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Family Experience in Supporting Diabetes Self-Management Practice: A Qualitative Study Mula Tarigan; Sairomaito Harahap; Siti Zahara Nasution; Evi Karota Bukit; Dharma Lindarto; Dewi Frintiana Silaban
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.23251

Abstract

Family participation plays a vital role in the success of diabetes self-management (DSM). In Indonesia, family-centered care is culturally embedded, yet limited research has explored how families experience and interpret their roles in supporting self-management among patients with type 2 diabetes mellitus (T2DM). This study aimed to explore family experiences in supporting diabetes self-management practices among patients with T2DM in Medan, Indonesia. A descriptive phenomenological approach was employed. Twelve family members who cared for T2DM patients at Chairuddin Panusunan Lubis Hospital were recruited using purposive sampling. Data were collected through in-depth interviews and field notes from February to May 2025. Colaizzi’s seven-step analysis method guided data analysis to extract significant statements and formulate themes. Credibility was ensured through member checking, dependability via team discussion, and confirmability through audit trails. Five interrelated themes emerged: (1) controlling diet, (2) arranging physical training (3) administering medications, (4) emotional support, and (5) utilization of health care facilities. These themes reflected how families act as emotional motivators, behavioral supervisors, and coordinators of care to strengthen patients’ adherence and self-efficacy. Family involvement was not limited to instrumental assistance but extended to emotional reinforcement and facilitation of healthcare access. Family engagement forms the backbone of effective DSM, integrating physical, emotional, and social support. Strengthening family-based interventions is essential to enhance adherence, glycemic control, and quality of life among patients with T2DM. Keyword: Family Experience, Diabetes Self-Management, Family Support, Qualitative Study, Indonesia
Quality of Nursing Work Life and Nursing Job Performance in Medan, Indonesia Mula Tarigan; Dani Syahfitri; Siti Khadijah Nasution
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.25168

Abstract

Nursing Quality of Work Life (QNWL) and nursing job performance are important variables for nurses in functioning within nursing organizations. However, empirical evidence examining the relationship between these variables remains scarce in North Sumatra Province, particularly in Medan. This study aimed to assess the relationship between QNWL and nursing job performance at Chairuddin Panusunan Lubis Hospital, Indonesia. This correlational study design involved a total sample of 62 nurses working in inpatient units. The instruments used were the QNWL and nursing work performance questionnaire. The frequency distribution, percentage, and Pearson correlation test were used for data analysis. The findings showed that QNWL and nursing job performance were predominantly in the moderate category. There was a significant and positive relationship between QNWL and nursing job performance (p < 0.001 and r = 0.670), indicating that higher QNWL is associated with better nursing performance. Therefore, maintaining and improving QNWL is essential to enhance nursing job performance, enabling nurses in hospital settings to deliver high-quality care and achieve optimal and safe patient outcomes.  Keyword: Nursing Work Life, Job Performance, Work Environment, Hospital                                                                                                                                                
The Effectiveness of the Phase II Cardiac Rehabilitation Program on the Functional Capacity of the Heart and Quality of Life of Post-CABG Patients Deddy Wandra Maraksa; Nur Asnah Sitohang; Mula Tarigan
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6600

Abstract

The Coronary Artery Bypass Graft (CABG) procedure is a form of surgical intervention carried out to treat coronary heart disease (CHD). Cardiac rehabilitation programs are training and education programs that aim to improve patients' heart health, especially after surgery. One of the goals of cardiac rehabilitation is to return patients to achieve optimal conditions, increase the functional capacity of the heart, and improve the quality of life. The purpose of the study was to test the effectiveness of the phase II cardiac rehabilitation program on increasing cardiac functional capacity and quality of life of post-CABG patients at H. Adam Malik Hospital Medan. The research design is a quasi-experimental one group pre-test and post-test design. The sampling technique is purposive sampling. The number of samples was 33 respondents. Data analysis was conducted using dependent t tests for heart rate (HR), systolic blood pressure, and diastole blood pressure. Data on respiratory rate (RR), METs, oxygen saturation (SpO2), and quality of life variables were used to test the wilcoxon. The results of the data analysis showed that there was no effect of the phase II cardiac rehabilitation program on HR and RR (p>0.05 value) because the majority of respondents took beta-blocker drugs. However, the results of statistical tests showed that there was an effect of the phase II cardiac rehabilitation program on systole and diastole blood pressure, METs, SpO2, and the quality of life of the respondents (p value <0.05). This study proves that the phase II cardiac rehabilitation program is effective in improving the functional capacity of the heart and the quality of life of post-CABG patients.
Efektifitas Enpowerment Education terhadap pengetahuan Melakukan Vaksinasi HPV pada Remaja Putri Fatwa Imelda; Evi Karota; Mula Tarigan
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15780

