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              <name>Title</name>
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                  <text>VOL.15 NO.1 (2025)</text>
                </elementText>
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              <name>Contributor</name>
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              <elementTextContainer>
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                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>A Pilot Study of Diabetes Distress with Insulin Growth Factor-I, Insulin-Like Growth Factor Binding Protein-3, and HbA1c of Diabetic Patients</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Diabetes; HbA1c; IGF-I; IGFBP-3</text>
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            <description>An account of the resource</description>
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                <text>Background: Diabetes distress refers to the emotional and psychological burden&#13;
experienced by individuals in managing their condition, which can influence&#13;
physiological outcomes and overall well-being. However, the relationship between&#13;
HbA1c, insulin growth factor-I (IGF-I), and insulin-like growth factor binding&#13;
protein-3 (IGFBP-3) with diabetes distress in diabetic patients remains elusive.&#13;
Purpose: The objective of this study was to evaluate the association of IGF-I,&#13;
IGFBP-3, and HbA1c with diabetes distress in diabetic patients.&#13;
Methods: A cross-sectional design with purposive sampling was used to recruit&#13;
subjects from the public health center in Kendari City, Southeast Sulawesi,&#13;
Indonesia, from May to November 2021. A total of 30 diabetic patients were&#13;
recruited for the study. Distress data were collected using the Indonesian version&#13;
of the Diabetes Distress Scale (DDS) questionnaire. HbA1c levels were measured&#13;
using High-Performance Liquid Chromatography (HPLC). Serum levels of IGF-I&#13;
and IGFBP-3 were measured using the ELISA (Enzyme-Linked Immunosorbent&#13;
Assay) kit method. The data were analyzed using regression analysis.&#13;
Results: Most respondents had moderate distress, with a DDS score of 53.4%, a&#13;
high IGF-I level of 76.7%, and a low IGFBP-3 level of 76.7%. As many as 60% of&#13;
respondents had an HbA1c level above 6.4%. IGF-I (ρ-value=0.024) and IGFBP-3&#13;
levels (ρ-value=0.042) showed a significant correlation with diabetes distress.&#13;
&#13;
However, HbA1c levels did not significantly correlate with diabetes distress (ρ-&#13;
value=0.155).&#13;
&#13;
Conclusion: IGF-I and IGFBP-3 levels were associated with diabetes distress, but&#13;
HbA1c was not. Patients with higher distress were found to have elevated serum&#13;
levels of IGF-I and IGFBP-3. Future research should focus on stress management&#13;
strategies that support efforts to prevent disease and complications associated with&#13;
diabetes mellitus.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120826">
                <text>Tahiruddin Tahiruddin1&#13;
&#13;
, Diah Indriastuti2, Syahrul Syahrul3, Andi Masyitha Irwan3, Satriya Pranata4</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="120827">
                <text>https://doi.org/10.14710/nmjn.v15i1.58052</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120828">
                <text>23 February 2025</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120829">
                <text>peri irawan</text>
              </elementText>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="120830">
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120831">
                <text>english</text>
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      <tag tagId="14233">
        <name>Diabetes; HbA1c; IGF-I; IGFBP-3</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120569">
                  <text>VOL.15 NO.1 (2025)</text>
                </elementText>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120570">
                  <text>peri irawan</text>
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    <elementSetContainer>
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        <description>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/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120595">
                <text>Analysis of Factors Related to Diabetes Self-Management in Patients with Type 2 Diabetes Mellitus in Rural Areas</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120596">
                <text>Diabetes mellitus; rural; self- efficacy; self-management</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120597">
                <text>Background: Type 2 diabetes mellitus (T2DM) is a global health problem with an&#13;
increasing prevalence. Most related studies focus on Diabetes Self-Management&#13;
(DSM) in urban populations or general contexts, leaving a gap in understanding the&#13;
specific factors affecting DSM among rural T2DM patients. Therefore, there is&#13;
limited understanding of the factors that influence DSM in rural T2DM patients.&#13;
Purpose: This study aimed to investigate DSM in rural T2DM patients and its&#13;
associated factors&#13;
