Journal of Applied Holistic Nursing Science

The Relationship of Knowledge and Family Support to Self-Management in Type 2 Diabetes Mellitus Patients at the Sindangbarang Health Center Bogor

Maahirah Irchamna Hartanti, Dayan Hisni, Retno Widowati — Mon, 30 Jun 2025 00:00:00 +0700

Background: Diabetes Mellitus is a long-term disease that arises when the pancreas does not produce enough insulin. According to the report International Diabetes Federation (2021) in the world, there are 537 million adults living with Diabetes Mellitus. Self-management in DM patients will not be fulfilled if there is a lack of knowledge and family support for patients.

Methodology: This study was conducted using a purposive sampling technique with a Cross-Sectional approach and using a quantitative design. The sample in this study amounted to 88 Type 2 DM respondents. The data collected using questionnaires are Self-Management, Knowledge and Family Support. DKQ-24, HDFSS and DMSQ have been tested for validity and reliability with a table r value of >0.388. The research data was not distributed normally, so it was analyzed using the Spearman Rank Test Version 27.

Results: A significant relationship between knowledge p-value 0.011, (r)=0.271 and family support p-value 0.001, (r)=0.350 with self-management. So that it shows the knowledge and support of families with self-management of Type 2 Diabetes Mellitus at the Sindangbarang Health Center in Bogor is included in the low category.

Conclusion: There is a correlation between family knowledge and support and self-management at the Sindangbarang Bogor Health Center.

The Relationship between Smoking Behavior and Sleep Patterns in Young Adults (18–40 Years Old)

Sofiya Chairani, Idrawati Bahar, Yessi Fadriyanti — Mon, 30 Jun 2025 00:00:00 +0700

Background: Sleep patterns reflect an individual’s ability to obtain the amount of sleep needed. One of the lifestyle factors that affects sleep patterns is smoking behavior. In modern society, young adults are particularly affected by smoking habits, with some smokers believing that smoking helps them relax and forget life’s problems, no matter how serious, and that smoking improves their mood. This study aimed to identify the relationship between smoking behavior and sleep patterns in young adults (18–40 years) in the Seberang Palinggam subdistrict.

Methods: This was a correlational analytic study with a cross-sectional design. Data were collected from September 2023 to July 2024. The population consisted of 1,478 young adults aged 18–40 years in Seberang Palinggam, and 100 participants were selected using probability sampling techniques. Data were collected using a questionnaire and processed through editing, coding, entry, cleaning, and tabulating. Analysis was conducted using the Chi-square test (95% CI).

Results: Statistical test results showed that most young adults engaged in heavy smoking behavior (52 respondents, 52.0%) and had poor sleep patterns (65 respondents, 65.0%). Based on bivariate analysis with the Chi-square test, the p-value was 0.027 (P < 0.05), indicating a significant relationship between smoking behavior and sleep patterns in young adults (18–40 years) in the Seberang Palinggam subdistrict.

Conclusion: The study shows a significant relationship between smoking behavior and sleep patterns. Most young adult heavy smokers have poor sleep. Educational efforts and interventions are needed to reduce smoking habits and improve their sleep quality.

The Effect of Religious Instrumental Music Therapy on Anxiety in Breast Cancer Patients

Chyntia Ramadhana Fahira, Idrawati Bahar, Tasman — Mon, 30 Jun 2025 00:00:00 +0700

Background: Anxiety is a vague and uneasy feeling caused by discomfort or fear accompanied by a response. Anxiety in breast cancer patients is a psychological disorder due to facing uncertainty, worries about the effects of cancer treatment, and fear of disease progression which may lead to death. This study aimed to determine the effect of instrumental music therapy on anxiety levels in breast cancer (ca mamae) patients undergoing chemotherapy at Dr. M. Djamil Hospital, Padang

Methods: This research used a pre-experimental design with a one-group pre-test post-test design. Anxiety levels were measured using the HARS questionnaire. Samples were selected using a purposive sampling technique, and data were analyzed using the T-test.

Results: The results showed that the average anxiety score before the intervention was 26.79, and after the intervention, it was 19.07. There was a significant difference in anxiety scores before and after the intervention with a p-value = 0.000 (p < 0.05), indicating a significant effect of the intervention.

