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All Journal IAES International Journal of Artificial Intelligence (IJ-AI) Nurse Media Journal of Nursing Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Sriwijaya Public Health of Indonesia Belitung Nursing Journal Jurnal Kesehatan Komunitas Buletin Ilmiah Nagari Membangun Faletehan Health Journal Seminar Nasional Keperawatan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Menara Medika Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja PROFICIO: Jurnal Pengabdian Masyarakat Jurnal Kesehatan Abdurrahman Lentera Perawat Kolaborasi Jurnal Pengabdian Masyarakat Journal of Health and Nutrition Research Jurnal Pengabdian Masyarakat Bhinneka Ekalaya: Jurnal Pengabdian Kepada Masyarakat Indonesia DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Merdeka Cakrawala Medika: Journal of Health Sciences Journal of Community Nursing and Primary Care Indonesian Journal of Health Services Bakti Nusantara Pengabdian Masyarakat Indonesia
Akbar, M. Agung
Program Studi D-III Keperawatan STIKES Al-Ma’arif Baturaja
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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NURSING CARE USING HANDHELD FANS (BASED ON ROY'S ADAPTATION MODEL) FOR PATIENTS WITH BRONCHOPNEUMONIA AND DYSPNEA KK, Indra Frana Jaya; Zulfikri, Ahmad; Pratiwi, Afrida; Ningsih, Deasy Kurnia; Cahya, Febriani; Ayunani, Sabrina; Akbar, M Agung
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 1 (2026): January - March
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i1.670

Abstract

Bronchopneumonia remains a common respiratory condition that frequently leads to impaired breathing patterns in pediatric patients. Dyspnea that is not properly managed may lead to hypoxia and increased respiratory workload. Simple, safe, and evidence-based non-pharmacological interventions are needed to alleviate dyspnea symptoms. One such intervention is handheld fan therapy, which works by stimulating trigeminal mechanoreceptors to improve breathing comfort and support physiological adaptation. This study aimed to implement and evaluate the effectiveness of handheld fan therapy based on the Roy Adaptation Model in managing impaired breathing patterns among patients with bronchopneumonia. This study employed a descriptive case study design. The subjects consisted of three pediatric patients diagnosed with bronchopneumonia who met the inclusion criteria. Data were collected through nursing assessment, clinical observation, physical examination, and medical record documentation. The handheld fan therapy intervention was administered twice daily for three consecutive days, with each session lasting 5–10 minutes. Nursing care implementation followed the Indonesian Nursing Diagnosis Standards (SDKI), Nursing Outcome Standards (SLKI), and Nursing Intervention Standards (SIKI). Data were analyzed descriptively to evaluate adaptive response changes in patients. The findings indicated that all patients presented with primary complaints of dyspnea and cough with a nursing diagnosis of impaired breathing pattern. Following three days of intervention, improvements in respiratory status were observed, including decreased respiratory rate, reduced dyspnea levels, decreased cough frequency, improved oxygen saturation, and increased patient comfort. Handheld fan therapy based on the Roy Adaptation Model is an effective non-pharmacological nursing intervention for reducing dyspnea and improving breathing patterns in patients with bronchopneumonia. This intervention has the potential to be integrated into evidence-based nursing practice for respiratory care management.
Development and Psychometric Evaluation of the Holistic Diabetes Self-Efficacy Scale (HDSES) in Indonesia Saltar, La Ode; Sahar, Junaiti; Etty, Rekawati; Ayubi, Dian; Akbar, M Agung
Lentera Perawat Vol. 3 No. 2 (2022): Lentera Perawat
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v3i2.756

