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All Journal Althea Medical Journal Jurnal NERS Jukema (Jurnal Kesehatan Masyarakat Aceh) Jurnal Ilmu Keperawatan Jurnal Kesehatan Komunitas Manuju : Malahayati Nursing Journal Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Medikes (Media Informasi Kesehatan) Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Jurnal Sains Riset Journal of Community Empowerment for Health Journal of Telenursing (JOTING) Science Midwifery Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Budapest International Research in Exact Sciences (BirEx Journal) Jurnal Promotif Preventif Narra J Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) Journal Of World Science The Journal of Palembang Nursing Studies Nasuwakes : Jurnal Kesehatan Ilmiah Riwayat: Educational Journal of History and Humanities Advances In Social Humanities Research Jurnal Ilmiah Mahasiswa Fakultas Keperawatan Asian Journal of Public Health and Nursing Holistik Jurnal Kesehatan Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Strada Jurnal Ilmiah Kesehatan (SJIK)

M. Marthoenis

Departement Of Psychiatry And Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia

Author-ID : 1202662

Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Transportation Veterinary Other

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Understanding predictors of caregivers’ treatment-seeking behavior for mental health: the roles of stigma, motivation, relationship, and literacy Fitryasari, Rizki; Iswanti, Dwi Indah; Sari, Dianis Wulan; Nurlela, Lela; Marthoenis, Marthoenis; Warsini, Sri; Mulud, Zamzaliza Abdul
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.75117

Introduction: Caregivers play a crucial role in seeking timely treatment for individuals with mental disorders. However, reliance on traditional healing practices often leads to delayed medical care. This study aims to identify predictors of caregivers' treatment-seeking efforts, focusing on the role of stigma, motivation, relationship with the patient, and mental health literacy. Methods: A cross-sectional study involving 301 caregivers of patients with mental disorders was conducted in two mental hospitals using cluster sampling. Variables studied include sociodemographic factors, caregiving burden, stigma, social support, motivation, mental health literacy, and treatment-seeking behavior. The data were collected through validated questionnaires as instruments. Multivariate regression analysis was performed to identify significant predictors of treatment-seeking behavior. Results: The study revealed that caregivers' relationship with the patient, perceived stigma, caregiving motivation, and mental health literacy significantly predicted treatment-seeking behavior (p < 0.05). Mental health literacy emerged as the strongest predictor (β = 0.349), followed by motivation (β = 0.202), stigma (β = -0.125), and relationship with the patient (β = -0.108). Together, these variables explained 23.4% of the variance in treatment-seeking efforts. Conclusions: Mental health literacy is the most influential factor in caregivers' efforts to seek medical treatment. Interventions aimed at increasing mental health literacy and reducing stigma are critical to enhancing caregivers' engagement with formal healthcare services. Findings support the development of culturally appropriate education and support programs to improve mental health outcomes.

THE INFLUENCE OF MATERNAL ANXIETY TOWARDS THE SELECTION OF MATERNITY PLACES DURING COVID- 19 Cut Yulia; Maidar Maidar; Melania Hidayat; Asnawi Abdullah; Marthoenis Marthoenis
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 1 No. 2 (2022): January (January-March)
Publisher : RADJA PUBLIKA

Corona Virus Disease (COVID-19) pandemic is currently engulfing almost the entire world, including Indonesia. As of August 12, 2021, there were 3,774,155 positive cases of Covid-19 in Indonesia, 24,709 new cases and 113,664 deaths. The group of maternal is a vulnerable group, where there are 4.9% of pregnant women who are confirmed positive for COVID-19 from 1,483 confirmed cases that have accompanying condition data. Therefore, maternal, perinatal, postpartum and newborns are vulnerable targets for transmission of COVID-19 infection and this condition is feared to increase maternal and perinatal morbidity and mortality. The general objective of this study was to determine the effect of the anxiety level of pregnant women on the choice of place of delivery during the COVID-19 period. This study used a survey method with a cross sectional approach. The study was conducted in Aceh Barat Regency, in March-June 2021. The population in this study were 637 third trimester pregnant women in 2021. The number of samples in this study was 246 samples calculated by the slovin formula and using accidental sampling technique. Data analysis used logistic regression test. The results of the bivariate analysis showed that there was a significant effect between the level of mild anxiety and the choice of place of delivery during the COVID-19 pandemic with a value (OR=5.6, 95% CI=2.04-15.3, p-value=0.001), . While the level of moderate anxiety had no significant effect on the choice of place of delivery during the Covid-19 period (OR=2.1, 95% CI=0.4-12.4, p-value=0.383) The level of severe anxiety in pregnant women was also not significant. effect on the choice of place of delivery during the Covid-19 period (OR=1.1, 95% CI=0, p-value=0.989). Expected to the government can improve education programs and supervision of the prevention and control of the Covid 19 pandemic, especially groups of pregnant women in order to minimize the possibility of excessive anxiety in pregnant women during the Covid 19 pandemic.

