ORCID Profile
0000-0003-1466-7394
Current Organisation
Universitas Padjadjaran
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Publisher: Belitung Raya Foundation
Date: 07-11-2018
DOI: 10.33546/BNJ.568
Abstract: Background: Caring is the essence of nursing that is believed vital in improving the health and well-being of patients and in facilitating health promotion. Nursing education has a fundamental role in shaping a positive student’s caring behavior. Objective: This study identified the caring behavior of the final-year nursing students after completing a critical care nursing course unit by implementing assorted teaching-learning strategies. Methods: This study was a descriptive research using a comparative design. S les were recruited from a group of 152 final-year students using a random s ling technique (n=76). Data were collected using a valid and reliable Indonesian caring instrument consisting of 32 items based on Watson’s ten carative factors. Data were analyzed using descriptive statistics by calculating mean scores of students’ caring behavior. A paired t test was performed to evaluate the difference between caring behavior before and after completion of the course unit involving a erse teaching learning strategy, such as face-to-face lectures in the class, quizzes and practicums, facilitated small group case-based discussions, and expert reviews. Results: Results showed that more than half of the students had negative caring behavior before (59.22%) and after (54.55%) participating in learning process. There was also a barely statistical insignificance in the change of caring behavior following the course unit that involved various learning strategies (p value = 0.276). Further analyses of the 10 carative factors revealed that there was a significant change in transpersonal teaching-learning, provision for a supportive, protective, and/or corrective mental, physical, sociocultural, and spiritual environment, and spiritual environment and existential-phenomenological spiritual forces (improved, p value .05). Conclusions: Student-centered learning is a good approach to enhance the students’ critical thinking skills. However, in implementing the approach, there is a need to reevaluate appropriate method so as to simultaneously develop students’ critical thinking skills, caring behavior, and empathy.
Publisher: Belitung Nursing Journal
Date: 08-07-2021
DOI: 10.33546/BNJ.1540
Abstract: Background: Depression is a significant predictor of the quality of life among patients with coronary heart disease. Therefore, it is essential to explore the factors associated with depression. Illness cognition is considered one of the factors affecting depression. However, the relationship between illness cognition and the incidence of depression among Indonesian patients have not been widely investigated.Objective: This study aimed to investigate the correlation between illness cognition, consisting of the acceptance, perceived benefits, and helplessness variables, and depression in patients with coronary heart disease. Methods: This study employed a correlational research design with a total of 106 patients undergoing treatment at a hospital in West Java, Indonesia, selected using convenience s ling. Data were collected using a demographic questionnaire, Beck-Depression Inventory-II (BDI-II), and ICQ (Illness-Cognition Questionnaire). Data were analyzed using mean (SD), median, frequency distribution, and Spearman-rank. Results: 72% of respondents had no depression. Nevertheless, mild, moderate, and major depression suffered by 15%, 9%, and 4% of respondents, respectively. In terms of illness cognition, patients scored higher within the perceived benefits dimension (mean 20.13, SD 3.05), followed by acceptance (mean 18.22, SD 3.33) and helplessness (mean 13.20, SD 4.77), respectively. Furthermore, helplessness was significantly associated with depression (p .01) with a positive correlation coefficient (r). Also, all items on the helplessness dimension had a significant correlation (p .01) with depression accompanied by a positive r-value. Conclusion: Helplessness had a significant relationship with depression. So, cardiovascular nurses can anticipate depression in patients by making nursing interventions that can decrease the patients’ feelings of helplessness. Thus, factors that reduce helplessness need to be explored and taken into accounts in the treatment of patients with coronary heart disease.
