Nurse Media Journal of Nursing 

About: Nurse Media Journal of Nursing is an academic journal published by Diponegoro University. The journal publishes majorly in the area(s): Medicine & Nurse education. It has an ISSN identifier of 2087-7811. It is also open access. Over the lifetime, 222 publications have been published receiving 1076 citations.

Review: Burden on Family Caregivers Caring for Patients with Schizophrenia and Its Related Factors

Abstract: Background: Family caregiver is the most important person who cares for patient with schizophrenia. However when care is provided for long time, he/she may experiences the burden. Purpose: The purpose was to review concept and factors related to burden on family caregivers caring for patients with schizophrenia. Method: A literatures were searched from databases: Pubmed, CINAHL, and Science Direct. Key words used to retrieve literature include caregiver burden and schizophrenia. Searching was limited in English language, full text, and the year of publication from 2000 to 2009 was used. Results: Twenty two studies were reviewed in this paper. The result showed that the caregivers caring for patients with schizophrenia experience burden. Burden was defined as a negative impact of caring for the impaired person experienced by caregiver on their activity (objective burden) or feeling (subjective burden) that involves emotional, physical health, social life, and financial status. Factors related to burden on family caregiver were grouped into: 1) caregiver‟s factors included age, gender, educational level, income, health status, and spent time per day, knowledge of schizophrenia, culture, and coping; 2) patient‟s factors included age, clinical symptoms, and disability in daily life; 3) environmental factors included mental health service and social support. Conclusion: Definition of burden have quite same meaning and mostly factors focus on the patient‟s symptoms, demographic factors of caregiver, and time spent per day. Most of studies cannot be generalized due to small sample used in the study and that too conducted in western countries. For further research, the correlation between burden and resources of family caregiver should be investigated particularly in eastern country. Key words: burden on family caregiver, caring, schizophrenia.

Spirituality Intervention and Outcomes: Corner stone of Holistic Nursing Practice

Abstract: Background: Holistic nursing results in healing the whole person as human being that has interconnectedness of body mind social cultural spiritual aspect. Objective: The purpose of this paper is to examine the effects of Islamic spirituality interventions on health outcomes in nursing. Method: Databases searched for electronic journals and books that were published since 1994 to 2010 were included. Results: Spirituality intervention mainly composes of prayer, recitation of the holy Qur’an, remembrance of Allah, fasting, charity, prophets’ methods, and modified Islamic methods. Thirteen studies found that various outcomes have been highlighted when applied in several areas of nursing, such as stimulating baby’s cognitive ability in maternal nursing, promoting health during eating halal food, fasting, abstinence of alcohol and tobacco consumption, performing regular exercise, reducing anxiety, and pain in medical-surgical nursing. In mental health nursing, six studies explored effects of prayer and religious psychotherapy to enhance happiness and physical health and alleviate anxiety, and depression. Three studies reported Islamic cognitive therapy to alleviate the auditory hallucination, bereavement, and depression. In critical care nursing, three studies employed reciting the holy Qur’an and talqin in end of life care. Conclusion: Although the literature is limited in the amount and quality of spirituality interventions, some evidences have shown as integrative energy in nursing practice to promote health and minimize some symptoms. Spirituality interventions should be performed to acknowledge the high priority in holistic nursing and support interventions. Keywords: spirituality intervention, holistic nursing, Islam

Perceived Ability to Practice in Disaster Management among Public Health Nurses in Aceh, Indonesia

Abstract: Background: The increasing number of disaster events around the world has challenged every country to develop better disaster-management strategies. As a part of healthcare system, public health nurses (PHNs) should be involved in caring for people in disasters. Currently, there is no known study whether PHNs of Aceh, Indonesia, working with community people who are at high risk of confronting natural disasters, are able to perform their roles and functions regarding disaster management. Methods: 252 PHNs from twenty-seven public health centers in Aceh were studied during November to December 2010 to evaluate their perceived ability to practice regarding disaster management at each disaster phase: preparedness, response, and recovery phase. The perceived ability to practice was assessed by using the 30-statement, five-point Likert-scale (0-4) of Public Health Nurses’ Perceived Ability to Practice Regarding Disaster Management Questionnaire (PHNPP-DMQ). The composite scores of each phase and the total score were calculated and transformed to percentage for ease of presentation across disaster phases. Results: Overall, the PHNs’ perceived ability to practice regarding disaster management in Aceh was at a moderate level (M=74.57%, SD=13.27). The highest mean score was for the recovery phase (M=78%), and the lowest mean score was in the preparedness phase (66.15%). Conclusion: The finding of this study evokes challenges to the local government of Aceh province to further prepare PHNs to increase their ability in disaster management. Keywords: Disaster management, practice, public health nurses

