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All Journal Nurse Media Journal of Nursing Jurnal Keperawatan Padjadjaran Belitung Nursing Journal
Polsook, Rapin
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Health Professions Neuroscience Nursing Public Health

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Barriers and Challenges in Managing Hypertension in Belitung, Indonesia: A Qualitative Study Aungsuroch, Yupin; Gunawan, Joko; Polsook, Rapin; Anuruang, Sakuntala; Phongphibool, Sitha; Nazliansyah, Nazliansyah
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.42135

Abstract

Background: The Government of Indonesia has provided a Chronic Disease Management Program, better known as PROLANIS, to reduce the incidence of hypertension; however, the prevalence of hypertension remains high in the community, especially in Belitung, Indonesia, which warrants further investigation. One of the strategies to decrease the number of hypertensions is by addressing barriers and challenges in hypertension management according to patients’ points of view, which has become a lack of focus in previous studies.Purpose: This study aimed to explore the barriers and challenges of patients in managing hypertension in Belitung, Indonesia.Methods: This research employed a qualitative descriptive study design with 20 hypertensive patients who had access to the PROLANIS program in public health centers. Focus group discussions were conducted for data collection. The content analysis was used for data analysis.Results: Six themes were developed from the data, including (1) Dietary habits: the role of salt, (2) Nonadherence to medication due to the use of traditional medicine, (3) Shopping habit on nonprescription medication, (4) Confusion of anti-hypertensive drugs, (5) Barriers to physical exercise, and (6) Health monitoring and education.Conclusion: This study serves as an input for nurses and healthcare providers to improve the PROLANIS program, especially in hypertension management, as well as to develop new nursing interventions according to the barriers and challenges.
Validation of a Thai version of the Hope Scale among patients with acute myocardial infarction Inyoo, Ampika; Polsook, Rapin
Belitung Nursing Journal Vol. 7 No. 6 (2021): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1711

Abstract

Background: Hope is essential for patients with acute myocardial infarction, which is often regarded as an active coping for those with life-threatening diseases. Higher hope consistently is related to better health outcomes. However, the instrument for assessing hope has not been previously tested among Thai patients. Objective: This study aimed to assess the validity and reliability of the Hope Scale among Thai patients with acute myocardial infarction patients. Methods: This was an instrument validation study conducted from March to December 2020. A total of 213 patients with acute myocardial infarction were included and selected using a simple random sampling. The back-translation method was used to translate an English version to a Thai version of the scale. Principal Component Analysis (PCA) and Cronbach’s alpha were used for construct validity and reliability. Results: The findings showed that the Cronbach’s alpha of the Thai version of the Hope Scale was acceptable (.75), and the scale consists of four factors, which explained 63.36 % of the total variance. Communalities in each factor ranged from .45 to .84. Overall, the appearance of the factor structures was reasonable and understandable. Conclusion: The reliability and validity of the Thai version of the Hope Scale were suitable for the measurement of hope in Thai patients. This scale can be used by nurses and others to assess hope in Thai patients with acute myocardial infarction.
Factors predicting depression among persons post-coronary artery bypass graft surgery: A cross-sectional study in Thailand Chongopklang, Kritphummarin; Polsook, Rapin
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.3474

Abstract

Background: Coronary artery bypass graft (CABG) surgery is a highly effective coronary artery disease treatment, providing immediate relief and promising long-term benefits. However, it is a major procedure with significant risks, including the potential for depression. Many patients experience depression following CABG, which can negatively impact their overall recovery, affecting both physical and mental health. Objective: This study aimed to determine factors predicting depression in patients following CABG surgery. Methods: This cross-sectional study was conducted with data collected between January and April 2024. A total of 272 post-CABG patients from two super tertiary care hospitals in Bangkok, Thailand, were recruited through purposive sampling. All research instruments were validated and tested for reliability. Data were analyzed using multiple regression analysis. Results: The study found that hope, optimism, illness perception, social support, and anxiety were correlated with depression (adjusted R² = 0.381), but these variables explained only 38.1% of the variance (p <0.05). Among these factors, anxiety (β = 0.311), optimism (β = 0.203), social support (β = -0.117), and illness perception (β = -0.143) were significant predictors (p <0.05), while hope was not a significant predictor. Thus, anxiety emerged as the most crucial predictor of depression in patients who have undergone CABG. Conclusion: Nurses play a vital role in preventing and managing depression in post-CABG patients. Screening for anxiety and addressing it can prevent depression, enhance social support, and improve outcomes. To develop effective nursing strategies, it is essential for nurses to assess anxiety and implement interventions that promote social support, optimism, and illness perception. These measures can improve care quality, reduce readmission rates, and enhance patients’ overall quality of life.
The impact of a self-management program on volume overload among patients with heart failure in Thailand: A quasi-experimental study Lungkawong, Napassawan; Polsook, Rapin
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3730