Methods: This study employed a cross-sectional design. The samples involved 146&#13;
patients with T2DM from the community health center in Ogan Komering Ulu&#13;
Regency, Indonesia, selected using a simple random sampling technique. Diabetes&#13;
Knowledge Questionnaire (DKQ), Diabetes Management Self-Efficacy Scale&#13;
&#13;
(DMSES), Hensarling Diabetes Family Support Scale (HDFSS), and Diabetes Self-&#13;
Management Instrument (DSMI) were used for data collection. The t-test, ANOVA,&#13;
&#13;
Pearson correlation, and multiple linear regression were used to analyze the data.&#13;
Results: The study found a significant relationship between gender (p=0.001),&#13;
knowledge (p=0.001), self-efficacy (p=0.001), and family support (p=0.032) with&#13;
DSM in rural T2DM patients. However, the multiple regression analysis revealed&#13;
that self-efficacy (β=0.392, p=0.001), gender (β=0.283, p=0.001), and duration of&#13;
DM (β=-0.189, p=0.012) significantly affected DSM in patients with T2DM in rural&#13;
areas, explaining 28 percent of the variance (R2=0.280).&#13;
Conclusion: The results indicated a significant relationship between gender,&#13;
knowledge, self-efficacy, and family support with DSM in T2DM patients in rural&#13;
areas, with self-efficacy being the most dominant factor affecting DSM. This study&#13;
recommends that community nurses can play a pivotal role in designing and&#13;
implementing interventions enhancing self-efficacy. Additionally, the involvement&#13;
of PROLANIS, collaborating with key community figures, is crucial to increasing</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120598">
                <text>M. Agung Akbar1&#13;
&#13;
, Junaiti Sahar2, Etty Rekawati2, Ratu Ayu Dewi Sartika3, Prateek Gupta4</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="120599">
                <text>https://doi.org/10.14710/nmjn.v15i1.62539</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120600">
                <text>23 February 2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120601">
                <text>peri irawan</text>
              </elementText>
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          </element>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="120602">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120603">
                <text>english</text>
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    <tagContainer>
      <tag tagId="14196">
        <name>Diabetes mellitus; rural; self- efficacy; self-management</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120569">
                  <text>VOL.15 NO.1 (2025)</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120570">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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        <description>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/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120844">
                <text>Coping Strategies of Women with Breast Cancer Undergoing Chemotherapy During the COVID-19 Pandemic: A Qualitative Study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120845">
                <text>Breast cancer; chemotherapy; coping strategies; COVID-19</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120846">
                <text>Background: Chemotherapy is the primary treatment for breast cancer to prevent&#13;
cancer progression, but health protocols, such as social distancing during the&#13;
COVID-19 pandemic, hinder timely treatment. Although many qualitative studies&#13;
have investigated the experiences of breast cancer patients during the COVID-19&#13;
pandemic, few have explored the coping strategies of women undergoing&#13;
chemotherapy during this time.&#13;
Purpose: This study explored the coping strategies of women with breast cancer&#13;
undergoing chemotherapy during the COVID-19 pandemic.&#13;
Methods: A qualitative phenomenological design was employed to explore the&#13;
experiences of women living with breast cancer and their coping mechanisms.&#13;
Purposive sampling was used to recruit participants who met the following criteria:&#13;
(1) women diagnosed with breast cancer who had chosen to undergo chemotherapy&#13;
and (2) women attending chemotherapy sessions at the treatment center. Patients&#13;
with a history of severe chemotherapy side effects were excluded from the study.&#13;
Data were collected through in-depth, semi-structured interviews with 25&#13;
participants, and transcripts were analyzed using thematic analysis.&#13;
Results: Four key themes emerged from the data analysis, including (1) feeling the&#13;
uncertainty of life, (2) emotional turbulence, (3) surviving under pressure, and (4)&#13;
accepting the situation. Participants demonstrated positive adaptive coping&#13;
strategies to manage the challenges of breast cancer and chemotherapy during the&#13;
COVID-19 pandemic.&#13;
Conclusion: Surviving and accepting conditions were identified as vital coping&#13;
mechanisms that help women with breast cancer maintain their quality of life during&#13;
the COVID-19 pandemic. These strategies play a crucial role in maintaining mental&#13;
