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Yohan Trayanus Lasarus Djaha
Politeknik Sandi Karsa
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : Journal Interdisciplinary Health

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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; Wibowo
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.
Health Policy and Multidisciplinary Strategies in Addressing Community Health Challenges Trayanus Lasarus Djaha, Yohan
Journal Interdisciplinary Health Vol. 1 No. 1 (2025): Journal Interdisciplinary Health
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v1i1.187

Abstract

Increasing complexity of patient needs requires healthcare professionals to collaborate effectively across disciplines while applying evidence-based practice. However, professional silos and inconsistent use of evidence often limit the quality, safety, and coordination of patient care. Evidence-based collaboration across health professions has therefore emerged as a key strategy to improve patient care outcomes. This study aimed to examine the relationship between evidence-based collaboration across health professions and patient care outcomes. A quantitative cross-sectional study was conducted involving 50 health professionals from multiple disciplines, including physicians, nurses, pharmacists, and allied health professionals. Data were collected using a structured questionnaire measuring evidence-based collaboration (shared decision-making, use of clinical guidelines, and interprofessional communication) and patient care outcomes (care coordination, patient safety, and perceived quality of care). Descriptive statistics and linear regression analysis were applied to assess the association between collaboration and patient care outcomes. The findings indicated that respondents reported moderate to high levels of evidence-based collaboration and patient care quality. Regression analysis demonstrated a significant positive association between evidence-based collaboration and patient care outcomes (? = 0.45; p < 0.001). Higher levels of collaborative, evidence-informed practice were particularly associated with improved care coordination, enhanced patient safety, and higher perceived quality of care. Evidence-based collaboration across health professions is significantly associated with better patient care outcomes. Strengthening interprofessional collaboration supported by consistent use of clinical evidence may enhance patient-centered care, safety, and overall quality of healthcare services. These findings underscore the importance of promoting evidence-based collaborative practices within healthcare organizations
Fasting Blood Glucose with Serum Creatinine Levels in Type 2 Diabetes Mellitus Patients Yohan Trayanus Lasarus Djaha; Maria Kurni Menga; Darmi Arda
Journal Interdisciplinary Health Vol. 2 No. 2 (2026): Journal Interdisciplinary Health
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v2i2.259

Abstract

Introduction: Type 2 Diabetes Mellitus (T2DM) is a major global health problem associated with various chronic complications, particularly diabetic nephropathy. Persistent hyperglycemia can damage renal microvasculature and lead to impaired kidney function. Fasting blood glucose (FBG) is commonly used to assess glycemic control, while serum creatinine is a key indicator of renal function. Understanding the relationship between these parameters is important for early detection of kidney complications among patients with T2DM. This study aimed to analyze the relationship between fasting blood glucose levels and serum creatinine levels in patients with Type 2 Diabetes Mellitus in a primary healthcare setting. Research Methodology: This study employed an analytical observational design using a cross-sectional approach. Data were collected from medical records of patients with Type 2 Diabetes Mellitus at UPT Puskesmas Buki, Indonesia, in March 2026. A total of 38 patients who met the inclusion criteria were selected using purposive sampling. Fasting blood glucose levels were measured using the enzymatic GOD-PAP method, while serum creatinine levels were determined using the Jaffe reaction method. Data were analyzed using descriptive statistics and Spearman’s rank correlation test with a significance level of p ≤ 0.05. Results: The mean fasting blood glucose level was 176.4 ± 42.5 mg/dL, while the mean serum creatinine level was 1.18 ± 0.36 mg/dL. Statistical analysis revealed a moderate positive correlation between fasting blood glucose and serum creatinine levels (r = 0.421; p = 0.009). This indicates that higher fasting blood glucose levels tend to be associated with increased serum creatinine levels. Conclusions: Fasting blood glucose levels are significantly associated with serum creatinine levels among patients with Type 2 Diabetes Mellitus. Regular monitoring of glycemic status and renal function in primary healthcare settings is essential for early detection and prevention of diabetic kidney complications.
Co-Authors Anita Lontaan Darmi Arda Kurni Menga, Maria Maria Kurni Menga Wibowo