Jurnal Keperawatan Florence Nightingale (JKFN)/Nursing Journal of Florence Nightingale is an open access and peer-reviewed journal that contains articles from research that focus on nursing (medical surgical nursing, psychiatric nursing, pediatric nursing, family & community nursing, gerontic nursing, emergency nursing, and nursing management). These may include but are not limited to various fields such as: nursing and health technology and another section related to contemporary issues in nursing and health.
Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar
Lowering Blood Pressure Using Acupressure Therapy in Hypertensive Patients
Hypertension is a chronic disease that cannot be cured, but can be controlled. Acupressure therapy is one of the therapies to control blood pressure in hypertension to avoid complications. This study aims to analyze the application of acupressure therapy to reduce blood pressure in hypertension sufferers. This article was written using a literature review obtained from Garuda, Science Direct, and PubMed, covering the period between 2019 and 2024, in Indonesian and English. A total of 8 articles were reviewed after the search results. All of these articles stated that acupressure therapy can lower blood pressure and can be done at several points on the body. Stimulating nerve waves to smooth blood flow and lower blood pressure can be done by applying pressure to acupuncture points on the body. The application of acupressure therapy in an effort to lower blood pressure in patients with hypertension is considered quite significant and effective. Acupressure therapy can also help lower heart rate, improve sleep quality, and reduce stress levels.
Copyright (c) 2025 Siti Musalamah, Abi Muhlisin (Author) https://creativecommons.org/licenses/by-sa/4.0
Controversy of Female Genital Mutilation (FGM): A Review of Islamic Fatwas, Medical Perspectives, and Legal Regulations in Indonesia
Female genital mutilation (FGM) is a debated practice in Indonesia, from religious, health and legal perspectives. This study aims to explore the views of religious leaders and medical professionals on the practice of female circumcision, and examine its compatibility with Islamic teachings, medical standards, and applicable regulations. This study used a qualitative approach with a semi-structured interview method involving five resource persons from among religious leaders and health professionals in the Sumedang area. Analysis was conducted using a thematic approach to identify patterns and views that emerged. The results showed that some religious leaders still view female circumcision as a sunnah action, but do not require its implementation, especially if it can cause harm. Meanwhile, from a medical perspective, this practice is considered to have no health benefits and can actually cause physical and psychological harm. The practice is also considered contrary to children's rights and is no longer legally recommended in Indonesia. This study concludes that there is a need for comprehensive education and collaboration between religious leaders, medical personnel, and policy makers to gradually prevent the practice of female circumcision through an approach based on religious values, health protection, and children's rights.
Copyright (c) 2025 Risma Wati, Saila Nurul Nurlaila, Nisrina Putri Irpani, Muhammad Raihan Fadhil Azhar, Sulthan Nadhif Anhaf Rabbani Koswara, Akhmad Faozi, Tedi Supriyadi (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Organizational Commitment and Organizational Citizenship Behavior among Nurses
Organizational Citizenship Behavior (OCB) refers to voluntary behaviors that exceed formal job requirements and play an important role in enhancing the effectiveness of hospital services. Organizational commitment is believed to be one of the factors influencing the emergence of OCB. This study aimed to examine the relationship between organizational commitment and OCB among nurses at Hospital. This research employed a cross-sectional design. The sample consisted of 85 nurses selected using total sampling. Data were collected using organizational commitment and OCB questionnaires. The results showed that most nurses (63.5%) had high organizational commitment, and nearly most of them (61.2%) exhibited high OCB. Statistical analysis using the Spearman Rho test revealed a p-value of 0.000 (p < 0.05) and a correlation coefficient (rₛ) of 0.975. Therefore, the alternative hypothesis (H₁) was accepted, indicating a significant relationship between organizational commitment and OCB among nurses at Hospital. Based on these findings, it is recommended that the hospital maintain consistency in reinforcing organizational values, encourage active managerial involvement, and conduct regular evaluations of nurses’ work behaviors to enhance their OCB.
