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All Journal Journal Of Nursing Practice Indonesian Journal of Nutritional Epidemiology and Reproductive
Predito Prihantoro
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Application the Cognitive-Behavioral Model of Relapse in Preventing Bipolar Relapse at RSI. Madinah Tulungagung Agustin Widyowati; Katmini; Predito Prihantoro
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.392

Abstract

Background: Mental health has a low early mortality rate, but contributes the most to disability and recurrence is an indicator of successful treatment of mental disorders, including bipolar. Bipolar relapse is caused by many factors or high-risk situations. Purpose: The purpose of this study was to analyze the determinants of bipolar relapse from a cognitive-behavioral model of relapse. Method: This research was conducted at Islamic Hospital of Madinah Tulungagung used a correlational design with a cross sectional approach to 108 respondents who were taken using a simple random sampling technique. The exogenous variables were genetics, age of onset, gender, occupation, marriage, family support, social capital, stigma, self-efficacy, motivation, medication adherence and the endogenous variable was bipolar relapse, using a questionnaire and analyzed path analysis. Results: Genetics, occupation, social capital, self-efficacy, motivation, medication adherence, community stigma and family support have a direct effect on bipolar relapse with a p-value <0.05. Community stigma has an indirect effect on bipolar relapse through medication adherence with a path coefficient (b) of 11.35. Family support has an indirect effect on bipolar relapse through medication adherence (b = 8.9), motivation (b = 11.89) and self-efficacy (b = 18.26). The most effective way to prevent bipolar relapse is family support which has an indirect effect on bipolar relapse through self-efficacy. Conclusion: Family support is expected to increase self-efficacy so that it is effective in preventing bipolar relapse.
EFFECTIVENESS OF PROVIDING DIRECT VISUALIZATION ABOUT THE DANGERS OF CIGARETTES TO THE LUNGS ON THE KNOWLEDGE AND ATTITUDES OF STUDENTS OF SMAN 1 KANDAT Octavi Hemi, Chrisita; Ukik Agustina; Predito Prihantoro
Indonesian Journal of Nutritional Epidemiology and Reproductive Vol. 9 No. 1 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/ijner.v9i1.362

Abstract

Cigarettes are a major cause of health problems, particularly serious lung disease. Smoking habits among adolescents are increasing and can pose long-term health risks. Effective education about the dangers of smoking is crucial from an early age. The use of direct visualization media is believed to improve students' understanding and awareness better than conventional methods. This study aims to analyze the effectiveness of direct visualization about the dangers of smoking on the lungs in improving the knowledge and attitudes of students at SMAN 1 Kandat. This research was pre-experimental study with one-group pretest-posttest design. The research samples were 95 eleventh-grade students. The Samples were chosen with accidental technique sampling that selected based on discussions conducted by all examiners and guidance counselors at SMAN 1 Kandat. The main instrument was a valid and reliable questionnaire to measure knowledge and attitudes before and after visualization intervention with simulation. The study showed a significant increase in knowledge, from the “poor” category (86.3%) before the intervention to “good” (88.4%) after the intervention. Attitudes also shifted from predominantly negative (76.8%) to more positive (89.5%) after the intervention. The Wilcoxon Signed Ranks Test showed a significant difference in knowledge and attitudes before and after the intervention (p < 0.05), so there was a difference in knowledge and attitudes before and after direct visualization. This study found that the use of direct visualization as "shock therapy" was more effective in increasing students' knowledge and modifying their attitudes than conventional educational methods. This innovative strategy is recommended as a component of school health programs to foster awareness and preventative behavior among adolescents.
Co-Authors Agustin Widyowati Katmini Octavi Hemi, Chrisita Ukik Agustina