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Exploring barriers to physical activity participation among female nursing students adhering to specific social-cultural norms in Indonesia: A qualitative study Koa, Apryadno Jose Al Freadman; Chou, Cheng-Chen; Lindayani, Linlin; Wang, Chi-Jane
Belitung Nursing Journal Vol. 10 No. 4 (2024): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3370

Abstract

Background: The prevalence of insufficient physical activity is common among nursing students and impacts their academic performance. Research on obstacles to physical activity (PA) among religious women, notably Muslims, is limited. Objectives: This study aimed to explore barriers to PA among Indonesian Muslim female nursing students and gather suggestions for overcoming those barriers. Methods: This study used a qualitative descriptive design. Two focus groups were conducted with 12 Muslim female nursing students in Makassar, Indonesia. Interviews were audio-recorded and transcribed verbatim. The data were collected from May and July 2019. Inductive thematic analysis was used to identify core themes and sub-themes. Results: Thematic analysis identified barriers to PA across four main themes: intrapersonal, interpersonal, institutional, and social-cultural related to religious context. Each theme included two to three sub-themes, totaling nine categories of PA participation barriers. Intrapersonal barriers consisted of low motivation, emotional states, and a sedentary lifestyle. Interpersonal challenges included a lack of family or friend support and family obligations. Institutional barriers involved academic workload prioritization, school environment inaccessibility, and absence of athletic curriculum policy. Socio-cultural barriers posed by religious expectations included gender-related concerns and modest dressing. Drawing from their perspectives as Muslim female nursing students, study participants proposed six strategies to address these barriers. Proposed solutions include promoting PA through Apps, forming female team-up clubs, providing designated exercise spaces, and implementing mandatory athletic courses for nursing students at the institutional level. Additionally, offering female instructors and private exercise rooms could reduce the barriersfrom a socio-cultural perspective caused by religious expectations. Conclusions: The study found that Muslim female nursing students with dual roles face increased barriers to PA participation, driven by intrapersonal and interpersonal levels, nursing learning load, and religious norms. Schools could build environments to meet the religious expectations within Indonesian society to promote PA for Muslim female nursing students. For example, the practical strategies include offering private rooms or female instructors when they physically exercise in school.
The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease Lindayani, Linlin; Yosep, Iyus; Purnama, Heni; Mutiar, Astri; Putri, Anisa Dwi
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2629

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Background: Depression is the most common psychological condition among patients with coronary heart disease (CHD). Although psychoeducational programs (PEPs) based on the Transtheoretical Model (TTM) have shown promise for psychiatric patients, their application among individuals with medical conditions, particularly cardiovascular disease, remains limited—especially in Indonesia. Purpose: This study aimed to assess the effectiveness of a TTM-based PEP intervention in reducing depression among CHD patients. Methods: A quasi-experimental design was employed, involving 80 CHD patients hospitalized in the coronary care unit (CCU) of a private hospital in West Java, Indonesia, in 2022. Participants in the intervention group attended seven sessions, each lasting 60 to 90 minutes. Depression symptoms were measured using the Hamilton Depression Rating Scale (HDRS). An ANOVA was performed to compare pre- and post-intervention mean HDRS scores and subscale scores between the two groups. After accounting for attrition, the final analysis included data from 76 patients. Results: The participants had a mean age of 59.39 years (SD = 11.10) and a mean disease duration of 4.05 years (SD = 1.69). A paired t-test showed a significant reduction in the mean HDRS score of the intervention group, from 13.79 ± 2.84 pre-intervention to 10.16 ± 2.16 post-intervention (p < 0.0001). Most HDRS subscale scores also decreased significantly, except for insomnia, somatic/genital symptoms, and weight loss. ANCOVA confirmed significant differences between the two groups in overall HDRS scores. Conclusions: The findings suggest that TTM-based PEP is effective in reducing depression among CHD patients. Incorporating such programs alongside standard treatments is recommended for enhanced patient outcomes.
The Effect of Application-Based Exergames on Cognitive Function in Hemodialysis Patients Fauzi, Achmad; Lindayani, Linlin; Mutiar, Astri; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.756

