Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)

Health Belief as a Determining Factor in the Behavior of Complementary Therapy use in Cancer Patients Undergoing Treatment

Yesiana Dwi Wahyu Werdani, Nia Novita Sari — Wed, 29 Jan 2025 00:00:00 +0700

Aims: Analyzing the correlation between health beliefs and the behavior of using complementary therapies in cancer patients.

Methods: The study was conducted at the Indonesian Cancer Foundation (YKI) East Java Branch, Surabaya in July 2024 using a correlation design and cross-sectional approach and added interview methods to support quantitative data results. The population of all cancer patients at YKI, 33 patients was obtained according to the inclusion criteria. The instruments used were the Health Belief Questionnaire, and the Scale for Attitudes Towards Complementary and Alternative Medicine (SACAM), and continued by in deep interview to support the quantitative data.

Results: Mean of health belief score was 77.88 + 11.467 (good health belief category), and mean of the behavior of using complementary therapies was 42.48 + 8.758 (neutral behavior category). The results of the Kendal Tau test (p < 0.05) showed a significant correlation between health beliefs and behavior of using complementary therapies (p-value = 0.000).

Conclusions: Health beliefs are an important factor for cancer survivors in determining their decision-making behavior regarding medical treatment and complementary treatments.

Determinant Factors of Multidrug Resistant (MDR) in Pulmonary Tuberculosis Patients at Jatisari Karawang Pulmonary Hospital; A Cross Sectional Study

Vita Afni Syafila, Nita Syamsiah, Lilis Siti Hodijah, Uun Nurjanah — Fri, 31 Jan 2025 00:00:00 +0700

Aims : The aim of this study is to find out what factors contribute to the spread of Multidrug-Resistant Tuberculosis (MDR-TB) at Jatisari Karawang Hospital. It focuses on things like nutrition, patient adherence to treatment, motivation, family support, and how treatment is supervised.

Methods : This study uses a quantitative method with a cross-sectional approach, which looks at the relationship between risk factors and their effects at one time. It involves 249 patients who visited the MDR-TB clinic at Jatisari Regional Hospital in January 2024, with a sample size of 106 patients. The goal is to identify the factors that are linked to MDR-TB at the hospital in 2024.

Result : Most people in the study were under 60, and more males had MDR-TB. Many had poor nutrition (77.4%) and didn’t follow their medication (55.7%). Over half had low motivation (57.5%) and lacked family support (72.6%). About half had poor medication supervision (50.9%). These issues all played a role in the spread of MDR-TB.

Conclusion : In conclusion, most people in the study were under 60, male, had a junior high school education, and were unemployed. The study also found that factors like nutrition, taking medication correctly, motivation, family support, and medication supervision are linked to the spread of MDR-TB.

Unveiling Spousal Challenges and Expectations in Caring for Elderly Dementia Patients in Indonesia

Anung Ahadi Pradana, Rohayati Rohayati — Mon, 27 Jan 2025 00:00:00 +0700

Aims: Dementia is a progressive, terminal condition causing cognitive decline and dependency on caregivers, often spouses. Spousal caregivers face unique challenges, including physical, emotional, social, and financial burdens. However, limited research in Indonesia has explored the lived experiences, challenges, and expectations of spousal caregivers for elderly dementia patients.

Objective: This study aims to uncover the challenges and expectations of spousal caregivers for elderly dementia patients in Bekasi, Indonesia, to inform tailored support interventions.

Methods: Using a qualitative descriptive phenomenology approach, in-depth semi-structured interviews were conducted with 10 spousal caregivers. Participants were selected purposively, meeting inclusion criteria such as caregiving duration of over six months. Data were analyzed systematically through thematic analysis, validated via peer review and participant feedback.

Results: Two main themes emerged: (1) Optimal conditions expected of a partner, including hopes for condition improvement and miraculous recovery; and (2) Improving self and family conditions, involving desires to maintain caregiving responsibilities, avoid burdening children, and foster harmonious household relationships. Participants emphasized the importance of societal and governmental support for dementia care.

