Improvement of clean and healthy family living behavior through a home visit approach by community nurses

Authors

  • Syahrir Syahrir Universitas Islam Makassar, South Sulawesi, Indonesia
  • Lumastari Ajeng Wijayanti Poltekkes Kemenkes Malang, East Java, Indonesia
  • Nofita Tudang Rombeallo STIKES Lakipadada, South Sulawesi, Indonesia
  • Natalia Datu Stikes Datu Kamanre, South Sulawesi, Indonesia

DOI:

https://doi.org/10.35816/abdimaspolsaka.v4i2.96

Keywords:

Clean and Healthy Living Behavior, Community Nurse, Family Empowerment, Health Behavior, Home Visit

Abstract

Clean and Healthy Living Behavior (CHLB) is a critical indicator in improving public health status. However, many families have yet to fully implement CHLB practices in their daily lives, particularly in areas with limited education and access to health information. This community service program aimed to enhance family-level CHLB through a home visit approach conducted by community nurses. The method employed was an educational and participatory approach, where community nurses conducted regular home visits over three months. Each visit included direct health education, environmental observation, discussions with family members, and distribution of educational materials on CHLB. Topics included handwashing with soap, clean drinking water management, environmental sanitation, and prevention of infectious diseases. Based on local health data, the program targeted 30 households in a designated community. The results showed a significant improvement in both knowledge and practice of CHLB among the targeted families. Approximately 85% of the families demonstrated increased scores in the CHLB evaluation post-intervention. Positive behavioural changes were also observed, such as consistent handwashing before meals and after using the toilet, as well as better household waste management practices. These outcomes indicate that the home visit strategy by community nurses is an effective method for promoting health behavior change at the family level. This initiative is expected to serve as a replicable model for other communities, with the support of cross-sector collaboration. It emphasises the importance of family-based empowerment in health promotion and disease prevention efforts.

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References

Buck-McFadyen, E., & Okoye, N. (2025). Motels as rural homeless shelters: A qualitative study across five Ontario communities. Wellbeing, Space and Society, 8, 100272. https://doi.org/10.1016/j.wss.2025.100272

Cahya Mulat, T., Kamaruddin, M. I., & Nordianiwati, N. (2025). Education on healthy living culture to increase children’s awareness from an early age. Jurnal Pengabdian Masyarakat Edukasi Indonesia, 2(1), 25–31. https://doi.org/10.61099/jpmei.v2i1.66

Damsté, C., Oerlemans, A., Knippenberg, M., van Gurp, J., Hulscher, M., & ten Oever, J. (2025). Moral tensions when providing care to MDRO carriers: A qualitative study among health care providers in Dutch hospitals and nursing homes. American Journal of Infection Control. https://doi.org/10.1016/j.ajic.2025.05.013

Dermody, G., Wadsworth, D., Dunham, M., Glass, C., & Fritz, R. (2024). Factors Affecting Clinician Readiness to Adopt Smart Home Technology for Remote Health Monitoring: Systematic Review. JMIR Aging, 7, e64367. https://doi.org/10.2196/64367

Eltaybani, S., Anezaki, S., Fukui, C., Igarashi, A., Sakka, M., Noguchi-Watanabe, M., Inagaki-Asano, A., Kojima, T., & Yamamoto-Mitani, N. (2025). Association between home-visit nursing use and the occurrence of unfavorable health outcomes among community-dwelling older adults: A prospective cohort study. Geriatric Nursing, 63, 661–669. https://doi.org/10.1016/j.gerinurse.2025.04.010

Enkel, S. L., Dalton, R., Clements, C., Thomas, H. M. M., McRae, T., Amgarth-Duff, I., Mullane, M., Wiese, L., Bedford, L., Lansbury, N., Carapetis, J. R., Wright, E., & Bowen, A. C. (2025). ‘Beyond core business’: A qualitative review of activities supporting environmental health within remote Western Australian schools. Dialogues in Health, 6, 100215. https://doi.org/10.1016/j.dialog.2025.100215

García-Sangenís, A., Modena, D., Jensen, J. N., Chalkidou, A., Antsupova, V. S., Marloth, T., Theut, A. M., González López-Valcárcel, B., Raynal, F., Vallejo-Torres, L., Lykkegaard, J., Hansen, M. P., Søndergaard, J., Olsen, J. K., Munck, A., Balint, A., Benko, R., Petek, D., Sodja, N., … Llor, C. (2024). Improving Antibiotic Use in Nursing Homes by Infection Prevention and Control and Antibiotic Stewardship (IMAGINE): Protocol for a Before-and-After Intervention and Implementation Study. JMIR Research Protocols, 13, e60099. https://doi.org/10.2196/60099

Holland, M. R., & Skinner, M. W. (2025). Rural family carer health work and ageing at home in New Brunswick, Canada. Journal of Rural Studies, 114, 103541. https://doi.org/10.1016/j.jrurstud.2024.103541

Kim, G. S., Park, M. K., Lee, J. J., Kim, L., Lee, J. Y., & Kim, N. (2025). Situational and environmental risk factors associated with home falls among community-dwelling older adults: Visualization of disparities between actual and perceived risks. Geriatric Nursing, 62, 221–228. https://doi.org/10.1016/j.gerinurse.2025.02.006

