Belitung Nursing Journal最新文献

{"title":"Associations between family care, organizational support, psychological resilience, and professional quality of life of emergency department nurses in China: A cross-sectional study.","authors":"Gang Liu, Shaohua Hu, Peipei Ding","doi":"10.33546/bnj.4272","DOIUrl":"10.33546/bnj.4272","url":null,"abstract":"<p><strong>Background: </strong>Emergency department nurses face substantial occupational stress due to frequent exposure to high-risk, unstable, and unpredictable clinical environments. However, research on nurses' professional quality of life (ProQOL) has largely focused on other specialties, leaving ED nurses underrepresented. Addressing this gap is essential to improving professional well-being and job satisfaction.</p><p><strong>Objective: </strong>This study aimed to examine the associations between family care, organizational support, psychological resilience, and ProQOL among emergency department nurses.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from July 6 to July 31, 2024, involving 441 emergency department nurses from 18 tertiary hospitals in 16 cities in Anhui Province, China. Data were collected using anonymous paper-based questionnaires and analyzed using descriptive statistics, <i>t</i>-tests, one-way ANOVA, Kruskal-Wallis H tests, Pearson's correlation analysis, and multiple linear regression.</p><p><strong>Results: </strong>Compassion satisfaction differed significantly by sex (Z = -2.677, |d| = 0.231, p = 0.007), professional level (H = 17.675, η² = 0.035, <i>p</i> < 0.001), and number of night shifts (H = 10.571, η² = 0.022, <i>p</i> = 0.005). Burnout scores varied significantly by professional level (H = 8.861, η² = 0.016, p = 0.012), number of night shifts (H = 8.357, η² = 0.021, <i>p</i> = 0.015), and presence of chronic illness (Z = -2.029, |d| = 0.437, <i>p</i> = 0.042). Secondary traumatic stress differed significantly according to chronic illness history (Z = -2.232, |d| = 0.341, <i>p</i> = 0.026). Family care, organizational support, and psychological resilience were positively correlated with compassion satisfaction (<i>r</i> = 0.382, 0.549, and 0.562, respectively; all <i>p</i> < 0.001) and negatively correlated with burnout <i>(r</i> = -0.333, -0.405, and -0.497, respectively; all <i>p</i> < 0.001). Regression analyses indicated that family care, organizational support, and psychological resilience significantly predicted compassion satisfaction (<i>adjusted R²</i> = 0.458), while burnout was significantly associated with intention to leave the ED, family care, organizational support, and psychological resilience (<i>adjusted R²</i> = 0.358).</p><p><strong>Conclusion: </strong>The findings provide evidence that family care, organizational support, and psychological resilience are associated with the ProQOL of nurses working in emergency departments. In China, these results offer useful references for regions facing similar emergency care pressures (e.g., high workloads in tertiary hospitals, nurse shortages) to optimize nurse well-being interventions. They also provide a foundation for developing targeted strategies to enhance nurses' professional well-being and job satisfaction.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"11-20"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of loneliness and quality of life among rural community-dwelling older adults in Egypt: A cross-sectional descriptive study.","authors":"Hassanat Ramadan Abdel Aziz, Ayman Mohamed El-Ashry, Ateya Megahed Ibrahim, Safia Gomaa Mohammed","doi":"10.33546/bnj.4293","DOIUrl":"10.33546/bnj.4293","url":null,"abstract":"<p><strong>Background: </strong>Loneliness in later life is common and is strongly associated with poorer quality of life (QoL). However, evidence from rural Egypt remains limited, particularly community-based studies that concurrently examine loneliness and QoL and their health, social, religious, and leisure-related determinants. This gap limits the development of culturally appropriate nursing and community interventions for rural older adults.</p><p><strong>Objective: </strong>To assess the levels of loneliness and QoL and to identify their determinants among community-dwelling older adults in a rural Egyptian setting.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted between July and September 2023 in a randomly selected rural village in Sharkia Governorate, Egypt. Using multistage probability sampling, 143 community-dwelling adults aged 60 years and older were recruited. Data were collected using structured and validated questionnaires. Descriptive statistics, Pearson correlation coefficients, and multiple linear regression analyses were performed.