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Journal : Belitung Nursing Journal

RELATIONSHIP OF SPIRITUAL-WELLBEING WITH ANXIETY AND DEPRESSION IN PATIENTS WITH CARDIAC HEART DISEASE Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 4 No. 1 (2018): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.939 KB) | DOI: 10.33546/bnj.231

Abstract

Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD in Indonesia is still unknown. Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients. Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variables were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and Spirituality Index of Well-Being scale. Data were taken on 100 respondents within three months in outpatient cardiac unit with the consecutive sampling technique and analyzed by Spearman correlation test. Results: The mean of anxiety, depression, and spiritual well-being respectively were 47.66, 43, and 60. Based on Spearman test, spiritual wellbeing was correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571). Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with negative correlation direction. The higher the spiritual well-being, the lower the level of anxiety and depression will be. Thus, nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.
NEUROCOGNITIVE IMPAIRMENT IN HIV/AIDS: A CONCEPTUAL FRAMEWORK Linlin Lindayani; Anastasia Anna; Nai-Ying Ko
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.666 KB) | DOI: 10.33546/bnj.431

Abstract

HIV-associated with neurocognitive disorder (HAND) is a major interest issues worldwide, as results from introduction of Highly Active Antiretroviral Therapy (HAART) and increasing life expectancy. However, previous studies have been limited by lack of a guiding framework. The purpose of this review was to provide a conceptual framework to guide studies of neurocognitive impairment in patients with HIV/AIDS. A literature search was conducted of articles published from 1998 through December 2015 using the PubMed, Embase, Cochrane Library and Ebscohost databases on evaluating the problem of neurocognitive impairment in HIV. This search resulted in a total of 36 articles. Evidence has indicated that there are neurobiological changes and brain abnormalities among people living with HIV/AID, which may affect cognitive functioning. Being infected by HIV and increased age are independently factors on HAND. However, there is remaining unclear the effect of HAART, is protective factors or risk factors of HAND and its consequence on quality of life among patients with HIV/AIDS. Considering the major issues in above, patient with HIV/AIDS is vulnerable population for developing HAND that might have been resulted to under report. Future studies focus on exploring HAND is necessary especially from low income countries where the accessibility to HAART are limited.
CORONARY HEART DISEASE PATIENTS' LEARNING NEEDS Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 4 No. 3 (2018): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.292 KB) | DOI: 10.33546/bnj.440

Abstract

Background: Patients with coronary heart disease (CHD) should have good self-management capabilities. This is determined by the effective of health education which is based on the assessment of patients’ learning needs and consideration of health personnel. On the other hand, the study of perceptions of CHD patients’ learning needs in Indonesia is little known. Objective: This study aimed to identify the CHD patients’ learning needs. Methods: This study was a descriptive quantitative with cross-sectional approach. Population was CHD patients in one of the referral hospitals in West Java Indonesia. Samples were recruited using consecutive sampling technique for a 2-month period (n=106). Data were collected using TR-CPLNI instrument and analyzed using descriptive quantitative and Kruskal Wallis test. Results: The order of learning needs based on the highest to the lowest mean was anatomy and physiology of heart (4.42); medication information (4.33); cardiopulmonary information (4.32); life style (4.28); dietary information (4.19); symptom management (4.08); psychology (4.07); and physical activity (3.64). The significant differences (p<0.05) based on ward categories were learning needs of dietary information (p=0.002); physical activity (p=0.009) and symptom management (p=0.037), with the highest needs respectively were in High Care Unit (HCU); HCU; and non-intensive care unit. Conclusions: These eight learning needs were important for CHD patients. However, the priority of the patients’ learning needs were seen by category of ward or recovery phase and illness duration different from each other. Therefore, this can be a consideration in providing education to CHD patients.
A VARIETY OF TEACHING-LEARNING STRATEGIES TO IMPROVE THE CARING BEHAVIOR OF NURSING STUDENTS Anastasia Anna; Aan Nuraeni; Atlastieka Praptiwi
Belitung Nursing Journal Vol. 4 No. 6 (2018): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (643.199 KB) | DOI: 10.33546/bnj.568

