Caring: Indonesian Journal of Nursing Science

The Relationship Among Diabetes Stigma, Anxiety, Depression, and Diabetes Self-Care in Individuals with Type 2 Diabetes

Meryem Gamze ÅŸimÅŸek, Sevecen Ã‡elik Ä°nce — Sat, 28 Dec 2024 00:00:00 +0700

Diabetes-related anxiety, depression, and stigma have a greater impact on individuals with type 2 diabetes than the condition itself. Studies examining the stigma of diabetes together with depression, anxiety, and self-care are quite limited in the literature. The purpose of this study is to determine the relationship between diabetes stigma, anxiety, depression, and diabetes self-care in individuals with type 2 diabetes. This study utilized a cross-sectional, correlational methodology. The sample for this study included 200 individuals with type 2 diabetes. Data collection included the Patient Information Form, the Type 2 Diabetes Stigma Assessment Scale, the Hospital Anxiety and Depression Scale, and the Diabetes Self-Care Scale. Data were analyzed using the student t-test, one-way ANOVA, Bonferroni post hoc test, and Pearson correlation analysis. There was a positive, moderate, and statistically significant relationship between the total score of the diabetes stigma assessment scale and anxiety score (r=0.488, p<0.01), as well as a positive, moderate, and statistically significant relationship between the total score and depression score (r=0.464, p<0.01). There was a positive, very weak, and significant relationship between diabetes self-care and the total score (r=0.144, p<0.05). There was a positive, very weak, and statistically significant relationship between the total score of the Diabetes Self-Care Scale and depression score (r=0.159, p<0.05), whereas there was no statistically significant relationship with anxiety score (p>0.05). Diabetes self-care in individuals with type 2 diabetes is influenced by diabetes stigma, anxiety, and depression. It is recommended to plan evidence-based studies that aim to reduce these factors through experimental designs.

Analysis of Determinant Factors Affecting the Behavior of Intensive Care Nurses about Ventilator-Associated Pneumonia (VAP) Bundle Care

Nani Andriani, Rika Endah Nurhidayah, Amira Permatasari Tarigan — Sat, 28 Dec 2024 00:00:00 +0700

Ventilator-associated pneumonia (VAP) commonly arises due to the use of invasive endotracheal tubes, which facilitate the entry of bacteria into the respiratory system. VAP typically develops after a patient has been on mechanical ventilation for more than 48 hours. This study aims to analyze the determinant factors influencing the behavior of intensive care unit (ICU) nurses regarding VAP management at a General Hospital in Medan, Indonesia. The study employed a quantitative research approach with a survey design, involving 56 ICU nurses. The results of the multivariate analysis indicated significant p-values for the variables of education (p = 0.014), length of work experience (p = 0.004), and training (p = 0.013), demonstrating their collective influence on ICU nurses’ behaviors toward implementing VAP bundle care. Among these factors, the availability of facilities emerged as the most significant determinant, with the highest odds ratio (OR = 3.486). Nurses who had received training were 3.486 times more likely to exhibit appropriate behavior when providing VAP bundle care interventions compared to those who had not undergone such training. Based on these findings, it is recommended that every ICU nurse enhance their skills and knowledge through comprehensive training programs on VAP bundle care.

Risk and Protective Factors of Anxiety in Nurses During the COVID-19 Pandemic: A Systematic Review

Sri Eka Wahyuni, Budi Anna Keliat , Herni Susanti , Besral — Sat, 28 Dec 2024 00:00:00 +0700

The COVID-19 pandemic has significantly impacted nurses, exposing them to challenges that have affected their overall well-being. Most nurses have experienced psychosocial problems, including anxiety. This study aims to identify the protective and risk factors associated with anxiety among nurses during the COVID-19 pandemic. A systematic review was used as a method in this study. Eight databases were used Science Direct, PubMed, CINAHL, Embase, ProQuest, Scopus, Taylor & Francis, and JSTOR. The literature search was conducted using keywords derived from the Medical Subject Headings (MeSH) framework. The search terms included: Nurses OR "staff nurses" OR "healthcare professionals", AND "factors associated with anxiety" OR "risk factors" OR "protective factors", AND "COVID-19" OR "COVID-19 pandemic". The data were further analyzed by critically assessing the quality of the articles using the JBI and CASP checklists. The research articles included in the review were cross-sectional studies published between 2020 and 2022, written in English, available in full text, and specifically focused on protective and risk factors for anxiety. A risk of bias assessment was conducted using the Joanna Briggs Institute quality assessment checklist. A total of 33 articles were reviewed, revealing two primary themes of protective and risk factors: internal and external factors. Internal factors included variables such as age and gender, while external factors encompassed aspects such as hospital status. Based on the findings, it is recommended that hospitals implement mental health and psychosocial support interventions as promotive and preventive efforts to improve the nurses' psychological well-being.

