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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.
Knowledge, Attitudes, And Practices Regarding Chronic Kidney Disease Among At-Risk Populations Yulianti, Melli; Mahmud, Salsa Nafarila; Nurdina, Gina; Herdiman, Herdiman
Medical-Surgical Journal of Nursing Research Vol. 4 No. 2 (2025): (in collaboration with STIKep PPNI Jawa Barat) Medical-Surgical Journal of Nurs
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v4i2.54

Abstract

Background: Chronic kidney disease (CKD) is a growing global health problem with a steadily increasing prevalence. CKD substantially affects individuals’ quality of life and imposes a significant economic burden on healthcare systems, particularly at advanced stages requiring long-term treatment. Community knowledge, attitudes, and practices (KAP) related to CKD risk factors play a critical role in disease prevention and early control. Objective: This study aimed to analyze the relationship between demographic characteristics, risk factors, and knowledge, attitudes, and practices related to CKD prevention among at-risk populations. Methods: A quantitative descriptive study with a cross-sectional design was conducted among 119 individuals from at-risk groups in the Pasirkaliki Public Health Center working area, Bandung. Participants were selected using convenience sampling. Data were collected using the CKD Screening Index questionnaire. Statistical analysis included frequency distribution, independent t-tests, and one-way analysis of variance (ANOVA). Results: Overall, respondents demonstrated limited CKD knowledge (mean = 9.23), positive attitudes (mean = 58.44), and relatively healthy preventive practices. Knowledge was significantly associated with age (p = 0.001), educational level (p < 0.001), and occupation (p = 0.003). Attitudes were significantly related to gender (p = 0.034) and age (p = 0.017), while preventive practices were associated with age (p = 0.003) and education (p = 0.001). Conclusion: Demographic characteristics significantly influence community knowledge, attitudes, and practices regarding CKD prevention. Targeted and intensified health promotion strategies that consider these factors are essential to strengthen CKD prevention efforts.
Effectiveness Of Mindfulness Based Stress Reduction On Depression In Elderly: A Systematic Review Lindayani, Linlin; Hendra, Agus; Juniarni, Lia; Nurdina, Gina
Journal Of Nursing Practice Vol. 4 No. 1 (2020): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i1.101

Abstract

Background: The elderly are individuals who have entered the age of 60 years (Hurlock, 2004). One of the most common elderly problems that is more commonly found is depression. Currently increasing research and reviews support the efficiency of psychotherapy treatments for depression. Based on traditional interventions Mindfulness Based Stress Reduction (MBSR) therapy is recommended for geriatric depression. MBSR therapy focuses on is one type of mindfulness-based therapy that focuses on training awareness through meditation techniques. By practicing observing body sensations (body scan meditation), individuals can achieve a mindful condition in their daily lives, including when carrying out routine activities such as walking, eating, standing. MBSR aims to change individual relationships with stressful situations and thoughts. This is achieved by decreasing emotional reactions and increasing. Purpose: This study aimed to determine the effectiveness of MBSR therapy on the level of depression in the elderly. Methods: Literature searches conducted through Google Scholar and PubMed studies published in English, there were 778 articles obtained but only 5 journals met the search criteria.Results: The results of this review show that MBSR therapy has an influence to reduce the level of depression in the elderly and MBSR therapy has no side effects compared to pharmacological therapy.Conclusion: It is hoped that health workers can implement MBSR therapy to reduce the level of depression in the elderly