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Academic burnout is prone to occur in students who experience Fatigue because they feel pressured by lectures and feel incompetent as students. Fatigue that is felt if it is not immediately overcome and continues, it can decrease academic achievement and even disrupt mental and physical health. To overcome or prevent burnout, students need social support from family, friends and significant other support. The goal was to analyze the relationship between social support and academic burnout in Unissula nursing students. This study applies a quantitative method with a cross sectional  approach and data is obtained through the distribution  of  MSPSS (Multidimensional Scale of Perceived Social Support) questionnaire consisting of 18 statements and MBI-SS (Maslach Burnout Inventory-Student Survey) consisting of 19 statements, with a total of 141 respondents who were randomly selected without looking at certain characteristics using a simple technique random sampling. The results of this study show that the most social support is in the low category with 102 (72.3%) students while the most academic burnout is in the medium category with 120 (85.1%) students. The results of the statistical test obtained a p-value of 0.000 with a closeness of -0.402 which means that there is a relationship between social support and academic burnout with moderate closeness. There was a meaningful relationship between Social Support and Academic Burnout of FIK Unissula students with p value (0.000) < ɑ (0.05).

Autobiography of Wrestler Ayub Bagus Setiawan: A Student at Malang State University, Faculty of Sports Science, Department of Physical Education, Health, and Recreation of the 2019 Batch. He won the Gold Medal at the National Student Sports Week (POMNAS) in South Kalimantan in 2023, narrates his life journey from childhood to achieving the highest achievements in wrestling. Ayub was born in Banyuwangi on August 2, 2001, as the second of three siblings. His wrestling career began while attending SMP Negeri 1 Tegaldlimo and continued at SMA Negeri Olahraga Sidoarjo. From a young age, Ayub has loved and devoted himself to wrestling. Motivation, enthusiasm, and support from family and the community have made him more diligent in training. Choosing to continue his education in the Department of Physical Education, Health, and Recreation at the Faculty of Sports Science at Malang State University is a step to deepen his knowledge of sports. Ayub's athletic career reached its peak when he won at POMNAS 2023, a remarkable achievement in his sports career. This autobiography serves as an inspirational record of the dedication, hard work, and spirit of an athlete who has achieved remarkable success in the sport of wrestlings.

Self-care is an individual's effort to manage their health condition, especially for people with diabetes mellitus, to keep blood sugar levels under control. One element that influences the effectiveness of self-care is family support. This support can take various forms, such as emotional support, practical assistance, information, and evaluative feedback. This study aims to explore the relationship between family support and self-care practices in elderly people with type 2 diabetes mellitus at the Kedungmundu Health Center. This study design is correlational with a cross-sectional approach. The sample taken consisted of 68 elderly people with type 2 DM who visited the Kedungmundu Health Center. The sample selection used a purposive sampling technique. The inclusion criteria involved outpatients who lived with their families. The instruments used in this study were a questionnaire about family support and SDSCA (Summary of Diabetes Self-Care Activities). To analyze the data, the chi-square test was used in bivariate analysis. The results showed that 60.3% of respondents received positive family support, while 48.5% of respondents showed good self-care practices. Further analysis showed a significant relationship between family support and self-care practices with a p value of 0.000 (p <0.05). Conclusion: Based on the results found, it can be concluded that family support plays an important role in improving the quality of self-care in elderly people with type 2 diabetes mellitus.

Type 2 Diabetes Mellitus which is increasingly common is often accompanied by complications and psychological problems such as stress. The level of stress in diabetes patients can be influenced by family support which plays a crucial role in improving their quality of life. This study aims to examine the relationship between the level of family support and stress levels in patients with type 2 diabetes mellitus. The method used in this study is a quantitative approach with a cross-sectional research design. A total of 132 type 2 DM patients registered at the Genuk Health Center, Semarang, were randomly selected as samples. Data were analyzed using the Chi-Square test, and the results showed a significant relationship between family support and patient stress levels (p-value = 0.047). This indicates that adequate family support plays an important role in reducing stress in type 2 diabetes patients.

