JKG (JURNAL KEPERAWATAN GLOBAL)

Effectiveness Of Psychoeducation And Assertive Training (PEAT) Combined For Improving Medication Adherence In Patients With Schizophrenia

Insiyah Insiyah — 2024-06-25

Background: Non-adherence behaviors have a variety of causes, from suffering negative drug side effects to having scepticism regarding the effectiveness of recommended treatments. Recognising these complex relationships is essential to creating strategies that effectively manage the psychosocial as well as medical components of schizophrenia. The purpose of this study is to investigate how a combination of psychoeducation and assertive training can improve medication adherence in people with schizophrenia.

Methods: A pretest-posttest quasi-experiment design was employed in this study as part of a quantitative research technique. Demographics and the Morisky Medication Adherence Questionnaire were used in conjunction with observation to collect data. Based on room-based simple random sampling, 80 patients with schizophrenia who met the inclusion criteria were split into two groups. Of these, 38 patients in the intervention group and 36 responders in the control group finished the study. This study made use of the five-stage Psychoeducation and Assertive Training (PEAT) module.

Results: A combination of psychoeducation and assertiveness training (PEAT) was found to have an effect on medication adherence in this study. Following PEAT, patients with schizophrenia had a mean medication adherence of 5.92±1.29. The statistical test findings showed that the mean medication adherence of schizophrenic patients receiving PEAT differed significantly (p value <0x7E>0.001) from those who did not.

Conclusion: Studies show that putting more of an emphasis on PEAT can help hospitals treat patients with schizophrenia more consistently by helping them take their medications as prescribed. Additionally, patients with schizophrenia should have a treatment plan that includes PEAT.

Assessing the Role of Nursing Professionals in the Delivery of Integrated Primary Health Care

Yopi Harwinanda Ardesa — 2024-06-25

Background: The integration of Primary Health Care (PHC) services is crucial for improving health outcomes and efficiency in health systems globally. Nursing professionals play a critical role in delivering these integrated services. Understanding their contribution and the impact of their involvement is essential for optimising PHC delivery.

The objective of this systematic review is to evaluate the roles and contributions of nursing professionals in the delivery of integrated primary healthcare services.

Methods: A comprehensive search strategy will be implemented across electronic databases, including PubMed, CINAHL, and Cochrane Library, to identify relevant studies. Studies published from [start date] to [end date] will be considered. Two independent reviewers will screen titles and abstracts for eligibility, followed by a full-text review of potentially relevant articles. Data extraction and quality appraisal will be conducted using standardised forms. A narrative synthesis will be performed to analyse and summarise the findings.

Conclusion: This systematic review will provide evidence on the contributions of nursing professionals to integrated primary health care delivery. The findings will recommend policy and practice in primary health care services.

Description of Knowledge of Parenting Processes and Quality of Mother-Child Interaction in Yogyakarta, Indonesia

Faiz Indra Musyafa — 2024-08-22

Background: The COVID-19 pandemic has caused changes in aspects of knowledge and the quality of mother-child interaction. These changes are a result of the suboptimal and unsustainable implementation of a program. Mothers have faced difficulties in implementing parenting patterns during this pandemic. The objective of this study was to provide an overview of the level of knowledge and quality of mother-child interaction in the parenting process during the COVID-19 pandemic in Kulon Progo, Yogyakarta, Indonesia.

Methods: The study employed a quantitative descriptive design in March and April 2023. The participants were mothers with toddlers who had received cadre mentoring in child development in 2018, totalling 57 respondents from the entire village in Kulon Progo, Yogyakarta, Indonesia. Questionnaires on maternal knowledge and the quality of interaction for carers were utilised in this study. The data was described using frequency, percentage, and mean.

Results: The mother's level of knowledge was 51.98 (21.43), with a distribution of 45.61% indicating less knowledge and 54.38% indicating good knowledge. The mother’s interaction quality was 51.06 (20.11), with 63.15% indicating good interaction quality and 36.85% indicating less intractable quality.

Conclusion: The findings of the study indicated a decrease in the knowledge aspect of mothers during the COVID-19 pandemic, while the quality of mother-child interaction has shown an increase.

The Relationship Between Adults, Elderly, and Smoking History With The Incidence Of Adhesive Capsulitis Shoulder

Fika Asdayanti Malik — 2024-08-23

Background: The pathological condition known as Adhesive Capsulitis Shoulder (ACS) is characterised by the excessive production of fibrotic tissue, resulting in the rigidity of the capsule of the glenohumeral joint. These factors encompass age, gender, extended immobilisation of the shoulder region, tobacco use, and more variables. The primary objective of this study is to investigate the correlation between adults, older people, and smoking history in relation to the prevalence of adhesive capsulitis shoulder at the Orthopaedic Poly of Indonesia.

