Exploring the Determinants of Multidrug-Resistant Tuberculosis in Pulmonary TB Patients at Jatisari Karawang: A Cross-Sectional Analysis

Aims: The aim of this study is to find out what factors contribute to the spread of Multidrug-Resistant Tuberculosis (MDR-TB) at Jatisari Karawang Hospital. It focuses on things like nutrition, patient adherence to treatment, motivation, family support, and how treatment is supervised. Methods: This study uses a quantitative method with a cross-sectional approach, which looks at the relationship between risk factors and their effects at one time. It involves 249 patients who visited the MDR-TB clinic at Jatisari Regional Hospital in January 2024, with a sample size of 106 patients. The goal is to identify the factors that are linked to MDR-TB at the hospital in 2024. Result: Most people in the study were under 60, and more males had MDR-TB. Many had poor nutrition (77.4%) and didn’t follow their medication (55.7%). Over half had low motivation (57.5%) and lacked family support (72.6%). About half had poor medication supervision (50.9%). These issues all played a role in the spread of MDR-TB. Conclusion: In conclusion, most people in the study were under 60, male, had a junior high school education, and were unemployed. The study also found that factors like nutrition, taking medication correctly, motivation, family support, and medication supervision are linked to the spread of MDR-TB

The Direct and Indirect Effect of Spirituality and Self-Care on Quality of Life Among Patients with Chronic Kidney Failure

Aims: Chronic kidney failure (CKF) is a significant global health issue, with profound impacts on patients' quality of life (QoL). Self-care and spirituality have been identified as key determinants influencing QoL among CKF patients undergoing hemodialysis. However, the interactive effects of these factors remain underexplored, particularly in Indonesia. Objective: This study aims to investigate the direct and indirect effects of spirituality and self-care on QoL among CKF patients undergoing hemodialysis at Sekarwangi Hospital, Sukabumi Regency. Methods: A correlational research design was employed, involving 71 CKF patients undergoing routine hemodialysis. Participants were selected using purposive sampling based on inclusion criteria. Data were collected using validated instruments: the Hemodialysis Patients’ Self-Care Measurement Scale (HPSCMS), Spiritual Well-Being Scale (SWBS), and Kidney Disease Quality of Life Short Form (KDQOL-SF™ v1.3). Path analysis was conducted to assess the direct and indirect effects of spirituality and self-care on QoL. Results: Spirituality exhibited a significant direct effect on QoL (β = 0.381, p < 0.001) and an indirect effect through self-care (β = 0.384), with a total effect of 0.765. Self-care also had a significant direct effect on QoL (β = 0.547, p < 0.001). Higher spirituality and better self-care practices were associated with improved QoL in CKF patients. Conclusion: The findings underscore the importance of spirituality and self-care in enhancing QoL among CKF patients undergoing hemodialysis. Integrating spiritual support and promoting self-care behaviors into patient care could significantly improve outcomes. Future interventions should adopt a holistic approach, addressing both physical and spiritual dimensions of care

Virtual Reality for Mitigating Fall Risk in the Elderly: A Bibliometric Analysis

Background: Fall risk among the elderly is a global health concern impacting quality of life and mortality. Virtual Reality (VR) is gaining traction as a tool in fall prevention strategies. Objective: To map research trends, authorship, country productivity, and keyword themes related to VR in fall risk mitigation using bibliometric methods. Methods: A bibliometric study of 166 publications (2007–2025) retrieved from Scopus was conducted using VOSviewer and Scopus analytics. Indicators included author productivity, subject areas, and keyword clusters. Results: The number of publications has risen markedly since 2018, with the highest output in 2023. The United States, UK, and Israel led in research output. Research themes focused on VR-based balance training, rehabilitation, and psychological interventions such as fear of falling. Conclusion: VR is a growing multidisciplinary field in elderly care. These insights inform future research directions and intervention policy

The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection

Gethok Tular: A Source of Self-Care Knowledge for Older Women with Hypertension in Rural Areas

Aims: This study explores the role of gethok tular (oral tradition) in promoting self-care management among elderly Javanese women with hypertension in rural areas, where access to health information remains limited despite existing education programs. Methods: This study employed a qualitative ethnographic approach conducted between January and June 2022. Data were collected through in-depth interviews and observations involving five elderly women in Ngrawan Village, Semarang Regency. To ensure triangulation, additional insights were gathered from midwives and posbindu (integrated healthcare posts for non-communicable diseases) cadres. The participants were Javanese women aged 60 years or older, born and residing in Ngrawan Village, diagnosed with hypertension for more than two years, and actively participating in posbindu activities. Content analysis was used to interpret the data. Results: Gethok tular facilitates the informal exchange of hypertension-related knowledge, particularly during interactions at posbindu sessions. Despite limited understanding of hypertension, participants practiced self-care by staying active, attending check-ups, and using herbal remedies like soursop and avocado leaves to manage symptoms. Conclusion: The gethok tular tradition offers a culturally relevant method for disseminating health information and improving self-care practices in rural communities. This approach holds potential for integration into community-based health programs

Experience of Cardiovascular Care Unit (CVCU) Nurses in Implementing Person Centered Care

Background: Nurses in the Cardiovascular Care Unit (CVCU) have a key role in delivering Person Centered Care (PCC), which focuses on respecting patient preferences and improving care quality. Despite its importance, the implementation of PCC still faces several challenges in clinical practice. Objective: This study aimed to explore the experiences of CVCU nurses in implementing Person Centered Care in a hospital setting. Method: A qualitative research design with a phenomenological approach was used. Six nurses working in the CVCU were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed through thematic analysis based on Colaizzi’s method. Results: The study identified five main themes: (1) Satisfaction with nursing care, (2) Involvement of patients and families, (3) Communication and collaboration between nurses and doctors, (4) Suboptimal communication patterns between nurses and patients, and (5) Time management and workload. Discussion: The findings indicate that PCC contributes to greater satisfaction in nursing care delivery. However, several barriers, such as limited communication and workload issues, need to be addressed. These insights can inform strategies for broader PCC implementation across different hospital wards. Hospital management should support this process by addressing potential obstacles and facilitating a supportive environment for PCC