Complication rates among patients with Type 2 DM are increasing and worsening due to their inability to implement self-care management. However, this cause can be minimized if patients have good knowledge, self-efficacy, and family support. The study used a quantitative approach with a cross-sectional design. The sample consisted of 147 respondents with type 2 diabetes in Bandarharjo Community Health Center Semarang, who were selected using purposive sampling technique. The test used was chi square test. The study showed that most respondents had low knowledge (47.6%), poor self efficacy (44.2%), adequate family support (49.7%) and good self care management (46.3%). The results showed a relationship between knowledge, self efficacy and family support on self care management in Type 2 DM patients at Bandarharjo Semarang Health Center (p<?). The results showed that there is a relationship between knowledge, self efficacy and family support on self care management in patients with Type 2 DM at Bandarharjo Community Health Center Semarang.

Menopause was a phase of a woman’s life that occurred at the end of the menstrual cycle. In this phase, women needed to prepare physically and psychologically to face menopause. One of the factors that affected this preparation was family support. This study aimed to determine the relationship between family support and women’s readiness to face menopause. This study was a type of quantitative research with a cross-sectional research design. Sampling by purposive sampling technique with a sample of 77 respondents was statistically processed using the Gamma Test. The results of this study showed that there was a relationship between family support and women’s readiness to face menopause with P value < 0.05 and a correlation value of 1.000, which meant that the correlation between the two variables was very strong. There was a relationship between family support and women’s readiness to face menopause, a very strong correlation that meant that women with high support had readiness to face menopause, and women with low support did not have readiness to face menopause.

Chronic kidney failure or chronic kidney disease (CKD) is a non-communicable disease that has increased the prevalence of mortality and morbidity in the last 20 years. The prevalence according to RISKESDAS in 2013 showed CKD was 2% and increased to 3.8% (739,208) in 2018. Dialysis is a kidney replacement therapy (TPG) which is used to prevent kidney deterioration. TPG carried out throughout life will change the patient's life physically, cognitively, psychologically, socially, and spiritually. When undergoing dialysis, patients experience ambivalent feelings towards the hemodialysis process that they are currently undergoing, namely positive feelings in the form of happiness when washing freely and negative feelings including feelings of anxiety and worry about the disease they are experiencing. This study aims to determine the existence of family relationships and the length of undergoing hemodialysis on the level of anxiety in patients with chronic kidney failure at Hospital X Jakarta. The method used is quantitative analysis with a cross-sectional research design on 45 respondents with the Spearman Rank correlation test. The results show a significant relationship between family support and the length of time undergoing hemodialysis with the level of anxiety in chronic kidney failure patients with values of ? = 0.001 < ? and ? = 0.007 < ?, correlation coefficient (rs) = 0.472 and (rs) = -0.397, so H0 is rejected and H1 is accepted with a moderate level of significance. In conclusion, family support and the length of time undergoing hemodialysis have a moderate relationship to anxiety levels in chronic kidney failure patients.

Globally, cervical cancer was the fourth most common cancer among women, with low screening coverage contributing to the high number of cases diagnosed at an advanced stage. This study aimed to identify the factors influencing women's compliance with cervical cancer screening through IVA or Pap smear examinations. The research employed a quantitative method with a cross-sectional design. The study sample consisted of 112 respondents, selected using a simple random sampling technique. Data were analyzed using descriptive frequency tests, chi-square tests, and multiple logistic regression analysis.The results showed a significant relationship between several factors and women's compliance with early cervical cancer detection, including age (p=0.000), occupation (p=0.002), the number of children born (parity) (p=0.000), general health condition (p=0.018), distance to healthcare facilities (p=0.006), level of knowledge (p=0.021), family support (p=0.011), and the role of healthcare workers (p=0.000). However, education (p=0.104) did not show a significant relationship. Based on the multiple logistic regression analysis, the most influential factor affecting women's compliance with early cervical cancer detection was age (p=0.045).

