Nurse Professional Education Journal (NurseEdu) is a peer-reviewed, open-access journal that publishes high-quality research across diverse areas of nursing science. The journal's focus and scope include, but are not limited to: adult nursing, pediatric nursing, maternity nursing, community nursing, mental health nursing, gerontological nursing, emergency nursing, nursing education, nursing leadership and management, and complementary nursing. Author Guidelines | Template | Submission
Knowledge of elementary school children about the health risks of sugar-sweetened beverages
Limitations in school-age children's knowledge about unhealthy eating and drinking patterns can increase the risk of long-term health problems, so early prevention efforts are needed. This study aims to provide an overview of the level of knowledge of elementary school children about the dangers of packaged sweetened beverages. The study used a quantitative descriptive design with a cross-sectional approach. 133 fifth and sixth grade students were involved in the study, selected through simple random sampling. Data were collected using questionnaires and analyzed using descriptive statistics and cross-tabulation. The results showed that most respondents had a good level of knowledge about the dangers of packaged sweetened beverages. A better level of knowledge tended to be found in older students, female students, students whose parents worked as private employees or entrepreneurs, students who obtained health information from the internet, and students who more often bought packaged sweetened beverages at school. The findings indicate that elementary school children already have a sufficient knowledge base regarding the health risks of sweetened beverages, but environmental factors and sources of information still play an important role in shaping this understanding. Strengthening school-based health education and family support is necessary to encourage healthier beverage choices from an early age.
Copyright (c) 2025 Kadek Meira Ananda Widya Bestari, I Gusti Ayu Putu Satya Laksmi, Anak Agung Sri Sanjiwani (Author) https://creativecommons.org/licenses/by-sa/4.0
Diabetes distress among patients at Kagok Community Health Center, Semarang
Living with diabetes mellitus can cause emotional distress that interferes with daily care, but the assessment of diabetes-related distress in primary care services is still not carried out consistently. This study aims to describe the level of diabetes-related distress among people with type 1 and type 2 diabetes mellitus in the working area of the Kagok Community Health Center in Semarang. The study used a quantitative descriptive design with 90 patients with diabetes selected via consecutive sampling. Diabetes-related distress was measured using the Diabetes Distress Scale-17 instrument. Data were analyzed descriptively and presented in cross-tabulations by respondent characteristics. The results showed that most respondents experienced low levels of distress, while a small number reported moderate distress, and high distress was rare. Moderate to high distress was more common in people with type 2 diabetes mellitus and was also found in groups with shorter disease duration, comorbidities, and specific occupational categories. These findings support the need to integrate distress screening into diabetes services at community health centers. Follow-up nursing management is carried out in stages through literacy-sensitive education, family involvement, and appropriate referral mechanisms for patients with increasing distress.
Copyright (c) 2025 Agita Fadilla, Hubertus Agung Pambudi, Dwi Febryanto (Author) https://creativecommons.org/licenses/by-sa/4.0
Mental health and sleep quality among adolescents
Mental health problems in adolescence are often associated with sleep disorders that affect academic performance and daily functioning. This study aims to describe the mental health status and sleep quality of adolescents in a public junior high school in Bali, Indonesia. The study used a quantitative descriptive cross-sectional design. A sample of 178 seventh-grade students was selected using stratified random sampling. Mental health status was measured using the Strengths and Difficulties Questionnaire, while sleep quality was measured using the Pittsburgh Sleep Quality Index. Data were analyzed using descriptive statistics. The results showed that most adolescents had a mental health status in the normal category, although a significant proportion were found in the borderline and abnormal categories. More than half of the respondents reported good sleep quality, while the rest experienced suboptimal sleep quality. These findings indicate that although the general condition of adolescents is relatively good, there are still at-risk groups that require special attention through early screening and school-based promotive and preventive interventions.
