Belitung Nursing Journal最新文献

{"title":"Health literacy on Mpox among Brazilian men who have sex with men: Findings from a national cross-sectional study.","authors":"Guilherme Reis de Santana Santos, Caíque Jordan Nunes Ribeiro, Lariane Angel Cepas, Carolina da Silva Bulcão, Rita de Cassia Dias Nascimento, Anderson Reis de Sousa, Inês Fronteira, Isabel Amélia Costa Mendes, Ana Paula Morais Fernandes, Álvaro Francisco Lopes de Sousa","doi":"10.33546/bnj.3974","DOIUrl":"https://doi.org/10.33546/bnj.3974","url":null,"abstract":"<p><strong>Background: </strong>In 2022, Mpox presented significant challenges globally, particularly in Brazil, where cases surged among men who have sex with men (MSM). Health literacy (HL) is essential for promoting health within this group.</p><p><strong>Objective: </strong>To analyze the HL of MSM in the context of Mpox transmission in Brazil.</p><p><strong>Methods: </strong>This was a national cross-sectional study conducted in a virtual setting. An electronic survey was carried out from September to December 2022. A translated and adapted version of the Health Literacy Scale (HLS-14) and a questionnaire containing sociodemographic information, sexual behaviors, and knowledge and beliefs about Mpox were administered. The distribution of predictor variables across health literacy (HL) levels was explored descriptively. Associations between predictors and HL were analyzed using Pearson's Chi-square test (<i>p</i> < 0.20 for inclusion in multivariate analysis). A generalized linear Poisson model with robust variance was used to estimate adjusted prevalence ratios (aPR) and 95% confidence intervals. Model fit was assessed with the omnibus test and information criteria (AIC, deviance, log-likelihood). Significance was set at <i>p</i> <0.05.</p><p><strong>Results: </strong>The final sample included 1,449 MSM, with an overall prevalence of 53.83% (<i>n</i> = 780) for satisfactory HL. In the bivariate analysis, 15 of the 27 variables met the statistical criterion (<i>p</i> <0.20) for inclusion in the multivariate model, with six retained in the final model. Reporting non-adherence to treatment if diagnosed with Mpox (aPR: 1.73; 95% CI: 1.44-2.07), a prior Mpox diagnosis (aPR: 1.17; 95% CI: 1.04-1.32), having a basic education level (aPR: 1.15; 95% CI: 1.02-1.31), using apps to seek sex (aPR: 1.15; 95% CI: 1.04-1.27), and seeking sex at parties and clubs (aPR: 1.14; 95% CI: 1.04-1.26) were independently associated with a higher prevalence of satisfactory HL.</p><p><strong>Conclusion: </strong>HL levels among MSM during the Mpox public health emergency in Brazil were low, shaped by individual, economic, and social factors. The findings can guide nursing practice regarding how MSM deal with information and make decisions in contexts of episodic health events, as well as the HL strategies to be implemented in nursing therapy.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"761-769"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640937","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 intrinsic capacity among older adults in low- and middle-income countries: A scoping review.","authors":"Linxi Tang, Nur Syahmina Binti Rasudin, Yuan Dong, Azlina Yusuf","doi":"10.33546/bnj.4007","DOIUrl":"https://doi.org/10.33546/bnj.4007","url":null,"abstract":"<p><strong>Background: </strong>Intrinsic capacity (IC), as defined by the World Health Organization (WHO), represents the composite of an individual's physical and mental capacities and forms a cornerstone of the healthy aging framework. Understanding its determinants is essential for designing effective interventions, particularly in low- and middle-income countries (LMICs) where population aging is accelerating amid limited resources and fragmented health systems. Mapping these determinants supports evidence-based strategies that enhance functional ability and resilience among older adults.</p><p><strong>Objective: </strong>This scoping review aimed to systematically map and categorize the determinants of IC among older adults in LMICs, providing an evidence base to inform nursing practice and policy development.</p><p><strong>Methods: </strong>Following PRISMA-ScR guidelines, four databases (Web of Science, PubMed, Scopus, and EBSCOhost) were searched for peer-reviewed studies published between January 2015 and April 2025. Data were synthesized thematically and classified into four determinant domains.