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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.
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

Abstract

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.
Stunting Prevention Efforts Through Mentoring the Use of the SCATION (Stunting Care Application) for Mothers of Toddlers in the Medan City Community Health Center Work Area Pangaribuan, Ingka Kristina; Mendrofa, Fery Agusman Motuho; Gunarmi, Gunarmi
Open Access Health Scientific Journal Vol. 6 No. 2 (2025): August 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i2.118

Abstract

Background: Stunting is still one of the main health problems in Indonesia that has an impact on physical growth, cognitive development, and the quality of human resources in the future. The use of digital technology, especially mobile-based health applications, is one of the innovative strategies in supporting stunting prevention efforts. This study aimed to analyze the effect of assistance in the use of SCATION (Stunting Care Application) applications on improving the knowledge, attitudes, and behaviors of mothers under five in stunting prevention.Methods: The study used a quasi-experimental design with a one group pretest-posttest with control group design. The sample amounted to 128 mothers under five who were divided into an intervention group (64 people) and a control group (64 people) using the proportionate simple random sampling technique.Results: Data was collected through knowledge questionnaires, early interventions, digital literacy, and application usage logs, then analyzed using the Chi-Square bivariate test and the differential test (t-test/Wilcoxon). The results showed that assistance in the use of the SCATION application had a significant effect on increasing maternal knowledge about stunting (p < 0.05), changes in stunting prevention attitudes and behaviors, and the sustainability of application use after the intervention period. Mothers with good digital literacy, family support, and adequate internet access were more consistent in using apps and showed better preventive behaviors than the control group.Conclusion: SCATION application assistance has proven to be more effective and efficient than conventional methods in improving stunting prevention efforts in mothers under five. Digital technology-based interventions are worthy of being used as an innovative strategy in supporting the national program to accelerate stunting reduction.
Motivasi, Kepemimpinan dan Kepuasan Sebagai Determinan Kinerja Perawat di Rumah Sakitk: Pengaruh Motivasi dan Kepemimpinan terhadap Kinerja Perawat Melalui Kepuasan Sebagai Variabel Intervening Andriyani, Yustina; Mendrofa, Fery Agusman Motuho
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 3 (2025): Juli-September 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16300k

Abstract

Nurses play a dual role in health services, not only carrying out technical tasks, but also having functional and strategic responsibilities in improving the quality of services and achieving institutional goals and improving the quality of life of the community. Optimal nurse performance is very important to ensure the quality of services, influenced by work motivation, compensation, and leadership style. The purpose of this study was to analyze the influence of motivation and leadership on nurse performance through job satisfaction as an intervening variable in hospitals. The study used a quantitative approach with an explanatory design, involving 165 nurses in emergency and inpatient installations. Data collection was carried out using a questionnaire and then analyzed using Partial Least Square. The results showed the following results: (1) motivation has a positive and significant effect on job satisfaction (β = 0.360, p = 0.038); (2) leadership has a positive and significant effect on job satisfaction (β = 0.772, p = 0.000); (3) motivation has a positive and significant effect on nurse performance (β = 0.275, p = 0.041); (4) leadership has a positive and significant effect on nurse performance (β = 0.304, p = 0.018); (5) job satisfaction has a positive and significant effect on nurse performance (β = 0.717, p = 0.000); (6) job satisfaction mediates the effect of motivation on nurse performance (β = 0.215, p = 0.027); and (7) job satisfaction mediates the effect of leadership on nurse performance (β = 0.553, p = 0.001). In conclusion, work motivation in the form of financial and non-financial rewards, as well as supportive and transformational leadership styles, are key factors that directly influence increasing nurse job satisfaction. This satisfaction then mediates the relationship between motivation and leadership with an increase in overall nurse performance.Keywords: motivation; leadership; job satisfaction; nurse performance ABSTRAK Perawat memegang peran ganda dalam pelayanan kesehatan, tidak hanya menjalankan tugas teknis, tetapi juga bertanggung jawab fungsional dan strategis dalam meningkatkan mutu layanan serta mencapai tujuan institusi dan peningkatan kualitas hidup masyarakat. Kinerja optimal perawat sangat penting untuk menjamin mutu pelayanan, dipengaruhi oleh motivasi kerja, kompensasi, dan gaya kepemimpinan. Tujuan penelitian ini adalah menganalisis pengaruh motivasi dan kepemimpinan terhadap kinerja perawat melalui kepuasan kerja sebagai variabel intervening di rumah sakit. Penelitian menggunakan pendekatan kuantitatif dengan desain explanatory, yang melibatkan 165 perawat instalasi gawat darurat dan rawat inap. Pengumpulan data dilakukan menggunakan kuesioner dan selanjutnya dianalisis dengan Partial Least Square. Hasil penelitian menunjukkan hasil sebagai berikut: (1) motivasi berpengaruh positif dan signifikan terhadap kepuasan kerja (β = 0,360, p = 0,038); (2) kepemimpinan berpengaruh positif dan signifikan terhadap kepuasan kerja (β = 0,772, p = 0,000); (3) motivasi berpengaruh positif dan signifikan terhadap kinerja perawat (β = 0,275, p = 0,041); (4) kepemimpinan berpengaruh positif dan signifikan terhadap kinerja perawat (β = 0,304, p = 0,018); (5) kepuasan kerja berpengaruh positif dan signifikan terhadap kinerja perawat (β = 0,717, p = 0,000); (6) kepuasan kerja memediasi pengaruh motivasi terhadap kinerja perawat (β = 0,215, p = 0,027); dan (7) kepuasan kerja memediasi pengaruh kepemimpinan terhadap kinerja perawat (β = 0,553, p = 0,001). Sebagai kesimpulan, motivasi kerja berupa penghargaan finansial dan non-finansial, serta gaya kepemimpinan yang suportif dan transformasional, adalah faktor kunci yang memengaruhi secara langsung dalam meningkatkan kepuasan kerja perawat. Kepuasan ini kemudian memediasi hubungan antara motivasi dan kepemimpinan dengan peningkatan kinerja perawat secara keseluruhan.Kata kunci: motivasi; kepemimpinan; kepuasan kerja; kinerja perawat
Peningkatan kapasitas keluarga dalam merawat dan mencegah relapse Skizofrenia melalui edukasi kesehatan Dwi Indah Iswanti; Fery Agusman Motuho Mendrofa; Khairul huda; Sa’adah Mujahidah
Link Jurnal Masyarakat Vol 1 No 1 (2024): December : Jurnal Masyarakat
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljm.v1i1.23