Determinants of Patient Safety Competence Among Diploma-Level Nursing Students in Jakarta

Background: Ensuring patient safety is a core component of healthcare quality; however, the persistence of medical errors highlights an ongoing global challenge. In Indonesia, Diploma III nursing programs are instrumental in preparing novice nurses, yet variability in curriculum design and clinical experience may affect their ability to uphold safety standards. Objective: This study aimed to identify factors associated with patient safety competence among Diploma III nursing students in Jakarta, Indonesia. Methods: A cross-sectional design was applied, involving 200 students from accredited Diploma III nursing institutions in Jakarta. Participants were recruited through multistage cluster sampling. Data collection utilized a structured survey comprising the Health Professional Education in Patient Safety Survey (H-PEPSS), the Quality of Clinical Learning Environment (QCLE) Scale, and the General Self-Efficacy Scale (GSES). Multiple linear regression analysis identified key predictors of safety competence. Results: Patient safety competence demonstrated significant positive associations with self-efficacy (r = 0.52, p < 0.001), quality of training (r = 0.41, p < 0.001), and institutional culture (r = 0.34, p < 0.001). Regression results revealed that self-efficacy (β = 0.42, p < 0.001) and training quality (β = 0.26, p = 0.002) significantly predicted competence, jointly explaining 37.2% of the variance. Institutional culture, however, was not a significant predictor (β = 0.09, p = 0.118). Conclusion: Self-efficacy and clinical training quality are key contributors to patient safety competence in Jakarta’s Diploma III nursing students. Educational strategies targeting these domains may enhance safety outcomes. Future research should explore the long-term influence of institutional culture

Association Between Family Support and Breastfeeding Success in a Neonatal Care Unit: A Study at Islam Hospital Surabaya Jemursari

Background: Successful breastfeeding is influenced by various factors, one of which is family support. Support from a husband, mother, or other close family members plays a crucial role in building a mother’s confidence and commitment to exclusive breastfeeding. Lack of emotional, informational, or instrumental support may lead to early weaning or the use of formula milk.Objective: This study aimed to analyze the relationship between family support and the success of breastfeeding in the neonatal room of Islam Hospital Surabaya Jemursari.Methods: A cross-sectional design was employed involving 48 postpartum mothers whose neonates were admitted to the neonatal room. Participants were selected using simple random sampling. The independent variable was family support, and the dependent variable was the success of breastfeeding. Data were collected using a validated structured questionnaire assessing the level of family support and breastfeeding outcomes. Statistical analysis was conducted using the Spearman rho correlation test with a significance level of α = 0.05.|Results: Among the 27 respondents who reported successful breastfeeding, the majority received sufficient family support, while a smaller proportion reported low support. Interestingly, among 21 respondents who also reported breastfeeding success, nearly half received less family support. The Spearman rho test yielded a p-value of 0.211, indicating no statistically significant relationship between family support and breastfeeding success (p > 0.05).Conclusion: This study found no significant relationship between family support and breastfeeding success in the neonatal unit. Further research with larger sample sizes and more detailed measurement tools is recommended to explore this relationship further

Exploring the Impact of Family, Social Support, and Health Workers on Reproductive Health Behaviors Among Blind Adolescents in Sukabumi City and Regency

Aims: The purpose of this study is to investigate how family support, social support, and the involvement of health workers affect the reproductive health of blind teenagers in Sukabumi City and Regency. Methods: This study is correlational and uses a cross-sectional technique. The population is made up of 42 teenagers from Sukabumi City and Regency who have visual problems. They were chosen via complete sampling. Multiple linear regression was used to do the statistical analysis. Results: The results demonstrated that the sources of information had a considerable impact on the reproductive health behavior of teenagers with visual difficulties (p-value = 0.000). There was a relationship between knowledge and reproductive health behavior (p-value = 0.000), as well as a connection between attitudes and reproductive health behavior (p-value = 0.000). Furthermore, the reproductive health behaviors of teenagers with visual difficulties were simultaneously influenced by information sources, knowledge, and attitudes (p-value = 0.000). Conclusion: The way teenagers with visual difficulties approach reproductive health is greatly impacted by their sources of information, knowledge, and attitudes. In order to better safeguard and assist teenagers with visual impairments, relevant authorities and the government can use the results of this study as a reference

Overcoming Constipation in Stroke Patients Using the I Love You and Swedish Massage Techniques

Aims: This study aims to determine the effectiveness of a combination of the I LOVE YOU and Swedish techniques in relieving constipation in stroke patients. Methods: This study employed a quasi-experimental design with a pre-post test in a single-group setting, involving 30 stroke patients. The intervention consisted of abdominal massage therapy using a combination of the I LOVE YOU and Swedish techniques, applied twice daily for 30 minutes over three consecutive days. The Bristol Stool Scale and a 5-point Likert scale for patient constipation assessment were used to measure outcomes. Descriptive statistics and the Wilcoxon test were applied to analyze the data. Results: The findings indicated that the combination of the I LOVE YOU and Swedish techniques significantly improved bowel movements and reduced constipation in stroke patients, as evidenced by the Wilcoxon test results. Conclusion: This study demonstrates that non-pharmacological abdominal massage techniques using the I LOVE YOU and Swedish methods can serve as effective alternatives for managing constipation in stroke patients