Jurnal Keperawatan Global
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Effect of Family Caregiver Empowerment on Binge Eating Behavior in Type 2 Diabetes Patients
No full textBackground: Improper diet arrangements in type 2 diabetes (T2D) patients can cause eating patterns to be disturbed in the form of binge eating behavior. The family can play a helping role in improving diabetes management. One of the interventions that can be given to empower families is the Family Caregiver Empowerment Model (FCEM). This study aimed to analyze the effect of FCEM on binge eating in T2D patients.
Methods: This study was a randomized control group pre-test and post-test design with a total sample of 85 respondents taken by cluster random sampling, divided randomly (treatment = 41; control = 44). The independent variable is FCEM, while the dependent variable is binge eating behavior. Data was collected using the Indonesian version of the Binge Eating Scale questionnaire and analyzed used the Wilcoxon sign rank test and independent T-test.
Results: There were differences in binge eating behavior in the treatment group before and after intervention (Z= -5.347; p=0.001), whereas in the control group, there was no difference in pre-test and post-test scores (Z= -0.599; p= 0.549). The study result showed that there was a significant difference in the average value between the treatment and control groups (t =5.017; p=0.001).
Conclusion: FCEM intervention can reduce binge eating behavior to increase adherence to the diabetes diet program. Nurses can use FCEM intervention to empower family caregiver to help T2D patients improve and maintain eating habits to improve diabetes self-care behaviors
Nursing Process in Central Java Correctional Institutions: Qualitative Descriptive Study
No full textBackground: Correctional institution nurses in carrying out the nursing process differ from other specialist nurses who work outside the correctional institution facility. A lot of research on the nursing process has been carried out in hospital and puskesmas settings. However, few research is found in the correctional institution setting. The purpose of the study was to describe the implementation of the nursing process in the Central Java Correctional Institution.
Methods: The researcher used a qualitative study with a qualitative descriptive approach. Data collection was done online using semi-structured interview guidelines about the nursing process in correctional institutions with a duration of 30 minutes. Study participants were saturated with nine participants of nurses. Data trustworthiness using Guba\u27s idea technique and data analysis in this study used the analytical procedures of Zhang and Wildemuth.
Results: In this study, the researchers described several themes based on the research objectives. The five objective themes are conducting record of health checks for new inmates, no standardization of nursing care, regulations in providing services to inmates, the implementation of individual and group nursing care, and collaboration with agencies outside prisons and detention centers.
Conclusion: the findings of this study need to get attention from all parties such as the Ministry of Law and Human Rights and PPNI to maintain the quality of care services for inmates. Furthermore, the quality of prison nurses in carrying out nursing practices also should be confirmed in line with nursing professional standards
Effectiveness of Video-Based Cardiac Health Training on Health Behavior in Acute Coronary Syndrome Patients
No full textBackground: Hospital readmissions among patients with Acute Coronary Syndrome (ACS) are frequently linked to unhealthy lifestyle behaviors such as poor diet, physical inactivity, smoking, and medication nonadherence. These modifiable risk factors significantly contribute to recurrent events and adverse outcomes, highlighting the need for effective secondary prevention strategies. Video-based health education offers a consistent and scalable approach to support behavioral change. This study aimed to evaluate the effectiveness of a video-based cardiac health education program in improving healthy behaviors among ACS patients.
Methods: A quasi-experimental, non-equivalent control group design was employed involving 57 ACS patients without severe complications. Participants were recruited via consecutive sampling and assigned to either the intervention group (n = 27) or control group (n = 30). The Modified Cardiac Health Behavior Scale (MCHBS) was used to assess healthy behaviors at baseline and after the intervention. The intervention comprised a video-based cardiac health education program with a 21-day follow-up period. Data were analyzed using paired sample t-tests for within-group comparisons and independent t-tests for between-group differences.
Results: Baseline healthy behavior scores did not differ significantly between groups (p>0.05). Post-intervention, both groups showed significant improvement; however, the intervention group demonstrated a significantly greater increase (M±SD = 24.85±5.45) compared to the control group (M±SD = 10.67±6.57), with a mean difference of 14.18 (p<0.001) and a large effect size (Hedges’ g = 2.337).
