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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 337 Documents
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Father Support, Postpartum Depression, and Breastfeeding Weaning Time: A Structural Equational Model Iskandar, Imelda; Syam, Azniah
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.54272

Abstract

Background:  Fathers are crucial to family well-being and beyond during pregnancy and childbirth. However, research on the long-term effects of father involvement during prenatal and its postpartum outcome, particularly in Indonesia, is limited.Purpose: This study aimed to measure the direct and indirect effects of father support throughout pregnancy on postpartum depression and breastfeeding weaning time, by considering potential mediating pathways and controlling for relevant sociodemographic variables.Methods: Prospective observational techniques were employed from January to July 2021, involving 648 consecutively selected mothers attending antenatal care in seven health clinics in Makassar. Data collection included sociodemographic factors, father support, and breastfeeding weaning time. Father support was assessed using the Father Support During Pregnancy questionnaire, administered three times at a 72-hour interval. Postpartum depression was measured using the Edinburgh Postnatal Depression Scale while breastfeeding weaning time was quantified in weeks. The analysis included Spearman's correlation and SEM using SPSS and SPSS Amos.Result: The study identified negative correlations between maternal breastfeeding weaning time and postpartum depression (r=-0.183, p<0.01) and positive correlations with father support (r=0.148, p<0.01), parity (r=-0.269, p<0.01), and marital age (r=0.187, p<0.01). The standardized model showed a marginal rise in the overall influence of father support, parity, and marital age on breastfeeding weaning time (0.256, 0.016, and 0.123, respectively). Father support emerged as the primary contributor to postpartum depression, inversely impacting breastfeeding duration. Higher father support correlated with lower maternal depression scores and longer.Conclusion: This study highlights the role of father support in reducing impact of postpartum depression on breastfeeding duration. Future research should incorporate objective measures of father support and comprehensive assessments of confounding variables. Intervention studies are needed to evaluate promoting father involvement in prenatal, delivery, and postpartum care. Nurses can contribute by participating in interdisciplinary research and advocating for comprehensive assessment approaches.
Home Health Care During Physical Distancing Affects Physical and Psychosocial Aspects, Self-Efficacy, Family Function, and Quality of Life of Families in Indonesia Susanto, Tantut; Yunanto, Rismawan Adi; Septiyono, Eka Afdi; Deviantony, Fitrio
Nurse Media Journal of Nursing Vol 13, No 3 (2023): (December 2023)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i3.51799

Abstract

Background: Physical distancing during the COVID-19 pandemic has impacted the activities of daily living (ADLs) of families, such as physical and psychosocial aspects, self-efficacy, family social function, and overall quality of life. However, research investigating the effects of home health care in enhancing these aspects during the physical distancing period remains limited.Purpose: This study aimed to evaluate the effects of implementing home health care on physical and psychosocial aspects, self-efficacy, family social function, and quality of life of families in East Java Province, Indonesia.Methods: A quasi-experimental study was conducted among 768 healthy families that were purposively recruited from April to May 2020. The home health care program was implemented for one month to provide nursing care to the families. Data were collected using self-administered questionnaires, and SPSS software was employed for data analysis. Chi-square tests were applied for categorical variables, while paired t-tests were used for continuous variables.Results: Significant differences were observed in blood pressure, pulse, and temperature before and after the implementation of home health care during the physical distancing period (p<0.05). There was an increase in body mass index (23.29(5.59) vs. 23.78(7.53); p=0.001). Notably, significant differences were also found in COVID-19 exposure risk factors, personal risk factors, sleep patterns, and physical activity before and after home health care (p<0.05). Furthermore, improvements were noted in self-efficacy, family social function, and the quality of life of the families after one month of home health care (p<0.05).Conclusion: Home health care during physical distancing positively affected the physical and psychosocial aspects, self-efficacy, family social function, and quality of life of the families. Thus, the guidance and support offered through home health care should be further developed to help families navigate the “new normal” era of COVID-19.  
Association Between Sources of Social Support and Depression Among Nursing Students During the COVID-19 Pandemic Kurniawan, Dedi; Fitriawan, Akbar Satria; Setyaningsih, Wiwit Ananda Wahyu; Wulandari, Apri Nur; Wijoyo, Eriyono Budi; Samutri, Erni; Suparmanto, Gatot; Achmad, Bayu Fandhi; Retnaningsih, Listyana Natalia; Sudiarti, Putri Eka
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.56407

