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Motivation and self-efficacy as key factors influencing self-care in hypertensive adults: A cross-sectional study in Indonesia Upoyo, Arif Setyo; Sari, Yunita; Sutrisna, Eman; Taufik, Agis; Han, Hae-Ra
Jurnal Keperawatan Padjadjaran Vol. 13 No. 2 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i2.2609

Abstract

Introduction: Self-care is crucial for enhancing life quality and and preventing cardiovascular, renal, and vascular complications in individuals with hypertension. However, self-care among patient’s hypertension remains suboptimal. Our research aimed to identify the determinants of self-care practice among hypertensive patients in Indonesia. Methods: A survey that was cross-sectional. It carried out among 209 adults with hypertension attending community health centers in Central Java, Indonesia. Self-care behaviors, motivation, self-efficacy, and knowledge were assessed using the validated Hypertension Self-Care Profile (HBP-SCP) and Hypertension Knowledge-Level Scale (HKLS). Chi-square and multivariable logistic regression tests were used to evaluate the data. Results: Bivariate analysis revealed significant correlation between self-care behavior and motivation (p<0.001), self-efficacy (p<0.001), and history of hypertension in the family (p=0.018). No significant associations were observed for age, gender, education, occupation, body mass index, blood pressure, or knowledge (all p>0.05). Multivariable analysis demonstrated that motivation (OR=2.22, 95% CI=1.10–4.45, p=0.025) and self-efficacy (OR=7.84, 95% CI=3.99–15.39, p<0.001) were independent determinants of good self-care. Conclusions: Motivation and self-efficacy are key determinants of hypertension self-care behaviors among Indonesian adults. Interventions should prioritize strengthening motivation and building self-efficacy through motivational interviewing, skills training, and structured follow-up by nurses and other healthcare professionals.
CASE STUDY: THE EFFECTIVENESS OF ANKLE PUMP EXERCISE AND WARM COMPRESSES IN REDUCING THE DEGREE OF LEG OEDEMA IN PATIENTS WITH CHRONIC KIDNEY DISEASE (CKD) Palupi, Dian Ayu; Pratiwi, Hikmi Muharromah; Upoyo, Arif Setyo
International Journal of Biomedical Nursing Review Vol 4 No 3 (2025): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2025.4.3.13803

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Introduction: One of the most common clinical manifestations in CKD patients is leg oedema. Oedema that is not treated promptly leads to several complications such as ischaemia due to reduced tissue function, reduced mobility, skin infections such as cellulitis or ulcers in chronic oedema. Oedema can be managed with non-pharmacological therapies such as a combination of ankle pumping and warm compresses. Purpose: This study aims to describe the reduction in the degree of leg oedema in patients with CKD after administration of ankle pump exercise and warm compresses. Methods: This research is a case study with a nursing approach to CKD patients with oedema. Participants in this study were 3 CKD patients with leg oedema. Interventions were carried out on 3 consecutive days within 15-20 minutes of each session. Pre- and post-measurements of the degree of oedema were made at each session. Discussion: Oedema is a condition resulting from an increase in hydrostatic pressure in the blood vessels, which causes the veins to become blocked and plasma fluid to accumulate in the interstitial spaces. The results of the measurement of the degree of oedema showed that two participants experienced a decrease in the degree of oedema from degree 3 to 2 and one participant experienced a decrease from degree 2 to 1. Conclusion: A combination of ankle pump exercise and warm compresses can reduce the degree of leg oedema in patients with CKD and can be used independently by patients and families.
Determinant Factors of Diabetes Prevention Behavior in Students with Diabetes Mellitus Risk Bhunga, Yolanda Sri; Setyo Upoyo, Arif; Nuriya, Nuriya
Nurse Media Journal of Nursing Vol 13, No 3 (2023): (December 2023)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i3.47123