well-being amid uncertain and stressful circumstances.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120847">
                <text>Susilo Harianto1&#13;
&#13;
, Nursalam Nursalam2, Dewi Maryam3, Abd Nasir1&#13;
&#13;
, Cucuk Rahmadi Purwanto1&#13;
,&#13;
&#13;
Hafna Ilmy Muhalla1&#13;
&#13;
, Emuliana Sulpat1&#13;
&#13;
, Amellia Mardhika1&#13;
&#13;
, Domingos Soares4</text>
              </elementText>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="120848">
                <text>https://doi.org/10.14710/nmjn.v15i1.56922</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120849">
                <text>29 April 2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120850">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120851">
                <text>pdf</text>
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          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120852">
                <text>english</text>
              </elementText>
            </elementTextContainer>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="14235">
        <name>Breast cancer; chemotherapy; coping strategies; COVID-19</name>
      </tag>
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  </item>
  <item itemId="11311" public="1" featured="1">
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120569">
                  <text>VOL.15 NO.1 (2025)</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120570">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
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          </elementContainer>
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      </elementSetContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>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/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120854">
                <text>Factors Related to Fatigue among Chronic Kidney Disease Patients on Hemodialysis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120855">
                <text>Chronic kidney disease; contributing factors; fatigue; hemodialysis</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120856">
                <text>Background: Fatigue is a common and distressing symptom among patients with&#13;
chronic kidney disease (CKD) undergoing hemodialysis, significantly impacting&#13;
their daily functioning and quality of life. Despite its prevalence, the contributing&#13;
factors to fatigue remain unclear and underexplored in specific populations.&#13;
Purpose: This study aimed to identify factors associated with fatigue among CKD&#13;
patients undergoing hemodialysis.&#13;
Methods: A cross-sectional study was conducted in two hemodialysis centers. A&#13;
total of 164 patients were recruited using convenience sampling, with sample size&#13;
determined through power analysis. Data were collected using the FACIT-Fatigue&#13;
Scale, a health literacy questionnaire, and an observation sheet for hemoglobin&#13;
(Hb), blood pressure, and interdialytic weight gain (IDWG). Patient characteristics&#13;
were also recorded. T-tests and ANOVA were used to examine differences in fatigue&#13;
levels across groups, while Spearman correlation and multiple linear regression&#13;
were employed to analyze associations between fatigue and clinical variables.&#13;
Results: The mean fatigue score was 28.23(SD=7.46). Fatigue was significantly&#13;
associated with age, education level, employment status, comorbidities, duration of&#13;
hemodialysis, systolic blood pressure, HB, IDWG, and health literacy (p&lt;0.05).&#13;
Multiple linear regression identified employment status and hemoglobin levels as&#13;
the strongest predictors of fatigue.&#13;
Conclusion: Fatigue is a prevalent issue among CKD patients undergoing&#13;
hemodialysis and is influenced by a range of demographic, clinical, and behavioral&#13;
factors. Employment status and hemoglobin levels were the most significant&#13;
contributors. Interventions promoting physical activity, a healthy diet, and fluid&#13;
adherence, alongside routine monitoring of hemoglobin levels, may help reduce&#13;
fatigue and improve quality of life in this population.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120857">
                <text>Fitri Mailani1&#13;
&#13;
, Arif Rohman Mansur1&#13;
&#13;
, Aisyah Rifdatunnisa1&#13;
&#13;
, Chong Mei Chan2</text>
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                <text>https://doi.org/10.14710/nmjn.v15i1.59980</text>
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        <name>Chronic kidney disease; contributing factors; fatigue; hemodialysis</name>
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                <text>Health Asset Profile and Health Literacy Among Elementary School-Aged Children</text>
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                <text>Adolescent; elementary school; health asset profile; health literacy; school-age</text>
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                <text>Background: Mental health issues, nutritional status, physical activity, and&#13;
smoking behavior are among the most serious health problems among school-aged&#13;
children, and they are closely linked to health-related behaviors. Literacy skills&#13;
