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All Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal of Rural Community Nursing Practice Journal of Rural Community Nursing Practice
Dina Dewi Sartika Lestari Ismail
Brawijaya University
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Persevering Despite Physical and Mental Exhausting: A Novice nurse's Experience as a Volunteer Nurse Caring for Patients in the Covid-19 ICU Room Vebby Astri Rizkilia; Asti Melani Astari; Dina Dewi Sartika Lestari Ismail
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (720.834 KB) | DOI: 10.30604/jika.v8i1.1666

Abstract

Most volunteer nurses in the covid-19 ICU are novice nurses. They have no experience working in the ICU or ICU training. They met the limitations of receiving training. The workload and challenges in the covid-19 ICU room are heavier than in the common ICU. This study aimed to explore the experience of novice nurses as volunteer nurses caring for patients in the covid-19 ICU room. This study used a qualitative method with an interpretive phenomenological approach. Ten participants are covid-19 ICU volunteer nurses from the two largest covid-19 referral hospitals in Malang and Batu City who were selected using the purposive sampling method. Data collected used In-depth interviews. Data analysis used the Interpretative Phenomenological Analysis method. There are eight themes found: (1) Feeling insecure working in the covid-19 ICU room; (2) Facing rapid adaptation when initially assigned; (3) I need ICU training; (4) Persevering faced all conditions in the Covid-19 ICU room; (5) Frustrated and Distraught Facing Patients; (6) Trying to be strong in dealing with the patient's family; (7) Grateful to have the opportunity to become a covid-19 ICU volunteer nurse; and (8) Expecting career and life improvements in the future after completing a period of duty as a covid-19 ICU volunteer nurse. ICU covid-19 volunteer nurses experience physical and mental exhausting while caring for patients. Peer support is one of the factors that can make them persevere. They need other physical and mental support while caring for patients in the covid-19 ICU room
The Relationship Between High-Density Lipoprotein (HDL) and Glycated Hemoglobin (HbA1C) in Type 2 Diabetes Mellitus Patients: Implications for Cardiovascular Risk Setyoadi Setyoadi; Dina Dewi Sartika Lestari Ismail; Annisa Wuri Kartika; Dewi Purnama Sari; Angel Dwi Septian; Adelina Stefanie Lallo; Rara Kurniasari
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.
The Relationship Between High-Density Lipoprotein (HDL) and Glycated Hemoglobin (HbA1C) in Type 2 Diabetes Mellitus Patients: Implications for Cardiovascular Risk Setyoadi Setyoadi; Dina Dewi Sartika Lestari Ismail; Annisa Wuri Kartika; Dewi Purnama Sari; Angel Dwi Septian; Adelina Stefanie Lallo; Rara Kurniasari
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.
Co-Authors Adelina Stefanie Lallo Angel Dwi Septian Asti Melani Astari Dewi Purnama Sari Kartika, Annisa Wuri Rara Kurniasari Setyoadi Setyoadi Vebby Astri Rizkilia