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All Journal International Journal of Public Health Science (IJPHS) Nurse Media Journal of Nursing Jurnal Midpro Jurnal Surya Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal of Vocational Nursing Jurnal Pengabdian Masyarakat Bangsa Jurnal Pengabdian Masyarakat Jajama (JPMJ)
Iswatun, Iswatun
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Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus Suniyadewi, Ni Wayan; Arief, Yuni Sufyanti; Kurniawati, Ninuk Dian; Rismayanti, I Dewa Ayu; Trisnadewi, Ni Wayan; Iswatun, Iswatun
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.56812

Abstract

Background: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing. Developing a holistic nursing model rooted in transcultural nursing, which has never been broadly investigated, is imperative to enhance QoL in individuals with T2DM.Purpose: This study aimed to develop a nursing model based on transcultural nursing to enhance the QoL of individuals with T2DM.Methods: This study employed a quantitative research design with a cross-sectional approach. A sample of 145 individuals with T2DM was recruited using a simple random sampling technique. A self-developed questionnaire was used, incorporating factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing model, and a QoL questionnaire. Inferential statistics using smart PLS-structural equation modeling (SEM) were employed for data analysis.Results: The findings revealed that the holistic nursing model based on transcultural nursing in individuals with T2DM was influenced directly by respondent characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005), social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005), biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors. However, the technological factor was not significantly (t=0.802, p=0.423) associated with the model. The holistic nursing model based on transcultural nursing had a direct influence on the quality of life (t=9.124 and p=0.000).Conclusion: The holistic nursing model based on transcultural nursing encompasses six variables: respondent characteristics, religious and life philosophy, social and kinship, cultural and lifestyle, and biological and psychological factors. The model can serve as a guideline for managing type 2 DM patients to enhance the QoL.
OVERVIEW OF SELF-CARE BEHAVIOR IN PATIENTS WITH TYPE II DIABETES MELLITUS : LITERATURE REVIEW Umam, Khotibul; Yusuf, Ah; Iswatun, Iswatun
Journal of Vocational Nursing Vol. 4 No. 1 (2023): MAY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i1.43923

Abstract

Introduction: Diabetes Mellitus is a chronic disease that requires self-care to improve the quality of life and reduce the occurrence of complications. Self-care behaviors that can be applied by DM patients include physical activity, diet regulation, control of blood glucose levels, treatment, and prevention of complications. The purpose of this literature review is to describe self-care behavior in Type II Diabetes Mellitus patients. Methods: Literature Review using the PICOT framework from several databases (Scopus, Science Direct, Google Scholar, Research Gate and Pubmed). The search results are displayed in the PRISMA. Abstracts and full articles were assessed for eligibility (n = 34), The articles correspond to research feasibility in quantitative studies (n = 12). Results: After collecting data, all data were selected according to the inclusion. Based on a review article, the self-care regimen for type 2 Diabetes Mellitus patients generally includes physical activity, diet, controlling blood glucose levels, monitoring blood glucose and medication. However, most of the respondents compliance with self-care management behavior in type 2 Diabetes Mellitus (DM) patients has not been carried out optimally. Conclusions: The role of nurses is important in increasing adherence to self-care behavior in Diabetes Mellitus patients.
FAMILY NURSING CARE IN CASE OF GOUT ARTHRITIS WITH NURSING DIAGNOSIS OF ACUTE PAIN IN SIDOGEMBUL VILLAGE, SUKODADI DISTRICT, LAMONGAN REGENCY Iswatun, Iswatun; Wijayanti, Endah sri; Umam, Khotibul; Susanto, Joko; Kartika, Aprilia Ayu; Lutfiandini, Cherlys Tin
Journal of Vocational Nursing Vol. 4 No. 1 (2023): MAY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i1.44300