USE OF ANTIPSYCHOTICS AND BODY MASS INDEX OF SCHIZOPHRENIC PATIENTS IN INDONESIA Hayatul Maulida; Cut Husna; Marthoenis Marthoenis
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 3 No. 2 (2023): July (July-September)
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v3i2.1032

The use of antipsychotics in schizophrenic patients has side effects during their use; changes that occur in people with mental disorders while taking drugs will certainly be related to the part and structure of the body's metabolism that is affected by the drug, causing changes in body weight of schizophrenic patients. This study aimed to identify the relationship between antipsychotic use and body mass index in schizophrenic patients. This cross-sectional study was conducted among patients with schizophrenia under antipsychotic medication. The research instruments used in the study are sociodemographic instruments and types of drug use. It was found that most of the patients were overweight (39%) and obese (38%), the majority of patients took second-class antipsychotic drugs (81%), and only some of them received first-class antipsychotics (19%). The increased use of second-generation antipsychotics and increased rate of overweight and obesity among patients with schizophrenia should receive special attention.

ADHERENCE OF HEMODIALYSIS PATIENTS WITH CHRONIC RENAL FAILURE TO TREATMENT GUIDELINES Eva Nandawati; Marlina; Marthoenis
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 3 No. 4 (2024): January (January-March)
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v3i4.1350

Background: End-stage renal Disease (ESRD) is a major health problem for most people, with a large burden on healthcare systems and economies around the world. This disease requires various medical treatments in the form of hemodialysis, peritoneal dialysis, or hemofiltration. The duration of treatment depends on the cause and extent of kidney damage; this will be more dangerous if the sufferer is not dialysis or transplanting the kidney. Methods: This cross-sectional study was conducted among 176 patients with end-stage chronic renal failure who underwent hemodialysis and were selected by purposive sampling. Data were collected using a patient perception questionnaire, a Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire, and an end-stage renal disease adherence questionnaire (ESRD-AQ). Data were analyzed using frequency distribution, chi-square test, and binary logistic regression. Results: This study showed that the results of long hemodialysis (HD) (P = 0.000), long-suffering from ERDS (P = 0.000), social support (P = 0.006), perception of nurse services (P = 0.038) and availability of transportation (P = 0.031) were associated with compliance of CKD patients with hemodialysis. Duration of hemodialysis (HD) (P = 0.000; OR = 8.597) was the most dominant factor associated with compliance of CKD patients on hemodialysis. Conclusion: The length of hemodialysis (HD) is the most dominant factor associated with the adherence of CRF patients undergoing hemodialysis, where the length of HD can be a factor that affects a person's compliance with CRF when undergoing hemodialysis. In certain circumstances, long HD can be a reminder for someone to remember to undergo hemodialysis so that metabolic waste does not accumulate in the patient's body.

SUPERVISION FOR NURSING DOCUMENTATION IN AN INDONESIAN PSYCHIATRIC HOSPITALS Ramadhansyah Purnomo Iswa; Marthoenis; Mudatsir
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 3 No. 4 (2024): January (January-March)
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v3i4.1354

Background: Nurses are among the largest providers in the health care system. Nurses play an important role in improving the quality of hospital services, especially in nursing documentation, to record patient information clearly and ensure it can be accounted for as set standards. Materials and Methods: This cross-sectional study was conducted among 99 nurses at a mental hospital in Indonesia. The sample is selected by convenience sampling. Data was collected using supervision questionnaires and their socio demographic information. Data were analyzed using frequency distribution. Result: The average age of respondents was 37.7 years; more than half had a Bachelor of nursing education and had worked in a hospital for about 10 years. Regarding supervision for nursing documentation, more than half perceived that it still need to be improved (66.7%), while the principle of supervision is mostly in the good category (75%), as well as supervision models (68%) and supervision activities (71.7%). Discussion: To maintain and improve the culture of nursing development, supervision from superiors and the routine of improving other colleagues in performing nursing documentation need to be enhanced.

