Spirituality and Age as Determinants of Self-Efficacy in Tuberculosis Patients: A SEM-PLS Approach Chilyatiz Zahroh, Umdatus Soleha, Nur Ainiyah, Eppy Setiyowati, Ardianti Ardianti, et al. Natural Resources for Human Health, 2026 Self-efficacy is a key determinant of adherence to tuberculosis (TB) treatment, yet its psychosocial and spiritual dimensions remain underexplored in low-income industrial urban settings. This study examined the determinants of self-efficacy among TB patients in East Surabaya, Indonesia, focusing on the role of spirituality and age. A cross-sectional survey was conducted with 62 pulmonary TB patients selected by simple random sampling from community health centers in industrial districts. Data were collected using a validated questionnaire covering sociodemographic, spiritual, social, environmental, and health system factors. Structural equation modeling-partial least squares was employed to test hypothesized associations. The model demonstrated satisfactory validity and reliability. Results revealed that spirituality had the strongest positive influence on self-efficacy (β = 0.492, p < 0.001), while age was negatively associated (β = –0.245, p = 0.019). Social support, environmental conditions, and health system factors did not significantly affect self-efficacy. The final model explained 40.3% of the variance in self-efficacy (R² = 0.403). These findings highlight that spiritual beliefs and younger age are significant predictors of treatment confidence among TB patients in industrial urban environments. Incorporating spiritual care, faith-based counseling, and age-sensitive communication into TB programs may strengthen patients’ ability to complete therapy. Public health strategies in industrial areas should therefore integrate psychosocial and spiritual interventions alongside biomedical care to enhance adherence and treatment outcomes.
STEM education and local wisdom for sustainability: A decade of trends and insights from bibliometric analysis Fitrotin Rosyidah, Endang Susantini, Yuliani Yuliani, Nur Ainiyah, Atan Pratama, et al. E3s Web of Conferences, 2025 Education is an important foundation for advancing the Sustainable Development Goals (SDGs), especially through the integration of STEM-based approaches with indigenous knowledge. This study aims to map trends, thematic developments, and geographical collaborations in relevant literature published between 2014 and 2024, to identify the direction of contextual and sustainable development of science education. This study uses the PRISMA flow to extract data from the Scopus database. Furthermore, the data was analyzed using bibliometric methods using VOSviewer, Datawrapper, and Microsoft Excel. The results of the analysis show a consistent growth in the number of publications over the past decade. The dominant themes are curriculum design, learning media and technology, learning models and approaches, and issues related to the COVID-19 pandemic and sustainability. In terms of keywords, the identification of seven thematic clusters highlights the relationship between the integration of local knowledge, creativity, problem-based learning, and scientific literacy. In terms of geographical contribution, Indonesia represents a strong involvement and focuses on the integration of cultural values into science education. In conclusion, strengthening the integration of local wisdom with STEM has the potential to significantly encourage an inclusive and sustainable learning environment and encourage educational innovation on a global scale.
Stroke-Associated Pneumonia: Risk Factors and Discharge Status Yurike Septianingrum, Ratna Yunita Sari, Erika Martining Wardani, Nur Ainiyah, Imamatul Faizah, et al. Nurse Media Journal of Nursing, 2024 Background: Stroke-associated Pneumonia (SAP) is one of the complications that occur in stroke patients and is associated with worse clinical outcomes. Risk factors for SAP and its impact on discharge status remain unclear.Purpose: This study aimed to determine the factors influencing the incidence of stroke-related pneumonia in the hospital and the patient’s discharge status.Methods: A case-control study was conducted at a private hospital in Surabaya from January 2021 to 2022. Medical record data were reviewed to identify stroke patients with suspected or confirmed pneumonia, after which risk factors (age, gender, stroke type, length of stay, stroke frequency, dysphagia, diabetes mellitus, hypertension, COVID-19, and discharge status) associated with the occurrence of SAP were examined. We excluded diagnoses of diseases with clinical manifestations such as tuberculosis-like pneumonia, lung tumor, pulmonary edema, pulmonary embolism, pulmonary atelectasis, and incomplete or missing medical record data. Data analysis used the Chi-square test to identify the risk factors for stroke-associated pneumonia.Results: One hundred sixty-three stroke patients treated in all inpatient rooms were diagnosed with pneumonia; 52.8% of them had confirmed pneumonia, while the rest were still suspected of pneumonia. Most pneumonia occurs in ischemic stroke patients (93.9%), first-time stroke patients (87.1%), experienced dysphagia (55.2%), length of stay less than 7 days (55.2%), hypertension (55.2%), diabetes mellitus (57.1%), and discharged home (84%). We also found as much as 12.9% inpatient mortality due to SAP. Dysphagia, DM, and COVID-19 were significantly correlated with the incidence of stroke-associated pneumonia (p=0.000).Conclusion: Stroke-associated pneumonia is a substantial medical complication among stroke patients affected by dysphagia, DM, and COVID-19. Screening for dysphagia is necessary for nurses to prevent SAP in stroke patients.
