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All Journal Jurnal Kesehatan Hesti Wira Sakti Jurnal NERS Jurnal Kesehatan Mesencephalon Journal of Health Sciences Health Sciences and Pharmacy Journal Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat PROFESSIONAL HEALTH JOURNAL Jurnal Ilmu Multidisplin Journal of Artificial Intelligence and Digital Business DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Pengabdian Masyarakat Indonesian Journal of Emphirical Nursing Study (IJENS) Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Panggung Kebaikan : Jurnal Pengabdian Sosial
Ispriantari, Aloysia
Institut Teknologi, Sains Dan Kesehatan RS Dr. Soepraoen
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Perceived health status and self‑esteem in relation to health‑related quality of life among adolescents living in orphanages: a multi‑institutional study Ispriantari, Aloysia; Agustina, Rismia; Auwalu Ibrahim, Zainab
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.78649

Abstract

Introduction: Health-related quality of life (HRQoL) reflects the physical, mental, and social well-being of adolescents. Individuals in orphanages are often exposed to stress, which may undermine their HRQoL. This study aimed to explore the HRQoL of adolescents living in orphanages and to examine the roles of perceived health status, self-efficacy, and demographic factors. Methods: A multi-center cross sectional study with convenience sampling was conducted to recruit 238 adolescents aged 13-18 years from 16 orphanages in Malang City, Indonesia. Data were obtained using the KIDSCREEN-27 Child and Adolescent Version, Perceived Health Status, and Rosenberg Self-Esteem Questionnaires. Stata 16.0 was used to conduct descriptive statistics, Pearson correlations, and hierarchical linear regressions. Results: The mean total HRQoL score was 94.4±12.7, with the highest sub‑scale score in peers and social support (3.8±0.7) and the lowest in physical well-being (3.2±0.7). Perceived health status (8.9±1.8) and self-esteem (29.1±3.5) were both positively associated with HRQoL (r=0.31 and r=0.48, respectively; p<0.001), whereas the two variables were not correlated with each other (r=0.09, p>0.05). In the parsimonious regression model, perceived health status (β=3.19, p<0.001) and self-esteem (β=0.97, p<0.001) together explained 30% (R²=0.30) of the variance in HRQoL; inclusion of demographic characteristics increased the explained variance to only 31% and none reached statistical significance. Conclusions: These findings suggest that perceived health status and self-esteem are determinants of HRQoL in adolescents living in orphanages. Nurses should prioritize routine assessments and implement interventions that strengthen self-esteem and perceived health status to improve HRQoL among adolescents living in orphanages.
Co-Authors Apriyani Puji Hastuti Arif Murtadho, Maulana Auwalu Ibrahim, Zainab Dian Pitaloka Priasmoro, Dian Pitaloka Febiola, Dita Hanim Mufarokhah Indari Indari Ivana, Vanesya Mashitah, Musthika Wida Muharestu, Juli Alsa Murtadho, Maulana Arif Murthado, Maulana Arif Nancy Aulia Putri Nurmayunita, Heny Palangi, Thio Tri Fanti Pratama, Chandra Diyan Satria Putri Kania, Abelia Ramadhani, Dea Aulia Rifatul Fani Rismia Agustina Soares, Domingos Ulfia, Arina Faza