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This research was conducted to describe the condition of displaced communities who experience limitations in meeting basic needs, such as decent housing, access to education, and health services. Socio-economic inequality is the main factor that affects the quality of life of vulnerable groups, including children, adults, and the elderly. The Rumah Asa program is designed as an effort to provide protection, psychological support, and economic empowerment through skills training and health services according to needs. The research used a qualitative approach through interviews, field observations, and questionnaire dissemination to gain an in-depth understanding of the respondents' living situation. The research population consisted of displaced individuals who had the potential to become beneficiaries of the program. The data obtained were analyzed to identify patterns of vulnerability and intervention needs. The results showed that each respondent faced unstable socio-economic conditions, with limited income, lack of family support, and high health risks. The discussion showed that neglect is multidimensional and requires comprehensive interventions that include material, emotional, social, and health aspects. The conclusion of the study confirms that the Rumah Asa Program has great potential as a model of effective social intervention in improving the quality of life of vulnerable groups, as long as it is supported by the collaboration of the community, government, and social institutions.

This study aims to examine the relationship between family support and depression levels among the elderly in Pejuang Village, Bekasi City, through a descriptive-narrative literature review. The review analyzed relevant scientific articles discussing family support, social support, and depression in older adults. Literature was selected based on the suitability of the elderly population, the presence of family or social support variables, and the measurement of depressive symptoms or depression levels. The analysis compared each article’s objectives, research design, respondent characteristics, instruments, findings, and conclusions. The results indicate that most studies found a relationship between family support or social support and depression among the elderly. Adequate family support, including emotional, instrumental, informational, and appraisal support, helps older adults feel cared for, valued, secure, and better able to adapt to the aging process. Preliminary findings at the Elderly Posyandu in Pejuang Village also show variations in family support and depression levels among elderly participants. Conversely, limited family support may increase loneliness, psychological distress, and depressive symptoms. Therefore, family support functions as a protective factor in reducing depression risk among older adults. Strengthening the involvement of families, health workers, and elderly posyandu cadres is necessary as a promotive and preventive strategy to maintain psychological well-being through education, early detection, and sustainable community-based assistance for vulnerable elderly groups living in community and family environments.

Law Number 11 of 2012 emphasizes restorative justice, diversion, and the protection and fulfillment of children’s rights within the juvenile justice system. In addition, Law Number 22 of 2022 highlights the importance of guidance and assistance aimed at supporting the social reintegration of children in conflict with the law. However, the implementation of these legal provisions at the Class I Correctional Center (Bapas) in Banda Aceh has not been fully effective due to several challenges, including the limited number of officers, inadequate initial assistance, and constraints in reporting and inter-institutional coordination. This study aims to analyze the implementation of assistance provided to juvenile correctional clients at Bapas Class I Banda Aceh and identify factors affecting its effectiveness. The research employs an empirical juridical method with descriptive qualitative analysis based on interviews, documentation, and legal literature. The findings reveal that assistance has been provided throughout all judicial stages, including pre-adjudication, adjudication, and post-adjudication processes. These activities involve community research, assistance during diversion and court proceedings, and post-verdict guidance. Nevertheless, implementation remains suboptimal due to internal factors such as limited Community Advisors and heavy workloads, as well as external factors including insufficient family support, limited community acceptance, and weak coordination between institutions. These issues affect the effectiveness of assistance and hinder children’s successful social reintegration.

Micro, Small, and Medium Enterprises (MSMEs) play a crucial role in Indonesia's economy but face significant challenges in maintaining consistent and sustainable performance amidst changing market dynamics. This study aims to explore how self-efficacy and entrepreneurial motivation influence MSME performance in Malang City using an exploratory phenomenological qualitative approach. Twelve informants with at least two years of business experience and active operations were selected through purposive sampling. Data were collected through semi-structured interviews, analyzed using an inductive approach, and processed until data saturation was reached. The study found that MSME actors' self-efficacy is shaped by accumulated real experiences, including both successes and failures, which contribute to meaningful learning. Entrepreneurial motivation rooted in personal values was found to be stronger and more enduring than extrinsic motivation. The study identified a cyclical interaction between self-efficacy and motivation, reinforcing each other in fostering adaptive entrepreneurial behavior. Additionally, external factors such as family support, entrepreneurial communities, and government programs play a significant role in sustaining these psychological factors. This research contributes to entrepreneurship literature and offers practical recommendations for stakeholders to design more holistic MSME empowerment programs with tangible impact.