Ntsweng, O., Kodyš, M., Ong, Z. Q., Zhou, F., Marassé-Enouf, A. de, Sadek, I., Aloulou, H., Tan, S. S.-L., & Mokhtari, M. (2025). Lessons Learned From the Integration of Ambient Assisted Living Technologies in Older Adults’ Care: Longitudinal Mixed Methods Study. JMIR Rehabilitation and Assistive Technologies, 12, e57989. https://doi.org/10.2196/57989

Nurhanifah, D., Ihsan Kamaruddin, M., & Andani, N. (2024). Clean and Healthy Living Behavior Education to improve the knowledge of Elementary School Students. Jurnal Pengabdian Masyarakat Edukasi Indonesia, 1(1), 29–35. https://doi.org/10.61099/jpmei.v1i1.35

Prabu Aji, S., Sumarmi, S., Millati, R., Tri Wijayanti, Y., & Aris Tyarini, I. (2024). Increasing Community Nutrition Awareness through Balanced Nutrition Education Program. Abdimas Polsaka, 3(1), 33–39. https://doi.org/10.35816/abdimaspolsaka.v3i1.65

Rousseau, J. B., Cavenagh, Y., & Bender, K. K. (2024). Planning, Implementation, and Evaluation of a Postpartum Nurse Home Visit Service to Improve Health Equity. Journal of Obstetric, Gynecologic & Neonatal Nursing, 53(6), 679–688. https://doi.org/10.1016/j.jogn.2024.06.005

Sivasamy, V., Ng, R. Q. M., Lee, J. H. M., & Mamun, K. (2025). A narrative review of the role of geriatric advanced practice nurses in the care of frail older adults in Singapore. Geriatric Nursing, 61, 342–348. https://doi.org/10.1016/j.gerinurse.2024.11.004

Sri Dahrianti, E., Rasdin, R., Idhan, M., & Nengsiana, N. (2024). Counseling on Early Prevention of Stunting at Maccini Sombala. Abdimas Polsaka, 3(1), 47–52. https://doi.org/10.35816/abdimaspolsaka.v3i1.71

Suprapto, S., & Arda, D. (2021). Pemberdayaan Masyarakat Melalui Penyuluhan Perilaku Hidup Bersih dan Sehat Meningkatkan Derajat Kesehatan Masyarakat. Jurnal Pengabdian Kesehatan Komunitas, 1(2), 77–87. https://doi.org/10.25311/jpkk.Vol1.Iss2.957

Suprapto, S., & Mulat, T. C. (2021). Faktor Determinan Pengembangan Kapasitas Perawat dalam Pelayanan Kesehatan. Jurnal Ilmiah Kesehatan Sandi Husada, 10(2), 416–422. https://doi.org/10.35816/jiskh.v10i2.628

Suprapto, S., Mulat, T. C., & Lalla, N. S. N. (2021). Nurse competence in implementing public health care. International Journal of Public Health Science (IJPHS), 10(2), 428. https://doi.org/10.11591/ijphs.v10i2.20711

Varela, E. G., Shelnutt, K. P., Miller, D. M., Zeldman, J., & Mobley, A. R. (2024). Policy, Systems, and Environmental Strategies to Support Healthy Eating Behaviors in Early Childhood: A Scoping Review of Existing Evaluation Tools. Journal of the Academy of Nutrition and Dietetics, 124(12), 1614-1645.e23. https://doi.org/10.1016/j.jand.2024.07.160

Warsz, L., Jankowski, M., Oberska, J., & Gujski, M. (2024). Improved functional status from people with disabilities discharged from day medical care homes from 2017-2023 in Poland. Geriatric Nursing, 60, 433–439. https://doi.org/10.1016/j.gerinurse.2024.10.003

Wijayanti, L. A., Nurhanifah, D., Nordianiwati, N., Sihombing, Y. A., & Evie, S. (2024). Analysis of the influence of communication, leadership, and work teams on nurse discipline. Jurnal Ilmiah Kesehatan Sandi Husada, 13(1), 26–32. https://doi.org/10.35816/jiskh.v13i1.1153

Wright, K. D., Richards Adams, I. K., Helsabeck, N. P., Rose, K. M., Moss, K. O., Nemati, D., Palmer, N., Kim, B., Pokhrel Bhattarai, S., Nguyen, C., Addison, D., & Klatt, M. D. (2025). Stress and Hypertension Among African American Female Family Caregivers of Persons Living With Alzheimer Disease and Related Dementias: Protocol for a Pilot Internet-Based Randomized Controlled Trial. JMIR Research Protocols, 14, e66975. https://doi.org/10.2196/66975

Xu, Z., Zhang, D., Yip, B. H.-K., Lee, E. K.-P., Poon, P. K.-M., Peters, R., Yang, Z., Lee, A. T.-C., Leung, M. K.-W., Wong, E. L.-Y., Mok, V. C.-T., Lam, L. C.-W., & Wong, S. Y.-S. (2025). Combined mind–body physical exercise, cognitive training, and nurse-led risk factor modification to enhance cognition among older adults with mild cognitive impairment in primary care: a three-arm randomised controlled trial. The Lancet Healthy Longevity, 6(4), 100706. https://doi.org/10.1016/j.lanhl.2025.100706

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Additional Files

Published

2025-08-12

How to Cite

Syahrir, S., Ajeng Wijayanti, L., Tudang Rombeallo, N., & Datu, N. (2025). Improvement of clean and healthy family living behavior through a home visit approach by community nurses. Abdimas Polsaka, 4(2), 83–90. https://doi.org/10.35816/abdimaspolsaka.v4i2.96

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