Conclusion: Spousal caregivers in Indonesia face significant challenges yet maintain optimistic expectations for their partners and families. This highlights the need for community-based monitoring systems and tailored interventions to reduce caregiver burden and improve dementia care quality.

Overcoming Constipation in Stroke Patients Using the I Love You and Swedish Massage Techniques

Putu Inge Suantika — Sat, 25 Jan 2025 00:00:00 +0700

Aims: This study aims to determine the effectiveness of a combination of the I LOVE YOU and Swedish techniques in relieving constipation in stroke patients.

Methods: This study employed a quasi-experimental design with a pre-post test in a single-group setting, involving 30 stroke patients. The intervention consisted of abdominal massage therapy using a combination of the I LOVE YOU and Swedish techniques, applied twice daily for 30 minutes over three consecutive days. The Bristol Stool Scale and a 5-point Likert scale for patient constipation assessment were used to measure outcomes. Descriptive statistics and the Wilcoxon test were applied to analyze the data.

Results: The findings indicated that the combination of the I LOVE YOU and Swedish techniques significantly improved bowel movements and reduced constipation in stroke patients, as evidenced by the Wilcoxon test results.

Conclusion: This study demonstrates that non-pharmacological abdominal massage techniques using the I LOVE YOU and Swedish methods can serve as effective alternatives for managing constipation in stroke patients.

Understanding the Needs of Patients’ Families in the Intensive Care Unit: A Comprehensive Literature Review

Ifa Hafifah, Siti Rahmi, Tina Handayani Nasution — Sat, 25 Jan 2025 00:00:00 +0700

Aims: Families of patients in intensive care units (ICUs) face significant psychological and emotional challenges, with diverse needs spanning assurance, information, proximity, support, and comfort. Understanding and addressing these needs is crucial for enhancing family well-being and satisfaction with ICU care.

Objective: This study aims to synthesize existing evidence on the needs of ICU patients’ families, identify priority domains, and explore factors influencing these needs.

Methods: A systematic literature review was conducted following PRISMA guidelines. Searches across PubMed, Scopus, CINAHL, Web of Science, and PsycINFO identified studies published between January 2015 and December 2024. Inclusion criteria focused on peer-reviewed articles addressing the emotional, informational, or practical needs of ICU patients’ families. Data extraction and quality assessment were performed using the Joanna Briggs Institute Critical Appraisal Tools. Thematic synthesis was applied for qualitative data, while quantitative findings were analyzed descriptively.

Results: From 11 studies, assurance emerged as the most critical need across diverse populations, followed by information, proximity, support, and comfort. Sociodemographic factors such as age, education level, and gender, as well as contextual factors like cultural norms and length of ICU stay, significantly influenced family needs. Assurance and information were universally prioritized, while proximity and support varied based on regional and cultural contexts.

Conclusion: ICU families’ needs are multidimensional and influenced by individual, clinical, and sociocultural factors. Assurance and information consistently rank as top priorities, highlighting the need for family-centered, culturally sensitive care strategies. Tailored interventions, effective communication, and policies facilitating family presence can address these needs and improve family satisfaction. Future research should explore real-time strategies and the role of technology in meeting family needs.

Effect of Telemonitoring and Nurse-Led Collaboration on Self-Management and Quality of Life in Heart Failure Patients in West Java

Fri, 31 Jan 2025 00:00:00 +0700

Aims: This study aimed to assess the combined effects of telemonitoring and nurse-led collaborative care on self-management, medication adherence, QoL, and hospital readmission rates among HF patients in West Java, Indonesia.

Methods: A randomized controlled trial (RCT) was conducted with 120 HF patients randomized into an intervention group (telemonitoring and nurse-led collaborative care) and a control group (standard education). The intervention included health education, telemonitoring of clinical parameters, and regular nurse follow-ups. The primary and secondary outcomes—hospital readmissions, self-management, medication adherence, and QoL—were measured using validated instruments. Data analysis was performed using multivariate regression and chi-square tests.