Abstract

Introduction: Since the end of 2019, the COVID-19 virus has turned into a global health problem and has changed various aspects of life, including education. The government felt compelled to close down the school and encouraged students to carry out online learning. During the online learning process, there are numerous arising obstacles. Thus, the government considered changing it to offline learning in 2021. In its implementation, however, there were many factors regarding learning readiness that must be taken into account, such as physical, psychological, and material readiness. This study aims to analyze the factors influencing offline learning readiness during the COVID-19 pandemic. Methods: This study is quantitative research carried out by employing a cross-sectional approach. There were 49 respondents obtained through a total sampling technique. A questionnaire was utilized as the research instrument and the Chi-Square test was used as the bivariate data analysis. Results: The result revealed that most respondents (73.5%) were females and the mean value of respondents' age was 20.88 years. Furthermore, the respondents had high offline learning readiness (67.3%) and physical readiness, psychological readiness, and material readiness classified under the "ready” category with (81.6%), (57.1%), and (57.1%), respectively. The results of the Chi-Square test showed that physical, psychological, and material readiness influenced offline learning readiness. Conclusions: The present study also concluded that physical
AN OVERVIEW OF FAMILY COPING MECHANISM IN CARING FOR PATIENTS WITH MENTAL DISORDERS IN THE AREA OF UPT PUSKESMAS TIKUNG LAMONGAN Wijayanti, Endah Sri; Safa Ayu Shinta, Banafsa; Iswatun, Iswatun
Journal of Vocational Nursing Vol. 4 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i2.48244

Abstract

Introduction: Family coping mechanism is a family response in dealing with a problem. Each family has different coping mechanisms according to the family's ability to solve problems. Problems with mental disorders cause crises and pressure for caring families, family members who experience mental disorders so that they can affect family coping mechanisms. This study aims to describe the mechanism of family coping in caring for patients with mental disorders in the UPT Puskesmas Tikung Lamongan area. Methods: The research method uses descriptive with a survey time approach. The population in this study were all families who had family members with mental disorders who were recorded in the medical records of UPT Puskesmas Tikung as many as 84 people. The sample technique used purposive sampling, based on inclusion and exclusion criteria, a sample of 55 respondents was obtained. The instrument in this study used the Coping Health Inventory for Parent (CHIP) questionnaire. Results: The results showed that most families had adaptive coping mechanisms, namely 32 respondents (58.2%) and almost half had maladaptive coping mechanisms, namely 23 respondents (41.8%). Conclusions: This study illustrates that families with mental disorders in the UPT Puskesmas Tikung Lamongan area use good coping in dealing with mental disorders. Families are expected to continue to use adaptive coping in providing support and motivation to family members who experience mental disorders so that they are always routinely taking medication.
THE RELATIONSHIP BETWEEN ROLE OF THE FAMILY WITH LEVEL OF DEPRESSION IN ELDERLY Sairozi , Ali; Tin Lutfiandini, Cherlys; Wijayanti, Endah sri; Iswatun, Iswatun
Journal of Vocational Nursing Vol. 4 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i2.48925

Abstract

Introduction: Depression is a Introduction: Depression is an emotional disorder in the form of feeling depressed, unhappy, worthless and lack of enthusiasm in life. Elderly people are vulnerable to depression because of their low health status, loss of a partner due to death, and the low level of social support they receive. The family has an important role for the elderly in developing, preventing and overcoming health problems. This study aims to determine the relationship between the role of the family and the level of depression in the elderly in Sungegeneng Village, Sekaran District, Lamongan Regency. Methods: the research used a cross-sectional design, the samples in this study were elderly people and families who lived at home with elderly people in Sungegeneng Village, Sekaran District, Lamongan Regency who met the inclusion criteria with a sample size of 39 people. Spearman rho correlation testing was carried out using SPSS. Results: The results of the Spearman test and data analysis using the SPSS 11.5 for Windows program between the role of the family and the level of depression in the elderly in Sungegeneng Village, Sekaran District, Lamongan Regency, obtained a result of ρ = 0.000 with a significance level of α = 0.01, so H0 is rejected, meaning there is a significant relationship Between the role of the family and the level of depression in the elderly. Conclusions: There is a relationship between the role of the family and the level of depression in the elderly in Sungegeneng Village, Sekaran District, Lamongan Regency.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND MEDICATION COMPLIANCE IN MENTAL DISORDER PATIENTS Wijayanti, Endah Sri; Mukti, Doni Karisma; Iswatun, Iswatun; Fadliyah, Lailatul; Umam, Khotibul; Susanto, Joko
Journal of Vocational Nursing Vol. 6 No. 1 (2025): MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i1.70816

