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All Journal Avicenna : Journal of Health Research Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Agung Widiastuti
Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Duta Bangsa Surakarta
Health Professions Nursing Public Health

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The Effectiveness of Mindfulness as an Intervention for Stress and Anxiety Management among Professional Nursing Students Preparing for the Competency Examination (UKOM) Ady Irawan. AM; Tatiana Siska Wardani; Agung Widiastuti; Anggie Pradana Putri
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 2 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v10i2.942

Abstract

Introduction: Professional nursing students often experience heightened academic and psychological stress, especially in preparation for the National Competency Examination (UKOM). Mindfulness-based interventions have shown promise in managing stress and anxiety effectively. This study aimed to evaluate the effectiveness of a structured mindfulness intervention on mindfulness, anxiety, and stress levels among nursing students.Method: A quasi-experimental design was employed with intervention and control groups. Participants were professional nursing students selected through purposive sampling, meeting inclusion criteria such as enrollment in the professional program and willingness to participate. The intervention group underwent eight sessions of structured mindfulness training. Outcome measures included the Five Facet Mindfulness Questionnaire (FFMQ), Zung Self-Rating Anxiety Scale (Zung-SRAS), and Perceived Stress Scale (PSS), assessed before (T1) and after (T2) the intervention. Data were analyzed using paired sample t-tests, and effect sizes were calculated with Cohen’s d.Results: The mindfulness intervention significantly improved mindfulness levels (Mean Difference = –6.00; t = –17.026; p < 0.001; Cohen’s d = 4.01), and significantly reduced anxiety (Mean Difference = 2.89; t = 16.161; p < 0.001; Cohen’s d = 3.81) and stress levels (Mean Difference = 2.50; t = 7.919; p < 0.001; Cohen’s d = 1.87). All outcomes demonstrated statistically significant and clinically meaningful improvements.Conclusions: Mindfulness intervention was significantly effective in enhancing present-moment awareness and reducing anxiety and stress among nursing students preparing for the UKOM. These findings support integrating mindfulness training as a preventive psychosocial strategy within nursing education to promote students’ mental well-being.
Inpatient-tailored diabetes self-management education and short-term glycemic change in type 2 diabetes: A pilot case series from RSUD dr. Darsono Pacitan Kun Arifah; Agung Widiastuti; Ucik Ernawati; Yanti Dwi Kurniawan
Avicenna : Journal of Health Research Vol 9, No 1 (2026): MARET
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/avicenna.v9i1.1741

Abstract

Background: Type 2 diabetes mellitus (T2DM) commonly presents with uncontrolled hyperglycemia among inpatients, where self-management gaps compound clinical instability. Diabetes Self-Management Education (DSME) is recommended, yet evidence for inpatient-tailored, short-horizon DSME remains limited. Objective: To evaluate the short-term effect of a ward-adapted DSME adjunct on capillary blood glucose and self-management behaviors in hospitalized adults with T2DM. Methods: purposive sampling (n=2) in the Wijaya Kusuma Inpatient Ward, RSUD dr. Darsono (July-August 2025). The intervention comprised individual bedside DSME (two sessions; 60-90 minutes total) plus discharge reinforcement, delivered by diabetes-trained nurses. Primary outcome: change in capillary glucose (mg/dL) from baseline to post-intervention over 4 days with consistent testing conditions. Secondary outcome: Diabetes Self-Management Questionnaire (DSMQ-16; 0-64). Analyses emphasized descriptive trajectories; exploratory paired t-test/Wilcoxon and bootstrap 95% CIs were reported with α=0.05 (hypothesis-generating). Results: Baseline glucose was 837 and 511 mg/dL; by day 4, values declined to 130 and 120 mg/dL, respectively (absolute change -707 [-84.5%] and -391 [-76.5%]); no hypoglycemia/adverse events occurred. DSMQ-16 improved from 15 to 50 and 17 to 60 (poor to good). Exploratory tests were underpowered (paired t=3.47, p=0.18; Wilcoxon p=0.25), but the effect size was very large (Cohen’s d=2.46), consistent with observed trajectories. Conclusion: A ward-tailored DSME delivered over four days was feasible and associated with rapid, clinically meaningful glycemic improvement and substantial gains in self-management among acutely uncontrolled inpatients with T2DM. Findings are hypothesis-generating and support larger, controlled studies to confirm efficacy, durability post-discharge, and scalability.
Co-Authors Ady Irawan. AM Anggie Pradana Putri Kun Arifah Tatiana Siska Wardani Ucik Ernawati Yanti Dwi Kurniawan