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All Journal Jurnal Keperawatan JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Belitung Nursing Journal Jurnal Keperawatan Muhammadiyah Proceeding - Sari Mutiara Indonesia International Conference on Health MONSU'ANI TANO Jurnal Pengabdian Masyarakat JURNAL MUTIARA KESEHATAN MASYARAKAT JURNAL MUTIARA NERS Jurnal Keperawatan Widya Gantari Indonesia Jurnal Ilmiah Keperawatan Imelda PREPOTIF : Jurnal Kesehatan Masyarakat JURNAL PIONIR ARTERI : Jurnal Ilmu Kesehatan Jurnal Health Reproductive Ahmar Metakarya: Jurnal Pengabdian Masyarakat Journal Of Health & Cardiovascular Nursing Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Jurnal ABDIMAS MUTIARA Journal of Public Health Science (JoPHS) Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health JURNAL TEKNOLOGI, KESEHATAN DAN ILMU SOSIAL
Rinco Siregar
Universitas Sari Mutiara Indonesia
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Journal : Belitung Nursing Journal

 1 
INCREASING SELF-EFFICACY TO REGULATE EXERCISE IN ADULT PATIENTS WITH TYPE 2 DIABETES MELLITUS Rinco Siregar; Sunantha Stongpat; Boontuan Wattanakul
Belitung Nursing Journal Vol. 4 No. 6 (2018): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (15.326 KB) | DOI: 10.33546/bnj.586

Abstract

Background: Self-efficacy has been described as dominant factor associated with physical exercise in adult patients with type 2 diabetes mellitus, but to improve self-efficacy to regulate exercise of adult patients with type 2 diabetes mellitus is a challenge for health workers. Objective: This study was to determine the effect of exercise consultation program on self-efficacy to regulate exercise in adult patients with type 2 diabetes mellitus. Methods: A quasi-experimental study with two comparison groups was purposively designed for pre-test and post-test procedures. Sixty-one patients of type 2 diabetes mellitus were allocated into the experimental group (31 patients) and the control group (29 patients). While the experimental group received the exercise consultation for 12 weeks and routine care, the control group received routine care only. Comparative assessments on differences in self-efficacy to regulate exercise were examined both within and between groups using paired or unpaired t-test. Results: After receiving exercise consultation program, self-efficacy to regulate exercise significantly increased within the experimental group (p < .05), but there was no significant change with in the control group. Between groups, there was a significant difference self-efficacy to regulate exercise in adult patients with type 2 diabetes mellitus (p < .05). Conclusion: The exercise consultation program could increase self-efficacy to promote the physical exercise among adult patients with type 2 diabetes mellitus.
EFFECT OF LAUGHTER THERAPY ON DEPRESSION LEVEL IN ELDERLY IN A NURSING HOME, NORTH SUMATRA, INDONESIA Rinco Siregar; Rumondang Gultom
Belitung Nursing Journal Vol. 5 No. 6 (2019): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.374 KB) | DOI: 10.33546/bnj.830

Abstract

Background: Depression level among elderly remains high in Indonesia. One of efforts to decrease depression is laughter therapy, which is assumed able to lower depression. Objective: This study aimed to examine the effect of laughter therapy on depression level in elderly at Nursing Home of Binjai Integrated Social Service Unit for the Elderly, North Sumatra, Indonesia. Methods: This was a quasi-experimental study with pretest posttest with control group design. Forty-two participants were selected using a purposive sampling, with twenty-one participants were randomly assigned in each group. An experimental group received one-hour laughter therapy for 3 times a week in 4 weeks, and a control group received usual care. Depression was measured using Geriatric Depression Scale-15. Data were collected from April to June 2018. Independent and dependent t-test were used for data analysis. Results: Findings revealed that the level of depression in elderly significantly decreased in the experimental group (p<.05), but there was no significant change of it in the control group (p=.648). Between the two groups, there was a significant difference in depression level in elderly (p<.05). Conclusion: Laughter therapy could reduce depression among elderly. Therefore, this therapy can be used as one of interventions in nursing practice, especially at nursing homes.
Quality of life among Indonesian family caregivers caring for dependent older persons with type 2 diabetes mellitus in the community: A cross-sectional, correlational study Siregar, Rinco; Kritpracha, Charuwan; Chinnawong, Tippamas; Latour, Jos M.
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3683

Abstract

Background: The global prevalence of older adults with diabetes has increased, and family caregivers in Indonesia play a critical role in managing diabetes and providing personal care. However, caregiving can be complex and challenging, often negatively affecting caregivers' quality of life (QoL). Objective: This study aimed to develop and test a hypothesized causal model of QoL among Indonesian family caregivers who care for dependent older persons with type 2 diabetes mellitus (T2DM) in 2024. Methods: A cross-sectional, correlational study was conducted with 270 family caregivers recruited from five Community Health Centers. Data were collected using various scales: the Center for Epidemiologic Studies Depression Scale, the Zarit Burden Interview, the Duke University Religion Index, the Perceived Knowledge on T2DM Care Scale, the Family-Carer Diabetes Management Self-Efficacy Scale, the Multidimensional Scale of Perceived Social Support, and the Quality-of-Life Index. Descriptive statistics and Partial Least Squares Structural Equation Modeling (PLS-SEM) were used for analysis. Results: The final model explained 89.1% of the variance in the quality of life (QoL) of family caregivers (R² = 0.893, Adjusted R² = 0.891), with 66% predictive relevance. Depression symptoms had the strongest negative direct effect on QoL, followed by caregiver burden. Self-efficacy and perceived knowledge had positive direct effects, while social support showed no significant direct effect. Indirect effects revealed that social support and self-efficacy positively influenced QoL through depression symptoms. The total effect (TE) analysis confirmed that depression symptoms had the strongest negative effect on QoL (TE = -0.744, p <0.001), while social support (TE = 0.443, p <0.001) and self-efficacy (TE = 0.413, p <0.001) had positive effects. Conclusion: Reducing depression symptoms and caregiver burden, strengthening social support, and promoting self-efficacy could significantly improve the QoL of family caregivers who care for older persons with T2DM. Nursing practice should address caregivers' physical and emotional needs, provide education, foster social support, and support caregiver mental health.
Psychometric properties of the Indonesian version of the Quality of Life Index (QLI-I) among family caregivers of dependent older persons with type 2 diabetes mellitus Siregar, Rinco; Kritpracha, Charuwan; Chinnawong, Tippamas; Latour, Jos M.
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3929

