Jurnal Keperawatan Komprehensif (JKK)
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Factors Associated with Spirituality in Patient Undergoing Hemodialysis
No full textAims: 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\u27s 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
The Relationship Between Family Support and Religiosity with Quality of Life in Breast Cancer Patients in Sukabumi, West Java Indonesia
No full textBackground: As a major public health concern on a worldwide scale, breast cancer impacts not just the physical health of patients but also their mental, emotional, social, and spiritual well-being, frequently leading to a decline in QoL. Although both family support and religion are known to have a significant impact on quality of life, the combined impacts of these two characteristics have not been thoroughly studied, especially in the cultural setting of Indonesia.
Objective: The purpose of this research is to look at how breast cancer patients in Sukabumi, West Java, Indonesia, fare when it comes to family support, religious affiliation, and quality of life.
Methods: The 320 women diagnosed with breast cancer at four different Sukabumi hospitals participated in a quantitative cross-sectional study that took place in 2020 and 2021. To gather data, researchers used validated instruments such as the EORTC QLQ-C30 for quality of life, the Family Support Scale for family support, and the Duke University Religion Index (DUREL) for religiosity. The associations between variables were examined using descriptive and inferential methods, including multiple regression.
Results: The mean scores for family support, religiosity, and QoL were 12.51 (SD = 2.161), 22.89 (SD = 3.554), and 44.04 (SD = 8.556), respectively. Simple regression analysis revealed significant positive relationships between family support (B = 2.718, p < 0.001, R² = 47.1%) and religiosity (B = 1.664, p < 0.001, R² = 47.8%) with QoL. Multiple regression analysis indicated that family support and religiosity jointly explained 57.2% of the variance in QoL (p < 0.001). Quality of life (QoL), family support (12.51; SD= 2.161), and religion (22.89; SD= 3.554) had respective mean ratings of 44.04 (SD= 8.556). The results of the simple regression analysis showed that religiosity (B = 1.664, p < 0.001, R² = 47.8%) and family support (B = 2.718, p < 0.001) were significantly positively correlated with quality of life (QoL). According to multiple regression analysis, 57.2% of the variation in quality of life (QoL) was explained by both family support and religion (p < 0.001).
Conclusion: Religion and the support of family members are important factors in determining quality of life for breast cancer patients. Their combined impact highlights the significance of care options that incorporate spiritual and familial support. These results give light on how to improve the quality of life and holistic treatment for breast cancer patients in Indonesia by creating interventions that are culturally specific
Effect of Telemonitoring and Nurse-Led Collaboration on Self-Management and Quality of Life in Heart Failure Patients in West Java
No full textAims: 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
Unraveling the Impact of Physical Activity Patterns on Psychological Stress in Nursing Students: Evidence from the COVID-19 Crisis
No full textBackground: During the COVID-19 outbreak, many citizens were asked to stay at home in self-quarantine, which can be difficult in terms of remaining physically active and maintaining mental health.
Objective: The goal of this study was to examine the relationship between physical activity and stress levels among nursing students during the COVID-19 pandemic.
Methods: The correlational method was used in this study. A cross-sectional method was used. The participants in this study were nursing students from the Faculty of Medicine and Health Sciences. The sampling method used was simple random sampling, and the sample size was 219 students. The IPAQ and PSS-10 questionnaires were used in this study as instruments and then analysed using Spearman Rank.
Results: According to the Spearman test results, the value of sig. (2-tailed) is 0.274, which is p > 0.05. It showed a relationship with an insignificant correlation value in the cross-tabulation correlation test.
Conclusions: Physical activity and stress levels among nursing students do not significantly correlate during the COVID-19 pandemic. These findings highlight the importance of physical activity in maintaining psychological well-being among nursing students in times of crisis
Comparative Effectiveness of Pamphlet and Video Media in Enhancing Breast Self-Examination Knowledge Among High School Students
No full textBackground: Adolescence represents a critical developmental stage during which health-related knowledge and preventive behaviours begin to form. Limited awareness of breast health and breast self-examination (BSE) among adolescent girls may reduce opportunities for early detection of breast abnormalities. Educational interventions delivered through accessible media may play an important role in improving adolescents’ understanding of BSE.
