Journal of Nursing Education and Practice

Faktor-Faktor yang Mempengaruhi Pemanfaatan Layanan BPJS Kesehatan pada Masyarakat

Rusmayadi — 2026-04-09

Introduction: The National Health Insurance program (JKN), administered through BPJS Kesehatan, plays a crucial role in improving access to equitable and quality health services. However, the utilization of BPJS services remains uneven, particularly in rural areas such as Labuhan Sumbawa, where various structural and individual barriers still exist.
Objectives: This study aims to identify the factors influencing the utilization of BPJS Kesehatan services and to analyze the relationship between these factors and service utilization among the community in Labuhan Sumbawa.
Method: This study employed a quantitative approach with an analytical cross-sectional design. Data were collected from randomly selected respondents using a structured questionnaire that measured socio-demographic characteristics, financial status, knowledge, membership status, and perceived service complexity. Data analysis included univariate and bivariate tests using the Chi-square method to assess relationships between variables.
Result: The findings indicate that financial status is the most dominant factor influencing the utilization of BPJS Kesehatan services. Other contributing factors include limited understanding of BPJS procedures, inactive membership status, and perceptions of complex administrative processes. Statistical analysis demonstrates a significant relationship between these factors and the utilization of BPJS services, indicating that both economic and non-economic aspects play an important role in shaping health service utilization behavior.
Conclusion: The utilization of BPJS Kesehatan services is influenced by an interplay of financial capacity, knowledge, and perceived service accessibility. Strengthening health literacy, improving administrative simplicity, and ensuring economic affordability are essential strategies to enhance service utilization. These findings highlight the need for integrated policy interventions to optimize the effectiveness of the national health insurance program.

Hubungan Antara Tingkat Depresi dengan Penurunan Kognitif pada Lansia

Debi Nely Manurung — 2026-04-01

Introduction: Elderly individuals are vulnerable to depression and cognitive decline, which can impair memory, orientation, and daily functioning, reducing quality of life. Family and community support help mitigate these effects.
Objectives: This study examined the relationship between depression and cognitive decline in elderly patients at Hospital X.
Method: A cross-sectional study included 55 elderly respondents selected purposively from 121 patients. Depression was measured using the Geriatric Depression Scale Short Version (GDS-SV), and cognitive function using the Mini-Mental State Examination (MMSE). Bivariate analysis with Chi-Square tested the association between depression and cognitive function.
Results: Most elderly with mild to moderate depression had normal cognitive function, while those with severe depression predominantly exhibited cognitive impairment. The relationship between depression level and cognitive function was statistically significant (p = 0.004).
Conclusion: Depression levels are significantly associated with cognitive decline in the elderly. Early detection of depression and cognitive stimulation are essential to prevent further cognitive deterioration. Interventions should include family- and community-based psychosocial support, cognitive stimulation, counseling, and emotional guidance. Family presence, such as living with children or relatives, serves as a protective factor for emotional stability and cognitive function. Healthcare professionals should integrate depression screening, family education, and cognitive interventions into elderly care plans to improve quality of life and independence.

Kualitas Hidup Lansia dengan Demensia dan Peran Dukungan Keluarga serta Lingkungan Perawatan di Poli Jiwa

Nurpah — 2026-04-02

Introduction: Dementia is a major health problem in older adults that affects cognitive function, psychosocial well-being, and overall quality of life. Cognitive decline in elderly individuals with dementia can lead to increased dependence and decreased daily functioning, which ultimately impacts their quality of life if not properly managed.
Objectives: This study aims to describe the quality of life of elderly people with dementia in the mental health clinic at Hospital X.
Method: This study used a descriptive quantitative design. The population included all elderly patients with dementia who visited the Mental Health Clinic at Hospital X. A total sampling technique was applied, involving 43 respondents. Data were collected using a questionnaire measuring quality of life and analyzed using univariate analysis to describe the distribution of variables.
Results: The findings showed that the majority of elderly people with dementia had a good quality of life, while the rest were categorized as having a poor quality of life. The mean score indicated relatively small variation among respondents, suggesting that most participants had comparable quality of life conditions.
Conclusion: Most elderly people with dementia in the Mental Health Clinic at Hospital X have a good quality of life. These findings provide a basis for developing appropriate nursing interventions and health services to improve the well-being of elderly patients with dementia.

Hubungan Kondisi Spiritual Dengan Tingkat Kualitas Hidup Lansia Hipertensi

Wati Wulandari — 2026-04-04

Introduction: Hypertension is a common chronic condition among older adults that can negatively affect their quality of life. In addition to physical factors, psychosocial and spiritual aspects play an important role in helping older adults adapt to their condition. A well-developed spiritual state is associated with better coping mechanisms, emotional stability, and a more positive outlook on life.
Objective: This study aimed to determine the relationship between spiritual condition and quality of life among elderly patients with hypertension.
Methods: This study used a quantitative analytical observational design with a cross-sectional approach. The population consisted of elderly patients with hypertension, and respondents were selected using a purposive sampling technique based on predetermined inclusion criteria. Data were collected using standardized instruments to measure spiritual well-being and quality of life. Data analysis was conducted using univariate and bivariate methods, and the relationship between variables was tested using the Chi-square test with a predetermined level of significance.
Results: The findings indicated that most elderly respondents with better spiritual conditions tended to have better quality of life. Statistical analysis showed a significant relationship between spiritual condition and quality of life, indicating that higher levels of spirituality are associated with improved perceptions of well-being among elderly patients with hypertension.
Conclusion: There is a significant relationship between spiritual condition and quality of life among elderly patients with hypertension. These findings emphasize the importance of integrating spiritual assessment and interventions into nursing care as part of a holistic approach to improve the overall well-being of elderly patients.