</p><p><strong>Results: </strong>Participants had a mean age of 70.87 ± 8.50 years, and 52.4 percent were women. High loneliness was reported by 43.4 percent of participants, while 73.4 percent had low overall quality of life. Loneliness was strongly and inversely correlated with quality of life and was positively correlated with age and disease burden, while quality of life was negatively associated with age and number of chronic diseases and positively associated with education, income, social support, religious rituals, and leisure activities in bivariate analyses (all <i>p</i> <0.001). In exploratory multivariable analyses, quality of life was independently associated with age, education, current employment, number of chronic diseases, social support, and loneliness (<i>R²</i> = 0.743), while loneliness was associated with age, number of visitors, religious rituals, and leisure activities (<i>R²</i> = 0.451).</p><p><strong>Conclusion: </strong>Loneliness and low quality of life are highly prevalent among community dwelling older adults in rural Egypt and are closely linked to aging, chronic disease burden, social resources, and engagement in meaningful activities. For nursing practice, these findings support the routine screening of loneliness and quality of life in primary and chronic care settings, the integration of social support and activity-based interventions into care plans, and collaboration with community and faith-based organizations to deliver culturally appropriate strategies aimed at reducing loneliness and enhancing quality of life among rural older populations.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"30-39"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health needs of patients with permanent colostomy in North China: A longitudinal qualitative study based on the \"Timing It Right\" framework.","authors":"Baoyu Liu, Liyan Wang, Qingqing Li, Xiaoli Pang","doi":"10.33546/bnj.4214","DOIUrl":"10.33546/bnj.4214","url":null,"abstract":"<p><strong>Background: </strong>Colostomy surgery is the most common method used for the radical treatment and prolongation of life in patients with intestinal diseases. However, patients who undergo a colostomy face various physiological, psychological, and social challenges after the procedure. This necessitates that nurses deliver targeted care tailored to the specific needs of different stages and individual patients.</p><p><strong>Objective: </strong>This study aimed to understand the experiences of health needs of patients with colostomy in order to effectively improve their quality of life across different phases.</p><p><strong>Methods: </strong>A longitudinal qualitative study was conducted. Data were collected between July 2022 and March 2023. A total of 15 patients with permanent colostomy were selected to participate in unstructured interviews, guided by the \"Timing It Right\" framework. Data analysis was conducted using NVivo 12 software following Colaizzi's methods.</p><p><strong>Results: </strong>The findings were organized according to the five distinct phases of the \"Timing It Right\" framework. Three key themes were revealed from the analysis: (1) Meeting physiological needs is the basis for patients with colostomy to recover; (2) Satisfying psychological needs is a necessary condition for improving the quality of life of patients with colostomy; (3) Social adaptation needs are effective ways to improve the quality of life of patients with colostomy.</p><p><strong>Conclusions: </strong>Based on the \"Timing It Right\" framework, the health status and needs of patients with colostomy differ across the following phases: diagnosis period, perioperative period, discharge preparation period, adjustment period, and adaptation period. This study not only provides a preliminary conceptual model for in-depth investigation of these patients' health needs at each phase but also offers directional guidance for the future development of phase-specific, patient-centered nursing intervention strategies to better address their dynamic health demands.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"89-96"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' perspectives on emergency room healthcare constraints in implementing family-centered care: A qualitative study in Indonesia.","authors":"Windy Rakhmawati, Mufida, Henny Suzana Mediani, Siti Yuyun Rahayu Fitri, Ai Mardhiyah, Putri Rhamelani","doi":"10.33546/bnj.4243","DOIUrl":"10.33546/bnj.4243","url":null,"abstract":"<p><strong>Background: </strong>Children with acute conditions that suddenly worsen need immediate care in the Emergency Room (ER). Family-Centered Care (FCC) is considered the best approach in pediatric nursing, but its implementation in the ER is still limited. This is due to various challenges that can increase child and family anxiety and decrease the quality of nursing care.