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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 108 Documents
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ANALYSIS OF HEALTH WORKER AND PEER SUPPORT GROUP INFLUENCE ON ANTIRETROVIRAL (ARV) ADHERENCE AT DR. DJASAMEN SARAGIH GENERAL HOSPITAL, PEMATANGSIANTAR Jakasmir Girsang; Tiarnida Nababan; Refi ikhtiari
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.v6i1.8462

Abstract

Background: The low success of antiretroviral (ARV) therapy at Dr. Djasamen Saragih Regional Hospital is reflected in the small number of People Living with HIV (PLHIV) who achieve viral load suppression. This problem is strongly suspected to be related to the low level of medication adherence. Objective: To analyze the effect of support from health workers and Peer Support Groups (PSGs) on ARV adherence at Dr. Djasamen Saragih Regional Hospital.Methods: This study used a cross-sectional design. The study population was all PLHIV, totaling 229 people, with a sample size of 71 people taken through a purposive sampling method. Data were analyzed bivariate and multivariate to determine the relationship between variables and the odds ratio of patient adherence.Results: Bivariate analysis showed a significant relationship between support from health workers (p=0.000) and peer support (p=0.001) on ARV adherence. The results of the multivariate analysis showed that support from healthcare workers was the dominant factor, where PLHIV who received such support had a 7.830 times greater chance of adherence than those who did not receive support. In addition, peer support increased the chance of adherence by 4.729 times for patients.Conclusion: External support, both from medical personnel and the peer social environment, significantly determined the adherence behavior of PLHIV in undergoing therapy. The management of Dr. Djasamen Saragih Regional General Hospital is advised to improve the communication competency of healthcare workers and strengthen strategic collaboration with peer communities in Pematangsiantar City to optimize patient therapy outcomes.
PSYCHOSOCIAL AND INTERPERSONAL FACTORS INFLUENCING DIABETES SELF-MANAGEMENT: THE ROLES OF SELF-EFFICACY, PSYCHOLOGICAL STRESS, FAMILY SUPPORT, AND HEALTHCARE COMMUNICATION Eliza Zihni Zatihulwani; Kusuma Wijaya Ridi Putra; Karisma Dwi Ana
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.v6i1.8725

Abstract

Background: Diabetes mellitus is a major global health challenge requiring lifelong self-management. Optimal diabetes self-management is influenced not only by clinical factors but also by psychosocial and interpersonal aspects, including self-efficacy, psychological stress, family support, and healthcare communication. Objective: This study aimed to analyses the influence of psychosocial and interpersonal factors on diabetes self-management among patients with Type 2 Diabetes Mellitus (T2DM). Methods: A cross-sectional analytical study was conducted among 50 T2DM patients at RSUD Jombang from January to March 2025. Data were collected using validated instruments, including the Summary of Diabetes Self-Care Activities (SDSCA), Diabetes Management Self-Efficacy Scale (DMSES), Perceived Stress Scale (PSS-10), Multidimensional Scale of Perceived Social Support (MSPSS), and a healthcare communication questionnaire. Data analysis included descriptive statistics, correlation tests, and multiple linear regression. Results: Self-efficacy showed a significant positive correlation with diabetes self-management (r = 0.521; p = 0.001), while psychological stress showed a significant negative correlation (r = -0.463; p = 0.002). Family support (r = 0.487; p = 0.001) and healthcare communication (r = 0.455; p = 0.003) were positively associated with self-management. Multiple regression analysis revealed that all variables significantly influenced diabetes self-management, with self-efficacy as the strongest predictor (β = 0.41; p = 0.002). The model explained 50.7% of the variance. However, this study is limited by its cross-sectional design, small sample size, and reliance on self-reported data, which may affect generalizability and causal interpretation. Conclusion: Psychosocial and interpersonal factors significantly influence diabetes self-management. Interventions should focus on improving self-efficacy, reducing stress, enhancing family support, and strengthening healthcare communication to improve patient outcomes.
NEW PATIENT ADMISSION MODEL BASED ON INTERPERSONAL RELATIONSHIPS AND ITS IMPACT ON NURSE PERFORMANCE IN HOSPITALS: A SYSTEMATIC Novia Caecilia Laoli; Nursalam; Ilya Krisnana
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.v6i1.8502

