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All Journal Jurnal Keperawatan Silampari Jurnal Respirasi (JR) Jurnal Ners Journal of Telenursing (JOTING) Jurnal Kesehatan Tambusai Madani: Multidisciplinary Scientific Journal Gudang Jurnal Multidisiplin Ilmu
Elin Hidayat
Fakultas Kesehatan Universitas Widya Nusantara
Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Journal : Jurnal Ners

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Pengaruh persepsi risiko dan dukungan psikososial terhadap perilaku pencegahan kecemasan pasien penyakit kronis Ilne Ai Purana Adel; Hanggara Budi Utomo; Ninik Setiyowati; Elin Hidayat
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.44664

Abstract

Background: Anxiety is commonly experienced by patients with chronic illnesses and can affect their decision-making and quality of life. Factors such as risk perception and psychosocial support play a crucial role in determining anxiety levels; however, the relationship between these factors has not been widely studied. Methods: This research employed a cross-sectional design using a quantitative approach. The sample consisted of 102 patients with chronic illnesses registered at Undata General Hospital, selected through stratified random sampling. Data were collected using a structured questionnaire measuring risk perception, psychosocial support, and anxiety prevention behavior. Data analysis was performed using multiple linear regression after conducting classical assumption tests. Results: Risk perception and psychosocial support were found to have a significant influence on anxiety prevention (F = 8.586; p < 0.05). Risk perception had a negative effect on anxiety prevention (B = -0.277; p = 0.006), while psychosocial support had a positive effect (B = 0.265; p = 0.007). Both variables explained 14.8% of the variance in anxiety prevention behavior. Conclusion: Strong psychosocial support can help reduce anxiety in patients with chronic illnesses, while high risk perception tends to increase it. Appropriate education and the strengthening of social support may serve as effective strategies to enhance patients' ability to manage anxiety. Therefore, integrating physical and psychosocial management in chronic disease care is essential.
Model Pencegahan Ulkus Diabetikum Berbasis Six Sigma sebagai Solusi Inovatif dalam Meningkatkan Efisiensi Perawatan Pasien Diabetes Mellitus di RSUD Undata Agnes Erlita Distriani Patade; Elin Hidayat
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50591

Abstract

Diabetic foot ulcer is a serious complication in patients with diabetes mellitus that leads to disability, amputation, and even death, as well as increasing the burden of healthcare costs. At Undata General Hospital, Palu, cases of diabetic foot ulcers have risen significantly, in line with low standards of prevention and care efficiency. This study aimed to develop a Six Sigma-based prevention model for diabetic foot ulcers as an innovative strategy to improve care efficiency. Methods: This research employed an explanatory survey design with a cross-sectional approach. A total sample of 93 inpatient nurses was selected using Slovin’s formula from a population of 122. The research instrument consisted of a structured questionnaire covering individual, organizational, and managerial factors, the implementation of Six Sigma-based prevention, and care efficiency. Data were analyzed using Structural Equation Modeling-Partial Least Square (SEM-PLS). Results: Managerial factors significantly influenced Six Sigma-based diabetic foot ulcer prevention (p=0.010) and care efficiency (p=0.011). Individual and organizational factors did not show significant effects on either variable. The implementation of Six Sigma-based prevention was found to have the strongest influence on care efficiency (p=0.000; β=0.568). The R² values indicated that 21.1% of the variability in prevention was explained by individual, organizational, and managerial factors, while 46.9% of care efficiency was explained by Six Sigma implementation.Conclusion: Care efficiency for diabetic patients is more strongly determined by management systems and the implementation of the Six Sigma model rather than individual or organizational factors. The final model highlights that strengthening managerial factors is key to the successful implementation of Six Sigma in reducing diabetic foot ulcer incidence and improving care efficiency.
Co-Authors Abu Bakar Agnes Erlita Distriani Patade Benny H.L Situmorang Hanggara Budi Utomo Herminia Maria Ilne Ai Purana Adel Indarwati , Retno Jaka Surya Hakim Lia Fadlilah Nihayati, Hanik Endang Ninik Setiyowati Nursalam Nursalam Sela Norisa Sindy Claudia Sitti Rachma Sri Auliannisa Sri Indriyani Sri Marnianti Irnawan Surianto Tintin Sukartini Sukartini, Tintin Sukartini Vidya Aulia Viere Allanled Siauta