</p><p><strong>Results: </strong>Thirty-six studies met inclusion criteria. The determinants of IC were grouped into four domains: (1) sociodemographic (age, gender, education, marital and economic status, living arrangement, residence); (2) biological, physiological, and disease-related (chronic diseases, multimorbidity, body mass index, frailty, polypharmacy, biomarkers); (3) behavioral and lifestyle (physical activity, diet, smoking, alcohol use, sleep, health-seeking behavior); and (4) environmental (housing quality, social participation, community support, healthcare accessibility). Advancing age, chronic disease burden, frailty, and social isolation were linked to reduced IC, while education, good nutrition, physical activity, and supportive environments were protective.</p><p><strong>Conclusion: </strong>Intrinsic capacity in older adults from LMICs is shaped by interrelated social, biological, behavioral, and environmental factors. For nursing and health policy, these findings emphasize the need to shift from disease-centered to proactive, function-oriented care. Integrating IC monitoring into routine nursing practice, promoting health literacy, and creating age-friendly environments are critical for sustaining IC and promoting equitable, healthy aging. Findings from this review may serve as a valuable reference for practitioners and policymakers in LMICs.</p><p><strong>Registry: </strong>Open Science Framework (OSF) [10.17605/OSF.IO/HQ6PG].</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"661-673"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640814","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":"Prevalence and associated factors of sarcopenia risk and possible sarcopenia among older homeless adults in a home for destitute, Thailand: A cross-sectional study.","authors":"Phatcharaphon Whaikid, Noppawan Piaseu, Sukanya Tantiprasoplap, Suphanna Krongthaeo, Wasana Srisuk, Theeraphorn Jitwiriyatham, Jirapa Tantipongsirikul, Chanokporn Subtema","doi":"10.33546/bnj.4166","DOIUrl":"https://doi.org/10.33546/bnj.4166","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia threatens the functional ability of older adults and may be underdiagnosed in homeless populations. Older homeless adults face heightened risks due to malnutrition and comorbidities. However, evidence on sarcopenia in this group remains limited, particularly in institutional settings in Thailand. Understanding the prevalence and associated factors of sarcopenia in this vulnerable population is essential to guide early detection, tailored interventions, and policy development.</p><p><strong>Objectives: </strong>To investigate the prevalence of sarcopenia risk and possible sarcopenia, and to identify associated risk factors among older homeless adults.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2023 among homeless adults aged 50 years or older residing in a home for the destitute. Participants were purposively recruited based on predetermined inclusion criteria. Sarcopenia risk and possible sarcopenia were determined according to the Asian Working Group for Sarcopenia (AWGS) 2019 guidelines. Calf circumference was measured to identify sarcopenia risk, while handgrip strength and physical performance assessed using the Five-Times Sit-to-Stand Test were used to determine possible sarcopenia. Data were analyzed using descriptive statistics and multinomial logistic regression.</p><p><strong>Results: </strong>Of the 163 participants, 74.9% were classified as having sarcopenia risk, while 71.2% had possible sarcopenia. Multinomial logistic regression analysis revealed that a low body mass index (BMI) was significantly associated with sarcopenia risk (<i>OR</i> = 0.538, 95% CI [0.359, 0.807], <i>p</i> = 0.003). Possible sarcopenia was significantly associated with older age (<i>OR</i> = 1.173, 95% CI [1.061, 1.298], <i>p</i> = 0.002), lower BMI (<i>OR</i> = 0.564, 95% CI [0.448, 0.710], <i>p</i> < 0.001), and the presence of comorbidities (<i>OR</i> = 5.045, 95% CI [1.025, 24.847], <i>p</i> = 0.047).</p><p><strong>Conclusion: </strong>Sarcopenia risk and possible sarcopenia are highly prevalent among older homeless adults. BMI was a key protective factor, while age and comorbidities significantly increased the risk. These findings highlight the need for targeted interventions focusing on nutrition and early prevention strategies to mitigate sarcopenia in this vulnerable population. Nurses play a critical role in early screening and implementing tailored interventions to support prevention and management efforts.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"714-721"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640971","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 antiretroviral treatment discontinuation among people living with HIV in Indonesia: A qualitative study.","authors":"Untung Sujianto, Ikhwan Amirudin, M Agung Akbar, Agung Waluyo, Astuti Yuni Nursasi","doi":"10.33546/bnj.4129","DOIUrl":"https://doi.org/10.33546/bnj.4129","url":null,"abstract":"<p><strong>Background: </strong>Discontinuation of antiretroviral therapy (ART) among people living with HIV (PLHIV) presents significant challenges for HIV care, often leading to physical deterioration, emotional distress, and social isolation. Although prior studies have addressed barriers to adherence, little is known about the experiences of PLHIV following treatment discontinuation in the Indonesian context.