Copyright (c) 2025 Ni Nyoman Ayu Ariadi Paramita Sari, Desak Made Ari Dwi Jayanti, I Gusti Ayu Putu Satya Laksmi (Author) https://creativecommons.org/licenses/by-sa/4.0
Knowledge of complementary acupressure therapy for blood pressure management among the pre-elderly
Hypertension is the most common chronic health problem experienced by pre-elderly people, increasing their risk of cardiovascular disease. Acupressure, as a complementary therapy, is increasingly recognized as a supportive approach to blood pressure management, but knowledge among pre-elderly people remains uneven. This study aims to describe the level of knowledge among pre-elderly individuals regarding complementary acupressure therapy for blood pressure management. The study used a descriptive quantitative design with a cross-sectional approach. The research sample consisted of 69 pre-elderly individuals selected using purposive sampling. Data were collected through a structured questionnaire that measured respondents' understanding of the basic concepts of acupressure, its benefits, pressure points, and its role in blood pressure management. Data analysis was performed descriptively, presenting the frequency distributions and percentages of respondents' knowledge levels. The results showed that most respondents had a moderate level of knowledge, with a better understanding of the general benefits of acupressure than of its technical aspects. Pre-elderly people's knowledge of acupressure therapy still needs strengthening. The development of integrated health education should improve the safe and appropriate use of complementary therapies for blood pressure management in the pre-elderly group.
Copyright (c) 2025 Ni Kadek Calista Dewi, Sang Ayu Ketut Candrawati, Nurul Faidah (Author) https://creativecommons.org/licenses/by-sa/4.0
Self-efficacy and self-management among patients with type 2 diabetes mellitus
The increase in the prevalence of type 2 diabetes mellitus poses a challenge in the management of long-term diseases. The ability of patients to consistently manage their own care is primarily determined by self-efficacy. This study aims to analyze the relationship between self-efficacy and self-management in patients with type 2 diabetes mellitus. The study uses a quantitative, correlational, cross-sectional design. A total of 59 patients with type 2 diabetes mellitus were selected through purposive sampling, based on inclusion and exclusion criteria. Data collection was conducted using a self-efficacy questionnaire and the Diabetes Self-Management Questionnaire to measure patients' self-care behaviors. Data analysis was performed using Spearman's correlation test. The findings showed a significant, moderate positive relationship between self-efficacy and self-management. The results indicate that patients with higher self-efficacy tend to have better self-management abilities. Strengthening self-efficacy in nursing interventions and diabetes education programs is an important part of supporting the sustainability of self-care behaviors and improving patient health outcomes.
Copyright (c) 2025 Ni Putu Dita Wulandari, I Wayan Darsana, I G A A Sherlyna Prihandhani, I Wayan Artana, I Wayan Darsana (Author) https://creativecommons.org/licenses/by-sa/4.0
The effect of mindfulness meditation on anxiety among justice-involved adolescents
Anxiety can harm behavior, social functioning, and the rehabilitation process, especially in adolescents in conflict with the law. This study aims to analyze the effect of mindfulness meditation therapy on anxiety levels in adolescents in conflict with the law at the Paramita Mataram Center. The study used a quantitative approach with a one-group pre-test post-test pre-experimental design. All adolescents who met the inclusion criteria were involved as research samples, with a total of 48 respondents through total sampling. Anxiety levels were measured before and after the intervention using a questionnaire. Data analysis used the Wilcoxon Signed Rank test. The results showed a decrease in anxiety levels after mindfulness meditation therapy. The decrease was marked by a shift in the anxiety category from moderate to low or no anxiety. These findings indicate that mindfulness meditation is effective in helping adolescents improve emotional regulation and psychological awareness. This intervention has practical relevance as a promotive and preventive approach in mental health services for adolescents in conflict with the law.
Copyright (c) 2025 Nopiandi Wardani, I Made Eka Santosa, Suhartiningsih, Ni Made Sumartyawati (Author) https://creativecommons.org/licenses/by-sa/4.0
Self-efficacy and adherence to a low-salt diet among elderly patients with hypertension
Hypertension is a chronic health problem commonly experienced by the elderly, requiring long-term management. One way to manage hypertension is through low-salt diet therapy, but in practice, this is often influenced by psychological factors, including self-efficacy. This study aims to analyze the relationship between self-efficacy and adherence to low-salt diet therapy in elderly people with hypertension. The study employed a cross-sectional, quantitative, correlational design. The sample consisted of 93 elderly individuals selected using purposive sampling. Data were collected through a structured questionnaire that measured self-efficacy and adherence to a low-salt diet, and analyzed using Spearman's rank correlation test. The results showed a significant positive correlation between self-efficacy and adherence to a low-salt diet. Elderly people with higher levels of self-efficacy tended to be more consistent in implementing dietary recommendations. These findings confirm that self-efficacy plays a crucial role in shaping health behaviours among elderly individuals with hypertension. Therefore, nursing interventions that emphasize strengthening self-efficacy, continuing education, and family involvement have the potential to enhance dietary compliance and support more effective control of hypertension.
