Jurnal Keperawatan Global
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The Influence of Spiritual Care with Callista Roy\u27s Adaptation Theory Approach on Serotonin Levels in Ischemic Stroke Patients
Get PDFBackground: Ischemic stroke causes physical disability, which can result in an inability to adapt, causing a 72% decrease in serotonin. Decreased serotonin can cause mood changes that adversely impact stroke outcomes. The aim of this research is to determine the effect of spiritual care using Callista Roy\u27s adaptation theory approach on serotonin levels in Ischemic Stroke Patients.
Methods: The type of research is quasi-experimental with a pretest-posttest control group design. The population of the study was outpatients of ischemic stroke patients at Dr. Moewardi Hospital. The sample size was 60 respondents consisting of 30 respondents in the control group and 30 respondents in the intervention group. The intervention group was given a spiritual care intervention by the researcher consisting of 5 sessions each meeting with a duration of 30 minutes. The spiritual care intervention was given once a week 12 times for 3 months and the control group was given standard spiritual therapy by the outpatient nurse at RSUD Dr. Moewardi Surakarta. Serotonin examination using ELISA kit. Data analysis using independent sample t-test.
Results: There is an influence of spiritual care with the Callista Roy theory approach on the serotonin levels of ischemic stroke patients with a significance of 0.001 (p value <0.05).
Conclusion: Spiritual care interventions with Callista Roy\u27s theoretical approach have a significant influence on improving serotonin levels in ischemic stroke patients, which can reduce anxiety. It is recommended that ischemic stroke patients be given spiritual care 12 times for 3 months
Diabetes Self-Care and Quality of Life Improvement Through Community Self-Help Group
Get PDFBackground: Type 2 diabetes mellitus (T2DM) remains a major cause of death worldwide due to complications, and its incidence is fairly high and predicted to continue to rise each year. This contributes to a low quality of life and poor self-care management, necessitating an effective treatment strategy consisting of self-help group (SHG) therapy that expands social networks, receives information, and receives emotional support from group members in order to provide numerous benefits. The purpose of this study was to assess if community-based self-help group interventions improve the quality of life and self-care management of individuals with T2DM.
Methods: This study employed a Quasi-experiment non-equivalent control group pre-test and post-test design with a self-help group intervention (n=30) for one month. The sample was selected using the approach of purposive selection with the following inclusion criteria: age between 40 and 65 years, T2DM experience between 3 and 5 years, and the ability to converse, read, and write effectively. Statistical paired sample t-test and independent sample t-test were used to assess the data.
Results: In both groups, self-care management, quality of life, and blood glucose levels at baseline were comparable. After one month of intervention, self-care management, quality of life, and blood glucose levels were significantly better in the intervention group than in the control group (p<0.05).
Conclusion: In this study, the self-care management and quality of life of individuals with T2DM improved following SHG intervention. Integrating public health effort with an interpersonal collaboration approach will provide an optimal integrated contribution to resolving chronic deseases
The Experience of Parents in Reducing Children\u27s Autism Tantrums in West Java: A Phenomenological Study
Get PDFBackground: In autistic children, temper tantrums can occur in association with other challenging behaviors like sleep problems, selective eating, anxiety, irritability, self-harm, and aggression. Families who have adult autistic children experience burdens in their lives. Poor communication and interaction with the child at home provoke an emotional tantrum. This study aims to explore family experiences in reducing children\u27s autistic tantrums through family support.
Methods: This phenomenological study involved seven parents of adolescents with autism. The study was carried out over a period of six months, from September 2022 to March 2023, covering the stages of preparation, participant recruitment, in-depth semi-structured interviews, and verbatim transcription. Data were analyzed using Colaizzi’s phenomenological method, which comprised verbatim transcription, identification of significant statements, coding, clustering of themes, and the development of an essential description of the parents’ lived experiences.
Results: Six themes were constructed from the study: (1) The process of accepting their children with special needs; (2) Parents\u27 expectations of their children; (3) Internal and external support in reducing autism tantrums; (4) Children join with activities; (5) Enforcement of rules in the family; (6) Family isolation.
Conclusion: This study highlights the central role of families in caring for children with autism spectrum disorder (ASD), particularly in managing tantrums. Families apply spiritual values, collaborate among members, and use practical strategies such as providing a safe space, allowing calming time, and redirecting children to meaningful activities. The findings emphasize that family-centered approaches can enhance children’s adaptive abilities and quality of life while reducing caregiver burden
Evaluation of Spiritual Management Approach on Stress in Palliative Patients
No full textBackground: A palliative condition refers to a progressive and incurable state, where the focus of healthcare transitions from curative measures to comprehensive support addressing physical, psychological, social, and spiritual aspects, aiming to enhance the quality of life for both patients and their families. The objectives of this study were to evaluate the effect of a Groups ‘Peer Support’ (GPS)-based spiritual management approach on reducing stress among palliative patients in a hospital setting.