</p><p><strong>Objective: </strong>This study aimed to explore nurses' perspectives on the constraints of the health service system in implementing FCC in child care in the ER.</p><p><strong>Methods: </strong>The study used a qualitative descriptive design. Eleven nurses working in the ER at Mokopido Tolitoli Regional Hospital participated in the study, which were chosen through purposive sampling. Data were collected using semi-structured interviews conducted from July 11 to July 23, 2023. Data were analyzed manually using a thematic approach.</p><p><strong>Results: </strong>The thematic analysis revealed two main interrelated themes regarding barriers to FCC in the ER: human resource constraints and organizational constraints. Human resource constraints include limited nursing staff, varying educational levels, lack of training or outreach on FCC, lack of competency, and communication barriers. Meanwhile, organizational constraints include high ER workloads, limited nurse time, and a focus on emergency medical procedures rather than a holistic approach. These various barriers lead to suboptimal family involvement in the care of children in the ER.</p><p><strong>Conclusion: </strong>The implementation of FCC in the ER still faces major challenges. These findings highlight the need for a strategic approach and supportive policies to improve nurse capacity and foster a collaborative and responsive hospital environment for patients' families.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a health literacy program on self-management behaviors of patients with uncontrolled type 2 diabetes in Thailand: A quasi-experimental study.","authors":"Mathaka Sriklo, Kanchita Sermsinsiri","doi":"10.33546/bnj.4156","DOIUrl":"10.33546/bnj.4156","url":null,"abstract":"<p><strong>Background: </strong>Uncontrolled type 2 diabetes results in major complications that threaten patients' life. Patients with uncontrolled type 2 diabetes often have inadequate health literacy, making them less motivated to perform self-management behaviors for glycemic control. Earlier health literacy interventions were effective in promoting self-management behaviors and reducing blood glucose, but evidence is lacking for those with uncontrolled type 2 diabetes.</p><p><strong>Objective: </strong>This study aimed to investigate the effect of a health literacy program on self-management behaviors of patients with uncontrolled type 2 diabetes.</p><p><strong>Methods: </strong>This two-group quasi-experimental study with pre-posttest design was done between September 2024 and June 2025. The participants were 64 patients with uncontrolled type 2 diabetes who lived in a community in a province in central Thailand selected using simple random sampling. The experimental group (<i>n</i> = 32) underwent the health literacy program with eight weekly sessions along with usual care while the control group (<i>n</i> = 32) was given usual care only. Data were collected using a Demographic Data Questionnaire, the Functional, Communicative and Critical Health Literacy Scale, the Self-Management Behavior Scale, and hemoglobin A1C (HbA1C) testing. Data analysis was performed with descriptive statistics, paired <i>t</i>-test and independent <i>t</i>-test.</p><p><strong>Results: </strong>No significant between-group differences were noted in baseline data. At post-test, the experimental group had a significantly higher mean score of overall health literacy (<i>t</i> = 3.720, Cohen's <i>d</i> = 2.67), functional health literacy (<i>t</i> = 0.399, Cohen's <i>d</i> = 2.43), communicative health literacy (<i>t</i> = 7.90, Cohen's <i>d</i> = 1.76), and critical health literacy (<i>t</i> = 12.972, Cohen's <i>d</i> = 3.14), and self-management behavior (<i>t</i> = 21.862, Cohen's <i>d</i> = 2.84), and a significantly lower level of HbA1C (<i>t</i> = 3.436, Cohen's <i>d</i> = -0.82) than before receiving the program and than the control group (all <i>p</i> <0.01).</p><p><strong>Conclusion: </strong>This study offers evidence for the program's efficacy in raising health literacy, which in turn improves self-management behavior and decreases HbA1C in patients with uncontrolled type 2 diabetes. Nurses can incorporate program activities in empowering patients for diabetes control by promoting their ability to seek and comprehend health information, communicate effectively during medical visits, and develop critical thinking abilities on diverse health determinants.