http://localhost:8080/xmlui/handle/123456789/10599 2026-04-09T07:06:32Z http://localhost:8080/xmlui/handle/123456789/10613 Title: Good health literacy leads to better quality of life and medication adherence among hemodialysis patients Authors: Mailani, Fitri; Febriyana, Indah; Rahman, Dally; Sarfika, Rika; Roberto Muliantino, Mulyanti Abstract: Introduction: In managing their conditions and achieving positive health outcomes, individuals with chronic kidney disease rely on health literacy (HL) as a crucial concept. Sufficient health literacy enables patients to maintain good medication adherence and experience an enhanced quality of life. The research aimed to investigate the correlation between health literacy levels, medication adherence, and quality of life among hemodialysis patients with chronic kidney disease. Methods: The research employed a cross-sectional design. A random sample of 164 hemodialysis patients from two hemodialysis facilities in Padang, Indonesia, was collected between May and June 2023. Inclusion criteria were patients undergoing hemodialysis twice a week and aged over 18 years. Patients who experienced a decrease in consciousness and memory disorders such as dementia were excluded from this study. The questionnaires used to measure variables in this study were the demographic data questionnaire, the HLS-EU-Q16 health literacy questionnaire, the MMAS-8 medication adherence questionnaire, and the KDQOL-36 quality of life questionnaire for chronic kidney disease patients. Results: The statistical analysis demonstrated a significant relationship between health literacy, quality of life, and medication adherence (p-value < 0.05). The high health literacy group (N = 73) exhibited a markedly superior quality of life compared to those in the mid-level (N = 48) and low-level (N = 43) health literacy groups. Multiple regression analysis revealed that, of the three components of health literacy, health promotion has the greatest influence on patients' quality of life, contributing 25.1%, while the aspect of healthcare has the greatest influence on medication adherence, contributing 43.3%. Conclusions: Health literacy is essential in improving medication adherence and the patient's quality of life in a more optimal direction. Healthcare professionals should create plans for tailored and customized health information with the goal of providing patients with the knowledge about critical components they need to manage chronic kidney disease. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10610 Title: A blended learning using contextual teaching learning: strengthening nursing students’ procedural knowledge and interprofessional collaboration Authors: Uliyah, Musrifatul; Aziz Alimul Hidayat, Abdul; Ubudiyah, Masunatul Abstract: Introduction: The level of knowledge about the types of teaching instruction through blended learning in nursing education is still lacking. This study aims to develop blended learning using contextual learning and evaluate its effect on procedural knowledge and interprofessional collaboration. Methods: A quasi-experimental study was conducted from January to March 2022. The total participants were 96 students from one of the nursing departments in Indonesia, who were equally divided into experimental and control groups. The experimental group received a blended learning method with a combination of contextual learning for 400 minutes for four meetings. Meanwhile, 48 students in the control group received traditional blended learning. Mann-Whitney U test to compare between treatment and control groups. The instrument used to measure the interprofessional education variable was the Nurse–Physician Collaboration Scale and procedural knowledge was measured through a test of 25 multiple choice questions about procedural knowledge. Results: The implementation of blended learning based on contextual teaching significantly increased their procedural knowledge (pre M = 43.30 vs post M = 79.00), and interprofessional collaboration (pre M = 58.08 vs post M = 83.79) with p-value < 0.01. Conclusions: Blended learning using contextual learning was effective for increasing procedural knowledge and interprofessional collaboration in nursing students. The application of this instruction is highly recommended for nursing departments in higher education institutions as an effort to achieve qualified health workers for sustainable development and well-being 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10609 Title: Adherence to antiretroviral therapy, CD4 count, viral load and opportunistic infections in people with HIV/AIDS: a cross-sectional study Authors: Nursalam, Nursalam; Sukartini, Tintin; Misutarno, Misutarno; Priyantini, Diah Abstract: Introduction: Globally, antiretroviral therapy (ART) has been successful in reducing the death rate due to human immunodeficiency virus (HIV). Different conditions in Indonesia mean the death rate due to HIV/AIDS is still high. The problem lies in the low compliance with ART. This study aimed to analyze the correlation between ART adherence with number of CD4, the opportunistic infection (OI) and viral load in PLHIV. Methods: A quantitative survey with cross-sectional approach was conducted between August – September 2022. As many as 375 PLHIV were recruited and agreed to give consent as research respondents. All respondents completed a questionnaire about ART adherence, OI and had blood taken to check CD4 count and viral load. Analyses were performed using Chi-squared test SPSS version 21 with significance level p<0.05. Results: A significant relationship was shown between ART adherence and OI (p value= 0.000 with <0.05). The respondents who reported adherence in ART also showed asymptomatic OI. The analysis also showed that ART adherence had significant relationship with CD4 count (p value= 0.000 with <0.05) and viral load (p value= 0.000 with <0.05), respectively. Respondents adherent to taking ART had better level of CD4 and suppressed viral load in the body. Conclusions: Adherence of antiretroviral therapy is the important factor contributing to the immune status of PLHIV, which has an impact on reducing CD4 count and suppressing viral load, thereby preventing the emergence of OI. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10608 Title: The effectiveness of case-based concept map to improve pathophysiology knowledge and critical thinking among first-year nursing students: a quasi-experimental study Authors: Muharromah Pratiwi, Hikmi; Nani, Desiyani; Saryono, Saryono; Mustika Cakrawati, Laxmi Abstract: Introduction: Improving pathophysiology knowledge and critical thinking skills of nursing students remains as a challenge faced by nursing educators. To improve those, an innovative learning method is required. Concept map by adding cases might assist increasing students’ pathophysiology knowledge and critical thinking skills. Methods: A quasi-experimental study with pre- and post-test with control group design involved 104 first-year nursing students of Universitas Jenderal Soedirman, Purwokerto, Central Java from April to June 2023. Participants were divided into two classes at the beginning of the first semester and randomly allocated into the intervention group (54 respondents) and the control group (50 respondents). The intervention group was provided typical learning added with a case-based concept map development weekly for 7 weeks, while the control group underwent regular lectures based on the syllabus. Pathophysiology knowledge was measured by using Multiple Choice Questions, while critical thinking was evaluated by using the Critical Thinking Disposition Inventory questionnaire. Independent-t test and paired test were applied to evaluate the effectiveness of implementing the case-based concept map. Results: The mean score for knowledge the pathophysiology of the disease in the intervention group was significantly higher than the those in the control group (t =5.24, p = 0.000). However, there was no difference in the average scores of critical thinking between two groups discovered in the study (t =0.90, p = 0.37). Conclusions: Case-based concept map can be recommended as an innovative and effective learning method for teaching disease pathophysiology to nursing students. However, the case-based concept map in this study is still not consistent in improving students' critical thinking skills. 2024-01-01T00:00:00Z