Results: Participants in the intervention group demonstrated significant improvements in self-management (mean score increased from 62.4 to 78.3), medication adherence (mean core increased from 4.3 to 6.8), and QoL (mean score decreased from 51.8 to 38.4) compared to the control group (p < 0.001). Additionally, the 180-day hospital readmission rate was significantly lower in the intervention group (30.0%) compared to the control group (60.0%, p < 0.001). Telemonitoring and nurse-led care independently reduced the odds of readmission by 3.8 times (OR: 3.8, 95% CI: 1.9–7.4, p < 0.001).

Conclusion: This scalable and effective model for HF management highlights the importance of culturally tailored interventions in low- and middle-income countries, offering a practical approach to overcoming resource limitations.

Effectiveness of Diaphragmatic Breathing Exercises in Enhancing Pulmonary Recovery and Expediting Water Seal Drainage (WSD) Removal in Pleural Effusion Patients at Persahabatan Hospital

Sumedi Sumedi, Fitria Rayasari, Puji Raharja Santosa — Sat, 25 Jan 2025 00:00:00 +0700

Aims: Pleural effusion, characterized by the abnormal accumulation of pleural fluid, poses significant health risks and often necessitates interventions such as water seal drainage (WSD) placement. Diaphragmatic breathing exercises (DBE) are non-invasive techniques that may enhance pulmonary recovery and expedite WSD removal by optimizing respiratory mechanics. Despite the potential benefits, limited research has explored their effectiveness in patients with pleural effusion.

Objective: This study aimed to evaluate the effectiveness of diaphragmatic breathing exercises in enhancing pulmonary recovery and expediting WSD removal in pleural effusion patients at Persahabatan Hospital, Jakarta, Indonesia.

Methods: A quasi-experimental, single-group pretest-posttest design was employed. Seventeen adult patients diagnosed with pleural effusion undergoing WSD placement were recruited through purposive sampling. Participants performed DBE twice daily for 15 minutes over seven days. Pulmonary recovery and WSD outcomes were assessed using a validated Pulmonary Recovery Assessment Questionnaire. Data were analyzed using paired t-tests, with statistical significance set at p < 0.05.

Results: The mean age of participants was 51.71 years (±10.12), with 64.7% female. Peak current respiration significantly improved from 103.53 L/min (±36.22) pre-intervention to 165.52 L/min (±75.28) post-intervention (p = 0.000). DBE also reduced the duration of WSD placement, indicating enhanced pulmonary recovery. Participants reported high feasibility and acceptability of the intervention.

Conclusion: Diaphragmatic breathing exercises significantly improve pulmonary recovery and expedite WSD removal in pleural effusion patients. These findings highlight the potential of DBE as a cost-effective, non-invasive adjunct in respiratory rehabilitation. Further research with larger sample sizes and long-term follow-up is recommended to validate these results.

The Direct and Indirect Effect of Spirituality and Self-Care on Quality of Life Among Patients with Chronic Kidney Failure

Johan Budhiana, Asita Elengoe, Mohamed Saefulaman Mohamed Said — Sat, 25 Jan 2025 00:00:00 +0700

Aims: Chronic kidney failure (CKF) is a significant global health issue, with profound impacts on patients' quality of life (QoL). Self-care and spirituality have been identified as key determinants influencing QoL among CKF patients undergoing hemodialysis. However, the interactive effects of these factors remain underexplored, particularly in Indonesia.

Objective: This study aims to investigate the direct and indirect effects of spirituality and self-care on QoL among CKF patients undergoing hemodialysis at Sekarwangi Hospital, Sukabumi Regency.

Methods: A correlational research design was employed, involving 71 CKF patients undergoing routine hemodialysis. Participants were selected using purposive sampling based on inclusion criteria. Data were collected using validated instruments: the Hemodialysis Patients’ Self-Care Measurement Scale (HPSCMS), Spiritual Well-Being Scale (SWBS), and Kidney Disease Quality of Life Short Form (KDQOL-SF™ v1.3). Path analysis was conducted to assess the direct and indirect effects of spirituality and self-care on QoL.