FACTORS INFLUENCING THE APPLICATION OF THE CODE OF NURSING ETHICS AT INDONESIA Yanis Kartini, Imamatul Faizah, Riska Rohmawati, Iis Noventi, Nur Ainiyah Revista De Gestao Social E Ambiental, 2024 Background: Nurses are health workers who are vulnerable to lawsuits because the scope of services performed carries a risk of malpractice and negligence. Aim: This study was aimed to determine the application of a code of ethics in health services and analyze the influencing factors, as well as analyze the factors with the strongest influence. Methods: The study used an explanatory research method with a cross sectional approach. The population in this study were nurses who worked in health services, both in hospitals and health centers in the Surabaya area. The sample size in this study was calculated using the rule of thumb, amounting to 150 respondents. Samples were taken by means of purposive sampling, data were analyzed by path analysis with a significance level of α <0.005. Result: Nurses apply a code of ethics in the good and excellent categories. The influencing factors were individual characteristics (p=0.000), work environment characteristics (p=0.000), experience (p=0.000), knowledge (p=0.000). The biggest influencing factor is experience with a large influence on knowledge is 0.803 and the influence on the application of the code of ethics is 0.823. Conclusion: Most nurses in Indonesia have implemented a code of ethics in the good and excellent categories. Factors that influence the application of the code of ethics in health services are individual characteristics, characteristics of the work environment, experience. and knowledge. The most influential factor is experience. Nurses should be active in the activities of professional organizations. Workplace rotation is needed for nurses to gain experience in decision making, legal ethics
THE CONVENTION OF REGULAR TREATMENT WITH SPHETIC CONVERSION DURING INTENSIVE TUBERCULOSIS TREATMENT Chilyatiz Zahroh, Nanang Nurrachmat Setiadi, Nur Ainiyah, Eppy Setiyowati, Erik Kusuma, et al. Revista De Gestao Social E Ambiental, 2024 Purpose: The primary objective of this research is to investigate the relationship between medication regularity and sputum conversion following the intensive treatment phase of pulmonary tuberculosis (TB) at Banyu Urip Public Health Center in Surabaya. Recognizing the importance of sputum conversion as a key determinant of treatment success in pulmonary TB, this study aims to assess the impact of medication regularity on the achievement of sputum conversion among TB patients. Methods: This study adopts an analytic correlation approach with a cross-sectional design. The study population comprises tuberculosis patients receiving treatment at the Public Health Center. Data collection involves simple random sampling of 51 respondents, focusing on variables related to medication regularity and sputum conversion. Questionnaires based on the Morisky Medication Adherence Scale-8 (MMAS-8) and observation sheets are utilized as instruments. Data analysis is conducted using logistic binary regression to examine the relationship between medication regularity and sputum conversion. Results and Discussion: Among the 51 respondents, 70.6% demonstrated regularity in treatment, with 76.5% achieving sputum conversion. The Spearman rank test analysis indicates a significant relationship between medication regularity and sputum conversion (p = 0.011; p < α = 0.05; r = 0.352). These findings suggest that adherence to medication is positively associated with successful sputum conversion following the intensive treatment phase of tuberculosis. Such results underscore the critical role of medication regularity in achieving positive treatment outcomes in TB patients. Implications of the Research: The research outcomes hold important implications for healthcare providers and policymakers involved in tuberculosis management and control. The findings highlight the significance of promoting medication regularity among TB patients to enhance treatment efficacy and increase the likelihood of sputum conversion. It underscores the importance of providing comprehensive counseling and support services to TB patients and their families, along with engaging other relevant stakeholders, to ensure adherence to treatment protocols throughout the course of therapy. Originality/Value: This study contributes to the existing literature by focusing on the relationship between medication regularity and sputum conversion specifically within the context of tuberculosis treatment. By employing logistic binary regression analysis and incorporating the MMAS-8 questionnaire, the research offers valuable insights into the factors influencing treatment outcomes in TB patients. The findings provide a basis for targeted interventions aimed at improving medication adherence and enhancing treatment success rates in pulmonary tuberculosis, thereby contributing to more effective tuberculosis management strategies.
