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Nurse Media Journal of Nursing
Published by Universitas Diponegoro
ISSN : 24068799     EISSN : 20877811     DOI : https://doi.org/10.14710/nmjn
Core Subject : Health,
Nursing
Nurse Media Journal of Nursing (e-ISSN: 2406-8799, p-ISSN: 2087-7811) is an international journal that provides a forum for publishing the scientific works of nurse practitioners, academics, and researchers. The focus and scopes of the journal include adult nursing, emergency nursing, gerontological nursing, community nursing, mental health nursing, pediatric nursing, maternity nursing, nursing leadership and management, complementary and alternative medicine (CAM) in nursing, and education in nursing. The journal is published regularly in June and December every year. Starting 2020, the journal will publish three issues each year, that is in April, August, and December
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Articles 12 Documents
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Search results for , issue "Vol 13, No 2 (2023): (August 2023)" : 12 Documents clear
The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention Emil Huriani; Fitri Mailani
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.49987

Abstract

Background: Percutaneous coronary intervention (PCI) for myocardial infarction patients has been shown to provide outstanding results, yet research has shown that patient quality of life varies. However, few studies have been done on the physical and emotional symptoms that impact health-related quality of life (HRQoL) of patients who have undergone PCI.Purpose: This study aimed to identify physical (fatigue, angina, dyspnea) and emotional (stress, anxiety, depression) symptoms related to HRQoL of myocardial infarction patients after PCI.Methods: This study used a cross-sectional approach. A total of 154 patients, who were recruited using a purposive sampling method, participated in this study. The Fatigue Assessment Scale (FAS), the Seattle Angina Questionnaire-7 (SAQ-7), the Dyspnea scale (modified MRC score), the Depression, Anxiety, Stress Scale 21 (DASS-21), and the MacNew Quality of Life Questionnaire were all used to collect the data. Linear regressions were used to analyze the data.Results: The mean of the global HRQoL score was 5.11(0.90). Results on physical symptoms showed that a total of 49.4% of participants reported fatigue; the mean angina score was 69.6(12.06), and the mean score of dyspnea level was 0.63(0.92). Emotional symptoms reported that stress was at an average level (83.1%), anxiety was at a moderate level (63%), and depression was at a standard level (72.7%). The multiple linear regression analyses revealed fatigue (β=-0.22), angina (β=0.30), and anxiety (β=-0.32) as the factors related to HRQoL.Conclusion: Despite having a PCI after an acute myocardial infarction, the patients’ HRQoL was above the middle score. It was discovered that anxiety, angina, and fatigue predicted HRQOL in patients with myocardial infarction after PCI.
Factors Influencing the Quality of Life in Thai Cancer Patients Receiving Chemotherapy during COVID-19 Pandemic Supawan Jaiboon; Arveewan Vittayatigonnasak
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.53153

Abstract

Background: The Coronavirus disease (COVID-19) pandemic has physical and mental impacts on cancer patients receiving chemotherapy and this can lead to a decline in their quality of life (QoL). Little is currently known about the factors that affect QoL among cancer patients in Thailand during the COVID-19 pandemic.Purpose: This study aimed to examine the factors influencing the QoL of cancer patients receiving chemotherapy during the COVID-19 pandemic.Methods: This descriptive cross-sectional study was conducted among 102 cancer patients undergoing chemotherapy recruited using a simple random sampling technique. Four instruments were used; 1) Demographic and clinical characteristics questionnaires; 2) the Thai Hospital Anxiety and Depression Scale (Thai HADS); 3) the Revised Thai version of the Multidimensional Scale of Perceived Social Support (r-Thai MSPSS); and 4) the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQC-30, Thai version). Descriptive statistics and multiple linear regression were used for data analysis.Results:  According to the findings, the study demonstrated that depression had a statistically significant negative influence on QoL, physical functioning, and emotional functioning (B=-2.196, p=0.001; B=-2.630, p<0.001; B=-1.605, p=0.009, respectively). Similarly, anxiety exhibited a negative influence on emotional functioning, cognitive functioning, and social functioning (B= -2.593, p<0.001; B=-1.508, p=0.037). However, social support did not significantly influence QoL.Conclusion: The study underscores the negative impact of depression and anxiety on QoL, emphasizing the importance of addressing psychological well-being. While social support’s influence on QoL was not significant in this context, the research highlights the factors affecting cancer patients’ well-being during challenging times. These insights could inform interventions to enhance QoL and patient care.
Contextual Factors, Health History, and Daily Living Activities for Ovarian Cancer Risks: A Case-Control Study in Indonesia Restuning Widiasih; Windy Natasha; Tosin Popoola; Katherine Nelson
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.53640