</p><p><strong>Trial registry number: </strong>Thai Clinical Trials Registry (TCTR20250624001).</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"97-105"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Indonesian fathers' educational needs in newborn care: A qualitative study.","authors":"Ayuda Nia Agustina, Anggi Pratiwi, Putri Mahardika","doi":"10.33546/bnj.4235","DOIUrl":"10.33546/bnj.4235","url":null,"abstract":"<p><strong>Background: </strong>Father involvement in newborn care is increasingly recognized as a key determinant of infant health and family well-being. In Indonesia, paternal roles in neonatal care are often overlooked, and father-specific educational support remains limited. Understanding fathers' lived experiences and learning needs is essential for developing effective, culturally appropriate interventions.</p><p><strong>Objective: </strong>This study aimed to explore the experiences and educational needs of Indonesian fathers in newborn care.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted using a thematic analysis approach. Sixteen fathers of infants aged 0-12 months were recruited through purposive sampling in Jakarta and the surrounding areas. Data were collected in 2024 through in-depth semi-structured interviews and analyzed using Braun and Clarke's six-step framework. Trustworthiness was ensured through audit trails, member checking, and peer debriefing.</p><p><strong>Results: </strong>Three major themes emerged: (1) social media as the main source of information, (2) fathers' practical involvement and learning needs in baby care, and (3) preference for visual and practical learning media. Fathers expressed strong motivation to be involved but faced challenges accessing reliable, father-focused educational content. Their learning preferences were shaped by practicality, time constraints, and the need for culturally relevant materials.</p><p><strong>Conclusion: </strong>Indonesian fathers are eager to participate in newborn care but lack structured educational support tailored to their needs. Pediatric nurses play a critical role in developing father-inclusive, digital, and culturally responsive interventions that enhance paternal self-efficacy and caregiving competence. Future programs should integrate father-focused digital interventions, such as video-based tutorials and podcasts, into pediatric nursing practice to effectively bridge the educational gap.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"106-112"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home medication review and drug-related problems in patients with chronic diseases at primary health centers in Yogyakarta, Indonesia: A cross-sectional multicenter study.","authors":"Vitarani Dwi Ananda Ningrum, Yunilistianingsih, Muslimatul Khotimah, Nirma Atin Shintia, Septia Rahayu Efendi, Cindy Pramudyah Dewani, Hana Trisna Andini, Rahma Yuantari","doi":"10.33546/bnj.4185","DOIUrl":"10.33546/bnj.4185","url":null,"abstract":"<p><strong>Background: </strong>The high incidence of Drug-Related Problems (DRPs), including medication adherence among patients with chronic diseases, especially during no direct monitoring by health workers, becomes a challenge to therapy success. Home Medication Review (HMR) is an alternative solution in primary healthcare services to avoid further complications.</p><p><strong>Objective: </strong>This study aimed to analyze DRPs, their affecting factors, and DRP interventions for patients with chronic diseases in primary health centers (Puskesmas) through HMR.</p><p><strong>Methods: </strong>A quantitative, cross-sectional observational study using purposive sampling was conducted in several Puskesmas in Yogyakarta from February to May 2023. The collaborative HMR involved healthcare providers at each Puskesmas. DRPs were assessed based on observations and semi-structured interviews. The DRP classification followed PCNE V9.1, and medication adherence was measured using both pill counts and self-report via the MARS-10 questionnaire. Data were analyzed using SPSS 25.0 to perform logistic regression with a 95% confidence level.</p><p><strong>Results: </strong>A total of 544 patients, comprising 269 adults and 275 older patients, were involved. Older patients experienced more DRPs than the adults (94.2% vs 84.8%). The most DRP experienced by both age groups was ineffective therapies, with the two most frequent causes being related to patient factors. Among the adults, hypertension comorbidity, number of medications, and BMI factors were associated with DRPs (<i>p</i> < 0.05). In contrast, no factors correlated with DRPs in the older patients. There was fair agreement between pill count and MARS-10 regarding medication adherence for both adults and older patients (kappa coefficients of 0.298 and 0.355, respectively).