Objective: This study aimed to evaluate the effectiveness of health education delivered through pamphlets and video media on the level of knowledge regarding breast self-examination among female adolescents.
Methods: A quantitative study with a quasi-experimental design using a two-group pretest–posttest approach was conducted at SMAN 3 Tambun Selatan. The study population comprised 598 female students, of whom 592 participated using a total sampling technique. Knowledge of breast self-examination was assessed using a structured questionnaire administered before and after the educational intervention. Data were analysed using the Wilcoxon nonparametric test.
Results: The findings demonstrated a statistically significant improvement in adolescents’ knowledge of breast self-examination following education delivered through pamphlets and video media (p < 0.001). Prior to the intervention, most participants showed limited concern for breast health. Post-intervention results indicated increased awareness and understanding of the importance of regular breast self-examination.
Conclusion: Health education using pamphlets and video media is effective in enhancing adolescents’ knowledge of breast self-examination. Integrating structured and media-based educational strategies within school health programmes may strengthen preventive health behaviours and promote early breast health awareness among adolescents
Effect of Leaflet-Based Health Education on Spiritual Well-Being and Quality of Life Among Patients Living with HIV/AIDS at Immanuel Hospital, Bandung
No full textBackground: Human Immunodeficiency Virus (HIV) is a chronic sexually transmitted infection that progressively weakens the immune system. If untreated, HIV can develop into Acquired Immunodeficiency Syndrome (AIDS), a condition characterized by severe immune suppression and increased vulnerability to life-threatening infections. Beyond physical complications, people living with HIV/AIDS often experience unmet spiritual needs that negatively affect their overall quality of life. Health education interventions using simple and accessible media, such as leaflets, may support spiritual well-being and improve quality of life.
Objective: This study aimed to examine the effect of leaflet-based health education on spiritual needs fulfillment and quality of life among patients with HIV/AIDS at Immanuel Hospital, Bandung.
Methods: A quasi-experimental study design with a pretest–posttest approach was conducted in August 2022. A total of 63 patients with HIV/AIDS were recruited using purposive sampling. The intervention consisted of structured health education delivered through leaflets focusing on spiritual support and coping strategies. Data were collected through validated questionnaires measuring spiritual needs and quality of life before and after the intervention. Statistical analysis was performed to assess changes following the educational intervention.
Results: The findings demonstrated a significant improvement in spiritual needs fulfillment and overall quality of life after the leaflet-based health education intervention. Participants showed increased spiritual well-being and better perceived quality of life following the intervention.
Conclusion: Leaflet-based health education is an effective intervention to enhance spiritual needs fulfillment and improve quality of life among patients with HIV/AIDS. Incorporating spiritual-focused educational materials into routine nursing care may contribute to holistic patient management
Foot Care Practices as Determinants of Diabetic Foot Ulcer Risk in Rural Populations
No full textBackground: Diabetic foot ulcers (DFUs) represent a major chronic complication of diabetes mellitus and are associated with infection, extended hospital stays, and an increased likelihood of lower-limb amputation. Individuals with diabetes remain at lifelong risk of DFUs, with recurrence frequently reported. Consistent and appropriate foot self-care is therefore considered a key preventive measure, particularly in community settings with limited access to specialized care.
Objective: This study aimed to examine the relationship between foot self-care behaviour (FSCB) and the risk of developing diabetic foot ulcers among adults with type II diabetes living in rural communities.
Methods: A cross-sectional study was conducted involving 100 adult outpatients with type II diabetes attending the Sukawati II Primary Health Care Centre, Gianyar, Bali. Participants were recruited using consecutive sampling. Data were collected through structured questionnaires that included demographic characteristics and foot self-care behaviour assessed using the Nottingham Assessment of Functional Foot Care (NAFF). The risk of diabetic foot ulcers was evaluated using Inlow’s 60-second diabetic foot screening tool, incorporating a 10 g monofilament test. Data analysis employed the Gamma correlation test to determine the association between variables.
