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Journal Cover Belitung Nursing Journal
  [3 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Online) 2477-4073
   Published by Belitung Raya Publisher Homepage  [1 journal]
  • TOWARD AN UNDERSTANDING OF NURSING KNOWLEDGE DEVELOPMENT

    • Authors: Le Thi Thanh Tuyen
      Pages: 1 - 7
      Abstract: As nurses, we seek to better understand how to apply nursing knowledge in our daily practice. Nowadays, the term philosophy is widening used in many areas, including nursing. However, there is existence of unclear understanding about nursing knowledge development derived from standpoint of philosophical and methodological perspectives. This article discusses about this issue and mainly focus on empiricism, postpositivistic view, the philosophy of Buddhism and an example related to asthma.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • QUALITY OF LIFE OF PATIENTS WITH END-STOMA IN MEDAN: A PHENOMENOLOGICAL
           STUDY

    • Authors: Fahrizal Alwi, Setiawan Setiawan, Asrizal Asrizal
      Pages: 8 - 15
      Abstract: Background: Colorectal cancer continues to be a serious problem in Indonesia. A common colorectal treatment is surgical removal of the diseased colon, followed by the creation of a colostomy through the abdominal wall to bypass the colorectal function of emptying waste products. Those who require permanent colostomy are likely to have quality of life issues impacting their physical, psychological, social, and spiritual needs. There issues impact persons’ life satisfaction, happiness, and overall quality of life.Objective: The aim of study was to describe the experiences of patients with end-stoma regarding their quality of life.Methods: The study design used descriptive phenomenology following the approach of Collaizzi. There were 12 participants who qualified using purposive sampling based on the inclusion criteria. The data were gathered in-depth interviews. Analysis and interpretation used verbatim descriptions in Bahasa Indonesia and subsequently translated into English language.Results: The research emerged seven themes, namely: (i) becoming limited in doing daily activity, (ii) having limitation during sexual and social intercourse, (iii) having various negative feelings after the existence of end-stoma, (iv) having financial difficulties, (v) attempting to survive with end-stoma, (vi) experiencing changes in fulfilling rest and sleep, physic, and complication, and (vii) having expectation which has to be achieved after having end-stoma. Conclusion: The results show that patients with end-stoma run into spiritual, social, psychological and physical disorder that affect the quality of their life. This study provides an understanding of the quality of life of patients with end-stoma and nurses are able to provide appropriate nursing care.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • THE IMPACT OF HOSPITAL BASED INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS
           TRAINING ON PEDIATRIC NURSE COMPETENCY

    • Authors: Fitri Haryanti, Mohammad Hakimi, Yati Sunarto, Yayi S Prabandari
      Pages: 16 - 23
      Abstract: Background: Although the WHO strategy integrated management of childhood illness (IMCI) for primary care has been implemented in over 100 countries, there is less global experience with hospital-based IMCI training. Until recently, no training had been done in Indonesia, and globally there has been limited experience of the role of IMCI in rebuilding health systems after complex emergencies.Objective: We aimed to examine the effect of hospital-based IMCI training on pedicatric nurse competency and explore the perception of Indonesian doctors, nurse managers and paediatricians about IMCI training and its development in West Aceh, a region that was severely affected by the South-Asian tsunami in December 2004.Methods: This study used stepped wedge design. Training was conducted for 39 nurses staff, 13 midwifes, 6 Head nurses, 5 manager of nurses, 5 doctors, 1 paediatricians, and 3 support facilities  (nutritionist, pharmacist, laboratory) in Cut Nyak Dien (CND) Hospital in Meulaboh, West Aceh, Indonesia. The IMCI training was developed based on the WHO Pocketbook of Hospital Care for Children. A nurses competency questionnaire was used based on the guideline of assessment of the quality of child health services at the first level reference hospitals in districts / municipalities issued by the Ministry of Health in 2007. A linear mixed model was used for data analysis.Results: The hospital based IMCI training improved the competences of nurses paediatric in assessing emergency signs of the sick children, management of cough and difficulty breathing, diarrhoea, fever, nutritional problems, supportive care, monitoring, discharge planning and follow up.  The assessment highlighted several problems in adaptation process of material training, training process and implementation in an environment soon after a major disaster.Conclusion: Hospital based IMCI training can be implemented in a setting after major disasters or internal conflict as part of a rebuilding process.  The program requires strong management support and the emergency phase to be subsided.  Other pre-requisites include the existence of standard operating procedures, adequate physical facilities and support for staff morale and well-being.  Improving the quality of paediatric care requires more than just training and clinical guidelines; internal motivation and health worker support are essential.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • MEN, MASCULINITIES AND HIV/AIDS IN INDONESIA

