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All Journal Jurnal NERS Mutiara Medika: Jurnal Kedokteran dan Kesehatan Berkala Kedokteran Jurnal Penelitian Kesehatan Suara Forikes Journal Of Holistic Nursing Science Indonesian Journal for Health Sciences (IJHS) Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Nerspedia
Rismia Agustina
School Of Nursing, Faculty Of Medicine, Lambung Mangkurat University.
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Perceived health status and self‑esteem in relation to health‑related quality of life among adolescents living in orphanages: a multi‑institutional study Ispriantari, Aloysia; Agustina, Rismia; Auwalu Ibrahim, Zainab
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.78649

Abstract

Introduction: Health-related quality of life (HRQoL) reflects the physical, mental, and social well-being of adolescents. Individuals in orphanages are often exposed to stress, which may undermine their HRQoL. This study aimed to explore the HRQoL of adolescents living in orphanages and to examine the roles of perceived health status, self-efficacy, and demographic factors. Methods: A multi-center cross sectional study with convenience sampling was conducted to recruit 238 adolescents aged 13-18 years from 16 orphanages in Malang City, Indonesia. Data were obtained using the KIDSCREEN-27 Child and Adolescent Version, Perceived Health Status, and Rosenberg Self-Esteem Questionnaires. Stata 16.0 was used to conduct descriptive statistics, Pearson correlations, and hierarchical linear regressions. Results: The mean total HRQoL score was 94.4±12.7, with the highest sub‑scale score in peers and social support (3.8±0.7) and the lowest in physical well-being (3.2±0.7). Perceived health status (8.9±1.8) and self-esteem (29.1±3.5) were both positively associated with HRQoL (r=0.31 and r=0.48, respectively; p<0.001), whereas the two variables were not correlated with each other (r=0.09, p>0.05). In the parsimonious regression model, perceived health status (β=3.19, p<0.001) and self-esteem (β=0.97, p<0.001) together explained 30% (R²=0.30) of the variance in HRQoL; inclusion of demographic characteristics increased the explained variance to only 31% and none reached statistical significance. Conclusions: These findings suggest that perceived health status and self-esteem are determinants of HRQoL in adolescents living in orphanages. Nurses should prioritize routine assessments and implement interventions that strengthen self-esteem and perceived health status to improve HRQoL among adolescents living in orphanages.
Co-Authors Abdul Basith Abdul Basith Abdurahman Wahid Agianto Agung Biworo Agung Biworo Ahmad Farid Akhmad Renaldi Renaldi Alfi Yasmina Amelina Ramadhani Dedy Heryawan Apriani Apriani Apriani Apriani, Rosina Asmadiannor Asmadiannor Asmadiannor Auwalu Ibrahim, Zainab Azizah Azizah Azizah Bellia Yulise Damayanti, Emmelia Astika F. Dewi, Nela Yuliya Dewiana Hernita Dhian Ririn Lestari Diky Rizayanoor Eka Santi Eka Setiawati Eka Setiawati Eko Suhartono Eko Suhartono Elyana Fadiah Emmelia Astika F.D. Emmelia Astika Fitri Damayanti Enny Zahratunnisa Evy Marlinda Evy Marlinda, Evy Ghina Pangestika Hafifah, Ifa Hafifah, Ifa Hartanti Wisnu Wardani Hasby Pri Choiruna Hasby Pri Choiruna Hayatunnisa, Nor Herry Setiawan Ichsan Rizany Insan Kamil Ispriantari, Aloysia Kamil, Insan Kurnia Rachmawati Kurnia Rachmawati, Kurnia Larasati Larasati Ledy Ovel Anggreny Lin, Mei- Feng Maisunah Ersiswan Maulidya Septiani Miftahul Jannah Muhamad Bagus Umaro Muhibbah Muhibbah Munawarah, Siti Musyarrofah Musyarrofah Neka Erlyani Noor Diani Nor Hayatunnisa Nor Hayatunnisa Hayatunnisa Norjannah Norjannah Novi Mustahdiati Nasri Nurhidayah, Titis Oski Illiandri Oski Illiandri Oski Illiandri Oski Illiandri Oski Illiandri Pangestika, Ghina Rachmadani, Zaid Rachmawati, Kurnia Rahmina, Yuniar Ria Susana Rian Hidayat Ridha Fitria Rina Anggraini IS Rinawati Rinawati Rinawati Rizany, Ichsan Romadhon, Pradana Zaky Rosina Apriani Rusdi Rusli Rusdi Rusli, Rusdi Sari Sari Sayeeda, Adinda Siti Munawarah Sri Wenny Dewi Susana, Ria Venni Inneke Wahid, Abdurahman Wahid, Abdurahman Wardani, Hartanti Wisnu Windy Yuliana Budianto, Windy Yuliana Yuhyen Yuhyen YULIANI Yuliani Yuliani Yuniar Rahmina Zaid Rachmadani Zannah, Miftahul