, 2023.
[12] T. Wulandari and R. Yusuf, “Challenges in Posbindu PTM implementation: A qualitative insight from rural Indonesia,” Belitung Nurs J, vol. 9, no. 3, pp. 175–184, 2023.
[13] Puskesmas Kalijati, “Profil Puskesmas Kalijati Kabupaten Muna 2024,” Kabupaten Muna, 2024.
[14] N. J. Pender, Health Promotion in Nursing Practice, 7th ed. New York: Pearson Education, 2011.
[15] H. Supriadi and N. Rahmawati, “Coverage and effectiveness of Posbindu PTM in Southeast Sulawesi,” Indonesian Journal of Public Health, vol. 18, no. 1, pp. 45–54, 2023.
[16] D. Handayani and P. Sari, “Nurse-led health promotion and NCD screening in remote areas: Lessons from Sulawesi,” Asian Journal of Community Health Nursing, vol. 10, no. 1, pp. 55–64, 2023.
[17] M. M. Leininger, Transcultural Nursing: Concepts, Theories, Research, and Practices, 3rd ed. New York: McGraw-Hill, 2002.
[18] F. Hendrawan and F. K. Nuraini, “Integrating cultural values in nurse-led prevention programs,” Jurnal Holistik Keperawatan, vol. 4, no. 1, pp. 21–29, 2023.
[19] E. Wardani, “Cultural adaptation in community-based health education for rural populations,” Public Health Nurs, vol. 40, no. 1, pp. 55–64, 2023.
[20] S. Notoatmodjo, Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta, 2020.
[21] R. Yusuf, A. Fitriani, and D. Handayani, “Effectiveness of nurse-led education in reducing hypertension risk factors,” J Public Health Res, vol. 12, no. 2, pp. 201–210, 2023.
[22] N. Setiawan and R. Putri, “Improving rural participation in Posbindu PTM through community empowerment,” Jurnal Keperawatan Komunitas, vol. 9, no. 2, pp. 90–99, 2023.