    • Authors: Abd Risal, Joko Gunawan
      Pages: 24 - 25
      Abstract: None
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • EFFECT OF NATURE SOUND THERAPY ON THE LEVEL OF CORTISOL IN POSTPARTUM
           PRIMIPARA

    • Authors: Yulinda Laska, Suryono Suryono, Melyana Nurul Widyawati, Ari Suwondo, Suryati Kusworowulan
      Pages: 26 - 30
      Abstract: Background: Prevalence of postpartum blues for Asia between 26-85%, while the prevalence in Indonesia is 50-70%. Of all women postpartum can experience this is experiencing stress, almost 80% of primiparous moms experience feelings of sadness after childbirth. These stresses can trigger an increase in cortisol. Music raises changes in brain wave status and stress hormones. Nature Sound music is music that has a slow tempo and can cause feelings relaxed and comfortable.Objective: To examine the effect of the nature music therapy on on cortisol levels in postpartum primipara.Methods: This was a true experimental study with pretest-posttest control group design. The study was conducted in the postpartum ward in the General Hospital of Semarang from November 2016 to January 2017. There were 39 postpartum primipara recruited in this study using simple random sampling divided into three groups: 1) the experiment group who received the nature music therapy for 15 minutes, 2) the experiment group who received the nature music therapy for 30 minutes, and 3) the control group. One-way ANOVA test was performed for data analysis.Results: One-way anova test showed p-value 0.010 (<0.05), which indicated that there was a statistically significant effect of the nature sound therapy on the cortisol level in the postpartum primipara.Conclusion: There was a significant effect of the nature music therapy on the cortisol levels in postpartum primipara. Thus, the application of nature music therapy can be an alternative therapy especially for postpartum primipara who experience emotional stress, physical, anxiety, and fatigue.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • RELATIONSHIP BETWEEN QUALITY OF CARE OF YOUNG MOTHERS AND SOCIAL-EMOTIONAL
           DEVELOPMENT IN PRESCHOOL CHILDREN

    • Authors: Atik Aryani, Sri Warsini, Fitri Haryanti
      Pages: 31 - 38
      Abstract: Background: Social-emotional development in preschooler children is an important component in child development, as it becomes the foundation in preparing children for confidence, empathy and intellect, building trust, and being able to use language in communication and connect with others. One of the factors that affect children's emotional social development is the quality of mother's care. Children of young mothers have risks in emotional and intellectual social problems in children.
      Objective: The purpose of the study was to determine the relationship of quality care of young mothers with social-emotional development in preschool children in the working area of the Health Center of Kemalang, Klaten Regency, Indonesia.
      Methods: This was a correlational analytic research with cross sectional design. The sample of the study was 124 young mothers with preschool children selected using consecutive sampling technique. The study was conducted from July to August 2017 at six kindergarten schools in the working area of the Health Center of Kemalang, Klaten Regency. Data were collected using parent behavior questionnaire and stage social-emotional instrument. Data were analyzed using chi square test.
      Results: Findings showed that 58.1% of young mothers had good quality of care, and 55.6% of preschoolers were at risk of developing emotional social development problems. There was a significant correlation between the quality of care of young mothers with social-emotional development in preschool children (p-value <0.05).
      Conclusion: There was a correlation between the quality of care of young mothers with social-emotional development in preschool children.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • EFFECT OF HYPNO-PRESSURE ON ANXIETY IN PATIENTS WITH CARDIOVASCULAR
           DISORDER