Abstract

Background: Nursing students have a higher risk of depression due to their high academic burden, social isolation, pandemic loneliness, abrupt online learning, and financial difficulties during the COVID-19 pandemic lockdown. Although the disruption of social network patterns during the pandemic has been observed in previous studies, it is still not fully understood which source of social support is associated with depression among nursing students.Purpose: This study aimed to assess the correlations between sources of social support and depression among nursing students during the COVID-19 pandemic.Methods: An online cross-sectional study was conducted between May and September 2021. Nursing students (n=734) from seven universities across four provinces in Indonesia were recruited as participants using convenience sampling methods. Data were obtained through online questionnaires consisting of the Multidimensional Scale of Perceived Social Support (MSPSS) to assess social support and the Patient Health Questionnaire-9 (PHQ-9) to assess depression. Spearman-Rank correlation tests were used to examine the correlations between sources of social support and depression.   Results: Most of the nursing students (85.1%) were female, with a mean age of 19.94 years (SD=1.42). Many nursing students (n=313; 42.6%) experienced depression. Most of the students (n=465; 63.4%) perceived high family support, moderate friends (n=415; 56.5%) and significant others’ support (n=437; 59.5%). Of the three sources of social support (family, friends, and significant others), only family support had a significant inverse correlation with depression (Rho=-0.492, p<0.001).Conclusion: Family support had a significant inverse and moderate correlation with depression among nursing students during the COVID-19 pandemic. Our findings provided information to nursing educators to incorporate a strategy to maintain robust family support and regular depression assessments as part of the online learning curriculum. Therefore, it can be used to ameliorate depression among nursing students.
Determinant Factors of Diabetes Prevention Behavior in Students with Diabetes Mellitus Risk Bhunga, Yolanda Sri; Setyo Upoyo, Arif; Nuriya, Nuriya
Nurse Media Journal of Nursing Vol 13, No 3 (2023): (December 2023)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i3.47123

Abstract

Background:  The trend of diabetes cases has shifted to younger ages, starting at the age of 15 years old, due to unhealthy lifestyles. Researchers have discovered that health students also tend to have a poor lifestyle. Students are associated with emotional activity and busyness, but no research has examined the relationship between these conditions and diabetes prevention behavior. Purpose: This study examined determinant factors affecting diabetes prevention behavior in college students with diabetes mellitus risk.Methods: This study used a cross-sectional design, utilizing random sampling to gather data from 209 college students with diabetes risk. The instruments used in this study included adaptations of the Diabetes Prevention Behavior questionnaire, the modified Diabetes Management Time Questionnaire (DMTQ), the Perceived Behavioral Control, and the Trait Emotional Intelligence Questionnaire. Data analysis encompassed One-way ANOVA, Mann-Whitney, Kruskal-Wallis, Spearman’s rank, and multiple linear regression.Results: The study found a significant relationship between diabetes management time (p=0.001) and emotional intelligence (p=0.000) with diabetes prevention behavior. Emotional intelligence emerged as the dominant influencing factor (B=0.332). Conversely, no significant relationships were observed between perceived behavior control (p=0.223), class (p=0.734), sex (p=0.231), study major (p=0.263), age (p=0.064), and diabetes mellitus risk (p=0.664) with diabetes prevention behavior.Conclusion: This study revealed a significant relationship between diabetes management time, emotional intelligence, and diabetes prevention behavior. Emotional intelligence emerged as the key factor affecting diabetes prevention behavior, highlighting the need for focused interventions to enhance emotional intelligence and improve diabetes management among college students.
The Expectations Regarding Aging and Ageism Perspective between Nurses and Caregivers in Long-term Care Facilities Sari, Dianis Wulan; Ulfiana, Elida; Anggraini, Nourmayansa Vidya; Kristianingrum, Niko Dima; Aurizki, Gading Ekapuja; Noguchi-Watanabe, Maiko
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.56949

