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Effectiveness Of HF-Care Educational Media on Self-Care Among Patients with Heart Failure: A Quasi-Experimental Amalia, Irma Nur; Ardianti, Putri Yudhi; Setiawan, Deris Riandi; Daryaman, Usan
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.694

Abstract

Background: Heart Failure (HF) remains a major cause of morbidity, mortality, and recurrent hospitalization, often associated with inadequate self-care. Although educational interventions can support HF self-management, evidence on HF-Care educational media in the Indonesian healthcare context remains limited. This study evaluated the effectiveness of HF-Care educational media on self-care among patients with heart failure. Methods: A two-week quasi-experimental two-group pretest–posttest study following the TREND guideline was conducted at an Indonesian military teaching hospital in Bandung. Forty-six patients with HF were recruited using purposive sampling and allocated to an intervention group or control group, with 23 participants in each group. The intervention group received HF-Care educational media in addition to usual care, while the control group received usual care only. Self-care was measured using the Self-Care of HF Index Version 7.2. Data were analyzed using descriptive statistics, paired-samples t-tests, and independent-samples t-tests. Results: Self-care improved in both groups, with greater improvement in the intervention group. The intervention group had significantly higher posttest self-care scores than the control group, with a mean difference of 27.00 points (95% CI: 21.80–32.20; p < 0.001) and a very large effect size (Cohen’s d = 3.14).. Conclusion: HF-Care educational media may serve as an effective evidence-based nursing intervention to improve self-care among patients with heart failure. Future multicenter studies with larger samples, randomized designs, and longer follow-up are needed to confirm its sustainability and broader applicability.
Emotional Mental Health Among Adolescents: A Profiling Psychosocial Risk Distribution Emma Aprilia Hastuti; Vena Annisa Rudianty; Ade Iwan Mutiudin; Deris Riandi Setiawan
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): 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.v12i1.988

Abstract

Background: Adolescents are a vulnerable population to emotional and mental health problems due to rapid biological, psychological, and social changes. National surveys have reported increasing levels of anxiety, loneliness, and behavioral problems among adolescents; however, local evidence describing the distribution of adolescent emotional and mental health problems remains limited, particularly in school settings. Objective: This study aimed to describe the distribution and profile of emotional and mental health problems among adolescents based on school-based psychosocial screening in Bandung Regency, Indonesia. Methods: A descriptive quantitative study with a cross-sectional design was conducted involving 1,304 adolescents who participated in a school-based mental health screening program in 2025. Emotional and behavioral problems were assessed using the Strengths and Difficulties Questionnaire (SDQ), covering five domains: emotional symptoms, conduct problems, hyperactivity, peer relationship problems, and prosocial behavior. Data were analyzed descriptively using frequencies and percentages. Results: Most adolescents were classified as normal in the domains of emotional symptoms (67.9%), conduct problems (67.2%), hyperactivity (81.8%), and prosocial behavior (57.8%). However, a relatively high proportion of abnormal scores was observed in peer relationship problems (27.1%) and emotional symptoms (20.6%). Based on the total difficulties score, 3.4% of adolescents were categorized as abnormal, indicating the presence of a psychosocial risk burden within the adolescent population. These findings suggest that peer relationship difficulties and emotional problems constitute prominent areas of concern. Conclusion: This study provides a descriptive overview of emotional and mental health problems among adolescents identified through school-based psychosocial screening. The findings underscore the potential role of routine screening in supporting early identification of adolescents at risk of psychosocial difficulties. Further evaluative and longitudinal studies are needed to assess the effectiveness of screening programs and related interventions in improving adolescent mental health outcomes