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Background:  The trend of diabetes cases has shifted to younger ages, starting at the age of 15 years old, due to unhealthy lifestyles. Researchers have discovered that health students also tend to have a poor lifestyle. Students are associated with emotional activity and busyness, but no research has examined the relationship between these conditions and diabetes prevention behavior. Purpose: This study examined determinant factors affecting diabetes prevention behavior in college students with diabetes mellitus risk.Methods: This study used a cross-sectional design, utilizing random sampling to gather data from 209 college students with diabetes risk. The instruments used in this study included adaptations of the Diabetes Prevention Behavior questionnaire, the modified Diabetes Management Time Questionnaire (DMTQ), the Perceived Behavioral Control, and the Trait Emotional Intelligence Questionnaire. Data analysis encompassed One-way ANOVA, Mann-Whitney, Kruskal-Wallis, Spearman’s rank, and multiple linear regression.Results: The study found a significant relationship between diabetes management time (p=0.001) and emotional intelligence (p=0.000) with diabetes prevention behavior. Emotional intelligence emerged as the dominant influencing factor (B=0.332). Conversely, no significant relationships were observed between perceived behavior control (p=0.223), class (p=0.734), sex (p=0.231), study major (p=0.263), age (p=0.064), and diabetes mellitus risk (p=0.664) with diabetes prevention behavior.Conclusion: This study revealed a significant relationship between diabetes management time, emotional intelligence, and diabetes prevention behavior. Emotional intelligence emerged as the key factor affecting diabetes prevention behavior, highlighting the need for focused interventions to enhance emotional intelligence and improve diabetes management among college students.
Pemberdayaan kader posyandu lansia untuk meningkatkan kemandirian keluarga dalam perawatan pasca stroke Upoyo, Arif Setyo; Sri Rejeki, Dwi Sarwani; Sutrisna, Eman
Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Vol 12 No 1 (2025): Januari
Publisher : Lembaga Penelitian, Penerbitan dan Pengabdian Masyarakat (LP3M) UNSIQ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/ppkm.v12i1.7991

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Introduction: The problems that post-stroke patients still face after being hospitalized are weakness in one side of the body (hemiparesis), speech disorders (dysarthria/aphasia), difficulty swallowing (dysphagia) and psychological disorders such as post-stroke depression and the risk of recurrent attacks. The purpose of the service is to improve the knowledge and skills of partners about: early detection of stroke, post-stroke care, post-stroke physical exercise, post-stroke speech therapy, post-stroke swallowing therapy, post-stroke psychological management. The method carried out is training with lectures, discussions and demonstrations, the media used are modules and videos. The participants were elderly Posyandu cadres and families who took care of family members after a stroke totaling 19 people. The success of the training was evaluated by comparing pre and posttest scores and assessing the participants' ability to demonstrate the actions taught. The results obtained by the knowledge of early detection, psychological management and post-stroke care of participants were 100% improved. Skills about early detection of stroke, ROM exercises, swallowing exercises and speech therapy 89.47% of participants improved. Conclusion: The training is effective in improving the knowledge and skills of cadres and families in caring for post-stroke patients. Key word: post-stroke, training, cadres, family, care
Identification of Nursing Students' Anxiety and Readiness Facing Ners Competency Tests; Qualitative Study Suzanna; Inne Yellisni; Gunawan Irianto; Arif Setyo Upoyo
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.492

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Background: Having a  registration  certificate (STR) a  nurse  must  take  a  competency  test  as  a  condition for ownership of  the  STR.  For nursing  students,  competency  tests  are  a  big  challenge and complex,  so  special  preparation  and  attention  are  needed  for  students  and universities. The implementation of the competency test can create feelings of concern, fear, tension, and anxiety for fear of not  passing  the  competency  test. The problem about low graduation rate for ners competency test is influenced by several factors. One of internal factor consist of anxiety and fear facing ners competency test. Purpose: This study identified the perception and experience anxienty dan readiness of few nursing students facing competency test. Method: The study design is qualitative and study was conducted using semi-structured interview. Recruitment of partisipants for the interview was based on purposive sampling methods. Interview were conducted with a maximum 14 participants with saturation data. Analiysis in this study with content analysis. Results: This study explored the perception and experience anxienty dan readiness of few nursing students facing competency test. The current study identified four themes : deep feeling of fear, extreme anxiety, unpreparedness within, surrender and pray. Conclusion: The feelings of anxiety, fear and worry felt by students whether they are taking an exam for the first time or those who are repeating it. In fact, this feeling has quite an impact on the psychological condition, which is also compounded by the student's unpreparedness facing ners competency test.
The Effect of Massage Therapy on Pain Intensity in Fracture Patients : A Systematic Review Gunawan, Gunawan; Upoyo, Arif Setyo
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.667