    • Authors: Dwi Antara Nugraha, Sri Endang Pujiastuti, Budi Widiyanto, Choiroel Anwar
      Pages: 39 - 44
      Abstract: Objective: This study aimed to determine the effectiveness of the combination of hypnotherapy and acupressure (hypno-pressure) on anxiety levels in patients with cardiovascular disorders.Methods: A quasy-experimental research with pretest-posttest with control group design was used. Fifty-six respondents were selected using purposive sampling in this study, which 28 respondents were randomly assigned in the experiment and control group. The Spielberger State-Trait Anxiety Inventory (STAI) Form Y was used to measure anxiety. Paired t-test and Independent t-test were used for data analysis.Results: There was a significant effect of hypno-pressure on the decrease of anxiety levels in patients with cardiovascular disorder with p-value 0.000 (<0.05), t = 7.217, and effect size of 1.96.Conclusion: Hypno-pressure could reduce anxiety levels in patients with cardiovascular disorder.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • RELATIONSHIP OF SPIRITUAL-WELLBEING WITH ANXIETY AND DEPRESSION IN
           PATIENTS WITH CARDIAC HEART DISEASE

    • Authors: Aan Nuraeni, Ristina Mirwanti, Anastasia Anna
      Pages: 45 - 50
      Abstract: Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that  spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD  in Indonesia was still unknown.Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients.Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variabels were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and  Spirituality Index of Well-Being scale. Data were taken on 100 respondents within 3 months  in outpatient cardiac unit with the consecutive sampling technique and analyzed  by spearman correlation test.Results: The results showed mean of the anxiety; depression; and spiritual well-being respectively were 47.66; 43; and 60.   Based on spearman test, spiritual wellbeing correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571).Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with a negative correlation direction. The higher the spiritual well-being will be the lower the level of anxiety and depression. Thus nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • EFFECT OF PEER EDUCATION MODEL ON KNOWLEDGE AND SELF-EFFICACY OF CHILDREN
           IN THE PREVENTION OF PHYSICAL SEXUAL VIOLENCE

    • Authors: Rufaida Nur Fitriana, Chriswardani Suryawati, Zubaidah Zubaidah
      Pages: 51 - 57
      Abstract: Background: The rate of incidence of physical assault on school children increases from year to year. Efforts to prevent child sexual violence can be done through school-based education with student empowerment.Objective: To identify the effect of education by peers on the knowledge and self-efficacy of primary school children in preventing sexual violence in Grabag Sub-district, Magelang regency.Methods: This study was a quasi experimental study with pretest and posttest non-equivalent control groups. A total of 84 school-aged children were purposively recruited from two different primary schools. Each group consisted of 42 respondents. Children's Knowledge of Abuse Questionnaire-Revised III (CKAQ-RIII) instrument was used to measure knowledge and self-efficacy questionnaire was measured for self-efficacy. Data were analyzed using Wilcoxon and Chi-square testResults: The study showed that a statistically significant difference both in the variables of knowledge (P=0.008) and self-efficacy (p=0.000) in the intervention group after given peer education treatment.Conclusion: Educational interventions by peers can improve the knowledge and self-efficacy of primary school-aged children in preventing sexual violence. Peer education can be used as an effort to prevent sexual violence in children through school empowerment programs. 
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • SLOW DEEP PURSED-LIPS BREATHING EXERCISE ON VITAL LUNG CAPACITY IN
           POST-EXTUBATION PATIENTS IN THE INTENSIVE CARE UNIT

