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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 97 Documents
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THE ROLE OF SOCIAL SUPPORT AND EDUCATION LEVEL IN ADHERENCE TO ANTI-RETROVIRAL (ARV) DRUGS IN HIV/AIDS PATIENTS: NARATIVE REVIEW Girsang, Jakasmir; Nababan, Tiarnida; Ikhtiari, Refi
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.v5i2.7601

Abstract

Background: Adherence to antiretroviral (ARV) therapy is essential for effective HIV/AIDS management. Social support and patients’ education levels have been shown to influence treatment adherence. Objective: To review the role of social support and education in adherence to ARV medication among people living with HIV/AIDS (PLWHA). Methods: This study is a narrative literature review. Articles were retrieved from Google Scholar using predefined inclusion and exclusion criteria. The quality of the selected studies was assessed using the JBI Critical Appraisal Checklist, and findings were synthesized thematically. Results: Ten articles met the inclusion criteria (n = 10). Most studies reported that family support and higher education levels were positively associated with better adherence to ARV therapy. Conclusion: Social support and education are key determinants of ARV adherence. Interventions that emphasize patient education and family involvement are recommended to improve treatment outcomes in PLWHA.
ANEMIA AMONG ADOLESCENT GIRLS: A GLOBAL REVIEW OF PREVALENCE, RISK FACTORS, AND INTERVENTIONS Fitariani, Selvia; Masruroh; Mawarti, Herin; Nasrudin
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.v5i2.7629

Abstract

Background: Anemia remains a significant public health challenge affecting adolescent girls worldwide, particularly in low- and middle-income countries (LMICs). This condition undermines growth, cognitive development, school performance, and reproductive health, with long-term intergenerational consequences. Objective: This systematic review aimed to systematically review the global prevalence, associated risk factors, and intervention strategies targeting anemia among adolescent girls, and to identify research and policy gaps that hinder effective prevention. Design: A systematic review of quantitative and mixed-methods studies conducted between January 2019 and May 2024 was undertaken by the PRISMA guidelines. Data Sources: Five electronic databases (PubMed, Scopus, Web of Science, ScienceDirect, and Google Scholar) were searched using Boolean combinations of keywords such as "anemia," "adolescent girls," "risk factors," and "intervention." Additional records were retrieved from grey literature and manual reference checks. Review Methods: Eligible studies included observational, interventional, and mixed-methods research on adolescent girls aged 10–19 years, with clear reporting of anemia prevalence or related risk factors. Quality appraisal was conducted using the Joanna Briggs Institute (JBI) tools. Thematic synthesis was applied to categorize risk factors and interventions. Results: A total of 12 studies from over 8 countries were included. Anemia prevalence ranged from 25% to 61%, with the highest rates reported in Sub-Saharan Africa and South Asia. Major risk factors included poor dietary diversity, early menarche, menstrual disorders, parasitic infections, and low socioeconomic status. School-based iron and folic acid (IFA) supplementation combined with nutrition education and community engagement showed the most promising results. However, adherence and program sustainability were frequently reported challenges. Conclusion: Anemia among adolescent girls is a multidimensional issue requiring context-specific, multisectoral approaches. Integrating education, supplementation, and culturally adapted interventions can enhance program effectiveness. Future research should focus on long-term outcomes, behavioral drivers, and scalable solutions tailored to the needs of adolescent populations.
THE RELATIONSHIP BETWEEN KNOWLEDGE AND PREVENTION BEHAVIOR OF GESTATIONAL DIABETES MELLITUS AMONG PREGNANT WOMEN IN BOGOR, WEST JAVA, INDONESIA Nurrahmah, Salmah; Nurbaeti, Irma
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.v5i2.7721