Abstract

ABSTRACT Cervical cancer is one of the leading causes of death in developing countries such as Indonesia. One of the government prevention programs is HPV vaccination. HPV vaccination in adolescents has not been widely practiced by adolescents in Indonesia. Many factors influence the acceptance of HPV vaccination in adolescents. Efforts to increase HPV vaccination behavior in schools through Empowerment Education, can be an alternative intervention that can be done. Objective of the study: To analyze the effectiveness of Enpowerment Education on knowledge of HPV vaccination among adolescent girls. Research method: The research design was Quasi Experimental Design using Pre Post Design With A Comparison Group conducted from December 2023 to June 2024. Quantitative instruments using the knowledge questionnaire to do HPV vaccination have gone through validity and reliability tests with an Alpha Cronbach value 0.6 Quantitative data analysis with the Wilcoxon Signed Test (paired) and the Mann Whitney Test (unpaired). Results: There is a difference in knowledge (P=0.000) to vaccinate Pre test and Post test in the Intervention group. There is a difference in knowledge (p=0.000) to do HPV vaccination (p=0.675) in the Post Test Group of Control and Intervention Groups Conclusion: Enpowerment Education has an effect on increasing knowledge of HPV vaccination. Enpowerment education can be used to improve the knowledge female students that can be used in schools. Keywords: Enpowerment Education, Knowledge, HPV  ABSTRAK Latar belakang: Kanker serviks menjadi salah satu penyebab kematian terbanyak di negara berkembang seperti Indonesia. Salah satu pencegahan program pemerintah adalah vaksinasi HPV. Vaksinasi HPV pada remaja belum banyak dilakukan oleh remaja di Indonesia. Banyak faktor yang mempengaruhi penerimaan untuk vaksinasi HPV pada remaja. Upaya peningkatan perilaku vaksinasi HPV di Sekolah melalui Empowerment Education, dapat menjadi suatu alternatif intervensi yang dapat dilakukan. Tujuan penelitian: Menganalisis Efektifitas Enpowerment Education terhadap pengetahuan melakukan vaksinasi HPV pada remaja putri. Metode penelitian: Desain penelitian adalah Quasi Experimental Design menggunakan Pre Post Design With A Comparison Group yang dilakukan dari Desember 2023 hingga Juni 2024 Instrumen kuantitatif menggunakan kuesioner pengetahuan melakukan vaksinasi HPV telah melalui uji validitas dan reliabilitas dengan nilai Alpha Cronbach 0.6 Analisis data dengan kuantitatif dengan uji Wilcoxon Signed Test  (berpasangan) dan uji Mann Whitney Test (tidak berpasangan). Hasil : Terdapat perbedaan pengetahuan ( P=0.000) melakukan vaksinasi  Pre test dan Post test pada kelompok Intervensi. Terdapat perbedaan pengetahuan (p=0.000 melakukan vaksinasi HPV pada kelompok Post Test Kelompok Kontrol dan Intervensi Kesimpulan : Enpowerment Education berpengaruh terhadap  pengetahuan melakukan vaksinasi HPV. Enpowerment education dapat digunakan untuk meningkatkan pengetahuan remaja putri di lingkungan sekolah. Kata Kunci: Enpowerment, Education, Pengetahuan, Vaksinasi, HPV
Medication Adherence by Pill Count Method and Changes in Mean Arterial Pressure Among Community Members with Hypertension: A Pre-Experimental Study Ikhsanuddin; Elnika Saragih; Nur Asnah Sitohang; Mula Tarigan; Lilis Nuriyanti Tambun
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23315