Abstract

Background: The admission of new patients is a critical phase in inpatient care that shapes first impressions, emotional responses, and perceptions of healthcare quality. Nurses play a central role in this process, where strong interpersonal competence is essential. Interpersonal relationship–based admission models are proposed to improve nurse performance and patient experience, although supporting evidence remains fragmented. Objective: To evaluate impact of interpersonal relationship based new patient admission models on nurse performance. Methods: This systematic review accordance with PRISMA guidelines. Studies were selected using the PICOS framework. Cross-sectional and quasi-experimental studies examining interpersonal relationship based new patient admission models and their impact on nurse performance were included. Risk of bias was assessed using JBI Critical Appraisal Checklist. Data were synthesized narratively. Results: From 5,033 records, ten studies met inclusion criteria after duplicate removal, two-stage screening, and consensus-based selection. Eligible open-access studies underwent standardized extraction of study characteristics, interventions, and nurse performance outcomes, and selection was reported via the PRISMA flow diagram. The included studies show that interpersonal relationship–based admission approaches such as therapeutic communication, structured patient orientation, and digital or educational media improve nurse performance. Key outcomes include enhanced communication effectiveness, adherence to procedures, patient adaptation, and satisfaction. Conclusion: Interpersonal relationship–based approaches applied in admission-related nursing processes particularly therapeutic communication and patient orientation are associated with improved nurse performance and patient outcomes. However, further rigorous studies focusing specifically on new patient admission are needed to strengthen the evidence.
AN ANALYSIS OF THE ASSOCIATION BETWEEN THE USE OF ELECTRONIC NURSING DOCUMENTATION AND THE QUALITY OF EFFECTIVE COMMUNICATION AMONG NURSES IN HOSPITAL SETTINGS Made Indra Ayu Astarini; Ira Ayu Maryuti; Kristina Pae
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.v6i1.8682

Abstract

Background: All healthcare services, including hospitals, are required to implement electronic documentation. The purpose is to facilitate access and support clinical decision-making related to patients. Challenges arise when nurses perform electronic documentation, as they may become overly focused on documentation tasks and fail to engage in effective communication with other nurses. Objective: This study aimed to explain the relationship between the use of electronic documentation and the quality of effective communication among nurses.Methods: This study employed a cross-sectional research design. The population consisted of all nurses in inpatient ward who used electronic documentation at Hospital X in Surabaya. The sample size was 122 respondents who participated within one week of data collection. The sampling technique used was total sampling. The independent variable was the use of electronic documentation, while the dependent variable was effective communication among nurses.Results: The results showed that the majority of respondents were demonstrated good acceptance of electronic documentation use (117; 95.9%) and had good effective communication skills (100; 82%). Cross-tabulation analysis also showed that 98 respondents had both good acceptance of electronic documentation and good effective communication skills. The analysis indicated a significant relationship between the acceptance of electronic documentation use and effective communication skills (p = 0.012; p < α) with a correlation coefficient of r = 0.226. The r value indicates a positive relationship between the two variables.Conclusion: The correlation coefficient indicates a positive association, suggesting that higher acceptance of electronic documentation is associated with better effective communication among nurses.
THE RELATIONSHIP BETWEEN SELF-ESTEEM AND SUBJECTIVE WELL-BEING AMONG OSTEOARTHRITIS PATIENTS: A CROSS-SECTIONAL STUDY Imamatul Faizah; Ratna Yunita Sari; Riska Rohmawati; Siti Nur Hasina; Rahmadaniar Aditya Putri
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.v6i1.8704

Abstract

Background: Osteoarthritis is a degenerative joint disease that has a significant impact on quality of life, particularly among the elderly. In addition to pain and physical limitations, individuals with osteoarthritis also experience a decline in self-esteem and subjective well-being.Purpose: This study aims to analyze the relationship between self-esteem and subjective well-being among patients with osteoarthritis in Surabaya Community Health Center.Methods: This study employed a correlational analytic design with a cross-sectional approach. The study population consisted of 30 respondents, with a sample of 28 selected using simple random sampling. The independent variable in this study was self-esteem, and the dependent variable was subjective well-being. The instruments used were the Rosenberg Self-Esteem Scale and the Satisfaction with Life Scale. Data analysis was performed using the Spearman rank test with a significance level of α = 0.005.Results: The results of this study showed that the majority (60.7%) of individuals with osteoarthritis had high self-esteem, and nearly half (35.7%) had a high level of subjective well-being. The statistical analysis indicated a significant relationship (ρ value < 0.001). Therefore, self-esteem is associated with subjective well-being among individuals with osteoarthritis.Conclusion: There is a significant relationship between self-esteem and subjective well-being in the Wonokromo Community Health Center area. The results of this study are expected to encourage individuals with high subjective well-being to continue maintaining high self-esteem by accepting themselves as they are, engaging in active social participation, and fostering an optimistic outlook on life.
BODY IMAGE AND SELF CONFIDENCE AMONG PREGNANT WOMEN: A CROSS SECTIONAL STUDY IN RURAL INDONESIA Risa Putri Utami; Eko Mardiyaningsih
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.v6i1.8899

