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All Journal Jurnal Keperawatan Khatulistiwa Nursing Journal An Idea Nursing Journal
Juwita Moreen Toar
Universitas Sam Ratulangi
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU CARING PERAWAT DI RUANG RAWAT INAP IRINA C RSUP PROF. DR. R. D. KANDOU MANADO Natalia Veronika Harahap; Ferlan Ansye Pondaag; Juwita Moreen Toar
JURNAL KEPERAWATAN Vol. 10 No. 2 (2022): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

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Background: Caring behavior is one of the most influential factors in improving the quality of health care, especially nursing services. Purpose: To find out factors related to caring nurse behavior in the hospital of Irina C RSUP Prof. Dr. R. D. Kandou Manado. Methods: Quantitative study with a descriptive research design correlation with a cross sectional with executive nurse samples, technique of sampling total sampling, research instruments use individual factor questionnaires, organizational factors, psychological factors and a thoughtful nurse's behavior questionnaires developed by wolf and using spearman's statistical test. Results: The research suggests that there isa significant connection of each factor: skill ability (p=0,000, r= 0.487), leadership (p= 0.002, r= 0.313), organizational structure (p= 0.002, r= 0.348), work design (p= 0.005, r= 0.348), attitude (0.015, r= 0.317), and motivation (p= 0.003, r= 0.003) and caring behavior (p= 0.003). Conclusion: There is a link between the individual factors (skill skills), organizational factors (leadership, organizational structure, incentives, job design) and psychological factors (attitude and motivation) with the caring nurse behavior in the hospital Irina C RSUP Prof. Dr. R. D. Kandou Manado.
Palliative Care Needs among Patients with End-Stage Kidney Disease: A Descriptive Observational Study Fitriani Fitriani; Juwita Moreen Toar; Al Ihksan Agus; Rizka Wahyuni
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.771

Abstract

Background: End-stage kidney disease (ESKD) represents an increasing health burden in Indonesia, with affected individuals experiencing complex needs that substantially diminish quality of life. Objective: aimed to identify palliative care needs among end-stage kidney disease patients undergoing hemodialysis. Methods: This cross-sectional study was conducted at a hemodialysis center in North Sulawesi in 2024. Respondents were selected using purposive sampling. The Sociodemographic Questionnaire and the Supportive and Palliative Care Indicators Tool (SPICT) were employed to collect sociodemographic data and identify potential palliative care needs. Univariate analysis was performed to examine palliative care needs among ESKD patients. Results: A total of 150 participants were included. Almost all respondents were identified as needing palliative care, with the majority presenting two general indicators and two clinical indicators. Conclusion: Nearly all patients with end-stage kidney disease undergoing haemodialysis are identified as having palliative care needs. This finding suggests the need to integrate routine palliative care assessment and services into patients with end- stage kidney disease, especially those in haemodialysis care to ensure comprehensive and patient-centered management of physical, psychosocial, and spiritual needs.
Kesejahteraan Psikologis sebagai Prediktor Kontrol Glikemik pada Diabetes Melitus Tipe 2 Gloria Elisabet Sjawal; Juwita Moreen Toar; Septriani Renteng
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.346

Abstract

Latar Belakang: Kontrol glikemik yang baik penting untuk mencegah komplikasi dan menurunkan angka kematian akibat diabetes. Pencapaian kontrol glikemik ini tidak hanya bergantung pada aspek medis, tetapi juga pada faktor psikologis. Tujuan: Tujuan penelitian ini adalah untuk mengetahui hubungan kesejahteraan psikologis dengan kontrol glikemik pada pasien diabetes melitus tipe 2. Metode: Desain penelitian menggunakan studi cross-sectional. Penelitian dilakukan di Klinik Imanuel Manado. Sebanyak 87 sampel pasien diabetes melitus tipe 2 dipilih secara purposive dengan kriteria inklusi penelitian ini yaitu pasien diabetes melitus tipe 2 yang berusia 30 tahun keatas, pasien yang terdiagnosis diabetes melitus tipe 2 lebih dari 1 tahun, dan melakukan pemeriksaan kadar HbA1c selama 3 bulan terakhir. Pengumpulan data menggunakan instrumen penelitian yang terdiri dari kuesioner Ryff’s Scale of Psychological Well-Being (SPWB) yang diadaptasi oleh peneliti sebelumnya. Hasil: Hasil uji statistik dengan korelasi Spearman rhoo menunjukkan bahwa terdapat hubungan yang signifikan antara kesejahteraan psikologis dengan kontrol glikemik pada pasien DM Tipe 2 dengan kekuatan hubungan (r = -.753) dengan nilai p = 0,038 (p < 0,05). Kesimpulan: Terdapat hubungan yang signifikan antara kesejahteraan psikologis dan kontrol glikemik pada pasien DM tipe 2, dengan korelasi negatif yang kuat.
Quality of Life Among Patients with Diabetes Mellitus Receiving Insulin Therapy Imelda Sirait; Adriani Natalia M; Juwita Moreen Toar
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.790

Abstract

Abstract: Diabetes Mellitus (DM) is a chronic disease with a continuously increasing prevalence both globally and nationally. Patients with DM who undergo insulin therapy often face various challenges—physical, psychological, and social—that may affect their quality of life. This study aims to describe the quality of life of patients with DM who use insulin.This study employed a descriptive qualitative design with a total of 108 respondents. The respondents’ characteristics included age, educational level, duration of illness, and gender. Quality of life was measured based on physical, psychological, and social dimensions.The results showed that the majority of respondents were aged 19–59 years (76.9%), had a senior high school education (39.8%), had been diagnosed with DM for less than one year (56.5%), and were female (74.1%). Most respondents had a moderate quality of life (97.2%), while only 2.8% had a good quality of life.These findings indicate that although insulin therapy is the primary treatment in DM management, patients’ quality of life remains suboptimal. Factors such as productive age, early stage of the disease, and female predominance contribute to this condition. In addition, psychological aspects such as diabetes-related distress and social limitations also influence patients’ quality of life. In conclusion, the quality of life of patients with DM using insulin is influenced by the interaction of biological, psychological, and social factors. Therefore, comprehensive and holistic nursing interventions are required, including self-management education, psychological support, and strengthening family support to improve patients’ quality of life.
Co-Authors Al Ihksan Agus Ferlan Ansye Pondaag Fitriani Fitriani Gloria Elisabet Sjawal Imelda Sirait Natalia Veronika Harahap Renteng, Septriani Rizka Wahyuni Shinta Natalia Adriani, Shinta Natalia