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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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Effects of Massage Therapy on Anxiety in Heart Disease Patients: A Systematic Review Kristinawati, Beti; Handika, Bintang Viga; Rizkiawan, Ardhu; Mardana, Nyofan Wahyu; Wijayanti, Nove Wiand Dwi
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.v14i3.59086

Abstract

Background: Patients with heart disease often experience anxiety as a response to physiological changes, and massage therapy is one of the alternative treatments available to alleviate this condition. Although the benefits of massage therapy in reducing anxiety are well recognized, there is a lack of focused research evaluating its specific effects on individuals with heart disease.Purpose: This review aims to systematically assess the effects of massage therapy on anxiety levels in patients with heart disease.Methods: A systematic review of the literature published between January 1, 2000, and December 31, 2020, was conducted using the PubMed, ScienceDirect, Scopus, CrossRef, and Google Scholar databases. Seventeen studies that met the inclusion criteria were selected for review. The quality of the included studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool, and the findings were synthesized narratively.Results: The review indicates that massage therapy has a positive effect on reducing anxiety in patients with heart disease. Various massage techniques consistently demonstrated significant anxiety-reducing outcomes. However, the heterogeneity of massage therapy techniques limits the ability to draw conclusions about the comparative effectiveness of existing studies, particularly in reducing anxiety levels.Conclusion: Based on this systematic review, massage therapy appears to significantly reduce anxiety levels in patients with heart disease, including both surgical and non-surgical populations. This review highlights the value of integrating massage therapy into holistic patient care, especially for managing anxiety and enhancing comfort. 
Coping Strategies of Women with Breast Cancer Undergoing Chemotherapy During the COVID-19 Pandemic: A Qualitative Study Harianto, Susilo; Nursalam, Nursalam; Maryam, Dewi; Nasir, Abd; Purwanto, Cucuk Rahmadi; Muhalla, Hafna Ilmy; Sulpat, Emuliana; Mardhika, Amellia; Soares, Domingos
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.v15i1.56922

Abstract

Background: Chemotherapy is the primary treatment for breast cancer to prevent cancer progression, but health protocols, such as social distancing during the COVID-19 pandemic, hinder timely treatment. Although many qualitative studies have investigated the experiences of breast cancer patients during the COVID-19 pandemic, few have explored the coping strategies of women undergoing chemotherapy during this time.Purpose: This study explored the coping strategies of women with breast cancer undergoing chemotherapy during the COVID-19 pandemic.Methods: A qualitative phenomenological design was employed to explore the experiences of women living with breast cancer and their coping mechanisms. Purposive sampling was used to recruit participants who met the following criteria: (1) women diagnosed with breast cancer who had chosen to undergo chemotherapy and (2) women attending chemotherapy sessions at the treatment center. Patients with a history of severe chemotherapy side effects were excluded from the study. Data were collected through in-depth, semi-structured interviews with 25 participants, and transcripts were analyzed using thematic analysis.Results: Four key themes emerged from the data analysis, including (1) feeling the uncertainty of life, (2) emotional turbulence, (3) surviving under pressure, and (4) accepting the situation. Participants demonstrated positive adaptive coping strategies to manage the challenges of breast cancer and chemotherapy during the COVID-19 pandemic.Conclusion: Surviving and accepting conditions were identified as vital coping mechanisms that help women with breast cancer maintain their quality of life during the COVID-19 pandemic. These strategies play a crucial role in maintaining mental well-being amid uncertain and stressful circumstances.
Anxiety and Sleep Disturbances Among Nurses Working at COVID-19 Dedicated Hospitals in Bangladesh Mondal, Sujit; Nurul Anowar, Mohammad; Khaleda Akter, Mosammet; Khatun, Shanzida
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.v14i3.60744