Abstract

Background: Volume overload is a common and serious complication in patients with heart failure, often leading to hospital readmissions and decreased quality of life. Effective self-management strategies are essential in preventing fluid accumulation and improving patient outcomes. Mobile technology offers a scalable means to support such interventions, particularly in culturally specific contexts. Objective: This study aimed to evaluate the effectiveness of a self-management program delivered via the LINE application in reducing volume overload among Thai patients with heart failure. Methods: A quasi-experimental design was employed with 46 participants randomly assigned to either a control or experimental group. The control group received standard care, while the experimental group participated in a four-week self-management program based on Lorig and Holman’s theoretical framework, focusing on six key skills and three self-care tasks. Volume overload was assessed using a modified Framingham criteria-based instrument with confirmed content validity and acceptable reliability. Data were analyzed using paired and independent t-tests with IBM SPSS version 21. Results: Post-intervention, the experimental group showed a significant reduction in fluid volume overload scores (M = 6.96, SD = 1.46) compared to pre-intervention (M = 8.65, SD = 1.57, t = 9.90, p <0.001, Cohen’s d = 1.11). The control group showed no significant change. An independent t-test confirmed a statistically significant difference between the experimental and control groups post-intervention (t = 3.67, df = 44, p <0.001, Cohen’s d = 1.08), indicating a substantial effect of the intervention. Conclusion: The self-management program via the LINE application effectively reduced volume overload in Thai patients with heart failure. Integrating culturally familiar mobile technology and structured self-care education significantly enhanced patient engagement and health outcomes. This study highlights the importance of incorporating digital tools into patient education and follow-up for nursing practice to empower individuals in managing chronic conditions like heart failure. Future research should explore long-term impacts and scalability across diverse healthcare settings. Trial Registry Number: Thai Clinical Trials Registry (TCTR20241124001)
Self-care education based on local wisdom to improve glycemic control and self-efficacy in type 2 diabetes Yasa, I Dewa Putu Gede Putra; Surasta, I Wayan; Rasdini, Iga Ari; Iblasi, Abdulkareem S.; Polsook, Rapin; Juanamasta, I Gede
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2741

Abstract

Introduction: Effective management of type 2 diabetes mellitus (T2DM) requires structured self-care education supported by family and cultural context. In Bali, health-related decisions are often influenced by patrilineal households where male family members act as primary decision-makers. This study evaluated a self-care education program based on Balinese local wisdom to improve glycemic control and self-efficacy among T2DM patients. Methods: A quasi-experimental design with pre- and post-tests and a control group was conducted at Community Health Center in Bali, Indonesia from June to September 2024. .Seventy patients with T2DM living in patrilineal households were purposively recruited and randomly allocated into intervention (n=35) and control (n=35) groups.. The intervention consisted of twelve weekly sessions of culturally tailored self-care education covering diet, physical activity, monitoring, medication, and foot care, with active involvement of male household decision-makers. Outcome measures included self-efficacy (Diabetes Management Self-Efficacy Scale), HbA1C, and systolic/diastolic blood pressure, analyzed using t-tests. Results: After 12 weeks, the intervention group demonstrated significant improvements compared to controls: self-efficacy (mean difference: 8.37, p<0.001), systolic blood pressure (-4.51 mmHg, p<0.001), diastolic blood pressure (-2.74 mmHg, p<0.001), and HbA1C (-0.61%, p<0.001). Although the HbA1C reduction was modest, it indicates a meaningful step toward better glycemic control. Conclusion: A 12-week culturally tailored self-care education program involving patrilineal family members improved self-efficacy and glycemic control in T2DM patients. These findings highlight the importance of integrating local wisdom and family involvement into diabetes education to enhance patient empowerment and adherence.
Co-Authors Anuruang, Sakuntala Aungsuroch, Yupin Chongopklang, Kritphummarin I Dewa Putu Gede Putra Yasa I Gede Juanamasta Iblasi, Abdulkareem S. Inyoo, Ampika Joko Gunawan, Joko Lungkawong, Napassawan Nazliansyah, Nazliansyah Phongphibool, Sitha Rasdini, IGA Ari Surasta, I Wayan