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Including families in schizophrenia treatment: a systematic review Iswanti, Dwi Indah; Nursalam, Nursalam; PK, Rizki Fitryasari; Mendrofa, Fery Agusman Motuho; Hani, Umi
International Journal of Public Health Science (IJPHS) Vol 12, No 3: September 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i3.22462

Abstract

The family as one of system support for schizophrenia treatment in the primary care setting has been a challenge in integrating family services into mental health. This study aimed to review the urgent of family involvement during the treatment of schizophrenia in health mental services using the Family-Centered Care approach. A systematic review was performed using the population, intervention, comparison, outcome, study design (PICOS) framework within Scopus (27 articles), ProQuest (151 articles), Science Direct (93 articles), EBSCO (124 articles), and Springer (149 articles) published databases in the last five years using the keywords of “Family- Centered Care, nursing, AND Schizophreni*”. The articles were empirical quantitative, qualitative, or mixed-methods studies published within 2017- 2021 where study participants were clinically diagnosed with schizophrenia and intervention approaches were within the scope of family involvement. Twenty-four articles met the inclusion criteria for review. Evidence supports a professionally engaged relationship between patients, families, and providers with open knowledge exchange, communication, and collaboration. Family-centered care requires empathy, understanding, respect, and empowerment to choose, control decisions, and empower in the treatment of schizophrenia. This study concludes the importance of family involvement in the treatment of schizophrenia from the start. Health care providers help families through the admissions process.
Literature Review: Pengaruh Indeks Massa Tubuh dan Anemia Terhadap Kejadian Komplikasi Kehamilan Fibrila, Firda; Mendrofa, Fery Agusman Motuho; Gunarmi, Gunarmi; Suryantara, Bima; Sumarmi, Sumarmi
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41335

Abstract

Pemahaman yang lebih komprehensif tentang interaksi antara IMT dan anemia dalam mempengaruhi risiko komplikasi kehamilan dapat memberikan landasan yang kuat untuk pengembangan strategi pencegahan dan intervensi yang lebih efektif. Tujuan: Studi literatur ini untuk menganalisis pengaruh status IMT dan status anemia kehamian terhadap kejadian komplikasi pada kehamilan Metode: Literatur review diterapkan dalam penulisan artikel ini dengan memanfaatkan data base Medline dan Google scholar. Kata kunci yang ditetapkan yaitu “BMI AND anemia AND complication pregnancy”. Menggunakan flowchart Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) untuk eliminasi artikel. Hasil: Berdasarkan kajian literatur terhadap 10 artikel sejenis terpilih, diketahui IMT dan anemia berpengaruh terhadap kejadian komplikasi kehamilan. Selain itu faktor risiko yang menyertai ibu berkontribusi terhadap kejadian IMT dan anemia yang berdampak pada timbulnya komplikasi kehamilan Kesimpulan: IMT, anemia, dan faktor risiko yang menyertai kondisi ibu memberikan dampak yang beragam terhadap timbulnya komplikasi kehamilan baik terhadap status kesehatan ibu hamil maupun janin. Saran: Harapannya kajian ini dapat menjadi dasar bagi praktisi untuk memberikan layanan terbaik kepada ibu hamil untuk mencapai kesehatan yang optimal dan menghasilkan generasi yang berkualitas.
The role of family-centered care in enhancing stroke rehabilitation outcomes: an integrative literature review Mendrofa, Fery Agusman Motuho; Iswanti, Dwi Indah; Saifudin, I Made Moh. Yanuar
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24847