Copyright (c) 2025 Saskia Yanti, Nurul Hikmatul Qowi, Masunatul Ubudiyah (Author) https://creativecommons.org/licenses/by-sa/4.0
The Effect of Paper Toy Play Therapy on Improving Fine Motor Development in Children with Mental Retardation
Children with mental retardation commonly experience developmental delays, including impairments in fine motor skills that play a crucial role in academic readiness and daily functional independence. The limited use of engaging and structured interventions in special education settings often results in suboptimal fine motor stimulation. This study aimed to analyze the effect of paper toy play therapy on improving fine motor development in children with mental retardation. A pre-experimental one-group pretest–posttest design was employed involving 37 students at SDLB Ananda Mandiri Tambun, Bekasi Regency. Fine motor development was assessed using a 12-item observational checklist administered before and after four intervention sessions. The findings showed an increase in the mean score from 20.16 to 26.43. The Wilcoxon Signed-Rank test yielded a p-value < 0.001, indicating a statistically significant difference between pretest and posttest scores. Before the intervention, most children were categorized as poor or adequate; however, post-intervention assessments demonstrated an increase in the number of children who achieved good fine motor performance. This study concludes that paper toy play therapy is effective in enhancing fine motor skills in children with mental retardation. Its implications highlight the potential for integrating this therapy into individualized education programs in sp
Copyright (c) 2025 Andini Rahma Diyanti, Riska Wati, Retno Anggraeni Puspita Sari, Previarsi Rahayu (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Spiritual Well-Being and Quality OoLife among People with HIV/AIDS
People diagnosed with HIV will experience stress and emotional distress because they feel that their lives are not what they expected, which will affect all aspects of their lives. Spirituality is believed to have a positive impact and provide strength so that people living with HIV/AIDS (PLWHA) are able to face problems in their lives with positive coping mechanisms. This study aims to determine the relationship between spiritual well-being and quality of life in people living with HIV/AIDS (PLWHA). This study employed a quantitative correlational method with a cross-sectional design conducted at the Pamanukan Community Health Center. Respondents were selected using purposive sampling, resulting in 130 respondents. Data collection was conducted using the Spiritual Well-Being Scale (SWBS) and WHOQOL-HIV BREF questionnaires, which have been validated and proven reliable. The data obtained were analyzed using the Spearman Rank correlation test, yielding significant results (r < 0.001) with a moderate correlation coefficient (r = 0.458) and a positive direction of association. This indicates a relationship between spiritual well-being and quality of life among PLWHA, where higher spiritual well-being is associated with higher quality of life.
Copyright (c) 2025 Nessy Anggun Primasari, Salsabilla Muttaqien, Yudisa Diaz Lutfi Sandi, Eli Saripah, La Rakhmat Wabula, Fakrul Ardiansyah, Yohana Agustina Sitanggang (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Dietary Patterns and Hypertension in Rural Populations: A Scoping Review
The global prevalence of hypertension has shown a consistent increase, including in rural areas, which generally have limited access to health services, nutrition education, and resources for non-communicable disease prevention. Changes in consumption patterns due to modernization have exacerbated exposure to dietary risk factors, particularly high intakes of salt, saturated fat, added sugar, and low fiber consumption. As a modifiable risk factor, diet plays a crucial role in hypertension control, yet scientific evidence in rural populations remains scattered and has not been systematically synthesized. Therefore, this study aimed to map scientific evidence on the relationship between diet and hypertension in rural populations through a scoping review approach. A search was conducted in PubMed, Scopus, Science Direct, and Cambridge Core using the PICOS framework for publications from 2020-2025. Of the 21,045 articles, 10 met the inclusion criteria based on PRISMA-ScR and JBI quality assessment (score ≥75%). The results showed that the majority of studies found a significant association between unhealthy diet and hypertension, particularly when accompanied by obesity and a pro-inflammatory diet. Factors such as physical activity, culture, and nutritional status also influence this association. These findings underscore the importance of locally tailored community nutrition interventions and promotion of anti-inflammatory diets to prevent hypertension in rural areas.