Abstract

Aims: Hemodialysis (HD) patients may disrupt physical and cognitive capabilities, affecting older mobility, independence, psychological well-being, and health care expenditures. Home-based exergame training overcomes accessibility issues. Methods: This research examined how mobile app exergames affected cognitive performance in hemodialysis patients. This research used a repeated measurement-quasi-experiment two-group pretest-posttest design in a West Java. The intervention group trained three times a week for 30-40 minutes for two months, totaling 24 sessions (8 weeks). In the control group, participants were told to live normally. Results: Inlcusion criteria was performing HD at least twice a week,  age > 65, living independently, self-reported health, ability to stand for 10 minutes without help, and access to a TV with HDMI connection. The Trail Making Test (TMT) measured psychomotor speed and executive function. ANCOVA was used to compare scores before and after the intervention in both groups.  The repeated ANOVA test revealed that the trial making test A (TMT A) decreased significantly in the intervention group after one month intervention (T2) (from 79.77 ± 7.23 at baseline to 40.87 ± 5.33 at follow up), with the effect size was 0.41, indicating moderate effect size.  The trial making test B (TMT B) decreased significantly in the intervention group after one month intervention (T2) (from 77.6 ± 24.2 at baseline to 70.32 ± 23.3 at follow up), with the effect size was 0.45, indicating moderate effect size. However, there was not significant change of Trial making Test A and B from baseline to follow up time in the control group. Conclusions: Findings of this study could be one of the new solutions to help patients undergoing hemodialysis improve their cognitive function. Exergame training may be done at home, which helps to overcome accessibility constraints.
The Effect of Self-Awareness and Problem-Solving Skills Training Based on Edugames on Burnout in Midwives Novita, Novita; Lindayani, Linlin; Mutiar, Astri; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.757

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Aims: This study aimed to determine the effect of edugame-based self-awareness and problem-solving skill training on burnout in midwives. Methods: The study used a repeated measurement-quasi-experiment design in a hospital in Bekasi, West Java, with 120 midwives in both groups. Results: Emotional exhaustion (Eta = 0.05, p = 0.443), depersonalization, (Eta = 0.03, p = 0.718) and personal accomplishment scores (Eta = 0.08, p = 0.694) did not change significantly in the control group. At the same time, interventions reduced the total score of emotional exhaustion (Eta = 0.26, p = 0.001), depersonalization (Eta = 0.20, p = 0.010), and personal accomplishment (Eta = 0.35, p = 0.001). Conclusions: Midwives were more likely to accept their emotional exhaustion after intervention, were able handle depersonalization and performed personal accomplishment. The study underscores the significance of midwives' self-awareness and problem-solving skills in identifying burnout symptoms, advocating for change, and providing necessary support services.
The Effect of Digital Problem Solving Therapy on Quality of Life in Pregnant Women Who Are Victims of Domestic Violence Putri, Dian Priharja; Lindayani, Linlin; Mutiar, Astri; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.758

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Aim: This study aims to determine the effect of digital problem-solving therapy (DPST) on the quality of life (QOL) of pregnant women who are victims of domestic violence. Methods: The research was conducted using a quasi-experimental design with two groups: an intervention group receiving digital problem-solving therapy and a control group receiving standard care. The study took place over three months at the National Commission on Violence Against Women service centers and referral hospitals in Bekasi City, West Java. The intervention involved four sessions per month focusing on psychological well-being and QOL. A total of 100 pregnant women participated, meeting the criteria of being over three months pregnant, having experienced domestic violence, owning a smartphone, and living with their husbands. Results: The results showed a statistically significant increase in QOL scores within the intervention group after the therapy, with a t-score of 13.76 and a p-value of 0.001. Additionally, the intervention group exhibited a larger improvement in QOL at post-test compared to the control group (ß = 8.20, p < 0.001). Conclusion: Digital problem-solving therapy significantly improves the quality of life of pregnant women experiencing domestic violence. Future studies should explore the effectiveness of this intervention among more diverse research groups, focusing on participants with varied mental health and psychological characteristics.
Patient Safety Culture Among Nurses: Comparison Between Public and Private Hospital in Indonesia Suryani, Lilis; Lindayani, Linlin
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.771