Abstract

Background: Gestational Diabetes Mellitus (GDM) is one of the complications of pregnancy that significantly contributes to maternal and infant morbidity and mortality rates. Although the prevalence of GDM is relatively low in Indonesia, the actual number may be higher due to underdiagnosis. There are limited previous studies on knowledge and preventive practices related to Gestational Diabetes Mellitus, particularly in Indonesia. Objective: To analyze the relationship between knowledge and preventive behavior of Gestational Diabetes Mellitus among pregnant women. Methods: A quantitative research study with a cross-sectional design involving 83 pregnant women in Bogor, West Java, Indonesia, selected through accidental sampling. The inclusion criteria were pregnant women in their first to third trimesters, while the exclusion criteria were those who had mental disorders. Data were collected using a questionnaire developed by Nanyangwe Siuluta, consisting of 31 items on knowledge and 5 items on preventive practices of Gestational Diabetes Mellitus. The multivariate  Logistic regression was performed to analyze the data. Results: The findings showed that 51.8% of pregnant women had good knowledge, and 54.2% had poor preventive behaviors. There is a significant relationship between age (p = 0.019), family history of diabetes (p = 0.021), knowledge (p < 0.001), and preventive practices of Gestational Diabetes Mellitus. Multivariate analysis showed that knowledge (p < 0.001) is a significant factor related to preventive practice after controlling for age (p = 0.169) and family history of diabetes (p = 0.428). Conclusion: These findings highlight the importance of educational interventions to enhance the knowledge of pregnant women to promote good prevention behavior.
THE RELATIONSHIP BETWEEN TRIAGE USING EWS SCORES AND NURSES’ RESPONSE TIME IN EMERGENCY PATIENT MANAGEMENT AT IGD RSU ABDHI FAMILI BANYUWANGI Aziz, Aditya Nuraminudin; Prawito
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.v5i2.7748

Abstract

Background: The Emergency Department (IGD) is a vital unit in a hospital that provides first aid to emergency patients. The application of the Early Warning System (EWS) in the emergency room triage process is very crucial as a parameter for monitoring and early detection of critical conditions. Objective: This study aims to analyze the relationship between emergency room triage using EWS score and nurse response time in handling emergency patients at Abdhi Famili Banyuwangi Hospital. Methods: This research employed a correlational analytic design with a cross-sectional approach. The population and sample consisted of all nurses working in the Emergency Room of Abdhi Famili Banyuwangi Hospital, totaling 30 participants, selected through total sampling. Data were collected using observational instruments. Results: The results showed that of the 18 respondents with low EWS scores, the majority (13 people or 72.2%) had a fast response time. The analysis using the Spearman Rank test yielded a value of p = 0.047 (< α = 0.05) and a correlation coefficient of 0.365. A p-value of less than 0.05 showed a significant relationship between emergency room triage using EWS scores and nurses' response time in handling emergency patients. However, a correlation coefficient value of 0.365 indicates that the relationship falls into the low category. Conclusion: There was a significant relationship, although in the low category, between emergency room triage using EWS scores and nurses' response time in handling emergency patients at Abdhi Famili Banyuwangi Hospital.
PREVENTION OF DIABETIC FOOT ULCERS IN VULNERABLE ADULT GROUPS IN THE COMMUNITY THROUGH THE JULAKWAKRI TOOLS INTERVENTION Nursanti, Indah
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.v5i2.8180

Abstract

Background: This study is an application of Evidence-Based Nursing Practice in the prevention of diabetic foot ulcers (DFU) in vulnerable adult communities through the JULAKWAKRI intervention tools (seven steps of self-care foot care). Objective: To assess the effectiveness of JULAKWAKRI tools in preventing foot injuries in diabetic patients.  Methods: This quasi-experimental study with a pre- and post-test control design was conducted in the Harapan Mulya RW 4, 5, and 6 community areas in Kemayoran, Central Jakarta. The instruments used included the Spoken Knowledge in Low Literacy Diabetes (SKILLD) questionnaire, the Diabetes Empowerment Scale–Short Form (DES-SF), the Diabetes Problem-Solving Skills (DPSS) scale, and blood glucose measurements for glycemic control. Data were analyzed using the paired t-test to determine changes before and after the intervention. Results: The intervention significantly improved knowledge (MD: 28.44; p: 0.007), empowerment (MD: 16; p: 0.006), and problem-solving (MD: 34; p: 0.008). In addition, objective outcomes based on glycemic control also showed a significant decrease of up to 132.56 points (p: 0.008). Conclusion: DFU prevention is an essential component of empowering communities to become more independent and improving the health status of diabetic patients vulnerable to foot ulcers. The JULAKWAKWARI tools can be recommended as an effective intervention in community-based nursing practice.
THE EFFECT OF DISCHARGE PLANNING ON PATIENT SATISFACTION: A SYSTEMATIC REVIEW Ginting, Liani Br; I Nyoman Ehrich Lister; Nasution, Ali Napiah; Anggeria, Elis; Hutomo, Rizky Aditya
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.v5i3.7337