Results: Spirituality exhibited a significant direct effect on QoL (β = 0.381, p < 0.001) and an indirect effect through self-care (β = 0.384), with a total effect of 0.765. Self-care also had a significant direct effect on QoL (β = 0.547, p < 0.001). Higher spirituality and better self-care practices were associated with improved QoL in CKF patients.

Conclusion: The findings underscore the importance of spirituality and self-care in enhancing QoL among CKF patients undergoing hemodialysis. Integrating spiritual support and promoting self-care behaviors into patient care could significantly improve outcomes. Future interventions should adopt a holistic approach, addressing both physical and spiritual dimensions of care.

Factors Associated with Resilience Family Caregiver of Patients with Dementia

Rohayati Rohayati, Anung Ahadi Pradana — Mon, 27 Jan 2025 00:00:00 +0700

Aims: Dementia represents a critical public health issue. Family caregivers play a vital role in providing care due to limited healthcare resources, yet they face significant bio-psycho-social challenges that impact their resilience. Understanding the factors influencing caregiver resilience is crucial for developing targeted interventions.

Objective: This study aimed to analyze factors associated with the resilience of family caregivers of PwD in Bekasi City, Indonesia.

Methods: A cross-sectional study was conducted among 42 family caregivers of PwD. Resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC). Descriptive and bivariate analyses were performed to examine associations between demographic characteristics, caregiving duration, dementia knowledge, and resilience.

Results: The majority of caregivers were female (71.4%), aged 18–59 years (83.3%), and unemployed (71.4%). Most caregivers had a moderate level of resilience (71.4%), while 28.6% demonstrated high resilience. Bivariate analysis showed no significant associations between resilience and demographic factors, including gender, age, education level, employment status, caregiving duration, and dementia-related knowledge (p > 0.05).

Conclusion: Resilience among caregivers is not significantly influenced by demographic variables, highlighting the importance of focusing on psychosocial and environmental factors to strengthen resilience. Future efforts should prioritize community-based interventions, stress management programs, and social support systems to enhance the well-being of caregivers and the quality of care for PwD.

The Effectiveness of Mindfulness Practices in Alleviating Stress Among Emergency Care Nurses

Eka Nurjanah, Estin Yuliastuti, Suyatno Suyatno — Wed, 29 Jan 2025 00:00:00 +0700

Aims: All hospital staff were at risk of experiencing stress, but nurses often faced higher levels of stress, especially in the emergency department. If the stress experienced by nurses was not addressed promptly, it could lead to psychosocial issues and negatively impact their performance. This study evaluated the effectiveness of a 15-minute mindfulness intervention in reducing stress among nurses in the emergency department.

Method: This study was a quasi-experimental with a one group pretest-posttest design, conducted from December 15 to 17, 2023, in an emergency department at a hospital in Sragen. A total of 15 respondents were selected using total sampling. This study only utilized 14 items to measure stress of the DASS (Depression Anxiety Stress Scale) before and after the Mindfulness intervention, which was conducted in a group setting for 15 minutes. Data were analyzed using the Wilcoxon Rank Test.

Results: The analysis showed a p-value of 0.000 (p<0.05).

Conclusion: Mindfulness practices significantly impacted the stress levels of nurses in the emergency department. This study supports the integration of mindfulness practices in stress management programs for emergency department nurses.

The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta

Fri, 31 Jan 2025 00:00:00 +0700

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta.

Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA.

Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group.

Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs

Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.

Knowledge, Attitude, and Practice Toward Infection Prevention Strategies Pre- and Post-COVID-19 Among Nursing Students: A Systematic Review

Yayu Nidaul Fithriyyah, Syahirul Alim — Tue, 28 Jan 2025 00:00:00 +0700

Aims: COVID-19 (Coronavirus Disease 2019) has significantly impacted infection control, highlighting the vulnerabilities of the global healthcare system. This study evaluates measurable outcomes and barriers in nursing students' knowledge, attitudes, and practices, and barriers to infection prevention before and after COVID-19.