Dietary Behaviors among Patients with Type 2 Diabetes Mellitus in Yogyakarta, Indonesia

Abstract: Purpose: To describe dietary behaviors and examine relationships between selected factors and dietary behaviors among type 2 diabetes mellitus (T2DM) patients in Yogyakarta, Indonesia. Method: Seventy T2DM patients from a hospital in Yogyakarta who met the inclusion criteria were recruited. Patient’s dietary behaviors were measured by the Dietary Behaviors Questionnaire developed for this study with adequate reliability. The questionnaire comprised of four dimensions: recognizing the amount of calorie needs, selecting healthy diet, arranging a meal plan, and managing dietary behaviors challenges. Higher scores indicate better dietary behaviors. Result: More than half of the patients were women (54.3%) with an average age of 56.8 years and diabetes duration of 9.7 years. The results revealed a moderate level of the total score of dietary behaviors. Considering each dimension, the results showed a moderate level of recognizing the amount of calorie needs, selecting healthy diet, and managing dietary behaviors challenges. The patients reported a high level of arranging meal plans. Pearson’s correlation was used to examine the relationships between selected factors and dietary behaviors. There was a positive significant relationship between the knowledge regarding diabetic diet and the total dietary behaviors scores (r = .36, p< .01). There were positive significant relationships between the knowledge regarding diabetic diet and the dimensions of recognizing the amount of calorie needs (r = .27, p< .05), selecting healthy diet (r = .35, p< .01), and managing dietary behaviors challenges (r = .28, p< .05). In contrast, the findings indicated no significant relationship between knowledge regarding diabetic diet and arranging a meal plan dimension. Furthermore, there was no significant relationship between the diabetes duration and dietary behaviors. Conclusion: Dietary behaviors among T2DM patients in Yogyakarta were at a moderate level. Knowledge regarding diabetic diet is essential. Further study regarding intervention in increasing patients’ knowledge is needed to achieve better dietary behaviors. Keywords: Dietary behaviors, type 2 diabetes mellitus, knowledge, Yogyakarta, Indonesia

Pengaruh latihan fisik; senam aerobik terhadap penurunan kadar gula darah pada penderita dm tipe 2 di wilayah puskesmas bukateja purbalingga

Abstract: Diabetes mellitus tipe 2 adalah suatu keadaan hiperglikemia yang disebabkan gangguan pada resistensi insulin dan sekresi insulin sehingga metabolisme tubuh juga terganggu. Pada DM tipe 2, latihan fisik berperan sebagai glycemic control yaitu mengatur dan mengendalikan kadar gula darah. Latihan fisik yang dianjurkan salah satunya adalah senam aerobik, yang bertujuan meningkatkan dan mempertahankan kesegaran tubuh dan dilaksanakan sesuai prinsip F.I.T.T (Frekuensi, Intensitas, Time dan Tipe). Penelitian yang dilakukan di wilayah Puskesmas Bukateja Purbalingga pada bulan September – Oktober 2004 ini, bertujuan untuk mengetahui pengaruh latihan fisik: senam aerobik terhadap penurunan kadar gula darah pada penderita DM tipe 2. Jenis penelitian ini merupakan penelitian pra eksperimen tanpa kelompok kontrol. Responden yang menjadi subyek penelitian adalah 22 orang yang menderita DM tipe 2. Alat pengumpulan data berupa kuesioner tentang karakteristik responden dan observasi untuk mengetahui kadar gula darah sebelum dan sesudah latihan.Hasil penelitian menunjukan bahwa ada pengaruh latihan fisik: senam aerobik terhadap penurunan kadar gula darah pada penderita DM tipe 2 di Wilayah Puskesmas Bukateja Purbalingga (p=0.0001) dengan penurunan rata – rata sebesar 30,14 mg%.