Abstract

Background: Discharge planning is a continuous process carried out by nurses to help patients prepare for self-care after leaving the hospital. It involves collaboration among healthcare providers, patients, and families. Through health education, discharge planning provides essential information about the disease and its management to reduce the risk of relapse and rehospitalization. Objective: This systematic review aims to identify the effect of discharge planning implementation on patient satisfaction in the inpatient room. Design: This study employed a systematic review design to synthesize empirical evidence on the effect of discharge planning implementation on patient satisfaction in hospital inpatient settings. Data Sources: A systematic literature search was conducted using two electronic databases: Google Scholar and ScienceDirect. Articles published between January 2020 and April 2025 were identified using the keywords (“discharge planning” OR “discharge process” OR “transitional care”) AND (“patient satisfaction” OR “patient experience” OR “patient-reported experience”) AND (“hospital” OR “inpatient”). Review Methods: A total of 717 articles were initially identified. After removing duplicates and applying inclusion and exclusion criteria—full-text availability, English or Indonesian language, and quantitative study design—15 studies were included in the narrative synthesis. Article selection followed the PRISMA guidelines to ensure transparency and methodological clarity. The included studies were analyzed narratively to identify patterns, key themes, and overall effects of discharge planning on patient satisfaction. Results: Based on the results of several articles that fit the inclusion criteria, the implementation of discharge planning has a significant influence on the level of patient satisfaction. Conclusion: The implementation of discharge planning plays a crucial role in the hospital service system. Discharge planning can increase patient satisfaction with hospital services. Hospitals should develop standardized discharge planning protocols, strengthen nurse training programs, and ensure patient-centered implementation.
KNOWLEDGE AND CARE OF ARTERIAL VENOUS FISTULA ACCESS IN HEMODIALYSIS PATIENTS: A CROSS-SECTIONAL STUDY Wijayanti, Lono; Dewi, Hesmi Fitria; Septianingrum, Yurike; Rohmawati, Riska; Mahyuvi, Tata
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.v5i3.7354

Abstract

Background: Arteriovenous fistula (AVF) access is vital for patients undergoing hemodialysis therapy. Proper care of AVF greatly affects the continuity of fistula function and prevents complications such as infection and thrombosis. Objective: This study was to determine the relationship between knowledge and management of arteriovenous fistula access in hemodialysis patients. Methods: This study is a correlational analysis with a cross-sectional design. The study population included all dialysis patients, totaling 200 respondents. The sample size was 160 respondents who were randomly selected using the simple random sampling method. Questionnaires were used to collect information, which was then analyzed using Spearman's Rank correlation test. Results: The results showed that 57.5% of the 160 respondents had insufficient knowledge, and 60% lacked in arteriovenous fistula (cimino) care. The Spearman test results showed a p-value of 0.000 and a correlation of 0.709. Conclusion: Patients with good knowledge tend to perform AV fistula care more appropriately and consistently.
EDUCATIONAL VIDEO AS A MEANS OF PREPARING FOR MENOPAUSE: A STUDY ON PREMENOPAUSAL WOMEN AT PKK SWAN GRESIK Santiasari, Retty Nirmala; Rhomadona, Shinta Wurdiana; Mahayaty, Lina; 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.v5i3.7423