</p><p><strong>Conclusion: </strong>Patients in primary health facilities with hypertension and using at least three medications have over a three-fold increased risk of experiencing DRPs. Healthcare providers, including pharmacists, nurses, and physicians, should collaborate to identify medication-related issues and provide personalized advice and management plans to enhance medication adherence. This study highlights the need for a standardized, structured HMR program, not merely as a patient home visit but also to better control chronic diseases.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"58-67"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-sensitive health service framework for women prisoners in Thailand: A qualitative study.","authors":"Threenush Kumtanat, Somporn Rungreangkulkij","doi":"10.33546/bnj.4173","DOIUrl":"10.33546/bnj.4173","url":null,"abstract":"<p><strong>Background: </strong>Prison health is increasingly recognized as part of community health, especially as the population of incarcerated women grows and presents unique health needs. Yet, evidence on how Thailand's prison health system addresses gender sensitivity, particularly when viewed through the WHO's Six Building Blocks framework, remains limited. This system-level knowledge gap restricts efforts to improve equitable care for women prisoners.</p><p><strong>Objective: </strong>This study explored health service delivery for women prisoners in Northeastern Thailand from September 2022 to August 2024 through the WHO's Six Building Blocks framework, identifying barriers, enablers, and policy implications for gender-sensitive prison healthcare.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed. Data were collected through participatory and non-participatory observations, in-depth interviews, and document reviews with 35 informants, and analyzed using the WHO Health System Framework. Trustworthiness was ensured by triangulation, member checking, and prolonged engagement.</p><p><strong>Results: </strong>The healthcare system encompassed all six WHO building blocks: service delivery, health workforce, health information, access to medicines and technologies, financing, and governance. However, gaps persisted in gender-sensitive services such as gynecological and trauma-informed care, nurse workload, and budget allocation. Initiatives such as telemedicine and the Pansuk Project provided support but were insufficient to address women's specific vulnerabilities.</p><p><strong>Conclusion: </strong>While structural improvements have been achieved, strengthening gender-sensitive care is necessary. Nurses should integrate trauma-informed and gynecological competencies, supported by better shift management and telemedicine systems. Policy measures, including gender-responsive budgeting and inter-ministerial collaboration, are crucial to the sustainable integration of prison health into national public health.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"68-78"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phone-based motivational interviewing intervention among patients undergoing cardiac rehabilitation: A randomized controlled trial in China.","authors":"Yu Wang, Chintana Wacharasin, Khemaradee Masingboon","doi":"10.33546/bnj.4258","DOIUrl":"10.33546/bnj.4258","url":null,"abstract":"<p><strong>Background: </strong>Maintaining regular physical activity (PA) is a critical challenge for patients undergoing cardiac rehabilitation (CR), as inadequate adherence can lead to adverse outcomes, including disease recurrence. Enhancing motivation is key to improving PA adherence. Motivational interviewing (MI) has been shown to overcome psychological barriers by building intrinsic motivation. However, there is a need to explore how to integrate MI techniques with digital technology to enhance intervention accessibility and leverage the strengths of both approaches.</p><p><strong>Objective: </strong>This study aimed to evaluate the effects of a hybrid intervention model integrating phone-based motivational interviewing with mobile phone-based management on motivation and physical activity in patients undergoing CR.