Reducing Pain in Children with Cancer Using A Combination of Benson Relaxation and Peppermint Essential Oil Aromatherapy

Yuli Astuti, Dewi Nur Sutiawati, Uum Safari — Sat, 28 Dec 2024 00:00:00 +0700

Childhood cancer is a chronic disease that often causes significant pain. This pain may result from the disease itself or from procedures necessary for treatment. In addition to pharmacological therapies, non-pharmacological approaches can be utilized to alleviate pain in children with cancer. Benson Relaxation is a non-pharmacological technique that can help reduce pain through deep breathing exercises accompanied by the repetition of positive words aligned with the child's faith. Another non-pharmacological therapy, peppermint oil aromatherapy, is known for its calming properties, which can reduce pain and promote comfort. This study aims to evaluate the combined effect of Benson Relaxation and peppermint oil aromatherapy on pain reduction in children with cancer. Employing a quantitative research design, the study utilized a quasi-experimental approach with a group pre-test and post-test design. The sample consisted of 15 children aged 6 years and older, selected using purposive sampling. Pain levels were measured using a Numeric Rating Scale (NRS) over the course of one week. Data analysis was performed using the Wilcoxon Test, and the results demonstrated a significant effect of the combined intervention in reducing pain levels, with a p-value of 0.001 (p < 0.05). These findings suggest that Benson Relaxation combined with peppermint oil aromatherapy is an effective holistic, non-pharmacological intervention for reducing pain in children with cancer during treatment. It is recommended that this intervention be considered as part of comprehensive care strategies for pediatric cancer patients.

The Relationship Between Body Mass Index and Body Image Among Adolescent Students

Maulidya Ayumi, Roxsana Devi Tumanggor — Sat, 28 Dec 2024 00:00:00 +0700

Adolescence is a period marked by significant changes, including physical changes such as alterations in body mass index (BMI). Deviations in BMI from expected norms can impact an adolescent's body image. This study aims to examine the relationship between BMI and body image among male and female adolescents at SMAN 2 Kisaran. The research employed a quantitative approach with a descriptive correlational design. The population for this study included 648 adolescents, with a sample size of 247 respondents selected through proportionate stratified random sampling. We tested the correlation using the Spearman correlation test. The results indicate that adolescents with a normal BMI tend to have a positive body image (95 individuals, 38.5%), while those with an obese BMI tend to have a negative body image (17 individuals, 6.9%). The analysis showed a statistically significant relationship between BMI and body image, with a p-value of 0.00, less than the alpha value of 0.05. This study highlights the importance of parental and educational roles in providing education about ideal body shapes and suggests the establishment of counseling services to support mental health and self-esteem related to body image among adolescents.

Indonesian Nursing Values from the Lens of the Theory of Communion-in-Caring: A Future Invitation to an International Caring Dialogue and Collaboration

CYRUZ P. TUPPAL, Arif Adi Setiawan — Sat, 28 Dec 2024 00:00:00 +0700

Indonesian nursing holds a rich heritage that dates back centuries. Indonesian nurses have embraced a holistic approach to care, recognizing the interconnectedness of physical, emotional, and spiritual well-being. This holistic perspective is deeply ingrained in our nursing values and informs our practice. This paper examines the pragmatic utility of the emerging Theory of Communion-in-Caring (TCIC), which invites Indonesian nurses to a caring dialogue for the theory's future advancement. In caring, communion refers to a deep and meaningful connection between individuals. It goes beyond superficial interactions and involves a genuine exchange of thoughts, emotions, and experiences. Communion is characterized by open-mindedness, vulnerability, and a willingness to truly engage with others. TCIC is an essential theory that can enhance and promote Indonesian caring values. By embracing this theory, individuals, particularly in the nursing profession, can foster stronger relationships with patients and others, thereby contributing to Indonesia's more compassionate and united society. Through these connections, healthcare professionals can embody the values of "gotong royong" (mutual assistance) and "silaturahmi" (building strong relationships), both of which are key to Indonesian culture.