Abstract

Background: The coronavirus disease (COVID-19) pandemic has exposed nurses to conditions that threaten their health, well-being, and ability to work. While the physical health of nurses has received more attention, there has been limited focus on the long-term psychological effects. In Bangladesh, there is very limited research on anxiety and sleep disturbances among nurses during the COVID-19 pandemic.Purpose: This study aimed to assess the relationship among anxiety, sleep disturbances, and sociodemographic factors in nurses working at COVID-19 dedicated hospitals in Bangladesh.Methods: A descriptive correlational study was conducted among 102 nurses selected using a convenience sampling technique from two dedicated COVID-19 hospitals. The self-administered Anxiety Scale and Medical Outcome Study Sleep Scale were used to collect data. Both descriptive and inferential statistics were used. Descriptive statistics included frequency, percentage, mean, standard deviation, minimum, and maximum. Pearson product-moment correlation (r), t-tests, and ANOVA were used for inferential analyses.Results: About two-fifths (40.2%) of the nurses reported mild to moderate levels of anxiety, and the majority (84.3%) experienced sleep disturbances. A significant positive correlation (r=0.54, p=0.000) was found between anxiety and sleep disturbances. There was a significant relationship between nurses’ age and anxiety (p=0.000), marital status (p=0.000), family type (p=0.000) highest professional education (p=0.000), working duration (r=–0.38, p=0.000), COVID-19 positive history (p=0.016), training (p=0.000), and presence of comorbidity (p=0.008). Additionally, age (p=0.000), marital status (p=0.020), family type (p=0.000) highest professional education (p=0.000), working duration (r=0.363, p=0.000), training (p=0.002), and presence of comorbidity (p=0.015) were also significantly associated with sleep disturbances.Conclusion: The findings indicate that age, gender, education, family type, marital status, training, and comorbidity were significantly associated with increased levels of anxiety and sleep disturbances. These results highlight the importance of addressing these sociodemographic factors in mental health interventions to better support the well-being of frontline nurses during the pandemic.
Stroke-Associated Pneumonia: Risk Factors and Discharge Status Septianingrum, Yurike; Sari, Ratna Yunita; Martining Wardani, Erika; Ainiyah, Nur; Faizah, Imamatul; Yusuf, Ah.; Yuni Widyawati, Ika
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.v14i3.56841

Abstract

Background: Stroke-associated Pneumonia (SAP) is one of the complications that occur in stroke patients and is associated with worse clinical outcomes. Risk factors for SAP and its impact on discharge status remain unclear.Purpose: This study aimed to determine the factors influencing the incidence of stroke-related pneumonia in the hospital and the patient’s discharge status.Methods: A case-control study was conducted at a private hospital in Surabaya from January 2021 to 2022. Medical record data were reviewed to identify stroke patients with suspected or confirmed pneumonia, after which risk factors (age, gender, stroke type, length of stay, stroke frequency, dysphagia, diabetes mellitus, hypertension, COVID-19, and discharge status) associated with the occurrence of SAP were examined. We excluded diagnoses of diseases with clinical manifestations such as tuberculosis-like pneumonia, lung tumor, pulmonary edema, pulmonary embolism, pulmonary atelectasis, and incomplete or missing medical record data. Data analysis used the Chi-square test to identify the risk factors for stroke-associated pneumonia.Results: One hundred sixty-three stroke patients treated in all inpatient rooms were diagnosed with pneumonia; 52.8% of them had confirmed pneumonia, while the rest were still suspected of pneumonia. Most pneumonia occurs in ischemic stroke patients (93.9%), first-time stroke patients (87.1%), experienced dysphagia (55.2%), length of stay less than 7 days (55.2%), hypertension (55.2%), diabetes mellitus (57.1%), and discharged home (84%). We also found as much as 12.9% inpatient mortality due to SAP. Dysphagia, DM, and COVID-19 were significantly correlated with the incidence of stroke-associated pneumonia (p=0.000).Conclusion: Stroke-associated pneumonia is a substantial medical complication among stroke patients affected by dysphagia, DM, and COVID-19. Screening for dysphagia is necessary for nurses to prevent SAP in stroke patients.
Home Health Care Nurses' Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia Agga, Abdulkarim Omar; Sattar, Nada; Macaraeg, Veronica Cristina Brillantes
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.v15i1.65673