PERCEPTION OF REHABILITATION SERVICE FOR DRUG ABUSE TREATMENT IN ACEH, INDONESIA Desi Rosdiana; Mustanir; Marthoenis; Marty Mawarpury.
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 6 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i6.4484

Drugs are importantly global problem that no single country alone could address, including Indonesia. National Narcotics Agency recorded 36,137 drug abuse patients in Indonesia in one decade. The aims of the study is to determine community perception of rehabilitation service for drug abuse treatment in Aceh Province. A type of descriptive analytic with a cross sectional study approach, the current research employs a questionnaire distributed online to 10 districts/cities in Aceh Province which has National Narcotics Agency representatives. Questionnaires in online form which began on 10 June 2022 and closed on 18 June 2022. The sample in this study has criteria for ≥18 years and is willing to be a respondent Involving 86 drug users. they are divided into two groups, rehabilitation patient (n=43) and those who have never used rehabilitation services (n=43). The questionnaire used has been tested for validity on 38 respondents. Using Mann-Whitney test with STATA application version 13.0. The study indicated that there were particularly perception differentiation of people who have participated in outpatient rehab for drug abuse with the perception of people who have never used rehabilitation services. (p=0,0084). In general, the community have a positive perception of rehabilitation services, 90.70% useful rehabilitation, 81.40% free rehabilitation, easy to get access into rehabilitation and it has easy procedures 81.40%, safe and comfortable rehabilitation centers 81.40%, information addicts are guaranteed to keep their privacy 88.37%, do not get stigma from the society 74.42%, and friendly and competent officers 87.21%. However, there is a negative perception that the community still doubt that undergoing rehabilitation for addicts will recover. (46.51%). Efforts to enhance the competence of rehabilitation officers and disseminate information about rehabilitation on a massive scale are necessary to be conducted by involving related sectors.

Pengalaman pasien dengan tuberkulosis multi-drug resistant (TB- MDR) Hastuti, Sastri; Abdullah, Asnawi; Marthoenis, Marthoenis; Maidar, Maidar; Zakaria, Radhiah
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9 (edisi khusus konference)
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1872

Background: Multidrug-resistant tuberculosis (MDR-TB) not only impacts physical health but also triggers psychological disorders due to the lengthy treatment process, social stigma, and limited mental health support services. This puts patients at high risk for anxiety, stress, and depression. Purpose: To explore the experiences of patients with multi-drug resistant tuberculosis (MDR-TB). Method: A qualitative design with a phenomenological approach. Data were obtained through in-depth interviews with seven MDR-TB patients, three family members, and two healthcare workers in Bireuen Regency, Aceh. Data analysis used Huberman's model, including reduction, presentation, and conclusion drawing with source triangulation. Results: The study identified five main themes: stressors, mental health conditions, coping strategies, family perspectives, and healthcare professionals' perceptions. Patients experienced anxiety, uncertainty about recovery, social stigma, economic constraints, and severe medication side effects. Family support, religious approaches, and adequate information proved crucial in helping patients cope with psychological distress. Conclusion: MDR-TB patients face significant mental burdens, while psychosocial support services in healthcare facilities remain limited. Strengthening education, family support, and integrating mental health services are needed to improve the quality of life and treatment adherence of MDR-TB patients. Keywords: Coping Strategies; Family Support; Mental Health; Multidrug-Resistant Tuberculosis (MDR-TB); Social Stigma. Pendahuluan: Tuberkulosis Multi-Drug Resistant (TB-MDR) tidak hanya berdampak pada kesehatan fisik, tetapi juga memicu gangguan psikologis akibat proses pengobatan yang panjang, stigma sosial, serta keterbatasan layanan pendampingan mental. Kondisi ini menempatkan pasien pada risiko tinggi mengalami kecemasan, stres, dan depresi. Tujuan: Untuk mengeksplorasi pengalaman pasien dengan tuberkulosis multi-drug resistant (TB- MDR). Metode: Desain kualitatif dengan pendekatan fenomenologi. Data diperoleh melalui wawancara mendalam terhadap tujuh pasien TB-MDR, tiga anggota keluarga, dan dua tenaga kesehatan di Kabupaten Bireuen, Aceh. Analisis data menggunakan model Huberman meliputi reduksi, penyajian, dan penarikan kesimpulan dengan triangulasi sumber. Hasil: Ditemukan lima tema utama, yaitu faktor penyebab stres, kondisi kesehatan mental, strategi koping, pandangan keluarga, serta persepsi tenaga kesehatan. Pasien mengalami kecemasan, ketidakpastian kesembuhan, stigma sosial, keterbatasan ekonomi, serta efek samping obat yang berat. Dukungan keluarga, pendekatan religius, dan informasi yang memadai terbukti berperan penting dalam membantu pasien mengatasi tekanan psikologis. Simpulan: Pasien TB resisten multidrug (TB-MDR) menghadapi beban mental yang signifikan, sementara layanan dukungan psikososial di fasilitas kesehatan masih terbatas. Penguatan pendidikan, dukungan keluarga, dan integrasi layanan kesehatan mental diperlukan untuk meningkatkan kualitas hidup dan kepatuhan pengobatan pasien TB-MDR. Kata Kunci: Dukungan Keluarga; Kesehatan Mental; Multidrug-Resistant Tuberculosis (TB-MDR); Stigma Sosial; Strategi Koping.