Abstract

Introduction: Patients with mental disorders who receive rehabilitation at home or as outpatients require support to comply with their treatment programs. One of the significant barriers to improving the health status of these patients is non-compliance with prescribed medications. This study aims to determine the relationship between family support and medication compliance in patients with mental disorders within the working area of the Turi Lamongan Health Center. Methods: This is an analytical study with a cross-sectional approach. The study population consisted of 90 families of patients with mental disorders, with a sample size of 73 respondents. Simple Random Sampling was used as the sampling technique. Data were collected using a questionnaire. The statistical test applied was Spearman's Rank correlation, with α = 0.05. Results: Among the 73 respondents, most reported moderate family support, with 38 respondents (52.1%), while a smaller proportion reported poor support, with 12 respondents (16.4%). Regarding medication compliance, most respondents showed moderate compliance, with 36 respondents (49.3%), and a smaller proportion exhibited good compliance, with 10 respondents (13.7%). The results of the Spearman Rank test revealed a ρ-value of 0.000 < α = 0.05, and the calculated r-value was 0.671. Conclusions: There is a significant relationship between family support and medication compliance in patients with mental disorders in the Turi Lamongan Health Center work area, with a strong degree of association.
THE RELATIONSHIP BETWEEN SELF-CARE AGENCY AND MEDICATION ADHERENCE IN TUBERCULOSIS PATIENTS Iswatun, Iswatun; Wijayanti, Endah Sri; Susanto, Joko; Umam, Khotibul; Rindayati, Rindayati
Journal of Vocational Nursing Vol. 6 No. 1 (2025): MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i1.70932

Abstract

Introduction: Adherence to tuberculosis (TB) medication is a critical factor in curing patients. Incomplete or improper treatment can lead to drug resistance or the recurrence of infection. Self-care agency plays a vital role in helping individuals remain compliant and consistent with their treatment. High medication adherence can also enhance an individual’s self-care agency. This study aims to determine the relationship between self-care agency and medication adherence in TB patients at Lamongan Health Center. Methods: This study utilized a quantitative correlational design with a cross-sectional approach. The study was conducted in March 2023. The study population consisted of 65 TB patients, with a sample size of 56 respondents selected through simple random sampling. The independent and dependent variables were self-care agency and medication adherence, respectively. Data on self-care agency were collected using the ASA Scale questionnaire, and medication adherence was assessed using the MMAS-8 questionnaire. Data analysis was performed using the Spearman rank correlation test. Results: The study found a strong positive relationship between self-care agency and medication adherence in TB patients at Lamongan Health Center, with a significance level of 0.001 (p < 0.05) and a correlation coefficient of 0.635. TB patients with high self-care agency were more likely to adhere to their medication regimen compared to those with lower self-care agency. Conclusions: The findings of this study suggest that improving self-care agency can enhance medication adherence among TB patients. These results can serve as a reference for strategies aimed at increasing medication adherence by strengthening patients' self-care agency.
DEPRESSION, ANXIETY, AND STRESS IN FAMILIES CARING FOR PERSONS WITH MENTAL DISORDERS Perdana Febryanto, Kaldera Yugi; Rindayati, Rindayati; Supriati, Lilik; Harianto, Susilo; Iswatun, Iswatun; Okviasanti, Fanni
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.73411

Abstract

Introduction: Mental disorders can disrupt the psychological, emotional, and social functioning of individuals, manifesting through symptoms such as hallucinations, delusions, and decreased motivation. These conditions can affect the families who care for them, often leading to depression, anxiety, and stress. Objective to determine the levels of depression, anxiety, and stress among families caring for individuals with mental disorders. Methods: This quantitative descriptive study involved 75 families who cared for individuals with mental disorders and met predetermined inclusion criteria. The research was conducted in the Manyar Sub-district Health Center area, Gresik Regency, in March 2022. A total of 63 respondents were selected using a purposive sampling method. Data were collected through questionnaires administered during home visits. The variables of depression, anxiety, and stress were measured using the Depression Anxiety Stress Scales (DASS). Results: The study revealed that 57% of families caring for members with mental disorders experienced mild levels of depression. The majority (60%) reported moderate levels of anxiety, while most families (78%) showed normal levels of stress. Conclusions: Most families caring for individuals with mental disorders experienced mild depression, moderate anxiety, and normal stress levels. Providing mental health education and relaxation training for family caregivers is important to reduce depression, anxiety, and stress, thereby improving the quality of care.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND PSYCHOLOGICAL WELL-BEING AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS AT SUKODADI PUBLIC HEALTH CENTER, LAMONGAN REGENCY Umam, Khotibul; Iswatun, Iswatun; Susanto, Joko; Wijayanti, Endah Sri
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.74718