Abstract

Background: Pregnancy in the second and third trimesters involves significant physical changes and psychological adjustments that may influence women’s perceptions of their bodies and their level of self-confidence. Purpose: This study aimed to examine the relationship between body image and self-confidence among pregnant women in the second and third trimesters in Sumogawe Village, Getasan District. Methods: A quantitative correlational design with a cross-sectional approach was applied. A total of 56 pregnant women were selected using purposive sampling. Body image was assessed using the Body Image Scale, while self-confidence was measured using the Self-Confidence Scale based on Lauster’s concept. Data were collected online through Google Forms with coordination from the village midwife and analyzed using univariate analysis and the Spearman Rank correlation test. Results: The results showed that most respondents had a positive body image (57.1%), while 42.9% reported a negative body image. In terms of self-confidence, 57.1% of respondents had low self-confidence and 42.9% had high self-confidence. Statistical analysis revealed a strong, positive, and significant relationship between body image and self-confidence (Spearman’s ρ = 0.727; p < 0.001), indicating that a more positive body image is associated with higher self-confidence. Conclusions: Body image is an important factor related to self-confidence among pregnant women and reflects psychological adaptation during pregnancy. These findings highlight the need to integrate psychosocial assessment and support, particularly related to body image and self-confidence, into routine antenatal care to promote maternal well-being.
THE EFFECT OF NONPHARMACOLOGICAL PAIN MANAGEMENT (BEHAVIORAL INTERVENTION) ON ANXIETY AND CRYING TIME IN PRESCHOOLERS DURING INVASIVE PROCEDURES AT RSI JEMURSARI SURABAYA Wesiana Heris Santy; Nabila Rizqi Syahrizal; Yurike Septianingrum; M. Shodiq
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.v6i1.8656

Abstract

Background: Preschool children often experience high anxiety during invasive procedures, which may lead to refusal, prolonged crying, and the risk of psychological trauma. Behavioral interventions are nonpharmacological strategies aimed at reducing these negative responses. Purpose: To determine the effectiveness of behavioral intervention in reducing anxiety levels and crying duration among preschool children undergoing invasive procedures. Methods: A quasi-experimental study with a post-test control group design was conducted among 80 preschool children aged 3–6 years undergoing intravenous cannulation at RSI Jemursari Surabaya. Participants were randomly assigned to an intervention group (n = 40) and a control group (n = 40). The intervention group received behavioral intervention, while the control group received standard care. Anxiety levels were measured using the Face Anxiety Scale, and crying duration was recorded using a stopwatch. Data were analyzed using the Mann–Whitney U test. Results: The intervention group showed significantly lower anxiety levels and shorter crying duration compared to the control group. The mean anxiety score in the intervention group was 1.53, while the control group scored 3.03. The mean crying duration was 47.83 seconds in the intervention group and 138.25 seconds in the control group, indicating the effectiveness of behavioral intervention. Conclusion: Behavioral intervention effectively reduces anxiety and crying duration in preschool children during invasive procedures. This intervention supports holistic nursing care by addressing psychological and emotional needs. Nurses are encouraged to routinely apply behavioral interventions with parental involvement to promote child-centered care.
NURSES’ EXPERIENCES ON NURSING INTERVENTIONS FOR PATIENTS UNDERGOING HEMODIALYSIS AT INTENSIVE CARE UNIT, OF A PUBLIC HOSPITAL IN NAMIBIA Jasmine Iimene; Simon Shalonda
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.v6i1.8696

Abstract

Background: Nurses play a fundamental role in specialized nursing units such as nephrology and Intensive Care Units (ICU) where patients undergo life- sustaining treatment such as Hemodialysis. Hemodialysis is performed in (ICU) regularly for critically ill patients with metabolic derangements to conserve life and alleviate suffering. Purpose: The aim of the study was to explore the experience of nurses on nursing intervention for patients undergoing hemodialysis treatment at ICU. Methods: A qualitative exploratory approach was used to explore nurses’ experiences regarding nursing interventions of patients undergoing hemodialysis. The target population includes all nurses with more than one year of working experience in ICU. Purposive sampling was used to select participants. Considering data saturation, seven participants were interviewed face to face using a structured interview guide. A tape-recorder was used to record participant’s interviews. Data was analyzed thematically. Results: Three themes and 7 sub-themes emerged from the study. The main themes emerged from the study are (i) The dynamic role of nurses in hemodialysis treatment, (ii) Patient assessment, preparation and readiness for hemodialysis, (iii) Managing patient’s co-morbidities before hemodialysis. Conclusion: Nurses are the first contact in any patient care including dialysis unit. They are expected to oversee the dialysis machine and continuous monitoring of patient’s condition for possible side effects. The study underscores the critical importance of nursing interventions in enhancing the quality of care for hemodialysis patients.

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