Copyright (c) 2025 Ni Wayan Citra Dewi, Sang Ayu Ketut Candrawati, Ni Wayan Suniyadewi (Author) https://creativecommons.org/licenses/by-sa/4.0
Knowledge of diabetes mellitus among agribusiness students
Diabetes mellitus is a chronic non-communicable disease with a significant increase in prevalence, including among productive age groups and university students. Knowledge about diabetes mellitus plays an important role in early prevention, risk factor control, and the formation of healthy lifestyles from an early age. This study aims to describe the level of knowledge about diabetes mellitus among agribusiness students. This study used a descriptive quantitative cross-sectional design. The research sample consisted of 69 agribusiness students selected using a total sampling technique. Data were collected using a structured questionnaire to measure students' knowledge about the definition of diabetes mellitus, risk factors, signs and symptoms, prevention, and management. Data were analyzed univariately to describe the distribution of respondents' knowledge levels. The results of the study show that most students have a moderate level of knowledge, while others have a good level, and a small number still have a low level. These findings indicate that agribusiness students have an uneven understanding of diabetes mellitus. This study emphasizes the importance of integrating health education, particularly on non-communicable diseases, into higher education as part of promotional and preventive efforts. Improving students' health literacy can contribute to sustainable prevention of diabetes mellitus in the community.
Copyright (c) 2025 Veronike, Made Ermayani (Author) https://creativecommons.org/licenses/by-sa/4.0
Knowledge and maternal attitudes toward pneumonia prevention in toddlers
Pneumonia is one of the leading causes of illness and death in toddlers. Mothers, as primary caregivers, play a central role in early prevention efforts, but their knowledge and attitudes regarding pneumonia prevention remain variable. This study aims to examine the relationship between mothers' knowledge and attitudes and pneumonia prevention in toddlers. This study used a correlational quantitative design. The sample consisted of 126 mothers who had toddlers, selected using proportionate stratified random sampling. Data were collected through a structured questionnaire that measured mothers' knowledge of risk factors, signs and symptoms, and pneumonia prevention efforts, as well as mothers' attitudes toward prevention practices. Data analysis used the Chi-square test. The results showed a significant relationship between mothers' knowledge levels and their efforts to prevent pneumonia in toddlers. Most mothers had a moderate level of knowledge, but there were still gaps in understanding, especially regarding risk factors and early detection. Mothers' attitudes toward pneumonia prevention were not fully reflected in optimal prevention practices. These findings indicate the need for consistent knowledge support and contextual reinforcement. This study emphasizes the importance of community-based nursing interventions that focus on increasing practical knowledge and forming preventive attitudes to strengthen efforts to prevent pneumonia in toddlers.