Abstract

Background:  Ageism negatively impacts older adults’ health, especially in long-term care facilities (LTCFs), where healthcare workers often hold unfavorable views of them. Understanding these perspectives is vital for combating ageism and improving LTCF quality. Yet, comprehensive studies on healthcare workers’ attitudes toward ageism are lacking, hindering targeted interventions. Therefore, grasping their attitudes and behaviors is crucial for addressing ageism in LTCFs and enhancing care for older adults.Purpose: This study aimed to explore healthcare workers’ expectations regarding aging and their perspective on ageism towards older adults in LTCFs.Methods: This study was randomly conducted in sixteen LTCFs across Indonesia’s five largest islands using a cross-sectional study with a comparative descriptive design. Participants included 56 nurses and 173 non-licensed caregivers. Data on aging expectations and ageism perspectives during the COVID-19 pandemic were collected. An online and offline self-administered questionnaires (i.e., participant’s characteristics, the expectations regarding aging survey, ageism perspective in time of the COVID-19 pandemic) were conducted. Differences between nurses and caregivers were analyzed using chi-square and independent t-tests.Results: Altogether, 56 nurses and 173 caregivers (with an average age of 39.9 years) participated in the study. Significant differences were observed between nurses and non-licensed caregivers in their expectations regarding physical health, mental health, and overall expectations regarding aging (p-value = <0.001, <0.001, <0.001, respectively). Non-licensed caregivers had higher mean scores for each item compared to nurses. Whereas, the perspective nurse and non-licensed caregivers were significantly different about older adults being more accessible to being infected with SARS-CoV-2, vulnerable population, prone to severity, easier to expose virus, low income, must isolated (p-value = 0.029, 0.007, 0.010, 0.033, <0.001, <0.001, respectively). The mean score of each item of nurses was higher than non-licensed caregivers.Conclusion: The expectation regarding aging of caregivers was higher than nurses. In line, the nurses’ scores have a lower attitude toward ageism during time COVID-19 pandemic. Exposure to ageism behavior and ageing conditions needs to be done for healthcare workers.
The Effect of Family Caregiver Empowerment Model Intervention on Fear of Hypoglycemia in People with Type-2 Diabetes Mellitus Rondhianto, Rondhianto; Kushariyadi, Kushariyadi; Rahmatullah, M. Nauval
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.56893

Abstract

Background: The family plays a vital role in T2DM self-management, but many families need to understand their role and function as caregivers. This lack of understanding can increase the burden of disease management, contributing to the emergence of psychological problems in people with T2DM, such as fear of hypoglycemia, which in turn worsens blood glucose control. The Family Caregiver Empowerment Model (FCEM) intervention is one model that can be used to empower families as caregivers in T2DM self-management.Purpose: This study aimed to analyze the effect of the FCEM intervention on the fear of hypoglycemia in people with T2DM. Methods: The study design was quasi-experimental with a randomized control pretest-posttest design. The sample size consisted of 85 respondents (a pair of family caregivers and people with T2DM), who were randomly divided into two groups: the treatment group (41 respondents) and the control group (44 respondents). The FCEM intervention was conducted once per week for ten weeks for family caregivers, and fear of hypoglycemia was measured using the Indonesian version of the Fear of Hypoglycemia Scale questionnaire. The data were analyzed using the Wilcoxon signed rank test and independent t-test.Results: The results showed significant differences in fear of hypoglycemia between the pre-test and post-test in the treatment group (p=0.001) and the control group (p=0.001). However, there was a significant difference in the decrease of fear of hypoglycemia between the treatment and control groups (t=-7.087; p=0.001). This finding suggests that FCEM intervention can significantly reduce the fear of hypoglycemia in people with T2DM.Conclusions: The FCEM intervention can reduce the fear of hypoglycemia in people with T2DM by increasing the family caregiver’s ability and support in managing T2DM. Nurses can use the FCEM intervention in T2DM management to improve diabetes management outcomes.  
Analysis of Factors Related to Diabetes Self-Management in Patients with Type 2 Diabetes Mellitus in Rural Areas Akbar, M. Agung; Sahar, Junaiti; Rekawati, Etty; Sartika, Ratu Ayu Dewi; Gupta, Prateek
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.62539