Abstract

Family-centered care (FCC), which emphasizes the involvement of family members as active participants in the care process, represents a significant paradigm within the realm of stroke rehabilitation. This study aimed to locate and synthesize the most recent evidence concerning the advantages, methodologies, and obstacles associated with the integration of FCC in stroke rehabilitation. The approach taken involves conducting an integrative literature review following the guidelines set forth by Whittemore and Knafl. A thorough exploration of four databases including PubMed, CINAHL, Scopus, and PsycINFO, was carried out, focusing on both quantitative and qualitative studies published between January 2012 and December 2022. Inclusion criteria comprised studies involving adult stroke patients undergoing rehabilitation, detailing family-centered interventions, and presenting outcomes for either the patients or their families. Upon the screening process, 25 studies met the inclusion criteria and were included in the analysis. Various strategies have been identified to effectively involve families in the rehabilitation process, such as educational initiatives, collaborative planning for home-based care, and provision of support for caregivers. However, the implementation of FCC faces challenges stemming from factors at the system level, provider level, and patient/family level, in conclusion, the integration of FCC in stroke rehabilitation yields substantial benefits for both patients and caregivers. It is imperative for nurses to engage families as collaborative partners, tailor interventions according to specific requirements, offer assistance to caregivers, and instigate changes at the systemic level.
The Effectiveness of Dance Movement Therapy (DMT) and Tai Chi on Independence and Activity Daily Living (ADL) among Elderly Sigarlaki, Heni; Mendrofa, Fery Agusman Motuho; Sonhaji, Sonhaji
Ahmar Metastasis Health Journal Vol. 4 No. 1 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i1.257

Abstract

The aging population in Indonesia is facing an issue of health and productivity. Moreover, the elderly are a population group that is vulnerable to decreased independence in carrying out daily activities. Existing studies found Dance Movement Therapy (DMT) and Tai Chi Gymnastics can be effective alternative therapy in improving the independence of the elderly. However, there have not been many studies that combine these two therapies in the context of elderly care in Indonesia. This study aimed to test the effectiveness of the combination of DMT and Tai Chi Gymnastics in improving independence and Activity Daily Living (ADL) among the elderly.  This study is quasy- Experiment with pre-test and post-test nonequivalent group design. The sample in this study totalled 60 respondents (30 intervention group dan 30 control group). The participants of this study were selected based on the inclusion criteria which included the elderly with decreased functional activity. The results of data analysis showed a significant increase in the independence and moving of ADL of the elderly after receiving a combination intervention of Dance Movement Therapy and Tai Chi Gymnastics. This study is important to arrange more efforts for related stakeholders to improve the health and productivity of the elderly. Future studies can include a larger number of respondents and more independent and control variables.
Reminiscence Therapy For Cognitive Improvement and Mood Recovery in Dementia Patients Fery Agusman Motuho Mendrofa; Umi Hani; Ni Nyoman Maryaningtyas Adinatha; Dicky Dwispataru
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.671

Abstract

Dementia is a degenerative condition that affects the cognitive function of the elderly. Symptoms of dementia include memory disorders, difficulty finding words, and disturbances in thought processes, personality, or emotional changes so that dementia can cause the elderly to be easily lost or lost. Purpose: This study aimed to determine the effectiveness of reminiscence therapy on cognitive and mood improvement in elderly people with dementia. This study was a quasi-experimental approach. This study used one group pre and post-test design. The study was conducted in October 2019 with a total sampling technique including 30 respondents who met the inclusion and exclusion criteria. The results show that the cognitive function improved after reminiscence therapy (mean of SPMSQ decreased from 5.7 to 3.13). The mood also improved after reminiscence (the mean of mood increased from 57.6 to 77.16). Reminiscence therapy is effective for cognitive and mood enhancement in dementia.
Pemberian edukasi tindakan operasi untuk menurunkan kecemasan pasien pre operasi sectio caesarea: The effect of surgical procedures education in reducing pre-operative anxiety of cesarean section patients Sari , Fitri Arumdani Mei Kumala; Mendrofa, Fery Agusman Motuho; Satria Hendrawan, Gagah
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 2 (2025): JiKep | Juni 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i2.2552