Hypertension is a non-communicable disease that is often referred to as "the silent killer" because of its asymptomatic nature. Surgical education plays an important role in providing important information and motivational support to hypertensive patients, which has the potential to increase the effectiveness of treatment. In addition, family involvement is the main foundation for successful monitoring and prevention of complications, because hypertension management is highly dependent on effective self-care management. This study used a quantitative descriptive correlational research design with a cross-sectional approach. Data collection used a questionnaire given to 75 participants registered in the Hypertension Chronic Disease Management Program in the Bangetayu and Tlogosari Kulon Health Centers. Statistical analysis used the Somer'd correlation test. Among the 75 study respondents, 92% (n = 69) rated the role of nurses as good educators, while 88% (n = 66) reported good family support, and 84% (n = 63) showed good self-care management. Statistical analysis revealed a significant correlation between the role of nurses as educators with self-care management of hypertension patients (p=0.016, correlation coefficient=0.525). Likewise, family support showed a significant relationship with self-care management (p=0.01, correlation coefficient=0.491). This study shows that there is a significant relationship between the role of nurses as educators and family support with self-care management in hypertension patients in the working areas of Bangetayu Health Center and Tlogosari Kulon Health Center.

Background : When insulin production drops too low, metabolic abnormalities in the pancreas cause hyperglycemia, or high blood sugar. This condition is known as diabetes mellitus (DM). Patients with diabetes mellitus will require care and support from their loved ones because of the disruption in their self-concept caused by the disease. It is our responsibility as nurses who provide care management to educate our patients and their loved ones about self-care actions they can take to control their blood sugar levels. Objectives: to determine demographic information (gender, age, occupation, education level), create a family care catalog for DM patients, create a self-efficacy catalog after family care, and analyze the relationship between family care and self-efficacy for DM patients. Methods: Cross-sectional research concept with total sampling technique, the number of respondents was 50 people with a questionnaire sheet instrument Results: There were 36 female respondents (72%) and 14 male respondents (28%). The age of the majority of respondents was 56-75 years, 31 people (62%). The highest level of respondent education was high school, 22 people (44%). The majority of respondents who are no longer working are 36 people (72%). The average respondent has suffered from DM for more than 5 years is 30 people (60%). Based on the analysis of family care and self-efficacy, 36 people received good and supportive family care, and 32 people also had high self-efficacy. This study shows the results of statistical tests with the chi-square test and obtained a p value of 0.000 or p <0.05 so that Ho is rejected and Ha is accepted. Conclusion: It can be concluded that there is a relationship between family care and self-efficacy of diabetes mellitus clients at Sayung 1 Health Center

Stroke is a disease that causes stroke sufferers of depend on other people for ADL (Activity Daily Living). Family support is important for stroke sufferers so they don’t give up and can fulfill their spiritual needs. This research aims to analyze the relationship between spirituality needs and family support with ADL (Activity Daily Living). With this third factor, stroke patients can maintain optimal health. This research is descriptive research using a quantitative approach. The population of this study was 113 people. The sample used was 88 respondents using a cross sectional approach. Data were collected using the Daily Spiritual Experience Scale (DSES) questionnaire, the family support questionnaire, and the Bartel Index Questionnaire. Bivariate analysis test of the relationship between spirituality needs in stroke patients who experience impaired physical mobility using the gamma coefficient test obtained a p value of 0.040 and a correlation value (r) of 0.0338. The bivariate analysis test of the relationship between family support in stroke patients using the gamma coefficient test obtained a p value of 0.017 and a correlation value (r) of -0.468. There is a relationship between the need for spirituality and family support with ADL (Activity Daily Living) in stroke patients who experience impaired physical mobility at RSI Sultan Agung Semarang.

stroke causes physical mobility disorders, having an impact on the patient's ability to personal hygiene. This study aims to analyze the relationship between family support and the fulfillment of    personal hygiene needs in stroke patients who experience physical mobility disorders. a type of quantitative research, using an observational analytical design of a cross-sectional approach. Purposiv sampling technique. The number of sample was 113 people to 88 respondents. The research instrument used a family and personal hygine support questionnaire  bivariate analysis test with gamma coefficient test obtained a p value of 0.001, ,a coefis value . Personal hygiene in stroke patients who experience impaired physical mobility. The higher the family support, the higher the fulfillment of personal hygiene needs in stroke patients.  

