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Nurse and Holistic Care
Published by Universitas Nahdlatul Ulama Surabaya
ISSN : 27976971     EISSN : 27977188     DOI : https://doi.org/10.33086/nhc
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
“Nurse and Holistic Care" is a Scientific Journal managed by Institute for Research and Community Services of Nahdlatul Ulama University, Surabaya. The scope of this journal is articles in the fields of health, public health, midwifery and nursing (basic nursing, medical surgical nursing, pediatric nursing, maternity nursing, family and community health nursing, emergency and critical nursing, mental health nursing, gerontological nursing, and also nursing management). This journal is published in print and online every 4 months (3 times in a year), namely April, August and December. Each issue contains a minimum of 6 articles.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 102 Documents
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THE EFFECT OF MINDFULNESS BASED ON BREATHING EXERCISE ON REDUCING BLOOD PRESSURE AND BLOOD GLUCOSE LEVELS IN DIABETES MELLITUS PATIENTS Farida, Denis; Zulkarnain, Octo
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.7901

Abstract

Background: Diabetes Mellitus (DM) often involves stress-induced hypertension and glucose instability. Mindfulness-Based Breathing Exercise (MBBE) is a non-pharmacological stress management intervention designed to reduce stress responses and help stabilize blood pressure and blood glucose levels. Objective: The purpose of this study was to analyze the effect of Mindfulness Based on Breathing Exercise on reducing blood pressure and blood glucose levels in Diabetes Mellitus patients. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted at Keputih Health Center, Surabaya. Thirty respondents with Type 2 DM (aged 40-65 years, diagnosed ≥1 year, with a history) were purposively sampled into intervention (n=15) and control (n=15) groups. The intervention group practiced Mindfulness-Based Breathing Exercise for 15 minutes daily for 14 days, while the control group received standard education. Blood pressure and random blood glucose were measured using digital devices and analyzed via paired and independent t-tests. Result: The paired t-test results in the intervention group showed a significant decrease in systolic blood pressure (p=0.001), diastolic blood pressure (p=0.002), and random blood glucose levels (p=0.000). There was no significant change in the control group (p>0.05). The independent t-test results showed a significant difference in the average decrease in blood pressure and blood glucose levels between the intervention and control groups (p≤0.05). Conclusion: Mindfulness-Based Breathing Exercise significantly reduced blood pressure and blood glucose levels in patients with diabetes mellitus. This therapy is recommended as a complementary nursing intervention in the management of diabetes mellitus.
THE EFFECT OF RED GUAVA-RED SPINACH JUICE COMBINED WITH IRON SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN Sarmin, Sukati; Pangestuti, Restu; Aminati, Fifi Ratna
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.8062

Abstract

Background: Anemia in pregnancy remains a major public health concern, with prevalence exceeding 20% in Indonesia. This condition is commonly associated with hemodilution and inadequate iron intake. Objective: This study aims to analyze the effect of red guava–red spinach juice combined with iron (Fe) tablet fortification on the hemoglobin (Hb) levels of third‑trimester pregnant women. Methods: A quasi‑experimental pretest–posttest design with a control group was implemented involving 60 pregnant women. Participants were divided into control (Fe tablets only) and intervention groups (Fe tablets + 200 mL red guava–red spinach juice daily for 14 days). Hemoglobin was measured using a calibrated digital hemoglobinometer. Paired and independent t‑tests were used. Result: The control group showed an Hb increase from 9.21 ± 0.18 g/dL to 12.10 ± 0.27 g/dL (mean difference 2.89 g/dL, p < 0.001). The intervention group increased from 8.41 ± 1.12 g/dL to 13.00 ± 0.90 g/dL (mean difference 4.59 g/dL, p < 0.001). An independent t‑test revealed significant differences in post‑test Hb levels between groups (t = −20.4, p = 0.01). Effect size (Cohen’s d = 1.21) indicated strong clinical significance. Conclusion: Red guava–red spinach juice combined with Fe tablets is more effective in increasing Hb levels than Fe tablets alone. This intervention can be recommended as a complementary non‑pharmacological strategy for anemia prevention programs.
THE RELATIONSHIP BETWEEN LIFESTYLE AND BLOOD GLUCOSE LEVELS IN PATIENTS WITH DIABETES MELLITUS AT WONOKROMO PUBLIC HEALTH CENTER Wulandari, Maulidia Ajeng; Rusdianingseh; Umamah, Faridah; Putri, Rahmadaniar Aditya
Nurse and Holistic Care Vol. 5 No. 2 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i2.8223

