cover
Contact Name
Yurike Septianingrum
Contact Email
yurikesepti1209@unusa.ac.id
Phone
+6282137842072
Journal Mail Official
nurseandholisticcare@unusa.ac.id
Editorial Address
Jemursari Roadway 51-57, Wonocolo Sub-District, Surabaya City, East Java Province, Indonesia - 60237
Location
Kota surabaya,
Jawa timur
INDONESIA
Nurse and Holistic Care
ISSN : 27976971     EISSN : 27977188     DOI : https://doi.org/10.33086/nhc
Core Subject : 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.
Articles 102 Documents
ANALYSIS OF HEALTH WORKER AND PEER SUPPORT GROUP INFLUENCE ON ANTIRETROVIRAL (ARV) ADHERENCE AT DR. DJASAMEN SARAGIH GENERAL HOSPITAL, PEMATANGSIANTAR Girsang, Jakasmir; Nababan, Tiarnida; ikhtiari, Refi
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 Zatihulwani, Eliza Zihni; Putra, Kusuma Wijaya Ridi; Ana, Karisma Dwi
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.

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