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The Relationship Between Family Support with Self-Care for People with Diabetes Mellitus Asnuddin, Asnuddin; Dioso, Regidor III
TRANSPUBLIKA INTERNATIONAL RESEARCH IN EXACT SCIENCES Vol. 4 No. 4 (2025): OCTOBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/tires.v4i4.1939

Abstract

Diabetes mellitus (DM) is a chronic disease that requires long-term management, and family support plays an important role in helping patients perform self-care. This study aimed to determine the relationship between family support and self-care in people with diabetes mellitus. Using a quantitative approach with a cross-sectional design, the study involved a population of 147 diabetes mellitus patients, with 60 respondents selected through the Slovin Formula. Data were collected using questionnaires and analyzed with the Chi-Square test. The findings showed a significant relationship between family support and self-care in people with diabetes mellitus (P-value = 0.001). Patients who received high levels of family support were more disciplined in controlling their diet, engaging in physical activity, maintaining personal hygiene, and adhering to medication. These results indicate that family support significantly influences self-care abilities in people with diabetes mellitus, and thus, health workers should involve families in diabetes management programs to improve the effectiveness of patient care. Family members can help monitor the patient's health, provide emotional support, and reinforce positive health behaviors, ultimately contributing to better health outcomes for the patient. Given these findings, healthcare providers should consider incorporating family-centered care into diabetes management programs to improve patient compliance, reduce the burden of disease, and enhance the overall quality of care.
Development of a Storytelling Module to Reduce Hospitalization Anxiety in Preschool Children: A Pediatric Nursing Intervention Suraya, Citra; Wisuda, Aris Citra; Sansuwito, Tukimin bin; Dioso, Regidor III
International Journal Scientific and Professional Vol. 4 No. 4 (2025): September-November 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i4.140

Abstract

Hospitalization is often a stressful experience for preschool children, frequently leading to elevated anxiety due to separation from caregivers, unfamiliar medical environments, and invasive procedures. Storytelling, as a developmentally appropriate and therapeutic communication method, offers a promising approach for pediatric nurses to reduce emotional distress in young patients. This study aimed to develop a storytelling module as a pediatric nursing intervention to reduce hospitalization anxiety in preschool-aged children. A Research and Development (R&D) approach was employed using the Borg and Gall model. The study was conducted from April to June 2024 at Siti Khadijah Islamic Hospital, Palembang. The development process involved a literature review, expert validation by pediatric nurses, child psychologists, and linguists, module drafting, and limited field testing. The participants included 20 hospitalized children aged 3–6 years and five pediatric nurses. Anxiety levels were measured using the State-Trait Anxiety Inventory for Children (STAI-C) before and after the intervention, with descriptive analysis used to assess outcomes. The finalized module comprised six storytelling themes, colorful visual aids, and structured nursing guidelines designed to address common sources of hospitalization anxiety in preschoolers. Expert validation yielded a high Content Validity Index (CVI = 0.91), and field testing demonstrated a clear reduction in children’s anxiety scores post-intervention. The storytelling module is a culturally relevant, feasible, and effective pediatric nursing tool to reduce hospitalization anxiety in preschool children.
DEVELOPMENT OF THE CITRA NURSING MODULE (COMMUNICATION THROUGH INTERACTIVE THERAPEUTIC  AND REFLECTIVE STORYTELLING APPROACH) TO REDUCE ANXIETY IN HOSPITALIZED PRESCHOOL CHILDREN Suraya, Citra; Wisuda, Aris Citra; Sansuwito, Tukimin bin; Dioso, Regidor III
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/dwasha29

Abstract

Background: Hospitalization often triggers significant anxiety in preschool children due to unfamiliar environments, separation from parents, and invasive procedures. Interactive and therapeutic communication approaches are essential to support children’s emotional stability during care. Objective: This study aimed to develop and evaluate the CITRA Nursing Module (Communication through Interactive Therapeutic and Reflective Storytelling Approach) as an intervention to reduce hospitalization anxiety in preschool children. Methods: This research employed a Research and Development design using the ADDIE model. The module was developed through literature review, expert validation, and preliminary observations, then tested on 46 hospitalized preschool children at Siti Khadijah Islamic Hospital Palembang between February and July 2025. Anxiety levels were measured before and after the intervention using a validated anxiety instrument for preschoolers. Paired statistical tests were used to determine intervention effectiveness. Results: The CITRA module was effective in reducing hospitalization anxiety. Post-intervention scores showed a significant decrease, indicating improved emotional comfort and coping abilities. Feedback from nurses and parents confirmed the module’s feasibility, practicality, and acceptability in clinical practice. Conclusion: The CITRA Nursing Module is an effective intervention for reducing hospitalization anxiety in preschool children. Its implementation has the potential to strengthen therapeutic communication and support child-centered hospitalization practices. Further research with a larger and more diverse population is recommended to enhance the generalizability of the findings.
Interactive Multimedia Modules to Enhance Family Support in Hypertension Management: A Digital Health Approach Sudarman, Sudarman; Dioso, Regidor III; Hassan, Hafizah Che; Asfar, Akbar; Matdoan, Riska Amelia
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.89827

