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The effect of progressive muscle relaxation on the psychological burden of caregivers of patients with diabetes mellitus Uswatun Khasanah; Yossie Susanti Eka Putri; Mustikasari Mustikasari; Herni Susanti
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1993

Abstract

Background: Type 2 Diabetes Mellitus (DM) is a chronic disease that not only affects patients but also places a significant psychological burden on their families as caregivers. This burden can take the form of stress, anxiety, depression, physical exhaustion, and decreased quality of life. Purpose: To determine the Progressive Muscle Relaxation (PMR) technique in reducing the psychological burden on caregivers of patients with DM type 2. Method: A descriptive qualitative approach, specifically focusing on exploratory study. The study took place April 2025, in Batutulis, Bogor. Using total sampling 2 participants were selected, contributor informant inquired Mr. W as caregiver and Mrs. U patients with diabetes mellitus type 2. Data collection in this study was done through triangulation, which combines several data sources, methods, and theories to increase the validity of the results. For data collection, it was conducted using indepth interviews were conducted with open-ended questions with questionnaire. The data were analysed using thematic analysis technique to identify important information and understand the core meaning of each data. Results: There was a decrease in psychological burden after the PMR intervention, as evidenced by a decrease in family questionnaire scores. Data collection was conducted through interviews, observation, and documentation. Conclusion: Progressive Muscle Relaxation has been shown to reduce the psychological burden on caregivers of patients with chronic illnesses, including diabetes. This intervention can be used as a supporting strategy for community nursing services to improve caregiver mental well-being.
Adolescents’ psychological well-being after parental divorce in Indonesia: an interpretative phenomenological analysis Slametiningsih Slametiningsih; Achir Yani S. Hamid; Imami Nur Rachmah; Mustikasari Mustikasari; Raden Irawati Ismail
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.26981

Abstract

Parental divorce has increased in Indonesia and may adversely affect adolescents’ psychological well-being. However, limited qualitative research has explored how adolescents interpret divorce within the Indonesian sociocultural context. This study aimed to explore adolescents’ experiences of psychological well-being following parental divorce and identify coping processes that foster resilience. A qualitative study using an interpretative phenomenological analysis (IPA) approach was conducted. Semi-structured interviews were carried out with five female adolescents aged 14-15 years who had experienced parental divorce. Participants were purposively recruited from a junior high school in Bekasi, Indonesia. Data were analyzed using IPA to examine lived experiences and meaning-making processes. Three themes emerged: i) self-acceptance and identity reconstruction, ii) relational ecosystems as double-edged support systems, and iii) transition from survival strategies to purposeful autonomy. Participants described grief, self-blame, academic disruption, and social stigma. However, supportive relationships with peers, extended family, and teachers promoted adaptive coping and resilience. These findings highlight that parental divorce affects adolescent psychological well-being, but supportive environments can mitigate negative outcomes. School-based mental health programs, anti-stigma initiatives, and culturally sensitive counseling services are recommended to support adolescents experiencing family transitions.
Experiences of Indonesian Adolescents Losing Parents Due to COVID-19: a Phenomenological Study Novianti, Evin; Mustikasari, Mustikasari
IJNP (Indonesian Journal of Nursing Practices) Vol. 7 No. 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.18245

