1 10 8 https://repository.horizon.ac.id/files/original/85780c3ddb8a0379c0cd46b8495ad0f4.pdf 2700d9d9bbe88a70b2f3f8873baaa299 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL.20 NO.4 (2025) Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Predictors of nutritional status and fluid balance among ESRD patients undergoing hemodialysis Subject The topic of the resource adherence; end-stage renal disease (ESRD); fluid restriction; hemodialysis; nutritional management Description An account of the resource Introduction: Patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis must adapt to strict nutritional and fluid restrictions to achieve optimal therapeutic outcomes. Nonadherence leads to complications and clinical deterioration. This study examined psychosocial (knowledge, illness perception, family support) and clinical factors (illness duration, comorbidities, and blood pressure) as predictors of nutritional status and fluid balance, measured by biochemical markers and interdialytic weight gain (IDWG), among hemodialysis patients in West Sumatra. Methods: This cross-sectional correlational study included 245 ESRD patients from four hemodialysis units in West Sumatra. Knowledge, family support, and illness perception were measured using validated questionnaires. Biochemical parameters (urea, creatinine, albumin, sodium, potassium, and hemoglobin) and IDWG served as proxies for nutritional status and fluid balance. Data analysis was performed using Pearson’s correlation and t-test (α = 0.05). Results: The mean age was 51.4±11.8 years, and 60% were male. Most patients had good knowledge (81.6%), strong family support (90.6%), and positive perceptions (82%). A significant correlation was found between illness duration and interdialytic weight gain (IDWG) (r=0.153, p<0.05). Notably, knowledge level was negatively correlated with urea level (r = –0.127, p < 0.05), indicating that higher knowledge was associated with better nutritional control. Family support was not significantly correlated with biochemical outcomes. Conclusions: Patient knowledge emerged as an important predictor of biochemical indicators of nutritional status, whereas dialysis duration predicted fluid imbalance as reflected by IDWG. Family support, although prevalent, did not significantly influence the clinical outcomes related to nutrition and fluid control. Strengthening educational strategies may enhance adherence to treatment and improve clinical outcomes. Creator An entity primarily responsible for making the resource Esi Afriyanti1* , Boby Febri Krisdianto1 , and Chichi Hafifa Transyah2 Source A related resource from which the described resource is derived http://dx.doi.org/10.20473/jn.v20i4.71179 Date A point or period of time associated with an event in the lifecycle of the resource 26 November 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text adherence; end-stage renal disease (ESRD); fluid restriction; hemodialysis; nutritional management https://repository.horizon.ac.id/files/original/d1ff922476f24418f2c3ae02afaf6912.pdf 1376bf068e230ae721bf8290a746ddea Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL.20 NO.4 (2025) Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource The role of patient portals for cancer patients: a systematic review of benefits, challenges, and opportunities Subject The topic of the resource cancer, digital health, health information system, health services, patient portals Description An account of the resource Introduction: Cancer patients have a complex journey. Technological developments offer convenience in communicating and accessing health information. Cancer patient portals were developed to coordinate and integrate care by overcoming existing barriers. This study aims to explain the benefits, challenges, and opportunities of using patient portals in oncology services. Methods: The design of this study was a systematic review, with the source articles drawn from PubMed, ScienceDirect, ProQuest, EBSCOhost, and Scopus. Inclusion and exclusion criteria were used to screen articles with the PRISMA 2020 guidelines. A critical appraisal was conducted using the JBI Critical Appraisal Checklist 2020 and the MMAT 2018. Narrative descriptive approaches are used for data synthesis. Results: We screened 3,301 articles using inclusion, exclusion, and duplication criteria, resulting in 10 articles for analysis. Communication and care coordination (n=4) were among the main benefits of using patient portals. Perceived obstacles such as limited resources (n=2), socio-demographic challenges (n=3), and limited information sources (n=2) are still found. On the other hand, the use of patient portals creates opportunities to address information needs and provide assistance (n=1), increase security and privacy (n=1), and improve service efficiency (n=2). Conclusions: Patient portals play an essential role in improving coordination and engagement among cancer patients, despite ongoing challenges related to access and digital literacy. For nursing, these portals strengthen nurses' roles in education, coordination, and the use of evidence-based technology to improve the quality of care. Creator An entity primarily responsible for making the resource Halfie Zaqiyah Gusti Puspitasari1* , Agung Subakti Nuzulullail1 , Dwina Oktavia Deli1 , Dana Prayoga Irawan2 , and Bagaskara Yogatama3,4 Source A related resource from which the described resource is derived http://dx.doi.org/10.20473/jn.v20i4.69709 Date A