Method: This study employed a quantitative quasi-experimental design with a pre- and post-test approach without a control group, involving 50 respondents selected through simple random sampling. The research instruments consisted of observation sheets, the Spiritual Care Competence Scale (SCCS), and the Depression Anxiety and Stress Scales (DASS). Data were analyzed using descriptive statistics to determine respondent characteristics, the Wilcoxon Signed Rank Test to assess pre and post intervention differences, and Spearman Rank and simple linear regression tests to identify influencing factors.
Results: Most respondents were male (60.0%), aged 41–50 years (34.0%), with elementary education (28.0%), and commonly diagnosed with heart disease (26.0%). The mean stress score decreased from 3.06 to 2.74 after the intervention, with the Wilcoxon test confirming a significant reduction (Z = -2.889; p = 0.004). However, spiritual management (r = 0.062; p = 0.670) and nurse competence (p = 0.601) were not significantly associated with stress levels.
Conclusion: The intervention effectively reduced stress in palliative patients, although spiritual management and nurse competence were not significant predictors, suggesting that other factors contributed to stress reduction
Individual Characteristics and Locus of Control as Factors Related to Burnout in Nurses: Non
Get PDFBackground: Burnout is a condition of extreme fatigue and exhaustion that is widely experienced by workers. Nurses who work on the front line for 24 hours are at high risk of burnout, which can jeopardise their wellbeing as well as patient safety and quality of care. This study aims to identify the dominant factors, including individual characteristics, work environment, locus of control, and work experience, that influence burnout among hospital nurses.
Methods: The study used a cross-sectional study was conducted to evaluate the level of burnout. The sample was 431 nurses who was selected from the hospital using stratified random sampling to ensure the representation of different work units or departments. Date analysis was performed using Structured Equation Modelling (SEM) to examine the complex relationships between the variables.
Results: The results of the bivariate analysis indicate that there is a relationship between respondent characteristics and nurse burnout incidence. A significant negative relationship was found between the work environment and burnout occurrence, as well as a relationship between years of work experience and burnout incidence. Meanwhile, the results of the multivariate analysis showed that characteristics, work environment, locus of control, and work experience influence burnout by 10.9%.
Conclusion: This study shows that the variables of characteristics, work environment, locus of control, and work experience account for 10.9% of the burnout. This study recommends improving the work environment, strengthening locus of control, and providing mentoring for nurses with low experience to prevent burnout
Effectiveness of Symbolic Communication Therapy on Expressive Abilities in Post- Stroke Aphasia
No full textBackground: Aphasia is a major post-stroke complication that causes communication difficulties and significantly reduces patients’ quality of life. Conventional speech therapy is often limited by time and resources, highlighting the need for technology-based alternatives that can be practiced independently at home. This study aimed to evaluate the effectiveness of a symbolic communication therapy (SCT) application in improving communication skills among stroke patients with aphasia.
Methods: A one-group pretest–posttest quasi-experimental design was used with 15 motor-aphasia patients recruited from the Neurology Ward of Haji Medan General Hospital. Participants used an Android-based SCT application for six weeks (two 30-minute sessions per day). Functional communication ability was assessed using the Derby Functional Communication Scale (DFCS) before and after intervention. Data were analyzed using the Wilcoxon Signed-Rank Test.
Results: The SCT application significantly improved patients’ communication performance. DFCS scores increased in expression (5.93 to 6.93), comprehension (5.47 to 7.93), and interaction (4.93 to 6.93) domains (p < 0.001).
Conclusion: The SCT application effectively enhances functional communication in post-stroke aphasia patients and can serve as a complementary, low-cost tool within neurological rehabilitation programs, particularly in resource-limited healthcare settings
Child-Rearing Methods and Their Impact on Toddler Nutritional Status
Get PDFBackground: Child-rearing methods can influence the prevalence of stunting and wasting in toddlers because parental care plays a crucial role in the availability of food sources consumed by toddlers daily. Additionally, parents are the individuals closest to the growth and development of their children. The aim is to analyze the influence of the child-rearing methods reinforcement on nutritional status.
Methods: Analytical observational research type with a cross-sectional design using a total sampling technique with 50 respondents. Data collection using a questionnaire. ANOVA Multiple Linear Regression Test.
Results: The results of the analysis show that implementing feeding practices influences nutritional status, with a p-value of 0.007. There is no influence of psychosocial stimulation on children\u27s nutritional status, with a p-value of 0.086. Healthcare practices influence nutritional status, with a p-value of 0.003. The ANOVA test results with an R square value of 0.080 conclude that the independent variable affects the dependent variable by 8%, while other factors influence the remaining 92%. The regression analysis results for the implementation of feeding practices show a p-value of 0.297, psychosocial stimulation shows a p-value of 0.789, and healthcare practices show a p-value of 0.444, indicating that none of these three variables influences children\u27s nutritional status.
