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All Journal Malahayati International Journal of Nursing and Health Science NERS Jurnal Keperawatan
Muhamad Adam
Fakultas Ilmu Keperawatan Universitas Indonesia
Health Professions Nursing Public Health

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Psychosocial factors influencing adherence to medication therapy and a low-sodium diet in patients with heart failure: A systematic review Ni Made Sridarmayanti; Tuti Herawati; Muhamad Adam
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.3073

Abstract

Background: Heart failure (HF) is a complex clinical syndrome with an increasing prevalence that contributes to decreased quality of life and increased mortality. Adherence to medication therapy and a low-sodium diet is a key component of HF management; however, patient adherence remains low. Various factors, including psychosocial aspects, influence this condition. Purpose: To identify and synthesize psychosocial factors that significantly influence adherence to medication therapy and a low-sodium diet in patients with heart failure based on the literature published between 2015 and 2025 Method: This systematic literature review was conducted in accordance with the PRISMA guidelines. A literature search was performed across six databases using the PICOT framework: PubMed, ProQuest, Scopus, EBSCOhost, SAGE, and ClinicalKey for Nursing. The quality of the articles was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Results: A total of 10 articles with a combined sample of 5.611 participants pant were analyzed. The results indicate that depression and anxiety are negative psychological predictors that reduce patients’ motivation and self-regulation regarding adherence. Depression emerged as the dominant factor associated with decreased medication adherence. Social factors, particularly social support, act as protective factors that improve treatment adherence. As a component of social support, family support specifically contributes to adherence to a low-sodium diet through a proxy adherence mechanism. Conclusion: Psychosocial factors influence adherence to therapy in patients with heart failure. Therefore, a holistic approach integrating psychosocial interventions is needed to optimize therapeutic adherence and improve clinical outcomes.
Active Cycle Of Breathing Technique Terhadap Fungsi Paru pada Pasien Paska Operasi Bedah Jantung: Active Cycle of Breathing Technique on Pulmonary Function in Patients Post Cardiac Surgery Fakrul Ardiansyah; Elly Nurachmah; Muhamad Adam
NERS Jurnal Keperawatan Vol. 17 No. 1 (2021): NJK Volume 17, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v17i1.129

Abstract

The pulmonary complication after cardiac surgery is estimated to be 2-4%. These complications increase the length of hospital stay and increase cost. Postoperative cardiac surgery care focuses on pulmonary function with active cycle of breathing technique (ACBT). This study aimed to identify the effectiveness of ACBT in recovery pulmonary function in postoperative cardiac surgery. This study used pra experiment method involving 30 respondents with purposive sampling technique in adult surgery intensive care unit and Surgical ward. This group applies ACBT for 4 days: 2x/day, duration 15 minutes/session on 1st and 2nd day after surgery; 1x/day, duration 15 minutes/session on 3rd and 4th day after surgery. The Peak Expiratory Flow Rate is evaluated with Peak flow meter tools. The pretest data were obtainedd on the pre operation and the post test data were obtained on the 3rd day after surgery. This data analyzies with distribution mean and wilcoxon. The result distribution means of Peak Expiratory Flow (PEF) pretest is 420,33 l/minute and the post test is 432,33 l/minute. The result of wilcoxon test is p=0,001< α=0,05, it is show that significant effect in PEF (Peak Expiratory Flow) pre, 3rd day PEF. ACBT consists of deep breathing and hold breathing, so the air flow easier and the discharge mucous, on the last step is the huffing technique. It is not required stretgh to discharge mucous and reduce pain. ACBT can be used as a nursing intervention for airway management to recovery pulmonary function in postoperative cardiac surgery.
Co-Authors Elly Nurachmah Fakrul Ardiansyah Ni Made Sridarmayanti Tuti Herawati