Drug misuse continues to be a complicated social and legal issue that has an impact on societal stability, public health, and personal wellbeing. Many criminal justice systems have moved away from punitive tactics in favor of rehabilitation-focused ones in recent years, especially for drug users who are frequently viewed as sufferers of addiction rather than serious criminals. The National Narcotics Agency (BNN) in Indonesia is implementing rehabilitation programs and restorative justice processes as a result of this change. This study investigates the efficacy of restorative justice in drug rehabilitation at Jambi Province's National Narcotics Agency and evaluates its applicability from the standpoint of Islamic law, specifically the framework of maqāṣid al-sharīʿah. The study uses a case study design and a qualitative methodology. Participant observation, document analysis, and in-depth interviews with BNN officials, rehabilitation counselors, medical staff, and ex-drug users were used to gather data. The results show that an integrated evaluation system that assesses drug users' physical, psychological, and social states in order to determine their eligibility for recovery is used to institutionally apply restorative justice principles. Combining medical care, psychological counseling, and social reintegration programs, the rehabilitation programs greatly aid in participants' recuperation, enhance psychological stability, and fortify familial ties. Additionally, by promoting individual responsibility, family support, and community involvement, restorative justice-based rehabilitation lowers the risk of recidivism. From the standpoint of Islamic legal philosophy, these actions are consistent with the goals of maqāṣid al-sharīʿah, specifically the defense of human dignity, life (ḥifḍ al-nafs), and intellect (ḥifḍ al-ʿaql). According to the study's findings, restorative justice-based rehabilitation is a compassionate and successful method of treating drug dependency while encouraging social reintegration and long-term recovery.

Herpes zoster is a skin infection caused by the reactivation of the varicella-zoster virus, characterized by unilateral skin lesions corresponding to dermatome distribution and complaints of pain or itching. This disease is more common in adults and the elderly, especially in individuals with reduced immunity due to stress or work overload. A case was reported of a 40-year-old woman who worked as a nurse and came to a primary health care facility complaining of itching and red spots on her right breast area that had spread to the surrounding area two weeks before the examination and had worsened in the last few days. Physical examination revealed unilateral red skin lesions in a dermatomal pattern without crossing the midline of the body, consistent with the early phase of herpes zoster. Management was comprehensive, including medication, patient education about the disease and skin care, prevention of complications, and family support. A holistic approach is necessary to improve the success of therapy and the patient's quality of life.

Postpartum depression is a mood disorder that occurs in mothers after childbirth, with symptoms that can appear from pregnancy until 4 weeks postpartum. This condition negatively impacts the psychological health of the mother and the development of the baby. This study aims to analyze factors associated with the risk of postpartum depression. The method used was quantitative with an analytical survey design through a cross-sectional approach. Data collection was carried out using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire consisting of 10 questions. The results of the validity test showed a calculated r value of > 0.3610 and the reliability test obtained a Cronbach's alpha value of 0.67. The study sample consisted of 42 respondents selected using a total sampling technique, with inclusion criteria of mothers aged ≥18 years, in the period <6 weeks postpartum, and willing to be respondents. Data analysis used the chi-square test. The results showed that all variables had a significant relationship with the risk of postpartum depression (p < 0.05). These variables include age (p=0.040), education (p=0.018), occupation (p=0.011), history of depression (p=0.024), complications (p=0.017), economic status (p=0.048), parity (p=0.016), type of delivery (p=0.006), husband's support (p=0.000), and family support (p=0.028). Therefore, it can be concluded that demographic, obstetric, and social support factors play an important role in the risk of postpartum depression. These results are expected to form the basis for prevention efforts and early intervention to improve postpartum maternal mental health.