Abstract

Background: Women are encouraged to aware for risk factors that may aid in the early detection of ovarian cancer before symptoms and sign appear. However, limited studies evaluated the broad aspects of the risk factors for ovarian cancer, particularly in Indonesia. For a more thorough analysis of ovarian cancer risk factors, more variables and a research approach that can make it easier to uncover risk factors of ovarian cancer are necessary. Detecting factors associated with ovarian cancer could serve as the foundation for developing an early warning model.Purpose: The aim of this study was to analyze contextual factors, reproductive health history, and Activity Daily Living (ADLs) associated with ovarian cancer risks.Methods: This retrospective case-control study included 408 women with a 1:1 balanced composition: 204 women diagnosed with ovarian cancer and 204 without. The study was conducted at the Cancer Referral Hospital in West Java Province, Indonesia, from April to November 2020. The instrument was developed based on previous studies and hospital medical/nursing records. The data were analyzed using the Chi-square test and the logistic regression test. The sensitivity and specificity were examined using the Receiver Operating Characteristic (ROC).Results: The variables significantly associated with an increased risk of developing ovarian cancer were advanced age (≥ 45 years) with an odds ratio (OR) of 19.76, low education (OR: 225.00), obesity (OR: 6.04), prior surgery (OR: 51.06), parity (OR: 110.38), and poor sleep quality (OR: 15.75). These factors were found to have the strongest associations with ovarian cancer development.Conclusion: The present study has identified risk factors that have a statistically significant association with the occurrence of ovarian cancer. Healthcare practitioners have the potential to employ this information as foundational data for future research in the development of a self-detection tool for assessing the risk of ovarian cancer.
Barriers and Support for Family Caregivers in Caring for Older Adults with Dementia: A Qualitative Study in Indonesia Rita Hadi Widyastuti; Junaiti Sahar; Etty Rekawati; Aria Kekalih
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.55729

Abstract

Background:  Understanding the barriers and support that family caregivers face when caring for older adults with dementia is critical for improving the quality of  dementia care. However, research in this area remains limited in Indonesia. Purpose: This study aimed to explore the barriers and support for family caregivers in caring for older adults with dementia in Indonesia.Methods: A descriptive phenomenological study was conducted among 15 family caregivers who cared for older adults with dementia. Purposive sampling was used to recruit the participants. Inclusion criteria included primary family caregivers who provided care for four hours per day for at least six months, were proficient in Indonesian, assisted older adults in daily activities, and were capable of expressing their experiences. Data were collected using in-depth semi-structured interviews and analyzed using the Colaizzi method.  Results: This study found that family caregivers faced barriers during the care of older adults with dementia, which have decreased the quality of care. These barriers included inadequate knowledge and skills of family caregivers regarding dementia, stigma, lack of knowledge and awareness in the community, limited availability of healthcare services, and healthcare professionals’ lack of knowledge about dementia. On the other hand, support received by family caregivers within the family, support from other family caregivers, and education provided by NGOs about caring for someone with dementia have shown a positive impact in reducing the burden on caregivers and improving the quality of care. Therefore, appropriate support is essential for family caregivers caring for older adults with dementia.Conclusion: This study showed that barriers originating from family caregivers, community awareness, access to health services, and barriers from health workers have impacted poor quality of care, while the support of families, fellow family caregivers, and NGOs have contributed to good quality of care. Further studies are needed to explore the perspectives of family caregivers representing different cultures in Indonesia.
Foot Care among Diabetes Patients: A Concept Analysis Parliani Parliani; Somporn Rungreangkulkij; Khanitta Nuntaboot
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.50722

