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EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON BLOOD GLUCOSE LEVELS, STRESS, AND QUALITY OF LIFE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS A QUASI-EXPERIMENTAL STUDY Mediatrix Santi Gaharpung; Yustina Wela; Maria Sofia Anita Aga; Kristoforus Samson
EDUCARE: Jurnal Pendidikan dan Kesehatan Vol. 3 No. 2 (2026): EDUCARE: Jurnal Pendidikan dan Kesehatan (Juni)
Publisher : Lembaga Penelitian Dan Publikasi Ilmiah (lppi) Yayasan Almahmudi Bin Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70437/jedu.v3i2.92

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic disease that requires comprehensive management because it affects glycemic control, psychological well-being, and quality of life. Progressive muscle relaxation (PMR) may serve as a simple complementary intervention to address these outcomes. This study aimed to determine the effect of PMR on blood glucose levels, stress, and quality of life among patients with T2DM in Wolomarang Village, Sikka Regency, Indonesia. A quantitative, non-randomized quasi-experimental study with a pretest–posttest control group design was conducted from May to July 2026. Sixty patients with T2DM were selected using purposive sampling and divided into intervention and control groups, with 30 participants in each group. The intervention group received PMR for 20–30 minutes, three times weekly for four weeks, in addition to standard care. Blood glucose was measured using a digital glucometer, stress using the Perceived Stress Scale-10, and quality of life using the WHOQOL-BREF. Data were analyzed using paired and independent t-tests and ANCOVA. The intervention group showed a greater reduction in blood glucose and stress levels and a greater improvement in quality of life than the control group (p < 0.001). PMR is an effective, simple, and feasible complementary intervention for improving glycemic control, reducing stress, and enhancing quality of life among patients with T2DM.
Modeling Nurses’ Assertive Behavior Through Emotional Intelligence, Organizational Climate, And Communication Effectiveness In Inpatient Nursing Services Marianus Oktavianus Wega; Maria Kornelia Ringgi Kuwa; Gabriel Mane; Yustina Wela
EDUCARE: Jurnal Pendidikan dan Kesehatan Vol. 3 No. 2 (2026): EDUCARE: Jurnal Pendidikan dan Kesehatan (Juni)
Publisher : Lembaga Penelitian Dan Publikasi Ilmiah (lppi) Yayasan Almahmudi Bin Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70437/jedu.v3i2.94

Abstract

Assertive behavior is an essential professional competency that supports effective clinical communication, interprofessional collaboration, and patient safety. This study aimed to develop and examine a model of nurses’ assertive behavior based on emotional intelligence, organizational climate, and communication effectiveness in inpatient nursing services at BLUD RSUD dr. T.C. Hillers Maumere. A quantitative analytical observational study with a cross-sectional design was conducted among 120 staff nurses selected using proportionate stratified random sampling. Data were collected using validated and reliable questionnaires measuring emotional intelligence, organizational climate, communication effectiveness, and nurses’ assertive behavior. Data were analyzed using descriptive statistics and Structural Equation Modeling-Partial Least Squares (SEM-PLS) with SmartPLS version 4. Most respondents demonstrated high emotional intelligence (64.2%), perceived the organizational climate as good (60.0%), reported effective communication (68.3%), and demonstrated high assertive behavior (61.7%). SEM-PLS analysis showed that emotional intelligence had a positive and significant effect on assertive behavior (β = 0.352, p < 0.001), as did organizational climate (β = 0.287, p < 0.001) and communication effectiveness (β = 0.438, p < 0.001). Communication effectiveness was the strongest predictor. The model explained 71.4% of the variance in nurses’ assertive behavior (R² = 0.714). These findings indicate that strengthening emotional intelligence, organizational climate, and communication effectiveness may support nurses’ assertive behavior, professional communication, and patient safety.