Method: systematic review, with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) registered on PROSPERO: CRD42022322706. Using the PICO framework for article selection: Population (involving nursing students), Intervention/exposure (infection control or prevention), Compare and Outcome (knowledge, attitudes, and practice). We searched nine databases from March to June 2022, with inclusion criteria for full-text articles published in English from 2012 to 2022. The study quality used The Joanna Briggs Institute (JBI) Critical Appraisal tool and the National Institutes of Health (NIH). PICO synthesis for analysis.

Results: Of 3,030 articles, only 15 met the criteria for inclusion: Cross-sectional (12/15, 80%), Descriptive study (2/12, 13%), and pre-post study (1/15, 6.67%). Infectious disease (4/15, 26.6%) and All disaster events (4/15, 26.6%), with the condition: pre-COVID-19 (11/15,73.3%), and during COVID-19 (4/15, 26.6%). The five themes were: (1) nursing students' knowledge level regarding infection control standards, (2) nursing students' attitudes towards infection control standards, (3) nursing students' practice on infection control standards, (4) factors affecting infection control in nursing students, (5) roles of nursing schools and hospitals in infection control.

Conclusion: Nursing students showed increased knowledge, but gaps in attitudes and practice remain. Future efforts should develop standardized infection prevention curricula, integrate social media training, and strengthen academic-healthcare partnerships.

Cancer Care in the Community Setting: A Mixed Method Study

Sat, 25 Jan 2025 00:00:00 +0700

Aims: This study evaluated palliative care services in Indonesia, focusing on proposing a community-based model to enhance cancer care.

Method: A mixed-method approach was employed, involving quantitative analysis of 200 patients’ personal and treatment factors and qualitative insights from 21 stakeholders to FGDs and in-depth interviews.

Results: The qualitative results highlight five themes: 1) illness as a subjective and culturally influenced concept, 2) family’s role in treatment decision-making, 3) perceptions of healing through multiple treatment modalities, 4) finding positive meaning in illness, and 5) hopes and aspirations for recovery. The quantitative results show that 55.5% of patients had inadequate knowledge, with 69.5% preferring modern therapy. A significant relationship was found between knowledge, perception, and treatment options, while no significant correlation was observed with self-confidence or diagnosis date.

Conclusion: An integrated community-based palliative care model tailored to Indonesia’s healthcare system is proposed to improve the quality of life for cancer patients.

The Effectiveness of Brogandi (A Combination of Broccoli and Centella Asiatica) on Cognitive Function Among Nursing Students

Vinanda Istiqomah, Lisna Anisa Fitriana, Irma Darmawati — Sat, 25 Jan 2025 00:00:00 +0700

Aims: This study aimed to evaluate the effectiveness of Brogandi, a combination of Broccoli and Centella asiatica, in improving the cognitive function of nursing students.

Methods: A quasi-experimental pre- and post-test design was conducted involving 40 nursing students, who were divided into an intervention group (n = 20) and a control group (n = 20). Cognitive function was assessed using the Trail Making Test-B (TMT-B), Visual Recall, and Backward Digit Span. The intervention group received Brogandi supplementation at a dosage of 1000 mg twice daily for 14 days, while the control group did not receive any supplementation. Statistical analysis was performed to compare pre- and post-test results between the groups.

Results: The intervention group exhibited significant improvements in cognitive performance across all tests compared to the control group. TMT-B and Backward Digit Span scores in the intervention group improved significantly (p < 0.001), and Visual Recall also showed a significant enhancement (p = 0.001). In contrast, the control group did not demonstrate significant changes in any cognitive test (p ≥ 0.248).

Conclusion: The bioactive compounds in Brogandi —sulforaphane, asiaticoside, vitamin C, and vitamin E—are believed to contribute to its neuroprotective and neuroplasticity-enhancing effects. These findings suggest that Brogandi is a promising nutritional intervention for improving cognitive function, particularly in college students with high academic demands. Further research with larger and more diverse samples is needed to confirm these results and explore potential mechanisms.