Abstract

Background: Diabetes mellitus is a chronic condition with rising global prevalence and is strongly influenced by lifestyle behaviors. Objective: This study examined the association between lifestyle factors and blood glucose levels among patients with diabetes mellitus at the Wonokromo Public Health Center. Methods: The study included 216 patients with diabetes mellitus, of whom 141 were selected using purposive sampling. A correlational analytic design with a cross-sectional approach was employed. Data were collected using a lifestyle questionnaire and the respondents’ most recent blood glucose measurements. Statistical analysis was conducted using the Spearman rank test. Results: Nearly half of the respondents reported a moderate lifestyle pattern, and most had blood glucose levels within the normal range. The analysis yielded a p-value < 0.001 with a correlation coefficient (r = 0.385), indicating a significant association between lifestyle and blood glucose levels. Conclusion: The findings demonstrate that lifestyle is significantly related to blood glucose control in patients with diabetes mellitus. These results highlight the importance of adopting healthy lifestyle practices, including balanced diet, regular physical activity, stress management, and avoidance of smoking, to help maintain optimal blood glucose levels.
THE EFFECT OF DEEP BREATHING RELAXATION TECHNIQUES AND COLD COMPRESS TECHNIQUES ON PAIN LEVELS IN PATIENTS AFTER CRURAL FRACTURE SURGERY Setiyaningsih, Yunnita; Ellina, Agusta Dian; Ambarika, Rahmania
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.8252

Abstract

Background: Postoperative pain is a major complication following cruris fracture surgery. Non-pharmacological interventions such as deep breathing, relaxation, and cold compress therapy are widely used, but their comparative effects remain unclear. Objective: To compare the effectiveness of deep breathing relaxation and cold compress therapy in reducing postoperative pain among cruris fracture patients at Kustati Surakarta General Hospital. Methods: A quasi-experimental pretest–posttest two-group study involving 40 postoperative patients using total sampling. Pain was measured using the validated Numeric Rating Scale. Kruskal–Wallis and Wilcoxon tests were applied. Result: Both interventions significantly reduced pain levels (p < 0.05). Cold compress therapy demonstrated a greater decrease. Conclusion: Both interventions were associated with decreased postoperative pain, with cold compress therapy showing greater reduction. Further randomized studies are recommended.
FACTORS ASSOCIATED WITH FAMILY RESILIENCE AMONG HEMODIALYSIS PATIENTS: A CROSS-SECTIONAL STUDY Lestari, Dwi Ayu; Hatmanti, Nety Mawarda; Wijayanti, Lono; Purwanti, Nunik; Suryandari, Destyorini
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.8268

Abstract

Background: Family resilience plays a crucial role in maintaining psychological well-being and adaptive coping among families caring for hemodialysis patients. Chronic illness and prolonged treatment often impose emotional and physical burdens that challenge the family’s ability to adapt, highlighting the need to identify determinants influencing resilience. Objective: This study aimed to analyze the relationships between demographic and clinical factors: age, gender, education level, duration of hemodialysis, and comorbidities, and family resilience among patients undergoing hemodialysis at Ahmad Yani Islamic Hospital, Surabaya, Indonesia. Methods: This study used a correlational analytic design with a cross-sectional approach. The population included 110 hemodialysis patients, and 86 respondents were selected using simple random sampling. Independent variables included age, gender, education level, duration of hemodialysis, and comorbidities, while the dependent variable was resilience. The Connor–Davidson Resilience Scale (CD-RISC) was used to measure resilience. Data were analyzed using the Chi-Square test with a significance level of α = 0.05. Result: Most respondents (88.4%) demonstrated a very high level of resilience. Significant relationships were found between resilience and gender (p = 0.002), education level (p < 0.001), duration of hemodialysis (p < 0.001), and comorbidities (p < 0.001), while age showed no significant association (p = 0.019). Conclusion: Family resilience among hemodialysis patients was classified as very high. Socio-demographic factors, health conditions, and treatment duration influenced resilience levels. These findings highlight the need for nursing interventions focusing on psychosocial support, patient education, and family empowerment to enhance adaptive coping in long-term hemodialysis care.
THE IMPACT OF DEEP BREATHING COMBINED WITH AROMATHERAPY ON ANXIETY LEVELS IN PRE-CAESAREAN SECTION PATIENTS AT KERTHA USADA HOSPITAL Rusmeni, Ni Putu Diah Ayu; Putra, I Dewa Gede Agus Ardana; Imam, Nurul
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.7764

