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Factors Affecting the Meaning of Life in Breast Cancer Patients at Malang City, Indonesia Supriati, Lilik; Nova, Renny; Ahsan, Ahsan; Rodli, Muhammad; Rismayanti, I Dewa Ayu; Kapti, Rinik Eko
JURNAL INFO KESEHATAN Vol 21 No 3 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss3.1300

Abstract

The meaning of life is considered to affect breast cancer patients positively. Finding meaning in life is key to improving well-being during and after experiencing a traumatic event such as cancer. Previous research was still rare to explore the factors affecting the meaning of life in breast cancer patients. The study aimed to analyze the factors influencing the meaning of life of breast cancer patients.  This study was an analytical observational method with a cross-sectional design. The inclusion criteria of the respondents were breast cancer patients who had obtained at least one cycle of chemotherapy. We used purposive sampling, and the total sample in this study was 135 respondents. Questionnaires were used to collect the data. Data were analysed by multivariate test, namely a linear regression test with a significance level of p ≤ 0,05. The result showed only two variables affect the meaning of life, communication of health workers and spirituality, respectively. The strongest variable was the communication of health workers.  The equation from the analysis showed that 11 % explained the phenomenon. The spirituality and communication of health workers positively affected the meaning of life. Application of therapeutic communication as well as spiritual support are needed in nurses to patients while undergoing therapy. Therefore, nurses must pay attention to spirituality and good therapeutic communication when providing patient services.  
COMPREHENSIVE PREVENTION AND MANAGEMENT OF DEGENERATIVE DISEASE CONTROL STRATEGIES: STRATEGI PENCEGAHAN DAN PENGELOLAAN PENYAKIT DEGENERATIF SECARA KOMPREHENSIF Rindayati, Rindayati; Harianto, Susilo; Sulpat, Emuliana; Muhalla, Hafna Ilmy; Twistiandayani, Retno; Nasir, Abd; Supriati, Lilik; Rahmadi, Cucuk
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 7 No. 2 (2025): DECEMBER 2025
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/dc.V7.I2.2025.211-217

Abstract

Background: Degenerative diseases develop as organ function declines due to the natural aging process. The prevalence of these diseases reaches approximately 65.7%, with a significant increase observed in heart disease and stroke cases. Objective: This community service program aimed to increase public understanding of degenerative disease control through comprehensive prevention and management strategies. Method: The activity was conducted through educational sessions consisting of lectures, discussions, and question-and-answer segments. To assess participants’ understanding, a pre-test and post-test were administered, each comprising ten questions with a maximum score of ten per question. The average score was calculated to measure improvement. In addition, health checks were performed, including body weight, height, blood pressure, waist circumference, blood sugar, uric acid, and cholesterol measurements as part of early detection and control efforts. Results: There was a noticeable increase in knowledge regarding the prevention and management of degenerative diseases based on 74 participants’ post-test. Health screening results 11 participants have overweight, 15 particpants have hypertension, 5 participants have pre-diabetic, 7 participants have hypercholesterolemia, and 6 participants have hyperuricemia. Meanwhile, 5 participants were found to be underweight. Conclusion: Education on the control of degenerative diseases has a positive impact on maintaining public health. Preventive efforts remain essential to achieving a better quality of life.
Handover Using the Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) Checklist Improves Nurses’ Self-Efficacy Yulianti, Lena; Putra, Kuswantoro Rusca; Supriati, Lilik; Utami, Yulian Wiji
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.04

Abstract

Handover is a crucial aspect of patient transfer to ensure patient safety and reduce adverse events. The Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) method is a standardized communication approach recommended to improve handover quality. Nurses require adequate self-efficacy not only to deliver handover information but also to receive it effectively to ensure continuity of care. Continuity of patient treatment is associated with improved patient outcomes and reduced length of hospital stay. This study aimed to evaluate the effectiveness of a modified ISBAR checklist, adapted from the existing patient transfer form and developed by the researcher, in improving nurses’ self-efficacy during patient transfers from the Emergency Department (ED) to the High Care Unit and Intensive Care Unit (HCU–ICU). A pre-experimental study using a one-group pretest–posttest design was conducted. Ten ED nurses applied the modified ISBAR checklist during handovers to HCU–ICU nurses. A total of 40 nurses working in HCU and ICU settings participated as respondents. Nurses’ self-efficacy was measured using the General Self-Efficacy Scale before and after implementation of the ISBAR checklist. The results showed a statistically significant improvement in nurses’ self-efficacy following the use of the ISBAR checklist (p = 0.000; p < 0.05), based on Wilcoxon test analysis. The effectiveness analysis yielded an N-gain score of 0.388, indicating a moderate level of effectiveness. In conclusion, the ISBAR checklist effectively enhances nurses’ self-efficacy during inter-unit handover, supporting structured communication, continuity of care, and safer patient transfers in high-acuity clinical settings.
Minahasa Culture, Family Support, Health Worker Support, Self-Efficacy, and Knowledge Associated with Self-Care Behavior among Hypertensive Patients: A Cross-Sectional Study Ismail, Dina Dewi Sartika Lestari; Pelealu, Christina Yunitha; Supriati, Lilik
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.481