Influence of Self-Motivation and Health Locus of Control on Adherence to Medication Among Hypertension Patients Nur Ainiyah, Najmiatu Zuhriyah, Chilyatiz Zahroh, Siti Damawiyah, Diah Retno Kusumawati, et al. Jurnal Keperawatan Indonesia, 2023 Hypertension is one of the more common comorbidities among patients infected with the Sars-CoV-2 virus, which causes COVID-19, but many hypertensive patients do not comply with taking medication. This study analyzed the relationship of self-motivation and health locus of control with self-management (medication adherence) among hypertensive patients during the COVID-19 pandemic at Private Hospital Surabaya, Indonesia. The research adopted a correlative analytic design with a cross-sectional approach, and the study’s population comprised 74 hypertensive patients recruited by simple random sampling who were treated at Private Hospital Surabaya, Indonesia The instruments used included the Treatment Self-Regulation Questionnaire to measure self-motivation, the Multidimensional Health Locus of Control Scale to measure locus of control, and the Morisky Medication Adherence Scale–8 to measure self-management (medication adherence). Spearman’s rank correlation coefficient was employed for data analysis to measure the relationships between self-motivation, locus of control, and with self-management (adherence to taking medication). The results reveal a relationship between self-motivation and adherence to medication at a level of p = 0.000 and a relationship between health locus of control and adherence to taking medication at a level of p = 0.000 among hypertensive patients during the COVID-19 pandemic at Private Hospital Surabaya, Indonesia. The findings suggest the value of efforts to provide motivation to patients and support their being more responsible in controlling their health conditions by adherence to medication. Abstrak Pengaruh Motivasi Diri dan Locus of Control pada Kepatuhan Minum Obat Pasien dengan Hipertensi. Hipertensi merupakan salah satu penyakit dengan komorbiditas tertinggi pada pasien yang terinfeksi virus Sars-CoV-2 penyebab COVID-19, diperparah dengan masih banyaknya pasien hipertensi yang tidak patuh minum obat. Penelitian ini bertujuan untuk menganalisis hubungan motivasi diri dan health locus of control dengan self-management (kepatuhan minum obat) pada pasien hipertensi pada era pandemi COVID-19 di rumah sakit swasta Surabaya. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross-sectional. Populasi penelitian ini adalah pasien hipertensi yang dirawat di rumah sakit swasta Surabaya Indonesia dengan simple random sampling sebanyak 74 orang. Instrumen yang digunakan dalam penelitian ini adalah the Treatment Self-Regulation Questionnaire untuk mengukur motivasi diri, Multidimensional Health Locus of Control Scale untuk mengukur locus of control, dan Morisky, Medication Adherence Scale untuk mengukur selfmanagement (kepatuhan pengobatan). Analisis data yang digunakan untuk mengukur self-motivation, locus of control dengan self-management (kepatuhan minum obat) adalah tes Rank Spearman. Hasil penelitian menunjukkan bahwa ada hubungan antara motivasi diri dengan kepatuhan minum obat pada pasien hipertensi di era pandemi COVID-19 di rumah sakit swasta Surabaya dengan taraf (p = 0,000), dan ada hubungan antara lokus kesehatan dengan pengendalian dan kepatuhan minum obat bagi pasien hipertensi di era pandemi COVID-19 di rumah sakit swasta Surabaya (p = 0,000). Hasil penelitian menunjukkan bahwa upaya dengan memberikan motivasi dan dukungan untuk lebih bertanggung jawab dalam mengontrol kondisi kesehatannya (patuh minum obat). Kata Kunci: kepatuhan minum obat, locus of control, pasien hipertensi, self-motivation