Abstract

Background: Caring is the essence of nursing that is believed vital in improving the health and well-being of patients and in facilitating health promotion. Nursing education has a fundamental role in shaping a positive student’s caring behavior. Objective: This study identified the caring behavior of the final-year nursing students after completing a critical care nursing course unit by implementing assorted teaching-learning strategies. Methods: This study was a descriptive research using a comparative design. Samples were recruited from a group of 152 final-year students using a random sampling technique (n=76). Data were collected using a valid and reliable Indonesian caring instrument consisting of 32 items based on Watson’s ten carative factors. Data were analyzed using descriptive statistics by calculating mean scores of students’ caring behavior. A paired t test was performed to evaluate the difference between caring behavior before and after completion of the course unit involving a diverse teaching learning strategy, such as face-to-face lectures in the class, quizzes and practicums, facilitated small group case-based discussions, and expert reviews. Results: Results showed that more than half of the students had negative caring behavior before (59.22%) and after (54.55%) participating in learning process. There was also a barely statistical insignificance in the change of caring behavior following the course unit that involved various learning strategies (p value = 0.276). Further analyses of the 10 carative factors revealed that there was a significant change in transpersonal teaching-learning, provision for a supportive, protective, and/or corrective mental, physical, sociocultural, and spiritual environment, and spiritual environment and existential-phenomenological spiritual forces (improved, p value <0.05). Conclusions: Student-centered learning is a good approach to enhance the students’ critical thinking skills. However, in implementing the approach, there is a need to reevaluate appropriate method so as to simultaneously develop students’ critical thinking skills, caring behavior, and empathy.
EFFECT OF A WORKBOOK IN HEALTH EDUCATION ON SELF-EFFICACY AND QUALITY OF LIFE OF PATIENTS WITH CORONARY HEART DISEASE Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 5 No. 6 (2019): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (25.723 KB) | DOI: 10.33546/bnj.801

Abstract

Background: Coronary Heart Disease (CHD) has a high recurrence in Indonesia. This condition may occur as a result of the failure of compliance with post-acute management following a heart attack by CHD patients. One of the causes is the lack of effective health education. Objective: The aim of this study was to identify the feasibility of the workbook in improving patients’ self-efficacy (SE) and quality of life (QoL). Methods: This research used a quasi-experimental with pretest-posttest control design. A pretest was done to the patients who were treated in the cardiac intensive unit, and a posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospitals in West Java, Indonesia. A purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The intervention group was given a health education using a workbook, and the control group was given a direct health education. Self-efficacy was measured using a questionnaire developed by the authors, with high validity and reliability. A SF-12 instrument was used for measuring the quality of life. Data were analyzed using a descriptive quantitative analysis such as mean, Mann Whitney test, and Independent t-test. To estimate the effects of the intervention to QoL and SE, Kruskal Wallis test and One-way ANOVA were used. Results: The results showed that there was an increase in SE and QoL in both groups, either in the posttest 1 or posttest 2. The comparison of QoL in the pretest, posttest I and II obtained p=.452, .741, and .826, while SE between and within groups obtained p = .732, .220, and .009, respectively. Conclusions: Health education using the workbook was significantly more effective to increase SE than QoL of the CHD patients.
Illness cognition and depression among patients with coronary heart disease Nuraeni, Aan; Anna, Anastasia; Praptiwi, Atlastieka; Nurhamsyah, Donny
Belitung Nursing Journal Vol. 7 No. 4 (2021): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1540