point or period of time associated with an event in the lifecycle of the resource 22 November 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text cancer, digital health, health information system, health services, patient portals https://repository.horizon.ac.id/files/original/cbdba21ce0d4990bb4e7c273b67ac314.pdf 20a8766a577ac214698fed524b85dd3f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL.20 NO.4 (2025) Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Mitigating chemotherapy-induced oral mucositis: a comparative trial of cryotherapy and normal saline Subject The topic of the resource chemotherapy, cryotherapy, ice, oral mucositis, saline mouthwash Description An account of the resource Introduction: Oral mucositis is one of the most prevalent and serious complications of chemotherapy that causes physical discomfort and impacts patients’ functional ability, emotional well-being, and quality of life. It can also delay treatment, prolong hospitalization, and contribute to psychological issues. This study aimed to compare the effects of cryotherapy and regular saline mouthwash on oral mucositis in cancer patients resulting from chemotherapy. Methods: A quasi-experimental study design was used, involving a sample of 64 cancer patients who were recruited from the Oncology Center at Mansoura University Hospital, Mansoura, Egypt, over 6 months. Two equal groups of thirty-two cancer patients each were randomly selected into study and control groups from the study population. This study used a single tool divided into two sections: demographic data, a health-related data sheet, and the World Health Organization (WHO) mucositis scale. The Monte Carlo exact test was used to obtain an accurate p-value. Results: Incidence of severe and moderate mucositis was lower in the cryotherapy group on the 21st day, where the p- value was 0.004. On the 7thand 14th -day measurements, there were no statistical differences. Conclusions: The positive effect of cryotherapy on lowering chemotherapy-induced oral mucositis in cancer patients validated our research hypothesis. Creator An entity primarily responsible for making the resource Heba Abubakr Salama1 , Eslam Mahmoud Abdelfattah2 , Tawfik Ragab Elkhodary3 , and Hanan Mohamed Mohamed Soliman4 Source A related resource from which the described resource is derived http://dx.doi.org/10.20473/jn.v20i4.75655 Date A point or period of time associated with an event in the lifecycle of the resource 21 November 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text chemotherapy, cryotherapy, ice, oral mucositis, saline mouthwash https://repository.horizon.ac.id/files/original/0e695fd6d80a3d142ef669ef0c69cdeb.pdf ec5e53a415cc535028b6568776086021 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL.20 NO.4 (2025) Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Development and validation of the maternal role adaptation system model (MRASM) to improve breastfeeding success Subject The topic of the resource breastfeeding success; maternal role adaptation; mercer's theory; postpartum care; roy adaptation model Description An account of the resource Introduction: The success of breastfeeding is a critical indicator of comprehensive adaptation during the maternal transition. Existing theoretical models address maternal adaptation separately, resulting in a lack of integration in predicting breastfeeding success. This research aimed to develop and validate the Maternal Role Adaptation System Model (MRASM) using Structural Equation Modeling. Methods: A cross-sectional study was conducted with 150 postpartum women recruited through purposive sampling from five community health centers in East Java, Indonesia. Eight latent constructs measured using validated instruments: focal stimuli (breast pain, fatigue, nutrition), contextual stimuli (spousal and healthcare support, information access, economic status), residual stimuli (social norms, cultural values, beliefs), coping mechanisms, emotional responses, self-concept, role function, and breastfeeding success. Data were analyzed using Structural Equation Modeling with Partial Least Squares (SEM-PLS) via Smart-PLS 4.0. Results: The MRASM demonstrated excellent psychometric properties (Cronbach's α > 0.678, composite reliability > 0.802, AVE > 0.508). Environmental stimuli (focal, contextual, and residual) significantly influenced maternal coping mechanisms, which in turn affected emotional responses, self-concept, and role function. Emotional responses (β = 0.356, p = 0.001) and self-concept (β = 0.268, p<0.001) are the strongest predictors of breastfeeding success, explaining 26.7% of outcome variance. These findings provide healthcare professionals with specific intervention targets: managing physical symptoms, enhancing coping resources, and supporting maternal emotional well-being and self- efficacy. Conclusions: MRASM integrates Roy's and Mercer's models to address postpartum adaptation holistically, providing healthcare professionals with an evidence-based framework to support maternal role transition and breastfeeding success. Creator An entity primarily responsible for making the resource Nurus Safaah1* , Miftahul Munir1 , Umu Qonitun1 , Ilmiatus Qoyimah1 , and Erna Eka Wijayanti1 Source A related resource from which the described resource is derived http://dx.doi.org/10.20473/jn.v20i4.77929 Date A point or period of time associated with an event in the lifecycle of the resource 21 November 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text