Abstract

Background: Menopause is a natural transition phase characterized by the cessation of the menstrual cycle as well as physical, psychological, and social changes. Many women experience anxiety due to a lack of understanding, which can affect their readiness to face this phase. Readiness to face menopause is a woman's condition to prepare herself to face menopause both physically, mentally and psychologically. Objective: Health education is expected to be able to increase the readiness of premenopausal women to face these changes. Methods: This study used a pre-experimental design with a one group pretest-posttest and cross sectional approach. The number of respondents was 36 premenopausal women who were members of PKK Swan, Menganti Mas, Gresik, selected through purposive sampling techniques. The instrument used was a menopausal readiness questionnaire, and data was analyzed using the Wilcoxon Signed Ranks Test. Result: The results of the statistical test showed a significant difference between the readiness score before and after the health education intervention through educational videos (ρ < 0.001), indicating an increase in women's readiness for menopause after education. Conclusion: Providing health education through educational video media has been shown to be effective in increasing premenopausal women's readiness to face menopause, especially in terms of physical, hormonal, and psychological understanding. This intervention is also able to reduce anxiety and improve negative perceptions of menopause.
THE RELATIONSHIP BETWEEN DIABETES SELF-MANAGEMENT AND DIABETES DISTRESS IN TYPE 2 DIABETES MELLITUS PATIENTS AT JEMURSARI ISLAMIC HOSPITAL, SURABAYA Pradita, Nabilla Annisa; Bistara, Difran Nobel; Umamah, Faridah; Wardani, Erika Martining; Susanti
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.v5i3.7877

Abstract

Background: Diabetes mellitus remains a prevalent global disease and can lead to both physical and psychological complications. One of the most common psychological impacts is diabetes distress, which refers to emotional stress caused by the continuous demands of managing diabetes. Objective: This study aimed to analyze the relationship between diabetes self-management and diabetes distress among patients with type 2 diabetes mellitus at Jemursari Islamic Hospital, Surabaya. Methods: This study used a correlational analytic design with a cross-sectional approach. A total of 174 patients were selected using a purposive sampling technique. The independent variable was diabetes self-management education, and the dependent variable was diabetes distress. Data collection instruments included the Diabetes Self-Management Questionnaire (DSMQ) and the Diabetes Distress Scale (DDS). Data were analyzed using the Spearman Rank correlation test, with a significance level of p < 0.05. Result: The results showed a significant relationship between diabetes self-management and diabetes distress (p = 0.001), indicating that higher levels of self-management education are associated with lower levels of diabetes distress. Conclusion: This study concludes that better diabetes self-management is significantly associated with lower levels of diabetes distress among patients with type 2 diabetes mellitus. Improving patients’ ability to manage their condition through consistent and comprehensive self-management education may help reduce psychological distress and enhance overall quality of life.
THE RELATIONSHIP BETWEEN PARENTING STYLES AND GROWTH AND DEVELOPMENT IN PRESCHOOL CHILDREN Silalahi, Veronica; Widayanti, Marcellina; Saputra, Agung
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.v5i3.7880

Abstract

Background: Preschool is the golden age because children’s growth and development progress very quickly across all aspects. Growth and development are supported by parenting patterns. The phenomenon in the research was that both thin and fat children have not been able to write and draw, have not been able to jump, some children cannot speak with 2 to 6 words, and have not been able to socialize with peers. Related to parenting, still parents who do not give children the opportunity to carry out their tasks, forbid children to play on the grounds of fear of falling, and do not allow children to play outside, other than at home. Objective: The study aims to determine the relationship between parenting patterns and the growth and development of preschool children at PAUD Kemuning Surabaya. Methods: This research design is a correlational study with a cross-sectional approach using a total sampling technique, with a sample size of 40 respondents. Data collection was done using questionnaires and KPSP. Data analysis using Spearman's rank correlation coefficient to determine external variables that influence parenting patterns and growth and development using backward linear regression. Result: The results showed that most of 85% of parenting patterns were democratic, the majority of 90% of respondents had normal height, most of 82.4% had normal weight, and more than 50% (55%) had appropriate developmental. The results of the Spearman Rank test, p=0.390 and p-0,060, indicate that there is no relationship between parenting patterns and growth and development. Conclusion: Some factors influence, such as the number of siblings, parents who work, so that they cannot provide a lot of stimulus for children.

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