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Effect of Combination Nature Sound Music Therapy with Positive Self Talk on Reducing Post Stroke Anxiety Bisma Romanda Joki Pratama; Endang Caturini Sulistyowati; Dwi Ariani Sulistyowati
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5726

Abstract

Stroke is the second leading cause of death and the third cause of disability in the world. Post-stroke anxiety arises due to dependence due to physical disorders that affect life satisfaction. Post-stroke anxiety can increase the risk of recurrence, slow recovery and decrease quality of life. One of the efforts to reduce anxiety is the combination method of nature sound music therapy with positive self talk. This study aims to determine the effect of the combination of nature sound music therapy with positive self talk on the reduction of post-stroke anxiety. The study used a type of pre-experiment with a one-group pretest-posttests design.. Sampling with purposive sampling technique was 30 respondents. The instrument uses the Zung Self-Rating Anxiety Scale (ZSAS). The intervention was carried out 3 times of meetings and data analysis with the Paired T-Test. There was a difference in the level of anxiety before (44.67) and after (35.73) was given a combination intervention of nature sound music therapy with positive self talk with a p value of 0.000 < α 0.05 with a mean difference of 8.94 so that Ho was rejected and Ha was accepted. There is an effect of the combination of nature sound music therapy and positive self talk on reducing post-stroke anxiety.
Employer-Based Interventions for Schizophrenia: A Systematic Literature Review and Psychiatric Nursing Perspective Siti khadijah; Endang Caturini Sulistiyowati; Dwi Ariani Sulistyowati; Abdul Ghofur; Sarka Ade Susana
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol. 11 No. 1 (2026): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : Institut Kesehatan Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v11i1.1165

Abstract

Employment is crucial for the recovery and social inclusion of individuals with schizophrenia and other severe mental illnesses (SMI), yet significant barriers to competitive employment persist. Although various employer-based vocational interventions have been developed, their efficacy remains variable across settings. Guided by the PRISMA framework, this systematic review evaluates the effectiveness of employer-based interventions in improving employment outcomes for this population. A comprehensive search of Scopus, Web of Science, and PubMed was conducted for studies published between 2020 and 2026. Following rigorous screening, 19 studies from nine countries were selected for qualitative synthesis. The interventions assessed included Individual Placement and Support (IPS), Supported Employment (SE), integrated vocational-psychiatric programs, and return-to-work initiatives. Results indicate that IPS and SE consistently provide the strongest evidence for improving competitive employment rates, job acquisition, and job retention, with one study reporting a 7.5% increase in job availability post-SE implementation. Conversely, interventions relying exclusively on employer-directed communication demonstrated limited efficacy. In conclusion, IPS and Supported Employment are the most effective strategies for enhancing employment outcomes in this population. Integrating vocational support with comprehensive mental health services is critical for fostering sustainable employment and facilitating long-term recovery.