This study aims to determine the relationship between family social support and the discipline of 4-5-year-old children at Pembina State Kindergarten. The study used a quantitative method with a descriptive correlational approach. A sample of 14 parents was selected using a purposive sampling technique. Data were obtained through a five-level Likert scale questionnaire and analyzed using the Pearson Product-Moment correlation test. The results showed that children's discipline was in the very high category at 93.5%, while family social support was also in the very high category at 94.9%. However, the correlation test showed an r value of –0.14, indicating a very weak and insignificant relationship between family social support and children's discipline. This finding indicates that, despite high family support, other factors such as role models and school habits likely have a greater influence on the development of children's discipline. This study emphasizes the importance of collaboration between families and educational institutions in supporting the development of discipline in early childhood.

Successful breastfeeding is a crucial factor in ensuring maternal and infant health, yet many postpartum mothers experience obstacles in optimally breastfeeding. One factor that plays a significant role in successful breastfeeding is family support and involvement. Families, particularly husbands and immediate family members, play a strategic role in providing the emotional, informational, and instrumental support mothers need during the postpartum period. This study aims to analyze the relationship between family roles and successful breastfeeding in postpartum mothers at TPMB Bdn. Neneng Banjarmasin. This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 35 postpartum mothers with infants aged 0–6 months selected using purposive sampling. Data were collected using a structured questionnaire to measure family roles and successful breastfeeding, including aspects of early breastfeeding initiation, breastfeeding frequency, maternal comfort, and sustainability of breastfeeding practices. Data were analyzed univariately and bivariately using the Chi-square test with a significance level of p < 0.05. The results showed that most respondents received good family support and that the majority of postpartum mothers experienced successful breastfeeding. Bivariate analysis showed a significant relationship between family roles and breastfeeding success. In conclusion, family roles are significantly associated with breastfeeding success in postpartum mothers. This finding underscores the importance of a family-centered midwifery care approach in supporting breastfeeding success in community midwifery practice.

Background: Dietary adherence is a crucial component in the management of patients with chronic kidney disease (CKD) undergoing hemodialysis. Non-adherence may lead to metabolic imbalance, increased morbidity, and reduced quality of life.Objective: To identify factors associated with dietary non-adherence among patients with CKD undergoing hemodialysis at Imelda Hospital, Medan. Methods: A cross-sectional study was conducted among patients undergoing routine hemodialysis. Data were collected using structured questionnaires assessing knowledge, attitudes, and family support related to dietary adherence. Statistical analysis was performed using chi-square tests and logistic regression with a significance level of p < 0.05. Results: Knowledge, attitudes, and family support were significantly associated with dietary non-adherence (p < 0.05). Family support was identified as the most influential factor. Conclusion: Dietary non-adherence among hemodialysis patients is influenced by knowledge, attitudes, and family support. Strengthening patient education and family-centered nursing interventions is essential to improve dietary adherence.

This research investigates integrated maritime workforce resilience and mental health management frameworks addressing post-pandemic seafarer wellbeing challenges and organizational safety culture transformation. Through qualitative analysis involving 39 stakeholders including seafarers, ship operators, mental health professionals, maritime unions, training institutions, and maritime authorities, this study examines how COVID-19 pandemic intensified mental health crises through extended contracts, shore leave restrictions, and isolation while exposing systemic inadequacies in psychological support systems. Results demonstrate that comprehensive mental health frameworks can reduce psychological distress by 55-70%, improve safety performance by 40-55%, enhance crew retention by 45-60%, and decrease incident rates by 35-50% when integrating organizational culture change, leadership competency development, predictive analytics, and culturally-adapted interventions. Key challenges include mental health stigma (affecting 65-80% of seafarers), limited organizational investment (only 18-25% adequate), service accessibility gaps, and workforce demographic diversity requiring culturally-sensitive approaches. Findings reveal that effective mental health management requires systemic organizational transformation integrating psychological wellbeing into safety management systems, work design optimization, family support programs, and career sustainability rather than treating mental health as peripheral welfare concern, supporting maritime industry's workforce retention and operational safety imperatives.