significantly influence these behaviors at this age; however, health literacy often&#13;
receives insufficient attention from the government for this age group.&#13;
Purpose: The purpose of this study was to provide a comprehensive overview of&#13;
health asset profiles and health literacy among elementary school-aged children.&#13;
Methods: This cross-sectional study involved 431 sixth-grade students from the&#13;
Sumedang district, recruited through a cluster sampling method. Various research&#13;
instruments were employed, including the Family Affluence Scale (FAS III),&#13;
Rosenberg Self-Esteem Scale (RSES), Health Behaviours in School-Aged Children&#13;
(HBSC), European Health Literacy Scale (HLS-EU), and the Newest Vital Sign&#13;
(NVS) survey. Data were self-reported by participants, and BMI measurements were&#13;
also collected. The Chi-square test was employed for statistical analysis.&#13;
Results: The results revealed notable variations across the assessed health asset&#13;
profile sub-variables. Functional health literacy was significantly associated with&#13;
self-esteem (p&lt;0.001), student behavior (p=0.010), wake-up time (p&lt;0.001), and&#13;
smoking habit (p&lt;0.001). In contrast, no significant associations were found with&#13;
family affluence (p=0.868), BMI (p=0.809), physical activity (p=0.087), or bedtime&#13;
(p=0.092). Gender-based comparisons revealed significant differences between&#13;
boys and girls in self-esteem (p=0.042), BMI(p&lt;0.001), physical activity (p&lt;0.001),&#13;
bedtime (p=0.004), wake-up time (p=0.005), and smoking behavior (p=0.001).&#13;
Conclusion: This study provides a comprehensive overview of health literacy in&#13;
school-aged children, highlighting variations across health-related behaviors and&#13;
asset profiles. Significant gender disparities were found in self-esteem, nutritional&#13;
status, physical activity, bedtime, wake-up time, and smoking behavior. These&#13;
findings highlight the importance of developing gender-sensitive health promotion&#13;
strategies to enhance health literacy and promote healthy behaviors from early ages.</text>
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              <elementText elementTextId="120608">
                <text>Nunung Siti Sukaesih1&#13;
&#13;
, Popi Sopiah1&#13;
&#13;
, Sri Wulan Lindasari1&#13;
&#13;
, Hikmat Pramajati1&#13;
,&#13;
&#13;
Emi Lindayani1&#13;
&#13;
, Dedah Ningrum1</text>
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            <elementTextContainer>
              <elementText elementTextId="120609">
                <text>https://doi.org/10.14710/nmjn.v15i1.66904</text>
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                <text>peri irawan</text>
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                  <text>VOL.15 NO.1 (2025)</text>
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                <text>Home Health Care Nurses’ Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia</text>
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          <element elementId="49">
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                <text>Challenges; dementia; home health care; person-centered care;&#13;
qualitative study</text>
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                <text>Background: As the global need to address the care of elderly patients with&#13;
dementia continues to rise, various health care systems have adopted different&#13;
approaches to uphold the highest form of dignity, respect, autonomy, and&#13;
preferences of their patients. One such approach is Person-Centered Care (PCC),&#13;
which has shown benefits in improving the quality of life for elderly patients with&#13;
dementia and their caregivers. However, despite its recognized benefits, PCC faces&#13;
implementation challenges and is not widely adopted in some health care settings,&#13;
as its effectiveness in challenging scenarios remains unclear. Additionally, limited&#13;
research exists focusing on the experiences and challenges encountered by home&#13;
health care nurses in these cases.&#13;
Purpose: The primary aim of this study was to identify and describe the challenges&#13;
faced by home health care nurses in implementing PCC, specifically for elderly&#13;
patients with dementia.&#13;
Methods: The study utilized Husserl’s transcendental phenomenology method.&#13;
The participants included home health care nurses currently working with patients&#13;
who had been medically diagnosed with dementia for at least six months. Sixteen&#13;
participants were selected through purposive sampling. The nurses underwent&#13;
thorough face-to-face interviews with the researchers. Inductive thematic analysis&#13;
by Braun and Clarke was used to pragmatically organize the lived experiences.&#13;
Results: Upon data interpretation, the study revealed two major themes, namely:&#13;
personal challenges with two sub-themes, (1) communication barriers and (2)&#13;
limited training; and external challenges with two sub-themes; (1) powerlessness in&#13;
decision making and (2) uncooperative patients.&#13;
Conclusion: The study highlights the various challenges faced by home health care&#13;