breastfeeding success; maternal role adaptation; mercer's theory; postpartum care; roy adaptation model https://repository.horizon.ac.id/files/original/944533e51e6880995375a12abfa1c6af.pdf a8c17e6d7de54b709ad2c289db7b0fd1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL.20 NO.4 (2025) Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Understanding predictors of caregivers’ treatment- seeking behavior for mental health: the roles of stigma, motivation, relationship, and literacy Subject The topic of the resource caregiver, mental disorder, mental health literacy, stigma, treatment-seeking behavior Description An account of the resource Introduction: Caregivers play a crucial role in seeking timely treatment for individuals with mental disorders. However, reliance on traditional healing practices often leads to delayed medical care. This study aims to identify predictors of caregivers' treatment-seeking efforts, focusing on the role of stigma, motivation, relationship with the patient, and mental health literacy. Methods: A cross-sectional study involving 301 caregivers of patients with mental disorders was conducted in two mental hospitals using cluster sampling. Variables studied include sociodemographic factors, caregiving burden, stigma, social support, motivation, mental health literacy, and treatment-seeking behavior. The data were collected through validated questionnaires as instruments. Multivariate regression analysis was performed to identify significant predictors of treatment-seeking behavior. Results: The study revealed that caregivers' relationship with the patient, perceived stigma, caregiving motivation, and mental health literacy significantly predicted treatment-seeking behavior (p < 0.05). Mental health literacy emerged as the strongest predictor (β = 0.349), followed by motivation (β = 0.202), stigma (β = -0.125), and relationship with the patient (β = -0.108). Together, these variables explained 23.4% of the variance in treatment-seeking efforts. Conclusions: Mental health literacy is the most influential factor in caregivers' efforts to seek medical treatment. Interventions aimed at increasing mental health literacy and reducing stigma are critical to enhancing caregivers' engagement with formal healthcare services. Findings support the development of culturally appropriate education and support programs to improve mental health outcomes. Creator An entity primarily responsible for making the resource Rizki Fitryasari1,2* , Dwi Indah Iswanti3 , Dianis Wulan Sari1,2 , Lela Nurlela4 , Marthoenis Marthoenis5 , Sri Warsini6 , and Zamzaliza Abdul Mulud7 Source A related resource from which the described resource is derived http://dx.doi.org/10.20473/jn.v20i4.75117 Date A point or period of time associated with an event in the lifecycle of the resource 19 September 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text caregiver, mental disorder, mental health literacy, stigma, treatment-seeking behavior https://repository.horizon.ac.id/files/original/9eda188ab80f6bc3a21df436f39bd0c0.pdf d149d270179c2412cbfef717eb285688 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL.20 NO.4 (2025) Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Risk factors associated with metabolic syndrome in older people in slum areas: a cross-sectional study Subject The topic of the resource metabolic syndrome, obesity, older people, public health, risk factors Description An account of the resource Introduction: Older people are at high risk of metabolic syndrome (MetS), non-communicable diseases, and mortality. This makes it difficult for older people in slum areas to achieve healthy and productive quality of life (QOL). In Indonesia, a developing country with a significant and growing number of slum areas, research on this issue remains scarce. This study aimed to analyze the risk factors that play a role in the incidence of MetS in older people living in slum areas. Methods: This was a cross-sectional study. The participants were male and female residents aged ≥45 years, with a total sample size of 150. The participants were selected through simple random sampling from a list of older people. Data analysis was performed using the chi-squared test for bivariate analysis and binary logistic regression for multivariate analysis. Results: The majority of the participants were female (62%), aged between 60-74 years (53.33%), with low-level education (86%), nutritional status in the overweight and obese categories (41.4%), and residence duration <5 years (70%). There was a significant association between district (p < 0.001) and body mass index (BMI) (p < 0.001) with MetS. Overweight participants were more likely to have MetS (AOR 3.75; 95%CI, 1.37-10.24), and the risk was higher among those with obesity (AOR 11.85; 95%CI, 3.90-35.97). Conclusions: The risk of MetS in slum dwellers is higher if they are overweight or obese. Periodic evaluation of body weight can help to control the incidence of MetS. Creator An entity primarily responsible for making the resource Sri Supadmi1* , Marizka Khairunnisa1 , Ina Kusrini1 , Agus Wijanarka2 , Titik Kuntari3 , Sidiq Purwoko1 , Taufiq Hidayat1 , Tri Suwarno3 , and Slamet Riyanto1 Source A related resource from which the described resource is derived http://dx.doi.org/10.20473/jn.v20i4.66748 Date A point or period of time associated with an event in the lifecycle of the resource 28 November 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text