</p><p><strong>Objective: </strong>To explore the experiences of Indonesian PLHIV who have discontinued ART.</p><p><strong>Methods: </strong>This qualitative study employed a descriptive phenomenological approach and was conducted in three urban areas of Indonesia (Jakarta, Yogyakarta, and Bandar Lampung) between August and September 2024. Fifteen participants were purposively recruited from community-based organizations. In-depth semi-structured interviews were conducted, transcribed verbatim, and analyzed using Colaizzi's method to identify themes and meanings in the narratives.</p><p><strong>Results: </strong>Three major themes emerged: (1) Physical and psychological consequences of ARV discontinuation, including fatigue, anxiety, and a sense of losing control; (2) Prolonged social strain and stigma, marked by loss of support and moral judgment from others; and (3) Searching for meaning and coping without treatment, including spiritual resignation and detachment from bodily control. These themes reflect the complex, multidimensional burdens PLHIV face after stopping treatment, particularly in the Indonesian context, where HIV stigma is deeply rooted in sociocultural and religious norms, and access to mental health support remains limited.</p><p><strong>Conclusion: </strong>ART discontinuation is not merely a clinical event but a deeply human experience shaped by physical decline, emotional conflict, social rejection, and existential adaptation. To improve long-term HIV care outcomes, healthcare systems must integrate psychosocial and spiritual support for individuals who disengage from treatment, encouraging re-engagement through nonjudgmental and person-centered care. For nursing practice, this study emphasizes the importance of developing empathetic communication, providing culturally sensitive counseling, and actively addressing stigma during care interactions.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"722-732"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640984","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":"Barriers to breastfeeding among mothers in the northern border region of Saudi Arabia: A cross-sectional study.","authors":"Safya E Esmaeel, Rahaf Khalid Alobaidan, Dana Faez K Alenezi, Farah Salamah F Alanazi, Rahaf Maqil T Alanazi, Atheer Dhaher A Alharbi, Haneen Hameed G Alanezi, Leen Hussin A Alruwili, Baraah Abu Alsel, Omaima A Hamid, Sawsan Hassan Abdalla Hashim, Hanaa E Bayomy, Manal S Fawzy","doi":"10.33546/bnj.4026","DOIUrl":"https://doi.org/10.33546/bnj.4026","url":null,"abstract":"<p><strong>Background: </strong>Although breastfeeding is widely recognized for its essential nutritional and protective health benefits for infants, exclusive breastfeeding rates remain suboptimal in many populations globally and within Saudi Arabia. There is a paucity of region-specific data detailing the barriers to breastfeeding among mothers, particularly in the Northern Border region. Understanding these barriers is crucial for developing culturally appropriate interventions and public health policies that can enhance breastfeeding practices and maternal support systems.</p><p><strong>Objective: </strong>This study aimed to identify and analyze the barriers affecting exclusive breastfeeding among mothers in the Northern Border region of Saudi Arabia.</p><p><strong>Methods: </strong>A community-based cross-sectional survey was conducted among mothers aged 18 years and older residing in the Northern Border region of Saudi Arabia between February and May 2025. Data were collected using a structured, pre-validated online questionnaire in Arabic, disseminated via social media platforms to ensure broad participation. Descriptive statistics were used to summarize participant characteristics and knowledge levels, while inferential statistics were used to examine associations between demographic factors, knowledge scores, and identified barriers.</p><p><strong>Results: </strong>A total of 453 mothers participated in the study (mean age: 36.9 ± 8.1 years), of whom 91.6% reported prior breastfeeding experience. Knowledge scores ranged from 24 to 60 (mean: 46.1 ± 6.9). Higher knowledge levels were observed among mothers aged over 40 years (<i>p</i> = 0.0001), those with more than four children (<i>p</i> = 0.02), and participants with an average standard of living (<i>p</i> = 0.0001). Previous breastfeeding experience was significantly associated with older age (<i>p</i> <0.001) and employment status (<i>p</i> = 0.03). Working mothers, particularly those employed on shifts or hourly wages, reported significantly more barriers to exclusive breastfeeding (<i>p</i> = 0.001, <i>p</i> = 0.03, <i>p</i> = 0.0006). The most frequently reported challenges included insufficient workplace support and inadequate maternity leave, affecting 69.5% of respondents.