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a global health problem with an increasing prevalence. Most related studies focus on Diabetes Self-Management (DSM) in urban populations or general contexts, leaving a gap in understanding the specific factors affecting DSM among rural T2DM patients. Therefore, there is limited understanding of the factors that influence DSM in rural T2DM patients.Purpose: This study aimed to investigate DSM in rural T2DM patients and its associated factorsMethods: This study employed a cross-sectional design. The samples involved 146 patients with T2DM from the community health center in Ogan Komering Ulu Regency, Indonesia, selected using a simple random sampling technique. Diabetes Knowledge Questionnaire (DKQ), Diabetes Management Self-Efficacy Scale (DMSES), Hensarling Diabetes Family Support Scale (HDFSS), and Diabetes Self-Management Instrument (DSMI) were used for data collection. The t-test, ANOVA, Pearson correlation, and multiple linear regression were used to analyze the data.Results: The study found a significant relationship between gender (p=0.001), knowledge (p=0.001), self-efficacy (p=0.001), and family support (p=0.032) with DSM in rural T2DM patients. However, the multiple regression analysis revealed that self-efficacy (β=0.392, p=0.001), gender (β=0.283, p=0.001), and duration of DM (β=-0.189, p=0.012) significantly affected  DSM in patients with T2DM in rural areas, explaining  28 percent of the variance  (R2=0.280).Conclusion: The results indicated a significant relationship between gender, knowledge, self-efficacy, and family support with DSM in T2DM patients in rural areas, with self-efficacy being the most dominant factor affecting DSM. This study recommends that community nurses can play a pivotal role in designing and implementing interventions enhancing self-efficacy. Additionally, the involvement of PROLANIS, collaborating with key community figures, is crucial to increasing community participation and support for effective diabetes self-management.
Parental Resilience Determinants in Children with Cancer in Indonesia: A Path Analysis Novrianda, Dwi; Jamil, Mohd.; Rita, Rauza Sukma
Nurse Media Journal of Nursing Vol 14, No 3 (2024): (December 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i3.54943

Abstract

Background: Determining parental resilience in children with cancer is essential to ensuring parents’ involvement in caring for children in hospitals. Existing quantitative research evaluates factors influencing resilience in mothers but has not fully explored the determinants of resilience in parents of children with cancer. Studying parents more broadly is essential, as contemporary caregiving roles increasingly involve both mothers and fathers, offering a more comprehensive understanding of family dynamics.Purpose: This study aimed to analyze the determinants of parental resilience in children with cancer.Methods: Correlational research with a cross-sectional design was conducted in the pediatric ward of a tertiary hospital in Indonesia. A total of 102 parents of children with cancer were recruited using consecutive sampling. Data were collected using a demographic questionnaire, the 10-item Connor Davidson Resilience Scale (10-item CDRC), the Hert Hope Index (HHI), the International Personality Item Pool – Big Five Factor Markers 50 (IPIP-BFM-50), Parenting Stress Index (PSI), and the Survey of Family Environment (SFE). Quantitative data were analyzed using path analysis.Results: The results showed that the mean (SD) of the resilience score was 27.20 (5.79), personality 102.44 (19.11), hope 24.80 (6.04), parenting stress 39.22 (10.15), coping 39.84 (9.81), and family environment 84.57 (21.87). Resilience was directly influenced by hope (p=0.000), family environment (p=0.001), and coping (p=0.051). Personality indirectly influenced resilience (p=0.004). Path analysis revealed a Chi-square value of 0.000, a Root Mean Squared Estimate of Approximation (RMSEA) of 0.286, and values for the Normed Fit Index (NFI), Comparative Fit Index (CFI), Incremental Fit Index (IFI), and Goodness-of-Fit Index (GFI) were nearly close to 1, indicating the model had a nearly good fit.Conclusion: Parental resilience was determined by hope, family environment, and coping. Strengthening these factors can enhance resilience and support better outcomes for families and children with cancer. 
The Contributing Factors to the Risk of Diabetes Mellitus among Indonesian Urban Workers Mahmudah, Mahmudah; Izza, Nailul; Indrawati, Lely; Paramita, Astridya; Indriani, Diah
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.56916

