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Journal : Journal of Rural Community Nursing Practice

Impact of Perceived Vulnerability and Benefits on Adolescent Smoking Cessation Motivation Setyoadi; Aisyana, Lala; Sari, Efris Kartika; Ismail, Dina Dewi Sartika Lestari
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.404

Abstract

Background: Most smoking among adolescents aged 15-19 years is associated with a psychosocial crisis, as they are still searching for their identity. Factors such as perceived vulnerability and perceived benefits can lead adolescents to start smoking. Purpose: The purpose of this study was to determine the relationship between perceived vulnerability and perceived benefits and motivation for smoking cessation among adolescents. Methods: The research design uses an analytical observational design with a cross-sectional approach. The research sample consisted of adolescent smokers selected using a cluster random sampling technique, resulting in 136 participants. Data for variables were collected using the Perceived Vulnerability to Disease (PVD), Perceived Risks and Benefits Questionnaire (PRBQ), and Smoking Cessation Motivation Questionnaire (Q-MAT), which were modified by the researchers and tested for validity and reliability. The research data were analyzed using the Spearman Rank Test. Results: The results showed that 97.8% of participants had a positive perceived vulnerability, 97.1% had a positive perceived benefit, and 71.3% had a high motivation for smoking cessation. There was a significant relationship between perceived vulnerability and perceived benefits with motivation for smoking cessation, with a significant p-value of 0.000 and correlation values of +0.478 and +0.643. Conclusions: Adolescents' motivation to quit smoking is shaped by their awareness of health risks and the benefits of quitting, such as improved well-being and financial savings. Nursing-based interventions, including counseling, support groups, and school health campaigns, play a crucial role in reinforcing this motivation and ensuring long-term cessation.
The Relationship Between High-Density Lipoprotein (HDL) and Glycated Hemoglobin (HbA1C) in Type 2 Diabetes Mellitus Patients: Implications for Cardiovascular Risk Setyoadi, Setyoadi; Ismail, Dina Dewi Sartika Lestari; Kartika, Annisa Wuri; Sari, Dewi Purnama; Septian, Angel Dwi; Lallo, Adelina Stefanie; Kurniasari, Rara
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.576

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder marked by hyperglycemia due to insulin resistance or impaired insulin secretion. Dyslipidemia, especially low High-Density Lipoprotein (HDL), contributes significantly to cardiovascular disease risk in T2DM. Glycated hemoglobin (HbA1c) serves as the standard biomarker for long-term glycemic control. Previous studies suggested an inverse relationship between HDL and HbA1c, but results remain inconsistent, and limited evidence exists from Indonesian primary care settings. Purpose: This study aimed to examine the association between HDL cholesterol and HbA1c levels in T2DM patients at a primary healthcare center in Batu City, Indonesia. Methods: An observational analytic study with a cross-sectional retrospective design was conducted. Secondary data were obtained from medical records of T2DM patients at Puskesmas Sisir, Batu City, in July 2025. A total of 79 patients fulfilling inclusion criteria were included through total sampling. Laboratory results of HDL (mg/dL) and HbA1c (%) were analyzed. Spearman’s rank correlation test was used, with significance set at p ≤ 0.05. Results: Among the 79 respondents, most were aged 45–65 years (50.6%) and female (77.2%). The mean HDL level was 45.3 ± 8.2 mg/dL, while the mean HbA1c level was 8.2 ± 1.5%. Correlation analysis indicated a weak negative association between HDL and HbA1c (r = –0.132, p = 0.246). Although higher HDL levels tended to correspond with lower HbA1c values, the relationship was not statistically significant. Conclusions: These findings underscore the critical role of community nurses in integrating routine HbA1c and lipid profile monitoring into T2DM follow-up visits, promoting holistic cardiovascular risk assessment even when individual biomarkers show weak associations.