Results: The findings showed that 62% of participants demonstrated poor foot self-care behaviour. Additionally, 50% of respondents were identified as being at risk of developing DFUs. Statistical analysis revealed a strong and significant inverse relationship between foot self-care behaviour and DFU risk (p = 0.001; r = −0.613).
Conclusion: Poor foot self-care behaviour is strongly associated with an increased risk of diabetic foot ulcers among individuals with type II diabetes in rural settings. These findings highlight the importance of strengthening foot care education and preventive interventions at the primary health care leve
Understanding the Needs of Patients’ Families in the Intensive Care Unit: A Comprehensive Literature Review
No full textAims: 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
Integrating Maternity Gymnastics and Effleurage Massage into Midwifery Care: A Complementary Strategy for Maternal Comfort and Efficient Labor
No full textBackground: Maternal morbidity and mortality remain significant public health challenges in Indonesia. Complications such as labor pain, sleep disturbances, and fetal malposition continue to affect maternal outcomes. Complementary therapies, including maternity gymnastics and effleurage massage, have emerged as potential strategies to enhance maternal comfort and promote efficient labor.
Objective: This study aimed to evaluate the effects of integrating maternity gymnastics and effleurage massage into midwifery care on improving maternal sleep quality, fetal descent, and labor outcomes.
Methods: A quasi-experimental, one-group pretest-posttest design was employed. Forty-two pregnant women between 32 and 36 weeks gestation were recruited consecutively from a public health center in West Java, Indonesia. Participants engaged in weekly maternity gymnastics sessions and received effleurage massage during the first stage of labor. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and labor outcomes were recorded using a validated checklist. Data were analyzed using paired t-tests and descriptive statistics.
Results: There was a significant improvement in sleep quality following the intervention, with the mean PSQI score decreasing from 8.6 ± 2.1 to 5.2 ± 1.8 (p < 0.001). The mean duration of the first stage of labor was 4.3 ± 1.1 hours. A high proportion of participants achieved spontaneous vaginal delivery (90.5%), and early fetal head engagement at admission was observed in 83.3% of cases. Labor pain intensity was moderate, with a mean Visual Analog Scale (VAS) score of 5.7 ± 1.4.
Conclusion: Integrating maternity gymnastics and effleurage massage into midwifery care effectively improved maternal sleep quality, facilitated fetal engagement, and promoted shorter labor duration. These findings support the incorporation of complementary therapies into routine antenatal and intrapartum care to enhance maternal comfort and optimize labor outcomes
Effective Pain Relief Interventions for Post-Hemorrhoidectomy Patients: A Rapid Evidence Review
No full textBackground: Hemorrhoid disease, or piles, remains a prevalent global health issue. Hemorrhoidectomy is a common surgical intervention; however, effective postoperative pain management remains a persistent clinical challenge, directly influencing recovery outcomes and patient satisfaction.
Objective: This rapid review aimed to identify the most effective nursing and clinical interventions for managing postoperative pain following hemorrhoidectomy.
Methods: A rapid evidence review was conducted using five electronic databases: PubMed, ScienceDirect, Sage Journals, SpringerLink, and Scopus. The search included studies published between 2016 and 2024 that investigated pain management strategies for patients undergoing hemorrhoid surgery. Articles were screened based on predefined inclusion and exclusion criteria. A total of eight original research articles met the eligibility criteria and were included in the final analysis. Data on study design, sample size, intervention type, and pain outcomes were extracted and synthesized narratively.
Results: Among the various interventions evaluated, the use of absorbable gelatin sponges as hemostatic agents demonstrated superior efficacy in reducing postoperative pain compared to other commonly used materials, such as epinephrine-soaked gauze. Six out of the eight included studies reported significant reductions in pain intensity and improved patient comfort with gelatin sponge application. These findings highlight the potential of this intervention as a cost-effective and clinically practical approach for enhancing postoperative care.
Conclusion: Absorbable gelatin sponges represent a promising option for postoperative pain management following hemorrhoidectomy. Nonetheless, further large-scale and high-quality studies are warranted to strengthen the evidence base and inform broader clinical adoptio