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Kecemasan pasien pre operasi sectio caesaera yang tidak ditangani dapat menjadi penyulit terhadap pelaksanaan operasi. Edukasi menggunakan video mampu memberikan efek penurunan kecemasan lebih baik daripada menggunakan media verbal atau cetak. Studi menunjukkan bahwa observasi terhadap 5 pasien, seluruhnya memiliki kecemasan yang tinggi. Tujuan penelitian adalah mengetahui pengaruh edukasi tindakan operasi melalui video dalam menurunkan kecemasan pasien pre operasi sectio caesarea di salah satu rumah sakit swasta di Kota Semarang. Studi pre-eksperimental ini menggunakan desain pre-posttest without control group. Sebanyak 30 pasien pre operasi sectio caesarea dipilih menggunakan teknik purposive sampling. Video edukasi tindakan operasi telah melalui tahapan penilaian sehingga layak untuk digunakan dalam penelitian ini, sementara kecemasan pasien diukur menggunakan The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Analisis menggunakan uji paired sample t-test yang didasarkan pada distribusi data yang normal. Hasil menunjukkan adanya penurunan rerata kecemasan pasien pre operasi sectio caesarea setelah pemberian edukasi. Terdapat perbedaan yang signifikan edukasi tindakan operasi melalui video terhadap kecemasan pada pasien pre operasi sectio caesarea. Edukasi tindakan operasi terbukti dapat menurunkan kecemasan pada pasien pre operasi sectio caesarea. Penelitian selanjutnya diharapkan dapat mengontrol variabel riwayat kehamilan dan persalinan, riwayat operasi, dan indikasi persalinan.
Response Time Of Code Stroke Officers In The Management Of Ischemic Stroke Patients: Systematic Review Kasiyanti, Heny; Mendrofa, Fery Agusman Motuho; Pujianto, Tri Ismu
Nursing Information Journal Vol. 5 No. 1 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v5i1.1057

Abstract

Stroke causes disability according to the American Heart Association (AHA) 87% of stroke patients experience disability and 77% experience complications. The highest prevalence of stroke is ischemic stroke where the standard therapy is to provide intravenous thrombolysis to patients with onset ≤ 4.5 hours. Response time of code stroke officers in the emergency area and fast activation will reduce disability and death rates. Researchers conducted a literature study and passive observation. This research design uses a cross study. In this systematic review, the research article uses the RCT research method and studies method with data analysis using meta-analysis. From a journal literature search using two databases, namely Science direct as many as N = 4 journal articles and Google Scholar as many as N = 3 articles, so that a total of N = 7 journal articles of literature by conducting an advanced search with keywords: response time, code stroke, with the addition of And, OR, published journals 5 years (2019 - 2024), in the form of complete journal articles, scholarly journals and journal articles in Indonesian and English. The findings of the article show that the response time of stroke code officers in the management of stroke patients in the emergency unit greatly affects the quality of life and risk of disability / disability of patients.
The effect of reminiscence exercise therapy on functional mobility and psychological well-being among elderly Mendrofa, Fery Agusman Motuho
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.254

Abstract

Background: Elderly individuals often experience decline in both physical mobility and psychological well-being. reminiscence exercise therapy (RET) is a novel approach that integrates reminiscence therapy with targeted physical exercises. This study aims to investigate the effect of RET on functional mobility and psychological well-being of elderly residents in a nursing home in Semarang City. Methods: This pre-experimental study used a one-group pretest-posttest design with 36 elderly participants selected through purposive sampling. Functional mobility was assessed using the timed up and go test (TUG) and elderly mobility scale (EMS), while psychological well-being was measured using the geriatric depression scale (GDS-15) and satisfaction with life scale (SWLS). RET was conducted in 6 sessions over 3 weeks. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Significant improvements were observed in all parameters after RET intervention. Mean TUG test time decreased from 15.64 to 12.37 seconds (p=0.001), mean EMS score increased from 14.78 to 17.92 (p=0.001), mean GDS-15 score decreased from 7.36 to 4.83 (p=0.002), and mean SWLS score increased from 18.25 to 23.64 (p=0.001). Conclusion: RET showed potential to improve both functional mobility and psychological well-being in elderly nursing home residents. However, the pre-experimental design limits causal inferences, and further controlled studies are needed.
Implementation of Betty Neuman's Systems Theory in Hospital Nursing Practice: A Systematic Review Laila, Umi; Mendrofa, Fery Agusman Motuho; Pujianto, Tri Ismu
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6777

