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Bayu Nirwana
Politeknik Negeri Subang
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Journal : Indonesian Nursing Journal

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The relationship between self-efficacy in blood sugar management and self-management in type 2 diabetes patients at Subang General Hospital Alifia, Dianita; Minanton, Minanton; Nirwana, Bayu
Indonesian Nursing Journal Vol. 2 No. 1 (2024): July 2024
Publisher : Program Studi Keperawatan, Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v2i1.133

Abstract

Background: Type 2 diabetes mellitus requires effective self-management to prevent complications and maintain a healthy quality of life. Self-efficacy, or a patient’s belief in their ability to manage their condition, is recognized as a key factor influencing diabetes self-management. However, the strength and nature of this relationship remain understudied in the local context of patients receiving care at Subang General Hospital. Purpose: This study aims to investigate the relationship between self-efficacy in blood sugar management and self-management in type 2 diabetes patients at Subang General Hospital. Methods: A quantitative correlational study with a cross-sectional design was conducted. Consecutive sampling was used to recruit 40 respondents. Data were collected using two standardized tools: the Diabetes Management Self-Efficacy Scale (DMSES) and the Diabetes Self-Management Questionnaire (DSMQ). The relationship between self-efficacy and self-management was analyzed using the Spearman-Rho statistical test. Results: Among the respondents, 80% (n=32) demonstrated high levels of self-efficacy, while 67.5% (n=27) exhibited good self-management practices. The statistical analysis revealed a significant positive correlation between self-efficacy and self-management (p=0.003). Conclusion: The findings indicate a significant relationship between self-efficacy and self-management in patients with type 2 diabetes mellitus. These results underscore the importance of enhancing self-efficacy as part of diabetes education and management strategies to improve patient outcomes. Future research should explore interventions that specifically target improving self-efficacy to optimize self-management behaviors.
Silent agitators: The role of anxiety in exacerbating hypertension among hospitalized patients in Subang Sriwinengsih, Wiwin; Nirwana, Bayu
Indonesian Nursing Journal Vol. 2 No. 2 (2025): January 2025
Publisher : Program Studi Keperawatan, Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v2i2.295

Abstract

Background: Hypertension is a leading global health concern and a major contributor to cardiovascular diseases and mortality. Anxiety, a common psychological condition, is increasingly recognized for its role in exacerbating hypertension, especially in hospitalized settings. Despite this, the relationship between anxiety and hypertension in such environments remains underexplored. Purpose: This study investigates the relationship between anxiety levels and hypertension exacerbation among patients hospitalized in Subang, Indonesia. Methods: A cross-sectional design was employed, involving 60 hypertensive patients admitted to a regional hospital. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A), while blood pressure measurements were recorded during hospitalization. Logistic regression analysis was performed to determine the association between anxiety and blood pressure changes. Results: Results indicated that higher anxiety levels were significantly associated with increased odds of hypertension exacerbation (OR 1.25; p < 0.01). The average HAM-A score was 18.7, reflecting moderate anxiety, and the mean blood pressure change was 12.5 mmHg. Demographic analysis revealed an evenly distributed sample with diverse educational and occupational backgrounds. Conclusion: Anxiety significantly contributes to the destabilization of blood pressure in hospitalized patients, underscoring the need for integrated management strategies that address both psychological and physiological aspects of hypertension. Implementing early identification and targeted interventions for anxiety can improve hypertension outcomes and overall patient care. This study highlights the importance of a holistic approach to hypertension management, particularly in high-stress environments like hospitals.
Co-Authors Aat Agustini Ade Nuraeni Afifah, Anis Agusta Dian Ellina Alifia, Dianita Daniel Happy Putra Diana Putri, Dwi Dwi Diana Putri Fitri Handayani Fitri Handayani Habsyah Saparidah Agustina Hijriani, Hera Irfani Nurfuadah Minanton Novian Mahayu Adiutama Nurfuadah, Irfani Nuridha Fauziyah Nurizzi Rifqi Ferdian Ramadanti, Bunga Rosiah Rosiah Rosita, Iis Neneng Saputra, Moch Magma Hadi Slamet Rahayu Sriwinengsih, Wiwin Susilo, Muhammad Kaffah Kayana Teguh Prawira Wardah Fauziah Yanti, Shella Sucy Yeanneke L. Tinungki, Yeanneke L.