Abstract

Background: The concept analysis of “foot care” is essential for expanding the nursing knowledge base, synthesizing a broader theoretical concept, and guiding more effective care for diabetes patients with and without diabetic foot ulcers (DFU). Foot care in nursing has not yet been comprehensively defined for nurses and other healthcare professionals.Purpose: This concept analysis aimed to elucidate the nursing practice concept of foot care. The study identified surrogate terms associated with the concepts, attributes, antecedents, and consequences by employing Rodger’s evolutionary method in a critical analysis of the relevant literature.Methods: This research used Rodger’s evolutionary analysis. The databases were PubMed (n=188), ProQuest (n=4,790), ScienceDirect (n=292), and Google Scholar (n=7,810) with a total of 13,080 articles identified in this study. The screening process involved evaluating titles and abstracts, followed by a thorough analysis of inclusion criteria, which included full-text articles and the presence of keywords: foot care, diabetes, diabetic foot ulcer. Articles that did not provide a clear definition of foot care were excluded. A total of 45 articles were included. Rodger’s evolutionary analysis stressed inductive investigation and careful analysis of the concept.Results: The results of the foot care concept analysis were: (1) among people with diabetes without DFU, the attributes were foot screening and foot examination, while the antecedents were high glycemic levels, inability of the pancreas to produce insulin, abnormal foot skin condition, and foot-related behaviors; (2) among patients with DFU, the attributes were foot intervention and education, while the antecedents included foot self-care knowledge, motivation, and family and social support. The consequences associated with the concept of foot care included improvement in self-efficacy, quality of life, and self-care behavior.Conclusion: Nurses can use the findings of this foot care analysis in their clinical work by promoting and practicing foot care as a preventative measure that shields patients from ulcers. Additionally, nurses can intervene when patients already have ulcers and provide appropriate wound care. Foot examinations become more manageable when specific practice guidelines are available for diabetes patients.
Chemotherapy-Induced Nausea and Vomiting (CINV) Based on Blood Types among Cancer Patients in Yogyakarta, Indonesia Dwi Kartika Rukmi; Muhamat Nofiyanto
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.48272

Abstract

Background: Studies related to blood type in cancer patients have been conducted extensively, but they are inclined to cancer incidence or survival rate. Meanwhile, there is limited research on Chemotherapy-Induced Nausea and Vomiting (CINV), the most disturbing side effect of chemotherapy, in relation to blood type.Purpose: This study aimed to compare CINV frequency in cancer patients by blood groups in Yogyakarta, Indonesia.Methods: A descriptive comparative study with a cross-sectional approach was conducted purposively on 70 chemotherapy patients in two hospitals in Yogyakarta. Patients with anticipatory CINV and brain cancer (primary or metastases) were excluded. The data were collected between July and November 2020 using a sheet for patient characteristics and a filled-in diary from the first to the seventh day post-chemotherapy to collect CINV data. The descriptive statistics and Kruskal Wallis test were used to analyze the data.Results: Of 70 total samples, most of them were breast cancer (71.4%) and were in stage IV (50%). They received chemotherapy alone as their primary therapy (94.3%) and received moderate to high emetogenic agents (31.4% and 35.7%). Samples mostly had A blood type (34.3%) and had undergone chemotherapy for 3-18 months (min-max). As many as 64.6% of patients experienced CINV with a delayed type and experienced moderate severity (52.9%). The bivariate test showed no difference in CINV frequencies based on blood groups in general (p=0.068). However, based on the CINV onset, there was a significant difference in CINV frequencies in the A blood group against other blood groups (p=0.020) on the fourth post-chemotherapy day.Conclusions:Unless the fourth-day post-chemotherapy, the frequency of CINV based on blood groups showed no difference. Since CINV incidence is still high, the provision of both pharmacological and non-pharmacological therapy to treat CINV has to be given to patients after chemotherapy. Blood group factors can be considered for more extensive management, especially in delayed CINV cases. 
Editorial Front Matter
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.59082

