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Journal : GENIUS JOURNAL (General Nursing Science Journal)

Factors Associated with Treatment Compliance in Clients with Mental Disorders: A Cross-sectional Study Novitasari, Novitasari; Fitri, Nurwijaya; Mardiana, Nova
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.797

Abstract

Introduction: Mental disorders remain a significant public health issue with increasing prevalence globally and in Indonesia. Non-compliance with treatment and follow-up among clients is often influenced by limited knowledge, lack of family involvement, and inadequate environmental support, which may hinder recovery and increase relapse risk. Objective: Mental disorders are a person's behavior about their mental health condition. Everyone has a different view of behavior in mental health cases, namely a person's emotional, psychological, and emotional stability. The purpose of this study was to determine the relationship between knowledge, family support and environmental support on control compliance in clients with mental disorders in the mental health polyclinic of Depati Bahrin Sungailiat Hospital in 2025. Method: The design in this study used cross-sectional with independent variables (knowledge, family support and environmental support) and dependent variables (control compliance). The population size in this study was 118 people and a sample of 60 people calculated using simple random sampling. The time of the study was May 6, 2025. Result: The results of the study using the Chi Square statistical test obtained a p-value for the knowledge variable 0.000 <0.05, family support 0.014 <0.05 and environmental support 0.000 <0.05. This shows that there is a significant relationship between knowledge, family support and environmental support on control compliance in clients with mental disorders in the mental health polyclinic of Depati Bahrin Sungailiat Hospital in 2025. Conclusion: Suggestions in this study are expected to be used as a source of reference and provide ideas for nursing students when practicing in the field so that students know the factors that can influence control compliance of clients with mental disorders.
Relationship Between Depression, Anxiety Levels, and Coping Mechanisms in Patients with Congestive Heart Failure Afrida, Yuni; Fitri, Nurwijaya; Mardiana, Nova
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.804

Abstract

Introduction: Congestive heart failure is a serious medical condition that often experiences severe physical symptoms and significant psychological distress, including depression and anxiety. Coping mechanisms are strategies used by patients with congestive heart failure to deal with depression and anxiety related to their medical condition. Patients with adaptive coping mechanisms can better manage symptoms and reduce the risk of depression and anxiety. However, patients with maladaptive coping mechanisms are more vulnerable to psychological distress. Objective: This study aimed to determine the relationship between depression and anxiety levels and coping mechanisms in congestive heart failure patients attending the Heart Polyclinic of Sejiran Setason Regional General Hospital in 2025. Method: This study used a cross-sectional design and chi-square test, with univariate and bivariate analyses. The study was conducted from May 21 to June 10, 2025. The population was 138 outpatients with congestive heart failure who were admitted to the Heart Polyclinic of Sejiran Setason Regional General Hospital between January and February. The sample consisted of 67 congestive heart failure patients. Result: The results of this study indicate a relationship between depression (ρ = 0.016) and anxiety (ρ = 0.000) and coping mechanisms in patients with congestive heart failure. Conclusion: This study suggests that it can serve as a basis for developing a holistic care program for patients with congestive heart failure, one that focuses not only on managing physical symptoms but also on psychological aspects and enhancing patients' coping skills to face daily challenges.