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All Journal KESANS : International Journal of Health and Science Jurnal Sehat Indonesia (JUSINDO)
Nur Pratiwi, Ika
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Chemistry Dentistry Health Professions Medicine & Pharmacology Nursing Physics Public Health Veterinary

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Development of A Self-Management Model Based on The Theory of Health Belief Model on Self-Care Behavior at Home in Hypertensive Patients Santos Ximenes, Herminia dos; Setiya Dewi, Yulis; Nur Pratiwi, Ika
Jurnal KESANS : Kesehatan dan Sains Vol 3 No 9 (2024): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v3i9.296

Abstract

Introduction: The main problem in hypertension management is the attitude or behavior towards the disease which tends to be disobedient in carrying out self-care. With good self-management, the patient's level of awareness in undergoing treatment will increase. Objective: The purpose of this study was to develop a self-management model based on the Health Belief Model theory of self-care behavior at home in hypertensive patients. Methods: This study has 2 stages. The first stage of factor analysis uses an explanatory survey. The samples obtained were 135 patients in Centro Saude Comoro Dili through cluster random sampling. Results and analysis: Overall the results of testing the hypothesis for the new findings in this study can be seen that there is a significant influence of demographic factors (occupation, level of education) on individual beliefs with a statistical T value of 12,440, a significant influence of structural factors (knowledge) on individual beliefs with a statistical T value of 5,078,  a significant effect of individual beliefs on self-management with a statistical T value of 26,815 and the effect of self-management on self-care behavior with a statistical T value of 51,333. The second stage, namely FGD and expert consuls, is used as a basis for developing models and compiling self-management modules for people with hypertension. Conclusion: Demographic and structural factors have an influence on individual beliefs of hypertensive patients and individual beliefs themselves have an influence on self-management and self-care behavior. It is hoped that one of the suggestions from research for community nurses can utilize this module to improve the self-care behavior of hypertensive patients at home.
Models and Effectiveness of Structured Discharge Planning in the Poststroke Care Transition: A Systematic Literature Review Imanuella, Imanuella; Sida Puspaningrum, Azzahra; Yunila, Ragil; Nur Pratiwi, Ika
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.510

Abstract

The transition of care from hospital to home among post-stroke patients is a critical phase associated with risks of functional decline, rehospitalization, and increased caregiver burden. However, limited studies specifically examine the core components of structured discharge planning and its effectiveness across different healthcare contexts. This research aims to synthesize recent evidence on discharge planning models and their effects on post-stroke outcomes, including functional independence, quality of life, rehospitalization, and caregiver-related outcomes. A Systematic Literature Review was conducted following PRISMA 2020 guidelines, with searches in PubMed, Scopus, ProQuest, SAGE, and ScienceDirect for studies published between 2020 and 2025. A total of 22 studies met the inclusion criteria from an initial 641 articles and were analyzed using a narrative-thematic approach. The results indicate that most studies demonstrate high methodological quality, with three main findings: variations in discharge planning models (ESD, TCM, family-based, and telehealth), the central role of nurses in coordination and education, and positive outcomes such as improved activities of daily living, quality of life, self-efficacy, and caregiver resilience, as well as reduced readmission and psychological distress. In conclusion, structured and collaborative discharge planning involving family support is effective in improving transitional care quality, although variations in interventions and outcomes should be considered when interpreting the findings.
Co-Authors Imanuella, Imanuella Santos Ximenes, Herminia dos Setiya Dewi, Yulis Sida Puspaningrum, Azzahra Yunila, Ragil