Abstract

Introduction: Type 2 diabetes mellitus is a chronic disease that commonly affects many individuals. It can lead to a lack of self-acceptance, depression, and high levels of anxiety. This can negatively impact a person's psychological well-being, making family support crucial. This study aims to analyze the relationship between family support and psychological well-being among patients with type 2 diabetes mellitus at Sukodadi Public Health Center, Lamongan Regency. Methods: This research used a quantitative correlational design with a cross-sectional study approach. The sample consisted of 50 subjects selected through consecutive sampling. The research instruments used were Hensarling's Diabetes Family Support Scale (HDFSS) and Ryff's Psychological Well-Being Scale (RPWB). Results: The results showed that almost all respondents had high family support, with 88% of respondents reporting this. More than half of the respondents demonstrated good psychological well-being, accounting for 52%. Based on the Chi-Square test, highly significant results were obtained, as evidenced by the Asymp. Sig value of P = 0.000. Conclusions: There was a significant relationship between family support and psychological well-being among patients with type 2 diabetes mellitus at Sukodadi Public Health Center, Lamongan Regency. The results of this study are expected to provide information, serve as a guideline, and offer input regarding the importance of psychological well-being, which can positively influence the health outcomes of patients with type 2 diabetes mellitus.
Self-Efficacy and Utilization of Prolanis Health Services for Type 2 Diabetes Mellitus Patients iswatun, iswatun; Susanto, Joko; Umam, Khotibul; Hidaayah, Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.3175

Abstract

The prevalence of type 2 Diabetes Mellitus (DM) continues to increase globally, including in Indonesia, causing a decrease in quality of life and the risk of serious complications. The Chronic Disease Management Program (Prolanis) is designed to improve disease management, but its utilization has not been optimal. Self-efficacy is a key factor in encouraging patient participation in health services. Objectives: This study aims to analyze the relationship between self-efficacy and the utilization of Prolanis health services in patients with type 2 diabetes mellitus. Specifically, the objectives of this study include identifying the level of self-efficacy of type 2 DM patients who are members of the Prolanis group and assessing the level of utilization of Prolanis health services by type 2 DM patients. Methods: The study was conducted using a cross-sectional approach at the Lamongan Health Center from March to May 2023. The study sample was 125 DM patients in the Prolanis group who were selected by accidental sampling. The research instrument used a general self-efficacy questionnaire and a questionnaire on utilizing the Prolanis health service system compiled by researchers from the results of a literature review and data analysis using the Spearman Rank test. The study results showed that the majority of respondents, 68%, had high self-efficacy, and 51.2% made good use of Prolanis health services. The results of the Spearman Rank test are p = 0.000 and r = 0.763, meaning that there is a relationship between self-efficacy and the utilization of Prolanis health services for type 2 DM patients. The correlation strength is strong and positive. The conclusion shows that high self-efficacy in type 2 DM patients tends to be better at utilizing Prolanis health services than low self-efficacy.
Co-Authors A. S, Nela Abdul Nasir, Abdul Ah Yusuf, Ah ah. Yusuf Amellia Mardhika Anestasia Pangestu Mei Tyas Arief, Yuni Sufyanti Arifal Aris, Arifal Cucuk Rahmadi Purwanto Endah Sri Wijayanti Fadilah, Firsca Nur Fadliyah, Lailatul Fanni Okviasanti Fatimatuz Z, Aini Nurul Ferry Efendi Harianto, Susilo Hidaayah, Nur Ilkafah Ilkafah, Ilkafah Indira Murty, Maulida JOKO SUSANTO Joko Susanto Kartika, Aprilia Ayu Khotibul Umam Kurnia Putri, Bela Dwi Kurniawan, Yeri Kurniawati, Ninuk Dian Kurniawati, Rizka Laila, Fadliyah Lailiyah, Nazilatul Lestari, Feby Diah Lilik Supriati, Lilik Lutfiandini, Cherlys Tin Makhfudli Makhfudli Muhalla, Hafna Ilmy Mukti, Doni Karisma Nasir, Abd Ni Wayan Trisnadewi, Ni Wayan Pangestu, Anestasia Paramadita, Yayuk Perdana Febryanto, Kaldera Yugi Putri, Ivananda Siera Lisna Rindayati, Rindayati Rismayanti, I Dewa Ayu Rizkika Putri Silvia Rohmawati, Iin Rukanah, Rukanah Safa Ayu Shinta, Banafsa Sairozi , Ali Sairozi, Ali Sofiatun Sofiatun Sri Wijayanti, Endah Sulfat, Emuliana Suniyadewi, Ni Wayan Tin Lutfiandini, Cherlys