metabolic syndrome, obesity, older people, public health, risk factors https://repository.horizon.ac.id/files/original/4ca901dbd72356536ad4c7c42e9b01e6.pdf 9e275f1150cff16e8d5e85783707efcf Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL.20 NO.4 (2025) Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Roles and success factors of community health nurses in providing health care for people with disabilities in southern Thailand: a qualitative descriptive study Subject The topic of the resource community health nurses, people with disabilities, health care, qualitative study Description An account of the resource Introduction: People with disabilities (PWDs) are considered a vulnerable group due to their condition, which makes it difficult for them to access the services provided. Community health nurses (CHNs) are considered a key mechanism for supporting the implementation of activities that promote the quality of life of PWDs in the community. Therefore, this qualitative study aims to describe the role of CHNs in providing health care to PWDs in southern Thailand. Methods: A qualitative descriptive study was conducted from May 2024 to October 2024 in southern Thailand. Data were collected through in-depth interviews, observations, and focus group discussions (FGDs). Data collection continued until saturation was achieved. A total of 39 participants were divided into five groups composed of 1) CHNs; 2) Village headman; 3) Village Health Volunteers (VHVs); 4) PWDs; and 5) family caregivers were recruited based on inclusion criteria using a purposive sampling technique. Data were analyzed using thematic analysis. Results: Two themes were identified in this study: 1) CHNs’ role in providing health care for PWDs, and 2) Key factors affecting the success of CHNs in providing health care for PWDs. Conclusions: The findings revealed the significant roles of CHNs in providing health care for PWDs. Prioritizing disability care in community settings is essential. Systematic data collection and utilization can enhance care effectiveness. Capacity development programs for CHNs in disability care management are needed, and collaborative partnerships with relevant organizations should be strengthened. Policymakers must develop comprehensive strategies to optimize CHNs’ roles in community-based disability care. Creator An entity primarily responsible for making the resource Todsaporn Tongyoy1 , Lukawee Piyabanditkul2* , and Khanitta Nuntaboot2 Source A related resource from which the described resource is derived http://dx.doi.org/10.20473/jn.v20i4.71878 Date A point or period of time associated with an event in the lifecycle of the resource 25 November 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text community health nurses, people with disabilities, health care, qualitative study https://repository.horizon.ac.id/files/original/0a55f2e5f896354e11f98f5bde5decda.pdf 8499d399539dd3ec7f16cb012a990207 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL.20 NO.4 (2025) Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Comparison of anesthesia onset and duration between needle and needle-free methods in pediatric circumcision Subject The topic of the resource anesthesia, circumcision, duration of anesthetic action, needle anesthesia, needle-free anesthesia Description An account of the resource Introduction: Various anesthesia methods are utilized during circumcision, including needle anesthesia (NA) and needle-free anesthesia (NFA). However, research on differences in the total duration of anesthetic action between these methods remains limited. Therefore, this study aimed to evaluate the effectiveness of NA and NFA techniques in circumcision. Methods: This observational study employed a prospective cohort design and an independent t-test. A total of 56 participants were included, with 28 patients assigned to each technique. Data collection was conducted using an observation sheet. Consecutive sampling was applied, and the primary variables measured were the onset of anesthetic drug, duration of anesthetic effect, and total duration of anesthetic action. Results: The onset of anesthetic drug, measured as the time from administration to numbness, averaged 4.53 minutes and 3.14 minutes using the NA and NFA methods, respectively (p<0.001). The average duration of anesthetic effect, measured as the time from the onset of numbness to anesthesia dissipation, was 95.39 minutes and 79.00 minutes in the NA and NFA methods, respectively (p<0.001). Finally, the total duration of anesthetic action was 100.46 minutes and 82.54 minutes using the NA and NFA methods, respectively (p<0.001). Conclusions: The NFA method facilitates a faster onset, while the NA method provides a longer duration of anesthetic effect. These findings may assist clinicians in selecting anesthesia techniques based on procedural duration and patient comfort in pediatric circumcision. Further studies are suggested to explore other influencing factors. Creator An entity primarily responsible for making the resource Y. Sigit Kumara1 , Khudazi Aulawi2* , and Ariani Arista Putri Pertiwi3 Source A related resource from which the described resource is derived http://dx.doi.org/10.20473/jn.v20i4.69292 Date A point or period of time associated with an event in the lifecycle of the resource 22 November 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text anesthesia, circumcision, duration of anesthetic action, needle anesthesia, needle-free anesthesia