Abstract

Background: The quality of life (QoL) of family caregivers supporting older persons with functional dependence due to Type 2 Diabetes Mellitus (T2DM) is a growing concern. Accurately assessing caregiver well-being requires culturally appropriate, valid, and reliable instruments. However, such tools remain limited in the Indonesian context. Objective: This study aimed to translate the Quality of Life Index (QLI) into Indonesian and evaluate the psychometric properties of the Indonesian version (QLI-I) among family caregivers of dependent older persons with T2DM. Methods: Brislin’s back-translation method was used to ensure linguistic and conceptual equivalence in the translation process. Content validity was assessed by a panel of five experts. Psychometric evaluation was conducted on a purposive sample of 394 family caregivers recruited from eleven community health centers in Medan, Indonesia. Construct validity was examined using confirmatory factor analysis (CFA), while convergent validity and construct reliability (CR) were analyzed to assess measurement accuracy. Results: The Indonesian version of the Quality of Life Index (QLI-I) demonstrated strong construct validity, with standardized factor loadings ranging from 0.707 to 0.870. CFA indicated an acceptable model fit based on the following indices: Root Mean Square Error of Approximation (RMSEA) = 0.067, ratio of chi-square to degrees of freedom (CMIN/df) = 2.779, Comparative Fit Index (CFI) = 0.906, Incremental Fit Index (IFI) = 0.906, Goodness of Fit Index (GFI) = 0.814, and Tucker-Lewis Index (TLI) = 0.898. Composite Reliability (CR) values were high across all domains: Health/Functioning (HF) = 0.957, Family (FA) = 0.876, Social/Economic (SE) = 0.924, and Psychological/Spiritual (PS) = 0.922. Average Variance Extracted (AVE) values met the recommended threshold for each domain: HF = 0.633, FA = 0.586, SE = 0.605, and PS = 0.627. All constructs demonstrated acceptable discriminant validity, confirming the distinctiveness of each domain. Conclusion: The QLI-I is a valid and reliable instrument for assessing the QoL of family caregivers of dependent older persons with T2DM. Its use in clinical and community settings can support nurses and healthcare professionals in identifying caregiver needs and developing culturally appropriate, evidence-based interventions to enhance caregiver well-being.
Co-Authors Agnes Silvina Marbun AGNES SILVINA MARBUN Agnes Silvina Marbun Amila Amila Anwairi, Ubay Arniat Siswi Nazara Arsite Sitanggang Barus, Darwita J Batee, Herdin Febrianto Benedicta Sarni Telaumbanua Bevy Gulo, Adventy Riang Bika Utami Blessery Boontuan Wattanakul Charuwan Kritpracha Charuwan Kritpracha Dean Rex Azriel Telaumbanua Efrina Sinurat, Lasma Rina Elfrida Amazihono Evi Martina, Siska Flora Sijabat Flora Sijabat Frida Liharis Saragih Gultom, Rumondang Gultom, Rumondang Gultom, Tiur Y M Hasibuan, Eva Kartika Hulu, Bandi Yanto Iin Ivining Sirait Ira Agustyne Damanik Janno Sinaga Julia Siahaan Karnirius Harefa Lasma Rina Sinurat Latour, Jos M. Lis Herley Tinambunan Marbun, Agnes Silvina Marthalena Simamora Martina, Siska Evi Novita Aryani Pardede, Jek Amidos Purba, Sri Dearmaita Safitri, Salma Saragih, Frida Liharis Sembiring, Rinawati Sembiring, Rinawaty Siahaan, Julia Sijabat, Flora Simamora, Martalena Simamora, Marthalena Simanjuntak, Juliana Simanjuntak, Siska Evi Simanjuntak, Siska Evi M Simaremare, Dedi Santina Sinabutar, Theresia Yuni Florensia Sinaga, Caca Rohali Sinaga, Ceria Sinaga, Taruli Sinaga, Taruli Rohana Sinuraya, Elida SISKA EVI MARTINA Sitanggang, Antonij Sitanggang, Arsite Sitompul , Icce Triwani Sri Dearmaita Purba Sunantha Stongpat Telaumbanua, Damai Serta Theresia Yuni Florensia Sinabutar Tinambunan, Lis Herley Tippamas Chinnawong Tippamas Chinnawong TIROMSI SITANGGANG Utari, Dwi Zefanny, Glori Feby Ziliwu, Bakhtiar Agus