Copyright (c) 2025 Made Dian Kartika Candra Dewi, Niken Ayu Merna Eka Sari, Anak agung Sri Sanjiwani (Author) https://creativecommons.org/licenses/by-sa/4.0
Duration of hemodialysis and quality of life among patients with chronic kidney disease
Patients with chronic kidney disease undergoing hemodialysis face significant changes in their daily lives, both physically and psychosocially. The process of adapting to this long-term therapy is not always easy and, in many cases, is an important factor affecting patients' quality of life. This study aims to examine the relationship between hemodialysis duration and quality of life in patients undergoing hemodialysis. The study used a cross-sectional correlational quantitative design involving 89 patients undergoing routine hemodialysis. Data collection was conducted using the World Health Organization Quality of Life (WHOQOL) questionnaire, and the data were analyzed using Spearman's correlation test. The results showed a significant positive relationship between patient adaptation and quality of life. Patients with better adaptation abilities tended to report a higher quality of life. These findings emphasize the important role of nursing in supporting the patient's adaptation process through a holistic, continuous care approach. Efforts to strengthen patient adaptation can improve the well-being and quality of life of individuals with chronic kidney disease undergoing hemodialysis
Copyright (c) 2025 I Gusti Ayu Ngurah Pradnya Trisnawati, Ni Kadek Yuni Lestari, Ni Wayan Trisnadewi (Author) https://creativecommons.org/licenses/by-sa/4.0
Ice bath therapy as a non-pharmacological intervention for post-exercise fatigue in adolescent athlete
Athletes are often exposed to intense training schedules that can lead to physical fatigue, particularly when recovery is insufficient. This study aimed to examine the effect of ice bath therapy as a non-pharmacological intervention to reduce post-exercise fatigue in adolescent karate athletes. A pre-experimental, one-group pretest-posttest design was used, involving 30 adolescent karate athletes from a public junior high school in Indonesia, selected through total sampling. Physical fatigue was assessed using the Nordic Body Map questionnaire before and after the intervention. Data were analyzed using paired t-tests to determine the effect of the therapy. Prior to the intervention, most participants exhibited moderate levels of physical fatigue. Following the intervention, a substantial proportion showed decreased fatigue levels. The findings suggest that ice bath therapy can effectively reduce physical fatigue after physical exertion in adolescent athletes. This method likely supports muscle recovery through the physiological processes of vasoconstriction and vasodilation, which help regulate inflammation and promote oxygenated blood flow. As a simple and accessible non-pharmacological approach, ice bath therapy may be a practical intervention in adolescent athletic training programs to prevent excessive fatigue and support physical performance.
Copyright (c) 2025 Andika Siswoaribowo, Laviana Nita Ludyanti (Author) https://creativecommons.org/licenses/by-sa/4.0
The effect of contextual teaching and learning-based health education on diabetes self-management among older adults
Diabetes is a prevalent chronic condition among older adults, with self-management playing a critical role in preventing complications and improving health outcomes. However, the complexity of diabetes care, including dietary regulation, physical activity, stress management, and sleep hygiene, often poses challenges for elderly individuals with limited understanding. This study examined the effect of contextual teaching and learning (CTL)-based health education on diabetes self-management among older adults. A pre-experimental, one-group pretest-posttest design was employed, involving 46 elderly participants diagnosed with type 2 diabetes. Participants were selected through total sampling based on inclusion and exclusion criteria. Baseline assessments of diabetes self-management were conducted using the Diabetes Self-Management Questionnaire (DSMQ). The intervention consisted of four CTL-based educational sessions, after which post-intervention assessments were carried out using the same instrument. Data were analyzed using the Wilcoxon test due to non-normal distribution. The results indicated a significant improvement in diabetes self-management scores following the intervention. These findings suggest that CTL-based health education is promising for enhancing diabetes self-care practices in older adults. The study highlights the importance of selecting appropriate teaching strategies tailored to the cognitive and functional capacities of elderly populations in community-based nursing interventions.
Copyright (c) 2025 Wulansari, Fiktina Vifri Ismiriyam (Author) https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of slow deep breathing and virtual reality intervention on reducing preoperative anxiety
Preoperative anxiety is a typical psychological response that may negatively affect surgical outcomes and patient recovery. Non-pharmacological interventions are increasingly used to complement standard care and reduce anxiety levels. This study aimed to evaluate the effectiveness of a combined slow deep breathing and virtual reality intervention in reducing preoperative anxiety. A quasi-experimental design with a non-equivalent control group was employed, involving 92 surgical patients at a central operating installation. Participants were divided into an intervention group that received the combined therapy and a control group that received standard care. Pre- and post-intervention anxiety levels were assessed using the Hamilton Anxiety Rating Scale. Data were analyzed using the independent t-test to compare anxiety scores within and between groups. The findings demonstrated a significant reduction in anxiety in the intervention group and a marked difference compared to the control group. These results highlight the potential of combining slow deep breathing and virtual reality as a practical, low-risk approach to managing preoperative anxiety in clinical practice, supporting the integration of non-pharmacological therapies in perioperative nursing care.