</p><p><strong>Conclusion: </strong>Barriers to exclusive breastfeeding in the Northern Border region are predominantly workplace-related and institutional, including limited lactation facilities, lack of designated nursing breaks, rigid work schedules, and insufficient organizational support. Addressing these challenges through the implementation of supportive workplace policies, flexible scheduling, and targeted health education initiatives could substantially improve exclusive breastfeeding rates and promote better maternal and infant health outcomes.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"749-760"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640859","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 practical issues in children's anthropometric measurements: A qualitative descriptive study involving Indonesian health professionals and community health workers.","authors":"Dessie Wanda, Astuti Astuti, Robiyatul Adawiyah, Afifah Ayu Syaiful, Latifah Fajri Nur Azizah, Ade Maya Azkiyati, Mega Hasanul Huda","doi":"10.33546/bnj.3987","DOIUrl":"10.33546/bnj.3987","url":null,"abstract":"<p><strong>Background: </strong>Anthropometric measurements during early childhood are critical as they represent the initial stages at which nutritional status is determined. Practitioners who measure children's growth must have similar and adequate skills in anthropometric measurement to ensure the validity of data regarding children's nutritional status, particularly concerning stunting prevalence.</p><p><strong>Objective: </strong>This study aimed to explore the measurement practices conducted by community health workers (CHWs) in Indonesia, who are responsible for providing data related to children's growth and, consequently, their nutritional status.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed using online focus group discussions ranging from 1 to 1.5 hours. Data were collected from ten health professionals and eight CHWs, with analysis performed using thematic analysis.</p><p><strong>Results: </strong>Four themes emerged: barriers to measurement accuracy, varied skills in measurement, mothers' behavior influenced by children's reactions, and strategies for dealing with traumatized children.</p><p><strong>Conclusion: </strong>Practical issues that arose during routine anthropometric measurements included the reliability of measurements, the skill levels of examiners, the interplay between mothers' and children's reactions, and approaches to managing traumatized children during measurements. To effectively enhance integrated health posts (<i>Posyandu</i>) services, it is crucial to maintain calibrated, validated equipment and implement comprehensive training with periodic refreshers for CHWs. Additionally, improving facility infrastructure, fostering CHWs' communication skills, and simplifying child-friendly measurement procedures will collectively optimize service quality, promote cooperation, and strengthen community trust.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"538-546"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253162","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":"Status of nursing documentation types in Indonesia and their association with nurse characteristics: A cross-sectional survey.","authors":"Ernawati, Permaida","doi":"10.33546/bnj.3732","DOIUrl":"10.33546/bnj.3732","url":null,"abstract":"<p><strong>Background: </strong>Nursing documentation is essential for legal accountability, continuity of care, and patient safety. While electronic nursing documentation offers advantages such as improved clarity, efficiency, and reduced workload, no nationwide study has examined which documentation types are most used in Indonesia or how nurse characteristics influence these choices. Addressing this gap is critical for guiding policy and supporting the transition to digital systems.</p><p><strong>Objective: </strong>This study aimed to determine the types of nursing documentation systems most used by nurses in Indonesia and to examine nurse characteristics associated with documentation type.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted in March 2023 among 894 nurses from 34 of Indonesia's 38 provinces. Data collected included sociodemographic characteristics, workplace settings, and documentation types (paper-based, electronic, or combination). Associations between nurse characteristics and documentation types were analyzed using the Kruskal-Wallis test, with post-hoc Mann-Whitney U tests comparing the distribution of education levels between each pair of documentation-type groups.