nurses in implementing PCC for elderly patients with dementia. To improve nurses’&#13;
capability to manage these challenges, support through education and training,&#13;
policy development, and stakeholder involvement is essential to enhance the care&#13;
delivery process.</text>
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              <elementText elementTextId="120784">
                <text>Abdulkarim Agga1&#13;
&#13;
, Nada Sattar1&#13;
&#13;
, Veronica Cristina Brillantes Macaraeg2</text>
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              <elementText elementTextId="120785">
                <text>https://doi.org/10.14710/nmjn.v15i1.65673</text>
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                <text>29 April 2025</text>
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                <text>peri irawan</text>
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        <name>Challenges; dementia; home health care; person-centered care; qualitative study</name>
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                  <text>VOL.15 NO.1 (2025)</text>
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                <text>Knowledge and Practices on Deworming in Mothers of Children Aged 2 to 5 Years</text>
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          <element elementId="49">
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                <text>Child health; deworming; health practices; maternal knowledge;&#13;
parasitic infections</text>
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                <text>Background: Deworming is a key public health intervention, especially in contexts&#13;
where intestinal parasitic infections are prevalent and affect vulnerable populations&#13;
lacking basic sanitation services. Despite the global burden of parasitic infections in&#13;
early childhood, local data on knowledge and practices related to parasitosis and&#13;
deworming in Colombia remain limited.&#13;
Purpose: This study aimed to assess mothers’ knowledge and practices regarding&#13;
deworming in children aged 2 to 5 years.&#13;
Methods: A descriptive cross-sectional study was conducted among 324 mothers&#13;
selected using convenience sampling. The KP-1 questionnaire on knowledge and&#13;
practices related to deworming was used to collect data. Chi-square and Fisher’s&#13;
exact tests were used to establish associations between knowledge, practices, and&#13;
demographic characteristics, with a significance level of p&lt;0.05.&#13;
Results: Most mothers exhibited regular (39.8%) or poor (37.3%) knowledge, while&#13;
62.3% reported good deworming practices. Statistically significant associations&#13;
were found between maternal knowledge and education level (p=0.0110), income&#13;
(p=0.0010), housing type (p=0.0007), and social security affiliation (p=0.0013).&#13;
Deworming practices were also significantly associated with education level&#13;
(p=0.0114), income (p=0.0012), housing type (p=0.0009), and social security&#13;
(p=0.0011). No significant associations were observed between knowledge levels&#13;
and deworming practice with age, marital status, occupation, religion, child’s age,&#13;
or gender (p&gt;0.05).&#13;
Conclusion: Although mothers demonstrated good deworming practices, their&#13;
knowledge levels were generally regular or poor. Education level, income, housing&#13;
conditions, and social security coverage significantly influenced both knowledge and&#13;
practices. These findings highlight the need for community nursing interventions&#13;
aimed at improving maternal awareness and education on deworming practices.</text>
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                <text>Moraima Del Toro Rubio1&#13;
&#13;
, Keidis Sulay Ruidiaz Gómez2, Shirley Paola Fernandez Aragon3,&#13;
&#13;
Anderson Díaz Perez4</text>
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                <text>https://doi.org/10.14710/nmjn.v15i1.58253</text>
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                <text>peri irawan</text>
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                  <text>VOL.15 NO.1 (2025)</text>
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                <text>The Contributing Factors to the Risk of Diabetes Mellitus among Indonesian Urban Workers</text>
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          <element elementId="49">
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                <text>Diabetes mellitus; hypertension; obesity; urban; worker</text>
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                <text>Background: Diabetes mellitus (DM) is a non-communicable disease (NCD) with&#13;
a high morbidity rate and is the third leading cause of death in Indonesia. Some risk&#13;
factors are associated with the risk of DM; yet, little is known about the effect of such&#13;
factors on the occurrence of DM in an urban worker population.&#13;
Purpose: This study aimed to examine the impact of some risk factors on the&#13;
occurrence of DM among workers in urban areas of Indonesia.&#13;
Methods: The study used secondary health status data obtained from the 2018&#13;