Copyright (c) 2025 I Gusti Agung Tresna Wicaksana, I Putu Arika Nusa Harta, Ni Putu Kamaryati, I Nyoman Arya Maha Putra (Author) https://creativecommons.org/licenses/by-sa/4.0
Assessment of unmet needs among female cancer survivors in a referral hospital setting
The increasing life expectancy of cancer patients has led to a growing population of female cancer survivors, many of whom continue to face a range of unmet needs across physical, psychosocial, informational, and healthcare service domains. Unaddressed needs may negatively impact survivors' quality of life and hinder their adaptation following the completion of treatment. This study aimed to assess the types and extent of unmet needs among female cancer survivors using a standardized needs assessment tool. A descriptive quantitative design with a cross-sectional approach was employed. The sample consisted of 35 female cancer survivors recruited purposively from a government referral hospital. Data were collected using the translated version of the Cancer Survivors Unmet Needs questionnaire, covering five core domains. Univariate analysis was conducted using frequency and percentage distributions. The findings indicated that the most frequently reported unmet needs were within the informational and psychosocial domains, particularly regarding the desire to understand the risk of cancer recurrence, strategies to maintain health post-treatment, and the need for emotional support. These results highlight the importance of developing nursing interventions that are tailored to the specific post-treatment needs of cancer survivors. The study underscores the critical role of systematic assessment and sustained holistic support within oncology nursing, especially in community and survivorship care settings.
Copyright (c) 2025 Ni Kadek Shinta Dewi, Windu Astutik (Author) https://creativecommons.org/licenses/by-sa/4.0
Yoga-based pain reduction for adolescent dysmenorrhea: Evidence from a school-based intervention
Dysmenorrhea is a common menstrual disorder among adolescent girls and often leads to physical discomfort, reduced academic participation, and impaired quality of life. While pharmacological approaches are widely used, non-pharmacological interventions such as yoga are gaining recognition for their potential in managing menstrual pain. This study aimed to evaluate the effectiveness of a school-based yoga intervention in reducing primary dysmenorrhea among female adolescents. A pre-experimental one-group pretest-posttest design was employed, involving 30 purposively selected tenth-grade students experiencing moderate primary dysmenorrhea. The intervention consisted of 30-minute yoga sessions conducted daily over five consecutive days, incorporating breathing techniques, physical postures, and relaxation exercises. Pain intensity was measured before and after the intervention using the Visual Analog Scale, and data were analyzed using a paired sample t-test following normality confirmation. The results indicated a substantial reduction in dysmenorrhea pain intensity after the intervention, suggesting that yoga may serve as an effective non-pharmacological strategy for menstrual pain relief in adolescents. These findings highlight the potential of integrating structured yoga programs into school health initiatives as a culturally adaptable and accessible approach to enhancing adolescent menstrual health and well-being. This study contributes to the growing body of evidence supporting holistic, school-based health promotion and offers practical implications for nursing education, adolescent health services, and future research in non-pharmacological pain management
Copyright (c) 2025 Nasution, I Made Eka Santosa, I Gusti Ayu Mirah Adhi , Ni Made Sumartyawati (Author) https://creativecommons.org/licenses/by-sa/4.0
Family communication patterns and quarter-life crisis: A cross-sectional study of final-year nursing students
A quarter-life crisis is a psychological condition characterized by uncertainty, anxiety, and emotional instability commonly experienced by young adults in transitional life phases, particularly among final-year university students. Family communication is central in providing emotional support and shaping individual coping strategies. This study examined the relationship between family communication patterns and the incidence of quarter-life crisis among final-year nursing students. A cross-sectional study was conducted involving 73 participants selected through total sampling. Data were collected using a validated family communication questionnaire and a quarter-life crisis scale, then analyzed using the Spearman rank correlation test. The results revealed a significant inverse relationship between family communication patterns and quarter-life crisis levels, indicating that better family communication is associated with lower levels of psychological distress. These findings highlight the importance of family interactions in supporting students' emotional well-being during critical academic and life transitions. Integrating family-focused psychoeducation may be beneficial in mental health interventions for nursing students.