Copyright (c) 2025 Ira Nur Aliyah, Bambang Aditya Nugraha, Siti Ulfah Rifa’atul Fitri (Author) https://creativecommons.org/licenses/by-sa/4.0
Factors Associated with Breast Self-Examination (BSE) Behavior as Early Detection of Breast Cancer among Female Adolescents
Breast cancer is a malignant neoplasm of the breast tissue and remains one of the leading health problems among women worldwide. Early detection can be performed through Breast Self-Examination (BSE), which is considered simple, cost-effective, and non-invasive. However, the level of knowledge and practice of BSE among adolescent girls remains low. This study aims to analyze the factors associated with BSE behavior among female students at SMA Nurul Yaqin, Bekasi Regency. A quantitative approach with a cross-sectional design was employed, involving 35 students from grades X–XII selected through total sampling. A structured questionnaire was used to measure knowledge, attitudes, information exposure, family support, and healthcare provider support. The results showed that knowledge (p = 0.003; OR = 13.500), attitude (p = 0.005; OR = 8.250), information exposure (p = 0.027; OR = 6.476), family support (p = 0.008; OR = 10.286), and healthcare provider support (p = 0.046) were significantly associated with BSE behavior, whereas age was not significant (p = 0.565; OR = 2.923). These findings highlight the need to strengthen school- and family-based health education through structured interventions that enhance health literacy, motivation, and social support to encourage consistent early detection practices.
Copyright (c) 2025 Arum Ayomi Ningtias, Sulistya Hartono Putri, Asih Swarsih, Retno Anggraeni Puspita Sari, Aprilina Sartika, Tri Wahyuni Ismoyowati (Author) https://creativecommons.org/licenses/by-sa/4.0
Identification of Blood Pressure Reduction in Hypertensive Patients through the Use of Citrullus Lanatus Juice Therapy to Support a Healthy Lifestyle
Hypertension is a non-communicable disease with a relatively high mortality rate, often referred to as a “silent killer” because it poses a risk of triggering various life-threatening complications. Hypertension management can be conducted by nurses through non-pharmacological interventions; however, such measures are still infrequently applied. The use of Citrullus lanatus (watermelon) juice represents a non-pharmacological therapy that may help control elevated blood pressure. This study aims to analyze the effect of Citrullus lanatus juice therapy on blood pressure reduction among hypertensive patients. This quantitative research employed a quasi-experimental design with a pre-test–post-test control group. The sampling technique used non-probability purposive sampling based on inclusion and exclusion criteria and rule-of-thumb calculations. A total of 58 hypertensive patients in the working area of Ratahan Public Health Center participated (intervention group n = 44, control group n = 14). Blood pressure categories were determined using JNC VIII recommendations. Intervention group received 500 ml of watermelon juice, three times daily, for seven consecutive days, along with healthy lifestyle education. The Wilcoxon test showed a significant difference in the intervention group (p = 0.000 < 0.05), indicating a meaningful reduction in pre- and post-test blood pressure. In contrast, the control group showed no significant difference (p = 0.083 > 0.05). This study confirms that Citrullus lanatus juice is effective as a supportive non-pharmacological therapy for lowering blood pressure in hypertensive patients. Citrullus lanatus juice may be considered a complementary therapy that is accessible, affordable, and safe to support healthy lifestyle among individuals with hypertension.
Copyright (c) 2025 Fransiskus Xaverius Dotulong, Ignatia Yohana Rembet (Author) https://creativecommons.org/licenses/by-sa/4.0
Patient Satisfaction with Pulmonary Tuberculosis Treatment Services at Community Health Centers: An Exploratory Study
Tuberculosis (TB) remains a major health problem in Indonesia, with Makassar City reporting the highest number of cases in South Sulawesi. This study aimed to assess the patient satisfaction with TB treatment services. A descriptive quantitative approach was used, involving 60 patients with TB selected through purposive sampling. Data were collected using a modified QUOTE TB Light questionnaire. Most patients were male, adult, Muslim, Makassarese, and high school graduates. Key areas of dissatisfaction included limited operating hours (QI=1.41), lack of staff communication (QI=1.00), inadequate TB-HIV relationship (QI = 4.65), HIV prevention (QI = 4.73), HIV testing (QI = 4.33), inadequate provision of drinking water (QI = 1.75) and usable toilets (QI = 1.66), poor monitoring of sputum examination and treatment (QI=6.67), and lack of transportation (QI=6.19), food (QI=6.08), and financial support (QI=6.19). The findings suggest that improvements in communication, service access, infrastructure, and socioeconomic support are needed to improve patient satisfaction and treatment outcomes.
