JKG (JURNAL KEPERAWATAN GLOBAL)

The Impact of Online Game Addiction on Work Productivity Among Individuals Residing in Urban Areas of Indonesia

Yanuar Fahrizal — 2025-08-19

Background: Indonesia exhibits high smartphone penetration (210.77 million users, 2021) and substantial online gaming engagement, with 26% of gamers aged 18–24 and 20% aged 25–34. Given alarming gaming disorder prevalence (IGD: 14.6% males, 6.2% females; GD: 7.2% males, 2.8% females) and limited research on productivity impacts in urban Indonesia, this study investigates online game addiction's effect on work productivity among young adults in South Jakarta.

Methods: A cross-sectional correlational design recruited 95 participants via purposive sampling (aged 18–26, South Jakarta residents, >3 hours/day non-professional gaming). Data collection utilized the validated Indonesian Online Game Addiction Questionnaire (7-item, Cronbach’s α=0.73) and Individual Work Performance Questionnaire (18-item, Cronbach’s α=0.814–0.871). Normality was confirmed with Kolmogorov-Smirnov testing; SPSS v.28 facilitated Pearson correlation and linear regression analyses.

Results: Participants were predominantly male (64.21%), high school-educated (72.63%), and private sector employees (61.05%). Key findings revealed: a significant weak negative correlation between online game addiction and work productivity (r = -0.291, p = 0.04); a strong positive correlation between addiction and gaming duration (r = 0.486, p < 0.001); no correlation between gaming duration and productivity (p = 0.312); and regression indicating addiction explains 9.7% of productivity variance (Adjusted R² = 0.088, β = -0.420, p = 0.002).

Conclusion: Online game addiction significantly impairs work productivity among urban Indonesian youth, yet accounts for only 9.7% of variance—underscoring the influence of unaddressed mediators like sleep quality and motivation. Findings necessitate integrating psychiatric nursing interventions within workplace mental health frameworks.

Diabetes Self-Care and Quality of Life Improvement Through Community Self-Help Group

Zaroan Supriadi — 2025-08-20

Background: Type 2 diabetes mellitus (T2DM) remains a major cause of death worldwide due to complications, and its incidence is fairly high and predicted to continue to rise each year. This contributes to a low quality of life and poor self-care management, necessitating an effective treatment strategy consisting of self-help group (SHG) therapy that expands social networks, receives information, and receives emotional support from group members in order to provide numerous benefits. The purpose of this study was to assess if community-based self-help group interventions improve the quality of life and self-care management of individuals with T2DM.

Methods: This study employed a Quasi-experiment non-equivalent control group pre-test and post-test design with a self-help group intervention (n=30) for one month. The sample was selected using the approach of purposive selection with the following inclusion criteria: age between 40 and 65 years, T2DM experience between 3 and 5 years, and the ability to converse, read, and write effectively. Statistical paired sample t-test and independent sample t-test were used to assess the data.

Results: In both groups, self-care management, quality of life, and blood glucose levels at baseline were comparable. After one month of intervention, self-care management, quality of life, and blood glucose levels were significantly better in the intervention group than in the control group (p<0.05).

Conclusion: In this study, the self-care management and quality of life of individuals with T2DM improved following SHG intervention. Integrating public health effort with an interpersonal collaboration approach will provide an optimal integrated contribution to resolving chronic deseases.

The Experience of Parents in Reducing Children's Autism Tantrums in West Java: A Phenomenological Study

Anni Sinaga — 2025-09-04

Background: In autistic children, temper tantrums can occur in association with other challenging behaviors like sleep problems, selective eating, anxiety, irritability, self-harm, and aggression. Families who have adult autistic children experience burdens in their lives. Poor communication and interaction with the child at home provoke an emotional tantrum. This study aims to explore family experiences in reducing children's autistic tantrums through family support.

Methods: This phenomenological study involved seven parents of adolescents with autism. The study was carried out over a period of six months, from September 2022 to March 2023, covering the stages of preparation, participant recruitment, in-depth semi-structured interviews, and verbatim transcription. Data were analyzed using Colaizzi’s phenomenological method, which comprised verbatim transcription, identification of significant statements, coding, clustering of themes, and the development of an essential description of the parents’ lived experiences.

Results: Six themes were constructed from the study: (1) The process of accepting their children with special needs; (2) Parents' expectations of their children; (3) Internal and external support in reducing autism tantrums; (4) Children join with activities; (5) Enforcement of rules in the family; (6) Family isolation.

Conclusion: This study highlights the central role of families in caring for children with autism spectrum disorder (ASD), particularly in managing tantrums. Families apply spiritual values, collaborate among members, and use practical strategies such as providing a safe space, allowing calming time, and redirecting children to meaningful activities. The findings emphasize that family-centered approaches can enhance children’s adaptive abilities and quality of life while reducing caregiver burden.

Individual Characteristics and Locus of Control as Factors Related to Burnout in Nurses

Antonius Ngadiran — 2025-09-04

Background: Burnout is a condition of extreme fatigue and exhaustion that is widely experienced by workers. Nurses who work on the front line for 24 hours are at high risk of burnout, which can jeopardise their wellbeing as well as patient safety and quality of care. This study aims to identify the dominant factors, including individual characteristics, work environment, locus of control, and work experience, that influence burnout among hospital nurses.