Abstract

Background: Hypertension is a leading cause of stroke and cardiovascular disease, and its high prevalence in Indonesia remains difficult to control. Evidence on how psychosocial and cultural factors, including Minahasa local culture, influence self-care is still limited. This study examined the effects of knowledge, self-efficacy, family support, health worker support, and Minahasa culture on self-care behavior among hypertensive patients in Southeast Minahasa Regency. Methods: A quantitative correlational cross-sectional study was conducted among 165 hypertensive patients recruited by consecutive purposive sampling from the outpatient clinic of a general hospital in Southeast Minahasa. Data were collected using validated questionnaires, and associations between predictors and self-care behavior were analyzed using multiple linear regression (p < 0.05). Results: Self-efficacy (β = 0.381; p < 0.001) and family support (β = 0.329; p < 0.001) had significant positive effects on self-care behavior. Knowledge (β = –0.009; p = 0.895), health worker support (β = –0.065; p = 0.643), and Minahasa culture (β = 0.127; p = 0.405) showed no significant direct effects. The model explained 34.7% of variance in self-care behavior (R² = 0.347). Conclusion: Self-efficacy and family support are the main determinants of self-care behavior, whereas knowledge, health worker support, and Minahasa culture do not exert significant direct effects. These findings indicate that local cultural values alone do not automatically improve self-care and may act indirectly through family and psychosocial pathways. Hypertension programs should prioritize strengthening self-efficacy and mobilizing family support, and future longitudinal studies should test culturally grounded, family-centered interventions
Self-Efficacy and Emotion Regulation as Correlates of Psychological Distress among Family Caregivers of Working-Age Hemodialysis Patients in Indonesia: A Cross-Sectional Study Supriati, Lilik; Sunarto, Muhammad; Nova, Renny; Kapti, Rinik Eko; Rismayanti, I Dewa Ayu
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.557

Abstract

Background: The increasing prevalence of chronic kidney disease among working-age populations has heightened psychological distress among family caregivers, especially in low- and middle-income countries. However, the roles of self-efficacy and emotion regulation in influencing this distress remain unclear. This study aimed to examine the relationships between self-efficacy, emotion regulation, and psychological distress among family caregivers of patients undergoing hemodialysis. Methods: This cross-sectional study, reported in accordance with STROBE guidelines, involved 201 family caregivers recruited through convenience sampling to ensure accessibility in hemodialysis settings. Self-efficacy and emotion regulation were independent variables, while psychological distress was the dependent variable. Data were collected using validated and reliable instruments General Self Efficacy Scale (GSE), Emotion Regulation Questionnaire (ERQ), The Kessler Psychological Distress and analyzed using Spearman’s rank correlation tests. Results: The results show significant negative correlations between psychological distress and both self-efficacy (r = −0.346, p < 0.001) and emotion regulation (r = −0.217, p < 0.001). These findings indicate that higher levels of self-efficacy are associated with lower psychological distress. Similarly, better emotion regulation is associated with reduced psychological distress, with self-efficacy demonstrating a stronger association. Conclusion: These findings highlight the importance of psychosocial resources in supporting caregiver well-being in family-centered care contexts. It is recommended to integrate psychological counseling programs for families of patients with chronic kidney disease undergoing hemodialysis, along with structured educational interventions emphasizing the importance of emotion management.
The Influence of Self-Efficacy-Based Family Psychoeducation on Family Caregiving Skills for Patients with Paranoid Schizophrenia Endyka, Yessy; Hayati, Yati Sri; Supriati, Lilik
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 1 (2025): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v9i1.21756

Abstract

Background: Schizophrenia is one of the leading causes of disability worldwide. Among various types of schizophrenia, Paranoid schizophrenia is the most common type, which occurs about 40.8%. This type of prognosis has a better response to treatment, and many patients are still in stable conditions. Patients with paranoid schizophrenia need long-term care and supervision from their significant others, especially family members. In this situation, the role and support of the family becomes important; one of the nonpharmacological management for paranoid schizophrenia involving the family is family psychoeducation. In this research, psychoeducation was corrected and enhanced by presenting self-efficacy as part of family psychoeducation. Objective: Self-efficacy-based family psychoeducation aims to provide a better understanding of changes in a person’s behavior on long-term treatment of mental illness. Methods: This study used quantitative and pre-experimental designs with one group pretest and posttest. This study was conducted in the working area of  Jenangan Public Health Center. The research period started in October and continued until November 2023. The authors used a purposive sampling technique. Respondents in this study were family members of paranoid schizophrenia patients who were also their caregivers. This family psychoeducation used a guideline module to guide the therapist on how to perform self-efficacy-based family psychoeducation to respondents. The family caregiving skills for patients with paranoid schizophrenia were assessed using five family health tasks questionnaires and statistically tested with the Wilcoxon test. The total number of respondents in this study was 48 respondents. Results: The results of the statistical analysis showed that the P value was 0.000. This indicated a statistically significant difference, meaning that overall, the Family Psychoeducation intervention based on Self-Efficacy had a positive impact on the family's ability to care for individuals with paranoid schizophrenia. Conclusion: It can be concluded that self-efficacy-based psychoeducation influences caregiving skills for paranoid schizophrenia. This therapy is highly recommended for patients with mental health conditions. This therapy can be applied in hospital settings and in community family nursing. These findings highlight the importance of incorporating family psychoeducation as a part of the comprehensive treatment plan for patients with schizophrenia.