Individual and Environmental Factors Associated with Pulmonary Tuberculosis: A Cross-Sectional Study in an Urban Community C Zahroh, S Sudarianik, N Ainiyah, E Setiyowati, U Soleha, M Mulyadi Journal of Applied Nursing and Health 7 (3), 852-859 , 2025 2025
Peranan dan Dukungan Generasi Muda terhadap Lansia melalui Kegiatan Lintas Generasi dengan Ketersediaan “Ruang Hati” sebagai Media Curhat dan Kualitas Hidup I Noventi, N Ainiyah, SN Hasina, Y Kartini Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) 8 (11), 5464-5478 , 2025 2025
ACTIVE CYCLE OF BREATHING TECHNIQUE FOR AIRWAY CLEARANCE AND RESPIRATORY FUNCTION IN PULMONARY TUBERCULOSIS: A CASE STUDY SC Ramadhan, N Ainiyah Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan 9 (3), 110-121 , 2025 2025
Penerapan Aplikasi Kesehatan Pemantauan Penyakit Tidak Menular di Desa Banjarsari Kecamatan Cerme Kabupaten Gresik [Application of a Health Monitoring App for Non-Communicable … I Kurniastuti, DB Magfira, N Ainiyah, MN Muchlis, MBI Kurniawan, ... Indonesia Berdaya 6 (4), 1021-1030 , 2025 2025 Citations: 1
The Relationship between Gratitude and Self-Acceptance with the Quality of Life of Hypertension Patients N Ainiyah, F Firdaus, SN Hasina, E Yuliana Jurnal Ilmiah STIKES Yarsi Mataram 15 (2), 191-202 , 2025 2025 Citations: 1
Implementation of Spiritual Health (SS) for the Elderly at Griya Wreda Surabaya C Zahroh, N Ainiyah, W Alkatiri, N Adibaba, AS Rosalinda Proceeding Cendekia International Conference Health and Technology 3, 179-182 , 2025 2025
Hubungan peer group support dengan kepatuhan pengobatan ARV penderita HIV/AIDS M Misutarno, SN Hasina, N Ainiyah, S Sulistyorini Jurnal Keperawatan 17 (3), 563-572 , 2025 2025 Citations: 1
Implementasi Sehat Spiritual (SS) Lansia di Griya Wreda Surabaya C Zahroh, N Ainiyah, W Alkatiri, N Adibaba, AS Rosalinda Jurnal Pengabdian Kesehatan 8 (2), 107-113 , 2025 2025
ANALYSIS OF NURSING CARE IN NSTEMI PATIENTS WITH THE APPLICATION OF DEEP BREATHING RELAXATION AND MURATTAL THERAPY TO OVERCOME THE PROBLEM OF ACUTE PAIN K Milaningrum, N Ainiyah, U Soleha Nurse and Holistic Care 4 (3), 132-143 , 2024 2024
The role of drug swallowing supervisors (PMO) in improving tuberculosis treatment adherence: a literature review N Huda, BD Cahyono, E Aristawati, S Salamah, N Ainiyah Jurnal Kesehatan Komunitas Indonesia 4 (3), 335-345 , 2024 2024 Citations: 1
Stroke-associated pneumonia: Risk factors and discharge status Y Septianingrum, RY Sari, EM Wardani, N Ainiyah, I Faizah, A Yusuf, ... Nurse Media Journal of Nursing 14 (3), 344-355 , 2024 2024 Citations: 1
Empowerment of Integrated Family Service Posts as Herbal Corners to Increase Community Immunity C Zahroh, P Nerisafitra, I Noventi, N Ainiyah Journal of Community Service for Health 5 (2), 044-048 , 2024 2024 Citations: 1