    • Authors: Heru Supriwandani, Mardiyono Mardiyono, Warijan Warijan
      Pages: 58 - 67
      Abstract: Background: The incidence of respiratory failure reaches 20-75 cases per 100,000 population each year with mortality rate reaching 30-50%. Provision of respiratory assistance with mechanical ventilation is provided with an indication of the inability of the respiratory function for optimal alveolar ventilation. Efforts to restore lung oxygenation ventilation function can be done through breathing exercises and are expected to improve pulmonary ventilation function.Objective: This study was to examine the effectiveness of the modified Slow Deep Pursed-Lips Breathing Exercise (SDPLBE) on vital lung capacity in patients post-extubation of mechanical ventilators.Methods: This was  a true experimental study with pretest posttest control group design. Thirty respondents were selected using stratified random sampling, with 15 samples assigned in the experiment and control group. Peak flow meter was used to measure vital lung capacity (FEV1 value). Repeated measures ANOVA was used for data analysis.Results: There was a significant difference on respondent's vital lung capacity after given slow deep pursed lips-breathing exercise at each session from session 1 to session 8 (p=0.000). However both groups were not yet able to achieve ≥ 400 mL / min, but the experiment group was closer to the normal value (369) than the control group.Conclusion: Slow Deep Pursed-Lips Breathing Exercise may increase vital lung capacity in patients post-extubation of mechanical ventilator.  
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • EFFECT OF HEALTH EDUCATION OF SLEEP HYGIENE ON SLEEP PROBLEMS IN
           PRESCHOOLERS

    • Authors: Eka Wahyuningrum, Sri Hartini, Ibrahim Rahmat
      Pages: 68 - 75
      Abstract: Background: Children need adequate sleep for good health status. Without a balanced sleep, it will encourage the emergence of serious health or developmental problems. Previous studies showed more than 40% of preschoolers experienced sleep problems.Objective: To examine the effect of HESH (Health Education of Sleep Hygiene) on sleep problems in preschoolers.Methods: Pretest posttest design non-equivalent control group was used in this study. Sixty participant recruited by consecutive sampling. Parents in the experimental group received health education using power point and booklet HESH for 100 minutes, parents in the control group received health education using power point for 100 minutes without booklet HESH. Telephone follow up was done for evaluation program. Sleep problem was measured with Children’s Sleep Habits Questionnaire (CSHQ) completed by children’s parents. Data analysis used unpaired t-test with 95% confidence interval.Results: The result showed that there was effect of HESH toward sleep problems in preschooler (experimental group: -3.367±5.269; control group:  0.033±5.061, p= 0.015).Conclusion: HESH in parents could decrease sleep problems in preschoolers in Indonesia. It is expected that HESH can be used as an alternative nursing intervention involved parents to decreases sleep problem in preschooler.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • VALUE OF CLINICAL PULMONARY INFECTION SCORE IN CRITICALLY ILL PATIENTS:
           BETWEEN THE USE OF CHLORHEXIDINE AND PIPER BETLE LINN MOUTHWASH

    • Authors: Irfany Nurul Hamid, Rr Sri Endang Pujiastuti, Dwi Ari Widigdo, Djenta Saha
      Pages: 76 - 82
      Abstract: Background: One of the complications of ventilator use in patients in Intensive Care Unit (ICU) is Ventilator-Associated Pneumonia (VAP). Oral hygienes is one of the methods to prevent VAP.Objective: The objective of this study was to compare the value of clinical infection score (CPIS) in critically ill patients after given oral hygiene using chlorhexidine and Piper betle Linn mouthwash.Methods: This was an observational study with cross-sectional study design, which consisted of two intervention groups. Thirty respondents were selected using total sampling, with 15 respondents randomly assigned in each group. Independent t-test was used for data analysis.Results: Findings showed that  the mean of CPIS in the Piper betle Linn group was 3.80 and the mean of CPIS in the chlorhexidine group was 4.07.Conclusion: CPIS in the treatment group using Piper betle Linn mouthwash was lower than the mean of CPIS in the treatment group using clorhexidine. 
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • EFFECTIVENESS OF COLD PACK WITH EARLY AMBULATION IN PREVENTING
           COMPLICATIONS OF HAEMORRHAGE AND HAEMATOMA IN PATIENTS POST CARDIAC
           CATHETERIZATION