Abstract

Background: Depression is a significant predictor of the quality of life among patients with coronary heart disease. Therefore, it is essential to explore the factors associated with depression. Illness cognition is considered one of the factors affecting depression. However, the relationship between illness cognition and the incidence of depression among Indonesian patients have not been widely investigated.Objective: This study aimed to investigate the correlation between illness cognition, consisting of the acceptance, perceived benefits, and helplessness variables, and depression in patients with coronary heart disease. Methods: This study employed a correlational research design with a total of 106 patients undergoing treatment at a hospital in West Java, Indonesia, selected using convenience sampling. Data were collected using a demographic questionnaire, Beck-Depression Inventory-II (BDI-II), and ICQ (Illness-Cognition Questionnaire). Data were analyzed using mean (SD), median, frequency distribution, and Spearman-rank. Results: 72% of respondents had no depression. Nevertheless, mild, moderate, and major depression suffered by 15%, 9%, and 4% of respondents, respectively. In terms of illness cognition, patients scored higher within the perceived benefits dimension (mean 20.13, SD 3.05), followed by acceptance (mean 18.22, SD 3.33) and helplessness (mean 13.20, SD 4.77), respectively. Furthermore, helplessness was significantly associated with depression (p <.01) with a positive correlation coefficient (r). Also, all items on the helplessness dimension had a significant correlation (p <.01) with depression accompanied by a positive r-value. Conclusion: Helplessness had a significant relationship with depression. So, cardiovascular nurses can anticipate depression in patients by making nursing interventions that can decrease the patients’ feelings of helplessness. Thus, factors that reduce helplessness need to be explored and taken into accounts in the treatment of patients with coronary heart disease.
Co-Authors Aan Nur&#039;aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aldri Frinaldi Ali, Samin M. Andrianthi, Salsyah Anita Setyawati Asmara, A Danang Atlastieka Praptiwi Audly, Tazkia Badliana Barkah Waladani Cecep Eli Kosasih Deris Riandi Setiawan Donny Mahendra Donny Nurhamsyah Dos Reis , Silvestre Endah Setianingsih Eryani, Theresia Etika Emaliyawati Evangelista, Gabriela Fauziah, Oktaviani Febianti, Ranti Findhya Rachma Pravidanti Freitas, Lurdes A Heni Dwi Windarwati Henik Tri Rahayu Henny Suzana Mediani Heriyansyah, Heriyansyah Ikeu Nurhidayah Ilfanty, Ananda Rafa Irfandi Rahman Jessica Jessica Larashati, Defa Lesmana, Hendy Lin, Mei-Feng Linlin Lindayani Linlin Lindayani Marlynda Triana Megawati, Sri Wulan Mudiyanselage, Sriyani Padmalatha Konara Nai-Ying Ko Nehemia Simanjuntak Neli Hartini Nintyas, Felantina Restyar Noya, Fricilia Nur Aini Nuraeni, Aan Nursiswati Nur’aeni, Aan Oktafianti, Mutiara Annisa Oktavia Nu razizah Jain Pebianti, Ranti Plita Muliahati Pravidanti, Findhya Rachma Priambodo, Ayu Prawesti Puji Rahayu Rahmah Tresnala Rahmi Harlasgunawan , Alia Reza Ariyanur Rian Nugraha Risnandar, Mochammad Wisnu Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rizki Mardhotulloh Syarief Rizkiani Tri Ramdani Rosi Handayani Sari, Wulan Puspita Septi Rizki Amaliyah Sesilia , Fitri Setianingsih - Setianingsih, Endah Shasqia Novelia Dingri Sheren Yolavia Soleha, Nisa Cahya Sri Susilaningsih Sugiharto, Firman Susilaningsih, Sri Sutisnu, Ajeng Andini Syifanaurah, Salma Taty Hernawaty Tri Wahyu M Tri Wahyu Murni Trisyani , Yanny Tutu April Ariani Ulfah Nasti Wiliastuti Valentina B.M Lumbantobing, Valentina B.M Waladani, Barkah Wiliastuti, Ulfah Nasti Yanny Trisyani Ying-Chin Liao Yuli Wahyuni Yusanti, Irma