Copyright (c) 2025 Aulia Insani Latif, Elly Lilianty Sjattar, Nur Fadilah (Author) https://creativecommons.org/licenses/by-sa/4.0
The Effect PEKA JIWA Program on Adolescents Knowledge, Skill and Akademic Anxiety Score
Academic anxiety is a psychological problem often experienced by adolescents and negatively impacts achievement and mental health if not handled properly. Academic anxiety problems have a high prevalence. The purpose of this study was to determine the effect of the Peduli Akan Kesehatan Jiwa (PEKA JIWA) program on the knowledge, skills, and academic anxiety scores of adolescents at SMA Negeri 1 Patikraja, Banyumas. The research design used was a pre-experimental one-group pretest-posttest approach. A sample of 60 respondents was selected using a total sampling technique. The research instruments included a knowledge questionnaire developed by the researcher, an academic anxiety questionnaire adopted from Cassady (2019), and a coping skills observation sheet with interventions in the form of academic anxiety education and Butterfly Hug and Mindfulness exercises that had undergone feasibility testing. The results of the analysis using the Wilcoxon signed-rank test showed a significant increase in knowledge scores from an average of 9.86 to 11.60, Butterfly Hug skills from 2.61 to 4.96, and Mindfulness from 4.65 to 7.68, and academic anxiety scores from 30.40 to 25.28. The Wilcoxon test obtained a p value <0.000 (p <0.05). The PEKA JIWA program is effective in increasing knowledge and coping skills and reducing academic anxiety in adolescents.
Copyright (c) 2025 Zumairoh Miftahul Husna, Suci Ratna Estria, Sri Suparti, Devita Elsanti (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Physical Activity and Blood Sugar Levels in Type II Diabetes Mellitus Patients
Diabetes is a disease that has fatal consequences for long-term health. The high prevalence of diabetes is caused by various risk factors, one of which is physical activity as part of a person's lifestyle. Physical activity plays a very important role for people with diabetes because it can convert glucose into energy and lower blood sugar levels in the body. This study was conducted to determine the relationship between physical activity and blood sugar levels in type II diabetes patients in the Mulyorejo Community Health Center area of Malang City during the period of September 2025. This study used a correlation study with a cross-sectional research design. The study population consisted of type II diabetes patients, and the sample size was 80 people using total sampling as the sampling method. Data were collected using the IPAQ questionnaire to measure physical activity and a glucometer to measure blood sugar levels. After the data was obtained, a statistical test in the form of Spearman Rank was performed. The test results obtained a p-Value of 0.0013, which is less than 0.05 as the significance value. Thus, the results of the study stated that there was a significant relationship between Physical Activity and Blood Sugar Levels in Type II DM Patients at the Mulyorejo Community Health Center in Malang City.
Copyright (c) 2025 Shela Permata Sari, Mokhtar Jamil, Dian Pitaloka Priasmoro (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Academic Stress and Sleep Quality in 12th-grade Students
Academic stress is a form of psychological pressure commonly experienced by high school students. This pressure can affect physiological balance, including sleep quality, which plays an important role in the recovery of bodily and cognitive functions. Students' concentration, mental health, and academic performance can be affected by poor sleep quality. The purpose of this study was to determine the correlation between academic stress and sleep quality in 12th grade students at SMAN 1 Sumberpucung, Malang Regency. This study used a quantitative research method with a cross-sectional correlational design. The study population consisted of 413 12th grade students at SMAN 1 Sumberpucung, Malang Regency. Samples were taken using proportionate stratified random sampling, totaling 203 grade XII students. Data collection was conducted using the ESSA (Educational Stress Scale for Adolescents) questionnaire to measure academic stress and the PSQI (Pittsburgh Sleep Quality Index) questionnaire to measure sleep quality. The findings revealed that 124 students (61.08%) experienced high academic stress and 111 students (54.55%) experienced poor sleep quality. The findings showed that the majority of 12th grade students at SMAN 1 Sumberpucung in Malang Regency experienced high academic stress and poor sleep quality. A p-value ≤ 0.01 was obtained from the Spearman Rank statistical test, indicating a significant relationship between academic stress and sleep quality among 12th-grade students at SMAN 1 Sumberpucung in Malang Regency. Nursing practices are recommended to focus on stress management and healthy sleep education, routine screening, and collaboration with schools and parents to support students' mental health.
