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Factors associated with self-management behaviors among Chinese adults with ischemic stroke: A cross-sectional study Chen, Xiaoxiao; Samartkit, Niphawan; Masingboon, Khemaradee
Belitung Nursing Journal Vol. 10 No. 3 (2024): May - June
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3267

Background: In China, adults with ischemic stroke are getting younger. Additionally, following a stroke, they often neglect self-management (SM), which significantly impacts the rehabilitation process and treatment outcomes. Objective: This study aimed to describe SM behavior and examine the relationship between stroke prevention knowledge, life stress, family relationships, and SM behavior among adults with ischemic stroke. Methods: A total of 125 participants were recruited between October 2022 and March 2023 based on defined inclusion criteria. Research instruments included a demographic questionnaire, the Stroke Self-management Behavior Scale for Young Adults, the Stroke Prevention Knowledge Questionnaire, the Perceived Stress Scale, and the Brief Family Relationship Scale. Data were analyzed using descriptive statistics and Pearson’s product-moment correlation. Results: The mean score of SM behavior was 88.1 out of 130 (SD = 16.5). Stroke prevention knowledge and family relationships showed a moderate positive significant relationship with SM behavior (r = 0.39, r = 0.34, p <0.001, respectively). Life stress had a significant negative relationship with SM behavior (r = -0.33, p <0.001). Conclusion: The findings offer insights for nurses to develop nursing interventions to promote SM behavior among adults with stroke. Furthermore, they can assist hospitals in transitioning care to the community by emphasizing holistic nursing practices that educate about stroke prevention knowledge, encourage family support, and provide stress management strategies to enhance the SM abilities of adults with stroke.

The mediating effects of resilience in the relationship between social support and posttraumatic growth in patients with acute coronary syndrome in China Tang, Nan; Masingboon, Khemaradee; Hengudomsub, Pornpat
Belitung Nursing Journal Vol. 10 No. 4 (2024): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3357

Background: Posttraumatic growth has a positive impact on patients diagnosed with acute coronary syndrome (ACS). Patients with acute coronary syndrome in China report low to moderate levels of posttraumatic growth. Additionally, there is a dearth of research exploring the associations between resilience, social support, and posttraumatic growth in this specific patient population. Objective: This study examined whether resilience serves as a mediator between social support and posttraumatic growth in patients with acute coronary syndrome who had been discharged for 1 to 6 months and were being followed up in clinics. Methods: A descriptive correlational study design was utilized. A systematic sampling technique was used to recruit 121 patients with acute coronary syndrome who had been discharged for 1 to 6 months from cardiovascular clinics of a tertiary care hospital in Jiangsu Province, China. The research instruments included the demographic characteristics questionnaire, the Connor-Davidson Resilience Scale, the Multidimensional Scale of Perceived Social Support, and the Posttraumatic Growth Inventory. The data were collected between August 2022 and November 2022 and were analyzed using descriptive statistics and regression analyses to determine the mediating effects. Results: The level of posttraumatic growth among patients with acute coronary syndrome attending follow-up clinic visits was moderate (Mean = 60.58, SD = 14.13). Resilience had a direct and positive impact on posttraumatic growth (β = 0.361, p <0.001). Moreover, resilience fully mediated the relationship between social support and posttraumatic growth (indirect effect = 0.203, 95% CI [0.076, 0.331]; direct effect = 0.162, p = 0.101). Conclusion: Patients with acute coronary syndrome in China experience moderate posttraumatic growth after discharge. Resilience mediates the relationship between social support and posttraumatic growth. Therefore, nursing interventions focusing on promoting social support and resilience should be developed to encourage posttraumatic growth in patients with acute coronary syndrome.