Abstract

Background: Diabetes mellitus (DM) is a non-communicable disease (NCD) with a high morbidity rate and is the third leading cause of death in Indonesia. Some risk factors are associated with the risk of DM; yet, little is known about the effect of such factors on the occurrence of DM in an urban worker population.Purpose: This study aimed to examine the impact of some risk factors on the occurrence of DM among workers in urban areas of Indonesia.Methods: The study used secondary health status data obtained from the 2018 Basic Health Research by the Research and Development Agency, Ministry of Health, Republic of Indonesia, using a cross-sectional approach. The participants consisted of 15,745 urban working adults aged 15-64 years, whose blood glucose levels were examined. The correlation between variables was analyzed using a multivariate logistic regression test. Results: This study showed that 14.8% of DM patients had hypertension, and 14.9% were obese. The percentage of women with diabetes increased with age, particularly affecting informal workers more frequently. Hypertension (aOR=1.76; 95%CI: 1.56-1.99), central obesity (aOR=1.75; 95%CI: 1.54-1.98), daily smoking (aOR=0.63; 95%CI: 0.53-0.76), and age (aOR=8.9; 95%CI: 5.3-15.7) were identified as significant factors contributing to the risk of DM. However, education, physical activity, the consumption of fruits and vegetables, and employment had no discernible impact.Conclusion: Hypertension, obesity, daily smoking, and age were associated with an increased risk of DM in urban workers. The study recommends that companies collaborate with Posbindu for NCDs to check blood pressure and blood sugar levels regularly, and to measure the height and weight of workers periodically.
Factors Related to Fatigue among Chronic Kidney Disease Patients on Hemodialysis Mailani, Fitri; Mansur, Arif Rohman; Rifdatunnisa, Aisyah; Chan, Chong Mei
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.59980

Abstract

Background: Fatigue is a common and distressing symptom among patients with chronic kidney disease (CKD) undergoing hemodialysis, significantly impacting their daily functioning and quality of life. Despite its prevalence, the contributing factors to fatigue remain unclear and underexplored in specific populations.Purpose: This study aimed to identify factors associated with fatigue among CKD patients undergoing hemodialysis.Methods: A cross-sectional study was conducted in two hemodialysis centers. A total of 164 patients were recruited using convenience sampling, with sample size determined through power analysis. Data were collected using the FACIT-Fatigue Scale, a health literacy questionnaire, and an observation sheet for hemoglobin (Hb), blood pressure, and interdialytic weight gain (IDWG). Patient characteristics were also recorded. T-tests and ANOVA were used to examine differences in fatigue levels across groups, while Spearman correlation and multiple linear regression were employed to analyze associations between fatigue and clinical variables.Results: The mean fatigue score was 28.23(SD=7.46). Fatigue was significantly associated with age, education level, employment status, comorbidities, duration of hemodialysis, systolic blood pressure, HB, IDWG, and health literacy (p<0.05). Multiple linear regression identified employment status and hemoglobin levels as the strongest predictors of fatigue.Conclusion: Fatigue is a prevalent issue among CKD patients undergoing hemodialysis and is influenced by a range of demographic, clinical, and behavioral factors. Employment status and hemoglobin levels were the most significant contributors. Interventions promoting physical activity, a healthy diet, and fluid adherence, alongside routine monitoring of hemoglobin levels, may help reduce fatigue and improve quality of life in this population.

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