    • Authors: Rizal Ginanjar, Soeharyo Hadisaputro, Mardiyono Mardiyono, Sudirman Sudirman
      Pages: 83 - 88
      Abstract: Objective: To examine the effect of early ambulation with cold pack on the prevention of bleeding and haematoma complications in patients post-cardiac catheterization. Methods: This research used an experimental method with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, with 15 assigned in the experiment and control group. The experiment group was given cold pack and early mobilization, while the control group was given sand pillow with immobilization for 6 hours. Independent t-test and Fisher’s exact test were used for data analysis.Results: Findings showed that there was no significant difference in hemorrhage between experiment and control group after given intervention (p= 1.000), and found a significant difference in hematoma between the two groups  (p=0.001).Conclusion: Cold packs with early ambulation and sand pillow with immobilization for 6 hours were equally effective in preventing hemorrhage. However, cold packs with early ambulation was more effective in preventing haematoma.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • EFFECT OF HARIRING KABAYAN INSTRUMENTAL MUSIC THERAPY ON PAIN AND ANXIETY
           LEVEL IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

    • Authors: Arip Rahman, Bedjo Santoso, Sudirman Sudirman
      Pages: 89 - 97
      Abstract: Background: Death due to acute myocardial infarction (AMI) continues to increase every year. Efforts to prevent AMI complications through the control of pain and anxiety with the approach of classical music therapy have been widely practiced, but the approach through local music has not been much done when Transcultural Nursing theory emphasizes the importance of cultural approaches in nursing care, while Indonesia has a lot of local music that is a cultural potential which needs to be developed.Objective: This study aims to know the effect of Hariring Kabayan Instrumental music therapy in reducing pain and anxiety of AMI patients after 24 hours of CICU admission.Methods: This was a quasi-experimental study with pretest-posttest control group design.  There were 32 participants selected using concecutive sampling, which 16 assigned in the experiment and control group. Hariring Kabayan therapy was played at 60 BPM using headphones  connected to the MP3 player for 30 minutes. Numerical Pain Rating Scale (NPRS) was used to measure pain and Numerical Rating Scale Anxiety (NRS-A) was used to measure anxiety. Data were analyzed using paited t-test and Independent t-test.Result: Hariring Kabayan instrumental music therapy given for 30 minutes gave a significant change on pain in the respondents (p = 0.005) but did not give significant change on anxiety (p = 0.053) with significant value of 0.05.Conclusion: Hariring Kabayan instrumental music therapy is effective in reducing pain in AMI patients but ineffective in anxiety reduction.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • EFFECT OF SPIRITUAL NURSING CARE ON THE LEVEL OF ANXIETY IN PATIENTS WITH
           STROKE

    • Authors: Bernadeta Trihandini, Diyah Fatmasari, Lucia Endang Hartati YK, Sudirman Sudirman
      Pages: 98 - 103
      Abstract: Background: Anxiety in stroke patients occurs as a normal reaction to stress with life changes; however, when it becomes excessive, It becomes disabling. Effort to deal with anxiety is needed and spiritual approach nursing care is considered useful in caring patients with stroke.Objective: To examine the effect of spiritual nursing care on anxiety in stroke patients in the inpatient ward.Methods: This study used a quasy experimental design with pretest-postest control group. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in the experiment and control group. The Hamilton Anxiety Rating Scale was used to measure anxiety. Data were analyzed using paired t-test and independent t-test.Results: The results showed that the mean level of anxiety in the experiment group before intervention was 29.33 and decreased to 9 after intervention, while in the control group the mean level of anxiety before intervention was 29.47 and decreased to 17.73 after intervention. Paired t-test obtained p-value 0.000 (<0.05), which indicated that there was a significant effect of spiritual nursing care on anxiety levels in patients with stroke.Conclusion: Spiritual nursing care could reduce anxiety in patients with stroke. 
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • COMBINATION OF HYPNOSIS THERAPY AND RANGE OF MOTION EXERCISE ON
           UPPER-EXTREMITY MUSCLE STRENGTH IN PATIENTS WITH NON-HEMORRAGHIC STROKE

