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All Journal Adi Husada Nursing Journal Jurnal Kesehatan Tambusai Lentera Perawat Jurnal Keperawatan Komplementer Holistic JOURNAL OF Mental Health Concerns Holistik Jurnal Kesehatan
Setyowati, Wahyu Endang
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Hubungan antara tingkat pengetahuan dan dukungan keluarga dengan kepatuhan pengobatan pada pasien diabetes melitus tipe 2 Prasetya, Yudha; Ardian, Iwan; Setyowati, Wahyu Endang
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1588

Abstract

Background: Nonadherence to treatment among type 2 diabetes mellitus patients remains a major barrier to effective disease management. Purpose: To determine the relationship between the level of knowledge and family support with medication compliance in type 2 diabetes mellitus patients. Method: This quantitative, cross-sectional study was conducted in the Petarukan Community Health Center, Pemalang Regency, with 120 respondents using a total sampling technique. Data were collected using a standardized questionnaire and analyzed using the Spearman's rho test. Results: It shows a significant relationship between knowledge and adherence (p = 0.009; r = -0.237) and a very strong relationship between family support and adherence (p = 0.007; r = 0.935). Conclusion: Knowledge and family support play a crucial role in enhancing medication adherence. Suggestion: Health programs involving family empowerment and patient education are recommended to improve diabetes self-management.   Keywords: Family Support; Knowledge; Medication Adherence; Type 2 Diabetes Mellitus.   Pendahuluan: Ketidakpatuhan pengobatan pada pasien diabetes melitus tipe 2 masih menjadi kendala utama dalam manajemen penyakit. Tujuan: Untuk mengetahui hubungan antara tingkat pengetahuan dan dukungan keluarga dengan kepatuhan pengobatan pada pasien diabetes melitus tipe 2. Metode: Penelitian kuantitatif dengan desain cross-sectional, dilakukan di wilayah kerja Puskesmas Petarukan, Kabupaten Pemalang kepada sebanyak 120 responden yang diambil dengan teknik total sampling. Data dikumpulkan menggunakan kuesioner terstandar dan dianalisis dengan uji Spearman’s rho. Hasil: Menunjukkan terdapat hubungan signifikan antara pengetahuan dan kepatuhan (p = 0.009; r = -0.237) serta hubungan sangat kuat antara dukungan keluarga dan kepatuhan (p = 0.007; r = 0.935). Simpulan: Pengetahuan dan dukungan keluarga berperan penting dalam meningkatkan kepatuhan pengobatan. Saran: Program kesehatan yang melibatkan pemberdayaan keluarga dan edukasi pasien direkomendasikan untuk meningkatkan manajemen diri diabetes.   Kata Kunci: Diabetes Melitus Tipe 2; Dukungan Keluarga; Kepatuhan Pengobatan; Pengetahuan.
The Relationship between locus of control based on King’s theory of goal attainment and nurses’ performance in hospitals: A cross-sectional study Dinah, Nur Eka Djihan; Setyowati, Wahyu Endang; Abdurrouf, Muh
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.710

Abstract

Background: Nurses’ performance is a central determinant of hospital service quality, patient safety, and continuity of care. In demanding clinical environments, performance is influenced not only by organizational conditions but also by psychological factors, including locus of control. Within the perspective of King’s Theory of Goal Attainment, locus of control is relevant because nurses’ beliefs about personal control may shape communication, responsibility, decision making, and the achievement of care goals. Objective: This study aimed to examine the relationship between locus of control based on King’s Theory of Goal Attainment and nurses’ performance in hospitals. Methods: This study employed a quantitative correlational design with a cross-sectional approach. The study was conducted at Weda Hospital, Central Halmahera Regency, North Maluku, Indonesia, in September 2025. The population consisted of 145 nurses working in the Male Internal Medicine Ward and Neurology Ward. A total of 117 respondents were selected using simple random sampling. Locus of control was measured using a 16-item questionnaire, while nurses’ performance was assessed using a 15-item questionnaire. Data were analyzed using univariate statistics, cross-tabulation, and Pearson correlation analysis. Results: Most respondents were aged 36–45 years (29.9%), female (72.6%), held a bachelor’s degree (66.7%), and had 21–30 years of work experience (32.5%). Internal locus of control was the most common category (45.3%), while low nurses’ performance was slightly more frequent (37.6%) than high performance (35.9%). Cross-tabulation showed that nurses with external locus of control were predominantly in the low-performance category (60.5%), whereas those with internal locus of control were predominantly in the high-performance category (52.8%). Pearson correlation analysis revealed a statistically significant positive relationship between locus of control and nurses’ performance (r = 0.479; p < 0.001; 95% CI: 0.32–0.62). Conclusion: Locus of control was significantly associated with nurses’ performance in the hospital setting. Nurses with stronger internal control beliefs tended to demonstrate better performance. These findings suggest that strengthening nurses’ personal agency, responsibility, and goal-oriented professional attitudes may contribute to improving nursing performance and the quality of hospital care.
Factors associated with family adherence to tuberculosis preventive therapy based on the health belief model: A systematic review Gutteres, Domingos; Luthfa, Iskim; Setyowati, Wahyu Endang
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.709