Basic Health Research by the Research and Development Agency, Ministry of&#13;
Health, Republic of Indonesia, using a cross-sectional approach. The participants&#13;
consisted of 15,745 urban working adults aged 15-64 years, whose blood glucose&#13;
levels were examined. The correlation between variables was analyzed using a&#13;
multivariate logistic regression test.&#13;
Results: This study showed that 14.8% of DM patients had hypertension, and&#13;
14.9% were obese. The percentage of women with diabetes increased with age,&#13;
particularly affecting informal workers more frequently. Hypertension (aOR=1.76;&#13;
95%CI: 1.56-1.99), central obesity (aOR=1.75; 95%CI: 1.54-1.98), daily smoking&#13;
(aOR=0.63; 95%CI: 0.53-0.76), and age (aOR=8.9; 95%CI: 5.3-15.7) were identified&#13;
as significant factors contributing to the risk of DM. However, education, physical&#13;
activity, the consumption of fruits and vegetables, and employment had no&#13;
discernible impact.&#13;
Conclusion: Hypertension, obesity, daily smoking, and age were associated with&#13;
an increased risk of DM in urban workers. The study recommends that companies&#13;
collaborate with Posbindu for NCDs to check blood pressure and blood sugar levels&#13;
regularly, and to measure the height and weight of workers periodically.</text>
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              <elementText elementTextId="120588">
                <text>Mahmudah Mahmudah1&#13;
&#13;
, Nailul Izza2, Lely Indrawati2, Astridya Paramita2, Diah Indriani1</text>
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                <text>https://doi.org/10.14710/nmjn.v15i1.56916</text>
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                <text>peri irawan</text>
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        <name>Diabetes mellitus; hypertension; obesity; urban; worker</name>
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                  <text>VOL.15 NO.1 (2025)</text>
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                <text>The Role of Parents and Environmental Conditions in the Incidence of Malaria in School- Aged Children in East Sumba Regency, Indonesia</text>
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                <text>Environmental conditions; malaria; role of parents; school-aged children</text>
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                <text>Background: Malaria remains a major public health concern in eastern Indonesia,&#13;
with East Nusa Tenggara Province ranking second in national malaria endemicity.&#13;
In this region, East Sumba Regency is among the highest-burden districts, where&#13;
school-aged children (5–14 years) account for 42.9% of reported cases and 2–3 new&#13;
infections are recorded daily. Despite this high burden, limited research has&#13;
examined how parental roles and environmental conditions contribute to malaria&#13;
incidence in this vulnerable age group. Understanding these factors is critical for&#13;
informing targeted prevention strategies.&#13;
Purpose: This study aimed to examine the relationship between parental roles and&#13;
environmental conditions with the incidence of malaria among school-aged children&#13;
in East Sumba Regency, Indonesia.&#13;
Methods: A cross-sectional quantitative study was conducted in January 2022&#13;
involving 120 school-aged children (grades 5 and 6) from an area in East Sumba&#13;
Regency, selected through total sampling. Data were collected using validated,&#13;
modified questionnaires measuring parental involvement and environmental&#13;
conditions related to malaria risks. Descriptive statistics were used for univariate&#13;
analysis, and Pearson’s Chi-square test was applied for bivariate analysis.&#13;
Results: Among the respondents, 43 children (35.8%) had a history of malaria,&#13;
while 77 (64.2%) had never experienced it. Poor parental roles were reported by&#13;
42.5% of participants, and 57.5% lived in substandard environmental conditions.&#13;
Significant associations were found between parental roles (p=0.020) and&#13;
environmental conditions (p=0.018) with the incidence of malaria.&#13;
Conclusion: Parental roles and environmental conditions are significantly&#13;
associated with the incidence of malaria among school-aged children in East Sumba.&#13;
Strengthening parental involvement and improving environmental health can be&#13;
effective strategies for reducing malaria transmission in endemic settings.</text>
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              <elementText elementTextId="120805">
                <text>Maria Kareri Hara1&#13;
&#13;
, Leni Landudjama1&#13;
&#13;
, Servasius To’o Jala Mulu1</text>
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            <elementTextContainer>
              <elementText elementTextId="120806">
                <text>https://doi.org/10.14710/nmjn.v15i1.59361</text>
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                <text>25 April 2025</text>
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                <text>peri irawan</text>
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