Conclusion: The role of the family contributes significantly and fundamentally to a child\u27s overall growth and development. The involvement and activity of mothers in nutritional status is an effort to prevent diseases, such as regularly taking their children for complete basic immunizations and providing healthcare
Development of Self-Regulation Model Based on Health Promotion Model on Anemia Prevention Behavior in Pregnant Women
Get PDFBackground: Anemia prevention in pregnant women is essential to reduce health risks for both mother and fetus. This study aimed to develop a self-regulation model for anemia prevention behavior based on the Health Promotion Model.
Methods: An explanatory design with a cross-sectional approach was applied to 115 pregnant women attending health centers in Surabaya, selected through cluster sampling. Data were collected using a structured questionnaire and analyzed using SEM-PLS.
Results: The findings showed that anemia prevention behavior was significantly influenced by behavioral self-regulation (T=2.945) through personal regulation (T=5.932), which was shaped by environmental self-regulation (T=8.611) and individual characteristics (T=3.302). Commitment did not directly affect anemia prevention behavior (T=0.144; p=0.886). The model demonstrated substantial explanatory power, with R² values of 71.9% for behavioral self-regulation and 43.1% for anemia prevention behavior. Predictive relevance (Q² > 0) confirmed the model’s robustness across different contexts.
Conclusion: This study highlights the pivotal role of self-regulation processes in shaping anemia prevention behavior. The model can serve as a framework for nursing interventions to strengthen self-regulation among pregnant women and improve maternal and fetal health outcomes
The Impact of Online Game Addiction on Work Productivity Among Individuals Residing in Urban Areas of Indonesia
Get PDFBackground: Indonesia exhibits high smartphone penetration (210.77 million users, 2021) and substantial online gaming engagement, with 26% of gamers aged 18–24 and 20% aged 25–34. Given alarming gaming disorder prevalence (IGD: 14.6% males, 6.2% females; GD: 7.2% males, 2.8% females) and limited research on productivity impacts in urban Indonesia, this study investigates online game addiction\u27s effect on work productivity among young adults in South Jakarta.
Methods: A cross-sectional correlational design recruited 95 participants via purposive sampling (aged 18–26, South Jakarta residents, >3 hours/day non-professional gaming). Data collection utilized the validated Indonesian Online Game Addiction Questionnaire (7-item, Cronbach’s α=0.73) and Individual Work Performance Questionnaire (18-item, Cronbach’s α=0.814–0.871). Normality was confirmed with Kolmogorov-Smirnov testing; SPSS v.28 facilitated Pearson correlation and linear regression analyses.
Results: Participants were predominantly male (64.21%), high school-educated (72.63%), and private sector employees (61.05%). Key findings revealed: a significant weak negative correlation between online game addiction and work productivity (r = -0.291, p = 0.04); a strong positive correlation between addiction and gaming duration (r = 0.486, p < 0.001); no correlation between gaming duration and productivity (p = 0.312); and regression indicating addiction explains 9.7% of productivity variance (Adjusted R² = 0.088, β = -0.420, p = 0.002).
Conclusion: Online game addiction significantly impairs work productivity among urban Indonesian youth, yet accounts for only 9.7% of variance—underscoring the influence of unaddressed mediators like sleep quality and motivation. Findings necessitate integrating psychiatric nursing interventions within workplace mental health frameworks
Infant Care In The Agricultural Community Of Ethnic Blambangan Banyuwangi
Get PDFBackground: Data on infant mortality in Banyuwangi shows an increase in the last five years; data on infant breastfeeding has not been achieved either; while Indonesia\u27s history of the Blambangan people, Banyuwangi, is recorded as healthy, strong, and thick with culture, known to be skilled in care, including baby care. Research is needed to find out the culture of infant care in the Blambanga ethnic community so that a good infant care culture can be strengthened to improve health.
Methods: The research used an ethnographic research design, with a sample size of 39 people; data were collected through FGDs, in-depth interviews, participatory observation, and documentation and analysed thematically using ethnographic and Colaizzi analysis. Several online applications were used in data processing and diagramming the results, and ethical principles were applied.
Results: The themes identified in the culture of infant care in the Blambangan community are cutting the umbilical cord, infant massage, the role of baby shamans, the use of plants as therapy, celebrations for babies, swaddling babies, feeding babies under six months, beliefs related to infant care, and environmental modifications when having children. Some cultures need to be reinforced.
Conclusion: The culture of good breastfeeding in the Osing Banyuwangi community, recorded in Indonesian history, must be reconstructed. The culture of good infant care needs to be reinforced to achieve better health, and this research needs to be developed to reconstruct the culture of infant care in the Osing Banyuwangi community