Diabetes mellitus is the second leading cause of death worldwide after cardiovascular disease. This condition causes physical and psychological burdens. Quality of life is influenced by various aspects, including the ongoing special needs of diabetes mellitus patients. Family support is a form of assistance provided by family members to provide physical and psychological comfort when someone is ill. This study aims to determine the relationship between family support and quality of life of diabetes mellitus patients at Santa Elisabeth Hospital Medan in 2024. This type of research is quantitative with a correlational design and a cross-sectional approach. The sampling technique used purposive sampling with a sample size of 80 respondents. Inclusion criteria included patients who had been diagnosed with diabetes mellitus for more than one year, were accompanied by their family, and were able to communicate in Indonesian. Data collection was conducted using the HDFSS questionnaire and the DQOL questionnaire. The results showed high family support and a high quality of life for diabetes mellitus patients. The Spearman statistical test produced a p-value of 0.048 and a correlation of 0.222. Thus, there is a positive relationship between family support and quality of life for diabetes mellitus patients. This means that the higher the family support, the better the patient's quality of life. Based on the results of this study, hospitals are advised to provide education regarding the importance of family support in influencing the quality of life of diabetes mellitus patients.

This study critically examines the effectiveness of early intervention programs in addressing war-related trauma in the Middle East by meta-synthesizing forty-seven interventions implemented between 2010 and 2024. The analysis demonstrates that cognitive behavioral therapy (CBT) based interventions achieved a success rate of 78.3 percent with p value less than 0.001 in reducing post-traumatic stress disorder symptoms, with an effect size of d equal to 0.86 indicating substantial therapeutic strength. Group based interventions showed higher effectiveness (83.2 percent) than individual approaches (71.5 percent), and programs involving family support yielded better recovery outcomes (84.7 percent) than those without family involvement (69.3 percent). Regression analysis identified three primary predictors of successful intervention outcomes, namely intervention duration (beta 0.42, p value less than 0.001), therapist cultural competence (beta 0.38, p value less than 0.001), and the integration of social support systems (beta 0.35, p value less than 0.001). These findings expand on prior studies by Ennis et al. (2020) and Mawar et al. (2025), which were limited to evaluating CBT effectiveness, and also reinforce the significance of cultural dimensions and social support systems as critical determinants. In contrast to the meta analysis by Nocon et al. (2017), which reported an effectiveness rate of 65 percent for individual interventions, the present study reveals the superiority of group based approaches in communal Middle Eastern societies. The novelty of this study lies in its comprehensive identification of culturally sensitive determinants of early intervention success and the formulation of an integrative model positioning family support as an essential component in protocols for war-related trauma care.

Background: Cardiac catheterization is the most widely used diagnostic and hemodynamic intervention procedure in the world for the treatment of coronary heart disease (CHD). Cardiac catheterization can cause anxiety in patients who will undergo it. Objective: To analyze the factors that influence the anxiety of patients who will undergo cardiac catheterization. Method: This study is a descriptive analytical study with a cross-sectional approach conducted at Murni Teguh Memorial Hospital Medan. The study population was 40 people, and all of them were used as samples (total sampling). The research instrument was a questionnaire. Data analysis was carried out univariately and bivariately using the Chi-Square test with a significance level of 95% (= 0.05). Results: This study shows that there is a significant influence between knowledge, family support, past experience, and education level on the anxiety of patients who will undergo cardiac catheterization at Murni Teguh Hospital Medan. This is proven by the chi square test with p values for each knowledge (p = 0.000); family support (p = 0.002); past experience (p = 0.003); and education (p=0.003) which are all less than 0.005. Conclusion: Cardiac catheterization patient anxiety is influenced by knowledge, family support, past experience, and education level. Suggestion: It is recommended that further researchers increase the number of samples and independent variables, considering that many factors influence patient anxiety before cardiac catheterization/angiography

