Indonesian Nursing Journal

Issue Information

2025-04-14T02:54:59+00:00

Silent agitators: The role of anxiety in exacerbating hypertension among hospitalized patients in Subang

2025-01-25T02:11:35+00:00

Background: Hypertension is a leading global health concern and a major contributor to cardiovascular diseases and mortality. Anxiety, a common psychological condition, is increasingly recognized for its role in exacerbating hypertension, especially in hospitalized settings. Despite this, the relationship between anxiety and hypertension in such environments remains underexplored.

Purpose: This study investigates the relationship between anxiety levels and hypertension exacerbation among patients hospitalized in Subang, Indonesia.

Methods: A cross-sectional design was employed, involving 60 hypertensive patients admitted to a regional hospital. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A), while blood pressure measurements were recorded during hospitalization. Logistic regression analysis was performed to determine the association between anxiety and blood pressure changes.

Results: Results indicated that higher anxiety levels were significantly associated with increased odds of hypertension exacerbation (OR 1.25; p < 0.01). The average HAM-A score was 18.7, reflecting moderate anxiety, and the mean blood pressure change was 12.5 mmHg. Demographic analysis revealed an evenly distributed sample with diverse educational and occupational backgrounds.

Conclusion: Anxiety significantly contributes to the destabilization of blood pressure in hospitalized patients, underscoring the need for integrated management strategies that address both psychological and physiological aspects of hypertension. Implementing early identification and targeted interventions for anxiety can improve hypertension outcomes and overall patient care. This study highlights the importance of a holistic approach to hypertension management, particularly in high-stress environments like hospitals.

Self-esteem and its determinants among pulmonary tuberculosis patients in Subang, Indonesia

2025-01-25T02:24:58+00:00

Background: Pulmonary tuberculosis (TB) significantly affects not only physical health but also the psychological well-being of patients. Self-esteem is a critical aspect of psychological health that influences treatment adherence and recovery. However, limited research has explored the determinants of self-esteem among TB patients in resource-limited settings like Subang, Indonesia.

Purpose: This study aimed to examine the factors influencing self-esteem in pulmonary TB patients, focusing on stigma, social support, and economic burden.

Methods: A cross-sectional design was employed, involving 150 pulmonary TB patients from Subang, Indonesia. Data were collected using validated instruments to measure self-esteem, stigma, social support, and economic burden. Descriptive and inferential statistical analyses, including correlation and regression, were conducted to identify significant predictors of self-esteem.

Results: The mean self-esteem score among participants was 15.4, indicating moderate self-esteem. Stigma was the strongest negative predictor of self-esteem (β = -0.62, p < 0.001), followed by economic burden (β = -0.43, p < 0.001). Social support showed a positive association with self-esteem (β = 0.54, p < 0.001). Demographic variables such as age, employment status, and marital status also influenced self-esteem but to a lesser extent.

Conclusion: Self-esteem in TB patients is significantly influenced by stigma, social support, and economic burden. Addressing these factors through integrated care models that reduce stigma, provide financial assistance, and enhance social networks can improve psychological outcomes and treatment adherence among TB patients.

The relationship between anxiety levels and blood glucose levels in diabetes mellitus patients: A cross-sectional study

2025-01-25T02:17:25+00:00

Background: Anxiety is a common psychological complication among Diabetes Mellitus (DM) patients, influencing their glycemic control. Stress-related hormones like cortisol and adrenaline, elevated during anxiety episodes, can disrupt glucose metabolism, contributing to hyperglycemia.

Purpose: This study investigates the relationship between anxiety levels and blood glucose control in DM patients at Labuang Baji Hospital, Makassar.

Methods: A cross-sectional study was conducted with 130 DM patients selected through purposive sampling. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HARS), while glycemic control was measured using HbA1c. Descriptive statistics summarized the demographic data, and Pearson correlation analysis evaluated the relationship between anxiety and blood glucose levels.

Results: The sample comprised predominantly females (55.4%), with 42.3% aged between 31–50 years. The mean anxiety score was 24.5 (±8.6), while the mean HbA1c level was 8.2% (±1.4). A statistically significant positive correlation (r = 0.45, p < 0.01) was found between anxiety levels and HbA1c, indicating that higher anxiety corresponds with poorer glycemic control.

Conclusion: The findings emphasize the significant influence of anxiety on blood glucose levels in DM patients. Addressing anxiety through integrated psychological and medical interventions could improve glycemic outcomes. Holistic DM management strategies should include anxiety reduction techniques to enhance overall health and reduce complications.

Family support and rheumatoid arthritis management in Lamongan: A mixed-methods study

2025-01-25T08:56:56+00:00

Background: Rheumatoid arthritis (RA) is a chronic autoimmune disease that significantly impacts patients' physical, psychological, and social well-being. In rural areas like Lamongan, Indonesia, family support plays a crucial role in managing RA due to limited access to healthcare services and cultural emphasis on familial care. However, the dynamics of family support and its influence on RA outcomes remain underexplored.

Purpose: This study aimed to examine the influence of family support on disease management and patient outcomes among individuals with RA in Lamongan.

