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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

Abstract

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.
Effect of Progressive Muscle Relaxation Therapy on Stress and Blood Pressure in the Pre-Hypertensive Group Herdiman, Herdiman; Adawiyah, Dita Rabiatul; Triantika, Triantika; Lindayani, Linlin
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.477

Abstract

Introduction: Prehypertension is a condition that precedes the onset of hypertension and typically presents without noticeable symptoms in affected individuals. One of the major contributing risk factors for hypertension among young adults is an unhealthy lifestyle, including elevated stress levels. Objective: This study aims to determine the effect of Progressive Muscle Relaxation (PMR) Therapy on stress and blood pressure among individuals with prehypertension. Method: A quantitative approach was used with a quasi-experimental two-group pre–posttest design involving 40 participants selected through purposive sampling, divided into intervention and control groups. Result and Discussion: The intervention consisted of PMR therapy administered for two consecutive weeks, with each session lasting 20 minutes. Statistical analysis using paired sample t-test showed that, prior to the intervention, 55% of participants in the intervention group experienced moderate stress, with an average blood pressure of 130.80 mmHg systolic and 85.15 mmHg diastolic. After the intervention, 60% fell into the mild stress category, and the average blood pressure decreased to 117.20 mmHg systolic and 76.15 mmHg diastolic. The significance value of 0.000 < 0.05 indicates a meaningful effect of PMR therapy on reducing stress and blood pressure in prehypertensive individuals. Conclusion: This therapy effectively enhances relaxation, reduces muscle tension, and serves as a beneficial nonpharmacological intervention for community use.