Introduction: Medication counseling is an essential component of patient-centered pharmaceutical care, contributing to medication safety, adherence, and patient satisfaction. In hospital pharmacy settings, counseling practices are often influenced by workload and service constraints, resulting in variability in counseling frequency. Understanding how patients perceive and interpret the frequency of medication counseling is therefore important for improving the quality of pharmacy services. This study aimed to explore patients’ perceptions of the frequency of medication counseling provided by pharmacists and to examine its role in shaping patient satisfaction within a hospital pharmacy setting. Research Methodology: A qualitative case study design was employed at the pharmacy installation of a regional general hospital in Indonesia. Data were collected through in-depth interviews with patients, pharmacists, and supporting staff, complemented by non-participant observations and document review. Participants were selected using purposive sampling. Data were analyzed thematically through data condensation, data display, and conclusion drawing, with credibility ensured through triangulation of sources and techniques. Results: The findings revealed that medication counseling frequency was delivered inconsistently and varied according to workload, patient volume, and medication characteristics. Patients perceived frequent counseling as a sign of professional care that enhanced understanding, confidence, and trust in pharmacists. Consistent counseling contributed positively to patient satisfaction, whereas limited counseling led to uncertainty in medication use. Organizational factors, such as staffing limitations and service flow, were identified as key constraints on counseling practices. Conclusion: Medication counseling frequency is a meaningful experiential factor that shapes patient satisfaction and the quality of pharmacist-patient interactions. Strengthening counseling consistency through organizational support and standardized practices may improve patient-centered pharmaceutical care in hospital settings.
Introduction: Anxiety during pregnancy, particularly in the third trimester, is a common psychological condition that may adversely affect the childbirth process and maternal well-being. Home care services provide a holistic and continuous approach that integrates education, emotional support, and family involvement, potentially reducing childbirth-related anxiety. However, evidence on the effectiveness of home care in primary health care settings remains limited. This study aimed to examine the effect of home care services on anxiety levels among third-trimester pregnant women facing childbirth. Research Methodology: A quantitative quasi-experimental study with a posttest-only control group design was conducted at Pattingaloang Primary Health Center from June to August 2025. A total of 40 third-trimester pregnant women were selected using accidental sampling and assigned to an intervention group (n = 20) receiving home care services and a control group (n = 20) receiving standard antenatal care. Anxiety levels were measured using a structured questionnaire. Data were analyzed using univariate analysis and the Independent Sample t-test. Results: Most pregnant women in the intervention group were not anxious (85.0%), while the majority in the control group experienced anxiety (75.0%). The mean anxiety score in the intervention group was significantly lower than that in the control group (17.90 ± 4.05 vs. 25.80 ± 5.12; p < 0.001). Conclusion: Home care services significantly reduce anxiety among third-trimester pregnant women facing childbirth. Integrating home care into routine antenatal services may enhance psychological preparedness and maternal well-being.
Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by persistent hyperglycemia and is frequently associated with low levels of physical activity. Limited access to structured exercise programs remains a major barrier to optimal diabetes management, particularly in primary healthcare settings. Video-based home exercise programs offer a practical and accessible approach to promoting physical activity and improving glycemic control. This study aimed to evaluate the effectiveness of a video-based home exercise program on physical activity levels and fasting blood glucose among patients with T2DM. Research Methodology: A quantitative quasi-experimental study with a one-group pretest–posttest design was conducted among 30 patients with T2DM at a primary healthcare facility. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), while fasting blood glucose levels were measured before and after the intervention. Data were analyzed using the Wilcoxon Signed Ranks Test and paired t-test, with statistical significance set at p < 0.05. Results: The intervention resulted in a significant increase in physical activity levels (Z = –4.704; p = 0.000). In addition, mean fasting blood glucose levels decreased significantly from 172.60 ± 29.41 mg/dL to 151.87 ± 27.83 mg/dL (t = 2.665; p = 0.012). Conclusion: The video-based home exercise program was effective in improving physical activity and glycemic control among patients with T2DM. This intervention is a feasible, low-cost strategy to support diabetes self-management in primary healthcare settings
Introduction: Child development is a fundamental aspect determining their future quality of life. Stunting, as a long-term nutritional disorder, remains a significant health issue in Indonesia, with a prevalence of 30.8%, according to Riskesdas 2018. Developmental check-ups play a key role in detecting developmental deviations. Yet, parental involvement remains low and is closely related to the level of understanding and number of children they have. Method: his research employed a cross-sectional approach using a questionnaire on parental knowledge and participation in child development screening, involving 47 respondents. Results: Chi-square test results showed a significant correlation between knowledge level and parental participation (p=0.01), while parity was not significantly associated with parental involvement (p=0.60). Conclusion: The analysis results indicate a significant relationship between knowledge and parental participation in child developmental screening, whereas parity does not show a statistically significant relationship with parental involvement.
Introduction: Osteoarthritis (OA) and hypertension are common chronic degenerative diseases in the elderly, often affecting physical function and quality of life. This case study aimed to assess a holistic management plan for an elderly male patient using the principles of family medicine. Method: This was a descriptive case study involving a 76-year-old male patient presenting with bilateral knee and ankle pain for three years and newly diagnosed hypertension. Data were collected through anamnesis, physical examination, home visits, and family assessments. Interventions included pharmacological treatment and structured non-pharmacological management with educational counseling based on patient-centred and family-focused care. Results: Pharmacological therapy included meloxicam, vitamin B12, and amlodipine. Non-pharmacological strategies focused on lifestyle modification, OA-targeted exercises, and disease education for the patient and family. Post-intervention, the patient reported reduced pain (VAS score reduced from 7 to 2), improved blood pressure (from 159/90 mmHg to 140/83 mmHg), and enhanced disease knowledge (pre-test 60% to post-test 90%). Family support and environmental factors also improved. No adverse effects or complications were observed during the intervention. Conclusion: A comprehensive family medicine approach combining medical therapy and targeted education effectively improved clinical symptoms and patient understanding in managing OA and hypertension in the elderly. These findings highlight the importance of family involvement and continuous health education at the primary care level.