Methods: A mixed-methods approach was employed, involving 120 RA patients for the quantitative component and in-depth interviews with 15 patients and their caregivers for qualitative insights. The Family Support Scale and Rheumatoid Arthritis Impact of Disease (RAID) questionnaire were used to assess family support and disease impact, respectively. Quantitative data were analyzed using descriptive and inferential statistics, while thematic analysis was applied to qualitative data.

Results: The results revealed a significant negative correlation between family support and RAID scores (r = -0.68, p < 0.01), indicating that higher levels of family support are associated with reduced disease impact. Emotional support emerged as the most impactful dimension, significantly improving mental health outcomes. Qualitative findings highlighted the central role of cultural norms in shaping family caregiving practices, which provided robust support but sometimes led to patient dependency.

Conclusion: Family support plays a pivotal role in RA management, underscoring the need for family-centered interventions that address emotional and practical needs while mitigating caregiver burden. Future strategies should integrate culturally sensitive approaches and enhance access to healthcare resources to optimize outcomes for RA patients in similar rural settings.

Family support and fall risk among the elderly: Insights from a primary healthcare center in Gresik

2025-01-25T09:03:23+00:00

Background: Falls among the elderly represent a significant public health issue, often leading to severe physical injuries, decreased quality of life, and increased healthcare costs.

Purpose: This study aims to investigate the relationship between family support and fall risk among elderly individuals in Gresik.

Methods: Utilizing a cross-sectional design, 150 elderly participants were surveyed using structured questionnaires assessing demographic characteristics, family support levels, and fall risk factors. Logistic regression analysis was employed to determine the influence of family support and other variables on fall risk.

Results: The findings reveal that family support is significantly associated with fall risk, with high levels of family support reducing the likelihood of falls by 75% (OR = 0.25, 95% CI: 0.12-0.51, p < 0.001). Age was also identified as a significant predictor, with each additional year increasing fall risk by 15% (OR = 1.15, 95% CI: 1.02-1.30, p = 0.020). Gender and living arrangements were not statistically significant predictors. Demographic analysis showed that the majority of participants were aged 60-69 years, predominantly female, and living with family members, emphasizing the potential role of family dynamics in elderly care.

Conclusion: This study underscores the importance of family support as a protective factor against falls in elderly populations. Interventions focusing on enhancing family involvement, such as caregiver training and home modifications, are recommended to mitigate fall risk. Future research should explore longitudinal designs and qualitative methods to further elucidate the mechanisms of family support in fall prevention.

Family support and hygiene practices in elderly stroke survivors: A study in Aceh

2025-01-25T09:11:54+00:00

Background: Stroke significantly impacts elderly individuals’ ability to perform daily activities, including personal hygiene, which is critical for physical health and psychological well-being. In Aceh, Indonesia, family support plays a pivotal role in caregiving, influenced by strong cultural and religious norms.

Purpose: This study aims to examine the relationship between family support and personal hygiene practices among elderly stroke survivors in Aceh, exploring how different types of family support influence hygiene outcomes in this unique cultural context.

Methods: A cross-sectional correlational design was employed, involving 88 elderly stroke survivors recruited through purposive sampling from healthcare and community settings in Aceh. Data on family support (emotional, instrumental, and informational) and personal hygiene practices were collected using structured questionnaires. Analysis was conducted using descriptive statistics, Pearson’s correlation, and regression analysis to identify associations between variables.

Results: The findings indicate that higher levels of family support are positively correlated with improved personal hygiene practices (r = 0.65, p < 0.01). Emotional, instrumental, and informational support emerged as significant predictors of hygiene outcomes, with instrumental support showing the strongest impact (β = 0.45, p < 0.01). Additionally, demographic factors such as education level and socio-economic status were associated with variations in family support levels and hygiene practices.

Conclusion: Family support, particularly instrumental assistance, is essential for promoting personal hygiene among elderly stroke survivors. Interventions to strengthen family caregiving capacities should consider Aceh’s socio-cultural dynamics and integrate community-based and educational programs to improve outcomes. These findings provide actionable insights for culturally sensitive stroke rehabilitation strategies in resource-limited settings.

Nighttime banana consumption: A natural remedy for better sleep and blood pressure control in hypertensive patients

2025-01-25T13:56:47+00:00

Background: Hypertension is a significant global health concern, often linked with poor sleep quality, both of which contribute to increased cardiovascular risks. Dietary interventions rich in potassium, magnesium, and tryptophan have shown potential in improving blood pressure and sleep quality. However, the specific effects of nighttime banana consumption on these outcomes remain underexplored.

Purpose: This study aims to investigate the impact of consuming bananas at night on blood pressure levels and sleep quality among hypertensive patients in the Health Community Kuantan, Malaysia.

Methods: A randomized controlled trial was conducted with 120 hypertensive patients aged 30–65 years. Participants were randomized into two groups: the intervention group consumed one medium-sized banana (approximately 120 grams) one hour before bedtime daily for eight weeks, while the control group followed their usual diet. Blood pressure was measured weekly using an automated sphygmomanometer, and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Statistical analyses, including paired t-tests and repeated-measures ANOVA, were performed to evaluate within- and between-group differences.