Abstract

Background: Preoperative anxiety is commonly experienced by women undergoing caesarean section and may negatively affect physiological stability during surgery. Non-pharmacological interventions such as deep breathing, relaxation, and aromatherapy are considered effective strategies to reduce anxiety. Objective: This study aimed to examine the effect of a combination of deep breathing relaxation and aromatherapy on anxiety levels in patients undergoing preoperative caesarean section. Methods: This pre-experimental study employed a one-group pretest–posttest design and was conducted at Kertha Usada General Hospital, Buleleng, Indonesia, from April to May 2025. A total of 67 patients scheduled for caesarean section were recruited using consecutive sampling. Anxiety levels were assessed before and after the intervention using a standardized anxiety questionnaire. The intervention consisted of deep breathing relaxation combined with aromatherapy. Data were analyzed using the Wilcoxon signed-rank test. Result: The results showed a statistically significant reduction in anxiety levels after the intervention (p = 0.001; p < 0.05). Conclusion: The combination of deep breathing relaxation and aromatherapy effectively reduced preoperative anxiety in patients undergoing caesarean section and may serve as a complementary nursing intervention to enhance preoperative care.
THE ROLE OF NURSING SUPERVISION ON CLINICAL NURSES' JOB SATISFACTION: SYSTEMATIC REVIEW Lindawati, Nurma; Qur'aniati, Nuzul; Krisnana, Ilya
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.8199

Abstract

Background: Clinical supervision is widely implemented to support learning, professional development, and performance evaluation among nurses. Although evidence suggests that clinical supervision improves nurses’ job satisfaction, the lack of standardized policies and guidelines limits its optimal implementation. Variations in supervision models, frequency, and duration highlight the need for a synthesized evidence base. Objective: This systematic review aimed to gather and examine studies investigating how supervision affects nurses' job satisfaction in clinical settings. Design: This is a systematic review. Data Sources: Electronic searches were conducted across four databases: Scopus, EBSCO, CINAHL, and PubMed. The search covered articles published between 2019 and 2024. Review Methods: The review followed PRISMA guidelines. A total of 380 articles were identified; duplicates were removed, and titles and abstracts were screened according to predefined criteria. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool, resulting in 15 eligible studies. Results: The findings indicate that clinical supervision significantly improves nurses’ job satisfaction, particularly when conducted regularly and in a structured manner. Scheduled supervision supports knowledge development, reduces work-related stress, and enhances skill acquisition, with positive effects lasting up to 3–6 months. Supervision provided by experienced peers was generally more effective than supervision by direct supervisors. However, substantial variation was observed in supervision models, frequency, and duration. Supervisor competence, organizational support, and a supportive supervision environment promoting teamwork, communication, and psychological safety were key factors influencing effectiveness. Conclusion: Clinical supervision positively influences nurses’ job satisfaction and contributes to improved quality of care. Nonetheless, variability in supervision practices highlights the need for further research to develop evidence-based and standardized clinical supervision guidelines that consider organizational and workplace contexts.
ASSOCIATION BETWEEN FUNCTIONAL AEROBIC CAPACITY AND SCOLIOMETER-MEASUREMENT SPINAL DEVIATION IN ELEMENTARY SCHOOL STUDENT: AN IMPLICATION FOR EARLY PHYSIOTHERAUPETIC INTERVENSION Astuti, Martha Sri; Prasetyawati, Irine Yunila; Yuliati SSpS, SR. Ignata
Nurse and Holistic Care Vol. 6 No. 1 (2026): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v6i1.8013