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Aims: This study aimed to describe the patient safety culture among nurses working in both public and private hospitals in Karawang, Indonesia. By examining the perceptions and practices of nurses regarding patient safety, the research sought to identify strengths and areas for improvement within the healthcare system. The findings are intended to inform strategies for enhancing patient safety practices, thereby contributing to better healthcare outcomes for patients in the region. Methods This study employed a cross-sectional methodology to investigate the patient safety culture in the intensive care units of two private and two public hospitals in Karawang, Indonesia. The researchers utilized the Hospital Survey on Patient Safety Culture (HSPSC) to gather data on nurses' perceptions and practices regarding patient safety. To analyze the data and identify any significant differences in patient safety cultural practices between the various hospital groups, both chi-square tests and independent t-tests were conducted. This approach allowed for a comprehensive assessment of the patient safety culture within the selected hospitals, facilitating comparisons between public and private healthcare settings. Results The study included a total of 118 nurses, with 52 working in a public hospital and 66 in a private hospital. The average age of nurses in the public hospital was 36.11 years (SD: 4.78), while those in the private hospital had a lower average age of 32.45 years (SD: 3.67). The results indicated a significant difference in the scores related to patient safety culture between the two groups of nurses. Specifically, nurses in the private hospital reported a higher patient safety culture compared to their counterparts in the public hospital, highlighting the disparities in perceptions and practices regarding patient safety in these different healthcare settings. Conclusion Nurses employed in private hospitals reported a higher level of patient safety culture compared to those working in public hospitals. This finding underscores the importance of creating a comfortable work environment in healthcare settings, as it is essential for minimizing the risk of patient safety incidents. By fostering a supportive and safe atmosphere, healthcare facilities can enhance the overall quality of care provided to patients and promote better outcomes in both private and public hospitals.
FACTORS INFLUENCING ANTIRETROVIRAL MEDICATION ADHERENCE BASED ON THE HEALTH BELIEF MODEL IN HIV/AIDS PATIENTS Rosita, Eda; Lindayani, Linlin
Jurnal Keperawatan PPNI Jawa Barat Vol 1 No 2 (2023): JURNAL KEPERAWATAN PPNI JAWA BARAT
Publisher : DPW PPNI Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70332/jkp.v1i2.9

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Background: Human immunodeficiency virus (HIV) is an infection that leads to the immune system, destroys CD4 cells, and lowers a person's immunity against opportunistic infections. Therefore, antiretroviral (ARV) treatment is needed; ARV itself can slow down HIV. HBM has four dimensions that can describe how individuals believe in a healthy behavior; these dimensions include Perceived Susceptibility, Perceived Severity, Perceived barriers, and Perceived Benefits. Objective: This study aims to determine the factors that influence adherence to taking antiretroviral drugs based on the Health Belief Model. Methods: This research is a quantitative study using a cross-sectional design. Sampling was done by convenience sampling on HIV/AIDS patients who were in KPA Kota Bandung with a total of 184 respondents. Data analysis used person correlation, independent t-test, and one-way ANOVA and used linear regression. Results: The results of the study of factors affecting adherence to taking antiretroviral drugs based on the Health Belief Model using linear regression showed that there was no significant relationship between the total health belief model and adherence, but if divided by domain there was a relationship between HBM domains and adherence. Conclusion: Obtained a value (R2) of 0.124, which means that the effect of side effect variables, CD4 count, Perceived susceptibility, Perceived benefits, and social support on the compliance variable is 12.4% statistically significant with a value (p <0.05).  
FAKTOR- FAKTOR YANG MEMPENGARUHI PERILAKU SEKSUAL PADA REMAJA DISEKOLAH MENENGAH PERTAMA Lestari, Retno; Lindayani, Linlin
Jurnal Keperawatan PPNI Jawa Barat Vol 2 No 1 (2024): JURNAL KEPERAWATAN PPNI JAWA BARAT
Publisher : DPW PPNI Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70332/jkp.v2i1.16