Diabetes self-management and its influencing factors among adults with type 2 diabetes mellitus in rural Sri Lanka: A cross-sectional study Premadasa, Samantha Sandamali; Masingboon, Khemaradee; Samartkit, Niphawan
Belitung Nursing Journal Vol. 10 No. 4 (2024): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3441

Background: Diabetes Self-Management (DSM) is pivotal in managing diabetes. However, poor engagement in DSM has been observed in rural Sri Lankan settings. Thus, identifying factors influencing DSM is crucial for nurses and other healthcare professionals. Objectives: This study aimed to describe DSM among adults with Type 2 Diabetes Mellitus (T2DM) in rural Sri Lanka and to examine whether perceived stress, health literacy, self-efficacy, and family support can predict DSM among adults with T2DM in rural Sri Lanka. Methods: This correlational predictive study used a simple random sampling technique to recruit 160 adults with T2DM from an outpatient clinic at a secondary care hospital in a rural area of Sri Lanka. Data were collected from March to April 2024 using socio-demographic and standardized questionnaires to examine predictive factors of DSM, including perceived stress, health literacy, self-efficacy, and family support. Data analysis was conducted using descriptive statistics and standard multiple linear regression analysis. Results: Approximately half of the participants had uncontrolled T2DM (Fasting Plasma Glucose (FPG) >126) and sub-optimal DSM. The analysis revealed that all variables could explain 39.3% of the variance in DSM among rural Sri Lankan adults with T2DM. However, DSM was significantly predicted by self-efficacy (β = 0.530, p = 0.001), harmful family involvement (β = -0.169, p = 0.038), and health literacy (β = -0.162, p = 0.020). Conclusion: The findings emphasized the need for further development of interventions to increase self-efficacy and reduce harmful family involvement to enhance DSM among adults with T2DM. Nurses and other healthcare providers should target family members’ engagement to improve self-efficacy among this population.

EKSPLORASI PENGETAHUAN KELUARGA SEBAGAI DASAR MELAKUKAN PEMBELAJARAN PARTISIPATIF DALAM PELAYANAN HOMECARE KEPADA PASIEN PASKA STROKE Hamzah, Ali; Hatimah, Ihat; Saepudin, Asep; Pramudia, Joni Rahmat; Masingboon, Khemaradee
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 1 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i1.2514

Pasien stroke seringkali mengalami kelumpuhan dan ketergantungan dalam memenuhi kebutuhan hidupnya sehingga memerlukan penanganan lanjutan paska stroke di rumah, hal ini memerlukan keterlibatan dan dukungan keluarga. Saat ini untuk melaksanakan program lanjutan paska perawatan Stroke, keluarga menggunakan jasa layanan homecare karena keluarga tidak tahu dan tidak siap melakukannya secara mandiri di rumah. Tetapi tidak semua keluarga mampu membayar jasa layanan homecare, oleh karena itu mereka dituntut mampu mandiri melakukannya dan hal itu sangat ditentukan oleh pengetahuan keluarga terkait dengan penanganan pasien paska stroke di rumah. Penelitian ini bertujuan untuk mengetahui pengetahuan keluarga pasien paska stroke tentang penanganan pasien paska stroke dan pelayanan homecare dalam melanjutkan penanganan stroke di rumah. Metode yang digunakan adalah deskriptif eksfloratif dengan melibatkan 60 orang keluarga pasien paska stroke yang terpilih dengan Teknik purposive sampling. Data dianalisis dengan rumus presentase yang dituangkan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukkan hampir seluruh responden mengetahui dengan baik penanganan stroke di rumah dan layanan homecare tetapi sayangnya sebagian dari mereka tidak siap dan tidak bersedia untuk melanjutkan penanganan pasien paska stroke di rumah. Sehubungan dengan itu disarankan agar dilakukan edukasi kepada keluarga dengan menggunakan metode pembelajaran partisipatif agar keluarga memiliki pengetahuan dan kesiapan dalam menangani pasien paska stroke di rumah.

Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China Wang, Yang; Masingboon, Khemaradee; Wacharasin, Chintana
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3638

Background: Self-management behaviors can prevent the negative consequences among patients with coronary heart disease (CHD). The reality of patients followed the self-management behaviors rate are unoptimistic. Objective: This study aimed to examine whether self-efficacy serves as a mediating role between family functioning and self-management behaviors among coronary heart disease patients. Methods: A cross-sectional approach was applied, and 140 patients with CHD were included using a cluster sampling strategy. Family functioning was assessed utilizing the Family APGAR Index, self-efficacy was evaluated using the Self-efficacy for Chronic Disease 6-item Scale, and self-management behaviors was examined utilizing the Coronary Artery Disease Self-Management Scale. Data were collected from July to October 2022 and analyzed using descriptive statistics and regression analyses to evaluate the mediating influence. Results: The degree of self-management behaviors among patients with CHD was at a low level (Mean = 82.23, SD = 11.863). Self-efficacy had a direct and positive impact on self-management behaviors (β = 0.39, p <0.001). Moreover, self-efficacy had a partially intermediary function in the relationship between family functioning and self-management behaviors (indirect effect = 0.14, 95% CI [0.04, 0.27]; direct effect = 0.39, p <0.001). Conclusion: Self-efficacy demonstrated an association with self-management behaviors and served as a mediation function in the relationship between self-management behaviors and family functioning. Therefore, the significance of family functioning and self-efficacy should be highlighted in nursing practice when developing methods to encourage patients with CHD to improve their self-management behaviors.

Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study Weerasooriya, Kanchana Warnakula Royal; Samartkit, Niphawan; Masingboon, Khemaradee; Witheethamasak, Pachanok
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3660

Background: Self-management behaviors are essential to take care of chronic obstructive pulmonary disease (COPD). However, data on COPD self-management practices in Sri Lankan adults is limited. Therefore, identifying the level of COPD self-management and examining its influencing factors are essential for healthcare providers to manage COPD effectively. Objectives: This research aimed to describe the level of self-management behaviors and determine whether dyspnea, perceived stress, COPD knowledge, and social support can predict self-management in adults with COPD in Colombo, Sri Lanka. Methods: A predictive correlational study was conducted, and 108 adults with mild to moderate COPD were recruited from the central chest clinic in Colombo, Sri Lanka, from March to April 2024 using a simple random sampling technique. A self-administered questionnaire was used to gather data included demographic characteristics. The other instruments used were the COPD Self-Management Scale, the Perceived Stress Scale, the COPD Knowledge Questionnaire, and the Perceived Social Support Scale. Descriptive statistics and multiple regression were used for data analysis. Results: The study showed a moderate self-management level with a mean of 3.04 ± 0.35. All variables could explain 41.7% of the variance in self-management among adults with mild to moderate COPD and COPD self-management behaviors significantly predicted by dyspnea (β = 0.212, p = 0.006), perceived stress (β = -0.195, p = 0.018), COPD knowledge (β = 0.263, p = 0.001), and perceived social support (β = 0.366, p <0.001). Conclusion: The study shows evidence that a program to intervene targeting COPD knowledge and perceived social support, in addition to reducing dyspnea and perceived stress, can be beneficial in promoting better self-management behaviors among adults with mild to moderate COPD.

Participatory Learning is Needed to Increase Family Independence in Handling Post-stroke Patients at Home Hamzah, Ali; Hatimah, Ihat; Saepudin, Asep; Pramudia, Joni Rahmat; Masingboon, Khemaradee
Journal of Nonformal Education Vol. 10 No. 1 (2024): Community education and community empowerment
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jone.v10i1.1410

Post-stroke patients often experience dependency and disability due to paralysis and this really requires their families support to continue treatment at home. Currently, to carry out post-stroke treatment, they use homecare services because the family is less able to carry out post-stroke care independently at home. This research aims to identify an educational model that allows families to actively participate in learning so that they can be independent in treating post-stroke patients at home. The method used is mix method, involving 56 families of post-stroke patients selected by purposive sampling technique for quantitative data and two family members, two healthcare providers for qualitative data used in dept interview. The data quantitative were analyzed using the percentage formula which is presented in the form of a frequency distribution table, meanwhile qualitative data were processed by data reduction, presentation, and drawing conclusions. The results showed that most of the families of stroke patients didn’t receive and utilize homecare services for various reasons, including ignorance, inability and unpreparedness as well as inability to pay the costs. It is necessary to conduct research use the research and development (R & D) method with topics related to the development of homecare service models for post-stroke patients at home based on participatory learning. The novelty of this research is the production of a model design that can answer the needs of families to increase independence in treating post-stroke patients at home

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