Abstract

Background: As the global need to address the care of elderly patients with dementia continues to rise, various health care systems have adopted different approaches to uphold the highest form of dignity, respect, autonomy, and preferences of their patients. One such approach is Person-Centered Care (PCC), which has shown benefits in improving the quality of life for elderly patients with dementia and their caregivers. However, despite its recognized benefits, PCC faces implementation challenges and is not widely adopted in some health care settings, as its effectiveness in challenging scenarios remains unclear. Additionally, limited research exists focusing on the experiences and challenges encountered by home health care nurses in these cases.Purpose: The primary aim of this study was to identify and describe the challenges faced by home health care nurses in implementing PCC, specifically for elderly patients with dementia. Methods: The study utilized Husserl’s transcendental phenomenology method. The participants included home health care nurses currently working with patients who had been medically diagnosed with dementia for at least six months. Sixteen participants were selected through purposive sampling. The nurses underwent thorough face-to-face interviews with the researchers. Inductive thematic analysis by Braun and Clarke was used to pragmatically organize the lived experiences. Results: Upon data interpretation, the study revealed two major themes, namely:  personal challenges with two sub-themes, (1) communication barriers and (2) limited training; and external challenges with two sub-themes; (1) powerlessness in decision making and (2) uncooperative patients.Conclusion: The study highlights the various challenges faced by home health care nurses in implementing PCC for elderly patients with dementia. To improve nurses’ capability to manage these challenges, support through education and training, policy development, and stakeholder involvement is essential to enhance the care delivery process.
A Bibliometric Analysis of Global Research on the Psychological Burden of HIV Stigma Among Adults: Implications for Nursing Practice Wilandika, Angga; Sari, Diah Nur Indah
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.72426

Abstract

Background: HIV-related stigma remains a persistent barrier to psychological well-being and care among people living with HIV. Although research on its psychological burden has grown, no bibliometric synthesis has mapped its development or implications for nursing practice.Purpose: This study aimed to conduct a bibliometric analysis of global research on the psychological burden of HIV stigma among adults, with particular attention to thematic evolution and implications for nursing care.Methods: A bibliometric and thematic analysis was conducted on 131 journal articles indexed in Scopus from 2014 to 2025. Bibliometric mapping was performed using VOSviewer to examine publication trends, authorship patterns, country distribution, keyword co-occurrence networks, and temporal thematic evolution.Results: The analysis found no publications prior to 2014, with output peaking in 2022 and 2024, confirming the field’s novelty. Keyword clustering revealed six thematic domains: psychological distress (depression, anxiety, shame), treatment adherence and healthcare engagement, trauma-related stigma, resilience and protective factors, methodological advances in stigma measurement, and structural-societal stigma. Temporal analysis indicated a shift from documenting emotional distress to examining mediating processes, resilience, and intersectionality, marking a transition from descriptive to explanatory and intervention-focused research.Conclusion: Research on the psychological burden of HIV stigma has expanded, with depression and anxiety remaining central, but increasing attention to resilience, coping, and systemic factors. However, gaps persist in translating these insights into stigma-sensitive nursing interventions. This bibliometric synthesis provides evidence to inform nurse-led strategies such as therapeutic communication, psychoeducation, and psychosocial support to mitigate stigma’s psychological impact on PLHIV.
Predictors of Stroke Survivors’ Quality of Life During Home Rehabilitation: A Cross-Sectional Study Sapang, Fransiska Anita Ekawati Rahayu; Baua, Maria Elizabeth; Sandi, Serlina
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.72471