Copyright (c) 2025 Maulid Dhiva Yuanshanda Rizka, Dian Pitaloka Priasmoro, Juliati Koesrini (Author) https://creativecommons.org/licenses/by-sa/4.0
Gratitude Journal as a Medium to Enhance Self-Acceptance among Adolescents with Self Harming Behaviour
Self harm is a behaviour of harming oneself without the intention of suicide, commonly seen in adolescents as a form of emotional release.. Low levels of self acceptance are one of the factors contributing to this increase, as it tends to cause negative emotions. One intervention that can help increase self acceptance is a gratitude journal, which is an activity of writing down positive things to be grateful for every day. This study aims to determine the effect of gratitude journals on increasing self acceptance in adolescents wit self harming behaviour. The research design uses a pre-experimental pretest-posttest one group design with total sampling technique (N=29). The research instruments include the Self Harm Inventory (SHI) and Berger’s Self Acceptance Scale, while data analysis uses the Shapiro-Wilk test and Paired Sample T-Test. The result showed an increase in the average self acceptance score from 95,79 to 98,79, but this was not statistically significant (p=0,172). In conclusion, gratitude journal can increase self acceptance, but it does not show a significant effect, so further research with larger sample size and longer intervention duration ins needed.
Copyright (c) 2025 Daffa Nabilahtul Muthi’ah, Suci Ratna Estria, Jebul Suroso, Mustiah Yulistiani (Author) https://creativecommons.org/licenses/by-sa/4.0
Analysis of Factors Associated with the Quality Nursing Work Life in Intensive Care Unit Nurses
The Intensive Care Unit (ICU) is a critical care setting characterized by high work demands that may adversely affect nurses’ Quality of Nursing Work Life (QNWL). Low QNWL has been associated with increased work-related stress, burnout, reduced job satisfaction, and decreased quality of nursing care. Therefore, a comprehensive analysis of the factors influencing ICU nurses’ QNWL using a multidimensional approach is essential. This study aimed to analyze factors associated with QNWL among ICU nurses at RSUD Haji, East Java Province, Surabaya. A quantitative correlational study with a cross-sectional design was conducted, involving 64 ICU nurses selected through total sampling. Data were collected using structured questionnaires assessing individual, social-contextual environment, operational, and administrative factors and were analyzed using Spearman rank correlation, Chi-square tests, and linear regression analysis. The results revealed significant associations between QNWL and social-contextual environment (p = 0.000), operational (p = 0.047), and administrative factors (p = 0.034). Among individual factors, only income showed a significant correlation with QNWL (p = 0.005). Multivariate analysis identified administrative factors as the dominant predictor of QNWL (β = 0.402; p = 0.001). These findings indicate that QNWL among ICU nurses is primarily influenced by social-contextual environment, operational, and administrative factors, with income being the only significant individual determinant. This study underscores the importance of organizational and managerial policies in enhancing nurses’ well-being and quality of work life.
Copyright (c) 2025 Tsabitah Thobari, Naya Ernawati, Eko Sari Wahyuni (Author) https://creativecommons.org/licenses/by-sa/4.0
Difference in Blood Pressure Before and After Implementing Dietary Approaches to Stop Hypertension (DASH) Diet in Elderly People with Hypertension
Hypertension is a non-communicable disease that is a leading cause of morbidity and mortality, especially in the elderly. Diet is a key factor in controlling blood pressure, yet many older adults still do not follow an appropriate diet, including the Dietary Approaches to Stop Hypertension (DASH) diet. This dietary inadequacy contributes to the difficulty of controlling blood pressure in elderly with hypertension. The Objective to determine the difference in blood pressure before and after the implementation of the DASH diet in elderly with hypertension. This study used a quasi-experimental design with a non-equivalent control group approach, involving 30 respondents who were divided into treatment and control groups through total sampling. Respondents were selected based on the criteria of elderly with pre-hypertension, grade 1, and grade 2 hypertension. The independent variable was the DASH diet, while the dependent variable was changes in blood pressure. Data analysis included univariate analysis for respondent characteristics and comparison of blood pressure, as well as bivariate analysis using the Paired T-Test and Mann Whitney Test.The Paired T-Test in the control group was 0.719 for systolic and 0.546 for diastolic. Paired T-Test test in the treatment group 0.000 in systolic and 0.002 in diastolic. Mann-Whitney Test in the control and treatment groups 0.027 in systolic and 0.032 in diastolic. There was a significant difference between systolic and diastolic blood pressure before and after implementing the DASH diet in elderly people with hypertension. The DASH diet is effective as a non-pharmacological intervention in controlling blood pressure. The results of this study recommend that nurses play an active role in providing education, support, and monitoring the implementation of the DASH diet as part of comprehensive nursing care for elderly people with hypertension.