Empowering Communities: The Impact of Digital Health Education Modules on Disaster Preparedness

Nyayu Nina Putri Calisanie, Nindi Mastriyani, Septa Permana, Ramdani Ramdani — Thu, 30 Jan 2025 00:00:00 +0700

Aims: The primary aim is to raise catastrophe awareness and preparedness, especially in disaster-prone areas. Health education and consulting by nurses using digital media like modules to teach disaster planning, first aid, and recovery can assist communities recover from disasters.

Method: This research is a Quasi Experiment research with a research design. Quasi-Experimental Two Group pretest-posttest design . The number of respondents was 60. Inclusion criteria in this study were aged 17-35 years .

Results: Mann-Whitney Test Analysis . The average value of the intervention group was greater than the control group. The Sig. (2-tiled) value shows that there is a significant influence of the Digital Module intervention on the level of disaster preparedness in the community with a p-value of 0.000 <0.05.

Conclusion: In this study, it can be concluded that the Digital Module has an influence on increasing community preparedness in the intervention and control groups, there is a significant difference.

Exploring the Impact of Family, Social Support, and Health Workers on Reproductive Health Behaviors Among Blind Adolescents in Sukabumi City and Regency

Hana Haryani, Faridah Mohd Said, Nur Syazana Umar — Fri, 31 Jan 2025 00:00:00 +0700

Aims: The purpose of this study is to investigate how family support, social support, and the involvement of health workers affect the reproductive health of blind teenagers in Sukabumi City and Regency.

Methods: This study is correlational and uses a cross-sectional technique. The population is made up of 42 teenagers from Sukabumi City and Regency who have visual problems. They were chosen via complete sampling. Multiple linear regression was used to do the statistical analysis.

Results: The results demonstrated that the sources of information had a considerable impact on the reproductive health behavior of teenagers with visual difficulties (p-value = 0.000). There was a relationship between knowledge and reproductive health behavior (p-value = 0.000), as well as a connection between attitudes and reproductive health behavior (p-value = 0.000). Furthermore, the reproductive health behaviors of teenagers with visual difficulties were simultaneously influenced by information sources, knowledge, and attitudes (p-value = 0.000).

Conclusion: The way teenagers with visual difficulties approach reproductive health is greatly impacted by their sources of information, knowledge, and attitudes. In order to better safeguard and assist teenagers with visual impairments, relevant authorities and the government can use the results of this study as a reference.

Factors Associated with Spirituality in Patient Undergoing Hemodialysis

Yuanita Panma — Sat, 25 Jan 2025 00:00:00 +0700

Aims: Chronic Kidney Disease (CKD) is a global health burden, with hemodialysis being a critical yet life-altering therapy. Spirituality has emerged as an essential dimension influencing the well-being of patients undergoing hemodialysis. However, there is limited understanding of the factors associated with spirituality among Indonesian patients, necessitating culturally sensitive research.

Objective: This study aimed to identify factors associated with spirituality in patients undergoing hemodialysis in Indonesia.

Methods: A cross-sectional study was conducted in Jakarta's hemodialysis unit in 2017, involving 148 participants selected through consecutive sampling. Data were collected using validated instruments, including the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT Sp12), the Beck Depression Inventory (BDI), the Medical Outcomes Study-Social Support Survey (MOS-SSS), and the Kidney Disease Quality of Life Short Form (KDQOL-SF36). Data were analyzed using univariate, bivariate, and multivariate logistic regression.

Results: The majority of participants were female (52%), married (76.3%), and unemployed (75%), with an average age of 54.86 years. Half of the participants exhibited high spiritual levels (50.7%). Social support (OR = 1.052, p < 0.001) and depression (p < 0.05) were significantly associated with spirituality. Other variables, including HD frequency, duration of HD, and burden of kidney disease, were identified as confounders.

Conclusion: Social support and depression significantly influence the spiritual well-being of hemodialysis patients, highlighting the need for comprehensive care approaches that address social and mental health alongside spiritual needs. Tailored interventions, including family-centered and spiritual counseling, can improve the quality of life for these patients.