The absence of a father or fatherlessness in a family is a serious problem that affects children's social, psychological, and educational development. This condition becomes even more complex when experienced by street children who live in limited economic conditions and lack family support. The purpose of this study is to reveal the social life of street children on Jalan Krakatau Ujung, Medan Deli District, find the factors that cause fatherlessness, and study the consequences. This study is a qualitative study conducted through a descriptive approach. Data were collected through documentation and in-depth interviews with street children, parents, and community leaders. The results of the study show that the factors causing fatherlessness include divorce, abandonment, and the death of the father. Fathers may also migrate or engage in deviant behavior, such as drug abuse. Children without parents have visible impacts in the form of psychological vulnerability, such as loneliness, lack of self-control, and lack of self-confidence; social impacts, such as difficulty socializing, vulnerability to bullying and exploitation; and educational impacts, such as lack of desire to learn and limited access to education. The lives of street children at the traffic light intersection on Jalan Krakatau Ujung show weak family functioning, especially the role of the father, which encourages children to earn their own living from an early age.

The main problem in empowering fish farming communities in Dawuhan Village, Poncokusumo District, Malang Regency is how to empower communities through the Peti Koin Bermantra Program in Dawuhan Village, Malang Regency, such as low managerial capacity, weather constraints, high feed prices, and limited market access, which have an impact on the suboptimal economic improvement of the community. This study aims to analyze the implementation of the Peti Koin Bermantra Program in empowering fish farming communities to improve their economic welfare. The study uses a qualitative method with a descriptive approach, as well as the community empowerment theory of Hashemi, Schuler, and Riley (1996). The results show that the Peti Koin Bermantra Program contributes positively to improving community welfare through eight empowerment indicators, such as increased mobility, small-scale purchasing power, ability to make larger purchases, involvement in major decisions, freedom, political and legal awareness, participation in public protests and political campaigns, economic security, and contribution to family support. The success of the program was supported by collaboration between facilitators, the East Java Provincial Marine and Fisheries Service, and the Malang Regency Fisheries Service, although there were still obstacles in terms of capital, group management, and product innovation. To support the sustainability of the program,

Background: Mental health during pregnancy is influenced by multiple factors, including the social environment. Family support, peer interactions, and community engagement are critical determinants of psychological well-being, yet their impact local community health settings remains underexplored. Objective: This study aimed examine the influence the social environment the mental health pregnant women Tilongka Billa Community Health Center. Methods: A quantitative correlational study was conducted with 70 pregnant women selected through purposive sampling. Data were collected using structured questionnaires assessing demographic characteristics, social support (family, peer, and community), and mental health status (Perceived Stress Scale and Edinburgh Postnatal Depression Scale). Descriptive statistics summarized the participants’ characteristics, while Pearson Spearman correlation tests analyzed relationships between social environment factors mental health outcomes (p < 0.05). Results: The results indicated that family support had the highest mean score (4.1 ± 0.7), followed by peer support (3.8 ± 0.8) and community involvement (3.5 ± 0.9). Mental health assessments revealed moderate stress levels (18.2 ± 5.0) and mild depression risk (9.5 ± 4.3). Correlation analysis showed significant negative relationships between social support and mental health indicators, with family support exhibiting the strongest correlation with reduced stress (r = -0.48, p = 0.002) and depression (r = -0.52, p = 0.001). Conclusion: The study demonstrates that supportive social environment, particularly family and peer support, plays crucial role in reducing stress and depressive symptoms among pregnant women. Strengthening social support networks through counseling, peer groups, and community engagement programs may enhance maternal mental health and promote positive pregnancy outcomes.

