⁠Siti Zahara Nasution
Faculty Of Nursing, Universitas Sumatera Utara, Medan, Indonesia

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Family Experience in Supporting Diabetes Self-Management Practice: A Qualitative Study Mula Tarigan; Sairomaito Harahap; Siti Zahara Nasution; Evi Karota Bukit; Dharma Lindarto; Dewi Frintiana Silaban
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.23251

Abstract

Family participation plays a vital role in the success of diabetes self-management (DSM). In Indonesia, family-centered care is culturally embedded, yet limited research has explored how families experience and interpret their roles in supporting self-management among patients with type 2 diabetes mellitus (T2DM). This study aimed to explore family experiences in supporting diabetes self-management practices among patients with T2DM in Medan, Indonesia. A descriptive phenomenological approach was employed. Twelve family members who cared for T2DM patients at Chairuddin Panusunan Lubis Hospital were recruited using purposive sampling. Data were collected through in-depth interviews and field notes from February to May 2025. Colaizzi’s seven-step analysis method guided data analysis to extract significant statements and formulate themes. Credibility was ensured through member checking, dependability via team discussion, and confirmability through audit trails. Five interrelated themes emerged: (1) controlling diet, (2) arranging physical training (3) administering medications, (4) emotional support, and (5) utilization of health care facilities. These themes reflected how families act as emotional motivators, behavioral supervisors, and coordinators of care to strengthen patients’ adherence and self-efficacy. Family involvement was not limited to instrumental assistance but extended to emotional reinforcement and facilitation of healthcare access. Family engagement forms the backbone of effective DSM, integrating physical, emotional, and social support. Strengthening family-based interventions is essential to enhance adherence, glycemic control, and quality of life among patients with T2DM. Keyword: Family Experience, Diabetes Self-Management, Family Support, Qualitative Study, Indonesia
The Influence of Health Education on Knowledge about Sleep Hygiene in the Elderly: A Quasi-Experimental Study Lufthiani Anwar; Siti Zahara Nasution; Alfi Syahrin Siregar
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23709

Abstract

Sleep disturbances are common among older adults and are often associated with inadequate knowledge of sleep hygiene, resulting in poor sleep quality and reduced well-being. This study aimed to determine the effect of health education on knowledge regarding sleep hygiene among elderly individuals in Hamlet III, Selemak Village, Hamparan Perak Subdistrict, Deli Serdang Regency. A quasi-experimental study using a one-group pretest-posttest design was conducted among 40 elderly participants selected through total sampling. Data were collected using a structured questionnaire consisting of 20 items assessing sleep hygiene knowledge before and after intervention. The intervention consisted of one 45-minute health education session using lectures, discussion, and leaflet media. Data were analyzed using the Wilcoxon signed-rank test. Before intervention, knowledge levels were categorized as good (5%), fair (75%), and poor (20%). After intervention, good knowledge increased to 47.5%, while fair knowledge reached 52.5%. Median knowledge scores increased from 11 to 16. Statistical analysis showed a significant improvement after intervention (Z = -4.692; p < 0.001), with a large effect size (r = 0.74). Health education was effective in improving sleep hygiene knowledge among older adults. Routine educational programs are recommended to promote healthy sleep behaviors in the elderly. Keyword: Health education, Sleep hygiene, Elderly, Knowledge
Pengaruh intervensi psikoedukasi terhadap perilaku pencegahan stunting pada ibu baduta Diana Br Sitepu; Evi Karota; Riswani Tanjung; Evawany Yunita Aritonang; Siti Zahara Nasution
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3196

Abstract

Background:  Stunting remains a major public health problem, particularly in developing countries, including Indonesia. This condition affects not only physical growth but also cognitive development and future productivity. Maternal behavior plays a crucial role in stunting prevention efforts, particularly during the first 1,000 days of life. Psychoeducation is one approach that can be used to improve stunting prevention behaviors through an interactive and participatory learning process. Purpose: To analyze the effect of psychoeducational interventions on stunting prevention behaviors in mothers of young children. Method: This study used a quasi-experimental design with a pretest-posttest control group approach. The study was conducted in the PB Selayang II Community Health Center in Medan. A total of 76 respondents were divided into two groups: 38 participants in the intervention group and 38 participants in the control group. Behavioral data were collected using a structured questionnaire and analyzed as a composite score. Because the data were not normally distributed, non-parametric tests, namely the Wilcoxon and Mann-Whitney tests, were used. Results: The median score for stunting prevention behavior in the intervention group increased from 86.39 in the pretest to 98.33 in the posttest. In contrast, the control group showed no significant change, from 85.97 to 85.28. The Wilcoxon test showed a significant difference in the intervention group (p < 0.001), while there was no significant difference in the control group (p = 0.421). Furthermore, the Mann–Whitney test showed a significant difference between the two groups (p < 0.001). Conclusion: The psychoeducational intervention significantly improved stunting prevention behavior in mothers of young children. This intervention has the potential to be a promotive and preventive strategy in primary health care.   Keywords: Children Under Two Years Old; Maternal Behavior; Primary Health Care; Psychoeducation; Stunting Prevention.