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Safni Elivia
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INDONESIA
JOURNAL OF Mental Health Concerns
ISSN : 29645042     EISSN : 29645034     DOI : 10.56922
Core Subject : Health,
Jurnal penelitian dibidang kesehatan jiwa meliputi kegiatan promotif, preventif, kuratif dan rehabilitatif pada semua tingkat usia baik secara individu, maupun kelompok rentan. Penelitian kesehatan jiwa susuai tren kekinian.
Articles 192 Documents
Bibliotherapy for an adolescent with major depressive disorder, psychotic symptoms, smartphone addiction, and risk of violence: A case study Dhiky Muhammad Ridwan; Yanuar Fahrizal; Rustini Rustini
JOURNAL OF Mental Health Concerns Vol. 5 No. 4 (2026): July Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i4.4053

Abstract

Background: Major depressive disorder in adolescents is often accompanied by emotional and behavioural problems. Excessive smartphone use may further aggravate these conditions and contribute to behavioural disturbances, including an increased risk of violent behaviour. Purpose: To describe the implementation of bibliotherapy as a non-pharmacological psychiatric nursing intervention for an adolescent with major depressive disorder, psychotic symptoms, a risk of violent behaviour, and high smartphone addiction. Method: This descriptive case study was conducted in Lily 3 Ward of Soerojo Hospital. A 15-year-old adolescent received bibliotherapy as part of comprehensive psychiatric nursing care for seven consecutive days. Baseline emotional and behavioural functioning was assessed using the Strengths and Difficulties Questionnaire (SDQ), while smartphone addiction was evaluated using the Smartphone Addiction Scale (SAS). Results: Baseline SDQ assessment showed normal emotional symptoms (score = 2) and hyperactivity (score = 4), abnormal conduct problems (score = 6) and prosocial behaviour (score = 3), as well as borderline peer problems (score = 4) and total difficulties (score = 16). The baseline SAS score was 104, indicating a high level of smartphone addiction before the nursing intervention. Conclusion: The baseline findings demonstrated emotional and behavioural difficulties, particularly conduct problems, impaired prosocial behaviour, borderline overall difficulties, and high smartphone addiction in an adolescent with major depressive disorder. These findings support the implementation of bibliotherapy as part of comprehensive psychiatric nursing care to address the patient's emotional and behavioural needs. Keywords: Adolescents; Bibliotherapy; Major Depressive Disorder; Risk of Violent Behaviour; Smartphone Addiction.
Blood pressure changes following combined instrumental music therapy and ginger decoction foot hydrotherapy among patients with hypertension Fernando Perdana; Riska Oktalina; Sujiah Sujiah
JOURNAL OF Mental Health Concerns Vol. 5 No. 5 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i5.4099

Abstract

Background: Hypertension is a major global health problem that contributes to increased morbidity and mortality from cardiovascular disease. Blood pressure control can be supported by non-pharmacological approaches, including safe and easy-to-implement complementary therapies such as instrumental music therapy and ginger decoction hydrotherapy. Purpose: To analyse the effectiveness of combined instrumental music therapy and ginger decoction hydrotherapy on blood pressure in patients with hypertension. Method: A quantitative quasi-experimental study with a one-group pre-test and post-test design was conducted among patients with hypertension at Kedaton Community Health Center, Bandar Lampung. 15 patients were initially recruited using purposive sampling, and 15 respondents with complete intervention and pre-test and post-test data were included in the final analysis. The intervention combined slow-tempo instrumental music therapy and ginger decoction foot hydrotherapy for 15 minutes daily over five days. Blood pressure was measured before and after the intervention and analysed using the Wilcoxon signed-rank test at a significance level of p < 0.05. Results: The mean age of the respondents was 54.80 years, and most were female. Before the intervention, the mean systolic and diastolic blood pressures were 156.00 mmHg and 98.67 mmHg, respectively. Following the combination of instrumental music therapy and ginger decoction hydrotherapy, the mean systolic blood pressure decreased to 138.67 mmHg, while the mean diastolic blood pressure decreased to 86.67 mmHg. The Wilcoxon signed-rank test showed a significant difference in both systolic and diastolic blood pressure before and after the intervention (p < 0.001). Conclusion: The combination of instrumental music therapy and ginger decoction hydrotherapy was effective in reducing blood pressure among patients with hypertension. This combination may be considered a supportive non-pharmacological intervention in community nursing and primary healthcare settings. Further studies using a controlled experimental design and longer intervention duration are recommended to strengthen the evidence. Keywords: Blood Pressure; Ginger Decoction Hydrotherapy; Hypertension; Instrumental Music Therapy; Non-Pharmacological Therapy.