Household environmental problems such as poor waste management, the practice of burning waste, and limited use of home yards remain major challenges in creating clean and healthy residential areas. Dasawisma, as the smallest unit within the PKK structure, holds a strategic role in fostering environmental awareness and pro-environmental behavior at the family level. This Community Service Program (PkM) aims to build an environmentally caring community through strengthening the role of Dasawisma, improving members' knowledge, and encouraging new habits in household environmental management. The method used a participatory approach consisting of problem identification, interactive counseling sessions, hands-on practice in waste management and yard utilization, and field mentoring. The results indicate an increase in members' understanding of environmental issues, behavioral changes in sorting organic and inorganic waste, simple composting practices, and the cultivation of plants in home yards. In addition, collective awareness and the emergence of local leaders helped sustain the environmental movement within the community. This program demonstrates that strengthening Dasawisma is an effective family-based empowerment strategy to support social transformation toward a cleaner, healthier, and more sustainable environment.

This study examines the impact of Christian Religious Education Management on the spiritual development and character formation of children in Christian families, especially in the Tengko Klasis Walendrang Timur Congregation. This study emphasizes the basic role of the family as the primary environment in instilling moral and spiritual values, despite challenges arising from the negative influences of technological advances and modern lifestyles. Using a quantitative approach and purposive sampling technique, this study assesses how parental guidance—with the support of church education programs such as Sunday School and Catechism—contributes to the formation of a strong Christian identity in children. The results of the study indicate that effective education management, in which parents act as educators, motivators, facilitators, mentors, and role models, is essential to fostering sustainable spiritual growth and positive character. This study concludes that increased collaboration between families and churches is needed to strengthen spiritual education so that children can develop mature and resilient Christian characters.

This study explores the dynamics of interpersonal communication between mothers and their children in mitigating the effects of fatherlessness in Bahagia Subdistrict, Bekasi City, Indonesia. Fatherlessness—defined as the absence of a father figure in a child’s emotional and developmental life—has become an increasingly significant social phenomenon, with Indonesia ranking among the highest in the world for fatherless households. The study aims to understand how single mothers manage emotional communication and perform dual parental roles to sustain their children’s psychological well-being. Using a qualitative descriptive approach, data were collected through in-depth interviews and participant observation involving three single mothers and four children living in Bahagia Subdistrict. The findings reveal that effective interpersonal communication—grounded in openness, empathy, supportiveness, positiveness, and equality—strengthens emotional bonds, builds trust, and fosters resilience in children growing up without fathers. Moreover, such communication becomes a key coping mechanism that enables mothers to reduce the negative psychological and social consequences of fatherlessness, such as low self-esteem, social withdrawal, and academic decline. The study contributes to the field of family communication by illustrating the adaptive strategies of single mothers in Indonesia as they balance affection, discipline, and economic responsibilities. The results highlight how communication can function not only as an emotional bridge but also as a practical tool for building stability and maintaining harmony in single-parent households.

Descriptive Study Analysis of Handling Late Adolescents Who Experience Broken Homes Through Pastoral Counseling at the Voice of Truth Gospel Church, Ketapang, West Kalimantan. To provide a better understanding of the role of pastoral counseling at the Voice of Truth Gospel Church in Ketapang, it can help late adolescents who experience broken homes to overcome the psychological and social impacts that arise. The research method used is a qualitative descriptive method with a case study approach. Data was collected through in-depth interviews with pastoral counselors, direct observation, and related documentation. The research results show that the pastoral counseling provided by this church includes several important stages, namely identifying problems, providing emotional and spiritual support, and providing advice based on Biblical principles. This counseling program also features support group sessions and spiritual activities aimed at strengthening youth's faith and community. This research concludes that pastoral counseling at the Voice of Truth Gospel Church in Ketapang is effective in providing support and guidance for late adolescents who experience broken homes, helping them to overcome the psychological and social impacts of their family situation. The recommendations provided include increasing training for pastoral counselors, increasing resources for counseling programs, as well as developing more structured and comprehensive intervention programs to address various aspects of the needs of late adolescents who experience broken homes.

