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Journal : journal of nursing practice

The Relationship between Exploring New Meanings of Caregiving and Family's Ability to Care Schizophrenia Nia Agustiningsih; Dwi Indah Iswanti; Fery Agusman Motuho Mendrofa
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.963

Abstract

Background: Families who care for patients with schizophrenia are still considered negative experiences. Families are less able to find new, positive meaning when caring for patients with schizophrenia. This condition increases the family's and patient's burden as well as the inability of families to care for patients with schizophrenia. Purpose: This research aims to identify relationships between exploring the new meaning of caregiving with the family's ability to take care of patients with schizophrenia. Methods: This research is a quantitative descriptive study with a cross-sectional approach. A sample of 135 families who were caregivers of patients with schizophrenia was selected using purposive sampling techniques. The questionnaire exploring the new meaning of caregiving was developed from the concept of integrative empowerment and the family's ability to care for schizophrenia from the Barthel Index questionnaire and the Caregiving Tasks in Caring for an Adult with Mental Illness Scale (CTiCAMIS). Data analysis used Spearman rank correlation with alpha 5%. Results: This study's result is that the family's ability to explore new meanings of care is still in the sufficient category, both in the family aspect of having responsibility, the ability to assess positive aspects, acceptance of caring situations, and the family being part of the healer. Meanwhile, families' ability to care for patients with schizophrenia is still lacking to help with social interaction and productive skills. Conclusion: There is a relatively strong and unidirectional relationship between exploring new meanings of caregiving and the family's ability to care for schizophrenia (p-value=0.000; rho=0.311). Nurses must train family skills to explore new meanings through family empowerment programs.
Effect of Mindfulness-Based Stress Reduction with 40 Hz Music on Anxiety and Quality of Life in Prolanis Patients with Diabetes Mellitus Muhammad Akbar Sobarna; Mendrofa, Fery Agusman Motuho; Iswanti, Dwi Indah
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1089

Abstract

Background: Anxiety is a common psychological problem experienced by patients with Diabetes Mellitus and can negatively affect disease management and quality of life. Mindfulness-Based Stress Reduction (MBSR) combined with 40 Hz music frequency is that may help reduce anxiety and improve quality of life in patients with chronic diseases. Purpose: This study aimed to analyze the effectiveness of MBSR with 40 Hz music frequency on anxiety and quality of life among Prolanis patients with Diabetes Mellitus. Methods: Study design used a quasi-experimental pretest–posttest control group. The sample consisted of 60 respondents, divided into intervention and control groups. The intervention group received an 8-week MBSR program combined with 40 Hz music frequency, while the control group received standard Prolanis care. Anxiety levels using the DASS-21 questionnaire, and quality of life was assessed using WHOQOL-BREF. Data were analyzed using Wilcoxon and Mann–Whitney tests. Results: The anxiety levels significantly decreased in the intervention group (mean difference = −10.15; p < 0.001), while no significant change was observed in the control group (p > 0.05). In addition, quality of life significantly improved in the intervention group (median increase = +16; p < 0.001), whereas the control group showed only a slight and non-significant improvement (p > 0.05). Conclusion: Mindfulness-Based Stress Reduction combined with 40 Hz music frequency is effective in reducing anxiety and improving quality of life among Prolanis patients with Diabetes Mellitus. This intervention can be integrated into primary healthcare services as a complementary nursing intervention to support holistic diabetes management.
Co-Authors Aditya Kartika Megantoro Agow, Liana Lidia Andriyani, Yustina Ardina, Yenli Asih Dewi Setyawati Baehaqi Bagus Widjonarko Bahroen, Siti Um-um Andriyani Bima Suryantara Budiman Budiman Chatarina U. Wahyuni Dedi, Blacius Dewi Mayangsari Dicky Dwispataru Diyanto Diyanto Domianus Namuwali Dwi Indah Iswanti Dyah Ayu Wulandari Firda Fibrila Gloria Caesar Cabral Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi, Gunarmi Hani, Umi Hari Basuki Notobroto Hasan Machfoed Hery Ernawati, Hery Indah Wulaningsih Julius Afta Setyonugroho Juritno Harmi Gaib Kandar Kandar Kandar, Kandar Kasiyanti, Heny Khairul Huda Khairul Huda KHAIRUL HUDA, KHAIRUL Kuntoro Kuntoro Laila, Umi Lasmini Lasmini Liana Lidia Agow Mandaty, Fhandy Aldy Manurung, Romianti Meidiana Dwidiyanti Muhammad Akbar Sobarna Muhammad Bagus Andrianto Muhammad Muin Mujahidah, Sa'adah Mulyanti, Ucik Murniati, Restu Myla Ristiyowati Nauw, Mariyana Ni Nyoman M A Ni Nyoman Maryaningtyas Adinatha Nia Agustiningsih Nurani, Lenina Nursalam . Nursalam Nursalam Nursalam, Nursalam Ovtalia Andriyani Pangaribuan, Ingka Kristina Patonengan, Gita Sandy PK, Rizki Fitryasari Pratama, Wisnu Puji Lestari, Sri Purdani, Kartika Setia Rachmad Hargono Rahma, Nurrulya Rita Dewi Rita Hadi Widyastuti Rita Oktaviani Rizky Fitryasari Rose Nurhudariani Rusmini Rusmini safitri, ifana Saifudin, I Made Moh. Yanuar Sari , Fitri Arumdani Mei Kumala Sarwoko Sarwoko Satria Hendrawan, Gagah Sawab Sawab Sa’adah Mujahidah Shindi Hapsari Sigarlaki, Heni Sonhaji Sonhaji Sonhaji Sonhaji Sri Puji Lestari Sri Puji Lestari Sumarmi Sumarmi Susi Nurhayati Susilowati, Kristiana Sutrisno Sutrisno Tiara, Novi Tri Ismu Pujianto Tri Ismu Pujiyanto Umi Hani Widyaningsih, Widiyaningsih Witri Hastuti Witri Hastuti Yuni Nurhidayat