Copyright (c) 2025 Pramitha Yudha, Imam Subekti, Arief Bachtiar, Joko Wiyono, Dyah Widodo (Author) https://creativecommons.org/licenses/by-sa/4.0
Association between Non HDL/HDL and Framingham Risk Score in Hypertension Population
Hypertension and dyslipidemia, encompassing both high-density lipoprotein (HDL) and non-HDL categories, are frequently linked with cardiovascular disease. An imbalance in HDL and non-HDL cholesterol levels, such as an increase in LDL, triglycerides, and total cholesterol, has been demonstrated to increase the risk of atherosclerosis, as reflected in the Framingham score. The present study employed a cross-sectional approach to examine the relationship or correlation between the variables. The sample consisted of hypertensive patients who met the inclusion criteria. The data presented herein were obtained through laboratory tests of HDL, LDL, triglyceride, and total cholesterol levels, as well as cardiovascular risk assessment using the Framingham score. The research data were analyzed using Kruskal-Wallis. A statistically significant relationship was identified between the HDL lipid profile, HDL cholesterol, LDL, triglycerides, and total cholesterol with the Framingham score (p < 0.05). The cardiovascular risk score (Framingham score) exhibited an increase concomitant with elevated non-HDL cholesterol levels and diminished HDL in hypertensive patients. The present study found a significant correlation between HDL and non-HDL levels or values and cardiovascular disease risk scores (FRS). These results underscore the significance of monitoring lipid profiles and nursing education in order to prevent cardiovascular complications through comprehensive risk management
Copyright (c) 2025 Angernani Trias Wulandari, Abdul Qodir, Dwi Soelistyoningsih (Author) https://creativecommons.org/licenses/by-sa/4.0
Balanced Scorecard-Based Performance Evaluation of Rehabilitation Medicine Services in an Indonesian Public Hospital
Medical rehabilitation services are one of the key pillars of the healthcare system, particularly in supporting patient recovery and preventing long-term disability. However, this unit often receives insufficient attention in hospital performance evaluations. This study aims to assess the performance of the Medical Rehabilitation Unit at RSUD Dr. M. Haulussy using the Balanced Scorecard (BSC) approach, which comprises four perspectives: learning and growth, internal business processes, customers, and finances. A quantitative research design was employed using questionnaire instruments and descriptive analysis involving 50 employee respondents and 100 patients. The findings show that, within the learning and growth perspective, there is a commitment to human resource development through training, although access to such opportunities remains uneven. The internal business process perspective highlights weaknesses in service innovation, adequacy of facilities, and continuity of patient care. From the customer perspective, the unit demonstrates a broad market share and a strong growth rate of new patients; however, patient retention and satisfaction levels remain moderate. In the financial perspective, the unit’s contribution to overall hospital revenue is still low (16%), despite clear potential for developing new services. Overall, the BSC evaluation indicates that the Medical Rehabilitation Unit is performing at a moderately good level but requires improvements in facilities, service innovation, staff engagement, and financial strategies to enhance service quality and strengthen its contribution to the hospital.
Copyright (c) 2025 Herly Jotlely, Joan Herly Herwawan, Maria Nindatu, Fandro Armando Tasijawa (Author) https://creativecommons.org/licenses/by-sa/4.0
Effect of Family-Centered Empowerment Model Intervention on Knowledge, Self-Care Practices, and Motivation to Seek Treatment in Hypertensive Adults in the Community
Hypertension is a global health problem with an increasing prevalence and low treatment adherence. This study aimed to assess the effectiveness of the Family-Centered Empowerment Model (FCEM) in improving knowledge, self-care practices, and treatment motivation among adults with hypertension. A pre-experimental one-group pretest-posttest design was employed, involving 38 hypertensive participants selected through purposive sampling in the working area of Letwaru Primary Health Center, Central Maluku Regency. The FCEM intervention consisted of six sessions lasting 60–90 minutes each. Data were collected using structured questionnaires before and three months after the intervention and analyzed using descriptive statistics and the Wilcoxon test. The results indicated substantial enhancements in knowledge, self-care practices, and treatment motivation post-intervention (p < 0.05). The findings indicate that FCEM effectively empowers patients and families, enhances understanding of hypertension, strengthens self-care behaviors, and increases adherence motivation. FCEM has the potential to be implemented as a family-based intervention approach in primary healthcare to support sustainable hypertension management.