Conclusion: Video-based cardiac health education effectively promotes healthier behaviors in ACS patients and holds promise as a scalable intervention to enhance secondary prevention and reduce hospital readmissions
Ejection Fraction and Age as Predictors of Sleep Quality after CABG Surgery
No full textBackground: Coronary Artery Bypass Graft (CABG) requires a longer recovery and high risk of complication including sleep quality. This study aims to identify factors associated with sleep quality in patient post-CABG surgery.
Methods: This research used cross-sectional method and consecutive sampling with 100 respondents. The questionnaires used in this study were Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire (IPAQ), and Depression Anxiety Stress Scale (DASS).
Results: Prevalence of poor sleep quality (51%) was quite high compared to good sleep quality (49%). There was a significant correlation between ejection fraction (p 0,031 OR 4,718), age (p 0,039; OR 3,309), and sleep quality of post-CABG surgery. Results of logistic regression contained 4 variables related to sleep quality: ejection fraction (p 0,017 OR 5,520), age (p 0,026 OR 3,659), beta blockers (p 0,067 OR 8,544) and diabetes mellitus (p 0,145 OR 1,918).
Conclusion: Ejection fraction and age as a predictor of sleep quality. Implication: nurses should assess the sleep quality of post-CABG surgery by considering these four variables: ejection fraction ≤ 40%, middle age, moderate-risk beta blockers and type 2 diabetes mellitus
The Effect of Mobile Application “Pergiene Care” On Improving Perineal Hygiene Among Adolescent Girls
No full textBackground: Perineal hygiene is a way to treat and maintain cleanliness of the genital area to preserve the health of reproductive organs. Knowledge and attitudes can improve perineal hygiene. This study aimed to determine the effect of a mobile application on knowledge and attitudes among adolescents about perineal hygiene for preventing vaginal discharge.
Methods: This study used a quasi-experimental pretest and posttest with a control group. The sampling technique used was consecutive sampling, with 84 respondents divided into two groups of 42 each. The instrument used was the Perineal Hygiene Knowledge and Attitude Questionnaire. The data were analysed using the T-test and the Mann-Whitney U.
Results: The study showed differences in the pre- and post-intervention knowledge and attitudes scores in the intervention group (p=0.001;<0.05). In the control group, there was no difference in the pre- and post-test scores of knowledge (p=0.884; p>0.05) and attitudes (p=0.343; p>0.05). The results of the knowledge and attitude post-test scores between the intervention and control groups were significantly different (p=0.001; p <0.05).
Conclusion: The results of the study indicate that there was an increase in knowledge and attitudes towards perineal hygiene after providing health education through the “Pergiene Care” application. The Pergiene Care application can be used as an educational medium for adolescents to improve perineal hygiene
The Effectiveness of Cognitive Behaviour Therapy on Relapse in Schizophrenia Patients with Hallucinatios
No full textBackground: Schizophrenia is a chronic mental disorder characterized by psychotic symptoms such as hallucinations and delusions. Relapses in schizophrenia patients often occur even after undergoing pharmacological treatment. Cognitive Behaviour Therapy (CBT) has been reported to be effective in reducing relapses through cognitive restructuring and improving patients\u27 coping with psychotic symptoms. This systematic review aims to assess the effectiveness of cognitive behavioral therapy (CBT) on reducing relapse rates in patients with schizophrenia, especially in hallucination.
Methods: The systematic review was conducted using the JBI approach. The included articles were primary studies with an RCT or quasi-experimental design, published between 2015 and 2024, and available in full text. The selection process was conducted using the PRISMA method, and the final results consisted of 7 articles that met the inclusion criteria.
Results: Most studies show that CBT is effective in reducing relapse, improving quality of life or social functioning, and reducing positive and negative psychotic symptoms. Culturally-based CBT and CBT by videoconference have been reported to expand access to intervention. The side effects of CBT are relatively low, but some studies report a decline in impact after therapy is discontinued.
