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Overview Mental Health Problem in Indonesia
Full text linkThrough this International Week at Lucian Blaga University of Sibiu program, I
would like to be able to improve my teaching experience, and share my knowledge in
International forums, get input from international forums to build the developing knowledge to
implementing on the campus where I work. I also want to develop collaboration in terms of
research and community service with international partners to be able to improve reputable
International publications. In addition, I also want to adding my experience in learning in the
International forum to increase my competencies and increase the Faculty branding in
achieving the World Class Universit
FACTOR ANALYTICAL THAT CORRELATE TO SELF CARE AGENCY OF HIV POSITIVE MOTHER IN IMPLEMENTING COMMUNITY HOME BASED CARE IN SURABAYA
Full text linkHIV positive mother should have a good self care agency. The reality showed that HIV positive mothers have poor self care agency. Multi factors that influence to self care agency of HIV positive mother. The purpose of this study was to analysis a relationship between multi factors and self care agency of HIV positive mother.
The design of this study was descriptive correlation with cross sectional approach. The sample were mothers with HIV positive. This study used purposive sampling technique. The independent variables were age, developmental state, health state, lifestyle, educational, occupational, family system and availability of resources. The dependent variable was self care agency. Data were collected using by demography, lifestyle, and the exercise of self care agency scale questionnaire. Data were analyzed using by spearman rank correlation.
The result showed the significant value and correlation coefficient of each independent variables with dependent variable (p=0,870 r=0,029; p=0,011 r=0,432; p=0,002 r=0,516; p=0,000 r=0,819, p=0,141 r=0,258; p=0,183 r=0,234; p=0,012 r=0,424 and p=0,865 r=0,030).
Developmental state, health state, lifestyle and family system have correlation with self care agency of HIV positive mother. Age, educational, occupational and availability of resources have not correlation with self care agency of HIV positive mother. The strong recorrelate factor with self care agency was lifestyle.
Keywords: Self care agency, HIV positive mother, community home based car
HIV-related knowledge level among Indonesian women between 15 years and 49 years of age
Full text linkBackground: Women are a highly vulnerable population for HIV-infection, influenced by biological, cultural, social and economic factors. Inadequate knowledge about the risk for exposure to HIV will impact the prevention and treatment of HIV.
Objectives: The aim of this study was to examine HIV-related knowledge among women in Indonesia and the associated demographic determinants that influence their access to accurate HIV-related information.
Methods: This was a secondary analysis of the Indonesia Demographic and Health Survey in 2012. Level of HIV-related
knowledge was determined by analyzing nine items on the 2012 IDHS instrument.
Results: The percentage of women in Indonesia between the ages of 15 and 49 years of age, more than half (53.6%) had high
score of HIV-related knowledge. The results from logistic regression showed that women aged 30-34 years old had 2.2 times
higher knowledge level about HIV compared to older women. Married women, living in rural area, with a lower level of education, reported to have limited or no access to HIV related information; thus, had a correspondingly lower knowledge level of
HIV.
Conclusion: Study findings underscore the lack of knowledge-level among Indonesian women about HIV, especially the prevention, transmission, and prevention mother to child transmission (PMCT)
Prevalence and correlates of being bullied among adolescents in Indonesia: results from the 2015 Global School-based Student Health Survey
Full text linkIntroduction: Violence against adolescents is prevalent in the world, yet this issue is neglected especially in developing countries. Bullying among adolescents negatively affects the victims in relation to emotional, physical,
social and overall health status. This study was conducted to understand bullying and its associated factors in
school-going adolescents in Indonesia.
Methods: This study was a correlational design with a cross-sectional approach. Data were obtained from
the 2015 Indonesia Global School-based Health Survey (GSHS). As many as 9969 adolescents in schools were
selected by probability proportional to size method and systematic sampling. Variables analyzed on this study
were age, sex, smoking behavior, alcohol consumption, close friends and feeling of loneliness. The research
instrument used the GSHS 2015 questionnaire. Chi-square (χ
2
) analysis and multiple logistic regression tests
were conducted to determine the significance of each variable.
Results: A total of 19.9% of adolescents in Indonesian schools were victims of being bullied. Being bullied was
associated with ≤14 years old [adjusted odds ratio (AOR) 1.30, 95% confidence interval (CI) 1.17–1.45], being
male (AOR 1.43, 95% CI 1.28–1.59), being a smoker (AOR 1.46, 95% CI 1.23–1.73), consuming alcohol (AOR 2.07,
95% CI 1.64–2.62), having no close friends (AOR 1.27, 95% CI 0.95–1.70) and feeling lonely (AOR 2.29, 95% CI
2.05–2.55).
Conclusion: Indonesian in-school adolescents report a relatively high prevalence of having been bullied. Being
bullied is related to various factors depending on personal and environmental factors. School communities
and health professionals’ attention to adolescents should be sensitized and this issue discussed, developing
strategies and minimizing the negative effect on the adolescents. Policy makers need to consider developing a
social platform among adolescents to facilitate students’ interaction.