Digitalisasi Kesehatan untuk Pemantauan Penyakit Tidak Menular (PTM) Kelurahan Kalirungkut Kecamatan Rungkut Kota Surabaya I Kurniastuti, DB Magfira, N Ainiyah, A Ferisna, ATR Siswanti, AS Putri Indonesia Berdaya 5 (4), 1417-1424 , 2024 2024 Citations: 1
IMPLEMENTATION OF HEALTH EDUCATION USING AUDIO-VISUAL MEDIA ON PERINEAL WOUND CARE IN POSTPARTUM MOTHERS WITH KNOWLEDGE DEFICIT PROBLEMS IN THE ROSE ROOM RSI JEMURSARI SURABAYA RDN Wati, N Kamariyah, RK Afiyah, N Ainiyah Nurse and Holistic Care 4 (2), 94-102 , 2024 2024
Effectiveness of Warm Ginger Hydrotherapy and Foot Massage in Enhancing Subjective Well-Being in Patients with Type 2 Diabetes Mellitus. N Ainiyah, C Zahroh, I Noventi, A Fitriasari, E Aristawati Frontiers In Health Informatics 13 (3) , 2024 2024 Citations: 1
Pengembangan Media Evaluasi Pembelajaran Bahasa Arab Menggunakan Aplikasi Quizizz dalam Meningkatkan Penguasaan Mufrodat pada Siswa Kelas VII MTs Negeri 1 Kota Gorontalo MA Makalalag, N Ainiyah Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan 9 (4), 3 , 2024 2024
The Dominant Factors Associated with Quality of Life in Hypertension Patients in the Elderly N Ainiyah, C Zahroh, DR Kusumawati, S Damawiyah, E Aristawati, ... South Eastern European Journal of Public Health, 280-285 , 2024 2024 Citations: 3
The Convention of Regular Treatment with Sphetic Conversion During Intensive Tuberculosis Treatment C Zahroh, NN Setiadi, N Ainiyah, E Setiyowati, E Kusuma, M Mulyadi Revista de Gestão Social e Ambiental (Environmental and Social Management … , 2024 2024 Citations: 1
FACTORS INFLUENCING THE APPLICATION OF THE CODE OF NURSING ETHICS AT INDONESIA Y Kartini, I Faizah, R Rohmawati, I Noventi, N Ainiyah Revista de Gestão Social e Ambiental 18 (5), 1-15 , 2024 2024
ANALYSIS OF THE HERBAL USE OF BAY LEAF TO OVERCOME GOUT ARTHRITIS N Ainiyah, NM Hatmanti Prosiding Seminar Nasional IPEGERI Jateng (SNIJ) 1, 39-48 , 2023 2023
MOST CITED SCHOLAR PUBLICATIONS
Hubungan pengetahuan dengan kepatuhan diet pada penderita diabetes mellitus di posyandu lansia cempaka kelurahan tembok dukuh Kecamatan Bubutan Surabaya DN Bistara, N Ainiyah Journal of Health Sciences 11 (1), 51-57 , 2017 2017 Citations: 42
Gambaran perilaku hidup bersih dan sehat di Pondok Pesantren Nurul Huda Surabaya M Khafid, N Ainiyah, S Maimunah The Indonesian Journal of Health Science 11 (2), 177-181 , 2019 2019 Citations: 39
Diabetic Foot Spa Implementation in Early Neuropathy Diagnosis Based on Blood Glucose Levels, Foot Sensitivity and the Ankle Brachial Index in Patients with Diabetes Mellitus EM Wardani, C Zahroh, N Ainiyah Jurnal Ners 14 (1), 106-110 , 2019 2019 Citations: 27
Acceptance and commitment therapy (ACT) on increasing the compliance of management diabetes mellitus type 2 INSNH DN Bistara, Rusdianingseh, Susanti, Erika M Wardani, Yurike ... International Journal of Psychosocial Rehabilitation 24 (9), 942-946 , 2020 2020 Citations: 24
Pengaruh spa kaki diabetik terhadap kualitas tidur dan sensitivitas kaki penderita diabetes mellitus tipe 2 EM Wardani, L Wijayanti, N Ainiyah Jurnal Ners LENTERA 7 (2), 130-141 , 2019 2019 Citations: 22
Emotional intelligence and self-efficacy as predictor factors of student resilience in online learning during pandemic era N Ainiyah, C Zahroh, K Khamida, S Budury, S Nurjanah, SN Hasina, ... Open Access Macedonian Journal of Medical Sciences 9 (T5), 40-43 , 2021 2021 Citations: 21