Self-Management and Knowledge Gaps in Chronic Disease Care: A Phenomenological Study of Patients with Hypertension, Diabetes Mellitus, and COPD in Indonesia Inayati, Rahmi; Sofyan, Hizir; Tahlil, Teuku; Marthoenis, Marthoenis
Asian Journal of Public Health and Nursing Vol. 2 No. 3 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/sxh5bz43

Background: Non-communicable diseases (NCDs), including hypertension, diabetes mellitus, and chronic obstructive pulmonary disease (COPD), remain significant public health challenges in Indonesia. Despite advances in clinical management, patients lived experiences, particularly regarding disease-related knowledge and self-care practices, have received limited scholarly attention. Methods: A qualitative phenomenological approach was employed using focus group discussions and in-depth interviews with 19 participants, including 12 patients with hypertension, diabetes mellitus, and COPD; five primary health workers from community health center; and two district health office staff. The research was conducted between February and June 2024. Data were analyzed using descriptive phenomenological methods. Results: Three interrelated themes emerged. First, participants described delayed symptom recognition accompanied by limited initial understanding of their disease. Second, deeply entrenched lifestyle-related risk factors, including smoking, high salt and sugar intake, and physical inactivity. Third, inconsistent self-management practices following diagnosis. Although some participants attempted to adhere to medical advice and adopt healthier behaviors, these efforts were frequently constrained by inadequate health literacy, low motivation, and barriers to healthcare access. Persistent misconceptions regarding disease etiology were evident, reflected in culturally embedded terms such as “sweet urine” for diabetes and “lung pain” for COPD. Family support and religious beliefs were found to exert a dual influence, functioning as both facilitators and barriers to treatment adherence. Conclusion: Improving chronic disease outcomes in Indonesia requires the integration of culturally responsive health education, patient-centered communication, continuous follow-up, and health literacy interventions that are aligned with the sociocultural context of affected communities.

Public Health, Community Resilience, and Psychosocial Recovery after the 2025 Sumatra Floods and Landslides Marthoenis, Marthoenis
Asian Journal of Public Health and Nursing Vol. 2 No. 3 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/crkcn684

Background:The floods and landslides that struck several provinces in Sumatra toward the end of 2025 resulted in substantial loss of life, large-scale displacement, and damage to public infrastructure. As of 29 December 2025, national disaster reports recorded around 1,140 deaths, 163 people missing, and nearly 400,000 displaced residents, with reconstruction needs estimated at approximately 51.82 trillion rupiah. These events underscore the intersection between disaster exposure, public-health system resilience, and psychosocial wellbeing. Objectives:This editorial reflects on the public-health and mental-health implications of the 2025 Sumatra disaster, draws on recent empirical and review evidence, and highlights priorities for strengthening community-based preparedness and recovery. Key Issues:Post-disaster settings are commonly characterized by increased risks of infectious disease, disruption of routine care for chronic and psychiatric conditions, and pressure on primary health-care services. Evidence from flood- and landslide-affected contexts in South and Southeast Asia indicates elevated symptoms of anxiety, depression, sleep disturbance, and post-traumatic stress among survivors, particularly among socio-economically vulnerable households, older adults, women, and adolescents. These psychosocial outcomes are shaped by prolonged displacement, livelihood loss, housing insecurity, and erosion of social support networks. Recommendations and Conclusion:The editorial emphasizes the importance of framing disaster risk reduction as a sustained public-health responsibility grounded in primary care and continuity of essential services, integrating psychosocial and mental-health care across preparedness, response, and recovery, and advancing inclusive, community-driven resilience strategies that prioritize vulnerable populations to protect dignity and wellbeing in future events.

