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Happiness and Physical Discomfort as Determinants of Quality of Life Among Nursing Home Residents: A Cross-Sectional Study Masithoh, Anny Rosiana; Murdhiono, Wahyu Rochdiat; Nordin, Rusli Bin Nordin; Rahmawati, Ashri MaulidaRahmawati
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.555

Abstract

Background: QoL assessment is essential in delivering person-centered care for institutionalized older adults. However, evidence on the combined influence of happiness and physical discomfort on their QoL remains limited. This study aimed to examine the associations between happiness, physical discomfort, and QoL among nursing home residents. Methods: This cross-sectional study followed the STROBE guideline and was conducted at Nursing Home A in Jepara Regency. Of the 81 elderly residents, 68 participants were selected using Slovin’s formula and recruited through purposive sampling. Inclusion criteria were age ≥60 years, permanent residence in the nursing home, willingness to participate, and ability to communicate effectively. The independent variables were happiness and physical discomfort, while QoL was the dependent variable. The questionnaires were administered through face-to-face interviews to ensure comprehension. QoL was assessed using the SF-36, happiness using the Oxford Happiness Questionnaire (OHQ), and physical discomfort using the Visual Analogue Scale (VAS). Associations between variables were analyzed using Spearman’s rank correlation test. Results: The majority of elderly participants reported experiencing severe physical discomfort (33.8%) and demonstrated poor QoL (58.8%). A significant association was identified between physical discomfort and QoL (Spearman’s ρ = −0.37, 95% CI −0.56 to −0.14, p = 0.003). In addition, happiness was significantly correlated with QoL (Spearman’s ρ = 0.35, 95% CI 0.12 to 0.54, p = 0.004), with most participants who exhibited low happiness scores also reporting poor QoL. Conclusion: The findings underscore the importance of integrated nursing strategies that address both physical discomfort management and emotional well-being to improve elderly QoL. Routine assessment of discomfort and happiness should be incorporated into daily nursing care and institutional policies within nursing homes.
Hubungan Tingkat Spiritual Dengan Kualitas Hidup Pada Lansia Penderita Diabetes Mellitus Komplikasi Di Puskesmas Trangkil Pati Haris Husnul Hakam; Edy Soesanto; Ashri Maulida Rahmawati
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.544

Abstract

Diabetes Melitus (DM) pada lansia menjadi salah satu ancaman kesehatan global, di seluruh dunia hampir setengah miliar orang hidup dengan diabetes melitus. Diabetes Mellitus dapat mempengaruhi kualitas hidup seseorang dalam melakukan aktivitas kehidupan. Lansia penderita diabetes melitus yang sehat secara spiritual (tingkat spirirtual tinggi) dapat menggunakan keyakinan mereka untuk melakukan koping terhadap penyakit, nyeri, dan tekanan hidup yang dialami. Metode penelitian ini merupakan penelitian analitik korelasi dengan pendekatan cross sectional. Sampel diambil sebagian dari populasi penelitian dengan pengambilan sampel sebanyak 50 responden dengan total sampling. Alat ukur yang digunakan berupa kuesioner yang telah teruji validitas dan reliabilitas yaitu kuesioner DSES (Daily Spiritual Experience Scale) dan kuesioner DQoL (Diabetes Quality of Life). Analisis data yang digunakan menggunakan analisis univariat dan bivariat dengan uji korelasi spearman rank dengan nilai signifikan a=0,05, yang apabila nilai P < 0,05 maka Ha diterima yang mana terdapat korelasi yang bermakna antara dua variabel. Dan apabila P > 0,05 maka Ha ditolak yang mana tidak ada korelasi yang bermakna antara dua variabel tersebut. Hasil penelitian menggambarkan bahwa mayoritas responden dengan tingkat spiritualitas tinggi sebanyak 24 (48%) dan responden dengan kualitas hidup tinggi sebanyak 30 (60%). Hasil uji statistik Rank Spearman diperoleh p value=0,010 (p value < 0,05) yang berarti ada hubungan tingkat spritual dengan kualitas hidup pada lansia penderita diabetes melitus komplikasi di Pukesmas Trangkil.
Socio Demographic Factors Related to Father Presence in Parenting Adolescents Edita Pusparatri; Ashri Maulida Rahmawati; Fania Nurul Khoirunnisa; Muhamad Jauhar; Gandi Siwitri; Dwi Febryanto
JURNAL INFO KESEHATAN Vol 23 No 4 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss4.2165

Abstract

Father presence plays a crucial role in the emotional and psychological development of adolescents, yet various socio-demographic factors remain barriers to understanding the significance of fathers' role in parenting. Adolescents who grow up without their fathers are more vulnerable to mental health and social problems, which in turn impact their self-esteem and academic achievement. This study aimed to identify the strongest socio-demographic factors associated with the presence of fathers in the care of adolescents in Kudus District. This study used an observational analytic design with a cross-sectional approach, which was analyzed through the chi-square test and binary logistic regression. The sample consisted of 332 purposively selected high school students. Independent variables included gender difference with the child, parents' marital status, father's education, father's occupation, economic status and family function, while the dependent variable was the level of father’s presence in parenting. The results of the analysis showed that family function in parenting is the strongest social factor that positively influences father presence in adolescent parenting (OR = 6.651, p < 0.05). In addition, the demographic factor of marital status also positively influenced father’s presence in adolescent care (OR = 2.447, p < 0.05). Meanwhile, gender differences between father and child, father's education level, father's occupation, and economic status did not have a significant correlation. The study conclusion emphasizes the importance of integrating family functions in an effort to increase father's participation in parenting, as well as the implications for practice of community health workers, family health programs, and school based family programs.