Abstract

Background: Stroke survivors face the challenge of living in a body that functions differently than before, which impacts their quality of life. Stroke rehabilitation is essential, as the principle of neuroplasticity supports recovery from disability, and this process continues when survivors undergo home-based rehabilitation. However, the factors influencing their quality of life remain unclear.Purpose: This study aimed to investigate the predictors of stroke survivors’ quality of life during home rehabilitation.Methods: A cross-sectional study was conducted among 142 stroke survivors recruited using purposive sampling. Data were collected using the Stroke Survivor Quality of Life (SS-QOL) questionnaire and an additional questionnaire assessing knowledge, attitudes, and practices related to home rehabilitation. Logistic regression was employed to examine predictors of stroke survivors’ quality of life.Results: Most respondents (59.15%) were men, with a mean age of 59.25 years (SD = 10.5). Many stroke survivors had a high quality of life (n = 92; 64.79%), good knowledge (n = 114; 80.28%), positive attitudes (n = 83; 58.5%), and a high level of home rehabilitation practice (n = 89; 62.68%). Significant correlations were found between knowledge (p < 0.001), attitude (p = 0.040), and practice (p = 0.001) with stroke survivors’ quality of life.Conclusion: This study indicates significant correlations between knowledge, attitudes, and practices related to home rehabilitation and stroke survivors’ quality of life. These findings provide valuable insights for nurses, emphasizing the importance of structured health education on home-based rehabilitation to enhance stroke survivors’ quality of life.
The Risk of Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes Mellitus in Urban and Rural Areas Qona'ah, Arina; Pratiwi, Ika Nur; Pawanis, Zulfayandi; Yamani, Laura Navika; Pratiwi, Eskarani Tri; Nursalam, Nursalam; Ramoo, Vimala
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.56936

Abstract

Background: Diabetic Peripheral Neuropathy (DPN) is a common complication of type 2 diabetes mellitus (T2DM) and is closely linked to poor glycemic control. However, little is known about how environmental and lifestyle differences between urban and rural settings affect the risk of DPN.Purpose: This study aimed to identify and compare the risk factors of DPN among T2DM patients living in rural and urban areas.Methods: A comparative cross-sectional design with purposive sampling was used to recruit 156 T2DM patients from both urban (Surabaya) and rural (Lamongan) areas of East Java, Indonesia. Data were collected using the Vascular Quality of Life-6 (VQ-6), Diabetic Neuropathy Symptom (DNS), Diabetic Neuropathy Examination (DNE), and Ankle-Brachial Index (ABI). Logistic regression was performed, with a significance level set at p<0.05.Results: The mean age of rural participants was 55.8 years, slightly younger than that of urban participants. Urban residents had higher levels of education (37.7%) but engaged less in regular physical activity (51.9%). The risk of DPN differed significantly between rural and urban participants. Vascular function (ABI, OR = 4.526, range = 0.7–4.00), peripheral nerve symptoms (DNS, OR = 2.838, range = 0–2), neurological deficits (DNE, OR = 1.571, range = 0–5), and neuropathy-related quality of life (VQ-6, OR = 0.663, range = 0–24, p=0.020) were more pronounced among rural participants.Conclusion: Rural T2DM patients are at greater risk of DPN due to vascular and neuropathic complications, combined with sociodemographic disadvantages. These findings highlight the importance of early detection and tailored education programs for rural communities to prevent and manage DPN.
Key Predictors of Medication Adherence Among Pulmonary Tuberculosis Patients: A Cross-Sectional Study in Palembang, Indonesia Sarfika, Rika; Martini, Endang; Yuliharni, Siti; Saifudin, I Made Moh. Yanuar
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.70345