Copyright (c) 2025 Ifa Nofalia, Agustina Maunaturrohmah, Sindi Sri Murni (Author) https://creativecommons.org/licenses/by-sa/4.0
Maternal parenting style and risk of stunting in children under five: Evidence from rural Indonesia
Stunting remains a significant public health concern in Indonesia and is often associated with inadequate parenting practices that affect a child's nutritional status and growth. This study aimed to examine the association between maternal parenting style and the incidence of stunting among children aged 2–5 years in a rural area of East Java, Indonesia. A cross-sectional analytical design was used, involving 118 mothers who were selected through simple random sampling. Data on parenting styles were collected using structured questionnaires, while stunting was assessed through height-for-age measurements based on World Health Organization growth standards. Parenting styles were categorized as authoritarian, democratic, or permissive. Data were analyzed using the Spearman rank correlation test. The findings revealed that the authoritarian parenting style was the most dominant and was significantly associated with a higher incidence of stunting in children under five. These results underscore the importance of early parental engagement and caregiving approaches in preventing growth failure among young children. Community health workers, including nurses, are encouraged to strengthen parenting education and promote positive parenting styles as part of integrated health services at community health posts.
Copyright (c) 2025 Hartatik, Endang Yuswatiningsih (Author) https://creativecommons.org/licenses/by-sa/4.0
Association between physical activity and sleep quality among older adults
Sleep quality is a crucial indicator of health and well-being among older adults, often disrupted by age-related physiological changes and lifestyle factors such as physical activity. As individuals age, reduced physical activity may contribute to sleep disturbances, negatively affecting cognitive function, emotional stability, and overall quality of life. This study examined the association between physical activity and sleep quality in older adults. A cross-sectional study was conducted among elderly individuals attending a community health post, with data collected through questionnaires assessing physical activity and sleep quality. The findings revealed that many participants exhibited low physical activity levels and experienced poor sleep quality. Further analysis indicated a meaningful relationship between higher physical activity levels and better sleep outcomes. These results underscore the importance of physical activity as a potential non-pharmacological strategy to support healthy aging and improve sleep patterns in the elderly population. Encouraging older adults to engage in regular physical activity may improve sleep hygiene and overall health. Future research should explore this relationship using longitudinal or interventional designs to establish causal pathways and inform public health strategies for elderly care.
Copyright (c) 2025 Alfina Pri Hartanti, Ni Made Riasmini (Author) https://creativecommons.org/licenses/by-sa/4.0
Family support and dietary adherence in older adults with hypertension: A cross-sectional study
The increasing number of older adults in Indonesia has been accompanied by a growing prevalence of hypertension, a chronic condition that may lead to stroke, heart failure, or kidney disease. Adherence to a hypertension-specific diet is essential in managing the disease, and family support is believed to play a critical role in ensuring dietary compliance among older adults. This study explored the association between family support and dietary adherence in hypertensive older adults. A cross-sectional study was conducted involving 106 older adults diagnosed with hypertension and living with their families. Participants were selected using purposive sampling, and data were collected using validated questionnaires. The Chi-square test was used to analyse the association between family support and dietary adherence. The findings showed that older adults who received strong family support were more likely to follow dietary recommendations. It highlights the importance of involving families in chronic disease management strategies, particularly encouraging healthy lifestyle behaviors among older adults. Family-based approaches should be prioritised in hypertension intervention programs to improve health outcomes in the elderly population.
Copyright (c) 2025 Alivia Choirunnida , Ni Made Riasmini (Author) https://creativecommons.org/licenses/by-sa/4.0
Improving quality of life through Gayatri mantra spiritual therapy in patients with schizophrenia
Schizophrenia is a chronic mental disorder that negatively affects individuals' cognitive, emotional, and social functioning, often resulting in a diminished quality of life. While pharmacological interventions remain the primary treatment, complementary spiritual therapies have gained interest for their holistic benefits. This study aimed to evaluate the effect of Gayatri mantra spiritual treatment on the quality of life among patients with schizophrenia. A one-group pretest-posttest design was used, involving 22 participants selected through purposive sampling at a provincial mental hospital in Bali. Participants received daily Gayatri mantra sessions for three consecutive weeks. The World Health Organization Quality of Life-BREF (WHOQOL-BREF) instrument was used to assess outcomes, and data were analyzed using the Wilcoxon signed-rank test. The findings showed a significant improvement in quality of life following the intervention. This study highlights the potential value of integrating spiritual practices into nursing care as a complementary therapeutic strategy to support mental health recovery and enhance overall patient well-being.
Copyright (c) 2025 Anak Agung Mirah Trisnawati, Desak Made Ari Dwi Jayanti, Anak Agung Sri Sanjiwani, I Made Eka Santosa (Author) https://creativecommons.org/licenses/by-sa/4.0