Abstract

Background: Early detection of spinal deformities of school-aged students is an important component of early musculoskeletal assessment and physiotherapeutic prevention in school-aged children.  A scoliometer measurement 5-7° considered as a positive screening indicator for developing scoliosis and may potentially affect physical function, including functional aerobic capacity. Objective: The aim of this study is to examine the association between functional aerobic capacity and scoliometer-measured spinal deviation among elementary school students. Methods: Using cross-section design, the study was conducted among 47 fifth-grade students selected through systematic random sampling.  Spinal rotation was assessed by spinal rotation angle deviation using scoliometer.  Functional aerobic capacity was measured using the Incremental Shuttle Walk Test (ISWT).  ISWT performance was categorized based on predicted values.  Data were analyzed using Spearman’s correlation with a significance level of p < 0.05. Results: Eighty-seven percent of students showed a 5° spinal rotation (positive scoliosis screening). Most deviations were located in the lumbar region (73%).  The majority of students demonstrated below-average to above average aerobic capacity.  Female students had higher mean ISWT distances than males.  Spearman analysis revealed a very weak positive correlation (r=0,180) that was not statistically significant (p=0.227). Conclusion: There is no significant association between spinal deviation angle and functional aerobic capacity in this population.  Early scoliosis screening remains essential to support early musculoskeletal assessment and physiotherapeutic prevention in school-aged children.
THE EFFECT OF MORINGA LEAF DECOCTION ON BLOOD GLUCOSE REDUCTION AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS Zebua, Lenta Dwi Novita; Ritonga, Amanda Napa Erlita; Zai, Denvis Notatema; Rajagukguk, Krisnatalia Br; Adila, Mawazini; Ginting, Chrismis Novalinda
Nurse and Holistic Care Vol. 6 No. 1 (2026): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v6i1.8286

Abstract

Background: Type 2 diabetes mellitus remains a major metabolic disorder characterized by chronic hyperglycemia, and long-term pharmacological therapy may cause adverse effects, highlighting the need for safe complementary interventions. Moringa oleifera leaves contain bioactive compounds with potential antihyperglycemic properties. Objective: The aim of this study is to examine the effect of consuming Moringa oleifera leaf decoction on the reduction of blood glucose levels among individuals with type 2 diabetes mellitus. Methods: This study used a quantitative quasi-experimental one-group pretest - posttest design. The independent variable was the administration of Moringa oleifera leaf decoction, while the dependent variable was blood glucose level. Twenty participants with type 2 diabetes mellitus were recruited using accidental sampling. The intervention was given once daily for seven days. Blood glucose levels were measured before and after the intervention, and data were analyzed using the Wilcoxon signed-rank test. Results: Prior to the intervention, most participants had blood glucose levels between 180 - 199 mg/dL, which decreased to 140 - 159 mg/dL after the intervention. Statistical analysis showed a significant difference (p < 0.05). Conclusion: Moringa oleifera leaf decoction may reduce blood glucose levels and could be considered as a complementary intervention for patients with type 2 diabetes mellitus.
MULTIDIMENSIONAL APPROACH TO PATIENT SATISFACTION IN HEMODIALYSIS NURSING SERVICES AT ROYAL PRIMA GENERAL HOSPITAL, MEDAN Nurhayati, Evalatifah; Anggeria, Elis; Nababan, Tiarnida
Nurse and Holistic Care Vol. 6 No. 1 (2026): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v6i1.8443

Abstract

Background: The increasing population of patients with end-stage kidney disease necessitates high-quality nursing services. Patient satisfaction in hemodialysis is a multidimensional construct encompassing physical, psychological, and technical aspects of care. Objective: To analyze patient satisfaction through a multidimensional approach and identify the dominant factor influencing satisfaction at Royal Prima General Hospital, Medan, in 2025.Methods: This quantitative study used a cross-sectional design. Total sampling was applied to 115 hemodialysis patients (Sample). Variables included nine dimensions of service measured via a multidimensional questionnaire (Instrument). Data were analyzed using univariate, bivariate (Chi-square), and multivariate (Logistic Regression) tests (Analysis).Results: Patients reported high satisfaction levels, categorized as very satisfied (52.5%) and satisfied (47.5%). All service dimensions significantly correlated with satisfaction (p≤ 0.05). Multivariate analysis identified medical care as the most dominant factor (p = 0.000; B = 0.104), indicating its critical role in shaping patient perceptions.Conclusion: Nursing service quality across multiple dimensions significantly drives patient satisfaction, with medical care being the most influential. Hospitals should focus on enhancing medical care, nurse responsiveness, and therapeutic communication to sustain service quality.

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