Abstract

Background: Medication adherence remains a critical challenge in tuberculosis (TB) control, particularly in Indonesia, which ranks second globally in TB incidence. While previous studies have examined adherence factors worldwide, limited research has simultaneously evaluated the combined influence of sociodemographic, clinical, and psychosocial determinants in Indonesian settings, particularly using validated Indonesian-language instruments.Purpose: This study aimed to identify and quantify key predictors of medication adherence among pulmonary TB patients in Palembang, Indonesia, with particular emphasis on sociodemographic factors, clinical variables, and psychosocial determinants.Methods: A cross-sectional analytical study was conducted involving 150 pulmonary TB patients recruited through consecutive sampling at five public healthcare centers in Palembang. Data were collected using validated instruments, including the 8-item Morisky Medication Adherence Scale (MMAS-8) for adherence, the Knowledge About Tuberculosis Questionnaire (KATUB-Q) for TB knowledge, a structured questionnaire for side effects, the Treatment Motivation Questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), and the TB-related Stigma Scale. Statistical analyses included descriptive statistics, Chi-square tests, and ordinal logistic regression to evaluate relationships between variables and adherence levels.Results: Only 20% of participants demonstrated high adherence, while 50.7% exhibited low adherence. Significant predictors of adherence included early adulthood (OR = 0.061, 95% CI = 0.004–0.857, p = 0.038) and middle adulthood (OR = 0.052, 95% CI = 0.005–0.565, p = 0.015), indicating lower adherence compared to late elderly. Other predictors were poor TB knowledge (OR = 0.316, 95% CI = 0.154–0.650, p = 0.002), low motivation (OR = 0.244, 95% CI = 0.108–0.553, p < 0.001), limited family support (OR = 0.470, 95% CI = 0.232–0.952, p = 0.036), insufficient healthcare worker support (OR = 0.349, 95% CI = 0.204–0.840, p = 0.015), and the presence of drug side effects (OR = 5.294, 95% CI = 2.134–13.126, p < 0.001). Younger adults showed lower adherence rates compared to older populations, while patients with better knowledge and stronger support systems demonstrated higher adherence.Conclusion: Key predictors of medication adherence were age, TB knowledge, motivation, family support, healthcare worker support, and drug side effects. Younger patients, those with poor knowledge, low motivation, weak support systems, and severe side effects demonstrated significantly lower adherence rates. These findings highlight the need for targeted, multifactorial interventions to improve TB treatment outcomes in Indonesia.
Network Meta-Analysis of Wound Dressings and Their Effectiveness in Promoting Healing Burhan, Asmat; Susanti, Indah; Silva, Vanessa A Breu Da; Kumar, Vijay; Kim Chi, Do Thi; Hidayat, Riski; Sebayang, Septian Mixrova; Hamka, Hamka
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.67063

Abstract

Background: Chronic and acute wounds affect millions of individuals worldwide, placing a substantial burden on patients and healthcare systems. Previous evaluations have often focused on limited types of dressings or specific wound conditions. Therefore, a comprehensive network meta-analysis is essential for comparing various interventions, bridging knowledge gaps, improving healing outcomes, and addressing clinical and economic challenges.Purpose: This study assessed the comparative effectiveness and safety of advanced wound dressings in promoting healing.Methods: This network meta-analysis, registered with PROSPERO (CRD42023433268), systematically searched PubMed, ProQuest, Scopus, CINAHL, ScienceDirect, Springer Nature, Wiley, Cochrane Library, and Taylor & Francis from January 2012 to December 2022. Eight reviewers independently assessed and extracted data from randomized controlled trials evaluating different dressings, including placebo, alginate, collagen, gamat, honey, hyaluronic acid, hydrocolloid, hydrogel, mebo, platelet-rich plasma, povidone-iodine, and silver sulfadiazine. Data were synthesized using a random-effects network meta-analysis with SUCRA rankings. Study quality was evaluated using Cochrane RoB2, and certainty of evidence was assessed through CINeMA.Results: This review included 38 RCTs with a total of 4,049 patients. The largest placebo group comprised 1,628 participants, while the smallest group was mebo with 10 participants. Heterogeneity and consistency analysis showed negligible variation (χ²=1.757, p=0.78). Alginate dressings were the most effective in reducing wound size compared to placebo (OR 0.64; 95% CI 0.38–1.08; SUCRA probability 0.73), whereas hyaluronic acid dressings were the least effective (OR 0.22; 95% CI 0.06–0.79; SUCRA probability 0.08).Conclusion: Alginate was identified as the most effective primary dressing for wound healing, while hyaluronic acid dressings were the least effective. However, clinical practitioners should carefully weigh the benefits and limitations of each dressing type before selecting the most appropriate treatment for patients.

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