Abstract

Background: Hypertension remains a leading global risk factor for morbidity and mortality, with family support playing a critical role in adherence to lifestyle modifications and treatment. Digital health interventions offer scalable solutions to improve disease management, yet limited studies have explicitly integrated and evaluated family engagement as a core component.Objective: This study aimed to evaluate the effectiveness of interactive multimedia modules in enhancing family support, blood pressure control, and health-related quality of life among hypertensive adults compared with usual care.Methods: A quasi-experimental study with repeated measures was conducted among 200 adults with hypertension and their primary family caregivers recruited from outpatient clinics. Participants were assigned to either the intervention group (n = 100), which received interactive multimedia modules delivered via a mobile platform, or the control group (n = 100), which received standard clinic-based education. Outcomes included family support (Hypertension Self-Care Activity Level Effects–adapted questionnaire), blood pressure (validated digital sphygmomanometer), and quality of life (WHOQOL-BREF). Measurements were obtained at baseline, immediately post-intervention, and 12-week follow-up. Data were analyzed using two-way repeated measures ANOVA.Results: At baseline, no significant differences were observed between groups in sociodemographic or clinical characteristics (p .05). Over time, significant time × group interaction effects were observed for family support (F[2, 396] = 48.72, p .001, partial η² = 0.20), systolic blood pressure (F[2, 396] = 61.45, p .001, partial η² = 0.24), diastolic blood pressure (F[2, 396] = 52.13, p .001, partial η² = 0.21), and overall quality of life (F[2, 396] = 39.74, p .001, partial η² = 0.17). Participants in the intervention group demonstrated greater improvements in family support, clinically meaningful reductions in blood pressure, and significant increases in quality of life scores compared with the control group. Qualitative feedback confirmed high acceptability and usability of the modules.Conclusion: Interactive multimedia modules delivered via digital health platforms significantly improved family support, blood pressure control, and quality of life among hypertensive adults. Incorporating family caregivers into digital self-management interventions provides a scalable and sustainable strategy for enhancing hypertension outcomes. Further studies should evaluate long-term impacts, cost-effectiveness, and integration into primary care systems.
Digital Technology Platforms for Community-Based Hypertension Management: A Bibliometric Analysis Sudarman, Sudarman; Dioso, Regidor III; Hassan, Hafizah Che
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.1014

Abstract

Background: Hypertension remains a major global health challenge requiring effective and sustainable long-term management. The rapid advancement of digital health technologies has introduced new opportunities to enhance blood pressure control, patient adherence, and community-based care delivery. Objective: This study aimed to analyze global research trends on digital technology platforms for community-based hypertension management using a bibliometric approach, and to identify key research themes, collaboration patterns, and emerging gaps. Methods: A bibliometric analysis was conducted using data retrieved from the Dimensions.ai database for publications between 2021 and 2025. Study selection followed PRISMA guidelines with predefined inclusion and exclusion criteria. Data were analyzed using VOSviewer to visualize keyword co-occurrence, collaboration networks, and thematic evolution through network, overlay, and density mapping. Results: Of 14,455 identified records, 3,371 articles met the inclusion criteria. The analysis identified 161 key items grouped into five thematic clusters, with a total link strength of 19,847. Findings demonstrate a clear shift in research focus from conventional clinical treatment approaches toward the integration of digital health technologies, including telemonitoring, self-management systems, patient engagement tools, and artificial intelligence in community-based hypertension care. Conclusions: Digital technology platforms are increasingly central to community-based hypertension management, particularly in improving blood pressure control, medication adherence, and healthcare accessibility. However, critical gaps remain regarding long-term effectiveness, interoperability, and data privacy. Future research should prioritize sustainable implementation and integration within health systems to maximize clinical and public health impact