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Aims: Pain disorders are common in patients with fracture disease. Massage therapy is considered effective for reducing the pain intensity of fracture patients. The Purpose of the Systematic review is to investigate the effect of massage therapy on pain intensity in patients with fractures. Methods: The English full-text research publications from 2012 to 2023 that were found using the Google Scholar, Pubmed, and Science Direct databases were published in China (4 articles) and Iran (2 articles). Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) techniques, articles were chosen. Quality assessment was conducted using the Joanna Briggs Institute (JBI) Critical Appraisal Skills Programme. Six articles examined pain intensity with the usual Visual Analogue Scale (VAS). Results: The outcomes achieved were Six articles. It has also been demonstrated to lessen fracture patients' pain. Numerous massage therapy techniques, such as foot massage, reflexology massage, auricular acupressure, and elbow massage therapy, were employed in the studies that made up the evaluation. In the intervention and control groups, the mean pain intensity scores before and after the intervention were 5.72 + 0.97 and 5.66 + 0.92, respectively. The three measures of pain intensity in the intervention group showed a significant difference, according to the Friedman test. Conclusion: The analysis concludes that massage therapy is a highly effective means of reducing pain in those who have suffered fractures. More investigation is need to confirm these results and assess different forms of massage therapy, though.
Nursing Intervention Toward Quality of Life of Patients Undergoing Hemodialysis: A Systematic Review Susanto, Gunawan; Upoyo, Arif Setyo
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.670

Abstract

Aims: Patients diagnosed with chronic renal disease commonly experience a diminished quality of life. This systematic review endeavors to discern nursing interventions aimed at enhancing the quality of life among individuals with chronic kidney disease undergoing hemodialysis. These interventions adopt a holistic approach, encompassing psychological, social, and physical aspects. Methods: A systematic review methodology was employed, utilizing ProQuest, Science Direct, and Google Scholar to search for relevant publications. In order to retrieve pertinent information, the databases were searched for complete English-language research articles published from 2013 to 2023. Results: This study investigates two intervention categories, specifically physical and non-physical, aimed at improving the quality of life for individuals undergoing hemodialysis due to chronic renal disease. Deliberations reveal that non-physical activities positively impact the psychological and social well-being of chronic kidney disease patients undergoing hemodialysis, whereas physical exercise promotes increased strength and endurance Conclusions: Dialysis has an adverse effect on all dimensions of Quality of Life for individuals with Chronic Kidney Disease. This review serves as a valuable resource for clinicians, offering insights into the implementation of comprehensive nursing interventions for Chronic Kidney Disease patients undergoing dialysis, encompassing physical, psychological, and social aspects. Subsequent research endeavors should prioritize exploring the spiritual dimension, given the promising outcomes observed in spiritual interventions, which have demonstrated effectiveness in mitigating pain, addressing concerns related to death, and enhancing overall well-being.
Pengaruh Nursing Agency dan Dukungan Keluarga Terhadap Self-Care Behavior Penderita Hipertensi Di Masa Pandemi Covid-19 Ulya, Mahmudatun; Upoyo, Arif Setyo; Taufik, Agis
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 18 No 1 (2023): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v18i1.224

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Hypertension patients are among the populations who are more vulnerable to Covid-19 infection, necessitating extra care and consideration. Self-care is essential for the treatment of hypertension to be effective. The purpose of this study was to determine how hypertension patients' self-care practices during the Covid-19 epidemic were influenced by nursing agency and family support. Cross-sectional study design is used in this quantitative research. Using complete sample procedures, 71 hypertensive subjects participated in the study. The Patient Satisfaction with Nursing Care Scale (PSNCS), the Family Support Questionnaire, and the Hypertension Self-Care Profile (HBP-SCP): Behavior Scale are the instruments that were used. Results this analysis revealed a strong correlation (p0,001, r=0,621) between patients' self-care behavior and family support and a significant correlation (p0,001, r=0,781) between nursing agency and patients' self-care behavior. The most significant characteristic influencing patients with hypertension's self-care behavior is the nursing agency (Beta 0,432).