Methods: The present investigation employs an observational analytical design, utilising a case-control methodology. The study examined the relationship between two independent variables: age (specifically adults and older people) and smoking history. The dependent variable under investigation was adhesive capsulitis in the shoulder. The purposive selection technique was employed to choose a sample consisting of 94 cases of ACS events and 94 controls who did not experience any ACS events. A statistical test known as the Odds Ratio (OR) was conducted to analyse the data.

Results: The test results indicate that age (OR <1; OR = 0.178, 90% CI 0.092–0.346) and smoking history have a significant impact on the incidence of adhesive capsulitis shoulder at the Orthopaedic Poly of Indonesia. Additionally, both variables have a value (OR <1; OR = 0.501, 90% CI 0.294–0.793).

Conclusion: The findings of this study indicate a correlation between age (adults and older adults), smoking history, and the occurrence of adhesive capsulitis in the shoulder at Orthopaedic Poly Indonesia.

Development of Local Wisdom in Preventing Stunting in Village Communities

Sumardino Sumardino — 2024-08-26

Background: Child stunting refers to a child who is too short for his or her age and is the result of chronic or recurrent malnutrition, based on the height-for-age index (HAZ). The results of weighing and measurements at the Posyandu, or community health post, show an increase in the prevalence of stunting from 7% in 2019 to 10.41% in 2020. A preliminary survey at the Ceper Community Health Centre in Klaten Regency showed that out of 1,922 children under five, 187 were stunted. Local wisdom is considered highly valuable and has its own benefits for the lives of the community. Thanks to local wisdom, they can sustain their lives and even develop sustainably. The role of midwives in developing local wisdom for stunting prevention is crucial, as they are the frontline health workers in the prevention of stunting.

Methods: The research design is an analytical observational study with a cross-sectional approach. Data analysis was conducted using regression. The research sample was taken using cluster random sampling techniques involving 60 respondents.

Results: The data analysis results showed a relationship between the role of educators and motivators in the intervention of developing local wisdom for stunting prevention.

Conclusion: The role of village midwives in providing information, encouragement, facilities, and empowering health cadres is crucial in developing local wisdom for stunting prevention.

Determinant Factors of Patient Satisfaction in the Orthopedic Surgery Ward

Kenwi Hastara Dewi — 2024-12-04

Background: Patient satisfaction is a crucial measure of health service performance. The fluctuations in this level of accomplishment can serve as empirical evidence for developing quality and patient safety programs. This study seeks to assess and analyse demographic characteristics, the degree of patient satisfaction, and the relationship between respondent characteristics and satisfaction at three orthopedic surgery wards over a span of three time periods: 2021 to 2023.

Methods: This study employs a quantitative research methodology adopting a descriptive comparative technique. The independent variables of this study were time period, quality dimensions, and patient characteristics. The dependent variable of this study was patient satisfaction. The data were examined using Kruskal-Wallis’s analysis, the central tendency, and multiple regression analysis.

Results: The study showed that the level of patient satisfaction has increased every year (p-value = 0.005), with no significant difference between the three wards (p-value = 0.893). Also, there is no significant correlation with patient satisfaction for each year (p-value > 0.05). Nevertheless, the findings of this study indicate that age significantly influences patient satisfaction in 2021 (p-value = 0.021) and 2023 (p-value = 0.007).

Conclusion: It is recommended this research be expanded by exploring other patient characteristic variables and exploring the key elements that significantly influence patient satisfaction in many patient care settings.

Management of Surgical Wound Care Using the Bundles Principle as an Infection Control Strategy in Post-operative Patients

Sri Lestari — 2024-12-06

Background: Infection prevention strategies, such as applying the bundle's principle, play a vital role in surgical wound care. However, limited studies assess nurse compliance with these standards. Investigating compliance is crucial to understanding its impact on post-operative wound infection. This study examines how nurse adherence to the bundle's principle influences wound infection during the healing process.

Methods: A before-and-after study was conducted at a second-level hospital in Indonesia over three months. Using total sampling, 100 nurses meeting inclusion criteria (adults with over one year of experience and training in bundle strategies) participated. Patients were selected through accidental sampling and included adults with non-infectious surgical wounds and no complications. The bundle's principle was implemented from the third to the sixth postoperative day, with infection signs assessed afterward. Instruments included demographic data, compliance checklists, and wound infection assessments. Data were analyzed using logistic regression.

Results: Gender did not significantly affect wound infection occurrence (OR 0.39, *P* = 0.092). Nurse compliance and work length showed a significant association with infection prevention (OR 4.47, *P* = 0.006). Educational background was not significantly associated with compliance (OR 2.11, *P* = 0.409).

Conclusion: Nurses' compliance with the bundle's principle significantly reduces post-operative wound infections, promoting effective healing. Factors like gender, work length, and educational background contribute equally to post-operative wound care outcomes.