The Effect of Feeding Rules Counseling with Flipcharts on Maternal Knowledge about Overcoming Feeding Difficulties During MP-ASI

Sat, 28 Dec 2024 00:00:00 +0700

Feeding dificulties are the frequent problem encountered in infants aged 6-24 months, and one of which is mothers' knowledge in feeding practices. Therefore, providing counseling on feeding rules to mothers is crucial to address the feeding difficulties in infants. Feeding rules are basic eating guidelines designed to train internal eating regulation and provide a structured feeding schedule. The media used is flipchart. This Research is conducted to analyze the effect of counseling on feeding rules using a flipchart on mothers' knowledge in addressing feeding difficulties during complementary feeding (MP-ASI). This is a quantitative Research with a pre-experimental one-group pre-posttest design. A purposive sampling is used to collect data from 69 respondents who meet inclusion criteria: mother with infants aged 6-24 months experiencing feeding difficulties in Lama Village, Hamparan Perak Subdistrict, Deli Serdang Regency. The findings reveal that counseling on feeding rules using a flipchart has a significant effect on mothers' knowledge in addressing feeding difficulties during complementary feeding (MP-ASI), as indicated by the Paired T-Test statistical test with a p-value of 0.000 (<0.05). It is expected that mothers with infants having feeding problems are able to perform feeding rules to address the feeding issues. Furthermore, the results of the Research are expected to serve as an evaluation for healthcare workers to enhance counseling on feeding rules in the community.

Differences in the Nutritional Status of the Elderly with Hypertension in Rural and Urban Areas

Sat, 28 Dec 2024 00:00:00 +0700

Individuals with excess weight are more likely to experience increased blood pressure compared to those with normal weight. Hypertension is particularly prevalent among the elderly population. Additionally, the living environment whether urban or rural can influence the nutritional status of elderly individuals with hypertension. This study aims to compare the nutritional status of elderly individuals with hypertension residing in rural and urban areas. A quantitative comparative cross-sectional design was employed, and purposive sampling was used to select 152 participants. Data collection included measurements of body weight using digital scales, height or knee height using a stadiometer, and blood pressure using a digital sphygmomanometer. The results, analyzed using an independent t-test, revealed a significant difference in the nutritional status of elderly individuals with hypertension between rural and urban areas (p-value = 0,007), with a mean difference of 1,476. The findings indicate that the nutritional status of elderly individuals in rural areas is better compared to their urban counterparts. This difference is influenced by food intake and physical activity levels. Elderly individuals with hypertension in rural areas tend to consume homegrown foods and agricultural products, contributing to their healthier status. They should continue engaging in physical activities like gardening or farming. In contrast, elderly individuals in urban areas face challenges due to the availability of ready-to-eat or processed foods. It is essential for them to adopt healthier dietary habits and increase physical activity through walking or participating in community-based health programs to improve their nutritional and overall health status.

Youth Phenomenon: An Overview of Stress Levels among Adolescents with Body Shaming Experience

Sat, 28 Dec 2024 00:00:00 +0700

Adolescence is characterized as a transitional phase between childhood and adulthood. Therefore, individuals undergo numerous adaptations necessary to successfully navigate developmental tasks associated with adolescence. Adolescents experience various physical, emotional, and social changes, which, if misaligned with their expectations, can lead to psychological challenges, particularly stress. This study investigates the stress levels among adolescents who have experienced body shaming at SMP N 2 Dawan. This study was a quantitative study with a cross-sectional method conducted among adolescents who experienced body shaming. The study sample consisted of 101 participants selected through purposive sampling based on predetermined inclusion and exclusion criteria. Data were collected using the Adolescent Stress Questionnaire-27 (ASQ-27) and analyzed using a computerized program. The results revealed that a significant proportion of respondents (69.3%) experienced moderate levels of stress. The primary sources of stress were identified in the domains of teacher interactions and home life. These findings highlight the need for effective stress alleviation strategies to promote improved mental health outcomes among adolescents.

The Effect of Mental Health Education on Teenagers’ Capacity for Early Detection of Mental Health

Wardiyah Daulay, Annisa Safira — Sat, 28 Dec 2024 00:00:00 +0700

Adolescence represents a critical developmental stage during which individuals are highly vulnerable to mental health challenges. Early detection of mental health issues enables adolescents to identify and mitigate potential mental disorders at an initial stage. Mental health education plays a pivotal role in equipping teenagers with the knowledge and skills necessary for early detection. This study aims to evaluate the impact of mental health education on adolescents' knowledge and capacity to engage in early detection of mental health issues, with a focus on students at SMK Swasta Abdi Nusantara. The research adopts a pre-experimental approach using a one-group pretest-posttest design. The study sample comprises 70 respondents, selected through a total sampling technique. Data were analyzed using the Wilcoxon Signed Rank Test, yielding a p-value of 0.000 < 0.05. The findings indicate a significant effect of mental health education on adolescents’ knowledge and ability to conduct early detection of mental health issues. These results underscore the importance of mental health education programs in schools. Community health workers, particularly mental health nurses, are encouraged to optimize mental health initiatives by integrating education programs into school settings, thereby contributing to the prevention of mental disorders among adolescents.