Copyright (c) 2025 La Syam Abidin, Norce Kainama (Author) https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Mirror Therapy on Improving Motor Function and Activities of Daily Living in Post-Stroke Patients with Hemiparesis
One of the major impacts of stroke is chronic motor deficits or hemiparesis, with approximately 80% of patients potentially experiencing permanent disability that leads to reduced independence in performing activities of daily living (ADL). Optimal rehabilitation is essential to prevent these long-term consequences. This study aimed to analyze the effectiveness of mirror therapy in improving motor function and ADL performance among post-stroke patients with hemiparesis. The study employed a pre-test and post-test equivalent control group design with a total of 60 respondents selected using consecutive sampling and divided into intervention and control groups. The intervention group received mirror therapy combined with conventional rehabilitation based on the Bonner protocol, whereas the control group received only conventional therapy. Motor function was assessed using a handgrip dynamometer, and ADL was evaluated using the Barthel Index. Results showed that most respondents were over 50 years old (86%), male (60%), and diagnosed with non-hemorrhagic stroke (93%). Statistical analysis revealed significant improvements in motor function in both the intervention group (p=0.000) and the control group (p=0.001). Significant improvements in ADL were also observed in the intervention group (p=0.000) and the control group (p=0.000). Comparison between groups demonstrated significant differences in motor function (p=0.004) and ADL (p=0.000). These findings indicate that mirror therapy is effective in enhancing motor function and ADL performance in post-stroke patients with hemiparesis. Therefore, mirror therapy is recommended to be incorporated into physiotherapy standard operating procedures for post-stroke rehabilitation.
Copyright (c) 2025 Wirmando Wirmando, Sr. Anita Sampe,SJMJ, Lilianti Tangdiembon, Lulu Wananda Tarrapa, Lusius Sandiago Hogen, Jenita Laurensia Saranga', Shanti Pricillia T Makagiansar, Francilia Petra Gareso (Author) https://creativecommons.org/licenses/by-sa/4.0
Long-Term Suffering from Respiratory Tract Infections and Its Impact on Quality of Life: A Cross-Sectional Study
Acute Respiratory Infections (ARI) are infectious diseases that attack the acute respiratory tract, including the nose, throat, and lungs. The purpose of the research to determine the relationship between the duration of ARI and the quality of life. The study was conducted at the Waibhu Community Health Centre using non-probability sampling with purposive sampling techniques. The sample size was 80 with inclusion criteria of ARI patients aged 19-60 years; duration of ARI are 5-30 days; fully conscious; able to read and write; and willing to be respondents. Respondents who experienced disorientation in time, place, and person were excluded. The instrument used the WHOQOL-BREFF questionnaire to measure quality of life. Data analysis used univariate analysis (gender, age, occupation, marital status, religion, duration of ARI, number of ARI episodes in the last 6 months, and quality of life) and bivariate analysis (the relationship between the duration of ARI and the quality of life) used the Kruskal-Wallis test. The results showed that there was a significant relationship between the duration of ARI and the quality of life of ARI patients (p=0.001), H=16.336. It is necessary to pay attention to the patient's quality of life to preventing the severity of infection.