Abstract

Introduction: Keluarga yang merawat skizofrenia dirumah merasa tidak mampu dan berdaya terutama ketika skizofrenia mengalami relapse. Masih rendahnya pengetahuan cara merawat dan keterampilan keluarga dalam mengatasi masalah pengasuhan skizofrenia. Objectives: Pengabdian masyarakat ini bertujuan meng-edukasi keluarga supaya dapat merawat dan mencegah relapse skizofrenia. Methods: edukasi diberikan selama 3 kali pertemuan dengan tema yang berbeda, dilaksanakan pada bulan juli 2024 di Aula Puskesmas Kedungmundu yang dihadiri oleh 30 keluarga yang merawat skizofrenia. Pre-post-test dilakukan dengan kuesioner guna mengevaluasi hasil edukasi yang diberikan. Results: 80% keluarga meningkat kapasitasnya untuk memberikan perawatan dan mencegah relapse skizofrenia ketika dirumah dan membutuhkan teknologi sistim pakar guna meningkatkan literasi kesehatan mental. Conclusion: kapasitas keluarga dalam merawat dan mencegah relapse skizofrenia dapat ditingkatkan melalui edukasi, pelatihan dan literasi kesehatan mental untuk itu keluarga perlu didukung oleh teknologi sistim pakar.
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.
Co-Authors Aditya Kartika Megantoro Agow, Liana Lidia Ahmad Faiq Andriyani, Yustina Ardina, Yenli Asih Dewi Setyawati Baehaqi Bagus Widjonarko Bahroen, Siti Um-um Andriyani Bambang Julianto Bima Suryantara Blacius Dedi Chatarina U. Wahyuni Dedi, Blacius Dewi Mayangsari Dicky Dwispataru Diyanto Diyanto Domianus Namuwali Dwi Indah Iswanti Dyah Ayu Wulandari Edi Susanto Edy Wiyono Eko Winarto Firda Fibrila Gloria Caesar Cabral Grasela Lelemboto Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi, Gunarmi Hani, Umi Hari Basuki Notobroto Hasan Machfoed Indah Wulaningsih Istriyah Istriyah Julius Afta Setyonugroho Juritno Harmi Gaib Kandar Kandar Kandar, Kandar Kasiyanti, Heny Khairul Huda Khairul Huda KHAIRUL HUDA, KHAIRUL Koesoemo, Rizki Fitryasari Patra Kuntoro Kuntoro Lasmini Lasmini Liana Lidia Agow Mandaty, Fhandy Aldy Manurung, Romianti Meidiana Dwidiyanti Memorya Yani Kharismawati Muhammad Bagus Andrianto Muhammad Jamaluddin Muhammad Muin Mujahidah, Sa'adah Murniati, Restu Myla Ristiyowati Ni Nyoman M A Ni Nyoman Maryaningtyas Adinatha Nia Agustiningsih Nursalam . Nursalam Nursalam Nursalam, Nursalam Ovtalia Andriyani Pangaribuan, Ingka Kristina Patonengan, Gita Sandy Pratama, Wisnu Puji Lestari, Sri Purdani, Kartika Setia Rachmad Hargono Rahma, Nurrulya Rita Dewi Rita Hadi Widyastuti Rita Hadi Widyastuti Rita Oktaviani Rose Nurhudariani Rusmini Rusmini Rusnoto Rusnoto safitri, ifana Saifudin, I Made Moh. Yanuar Sari , Fitri Arumdani Mei Kumala Satria Hendrawan, Gagah Sawab Sawab Sa’adah Mujahidah Shindi Hapsari Sigarlaki, Heni Sonhaji Sonhaji Sonhaji Sonhaji Sri Puji Lestari Sri Puji Lestari Sumarmi Sumarmi Sutrisno Sutrisno Tiara, Novi Tri Ismu Pujianto Tri Ismu Pujianto Tri Ismu Pujiyanto Ucik Mulyanti Umi Hani Umi Hani Umi Laila Widiyaningsih Widyaningsih Witri Hastuti Witri Hastuti Yuni Nurhidayat