</p><p><strong>Results: </strong>Most participants were women (75.8%), held a diploma in nursing (53.5%), had over 12 years of work experience (35.3%), and worked in tertiary healthcare facilities (43.3%). Paper-based documentation was predominant (66.6%), followed by combination systems (24.7%) and electronic systems alone (8.7%). Paper-based use was slightly higher in Western Indonesia (66.8%) compared to Eastern Indonesia (64.8%). Education level was significantly associated with documentation type (<i>p</i> = 0.014). Post-hoc analysis showed that nurses using electronic documentation had higher education levels than those using paper-based (<i>p</i> = 0.006) or combination systems (<i>p</i> = 0.006), with electronic documentation most common among nurses holding a Master's/Specialist degree (28.1%). No significant associations were found with sex, work experience, career level, service level, healthcare unit, or region.</p><p><strong>Conclusion: </strong>Paper-based nursing documentation remains dominant in Indonesia, with limited adoption of electronic systems. Higher educational attainment is associated with greater use of electronic documentation, highlighting the need for improved computer literacy training, infrastructure investment, and institutional and governmental support to facilitate the transition to digital documentation.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"630-636"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253174","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":"Effectiveness of home-based cardiac rehabilitation programs on health outcomes of persons with heart failure: An umbrella review.","authors":"Waiyaporn Promwong, Jaroonsree Meenongwah, Kedsaraporn Kenbubpha, I Gede Putu Darma Suyasa","doi":"10.33546/bnj.3994","DOIUrl":"10.33546/bnj.3994","url":null,"abstract":"<p><strong>Background: </strong>Home-based cardiac rehabilitation (HBCR) serves as a crucial alternative to center-based cardiac rehabilitation (CBCR) for patients with heart failure (HF), aiming to enhance access and adherence. However, evidence of its effectiveness is dispersed across numerous systematic reviews with varying findings, necessitating a high-level synthesis to clarify HBCR's overall impact.</p><p><strong>Objective: </strong>To synthesize and critically evaluate evidence from systematic reviews and meta-analyses on the effectiveness of home-based cardiac rehabilitation in improving health outcomes among patients with heart failure.</p><p><strong>Design: </strong>An umbrella review of systematic reviews and meta-analyses.</p><p><strong>Data sources: </strong>A systematic search was conducted in the Cochrane Library, JBI Evidence Synthesis, PubMed, Medline, CINAHL, Epistemonikos, and ThaiJo databases for studies in English or Thai up to April 11, 2025.</p><p><strong>Review methods: </strong>The review adhered to JBI and PRISMA guidelines. Outcomes included functional capacity, quality of life (QOL), mortality, hospital readmissions, and adverse events. Study quality was assessed using the JBI checklist.</p><p><strong>Results: </strong>Fifteen systematic reviews and meta-analyses met the inclusion criteria, all of which were of high methodological quality. The evidence consistently demonstrates that HBCR significantly enhances functional capacity compared to usual care, with outcomes comparable to those of CBCR. However, findings for other outcomes were inconsistent; HBCR's impact on QOL and left ventricular ejection fraction (LVEF) varied due to program content and methodological heterogeneity, and it did not significantly reduce mortality or hospital readmissions compared to usual care or CBCR. No significant differences in adverse events were observed between HBCR, CBCR, and usual care.</p><p><strong>Conclusion: </strong>HBCR is a safe and effective intervention for improving functional capacity in patients with heart failure, offering a viable alternative to CBCR. However, its effects on quality of life, hospital readmissions, and mortality remain inconsistent. These findings highlight HBCR's potential role in expanding access, though further research is needed to optimize program design.</p><p><strong>Registry: </strong>PROSPERO (CRD42023484051).</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"517-527"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253128","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":"The relationship among self-care, glycemic control, and quality of life in Indonesian patients with type 2 diabetes mellitus: An exploratory structural equation modeling study.","authors":"Hema Malini, Intan Yullya Kardila, Aisha Alhofaian","doi":"10.33546/bnj.3882","DOIUrl":"10.33546/bnj.3882","url":null,"abstract":"<p><strong>Background: </strong>The relationship between self-care behaviors, physiological indicators, and quality of life (QoL) in Type 2 Diabetes Mellitus (T2DM) remains underexplored in Indonesian populations. Understanding these factors is crucial for designing culturally appropriate interventions.