Methods: The study used a cross-sectional study was conducted to evaluate the level of burnout. The sample was 431 nurses who was selected from the hospital using stratified random sampling to ensure the representation of different work units or departments. Date analysis was performed using Structured Equation Modelling (SEM) to examine the complex relationships between the variables.

Results: The results of the bivariate analysis indicate that there is a relationship between respondent characteristics and nurse burnout incidence. A significant negative relationship was found between the work environment and burnout occurrence, as well as a relationship between years of work experience and burnout incidence. Meanwhile, the results of the multivariate analysis showed that characteristics, work environment, locus of control, and work experience influence burnout by 10.9%.

Conclusion: This study shows that the variables of characteristics, work environment, locus of control, and work experience account for 10.9% of the burnout. This study recommends improving the work environment, strengthening locus of control, and providing mentoring for nurses with low experience to prevent burnout.

Effect of Islamic Spiritual Mindfulness via Mobile Aplication (SI-DEPAPU) on Social Interaction in Isolated Patients

Vivi Sovianti — 2025-09-11

Background: Social interaction is an important indicator during the process of social isolation treatment. The less active social interaction could lead to other mental disorders such as hallucination, suicide risk, self-care deficit, and violence risk. The study investigated the effect of Islamic Spiritual Mindfulness on Discharged Patient Detection Information System (SI-DEPAPU) application to enhance the social interaction of schizophrenia patients with social isolation.

Methods: The research design used was quasi-experimental with a pre-post test method. The study used purposive sampling with 40 respondents divided into two groups of 20 people each. The instruments used were the Social Interaction Questionnaire and Behavioral Observation Sheet, which have been tested for validity and reliability. The statistical tests used included the paired t-test to assess social interaction within the group, the independent t-test to compare before the intervention, and the Mann-Whitney test for after the intervention.

Results: The research finding showed the difference in the social interaction of patients before and after the intervention between the intervention group and control group (p=<0.001; <0.05), of which the mean value of the intervention group (43.79) was more significant than the control group (15.21).

Conclusion: Based on the research results, it can be concluded that there was an increase in social interaction in patients after receiving Islamic spiritual mindfulness therapy. The SI-DEPAPU application can be implemented as a mental health nursing intervention to improve the social interaction of patients with schizophrenia who suffer from social isolation.

Development of Self-Regulation Model Based on Health Promotion Model on Anemia Prevention Behavior in Pregnant Women

Mira Triharini — 2025-10-02

Background: Anemia prevention in pregnant women is essential to reduce health risks for both mother and fetus. This study aimed to develop a self-regulation model for anemia prevention behavior based on the Health Promotion Model.

Methods: An explanatory design with a cross-sectional approach was applied to 115 pregnant women attending health centers in Surabaya, selected through cluster sampling. Data were collected using a structured questionnaire and analyzed using SEM-PLS.

Results: The findings showed that anemia prevention behavior was significantly influenced by behavioral self-regulation (T=2.945) through personal regulation (T=5.932), which was shaped by environmental self-regulation (T=8.611) and individual characteristics (T=3.302). Commitment did not directly affect anemia prevention behavior (T=0.144; p=0.886). The model demonstrated substantial explanatory power, with R² values of 71.9% for behavioral self-regulation and 43.1% for anemia prevention behavior. Predictive relevance (Q² > 0) confirmed the model’s robustness across different contexts.

Conclusion: This study highlights the pivotal role of self-regulation processes in shaping anemia prevention behavior. The model can serve as a framework for nursing interventions to strengthen self-regulation among pregnant women and improve maternal and fetal health outcomes.

Relationship Between Knowledge and Perception with HIV/AIDS Prevention Efforts in Key Populations

Siti Latipah — 2025-12-11

Background: HIV transmission often occurs through unsafe sex, particularly with sex workers, making key populations crucial in the spread of HIV/AIDS. One key strategy to reduce HIV/AIDS morbidity and mortality is implementing prevention programs targeting at-risk groups. The study aims to examine the relationship between knowledge and perception and HIV/AIDS prevention efforts among key populations in Tangerang City.

Method: Quantitative with cross-sectional analytical correlation. A sample of 69 people was conducted by snowball technic sampling. This study used the HIV-KQ-18, HIV perceptions statements referring to the six components of the Health Belief Model theory and Behavioral Surveillance Survey (BSS). Data analysis was performed using the Chi-Square Test of Independence to assess the relationship between knowledge level, perception level.

Results: respondent characteristics Age ≥ 21 years 59.4%, high school education 69.7%, length of work ≥ 3 years 59.3%. Relationship between knowledge level and HIV/AIDS prevention efforts: p-value 0.002. Relationship between perception level and HIV/AIDS prevention efforts: p-value 0.002. Relationship between knowledge and perception and HIV/AIDS prevention efforts: p-value < 0.001.

Conclusion: The study found that knowledge and perception significantly influence HIV/AIDS prevention among female sex workers. However, consistent prevention is hindered by personal, social, and structural barriers, including negotiation difficulties, economic dependence, stigma, and limited-service access. Effective interventions must be comprehensive, combining knowledge improvement with skills training, stigma reduction, barrier removal, and supportive policies.