Abstract

Background: Family adherence to tuberculosis preventive therapy (TPT) plays an important role in preventing tuberculosis transmission and progression among household contacts. The Health Belief Model (HBM) provides a useful framework for explaining how families perceive risk, severity, benefits, and barriers related to preventive therapy. However, evidence on factors associated with family adherence to TPT based on the HBM remains scattered across studies and has not been synthesized comprehensively. Objective: This systematic review aimed to identify and synthesize factors associated with family adherence to tuberculosis preventive therapy based on the constructs of the Health Belief Model. Methods: This study used a systematic review design. Literature searches were conducted in Google Scholar, PubMed, ProQuest, and ScienceDirect for articles published between 2019 and 2025 in English or Indonesian. The review included empirical studies that examined family-related adherence to tuberculosis treatment or preventive therapy and studies that used or reflected HBM constructs. Data were extracted using a structured form and synthesized narratively according to HBM domains and family-related adherence factors. Results: Eight studies were included in the final synthesis. The findings showed that family support consistently influenced adherence behavior in tuberculosis treatment and preventive therapy. Perceived benefits emerged as the strongest predictor of TPT acceptance, while perceived susceptibility, perceived severity, perceived barriers, and self-efficacy were also significantly associated with adherence-related behavior. Knowledge and attitudes contributed to treatment adherence, and HBM-based educational interventions improved medication adherence, nutritional practices, and transmission prevention behavior. Conclusion: Family adherence to tuberculosis preventive therapy is a multidimensional behavioral outcome influenced by family support, HBM-related perceptions, knowledge, attitudes, and contextual barriers. The Health Belief Model provides a relevant theoretical basis for understanding and strengthening adherence in family and household contexts.
Factors influencing family support and family burden in caring for family members with a history of violent behavior: A systematic review Santos, Andre Soares Dos; Rochmawati, Dwi Heppy; Setyowati, Wahyu Endang
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.717

Abstract

Background: Family caregivers play a central role in caring for relatives with severe mental illness, particularly those with a history of violent behavior. In this context, caregivers are required to provide continuous supervision, emotional support, and practical assistance, while also managing fear, stigma, and prolonged caregiving demands. These conditions may influence both family support and family burden through a complex interaction of clinical, psychosocial, and structural factors. Objective: This study aimed to systematically identify, analyze, and synthesize the factors influencing family support and family burden in caring for family members with a history of violent behavior. Methods: This study employed a systematic review design. A comprehensive literature search was conducted in PubMed, Scopus, ProQuest, SAGE Journals, and ClinicalKey for Nursing for studies published between 2015 and 2025. Quantitative, qualitative, and mixed-method studies were included if they examined determinants of family support or caregiver burden among family caregivers of individuals with severe mental illness involving aggression or a history of violent behavior. Study selection, data extraction, and methodological quality appraisal were conducted independently by two reviewers using standardized procedures and the Joanna Briggs Institute critical appraisal tools. Results: Ten studies met the inclusion criteria. The review identified three major domains influencing family support and family burden: clinical factors, psychosocial factors, and structural factors. Patient aggression, symptom severity, relapse, and poor social functioning consistently increased caregiver burden. Psychosocial factors, particularly affiliated stigma, emotional distress, gendered caregiving roles, and family relationship patterns, further intensified burden and reduced caregiving resilience. Structural barriers, including limited access to mental health services, weak care coordination, insufficient caregiver involvement in decision-making, and economic hardship, also weakened family support capacity. Intervention evidence suggested that family psychoeducation and structured support may reduce caregiver burden, although their effectiveness varied across contexts. Conclusion: Family support and family burden in the care of relatives with a history of violent behavior are shaped by interrelated clinical, psychosocial, and structural determinants. Family-centered and context-sensitive mental health interventions are needed to reduce caregiver burden and strengthen sustainable family support.  
Family support and the perception of chronic pain in patients with cancer Setyati, Dian; Setyowati, Wahyu Endang; Rochmawati, Dwi Heppy
JOURNAL OF Mental Health Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i1.2552

Abstract

Background: Chronic pain is a common symptom among cancer patients and significantly affects quality of life across physical, psychological, and social domains. Pain perception is influenced not only by biological factors such as disease progression and treatment, but also by psychosocial factors, particularly family support. Family support plays an important role in enhancing coping mechanisms, reducing stress, and shaping patients’ responses to pain. However, empirical evidence on the relationship between family support and chronic pain perception among cancer patients in Indonesia remains limited. Purpose: To examine the relationship between family support and chronic pain perception among cancer patients. Method: A quantitative non-experimental study with a cross-sectional design was conducted involving 30 hospitalized cancer patients selected through total sampling. Family support was assessed using the family subscale of the Multidimensional Scale of Perceived Social Support (MSPSS), while chronic pain perception was measured using the Brief Pain Inventory (BPI) Short Form. Results: Data analysis using Somers’ d test revealed a strong and statistically significant negative association between family support and chronic pain perception (r = −0.800; p<0.05). Conclusion: These findings underscore the importance of integrating family support into family-centered approaches for cancer pain management. Keywords: Cancer Patients; Chronic Pain Perception; Family-Centered Care; Family Support; Nursing.
Co-Authors Abdurrouf, Muh Alghozali, Rasyid Ardan Betie Febriana Chan, Chong Mei Daniel Happy Putra Dinah, Nur Eka Djihan Dwi Heppy Rochmawati Elisya, Vika Akhda Febriana, Betty Gutteres, Domingos Hadiningrum, Laura Hariyani, Ibyah Harno, Harno Iskim Luthfa Iwan Ardian, Iwan Khairunnisa, Hana Kamiliya Khalwati, Ulya Rakhmah Prasetya, Yudha Santos, Andre Soares Dos Setyati, Dian Simotalisa, Lintang Susanto, Wigyo Waluyo Sejati