Efektifitas Penerapan Perencanaan Pulang Dengan Metode Terstruktur Terhadap Kesiapan Keluarga Dalam Memberikan Mobilisasi Dini Pada Pasien Cerebro Vaskuler Attack Di RS. Islam … S Damawiyah, N Ainiyah THE JOURNAL OF HEALTH SCIENCES: JURNAL ILMIAH KESEHATAN 10 (2), 76-87 , 2017 2017 Citations: 18
Influence of Self-Motivation and Health Locus of Control on Adherence to Medication Among Hypertension Patients AF Nur Ainiyah, Najmiatu Zuhriyah, Chilyatiz Zahroh, Siti Damawiyah, Diah ... Jurnal Keperawatan Indonesia 26 (1), 11-19 , 2023 2023 Citations: 16
The effect of diabetic foot spa on ankle brachial index and foot sensitivity of diabetes mellitus type 2 EM Wardani, L Wijayanti, N Ainiyah Jurnal Keperawatan Respati Yogyakarta 6 (3), 672-676 , 2019 2019 Citations: 16
The Factors Associated with The Triage Implementation in Emergency Department N Ainiyah, A Ahsan, M Fathoni Jurnal Ners 10 (1), 147-157 , 2015 2015 Citations: 16
Hubungan Sikap Tentang Hipertensi Dengan Frekuensi Kekambuhan Hipertensi Pada Penderita Hipertensi Di Rw 06 Karah Kecamatan Jambangan Surabaya: Relationship Attitude Of … N Ainiyah, L Wijayanti Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) 5 (1), 47-53 , 2019 2019 Citations: 15
Peer Group Support dengan pendekatan Model Keperawatan Health promotion model berpengaruh terhadap manajemen Life style santri K Khamida Journal of Health Sciences 12 (02), 109-117 , 2019 2019 Citations: 13
Analysis of mental workload and work family conflict with burnout on lecturers who work from home during pandemic A Fitriasari, Y Septianingrum, N Purwanti, N Ainiyah, EM Wardani, ... Bali Medical Journal 11 (2), 761-765 , 2022 2022 Citations: 11
Hubungan tingkat pengetahuan Ibu tentang ISPA dengan sikap Ibu tentang pencegahan penularan ISPA pada bayi usia 0-12 Bulan di Puskesmas Pandaan N Ainiyah, D Handayani THE JOURNAL OF HEALTH SCIENCES: JURNAL ILMIAH KESEHATAN 10 (1), 60-66 , 2017 2017 Citations: 10
The effect of social skill training of early childhood education during COVID-19 Pandemic S Nurjanah, M Machmudah, C Zahroh, N Ainiyah, SN Hasina, ... Open Access Macedonian Journal of Medical Sciences 10 (G), 607-612 , 2022 2022 Citations: 9
A simple model for describing non-adherence to medication in tuberculosis patients in a tropical area, Indonesia C Zahroh, N Ainiyah, U Soleha, IK Sudiana, A Yusuf Jurnal Keperawatan Soedirman 18 (1), 18-22 , 2023 2023 Citations: 8
Implementation of diabetic foot spa and sauna bathing on quality of sleep and blood glucose levels in individuals with type 2 diabetes N Ainiyah, EM Wardani Journal of Health Sciences 14 (1), 21-26 , 2021 2021 Citations: 8
Determinant of incompliance medication people with tuberculosis disease C Zahroh, N Ainiyah, N Saadah, NN Aini, IK Sudiana, A Yusuf Indian Journal of Forensic Medicine & Toxicology 15 (1), 909-914 , 2021 2021 Citations: 8
The effect of the skin personal hygiene modules as health education media against knowledge in prevention of skabies L Wijayanti, N Ainiyah Nurse and Health: Jurnal Keperawatan 8 (1), 1-7 , 2019 2019 Citations: 8
Peran Perawat dalam Identifikasi Dini dan Penatalaksanaan Pada Acute Coronary Syndrome N Ainiyah Journal of Health Sciences 8 (2) , 2015 2015 Citations: 8