Anemia during pregnancy is a significant maternal health issue with serious impacts on maternal and perinatal outcomes, including complications such as severe preeclampsia, postpartum hemorrhage, and low birth weight (LBW), all of which contribute to increased morbidity and mortality rates. This literature review aims to analyze the clinical impacts of pregnancy anemia, related complications, and effective management strategies based on the latest scientific evidence (2020-2024). The study examines the relationship between anemia and preeclampsia, LBW, and postpartum hemorrhage, as well as the importance of nutritional fulfillment in prevention and management. Five research articles from indexed journals were collected from the Scopus database, with inclusion criteria of studies with clear designs, focusing on pregnancy anemia, and published in Indonesian or English. The analysis results show that pregnancy anemia is a predisposing factor for preeclampsia through mechanisms such as placental hypoxia and oxidative stress. Anemia is also closely related to an increased incidence of LBW and postpartum hemorrhage, particularly due to lower hemoglobin reserves and uterine contractility issues. Adequate nutritional fulfillment is influenced by socioeconomic barriers, supplementation side effects, and lack of family support. Anemia management requires a comprehensive approach, including routine screening, prophylactic supplementation, nutritional education, and effective referral systems for complex cases. Prevention through early detection and timely intervention is crucial in reducing maternal and perinatal morbidity.

This study aims to analyze the factors influencing the low participation of Catholic Youth in spiritual activities at St. Mikhael Kotabaru Parish. The research used a qualitative approach with a descriptive design to obtain an in-depth understanding of the phenomenon. Research subjects consisted of one Catholic Youth coordinator and six members selected purposively to represent diverse perspectives. Data collection techniques included unstructured interviews, participatory observation, and documentation. The data were then analyzed using the Miles and Huberman interactive model, which involves data reduction, data display, and conclusion drawing. The findings reveal that the low participation of Catholic Youth is influenced by both internal and external factors. Internal factors include low motivation, shyness, lack of self-confidence, unstable physical conditions, and the excessive use of social media, which often distracts youth from engaging in church life. Meanwhile, external factors consist of economic limitations, heavy school and work commitments, insufficient mentoring from religious leaders, negative peer influence, and minimal family support. These challenges collectively contribute to the declining interest and active involvement of Catholic Youth in spiritual activities. This research highlights the urgency of creating innovative spiritual activity programs that are more attractive and relevant to the needs of young people in the current era. In addition, optimizing mentoring and guidance from parish leaders, parents, and peers is crucial to strengthen motivation and a sense of belonging among Catholic Youth. By addressing both internal and external factors simultaneously, the church community can foster a more participative and dynamic youth movement. Therefore, strategic collaboration among religious leaders, families, and the youth themselves is essential in revitalizing Catholic Youth participation in church life.

Pregnancy can trigger a maturity crisis that can cause stress. Stress in pregnant women is related to stress during pregnancy, childbirth, and postpartum. The purpose of this study was to examine factors related to stress levels in pregnant women facing childbirth. This type of research was an analytical survey with a cross-sectional approach conducted in the Lubuk Buaya Community Health Center Work Area from April 25 to May 7, 2022. The population was all pregnant women who visited the Lubuk Buaya Community Health Center Work Area in Padang in 2022, totaling 178 people, with a sample of 64 people, using an accidental sampling technique. Data were collected using a questionnaire with a validity analysis result of r>0.267 and a reliability test with a Cronbach's Alpha value>0.7. They were processed manually, using univariate and bivariate analysis with the chi-square test. The results of the study showed that 26.6% experienced moderate stress, 37.5% had poor family support, 37.5% had poor husband support, 40.6% had trauma, 46.9% had a personal readiness level in the unprepared category, and 46.9% had a heavy activity level. There is a relationship between family support and stress levels, there is a relationship between husband support and stress levels, there is a relationship between traumatic experiences and stress levels, there is a relationship between personal readiness levels and stress levels, and there is a relationship between activity levels and stress levels.