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Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus Suniyadewi, Ni Wayan; Arief, Yuni Sufyanti; Kurniawati, Ninuk Dian; Rismayanti, I Dewa Ayu; Trisnadewi, Ni Wayan; Iswatun, Iswatun
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.56812

Abstract

Background: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing. Developing a holistic nursing model rooted in transcultural nursing, which has never been broadly investigated, is imperative to enhance QoL in individuals with T2DM.Purpose: This study aimed to develop a nursing model based on transcultural nursing to enhance the QoL of individuals with T2DM.Methods: This study employed a quantitative research design with a cross-sectional approach. A sample of 145 individuals with T2DM was recruited using a simple random sampling technique. A self-developed questionnaire was used, incorporating factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing model, and a QoL questionnaire. Inferential statistics using smart PLS-structural equation modeling (SEM) were employed for data analysis.Results: The findings revealed that the holistic nursing model based on transcultural nursing in individuals with T2DM was influenced directly by respondent characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005), social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005), biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors. However, the technological factor was not significantly (t=0.802, p=0.423) associated with the model. The holistic nursing model based on transcultural nursing had a direct influence on the quality of life (t=9.124 and p=0.000).Conclusion: The holistic nursing model based on transcultural nursing encompasses six variables: respondent characteristics, religious and life philosophy, social and kinship, cultural and lifestyle, and biological and psychological factors. The model can serve as a guideline for managing type 2 DM patients to enhance the QoL.
The Role of the Family Companion Team (TPK) in Finding New Cases of Families at Risk of Stunting Oktaviani, Ni Putu Wiwik; Adiputra, I Made Sudarma; Trisnadewi, Ni Wayan
Indonesian Journal of Global Health Research Vol 5 No 4 (2023): 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.v5i4.2483

Abstract

Increasing human resources is one of Indonesia's efforts to build a golden Indonesia in 2045. Stunting is the current nutritional issue that Indonesia is dealing with. The Indonesian government has created a national strategy to accelerate stunting reduction through families involving health workers known as the Family Companion Team (TPK). According to the results of the evaluation of stunting prevention programs, most local governments have been unable to implement activities to accelerate stunting reduction. This research aims to determine the role of the family companion team in finding new cases of families at risk of stunting. Data collection in this study was carried out using multiple random sampling techniques, distributing questionnaires to 62 TPK in the working area of Puskesmas II Blahbatuh, the inclusion criteria for this study were TPK who had been listed in the Regent's Decree (SK), domiciled in the working area of the puskesmas II Blahbatuh and willing to be a respondent. This research hypothesis test uses Chi square. The results of this study show that there is no significant relationship between the role of TPK in finding new cases of families at risk of stunting and a p value > 0.05. The family approach is a good strategic innovation in providing assistance to families at risk of stunting, but it is not optimal in identifying new findings.
The Relationship Of Family Support With Blood Pressure Control Behavior In Hypertensive Patients In The Working Area Of Uptd Puskesmas Kerambitan I Putu Reymelda; Ni Wayan Trisnadewi; Ketut Lisnawati
International Journal of Health Engineering and Technology Vol. 4 No. 5 (2026): IJHESS JANUARY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i5.528

Abstract

Blood pressure control behavior is an effort made by people with hypertension to maintain blood pressure stability and prevent complications. The success of these behaviors is greatly influenced by family support, which plays a role in providing motivation and practical assistance in maintaining a healthy lifestyle consistently. This study aims to determine the relationship between family support and blood pressure control behavior in people with hypertension. The study used a correlational descriptive design with a cross sectional approach. The study population amounted to 1,435 hypertensive patients, with a sample of 94 respondents selected using purposive sampling techniques. Data collection used family support questionnaires and blood pressure control behavior questionnaires. Data analysis using the Spearman's Rho test. The results showed that the majority of respondents had good family support, namely 54 people (57.4%) and good blood pressure control behavior as many as 50 people (53.2%). The results showed a p-value of 0.000 (<0.05) and a correlation coefficient of 0.627, which means that there is a strong and significant relationship between family support and blood pressure control behavior. Family support has an important contribution in helping people with hypertension carry out optimal blood pressure control behaviors, because family involvement is an essential factor that increases the motivation, discipline, and ability of people with hypertension to maintain healthy living behaviors consistently.
Hubungan Tingkat Pengetahuan Ibu Dalam Pemberian Gizi Seimbang Dengan Upaya Pencegahan Stunting Pada Balita: The Relationship Of Mother Level Knowledge Providing Balanced Nutrition With Stunting Prevention Efforts In Toddlers Ni Komang Ari Pebri Santi; Ni Wayan Trisnadewi; Ni Komang Ayu Resiyanthi
Jurnal Kolaboratif Sains Vol. 8 No. 12: Desember 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i12.9683

Abstract

Stunting termasuk masalah nutrisi kronis yang dialami oleh balita di Indonesia, penyebabnya yaitu rendahnya pengetahuan ibu terkait pemberian gizi seimbang. Penelitian ini bertujuan menganalisis hubungan tingkat pengetahuan ibu dalam pemberian gizi seimbang dengan upaya pencegahan stunting pada balita. Desain penelitian ini yaitu deskriptif korelasional dengan metode cross sectional pada 85 ibu dengan anak berusia 0-5 tahun di Posyandu Desa Singakerta, yang dipilih menggunakan teknik multistage sampling. Kuesioner yang digunakan untuk mengumpulkan data telah terstandar dan sudah dilakukan uji validitas dan reliabilitas selanjutnya proses analisis digunakan untuk uji Rank Spearman dengan nilai signifikansi 0,05. Hasil penelitian menunjukkan bahwa sebagian besar ibu berada pada tingkat pengetahuan baik (92,9%), dan upaya pencegahan stunting baik (67,1%). Uji statistik menunjukkan adanya hubungan sangat signifikan diantara tingkat pengetahuan ibu tentang gizi seimbang dengan upaya pencegahan stunting (p-value = 0,001 < 0,05; r = 0,347). Temuan ini menyatakan bahwa tingkat pengetahuan ibu memiliki peranan untuk mendukung proses pencegahan stunting terhadap balita, sehingga diperlukan upaya peningkatan pengetahuan yang berkelanjutan oleh tenaga kesehatan, khususnya perawat komunitas.
The Relationship Between Self-Care Management and Medication Adherence Among Patients with Type 2 Diabetes Mellitus in the Working Area of UPTD Puskesmas III North Denpasar Ni Putu Novi Wulandari; Ketut Lisnawati; Ni Wayan Trisnadewi
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.580

Abstract

Type 2 Diabetes Mellitus is a chronic disease that requires long-term management through the implementation of self-care management and medication adherence. Low medication adherence remains a significant problem that leads to suboptimal disease control and an increased risk of complications. This study aimed to determine the relationship between self-care management and medication adherence among patients with Type 2 Diabetes Mellitus in the working area of UPTD Puskesmas III North Denpasar. This study employed a descriptive correlational design with a cross-sectional approach. A total of 104 respondents were selected using purposive sampling. Data were collected using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire and the Morisky Medication Adherence Scale-8 (MMAS-8). Data analysis was conducted using the Spearman Rank correlation test. The results showed that most respondents had a moderate level of self-care management (67.3%) and a low level of medication adherence (57.7%). Statistical analysis revealed a p-value of 0.001 with a correlation coefficient of r = 0.554, indicating a positive and significant relationship with moderate strength. These findings indicate that improved self-care management plays an important role in enhancing medication adherence through increased patient understanding and responsibility for treatment. This study highlights the importance of self-care management education and continuous support in the management of Type 2 Diabetes Mellitus.