Conclusion: In conclusion, instrumental music therapy had an effect on reducing anxiety in breast cancer patients undergoing chemotherapy. It is recommended that nurses in chemotherapy wards consider instrumental music therapy as a non-pharmacological intervention to help reduce anxiety levels in patients undergoing chemotherapy

The Application of Mirror Therapy in Ischemic Stroke Patients with Hemiparesis to Improve Upper Extremity Muscle Strength

Shafira Youanita Gunawan, Anggri Noorana Zahra — Mon, 30 Jun 2025 00:00:00 +0700

Background: Ischemic stroke is one of the leading causes of disability worldwide, with hemiparesis being the most common clinical manifestation after stroke. Hemiparesis may reduce muscle strength and increase the risk of complications such as joint contractures

Methods: This study aimed to evaluate the effectiveness of mirror therapy in improving upper extremity muscle strength in a 45-year-old male patient with ischemic stroke and left-sided hemiparesis. A case study design was used, with the intervention carried out over five consecutive days. The therapy consisted of adaptation exercises, basic movements, variations, and combination exercises, each repeated eight times.

Results: The evaluation showed an improvement in upper extremity muscle strength from a score of 5555 | 4432 to 5555 | 4443. Additionally, there were no observed decreases in physical tolerance or therapy-related injuries.

Conclusion: These findings suggest that mirror therapy is an effective, safe, and feasible rehabilitation intervention that can be implemented by nursing professionals in clinical settings for stroke patients with hemiparesis.

Nursing Care for N with Bronchopneumonia in RSPPN Inpatient Room: A Case Study Report

Ana Fauziah, Herlina — Mon, 30 Jun 2025 00:00:00 +0700

Background: Bronchopneumonia is an infection of the lower respiratory tract caused by bacteria, viruses, or fungi. Children are more susceptible to Bronchopneumonia because their immune systems are weak. Bronchopneumonia can cause complications such as emphysema, acute otitis media, atelectasis, emphysema, and meningitis if not treated immediately. This study aims to implement Nursing Care for patient An. N with bronchopneumonia in the Inpatient Room of RSPPN Panglima Besar Soedirman. Research

Methods: This study aimed to evaluate the effectiveness of This study is a case study of pediatric nursing focusing on one case of Bronchopneumonia, which includes assessment, diagnosis, intervention, implementation, and evaluation.

Results: The study showed nursing diagnoses including ineffective airway clearance related to airway hypersecretion, hyperthermia related to the disease process, risk of falling related to having fallen, and knowledge deficit related to lack of exposure to information. Nursing implementation was carried out according to problem priorities for 3x24 hours. Implementation of independent nursing care for ineffective airway clearance problems, patients underwent chest physiotherapy and positioning, there was improvement although complaints still existed, so the problem was partially resolved. The diagnosis of hyperthermia, risk of falling, and knowledge deficit were successfully resolved.

Conclusion: Nursing care effectively improves bronchopneumonia patients’ condition through chest physiotherapy, positioning, and targeted family education.

Nursing Care for the Elderly with Dementia: A Case Study of Application in the Working Area of Tanjung Paku Health Center, Solok City

Aini Yusra, Syahrum, Azizah Gusril, Abdul Gafar — Mon, 30 Jun 2025 00:00:00 +0700

Background: Dementia, a progressive cognitive decline syndrome affecting memory, orientation, and daily activities, is a global health concern. At Tanjung Paku Health Center, Solok City, five cases of dementia in the elderly were recorded from January to December 2024 out of 315 total elderly individuals, highlighting the urgency of comprehensive nursing care. Objective: This study aims to describe nursing care for the elderly with dementia, from assessment to evaluation.

Method: Using a descriptive design with a single case study approach, the research was conducted from March 24-29, 2025, in RT 001/RW 006, Tanjung Paku Village, Solok City. The subject was one elderly person (Medical Record No. 003574) selected by purposive sampling based on inclusion criteria. Nursing care involved data collection and analysis, diagnosis formulation, intervention planning, action implementation, and evaluation of changes in the patient's condition.

Results: The patient exhibited primary symptoms of dementia such as frequent forgetfulness, difficulty recalling past events, verbal communication and comprehension difficulties, and blurred vision. Environmental observation revealed a high fall risk due to the absence of handrails in the bathroom. Nursing diagnoses established were impaired memory, impaired verbal communication, and risk for falls. Implemented interventions included memory exercises (puzzle play therapy), communication strategies for hearing deficits, and fall prevention.

Conclusion: Comprehensive nursing care is crucial in addressing cognitive impairment, communication issues, and physical safety problems in elderly individuals with dementia. Specific interventions like puzzle therapy and family education show positive potential in symptom management and improving patient quality of life.