Copyright (c) 2025 Christy Wattimena, Zusana A` Sasarari, Theresie Chindyana Herman, Yunita Kristina (Author) https://creativecommons.org/licenses/by-sa/4.0
White Ginger (Zingiber Officinale) Decoction as a Complementary Therapy to Reduce Blood Pressure in Elderly Patients with Hypertension
Background Antihypertensive drugs in the elderly often cause side effects so that complementary therapy is needed, such as the use of herbal products. One effective herbal product is ginger because it contains the chemical compounds gingerol and shogaol which can function to lower blood pressure. The aim is to determine the difference in systolic and diastolic blood pressure between before and after treatment. This research method uses a quasi-experimental approach with a One Group Pretest-Posttest Design. The sample consisted of 35 elderly people with hypertension who were selected by purposive sampling. The intervention was in the form of giving 4 grams of white ginger decoction boiled in 200 ml of water. Researchers gave the white ginger decoction 2 times a day (morning and evening) for 7 days. The instrument used was a daily blood pressure observation sheet. Data analysis used a paired t-test with a significance level of p <0.05. Research results The average systolic blood pressure of respondents decreased from 150.37 mmHg to 133.34 mmHg, while diastolic blood pressure decreased from 90.20 mmHg to 69.74 mmHg. The statistical test results showed a significant difference between the pre-test and post-test scores, with a p-value of 0.000 (p < 0.05). Conclusion: White ginger decoction has been shown to be effective in lowering blood pressure in hypertensive elderly patients. Nursing practice recommends integrating this intervention into education and support programs for the elderly, along with regular monitoring to ensure its safety and effectiveness.
Copyright (c) 2025 Guruh Suprayitno, Dini Patawaran, Nagita Bertha Kurniawan, Nabila Aulya Septyan, Ferdi Bunga Pakarang, Nofita Dewi Kok Mesa (Author) https://creativecommons.org/licenses/by-sa/4.0
Family Support and Loneliness Levels among Elderly People at Posyandu
Elderly conditions that experience various declines or deterioration of biological and psychological functions can affect mobility and social contact, one of which is loneliness. The elderly need a family to understand their condition, to be a good listener to meet their needs. This study aims to determine the relationship between family support and the level of loneliness in the elderly. This study was conducted at the Rw 2 Posyandu, Johar Baru Village, Jakarta, September 2024 - February 2025. The study used a cross-sectional design with a quantitative method with a sample of 72 elderly people. The data collection tool used a family support questionnaire that had been tested for validity and reliability with a Cronbach alpha value of 0.881, meaning ‘acceptable reliability’, and the UCLA Loneliness Scare version 3 questionnaire. The results showed that the majority of elderly people had high emotional support 94.4%, high esteem support 79.2%, high instrumental support 94.4%, high information support 93.1%, and high overall family support 94.4%. The level of loneliness for the elderly is high at 52.8%. There is a relationship between emotional support (p-value 0.040), appreciation support (p-value 0.001), instrumental support (p-value), and family support (p-value 0.040) and loneliness, but there is no relationship between information support and loneliness (p-value 0.109). Suggestions for elderly respondents are expected to maintain good relations with their families and continue to inform their families regarding the needs they need
Copyright (c) 2025 Estifania Anggrening Gulo, Sondang Sianturi (Author) https://creativecommons.org/licenses/by-sa/4.0
Caregivers’ Experiences of Geriatric Emergency Management for Older Adults Receiving Long-Term Care in Turi, Sleman
The increasing life expectancy has led to a growing elderly population and a higher demand for long-term care, including in Turi District, Sleman. Older adults with high levels of dependency are at greater risk of experiencing geriatric emergencies such as falls, stroke, heart attacks, choking, and other acute conditions. These emergency situations often require a rapid response from family caregivers, who in reality frequently neglected.This study aimed to explore caregivers’ experiences in managing geriatric emergencies among older adults requiring long-term home care. A qualitative study with a phenomenological was conducted. Data were collected through in-depth interviews and focus group discussions involving 14 informants, consisting of six family caregivers of older adults receiving long-term care and eight elderly community health volunteers from Girikerto and Bangunkerto villages. Data were analyzed using thematic analysis with the assistance of NVivo 12 software. The findings revealed that emergency management by caregivers was often suboptimal and faced several barriers, including limited knowledge, fear of providing first aid, lack of training, inadequate equipment and facilities, and limited access to health services. Despite these challenges, caregivers demonstrated strong responsibility and commitment. The study recommends training and support to improve caregivers’ skills and confidence in delivering appropriate emergency care
Copyright (c) 2025 Lhetare Murwa Embun Pratama, Yulia Wardani, Herlin Lidya (Author) https://creativecommons.org/licenses/by-sa/4.0