</p><p><strong>Objective: </strong>To examine the direct effects of four self-care domains on QoL and the potential mediating roles of HbA1c, blood pressure, and BMI among Indonesian patients with T2DM.</p><p><strong>Methods: </strong>A cross-sectional exploratory study was conducted August to September 2022 among 128 purposively selected patients from community health centers. Self-care (SCODI) and QoL (DQOL) were measured using validated questionnaires, and HbA1c, blood pressure, and BMI were obtained from clinical records. Structural equation modeling (SEM) was conducted using IBM AMOS version 24.</p><p><strong>Results: </strong>The SEM analysis yielded an overidentified model (<i>df</i> = 1578) with acceptable fit indices (<i>CFI</i> = 0.908, <i>RMSEA</i> = 0.082, <i>CMIN/df</i> = 1.851). Self-maintenance significantly predicted QoL, HbA1c, and blood pressure. Self-monitoring reduced blood pressure and BMI but was negatively associated with QoL. Self-management improved HbA1c but increased blood pressure and BMI, with a borderline positive effect on QoL. Self-confidence was positively associated with BMI but not with QoL, HbA1c, or blood pressure. Among physiological indicators, only HbA1c significantly predicted QoL.</p><p><strong>Conclusion: </strong>The direct effects of self-care behaviors on quality of life were more significant than the indirect effects mediated by clinical indicators, emphasizing the importance of strengthening daily self-care skills as a core strategy to enhance well-being in patients with T2DM. Given the exploratory cross-sectional design, findings should be interpreted as associative rather than causal. Future longitudinal research should validate these pathways and develop culturally sensitive intervention models that empower patients to sustain effective self-care behaviors over time.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"612-618"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245479","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":"Knowledge and attitude toward the management of pre-eclampsia and eclampsia among healthcare providers working in maternity settings in Jordan: A cross-sectional study.","authors":"Tamador R Al-Tarawneh, Roba Bdeir, Sarah Al-Ja'freh, Suad Jakalat, Ayman M Al-Qaaneh, Yasmeen Abu Sumaqa","doi":"10.33546/bnj.3973","DOIUrl":"10.33546/bnj.3973","url":null,"abstract":"<p><strong>Background: </strong>Pre-eclampsia and eclampsia remain major causes of maternal morbidity and mortality. Healthcare providers' knowledge and attitudes are critical for effective management.</p><p><strong>Objective: </strong>This study aimed to assess healthcare providers' knowledge and attitudes regarding the management of pre-eclampsia and eclampsia in Jordan.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from September to October 2024 among 147 healthcare providers from seven public hospitals across three regions in Jordan. Data were collected via a structured questionnaire and analyzed using descriptive statistics, bivariate tests, and multivariate logistic regression.</p><p><strong>Results: </strong>Overall, 88% demonstrated adequate knowledge of pre-eclampsia, and 83% demonstrated adequate knowledge of eclampsia. In bivariate analysis, knowledge was associated with educational program and training attendance. However, after adjusting for other variables in the multivariate model, only education and gender remained significant, while training was no longer associated with knowledge. For attitudes, 78% had a positive attitude. Although gender and education were associated with attitudes in bivariate analyses, these associations did not remain statistically significant in the multivariate model.</p><p><strong>Conclusion: </strong>Healthcare providers showed generally adequate knowledge and predominantly positive attitudes toward managing pre-eclampsia and eclampsia. Higher educational attainment independently predicted knowledge, while no independent predictors of attitude were identified. The study highlighted the need for continuous, focused educational training programs, particularly for nurses and midwives. The modest sample size and focus on public hospitals should be considered when interpreting the results.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"589-601"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253143","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}