</p><p><strong>Methods: </strong>This pilot randomized controlled trial was conducted in China between January and June 2024, involving 52 patients undergoing cardiac rehabilitation. The intervention group (<i>n</i> = 25) received usual care plus a 4-week phone-based motivational interviewing intervention, which included a face-to-face session, weekly phone MI sessions (OARS technique), and personalized support via WeChat. The control group (<i>n</i> = 27) received only usual cardiac rehabilitation guidance. Outcomes measured were steps/day (using a smart band) and motivation, assessed using the Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2). Two-way repeated-measures ANOVA was used for data analysis.</p><p><strong>Results: </strong>Compared with the control group, the intervention group showed a significant interaction effect of Group*Time on both steps/day (<i>p</i> <0.001, ηp² = 0.706) and the BREQ-2 (RAI) (<i>p</i> <0.001, ηp² = 0.349). The intervention group's daily steps significantly increased from 3582.80 ± 649.59 to 9444.79 ± 1413.72 (<i>p</i> <0.001).</p><p><strong>Conclusion: </strong>This study indicates that a phone-based motivational interviewing intervention delivered by trained researchers can effectively increase physical activity levels and enhance autonomous motivation for PA in CR patients. This approach provides a scalable model for the routine care of cardiac rehabilitation patients, especially in resource-limited settings. For nursing practice, the findings highlight the importance of incorporating MI as a core skill and utilizing a hybrid, technology-supported care model to extend continuous professional support into patients' homes.</p><p><strong>Trial registry number: </strong>Chinese Clinical Trial Registry (ChiCTR2400079877).</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"12 1","pages":"40-48"},"PeriodicalIF":1.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life and its associated factors among patients with type 2 diabetes mellitus in East Bolaang Mongondow, Indonesia: A cross-sectional study.","authors":"Marjes Netro Tumurang, Grace Irene Viodyta Watung, Ake Royke Calvin Langingi","doi":"10.33546/bnj.3942","DOIUrl":"https://doi.org/10.33546/bnj.3942","url":null,"abstract":"<p><strong>Background: </strong>Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance and progressive β-cell dysfunction, leading to long-term complications that negatively affect patients' quality of life (QoL). Various demographic, psychological, and clinical factors influence QoL. However, limited research has explored these associations within the sociocultural context of a rural regency in Indonesia, where variations in healthcare access, education, and economic conditions may uniquely affect QoL.</p><p><strong>Objective: </strong>This study aimed to examine the relationships between clinical and demographic factors and QoL among patients with T2DM.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from June 2024 to February 2025 with 1,030 adult T2DM patients recruited via purposive sampling. QoL was assessed using the Diabetes Quality of Life Scale (DQOL), and anxiety was measured using the State-Trait Anxiety Inventory (STAI). Additional data on employment status, disease duration, age, and therapy type were collected via structured questionnaires. Data were analyzed using SPSS 27 with univariate, bivariate (chi-square), and multivariate logistic regression analyses. Statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Descriptively, most participants were female (90.8%), aged 51-60 years (59.7%), and had completed senior high school (84%). Overall, 61.2% reported good QoL. Anxiety was mild in 73.3% and moderate in 26.7% of participants. Multivariate logistic regression indicated that moderate anxiety (<i>OR</i> = 2.78; 95% CI [1.48-5.25], <i>p</i> = 0.041), disease duration ≥5 years (<i>OR</i> = 10.24; 95% CI [2.13-12.40], <i>p</i> = 0.027), older age (≥50 years) (<i>OR</i> = 8.94; 95% CI [2.15-14.73], <i>p</i> = 0.032), unemployment (<i>OR</i> = 3.66; 95% CI [1.03-13.07], <i>p</i> = 0.030), and insulin therapy (<i>OR</i> = 11.3; 95% CI [2.80-12.60], <i>p</i> = 0.019) were significantly associated with poor QoL. The model showed good fit (Hosmer-Lemeshow <i>χ²</i> = 5.32, <i>p</i> = 0.72) and moderate explanatory power (Nagelkerke <i>R²</i> = 0.24).</p><p><strong>Conclusion: </strong>Longer disease duration, older age (≥50 years), unemployment, moderate anxiety, and insulin therapy were significantly associated with lower QoL among T2DM patients. These findings emphasize the need for integrated care strategies combining educational, psychosocial, and socioeconomic interventions. Nursing practice should prioritize holistic, patient-centered approaches incorporating psychological support, individualized education, and social empowerment.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"770-776"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145639793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}