Publisher: Belitung Raya Foundation
Date: 28-08-2019
DOI: 10.33546/BNJ.683
Abstract: Background: Schizophrenia is a mental disorder with a high incidence and relapse due to a lack of family support. Families do not understand how to treat patients with schizophrenia. There are several factors related to the family’s abilities in treating patients with schizophrenia, there are the level of family’s knowledge, perception, and burden. Objective: This study aimed to describe the knowledge, perception and burden of family in treating patients with schizophrenia who experience a relapse. Methods: The research used descriptive quantitative method. S les were selected by consecutive s ling technique and obtained 100 respondents. Data were collected by a questionnaire consisting of family knowledge and perception developed by the researcher, and Zarit Burden Interview scale was used to measure the family burden. Data were analyzed using percentages, score T, and the Zarit Burden Interview analysis. Results: Findings showed that 31 respondents (31%) had good knowledge, 42 respondents (42%) had sufficient knowledge, and 27 respondents (27%) had insufficient knowledge. In terms of perception, 66 respondents (66%) had a positive perception and 33% had a negative perception. In addition, 42 respondents (42%) had moderate to heavy burden levels, 23 respondents (23%) had a very heavy level of heavy burden, and 3 respondents (3%) with very heavy levels of burden. Conclusions: Based on the results, it is necessary to increase the frequency of health education for the families. In addition, it is also important to hold a sharing program between families to reduce family burden.
Publisher: Universitas Padjadjaran
Date: 27-12-2020
Abstract: Coronary heart disease (CHD) patients experience various physical and psychological changes after an acute attack. Depression has been identified as a substantive psychological problem in CHD patients. Cardiac rehabilitation (CR) intends to restore optimal physical and psychological condition of the patients. However, less attention is bestowed towards the psychological aspect of CR. Research on the effects of CR on patient psychological problems has not been discussed in many studies in Indonesia. This study aimed to compare depression, recurrence, and fitness levels among CHD patients based on participation in Phase II CR Program. This research used a quantitative comparative method involving 66 CHD patients recruited by a purposive s ling technique. After applying the selection criteria for this study, the patients were assigned to the CR group (nCR=29) and the non-CR group (nNCR=37). Data were collected using the Beck Depression Inventory-II (BDI II) and instruments developed by researchers to measure recurrence and fitness levels. Data were analyzed using frequency distribution, chi-squared, and Mann-Whitney tests. Depression experienced by CHD patients in both groups with mean in non-CR and CR groups of 11.11 (± 7.8) and 8.59 (± 6.5), respectively. There was no significant difference in depression level among the groups (p .05)). Meanwhile, as many as 45% of the patients in the CR group and 22% in the non-CR group had never experienced chest pain (recurrence) within the past month. In addition, the physical fitness was perceived increased by 90% of the patients in the CR group and 0% in the non-CR group. It was also found that there were significant differences in the recurrence and physical fitness among the two groups (p .05). Patients participating in Phase II CR program had a better perception of physical fitness and a lower frequency of chest pain than patients in the non-CR group. Although the depression level in patients in the two groups did not differ significantly, patients in the non-CR group scored higher in depression. Accordingly, assessment and psychosocial interventions need to be improved to optimize CR program services.
Publisher: MDPI AG
Date: 24-03-2023
DOI: 10.3390/HEALTHCARE11070943
Abstract: Purpose: The aim of this review is to identify the efficacy of cognitive behavior therapy (CBT) and the characteristics of CBT therapy that effectively improve depression among patients with coronary heart disease (CHD). Methods: Studies that assessed CBT efficacy in decreasing depression among CHD patients with randomized controlled trials (RCTs) were searched through PsycINFO, PubMed, CINAHL, Academic Search Complete, Scopus, and Google Scholar. Two reviewers independently screened and critically appraised them using the Cochrane risk-of-bias tool. The fixed- and random-effect models were applied to pool standardized mean differences. Results: Fourteen RCTs were included in the quantitative analysis. Depression was significantly lower in the CBT group (SMD −0.37 95% CI: −0.44 to −0.31 p 0.00001 I2 = 46%). Depression in the CBT group was significantly lower in the short-term follow-up (SMD −0.46 95% CI: −0.69 to −0.23 p 0.0001 I2 = 52%). Moreover, the subsequent therapy approaches were effective in reducing depression, including face-to-face and remote CBT, CBT alone or combination therapy (in idual or mixed with a group), and frequent meetings. Conclusions: CBT therapy effectively reduces depression, particularly in short-term follow-up. The application of CBT therapy in CHD patients should consider these findings to increase the efficacy and efficiency of therapy. Future research is needed to address generalizability.
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