    • Authors: Chandra Irawan, Mardiyono Mardiyono, Suharto Suharto, Aris Santjaka
      Pages: 104 - 111
      Abstract: Background: Range of Motion (ROM) exercise has been identified in the literature that it has an effect in improving muscle strength, especially in patients with stroke. However, little is known about the effect of ROM exercise combined with hypnosis therapy.Objective: To determine the effect of combination of hypnosis therapy and ROM exercise on upper extremity muscle strength in patients with non-hemorrhagic.Methods: This study employed a quasy experiment with pretest-posttest control group design. Thirty-two samples were selected using simple random sampling, which 16 randomly assigned in the experiment and control group. Muscle strength was measured using Muscle Strength Scale. Hypnosis Deepening test was used to measure the level of hypnosis depth. Paired t-test and Independent t-test were used for data analysis.Results: The mean value of muscle strength in the experiment group was 3.50 and  the mean value in the control group  was 2.62. Independent sample t-test obtained p-value = 0.012, indicated that there was a statistically significant difference in the mean of muscle strength of upper extremity in the experiment and control group. Paired t-test obtained p-value = 0.000, which indicated that there was significant difference between the average of muscle strength value before and after treatmentConclusion: The combination of hypnosis therapy and ROM exercise has a significant effect in increasing muscle strength of upper extremity in patients with stroke non-haemorrhagic.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
  • EFFECT OF FAMILY PSYCHOEDUCATION ON CAREGIVER SUPPORT IN THE TREATMENT OF
           PATIENTS WITH TYPE II DIABETES MELLITUS

    • Authors: Andika Siswoaribowo, Mateus Sakundarno, Muhammad Mu’in
      Pages: 112 - 119
      Abstract: Background: Diabetes Mellitus is a chronic disease that requires treatment for long periods of time so it can cause physical and psychological problems for sufferers and families (caregiver). Caregiver's role is expected to provide support for people with diabetes mellitus. Family psychoeducation is a strategy that can be applied for caregiver in overcoming problems that arise during the treatment of patients with diabetes mellitus.Objective: This study aims to determine the effect of family psychoeducation on caregiver support in the treatment of patients with diabetes mellitus type II.Methods: This research used a quasi experiment with  pre-test post-test control group design. A total of 46 caregivers and patients with diabetes mellitus were recruited puposively, with 23 respondents assigned in the experiment and control group. Caregiver support scale was used to measure caregiver support, and Hensarling Diabetes Family Support Scale (HDFSS) for measuring perception of patients toward the treatment of caregiver.  Data were analyzed using paired t-test and independent t-test. Results: Findings showed there was an increase of caregiver knowledge from 5.39 to 9.09 and an improvement of caregiver treatment from 40.30 to 67.04 after given family psychoeducation. There was a significant difference of caregiver support in the experimental and control group with p-value <0.001 (<0.05).Conclusion: Family psychoeducation can increase caregiver support in the treatment of diabetes mellitus patients. The intervention can be one of nurses interventions in the empowerment of family in improving the treatment of chronic diseases, particularly in diabetes mellitus.
      PubDate: 2018-02-27
      Issue No: Vol. 4, No. 1 (2018)
       
 
 
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