Abstract

Background: Type 2 diabetes mellitus requires consistent self-management, and successful disease control is strongly influenced by patients’ self-efficacy in performing daily care behaviors. Existing instruments mainly emphasize behavioral and treatment-related aspects and may not adequately capture broader holistic dimensions, including psychosocial adaptation and spiritual coping.Objective: This study aimed to develop and psychometrically evaluate the Holistic Diabetes Self-Efficacy Scale (HDSES) among individuals with type 2 diabetes mellitus in Indonesia.Methods: This methodological study followed four stages of instrument development, namely construct definition, item pool generation, scale design, and psychometric evaluation. The HDSES was conceptualized across six dimensions: nutrition, physical exercise, treatment adherence, blood glucose check, psychosocial adaptation, and spiritual coping. The initial questionnaire consisted of 30 items and was reviewed by three nurse lecturers specializing in diabetic care. Data were collected from patients with type 2 diabetes mellitus in the working areas of public health centers in Kendari City using simple random sampling. The final instrument consisted of 28 items rated on a five-point Likert scale ranging from 1 (very uncertain) to 5 (very confident). Validity was assessed using Pearson correlation, and reliability was examined using Cronbach’s alpha.Results: The findings showed that all six HDSES dimensions demonstrated adequate item validity and good internal consistency. The dimensions of nutrition, physical exercise, treatment adherence, blood glucose check, psychosocial adaptation, and spiritual coping were all found to be valid and reliable for assessing holistic diabetes self-efficacy.Conclusion: The HDSES is a valid and reliable instrument for measuring holistic diabetes self-efficacy among patients with type 2 diabetes mellitus in Indonesia. The scale may support more comprehensive nursing assessment, health education, and tailored interventions in primary care settings.
Exploring antiretroviral treatment discontinuation among people living with HIV in Indonesia: A qualitative study Sujianto, Untung; Amirudin, Ikhwan; Akbar, M Agung; Waluyo, Agung; Nursasi, Astuti Yuni
Belitung Nursing Journal Vol. 11 No. 6 (2025): November - December
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4129

Abstract

Background: Discontinuation of antiretroviral therapy (ART) among people living with HIV (PLHIV) presents significant challenges for HIV care, often leading to physical deterioration, emotional distress, and social isolation. Although prior studies have addressed barriers to adherence, little is known about the experiences of PLHIV following treatment discontinuation in the Indonesian context. Objective: To explore the experiences of Indonesian PLHIV who have discontinued ART. Methods: This qualitative study employed a descriptive phenomenological approach and was conducted in three urban areas of Indonesia (Jakarta, Yogyakarta, and Bandar Lampung) between August and September 2024. Fifteen participants were purposively recruited from community-based organizations. In-depth semi-structured interviews were conducted, transcribed verbatim, and analyzed using Colaizzi’s method to identify themes and meanings in the narratives. Results: Three major themes emerged: (1) Physical and psychological consequences of ARV discontinuation, including fatigue, anxiety, and a sense of losing control; (2) Prolonged social strain and stigma, marked by loss of support and moral judgment from others; and (3) Searching for meaning and coping without treatment, including spiritual resignation and detachment from bodily control. These themes reflect the complex, multidimensional burdens PLHIV face after stopping treatment, particularly in the Indonesian context, where HIV stigma is deeply rooted in sociocultural and religious norms, and access to mental health support remains limited. Conclusion: ART discontinuation is not merely a clinical event but a deeply human experience shaped by physical decline, emotional conflict, social rejection, and existential adaptation. To improve long-term HIV care outcomes, healthcare systems must integrate psychosocial and spiritual support for individuals who disengage from treatment, encouraging re-engagement through nonjudgmental and person-centered care. For nursing practice, this study emphasizes the importance of developing empathetic communication, providing culturally sensitive counseling, and actively addressing stigma during care interactions.
Experiences of People Living with HIV and Tuberculosis amid Fear, Guilt, and Silence: A Qualitative Study Amirudin, Ikhwan; Waluyo, Agung; Sujianto, Untung; Akbar, M Agung; Nursasi, Astuti Yuni; Ayubi, Dian
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.79237

