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Yurike Septianingrum
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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 95 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.

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