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Latar Belakang : Masa remaja merupakan tahapan yang sangat penting karena terjadi proses transisi dari masa kanak kanak ke dewasa dan sangat beresiko dengan masalah-masalah kesehatan reproduksi, perilaku seks pranikah, dan Human immunodeficiency virus (HIV). Tujuan : penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi perilaku seksual pada remaja disekolah menengah pertama. Penelitian ini merupakan penelitian kuantitatif menggunakan rancangan cross sectional. Pengambilan sampel secara convenience sampling pada sejumlah 160 siswa SMPN 2 Katapang.  Analisa data menggunakan person correlation, independent t test serta one-way ANOVA dan menggunakan linear regresi. Hasil : penelitian faktor-faktor yang mempengaruhi perilaku seksual pada remaja disekolah menengah pertama menggunakan regresi linier menunjukan bahwa harga diri, peran orang tua, peran teman sebaya dan ddepresi ada hubungannya dengan perilaku seksial pada remaja signifikan secara statistik nilai p value < 0.05. Kesimpulan : Pelayanan kesehatan harus berkerja sama dengan pihak sekolahan dalam menurunkan perilaku seksual pada remaja.
Effect of Telemonitoring and Nurse-Led Collaboration on Self-Management and Quality of Life in Heart Failure Patients in West Java Lindayani, Linlin; Nurdina, Gina; Anggraini, Dian; Herdiman, Herdiman; Darmawati, Irma; Mutiar, Astri
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.808

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Aims: This study aimed to assess the combined effects of telemonitoring and nurse-led collaborative care on self-management, medication adherence, QoL, and hospital readmission rates among HF patients in West Java, Indonesia. Methods: A randomized controlled trial (RCT) was conducted with 120 HF patients randomized into an intervention group (telemonitoring and nurse-led collaborative care) and a control group (standard education). The intervention included health education, telemonitoring of clinical parameters, and regular nurse follow-ups. The primary and secondary outcomes—hospital readmissions, self-management, medication adherence, and QoL—were measured using validated instruments. Data analysis was performed using multivariate regression and chi-square tests. Results: Participants in the intervention group demonstrated significant improvements in self-management (mean score increased from 62.4 to 78.3), medication adherence (mean core increased from 4.3 to 6.8), and QoL (mean score decreased from 51.8 to 38.4) compared to the control group (p < 0.001). Additionally, the 180-day hospital readmission rate was significantly lower in the intervention group (30.0%) compared to the control group (60.0%, p < 0.001). Telemonitoring and nurse-led care independently reduced the odds of readmission by 3.8 times (OR: 3.8, 95% CI: 1.9–7.4, p < 0.001). Conclusion This scalable and effective model for HF management highlights the importance of culturally tailored interventions in low- and middle-income countries, offering a practical approach to overcoming resource limitations.
Pemanfaatan Mobile Phone App dalam Pencegahan dan Penanggulangan HIV pada Remaja: A Community-Based HIV Prevention Program Darmawati, Irma; Lindayani, Linlin
International Journal of Community Service Learning Vol. 4 No. 3 (2020): August 2020
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (377.41 KB) | DOI: 10.23887/ijcsl.v4i3.28848

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Pemahaman HIV/AIDS merupakan masalah kesehatan global. Jumlah pengidap Orang Dengan AIDS (ODHA) di Kota Tangerang Selatan mencapai 598 pasien dan trend nya semakin meningkat setiap tahun. Pelaksanaan kegiatan pengabdian masyarakat ini memberikan solusi melalui pemanfaatan mobile app dalam pencegahan HIV kepada masyarakat sehingga masyarakat memiliki soft skill dan hard skill yang tepat untuk memproteksi diri mereka terhadap bahaya dari penularan HIV. Metode kegiatan dilakukan melalui pemberdayaan masyarakat dengan rangkaian kegiatan penyuluhan, pelatihan, pendidikan, dan pembinaan, serta penerapan aplikasi di mobile phone untuk sebagai upaya promosi dan preventif terhadap HIV. Hasil pelaksanaan kegiatan mampu meningkatkan kemampuan soft skill dan hard skill masyarakat terhadap penularan HIV, terbentuknya metode dan sistem pencegahan HIV yang berbasis komunitas, serta pemanfaatan mobile-phone app yang sederhana murah dan efektif yang bisa digunakan untuk pendidikan kesehatan dan monitoring perilaku beresiko terhadap penularan HIV.