Abstract

Poor medication adherence contributes to inadequate blood pressure control and increases the risk of hypertension-related complications. The pill count method using a pill box is a simple, objective, and low-cost strategy for monitoring medication adherence in community settings. Therefore, this study aimed to evaluate medication adherence using the pill count method and explore the association with short-term changes in mean arterial pressure (MAP). A pre-experimental one-group pretest–posttest study was conducted among 33 hypertensive patients. Medication adherence was monitored for seven consecutive days using a pill box. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and MAP were measured before and after the observation period, then collected data were analyzed with the Wilcoxon Signed-Rank test. A total of 28 participants (84.8%) showed high medication adherence, with a median adherence of 100% (IQR: 86–100). Significant reductions were observed in SBP (median change: −3.0 mmHg, p = 0.014), DBP (−3.0 mmHg, p = 0.006), and MAP (−3.3 mmHg, p = 0.006). However, these reductions were modest over the seven-day observation period. High medication adherence was followed by modest short-term reductions in blood pressure parameters.  These findings should be regarded as exploratory rather than confirmatory and should not be interpreted as evidence of a causal relationship because of the pre-experimental design. Nevertheless, the pill count method appears to be a practical, objective, and low-cost approach for monitoring medication adherence in community-based hypertension management. Keyword: Hypertension, Medication Adherence, Pill Count Method, Mean Arterial Pressure
Co-Authors Abkar Raden Alisarjuni Padang Ardianto Bungaria, Sri Bustami Syam Cahaya Gultom Dani Syahfitri Daniel Suranta Ginting Darunee Jongudomkarn Deddy Wandra Maraksa Dewi Elizadiani Suza Dewi Frintiana Silaban Dewi Frintiana Silaban Dharma Lindarto Dudut Tanjung Elnika Saragih Evi Karota Bukit Fatwa Imelda Fatwa Imelda Flora, Many Ginting, Daniel Suranta Gultom, Cahaya Haloho, Elsa Dora Harahap, Sairomaito Hariesty Talenta Narwastu Telaumbanua Hasibuan, Desi Lianti Sari Hasnida Herita Suasanta Ika Ariyanti Ikhsanuddin Imelda, Fatwa Jenny Marlindawani Karota, Evi Lidya Eryunika Lilis Nuriyanti Tambun Lina Rizki Linda Jurwita Manurung, Romatua Juliana Marbun, Agnes Putri S Minta Ito Melinda Harahap Monika Blesinki Moris Samsul Lamhot Hutahaean Muhammad Sukri Tanjung Muhammad Sukri Tanjung Nafi Yannis Nasution, Siti Saidah Nena Riski Hariyati Nilvarangkul, Kessarawan Normi Hotriani Purba Novita Sari Nur Asnah Sitohang Nur Asnah Sitohang, Nur Asnah Orita Satria Pasaribu, Indah Septiani Pasaribu, Maria Sarmaida Purba, Jenny Marlindawani R. Kintoko Rochadi Rafika Nur Siregar Retno Mawarti Rika Endah Nurhidayah Rina Amelia Rina Amelia Rina Amelia Rosina Br. Tarigan Rosina Tarigan Roymond Hamonangan Simamora Sairomaito Harahap Sairomaito Harahap Sari, Farida Linda Sartika Hutahaean Setiawan Setiawan, Setiawan Silitonga, Hanna Yudit Lamro Sirait, Syah Fara Dillasani Siti Khadijah Nasution Siti Zahara Nasution, Siti Zahara Sori Muda Sarumpaet Tania Cristine Br Barus Tina Rahayu Silitonga Windi Afrilia Sinaga Yannis, Nafi ⁠Siti Zahara Nasution