Abstract

Background: People living with HIV–TB (PLHIV–TB) continue to experience persistent stigma, fear, guilt, and silence that shape their psychosocial wellbeing and social interactions. HIV–TB represents a double burden that intensifies stigma and moral judgment, particularly within sociocultural and religious contexts. However, the lived experiences of PLHIV–TB in Indonesia remain insufficiently explored, despite the country’s unique cultural and religious dynamics. Understanding these contextualized experiences is essential for strengthening holistic, culturally responsive, and stigma-sensitive HIV–TB care.Purpose: This study aimed to explore experiences of PLHIV-TB amid fear, guilt, and silence within the Indonesian sociocultural context.Methods: A descriptive phenomenological design was employed, with 20 PLHIV-TB purposively selected from Lampung, Palembang, Depok, and Yogyakarta between January and June 2025. Data were collected through in-depth, semi-structured interviews lasting 45–70 minutes and analyzed using NVivo software with Colaizzi’s method. Trustworthiness was ensured through member checking, peer debriefing, and reflexivity.Results: Six themes captured the essence of participants’ experiences: (1) living under constant fear of exposure, (2) choosing silence as protection, (3) bearing the weight of guilt and moral judgment, (4) loneliness amid social disconnection, (5) struggling with faith and moral reconciliation, and (6) searching for meaning and self-acceptance. Participants’ narratives revealed a transformation from concealment and shame toward spiritual reconciliation and dignity through emotional and faith-based resilience.Conclusion: The lived experiences of people living with HIV–TB in Indonesia are shaped by intertwined dynamics of fear, guilt, and silence within a context of pervasive stigma. At the same time, some individuals demonstrate adaptive processes that reflect a complex journey from suffering to meaning-making and self-acceptance. These findings underscore the need for stigma-sensitive, psychosocial, and spiritually informed interventions to support holistic HIV–TB care.
Co-Authors Agung Waluyo Ahmad Yamin Al Hakim, Abdul Rahman Amirudin, Ikhwan Anggraeni, Hesti Aprilia, Rike Aria Wibisana Astuti Yuni Nursasi Ayunani, Sabrina Cahya, Febriani Cahyadi, Gabriel Ekoputra Hartono Chandra Rahmadi Charista, Rysha Citra Amelia Yulianti Dea Wahyuni, Elisa Dian Ayubi Efrianty, Novalia Elisa Dea Wahyuni Eni Folendra Rosa Erlika, Yesifa Esi Afriyanti Etty Rekawati Etty, Rekawati Fadhilah, Laila Fadhillah, Laila Fakhri Rizki Fakhri Rizki Fatin, Nurul Ferdi, Roni Fitriani Agustina Gupta, Prateek Harsanto, D Eka Harto, Toto Hema Malini, Hema Henny Suzana Mediani Ina Yatul Khoiriyah Indah Ambarwati Iraningrum INDRA FRANA JAYA KK Joni Siahaan Junaiti Sahar Khoiriyah, Ina Yatul KK, Indra Frana Jaya Lina Oktavia, Lina Lisa Novianti Utami Lisdahayati Lisdahayati Lisdahayati Lisdahayati, Lisdahayati Mahafira, Nesa Dwi Martadinata, Umar Hasan Mulia Ganta Saputri Nelly Rustiati Neti Juniarti Ni Ketut Sujati Ningsih, Deasy Kurnia Novalia Efrianty Nurul Fitriah Pome, Gunardi Prateek Gupta Pratiwi, Afrida Prawiti, Ayu Dwi Rafela, Sindi Ramadhona, Shinta Ratu Ayu Dewi Sartika Ratu Ayu Dewi Sartika Rizki, Fakhri Roni Ferdi Roni Ferdi Rustiati , Nelly Rustiati, Nelly Rysha Charista Saltar, La Ode Samsuryadi Samsuryadi Saprianto Saprianto Saprianto, Saprianto Shinta Ramadhona Siahaan, Joni Siti Aulia Sukemi Sukemi Supangat Supangat Supangat Supangat , Supangat Supangat Marzuki Supangat Supangat Supangat Supangat Supangat Supangat Untung Sujianto Utami, Lisa Novianti Wang, Jing Jy Wati, Dwi Nurviyandari Kusuma Wibowo Apriandi Widyatuti Willy Astriana Wiwice Arianti Yesifa Erlika Yudi Budianto Yudi Budianto Zanzibar Zanzibar Zanzibar Zanzibar Zulfikri, Ahmad