Conclusion: CBT is effective in preventing relapse in schizophrenia patients with hallucinations by reducing psychotic symptoms and improving patient coping. Further research is needed to evaluate the long-term effectiveness of CBT
The Effect of Social Support on Self-Care Behavior of People with Leprosy in Madura Indonesia
No full textBackground: Leprosy has a long-standing history and continues to cause not only health-related complications but also major social difficulties. Individuals affected by this disease require interpersonal support to perform proper self-care and to minimize the risk of further transmission. This research sought to examine the effect of social group support on self-care practices among people with leprosy in Sumenep Regency, Madura, Indonesia.
Method: A cross-sectional study was carried out between August and November 2021 in Sumenep Regency. The target population comprised 232 leprosy patients registered at 28 health centers, from which 145 participants were chosen using proportional random sampling. The research instrument was questionnaire covers two main domains: Social Group Support and Self-Care Behavior. Data were analyzed using Structural Equation Modeling (SEM) with SmartPLS.
Results: The findings revealed that social group support had a significant impact on self-care behaviors, with a T-value of 6.368 (>1.96). In addition, personal factors also influenced self-care, as indicated by a T-value of 4.110 (>1.96).
Conclusion: Both social and personal support significantly enhance self-care behavior in leprosy patients. Strengthening group-based and individual support is therefore essential to improve self-care practices and decrease the likelihood of disease transmission
Relationship Between Knowledge and Perception with HIV/AIDS Prevention Efforts in Key Populations
No full textBackground: 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
Can a Group-Based Hope Intervention Reduce the Anxiety Level of Female Inmates?
No full textBackground: The prevalence of anxiety disorders is significantly higher among female inmates, often leading to reduced quality of life and maladaptive behaviors. Existing non-pharmacological therapies demonstrate limitations in correctional settings, creating a need for specialized interventions. The objective of this study was to evaluate the effects of group-based hope interventions on anxiety levels among female inmates.
Methods: This quasi-experimental study employed a pre-test and posttest design with a control group. A total of 56 participants (n=28 intervention, n=28 control) were selected using purposive sampling. The group-based intervention was delivered in 10 sessions, comprising four for group formation and six core sessions focused on goals, pathways, and agency. Anxiety levels were measured using the State Anxiety Inventory (STAI). Analysis utilized paired t-tests and independent t-tests.
Results: The intervention group showed a substantial decrease in mean anxiety scores from 43.00±3.859 (pre-test) to 34.61 ± 4.400 (post test) (Mean different = 8.393; p < 0.001). The control group also exhibited a significant change, with a slight mean increase of 1.821 points (p < 0.001). The independent t-test confirmed that the anxiety reduction in the intervention group was substantially greater than that of the control group (Mean different –10.571; p < 0.001).
Conclusion: Group-based hope intervention proved to be significantly effective in reducing anxiety levels in female prisoners compared to the control group. These findings support the implementation of this strategy as an evidence-based, practical mental health approach in correctional settings
Effectiveness of Non-Invasive Sensor-Based Tools for Blood Glucose Detection
Get PDFBackground: Monitoring blood glucose levels is one of the main pillars of diabetes management to prevent complications and reduce the risk of morbidity and mortality. Today\u27s blood glucose monitoring is a non-invasive method that offers speed, accuracy, and painless convenience. Referring to this need, this study aims to demonstrate the effectiveness of non-invasive sensor-based detection devices in checking blood glucose levels in order to provide a more comfortable and efficient alternative for diabetes patients.
Methods: This study developed a non-invasive glucometer using the latest and smaller version of Arduino Uno and tested it on 20 samples, consisting of 10 diabetes mellitus patients and 10 with normal blood glucose. The test was carried out by comparing the measurement results from the non-invasive device and the standard GCU Easy Touch 3-in-1 device to determine the accuracy of the device. The tool-testing method uses sensitivity, specificity, and accuracy.
Results: This non-invasive measuring tool is more effective when used to measure patients with diabetes mellitus. This device shows an error rate of 9.21%, a sensitivity of 80%, and a specificity of 50%. Meanwhile, the overall measurement accuracy, calculated at 83.3%, reinforces the tool\u27s effectiveness in providing reliable results.
Conclusion: This device has the potential to be a convenient and painless method of blood glucose monitoring for diabetic patients. However, further development is needed to improve the development of machine learning-based algorithms to process sensor data so that tools can identify unique patterns from each individual and provide more accurate results