Co-Authors 'Aisy, Rohadatul AA Sudharmawan, AA Aaqib, Muhammad Amaylia Oehadian Arafat, S.M Yasir Ardianti, Riski Dian Arinda Siti Fathia Aripin Ahmad, Aripin Aryandi Darwis Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Asnawi Asniar Asniar Aulia, Nia Aulina Adamy Aulina Adamy Aulina Adamy Bai, Ancy Chandrababu Mercy Banerjee, Indrajit Basri Aramico, Basri Chairurrijal Chairurrijal Chowdhury, Mohammad Rocky Khan Cut Husna Cut Yulia Darmawati Delita Prihatni Delvia Basri, Mira Desi Rosdiana desri maulizani Dwi Indah Iswanti Elly Wardhani Ellyani Ellyani, Ellyani Elmeida Effendy Endang Mutiawati Rahayuningsih* Eva Nandawati Fahmi Ichwansyah Fahmi Ichwansyah Farah Dineva.R Farrah Fahdhienie Fatmawati Fatmawati Febrina Rizky Finaul Asyura Habibillah, Isra Yusri Yanti Hafnidar A. Rani Hajjul Kamil Hanis, Nonong Hastuti, Sastri Hayatul Maulida Hayhoe, Richard Henni Fitriani Hermansyah Hermansyah Hermansyah Hermansyah Hizir Sofyan Hizir Sofyan Husain, Syed Shajee Hussain, Remsha I Gusti Bagus Wiksuana Ichwansyah, Fachmi Iman Murahman Indra Jaya Irwan Saputra Irwan Saputra1 Ismail, Nizam Jannah, Syarifah Rauzatul Jauhari, Julianti Jones, Frenky Juanda, Andri Kabir, Russell Khan, Muhammad Feroz Khotijah, Alfreda Amelia Liana, Leni M. Fuad Maidar Maidar Maidar Maidar Maidar Maidar Maidar Maidar, Maidar Marlina Marlina Marlina Marlina Martina Martina Martunis - Marty Mawarpury Marty Mawarpury. Maulana, T Maulana, Teuku Maulidayani, Maulidayani Mawaddah, Husnul Melania Hidayat Mersiana, Lusi Meutia Zahara Milza Oka Yussar Mohammadnezhad, Masoud Mohd. Ichsan Mudatsir Muhammad Fadhil Muhammad Muhammad Mulud, Zamzaliza Abdul Munazar Munazar Murni, Mayang Mushaddiq, Muhammad Mustanir Muzdalifah Muzdalifah N. Nurjanah Nabila, Alifia Ni Luh Ari Yusasrini Nisa, Nurul Hafizatun Nofita Yulandari Nora Usrina Novianti, Hernia Novita Novita Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah Nurlela, Lela Nurliana Nurul Aini Nurul Fajri Parsa, Ali Davod Parvin, Sauda Putri Maina Putri, Rosalia Radhiah Zakaria Rahmadiana, Rahmadiana Rahmatillah, Irhamni Rahmi Inayati Rahmi Izzati Rahmi, Alfiatur Ramadhansyah Purnomo Iswa Reza Kurnia Riski Muhammad Riza Sofia RR. Ella Evrita Hestiandari Rudi Alfiandi Said Devi Elvin Said Usman Said Usman Said Usman Said Usman Saputra, Irwan Saputra, Irwan Sari, Dianis Wulan Sathian, Brijesh Siti Helmyati Sitio, Roma Sivasubramanian, Madhini Sofia Sofia Sofia Sofia, Sofia Sri Jumiati, Sri Sri Warsini Suhermawan, Suhermawan Suyani Suyani, Suyani Suyoso Suyoso Syed, Haniya Zehra Tahlil, Teuku Taufik Taufik Teuku Andi Syahputra Teuku Tahlil Usman, Said Vinnakota, Divya Yanti, Cut Aini Fauzi Yoga Yuniadi Yulia, Mirna Yusuf, Nazira Zahra, Zulfa Zakaria, Radhiah Zakaria, Radiah

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