Abstract

Exploring Nurses' Perceptions of Disaster Preparedness Competencies Wiwin Winarti; Naomi Gracya
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.51936

Abstract

Background: Indonesia frequently experiences natural disasters, underscoring the importance of nursing competencies in disaster preparedness. Nevertheless, especially among general nurses, the factors shaping these competencies are not well understood.Purpose: This study aimed to explore Indonesian nurses’ perceptions of disaster preparedness competencies and compare these perceptions across distinct characteristics.Methods: Adopting a cross-sectional design, 230 nurses from all wards of a public hospital in Jakarta Province were selected via quota sampling. The Nurses’ Perceptions of Disaster Core Competencies Scale (NPDCC) questionnaire was utilized to assess nurses’ perceptions of competencies across five domains. The study employed  Chi-square, Fisher’s exact, and Likelihood ratio tests, followed by backward (likelihood ratio) multiple logistic regression, to analyze the relationship between nurses’ characteristics and their perception of disaster preparedness competencies.Results: Results indicated that 51.7% of nurses perceived their disaster competencies as high, with an average score of 175.84(25.017). Further analysis revealed that nurses’ perceptions of these competencies were influenced by education (p=0.002), disaster simulation experience (p=0.036), and awareness of hospital disaster plans (p=0.012), with Nagelkerke’s R2=0.140. Nurses with a diploma qualification were 2.569 times more likely to perceive their skills as lower. Lack of simulation experience and unawareness of the plan further diminished perceived competencies, with ORs of 2.050 and 5.420, respectively.Conclusion: While education, disaster simulation experience, and plan awareness are crucial for nurses’ perceptions of disaster competencies, enhancing other supportive factors is also vital. This study recommends that hospitals increase educational opportunities, emphasizing regular disaster simulations and granting better access to disaster plans, to bolster nurses’ disaster preparedness competencies.
Glossophobia: A Cross-Sectional Assessment of Public Speaking Anxiety among Saudi Nursing Students Deena Faisal Rayani; AlBatool Mohammed Bin Sallman; Reem Mohammed Barayan; Raghad Ahmed Maghrabi; Nahed Mohamed Morsy; Hala Ahmed Elsayes; Alaa Nabil Mahsoon; Loujain Saud Sharif
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.50028

Abstract

Background: Public speaking anxiety or glossophobia is common among college students, especially those studying in their non-primary language. Effective public speaking is considered an essential skill for nursing students to grasp as their future roles require it as patient advocates. Little is known about the effects of glossophobia amongst Arab students studying nursing in a second language (English).Purpose: This study aimed to examine glossophobia and its association with English oral presentations among Saudi nursing students in three academic levels.Methods: A correlational comparative study with a cross-sectional approach was conducted on a total of 209 baccalaureate level nursing students at a governmental, Saudi university. Convenience sampling was used with a comparison between three levels of student cohorts (second, third and fourth) of a single academic year. The data were collected using an online self-reported questionnaire consisting of three sections: a sociodemographic questionnaire, the Foreign Language Classroom Anxiety Scale (FLCAS), and the Personal Report of Public Speaking Anxiety (PRPSA). Data were analyzed using descriptive statistics, a one-way ANOVA, and Pearson correlation tests.Results: Nursing students had moderate anxiety on the FLCAS and PRPSA scales in all three academic years. There was a significant, moderate, and positive relationship between the two scales (r=0.450, p<0.01).Conclusions: Glossophobia among nursing students needs to be addressed. This study highlights a gap in current training where there is insufficient support, meaning that levels of anxiety remains unchanged across the trajectory of a nursing training program. Future research should explore culturally tailored strategies to decrease nursing students’ anxiety while building their confidence and self-esteem.
Editorial Back Matter
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.59083

Abstract

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