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The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease

2025-07-04T03:33:20Z

Title: The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease Authors: Lindayani, Linlin; Yosep, Iyus; Purnama, Heni; Mutiar, Astri; Dwi Putri, Anisa Abstract: Background: Depression is the most common psychological condition among patients with coronary heart disease (CHD). Although psychoeducational programs (PEPs) based on the Transtheoretical Model (TTM) have shown promise for psychiatric patients, their application among individuals with medical conditions, particularly cardiovascular disease, remains limited— especially in Indonesia. Purpose: This study aimed to assess the effectiveness of a TTM-based PEP intervention in reducing depression among CHD patients. Methods: A quasi-experimental design was employed, involving 80 CHD patients hospitalized in the coronary care unit (CCU) of a private hospital in West Java, Indonesia, in 2022. Participants in the intervention group attended seven sessions, each lasting 60 to 90 minutes. Depression symptoms were measured using the Hamilton Depression Rating Scale (HDRS). An ANOVA was performed to compare pre- and post-intervention mean HDRS scores and subscale scores between the two groups. After accounting for attrition, the final analysis included data from 76 patients. Results: The participants had a mean age of 59.39 years (SD = 11.10) and a mean disease duration of 4.05 years (SD = 1.69). A paired t-test showed a significant reduction in the mean HDRS score of the intervention group, from 13.79 ± 2.84 pre-intervention to 10.16 ± 2.16 post-intervention (p < 0.0001). Most HDRS subscale scores also decreased significantly, except for insomnia, somatic/genital symptoms, and weight loss. ANCOVA confirmed significant differences between the two groups in overall HDRS scores. Conclusion: The findings suggest that TTM-based PEP is effective in reducing depression among CHD patients. Incorporating such programs alongside standard treatments is recommended for enhanced patient outcomes.

The effect of 12-weeks foot exercise on blood glucose levels, ankle brachial index, and sensation of protection in diabetes mellitus patients: A quasiexperiment study

2025-07-04T03:30:55Z

Title: The effect of 12-weeks foot exercise on blood glucose levels, ankle brachial index, and sensation of protection in diabetes mellitus patients: A quasiexperiment study Authors: Dewi, Rosliana; Budhiana, Johan; Pra Agustina, Marina; Melinda, Fera; Zeini Wahida, Astri Abstract: Background: Diabetes Mellitus (DM) is a global health issue causing nerve damage, blood vessel damage, and leg impairment. Foot exercises can improve risk factors for diabetic foot ulcers, neuropathy symptoms, pressure distribution, joint mobility, and strength in individuals with diabetes. Purpose: This study aimed to determine the effect of 12-weeks foot exercise on blood glucose levels, ABI values, and sensation of protection in diabetes mellitus patients West Java, Indonesia. Methods: The sample in this study was individuals aged 18 or above with a confirmed diagnosis of diabetes mellitus. A 154 patients willingly volunteered to participate and were subsequently enrolled in the study (77 in intervention group and 77 in control group). The study encompassed participants who engaged in a twelve-week regimen of foot exercises utilizing teaching modules and video materials.The study employed several tools, namely a glucometer, a glucometer stick, Ankle Brachial Index value, and a questionnaire. A bivariate analysis using the paired t-test and ANCOVA was conducted using IBM SPSS Statistics version 22.0. Results: In intervention group, random blood glucose was decreased significantly from 237.5 ± 9.56 at baseline to 188.0 ±6 9.19 after intervention (p=0.002). Sensation of protection as measure by the number of areas with loss sensation was improve from 5.21 ± 1.03 at baseline to 3.42 ± 1.21 after intervention (p=0.001). While, no significant improvement in ankle-brachial index after intervention (p=0.413). The ANCOVA test showed that between group, sensation of protection was significantly different in intervention group compare to control group (ß =0.413, p-value=0.038). Conclusion: The study found that a 12-week foot exercise program significantly improves blood glucose and sensation protection, but not anklebrachial index. Further research is needed with a more rigorous study design and larger sample size.

Older adults’ lived experiences with bamboo bed handicrafts in improving their quality of life

2025-07-04T03:28:47Z

Title: Older adults’ lived experiences with bamboo bed handicrafts in improving their quality of life Authors: Sangsuk, Nisachon Abstract: Background: Improving the quality of life for older adults is crucial in Northeast, Thailand, where most have low health literacy and live in substandard conditions. They are more likely to age alone or with a spouse with less support overall. Purpose: This study aimed to explore how the older adults had lived experiences using local wisdom, knowledge, and skill of bamboo bed handicrafts to improve their quality of life and strengthen the community. Methods: This research study used a descriptive design based on Husserl’s qualitative phenomenological philosophy. Participants were purposively chosen. The semi-structured interview guide was created. The twelve key informants, aged 61 to 78 years, had knowledge and experience of making bamboo bed crafts and were interviewed face-to-face in their home environment by consent. Seniors with cognitive impairment met the exclusion criteria. Guba and Lincoln’s trustworthiness criteria were used. The content analysis used the Colaizzi method. Results: This study found four main themes: 1) Meaningful life 2) Happy life 3) Happy society and 4) Coping with deteriorating physical health through resilience adaptation. Conclusion: Nurses should enhance quality of life for older adults by supporting their psychological well-being through self-acceptance, coping, resilient adaptation, and continued activity.

The unmet needs of palliative care among patients with non-malignant chronic illness in Indonesia: A phenomenology study

2025-07-04T03:27:21Z

Title: The unmet needs of palliative care among patients with non-malignant chronic illness in Indonesia: A phenomenology study Authors: Cahyantari Merduaty, Rona; Nuraini, Tuti; Sihwastuti, Sihwastuti Abstract: Background: People with chronic illness tend to report multiple and complex symptoms that decrease their ability to meet their needs and quality of life (QoL). As an approach to address people with chronic illness, palliative care (PC) in Indonesia is still primarily focused on people with chronic malignancies. This results in that paradigm meaning the spectrum of palliative care is interpreted narrowly only for cancer or end-of-life (EOL) patients. Purpose: This study explores the experience and needs of patients diagnosed with non-malignant chronic illness toward their illness to identify the need for palliative care. Methods: Semi-structured interviews were conducted on seven patients with non-malignant chronic illness. An ECOG adaptation palliative patient score developed by Dr. Cipto Mangunkusumo National General Hospital (RSCM) was used to screen the participants. Only participants with a palliative score of four or higher (≥4) were interviewed. All data were recorded, transcribed, and analyzed using Colaizzi’s method. Results: There are six major interrelated themes with one sub-theme emerging from this qualitative study that uniquely match with the illness trajectory of non-malignant chronic patients. The themes are: (1) negative feelings that cannot be described at the time of diagnosis; (2) ignorance of the disease process (sub-theme: late realization that illness cannot be cured); (3) helplessness during the medication/treatment process; (4) shame of being a burden to family and surroundings; (5) limited access and support ; and (6) family and God as motivation and hope reinforcement to recover at the end of illness stage. Conclusion: People with non-malignant chronic illnesses complain of several challenges, which are not much different from those with cancer. Therefore, patients with non-malignant chronic illness also have a similar need for palliative care. A deeper and broader assessment of palliative care should also be implemented in patients with non-malignant chronic illness after the early diagnostic process