Abstract

Background: Adolescents losing their parents is the worst event they experience during the COVID-19 pandemic. Adolescents raise a traumatic response after a loss occurs.Objective: This study aims to explore the description of the condition of adolescents in dealing with the loss of parents due to COVID-19.Methods: Qualitative research design with a phenomenological approach. The number of participants is 12 people with the criteria of youth aged 10-19 years consisting of men and women who have lost their parents due to COVID-19. Interview data were processed using the Colaizzi technique.Results: Four themes through the theme analysis, namely adolescents are not ready to face sudden loss, adolescents experience suffering due to the loss of parents, adolescents find it difficult to go through the loss process, and changes occur in adolescents due to the loss of parents.Conclusion: The findings of this study show that the sudden loss of parents due to COVID-19 harms adolescent mental health. As a result, mental health nurses in the community need to detect adolescents early for signs of stress and anxiety due to the loss of parents and take steps to strengthen adolescents' self-defense after loss.
Co-Authors A.A. Ketut Agung Cahyawan W Achir Yani Hamid Achir Yani S. Hamid Achir Yani, Achir AFIF, NUR Afriyanti, Fajriyah Nur Agus Waluyo, Agus Akemat, Akemat Alfriyani, Meyunda Ali Fendi Amelia Kimin Anny Rosiana Masithoh ANTAMIL, ANTAMIL Aswin Hardi Azzam, Rohman Basri Fahriza Budi Anna Keliat Buntar Handayani DARMATASIA, DARMATASIA Daulima, Novy H. C. Daulima, Novy Helena Dedi Sukandar Dwi Erna Wati Dwiyantoro Dwiyantoro Eka Budiarto Eko Winarto ELISA ALTASANI Elly Nurachmah Emi Wuri Wuryaningsih Era Sari Eriyono Budi Wijoyo Evi Martha Evin Novianti Fandy Yoduke Febri Christian Firhan Nurfalah Firman Hidayat Firman Hidayat Fitri Hastuti Ningsih Fitria, Dian Fitria, Dian Ghibran, Andi Khalil Gina, Agnes Hamid, Achir Yani Handayani, Buntar Hardayati, Yunita Astriani Hargiana, Giur Hariani Hariani, Hariani Hermanto, Hendy Herni Susanti Ice Yulia Wardani Ice Yulia Wardhani Ida Ayu Putri Wulandari Ike Mardiati Agustin ike mardiati agustin Imam Zainuri Imami Nur Rachmah Imas Sartika Imelisa, Rahmi INDARNA, ASEP AEP Indra Ismawan, Indra Ismawan Irma Sofiani Kusmara Irma Sofyani Kusmara Iwan Somantri Junaiti Sahar KHAERUN, A.ALI AKBAR Khrisna Wisnusakti Krisna Yetti Kuntarti Kurniawan Kurniawan Kuswantoro Rusca Putra Laela, Sri Laily Nur Hidayati Laily Nur Hidayati, Laily Nur Lilik Ma'rifatul Azizah Linda Mandasari Livana PH Livana Ph, Livana M Akbar Nugraha mariyati mariyati Muhammad Adam Muhammad Ari Arfianto Muhammad Ferly Aditya Mustika Sajida Maharani Mutianingsih Mutianingsih Mutianingsih, Mutianingsih Nela Aprilia Norman Wijaya Gati Noviyanti, Laura Khattrine Novy H. C. Daulima Novy H.C Daulima Novy Helena Catharina Daulima Novy Helena Chatarina Daulima Nugraha, Setiya Nuraenah, Nuraenah Nurfalah, Firhan Nurhayati Nurhayati Nursery Alfaridi S Nasution Oktavia, Maynah Purwadi Purwadi Raden Irawati Ismail Rahayu, Prastiwi Puji Rahman, Faidhul Ratanto Ratanto Retno Yuli Hastuti Ria Utami Panjaitan Ridwan Kustiawan Rohman Azzam Roswendi, Achmad Setya Royani Royani Rusmai Triaswati Rusmai Triaswati Sambuaga, Michelle Christine Sandriana Marina Saputra, Wahyuddin Septiawantari, Rani Setiyani, Adek Silalahi, Malianti Siska Amonalisa Silalahi Siwi Setya Utami Sri Laela Sri Wahyuni Sri Yona Sri Yulia Sriyk H, Sriyk H Susanti Niman Suzanna Suzanna Tiveni Elisabhet Tri Setyaningsih Triani Banna Tuti Nuraini Tuti Nuraini Uswatun Khasanah Vina Rachmawati Wardhani, Ice Yulia Yanuar Fahrizal Yati Afiyanti Yefta Primasari Yosi Pahala, Yosi Yossie Susanti Eka Puteri Yossie Susanti Eka Putri Yudi Ariesta Chandra Yulianti Keke Yuliastuti, Estin Yuniar Mansye Soeli Yunita Astriani Hardayati