The background of this research is relevant to evaluate and improve services in Mayapada Hospital Kuningan , especially in the obstetrics polyclinic. By understanding the relationship between family support and medical personnel, medical personnel competence, patient experience to the obstetrics polyclinic as an intervening variable, and the decision of the birth plan. In addition, there is also a need to evaluate the factors that influence the decision of the birth plan. The purpose of the study is to analyze influence family support and medical personnel, the competence of medical personnel simultaneously with patient experience at the obstetrics polyclinic regarding the decision to plan childbirth at Mayapada Hospital Kuningan. Method Study, this is study associative causality with cross sectional design. This study aims to determine the influence of family support and medical personnel (X1), the competence of medical personnel (X2) on the decision of birth plan (Y) with the patient's experience to the obstetric polyclinic as an intervening variable (Z). The findings of this study are from the statistical test analysis we can find that the most influential variables on the decision of birth plan are family support and medical personnel. The results of the study say that the patient's experience to the polyclinic as an intervening variable does not affect the decision of birth plan. The implications of this study can help management in improving the system for family support and medical personnel, the competence of medical personnel and the patient's experience to the obstetric polyclinic so that it is expected to improve the decision of birth plan to the hospital.

This meta-analysis evaluates the effectiveness of community-based interventions in addressing complex trauma among children in Gaza through a systematic analysis of 42 studies (N=4,873) published between 2010 and 2024. The findings reveal a significant treatment effect (g=0.78, 95% CI [0.65, 0.91], p<.001) with moderate heterogeneity (I²=68%). School-based interventions demonstrate the greatest effect (g=0.89), followed by family interventions (g=0.76) and peer-group interventions (g=0.65). Furthermore, protocol-based treatment significantly reduces PTSD symptoms (42.3%), anxiety (38.7%), and depression (35.2%) among children in Gaza. Moderator analysis identifies intervention duration (β=0.34, p<.01) and family involvement (β=0.29, p<.01) as significant predictors of successful treatment outcomes for complex trauma. Lastly, meta-regression results indicate a linear relationship between intervention intensity and symptom improvement (R²=0.45, p<.001). These findings expand on previous research by Thompson et al. (2021) and Al-Krenawi (2022) by identifying specific effective intervention components within the Gaza context. Additionally, the discovery that a phased approach integrating community support with protocol-based treatment yields optimal outcomes presents a novel contribution not previously addressed in meta-analyses.

Diabetes mellitus triggers complications that can cause nerve damage, kidney damage, vision problems, diabetic wounds and cardiovascular problems. Healthy eating patterns, exercise, and family support are several strategies for controlling diabetes mellitus and maintaining blood sugar levels in diabetes sufferers within normal limits. The aim of this study was to determine the relationship between blood glucose levels in individuals with diabetes mellitus and diet compliance, physical activity and family support. Purposive sampling, cross-sectional techniques, and analytical observation were used in this study, which involved 119 participants. Based on this research, there was good family support (84.9%), moderate physical activity (63.9%), and high dietary compliance (84.9%). Analysis using the chi square test obtained a p value of 0.001 (<0.05) which shows that there is a significant relationship between diet compliance, physical activity and family support with blood glucose levels in diabetes mellitus patients at the Bangetayu Health Center, Semarang.

Tuberculosis (TB) remains an infectious disease with a high incidence rate, transmitted through airborne droplets. TB patients often face discrimination in various aspects of life. This discrimination can worsen the treatment process, as they may avoid seeking treatment due to fear of being judged or ostracized. Family support for TB patients is expected to aid in treatment adherence and improve their quality of life. This study used a quantitative research design with a cross-sectional approach, involving 55 pulmonary TB patients at Bangetayu Public Health Center in Semarang, selected through total sampling. Data analysis was conducted using univariate and bivariate chi-square analysis. The univariate analysis revealed that 98.2% of respondents had good family support, and 89.1% had a fairly good quality of life. Bivariate analysis using the chi-square test showed a significant relationship between family support and the quality of life of pulmonary TB patients at Bangetayu Public Health Center, with a p-value of 0.001.