Didi Sutisna
Department of Nursing, Sismadi Health College, Indonesia

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The Relationship Between Self-Stigma Levels and Medication Compliance in Patients with Severe Mental Disorders Hernida Dwi Lestari; Desy Pramujiwati; Didi Sutisna; Ewin Suciana
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 9 No. 1 (2025): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/60esfc20

Abstract

Background: Medication adherence is a key factor in the successful treatment of patients with severe mental illness. However, the level of non-adherence remains relatively high and is often associated with various psychosocial factors, one of which is self-stigma. Self-stigma can influence patients' perceptions of the disease and treatment, potentially reducing adherence to regular medication use. Objective: This study aims to analyze the relationship between self-stigma levels and medication adherence in patients with severe mental illness. Methods: This study used a quantitative design with a cross-sectional approach. A total of 220 patients with severe mental illness undergoing treatment at a mental health service facility became the study respondents. The level of self-stigma was measured using the Internalized Stigma of Mental Illness (ISMI), while medication adherence was measured using the Medication Adherence Rating Scale (MARS). Data analysis was performed descriptively and inferentially using the Spearman correlation test and logistic regression with a significance level of p < 0.05. Results: The results showed that most respondents had moderate to high levels of self-stigma and more than half of respondents were non-compliant with medication. There was a significant negative relationship between self-stigma and medication adherence (r = −0.462; p < 0.001). Patients with high self-stigma are at greater risk of non-adherence to treatment. Conclusion: Self-stigma is significantly associated with medication adherence in patients with severe mental illness. Interventions focused on reducing self-stigma need to be integrated into mental health services to improve medication adherence and patient outcomes.
The Effectiveness of Blended Learning in Improving Midwifery Students' Skills Fathiyati Fathiyati; Didi Sutisna; Ewin Suciana; Siti Madinah Ladjamuddin
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 2 (2024): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/dre9st56

Abstract

The development of digital technology has driven changes in the learning system in midwifery education, one of which is through the implementation of blended learning. This learning model combines face-to-face and online learning to improve the effectiveness of students' learning processes. This study aims to explore the effectiveness of blended learning in improving the skills of midwifery students. The study used a qualitative approach with a descriptive phenomenological design. The study participants were 15 midwifery students selected using a purposive sampling technique. Data collection was conducted through in-depth interviews, observation, and documentation. Data analysis used thematic analysis through the processes of data reduction, coding, theme identification, and interpretation of meaning. The results showed that blended learning had a positive impact on the learning process of midwifery students. Students experienced flexibility in accessing learning materials, improved understanding of theory and clinical skills, and increased motivation and independence in learning. The use of learning videos, virtual simulations, and online discussions helped students better prepare for laboratory and clinical practice. In addition, blended learning also increased learning interactivity and student participation in academic discussions. However, the implementation of blended learning still faces several obstacles, such as limited internet connection, online learning fatigue, and limitations in direct clinical practice. This study concludes that blended learning is an effective and adaptive learning method for improving midwifery students' skills in the digital era when supported by optimal technological infrastructure and learning design