Abstract

Betty Neuman's system theory offers a holistic nursing approach that focuses on strengthening the patient's line of defense through the identification and management of stressors at the primary, secondary, and tertiary levels. Although this model has been widely applied in clinical practice, the consistency and effectiveness of its implementation in hospitals still require thorough evaluation. This study aims to systematically review empirical evidence on the application of Betty Neuman's theory in the field of nursing in hospitals. The method used in writing this article is a literature study with a systematic review method. The articles reviewed were obtained through searches on Google Scholar, Sematic Scholar, Proquest, and ScienceDirect in the period 2015-2025 with the search keywords implementation, nursing, hospital, betty neuman system Using PRISMA, from 946 articles found, 10 journal articles were obtained for review. A total of 10 articles were synthesized based on the findings of the effectiveness of implementing Betty Neuman's theory in nursing practice in hospitals, including Environmental Factors, Client System, Stressors, Lines of Defense and Resistance, Three Levels of Prevention, and Recovery. The results of the study indicate that the implementation of this theory is effective in strengthening the patient's defense system, reducing anxiety levels, and accelerating recovery in various conditions such as stroke, cancer, heart failure, and pre-operative anxiety. This model facilitates a multidimensional approach that includes the physiological, psychological, social, and spiritual aspects of the patient, while emphasizing the role of nurses as stressor managers and holistic recovery facilitators. However, practice in the field is still often limited to physical interventions only, so that the full potential of the theory has not been optimally utilized.
PERSEPSI DAN PRAKTIK KEPERAWATAN SPIRITUAL PADA PASIEN RAWAT INAP DI RUMAH SAKIT UMUM ISLAM BANYUBENING BOYOLALI Sarwoko, Sarwoko; Motuho Mendrofa, Fery Agusman; Nurhayati, Susi
Jurnal Kebidanan VOLUME 17, NO.01 JUNI 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v17i01.882

Abstract

ABSTRAK : Pasien rawat inap membutuhkan tidak hanya perawatan fisik namun juga perawatan spiritual. Perawat berusaha untuk memberikan perawatan holistik, termasuk perawatan spiritual, untuk semua pasien. Persepsi mereka terhadap spiritualitas dan asuhan keperawatan spiritual kemungkinan berkontribusi terhadap permasalah ini. Penelitian ini bertujuan untuk mengeksplorasi persepsi dan praktik keperawatan spiritual pada pasien rawat inap, menggunakan desain fenomenologi eksploratif dengan metode wawancara mendalam dan focus group discussion. Partisipan adalah 9 pasien sebagai partisipan utama, 6 perawat pelaksana dan 3 kepala ruang sebagai partisipan trianggulasi yang diperoleh melalui teknik purposive sampling. Data yang dikumpulkan berupa hasil rekaman wawancara dan catatan lapangan yang dianalisis dengan menerapkan teknik Collaizi. Keabsahan data dijamin dengan memenuhi prinsip credibility, dependability, confirmability, dan transferability. Penelitian ini mengidentifikasi enam tema utama: (1) Makna, tujuan, dan harapan pasien rawat inap; (2) Hubungan pasien rawat inap dengan Tuhan; (3) Praktik spiritual pasien rawat inap; (4) Kewajiban agama pasien rawat inap; (5) Hubungan interpersonal pasien rawat inap; (6) Interaksi pasien rawat inap dengan perawat. Kesimpulan penelitian ini adalah (1) Kebutuhan keperawatan spiritual pasien tercermin dalam praktik spiritual dan kewajiban agama yaitu mengingatkan waktu sholat mengajarkan tayamum sebagai pengganti wudlu, bimbingan berdzikir dan berdo’a; (2) Keperawatan spiritual dilakukan dengan cara mengingatkan waktu sholat, membimbing dzikir, berdoa dan beristighfar; (3) Praktik keperawatan spiritual pada pasien rawat inap di Rumah Sakit umum Islam BanyuBening belum terlaksana secara optimal. Rekomendasi dari hasil penelitian ini diharapkan perawat dapat mengidentifikasi kebutuhan keperawatan spiritual pada pasien rawat inap. Kata Kunci: Persepsi, Kebutuhan Spiritual, Keperawatan Spiritual, Praktik Keperawatan Spiritual