Yohan Trayanus Lasarus Djaha
Politeknik Sandi Karsa

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Self-efficacy with medication adherence in the elderly with hypertension Kurni Menga, Maria; Trayanus Lasarus Djaha, Yohan
Journal Interdisciplinary Health Vol. 1 No. 2 (2025): Journal Interdisciplinary Health
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v1i1.100

Abstract

Introduction: Hypertension is a common chronic condition among the elderly that requires long-term pharmacological management. Medication adherence is crucial in maintaining blood pressure control and preventing complications. One psychological determinant that plays an important role is self-efficacy, which refers to an individual's belief in their ability to perform specific behaviors, including adhering to prescribed medication regimens. This study aimed to examine the relationship between self-efficacy and medication adherence among elderly patients with hypertension. Methods: This study employed a cross-sectional quantitative design. A total of 100 elderly hypertensive patients were selected using purposive sampling at Public Health Center X. Data were collected using the General Self-Efficacy Scale (GSES) and the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using Spearman’s correlation test. Results: The results showed that most respondents had a moderate level of self-efficacy (58%) and a moderate level of medication adherence (62%). A significant relationship was found between self-efficacy and medication adherence (p = 0.001; r = 0.462), indicating a moderate positive correlation. Conclusions: Self-efficacy is significantly and positively associated with medication adherence in elderly patients with hypertension. Enhancing self-efficacy through health education, family support, and interdisciplinary interventions is essential for improving hypertension management among the elderly
Effectiveness of chest physiotherapy in stabilizing respiratory rate among pediatric patients with acute respiratory infection Trayanus Djaha, Yohan; Kurni Menga, Maria
Journal Interdisciplinary Health Vol. 1 No. 4 (2025): Journal Interdisciplinary Health
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v1i3.140

Abstract

Introduction: Acute Respiratory Infection (ARI) remains one of the leading causes of morbidity and mortality among children, particularly in developing countries. It often results in respiratory distress due to mucus accumulation and inflammation. Chest physiotherapy is a non-pharmacological intervention that helps mobilize bronchial secretions, improve lung ventilation, and reduce respiratory effort. Methods: This case study was conducted on two hospitalized preschool-aged children (3–6 years old) diagnosed with ARI at Sandi Karsa Hospital, Makassar. Chest physiotherapy consisting of percussion, vibration, and postural drainage was administered once daily for three consecutive days. Respiratory rate was measured before and after each intervention session using a stopwatch and observation sheet. Results: The findings revealed a consistent decrease in respiratory rate following each physiotherapy session. Both patients showed an average reduction of 2–3 breaths per minute after therapy, indicating improved respiratory stability. The children also demonstrated decreased signs of dyspnea and greater comfort after treatment. No adverse effects were observed during or after the intervention. These results suggest that chest physiotherapy effectively facilitates mucus clearance, enhances ventilation, and stabilizes breathing frequency in pediatric ARI patients. Conclusion: Chest physiotherapy is an effective and safe non-invasive nursing intervention for improving respiratory rate stability in children with ARI. Its implementation can be integrated into hospital nursing care protocols as supportive therapy to accelerate recovery and enhance patient comfort, particularly in managing mild to moderate respiratory infections.
Exploring interdisciplinary nursing care models: A Qualitative Clinical Study Lontaan, Anita; Trayanus Lasarus Djaha, Yohan
Journal Interdisciplinary Health Vol. 2 No. 1 (2026): Journal Interdisciplinary Health
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v2i1.176

Abstract

Introduction: The increasing complexity in healthcare systems demands integrated, collaborative approaches to patient care. Interdisciplinary nursing care models have been promoted to enhance care coordination, patient safety, and quality outcomes. However, limited qualitative evidence exists regarding how these models are understood, implemented, and experienced by nurses in clinical practice. This study aimed to explore interdisciplinary nursing care models from nurses’ perspectives, focusing on roles, communication processes, facilitators, barriers, and perceived impacts on patient care and professional development. Methods: A qualitative clinical study was conducted in selected clinical units of a tertiary healthcare facility. Purposive sampling was used to recruit registered nurses with at least one year of clinical experience and active involvement in interdisciplinary care. Data were collected through semi-structured, in-depth interviews and analyzed using thematic analysis. Trustworthiness was ensured through member checking, audit trails, and reflexive practices. Results: Seven major themes emerged: understanding of interdisciplinary nursing care, nurses’ roles and responsibilities, communication and collaboration, facilitators of interdisciplinary care, barriers to interdisciplinary care, impact on patient care outcomes, and professional development and learning. Effective communication and collaboration were identified as the most critical elements supporting interdisciplinary care. Nurses played central roles as care coordinators, contributing to improved care quality, patient safety, and patient-centered outcomes. Organizational support and mutual respect facilitated collaboration, while hierarchical structures, role ambiguity, and workload constraints were identified as key barriers. Conclusion: Interdisciplinary nursing care models are strongly influenced by communication quality, recognition of nurses’ professional roles, and organizational support. Despite existing barriers, effective interdisciplinary collaboration enhances patient outcomes and supports continuous professional development. Strengthening structured interprofessional communication and supportive organizational policies is essential for sustainable interdisciplinary nursing practice.