Keywords: adolescent, bullying, Global School-based Student Health Survey, lonelines
Ethnic Foods Diet Program Improve Self-efficacy and Diet Compliance Among Type 2 Diabetic Patients
Full text linkIntroduction: A well-balanced diet is one of the four pillars of diabetes selfmanagement. Patient's culture strongly influences intake food. Diabetic dietary
guidelines which fit with the patient's culture is expected to improve patient's selfefficacy and diet compliance. This study was aimed to analyze the effect of ethnic
foods diet program in improving self-efficacy and diet compliance among Type-2
Diabetes Mellitus (T2DM) patients.
Methods: This was quasy experiment research with pre and post-test control
design. The population was 112 T2DM patients from Sasak Tribes, West Nusa
Tenggara. Samples were 36 respondents, divided into intervention (18) and
control (18) groups. The independent variable was the ethnic food diet (EFD)
program, while the dependent variables were patient's self-efficacy and diet
compliance. Data were collected using self-efficacy questionnaire and a 24-hour
dietary recall form. Data were then analyzed using Wilcoxon Signed Rank Test and
Mann Whitney U Test. The result showed differences in self-efficacy between pre
and post-test in the treatment group (p=0,001), but
there were no differences in the control group.
Results: There were differences in diet compliance in the treatment group
(p=0,001), but there were no differences in the control group. There were
differences between treatment and control groups on self-efficacy (p=0,000) and
diet compliance (p=0,000).
Conclusion: Ethnic foods diet program can improve self-efficacy and diet
compliance among T2DM patients because more comfortable and easier to be
applied. Nurses can apply ethnic foods diet program as an intervention to promote
healthy diet for T2DM patients
STIGMA OF PEOPLE LIVING WITH HIV/AIDS
Full text linkPeople living with HIV have many complex problems in their lives. Internal problems concern bio-psycho-socio-spiritual, while external problems concern the views
and attitudes of others towards themselves. Negative views from other people formed
long ago will give a bad stigma to people with HIV. The stigma of society has a
great influence, not only affecting citizens but also health workers. This study aims
to review the results of research related to stigma inherent in the community, especially nurses to people with HIV. The researcher sought the results of other studies
through several databases including ProQuest, Scopus, Science Direct, PubMed,
Medline, Springer link and Elsevier. Keywords to search literature include "stigma",
"nurse" and "people with HIV". The results obtained were as many as 14 journals.
Many studies have been carried out for prevention, treatment, and support for
people with HIV / AIDS. But along with advances in the field of health need to
continue to do problems related to people with HIV/AIDS
Effect of trauma-focused cognitive behavior therapy on depression and the quality of life of the elderly in Indonesia
Full text linkPurpose – This study aimed to analyze the effect of Trauma-Focused Cognitive Behavior Therapy (TFCBT) on the depression level and quality of life of the elderly in an earthquake-affected district of North
Lombok Regency, Indonesia.
Design/methodology/approach – A Randomized Controlled Trial (RCT) with a population of two
elderly groups living in an earthquake-affected district was used in this study. The intervention
comprised giving TF-CBT. There were three research instruments applied to determine the
variables, namely, the Clinician-Administered PTSD Scale (CAPS-5), the Geriatric Depression Scale
15 (GDS 15) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). All
instruments were adopted and translated using back translation to Bahasa Indonesia, which is
appropriate at the suggestion of the WHO. To investigate the effect of the intervention, we used
hierarchical linear models (HLM) with intent-to-treat analysis. The patent parameter effect was
tested using the Wald test (t-test) with a confidence Interval of 95 per cent.
Findings – The final analysis applied CAPS-5 and showed that there was a decrease in the PTSD of
the respondents, which was down to only 8 (17.8 per cent) in the post-test. The same situation
happened for the depression variable (2.8 per cent) after it was assessed using GDS-15C. The Quality
of life (WHOQoL-BREF) variable was divided into Physical (50.7), Psychological (57.1), Social (53.6)
and Environmental (45.7). These components show there to be a significant result in terms of
improving the quality of life of the elderly victims of the earthquake. The finding highlights that
applying TF-CBT in the elderly population can significantly drop post-traumatic stress disorder and
depression level and enhanced quality of life.
Social implications – The intervention decreased the depression level and improved the quality of life
of the elderly as found in the six- week follow-up. Longer training and integration with the structured
local wisdom could be necessary to better address the mental health of the elderly affected by the
earthquake. Moreover, strengthening the role of the family as the primary caregiver is required to
improve the outcome.
Originality/value – This is the first study that has attempted to use TF-CBT as a method of treatment
for the elderly to decrease their depression and to increase quality of life among the Indonesian
elderly who have experienced an earthquake. This paper provides knowledge on the effectiveness
of TF-CBT that can be used by therapists to treat depression problems suffered by the elderly in a
post-disaster area.
Keywords Elderly, PTSD, quality of life, depression, randomized controlled trial,
Trauma-Focused cognitive behavior therap