Factors Affecting Academic Burnout Among Nursing Students

Lia Novianty, Faridah Mohd Said, Nisha Nambiar — Fri, 31 Jan 2025 00:00:00 +0700

Aims: Students undergoing lectures will be faced with various demands and pressures in the academic field. Demands and pressures that cannot be overcome can cause students to be vulnerable to academic burnout which will have an impact on academic success. Academic self-efficacy, academic engagement, and social support are all factors that can help students avoid academic burnout. The purpose of this study was to see how academic self-efficacy, academic engagement, and social support affected academic burnout in nursing students.

Methods: The nursing students at STIKes Sukabumi participated in a Cross Sectional Study for this research. 310 nursing students were selected at random using stratified sampling for this study. The data collection tools using questionnaires. The instruments used are the Maslach Burnout Inventory-Stundent Survey (MBI-SS), Academic Engagement Scale (AES), multidimensional scale of perceived social support (MSPSS) and College Academic Self-Efficacy Scale (CASES). Statistical analysis uses multiple linear regression

Results: The results of this study show that academic self-efficacy affects academic burnout (b=-1,736, p=0,000), academic engagement affects academic burnout (b=-1,043, p=0,000), social support can affect academic burnout (b=-1,021, p=0,000)

Conclusions: Academic self-efficacy, academic engagement, Social support, has an influence on academic burnout

The Effectiveness of Audio-Visual-Based Education on Type 2 Diabetes Mellitus in Enhancing Self-Awareness Among Adolescents at Risk: A Quasi-Experimental Study

Susy Puspasari, Ina Hardiani — Thu, 30 Jan 2025 00:00:00 +0700

Aims: Aims of this study to determine the effect of providing audio-visual-based type 2 diabetes mellitus education on self-awareness in adolescents at risk of type 2 diabetes mellitus.

Methods: A two-group quasi-experimental design is used in quantitative research, and G-Power 3.1 is used as a selection method. The 100 students in the study were split into two groups: the intervention group and the control group. The Public Awareness of Diabetes questionnaire was used. To be eligible, people had to be in the low to moderate risk group for DM and have a gadget. The Paired Sample T-test and Wilcoxon's rank were used to analyze the data.

Results: The Paired Sample T-test analysis revealed a significant difference in the intervention group following education on type 2 diabetes mellitus, with a p-value of <0.001 and a t-value of 3.744. Simultaneously, the control group employed Wilcoxon's rank, yielding a p-value of 0.079 and an r-value of 1.756.

Conclusions: There was an effect of providing type 2 diabetes mellitus education on self-awareness in adolescents at risk of type 2 diabetes mellitus in the intervention group. However, there was no effect of providing type 2 diabetes mellitus education on self-awareness in adolescents at risk of type 2 diabetes mellitus in the control group. This may be because there are differences in the treatment given to the two groups.

Gethok Tular: A Source of Self-Care Knowledge for Older Women with Hypertension in Rural Areas

Fri, 31 Jan 2025 00:00:00 +0700

Aims: This study explores the role of gethok tular (oral tradition) in promoting self-care management among elderly Javanese women with hypertension in rural areas, where access to health information remains limited despite existing education programs.

Methods: This study employed a qualitative ethnographic approach conducted between January and June 2022. Data were collected through in-depth interviews and observations involving five elderly women in Ngrawan Village, Semarang Regency. To ensure triangulation, additional insights were gathered from midwives and posbindu (integrated healthcare posts for non-communicable diseases) cadres. The participants were Javanese women aged 60 years or older, born and residing in Ngrawan Village, diagnosed with hypertension for more than two years, and actively participating in posbindu activities. Content analysis was used to interpret the data.

Results: Gethok tular facilitates the informal exchange of hypertension-related knowledge, particularly during interactions at posbindu sessions. Despite limited understanding of hypertension, participants practiced self-care by staying active, attending check-ups, and using herbal remedies like soursop and avocado leaves to manage symptoms.

Conclusion: The gethok tular tradition offers a culturally relevant method for disseminating health information and improving self-care practices in rural communities. This approach holds potential for integration into community-based health programs.