Rohman Azzam
Program Studi Magister Keperawatan, Universitas Muhammadiyah Jakarta

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The Effect of Multimedia-Based Education on Treatment Adherence, Self-Efficacy, and Readmission Rates in Post-Percutaneous Coronary Patients Anita Setyawati; Ninik Yunitri; Yani Sofiani; Yuni Shahro; Rohman Azzam
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.336

Abstract

Patients with coronary heart disease (CHD) who undergo Percutaneous Coronary Intervention (PCI) experience faster recovery and a short hospital stay of up to three days. A short hospitalization process requires nursing interventions that are easily understood by patients and families, namely multimedia education, which aims to provide motivation so that patients become stronger when continuing their normal lives and returning to productivity. If patients do not carry out this behavior, the risk of myocardial infarction, stroke, and even death increases. to evaluate the effectiveness of multimedia-based education on medication adherence, self-efficacy and readmission rates of post PCI patients. Using quantitative research parallel Randomized controlled trial with a sample size of 100 people, by comparing the intervention group who received multimedia-based educational treatment and the control group who received standard therapy / leaflet at Gatot Soebroto Army Hospital. This study employed block randomization with a four-combination design in a 1:1 ratio. When all combinations were exhausted, the sequence returned to the initial combination. The randomization, therapists, data collectors, and data analysts were blinded to the study hypothesis. Data allocation was performed using random numbers, with odd and even numbers serving as the basis for assignment. Independent sample t-test in the intervention group on treatment compliance obtained a p-value of 0.441 with an effect size of 0.0168 (1.68%). While the measurement of self-efficacy is p-value 0.060 with an effect size of 0.1608 (16.08%). The Fisher Exact test showed that there was a significant difference between the two groups and the measurement of readmission rates decreased by 87.6% after being given multimedia education and a post-test of treatment adherence and self-efficacy. This study shows that the intervention of the effect of multimedia education on treatment compliance, self-efficacy and readmission rates in post PCI patients has a significant effect p-value> 0.05, there is an increase in treatment compliance, self-efficacy and a decrease in readmission rates in patients who have undergone PCI at RSPAD Gatot Soebroto.
The Relationship between Chronic Diseases and Cognitive Function in Patient with Chronic Diseases: An Analysis Based on the 2014 Indonesian Family Life Survey Data Fira Awanis Hazrina; Rohman Azzam; Yani Sofiani; Yuni Shahroh; Bayu Satria Wiratama; Ninik Yunitri
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.920

Abstract

Cognitive decline known as one of long-term effect of chronic disease. Individuals with cognitive dysfunction tend to show low quality of life. Yet limited studies has been conducted to determine the prevalence of this issue among people with chronic disease in Indonesia. Therefore, this study was aimed to identify the prevalence and relationship between chronic disease and cognitive function. This study also evaluated the factors influencing this relationship. This research was a cross-sectional analysis that utilized data from 2,396 participants with chronic conditions, drawn from the 2014 Indonesian Family Life Survey (IFLS) through purposive sampling. This study focus on people with hipertention, stroke, and diabetes mellitus. Cognitive impairment was measured using Telephone Interview for Cognitive Status (TICS). The data was analysed using analysed using bivariate logistic regression and multivariate Hierarchical Logistic Regression. The relationship between variables indicated based on Odds Ratio (OR), exponential value values ꞵ (eꞵ), and significancy level 5%. The overall prevalence of impaired cognitive function was 2171(61.7%) with the highest frequency found in people with diabetes mellitus (64.5%). Logistic regression test found a significant relationship between chronic disease and impaired function (p<0.001). Hierarchical Logistic Regression test on all models found-that age, gender, disease duration, and education had a greater influence, with R2 0.467 (46.7%). This study showed people with chronic diseases with older age, female, low education, longer disease duration, smoker, and obese have higher risk of developing impaired cognitive function.  
The Relationship between Social Support and Spirituality and Quality of Life among Stroke Patients Dena Mulya; Rohman Azzam; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2477

Abstract

Stroke is a neurovascular disease with multidimensional impacts on patients’ physical, psychological, social, and spiritual conditions. The complications of stroke not only reduce physical function but also affect patients’ overall quality of life. This study aims to analyze the relationship between social support and spirituality and the quality of life of stroke patients, as well as to examine the interaction of these factors in improving quality of life. This study employed a quantitative cross-sectional design involving 125 respondents selected through purposive sampling. Data were collected using validated and reliable instruments, including the Multidimensional Scale of Perceived Social Support (MSPSS; Cronbach’s α = 0.89), the Spiritual Well-Being Scale (SWBS; Cronbach’s α = 0.95), the Stroke-Specific Quality of Life Scale (SS-QOL; Cronbach’s α = 0.92), the Barthel Index (Cronbach’s α = 0.87–0.92), and the Patient Health Questionnaire-9 (PHQ-9; validity coefficient r = 0.73, Cronbach’s α = 0.87). Data were analyzed using Spearman’s rank correlation and multiple linear regression. The results showed significant correlations between gender, educational level, comorbidity, functional status, and depression with patients’ quality of life (p < 0.05). Multivariate analysis indicated that gender (p = 0.000), functional status (p = 0.000), and spirituality (p = 0.012) had significant effects on patients’ quality of life. Meanwhile, age and duration of stroke did not show significant relationships (p > 0.05). It can be concluded that spirituality and functional status significantly contribute to determining the quality of life among stroke patients.
The Effect of Video-Based Educational Intervention on Patients' Knowledge of Diabetes Mellitus Management Almudabbir Almudabbir; Rohman Azzam; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2522

Abstract

Diabetes mellitus (DM) requires adequate patient knowledge to support effective self-management and prevent complications. Video-based education provides an audiovisual learning method that may improve patients' understanding of diabetes management. To examine the effect of video-based education on diabetes mellitus management knowledge among patients attending the Cempaka Putih Community Health Center, Central Jakarta. A quantitative quasi-experimental study with a pretest–posttest control group design was conducted from September to October 2025. A total of 68 patients with DM were recruited using purposive sampling and allocated into intervention (n=34) and control (n=34) groups. The intervention group received standardized video-based education on diabetes management, whereas the control group received routine health education. Knowledge was measured using a 20-item questionnaire before and after the intervention. Data were analyzed using paired-samples t-tests, independent-samples t-tests, and multiple linear regression. Baseline knowledge scores were comparable between the intervention (9.68 ± 2.47) and control groups (9.71 ± 3.79). Following the intervention, the mean knowledge score increased significantly to 14.09 ± 1.54 in the intervention group (p < 0.001), whereas no significant change was observed in the control group (9.76 ± 3.39; p = 0.737). The mean knowledge improvement differed significantly between groups (4.41 ± 2.84 vs. 0.06 ± 1.01; p < 0.001). Age significantly influenced knowledge improvement (p = 0.001), while sex, education, and duration of DM were not significant predictors. Video-based education effectively improved diabetes management knowledge and may be integrated into primary healthcare education programs for patients with DM.