Journal of Applied Holistic Nursing Science

Improving Quality of Life in Type II Diabetes Through Self-Care and Family Support

Florien Nisak — 2025-10-31

Background: Global and national data indicate an increasing trend in diabetes mellitus (DM) cases, including in Padang City, where the Belimbing Community Health Center recorded the highest number of type II DM patients in 2023. Several previous studies have reported a low quality of life among patients, prompting this study to explore similar trends and serve as a basis for future improvements. This study aims to examine the relationship between self-care and family support and the quality of life of patients with type II diabetes in the working area of the Belimbing Community Health Center.

Methods: This quantitative, cross-sectional study was conducted from December to June 2025. The population included 468 type II DM patients treated at the health center between August and October. A total of 88 respondents were selected through cluster random sampling. Data were collected using the SDSCA, HDFSS, and WHOQOL-BREF questionnaires, and analyzed using univariate and bivariate analysis with the Chi-Square test.

Results: The findings showed that 47.7% of patients had poor self-care, 15.9% received insufficient family support, and 50.0% had a poor quality of life. A significant relationship was found between self-care (p = 0.00) and family support (p = 0.001) and the quality of life of patients.

Conclusion: Community health centers are encouraged to organize productive community-based activities and provide education and informational media to families in order to support patient care and enhance self-care management.

Influence of Nurses’ and Teachers’ Roles in Health Education on Dengue Prevention Behavior Changes in Schools

Rustam Aji Rochmat — 2025-10-31

Background: Dengue Hemorrhagic Fever (DHF) remains a major public health problem in tropical regions, including Indonesia, due to high morbidity rates and environmental factors that support mosquito breeding. This study aimed to determine the influence of nurses and teachers in health education on changes in dengue prevention behavior in schools.

Methods: This research used a single-group pretest-posttest experimental design with 90 respondents selected purposively. Changes in knowledge and behavior were assessed before and after the intervention. The intervention involved health education on dengue prevention, focusing on the 3M Plus method: draining, covering, recycling, and using larvicide.

Results: The results showed a significant increase in the proportion of respondents with good preventive behavior, rising from 15.6% in the pretest to 91.1% in the posttest (p-value = 0.000). This indicates that health education significantly improves public knowledge and encourages positive behavioral changes in dengue prevention.

Conclusion: Health education significantly improves dengue prevention behavior, raising good practices from 15.6% to 91.1%. Sustained community involvement and policy support are crucial for lasting impact.

Nursing Care for An.A with Febrile Illness at the National Defense Central Hospital (RSPPN) Panglima Besar Soedirman

Fayza Shaffa Zahira — 2025-10-31

Background: Fever is a physiological reaction of the body to infection or problems in the immune system, characterized by an increase in body temperature above 37.5°C. In children, fever can cause serious problems such as seizures, dehydration, and decreased level of consciousness. It is important to carry out proper treatment so that these complications do not occur. Objective: How is the implementation of nursing care for children with fever using non-pharmacological intervention Tepid Water Sponge. Research Method: This study used a case study method in one case of a child with sub febrile. Data were obtained through interviews, observations, physical examinations, and documentation analysis. Results: The identified nursing diagnoses included hyperthermia, risk of hypovolemia, and nausea. Implementation of independent nursing, namely Tepid Water Sponge for 15 minutes, showed a response of a decrease in body temperature of 0.4°C. Most nursing problems have been resolved, except for the risk of widespread infection. Conclusion: the implementation of nursing care has been in accordance with the nursing plan. Suggestion: The researcher suggests continuing nursing care to address the problem of the risk of widespread infection.

Application of Qur'an Reading Therapy in Psychiatric Nursing Care for Low Self-Esteem Patients

Yudistira Afconneri — 2025-10-31

Background: Schizophrenia is a serious mental health problem that requires full attention. One ofhe symptoms of schizophrenia is chronic low self-esteem.Chronic low self-esteem is an aspect that is often associated with mental disorders and the psychological well-being of patients with mental disorders. One of the psychological therapies for patients with low self-esteem can be done with Al-Quran reading therapy, including psychoreligious therapy that can help patients to increase self-esteem, optimism, improve the process of adaptation to others and is able to prevent and cure mental disorders. The study aims to apply the therapeutic intervention of reading the Qur'an in psychiatric nursing care for patients with low self-esteem by helping patients to increase their self-esteem..

Methods: The design of this study is a case report, therapeutic interventions were carried out on 2 participants during six meetings of Al-Quran reading therapy which took place on April 21 - May 10, 2025. Analysis of the nursing process includes assessment, diagnosis, intervention, implementation, nursing evaluation compared to the results of other people's research and theory.

Results: nursing care that had been given to the two patients, Mr. H and Mr. A, showed a positive impact in increasing the patients' self-esteem based on Rosenberg Self-Esteem Scale (RSES) namely in patient H from a score of 10 to 18 and patient A's score increased to 16 from a score of 9.

Conclusion: an illustration in implementing general therapy for low self-esteem supplemented with Qur'an reading therapy in all patients who experience low self-esteem.