Results: The intervention group demonstrated significant reductions in systolic (mean: 10.3 mmHg, p < 0.001) and diastolic (mean: 6.3 mmHg, p < 0.001) blood pressure compared to the control group. PSQI scores also improved significantly in the intervention group, with a mean reduction of 3.1 points (p < 0.001) from baseline, indicating enhanced sleep quality. The control group showed minimal changes in both parameters.

Conclusion: Nighttime banana consumption is an effective, natural, and affordable intervention for improving blood pressure and sleep quality in hypertensive patients. These findings highlight the potential of whole-food dietary strategies as complementary therapies for managing hypertension and its associated conditions.

Fluid restriction in hemodialysis patients with chronic kidney disease in RSUP Dr. Mohammad Hoesin Palembang

2025-01-25T09:00:50+00:00

Background: Chronic kidney disease (CKD) patients undergoing hemodialysis must adhere to fluid restrictions to prevent complications such as hypertension, heart failure, and pulmonary edema. However, maintaining adherence is challenging due to physiological, psychological, and social factors.

Purpose: This study aims to evaluate compliance with fluid restrictions among hemodialysis patients, identify factors influencing adherence, and propose strategies to improve compliance at RSUP Dr. Mohammad Hoesin Palembang.

Methods: A mixed-methods approach was employed, involving a cross-sectional survey of 100 hemodialysis patients and in-depth interviews with 16 participants. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were thematically analyzed. Measures to minimize biases, such as ensuring confidentiality and cross-checking data, were implemented.

Results: Quantitative findings revealed that participants had a moderate knowledge score (mean: 7.8/10) and an adherence rate of 75.3%, with a mean interdialytic weight gain of 2.5 kg. Significant correlations were found between knowledge and adherence (r = 0.58, p < 0.001) and adherence and weight gain (r = -0.65, p < 0.001). Qualitative analysis identified themes such as psychological challenges, social influences, coping strategies, and the importance of education. Participants highlighted thirst, cultural expectations, and limited understanding as barriers to adherence, while family support and education emerged as facilitators.

Conclusion: Enhancing patient education, addressing psychological and social challenges, and promoting innovative coping strategies are essential to improving adherence to fluid restrictions. Tailored interventions and multidisciplinary approaches can optimize fluid management and patient outcomes in hemodialysis care

The impact of knowledge on recurrent gastritis episodes in adolescents: A study at Subang Hospital

2025-01-25T02:22:12+00:00

Background: Gastritis is a common gastrointestinal disorder among adolescents, influenced by unhealthy lifestyle choices, stress, and inadequate knowledge about prevention. Recurrent episodes significantly affect adolescents' quality of life, academic performance, and overall health.

Purpose: This study aimed to analyze the relationship between adolescents' knowledge about gastritis and the recurrence of gastritis episodes at Subang Hospital.

Methods: A cross-sectional study was conducted involving 70 adolescents aged 12–18 years who had been diagnosed with gastritis. Data were collected using validated questionnaires assessing knowledge about gastritis and medical records to confirm recurrence. Statistical analysis was performed using chi-square tests to determine the association between knowledge levels and recurrence rates.

Results: The findings indicated a significant relationship between knowledge levels and gastritis recurrence (p < 0.05). Adolescents with low knowledge levels were more likely to experience recurrent gastritis episodes compared to those with higher knowledge. Female participants demonstrated slightly better knowledge but reported higher recurrence rates, possibly linked to stress-related factors.

Conclusion: This study highlights the critical role of knowledge in preventing recurrent gastritis among adolescents. Comprehensive health education programs that address knowledge gaps, promote healthy behaviors, and incorporate stress management strategies are essential to reducing the prevalence of gastritis recurrence in this age group.

The relationship between maternal knowledge and stunting incidence in children under five in Kendari City

2025-01-25T04:20:30+00:00

Background: Stunting, a form of chronic malnutrition, remains a significant public health issue in Indonesia. Maternal knowledge about nutrition and childcare is a critical factor in preventing stunting. However, the specific relationship between maternal knowledge and stunting incidence in Kendari City is underexplored.

Purpose: This study aims to analyze the relationship between maternal knowledge and stunting incidence in children aged 6-59 months in Kendari City.

Methods: A cross-sectional study was conducted with 200 mothers of children under five. Data were collected using structured interviews to assess maternal knowledge and anthropometric measurements to determine stunting status. Statistical analysis included chi-square tests and logistic regression to examine associations and identify significant predictors of stunting.

Results: The incidence of stunting among respondents' children was 40%. Low maternal knowledge was significantly associated with stunting (p < 0.05). Logistic regression identified low maternal knowledge (AOR = 2.89, 95% CI: 1.53–5.45) and low household income (AOR = 2.35, 95% CI: 1.22–4.51) as dominant risk factors.

Conclusion: Low maternal knowledge is a significant contributor to stunting in Kendari City. Targeted nutrition education and socio-economic interventions are essential to address this issue.