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All Journal Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Khatulistiwa Nursing Journal Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK) Borneo Nursing Journal LEMBAH: Jurnal Pengabdian Masyarakat
Yunita Dwi Anggreini
STIKES Yarsi Pontianak
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Determinants of Relapse Among Schizophrenia Patients in West Kalimantan: A Cross-sectional Study Wahyu Kirana; Dewin Safitri; Yunita Dwi Anggreini
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.26541

Abstract

Relapse can affect functional impairment, rehospitalization, readmission, and long-term disability among schizophrenia patients. Although several factors, such as medication adherence, internalized stigma, and family support, are recognized as determining factors, there is still limited evidence from the Indonesian context, especially in West Kalimantan. This study aimed to evaluate the factors associated with relapse among schizophrenia patients. A quantitative, cross-sectional design was conducted at a mental hospital in West Kalimantan. A total of 63 patients and their families participated in this study, selected using a consecutive sampling technique. The MMAS-8, ISMI-9, and family support questionnaires were used to collect the data; patients completed the MMAS-8 and ISMI-9 questionnaires directly, whereas their&#8194;families completed the family support questionnaire using a Google Form. The patients' medical reports were used to identify the relapse rate. Data were analyzed using Fisher's exact test and multivariate logistic regression.? Fisher's exact test showed that medication adherence was significantly associated with relapse (p = 0.02, p < 0.05), while internalized stigma and family support were not associated (p = 0.21; p = 0.12, p > 0.05). Medication adherence was the strongest factor associated with relapse, with an Adjusted Odds Ratio (AOR) of 2.091. This finding suggests that schizophrenia patients with a low level of medication adherence were over two times more likely to experience a lifetime relapse compared to those with a higher level of medication adherence?Keywords: ?Family Support, Internalized Stigma, Medication Adherence, Relapse, Schizophrenia
OPTIMALISASI PENCEGAHAN STROKE MELALUI SKRINING SKOR RISIKO STROKE DI WILAYAH KERJA PUSKESMAS BANJAR SERASAN PONTIANAK Dewin Safitri; Nurpratiwi Nurpratiwi; Lintang Sari; Wahyu Kirana; Yunita Dwi Anggreini
LEMBAH: Jurnal Pengabdian Masyarakat Vol. 1 No. 2 (2026): LEMBAH: Jurnal Pengabdian Masyarakat
Publisher : Sekolah Tinggi Ilmu Administrasi Panca Marga Palu

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Abstract

Pemeriksaan skor risiko stroke merupakan Tindakan pencegahan efektif yang secara signifikan dapat mengurangi kejadian dan dampak stroke dengan mengidentifikasi individu berisiko tinggi sejak dini serta memungkinkan intervensi tepat waktu. Kegiatan pengabdian kepada masyarakat ini bertujuan mencegah kejadian stroke dengan cara mengidentifikasi kelompok risiko tinggi stroke melalui skrining skor risiko stroke. Pengabdian kepada masyarakat ini menggunakan metode penyuluhan yang terdiri dari persiapan, pelaksanaan dan evaluasi. Kegiatan pengabdian kepada masyarakat dilakukan tanggal 11 Juli 2025 di Posyandu Mawar RW 3 yang termasuk dalam wilayah kerja Puskesmas Banjar Serasan, Kecamatan Pontianak Timur, Kalimantan Barat. Hasil skrining didapatkan bahwa sebagian besar responden berjenis kelamin perempuan, usia < 60 tahun, mayoritas menderita hipertensi, frekuensi nadi teratur, tidak menderita diabetes melitus dan hiperkolesterol, bukan perokok, kadang-kadang berolahraga, indeks massa tubuh ideal dan tidak mempunyai riwayat keluarga dengan stroke. Dari hasil tersebut, faktor-faktor yang paling signifikan adalah faktor yang dapat dimodifikasi. Selain itu, berdasarkan hasil pemeriksaan, 13 partisipan (65%) termasuk dalam kategori risiko rendah dan 7 partisipan (35%) kategori risiko tinggi. Partisipan yang termasuk dalam kelompok risiko tinggi memerlukan manajemen diri yang baik sehingga pencegahan kejadian stroke dapat dilakukan.
Co-Authors Ali Akbar Dewin Safitri Diena Juliana Fajar Yousriatin Fauzan Alfikrie Hendra Priyatnanto Lintang Sari Nadia Rahmawati Nurpratiwi Nurpratiwi Nurul Amaliyah Nurul Hidayah Ratih Diyan Kumalasari Rina Raffa Wahyu Kirana Widia Widia