http://localhost:8080/xmlui/handle/123456789/11596 2026-04-18T16:46:44Z http://localhost:8080/xmlui/handle/123456789/11614 Title: GRATITUDE THERAPY IN CHRONIC LOW SELF-ESTEEM IN SCHIZOPHRENIA PATIENTS: CASE STUDY Authors: Aflahatinufus, Azka; Oktavia Hidayati, Nur; Hendrawati, Hendrawati Abstract: Schizophrenia can cause negative symptoms such as delusions, hallucinations, disorganized speech or behavior, and impaired cognitive abilities. So that many people with schizophrenia get stigma from their families and society. This makes people with schizophrenia experience chronic low self-esteem, that is, they feel they are worthless and do not have any talents or abilities. One of the non-pharmacological therapies to reduce chronic low self-esteem is gratitude therapy. The purpose of writing this case study is to illustrate the giving of gratitude therapy to chronic low self-esteem in schizophrenic patients. This research uses a sample of patients who are being treated at a mental rehabilitation house. The patient in this case study was diagnosed with paranoid schizophrenia and experienced chronic low self-esteem, characterized by patients who are difficult to communicate with and say they are worthless. This study used a case study descriptive method in patients with schizophrenia with chronic low self-esteem. After being given the gratitude therapy intervention for 5 days and interspersed with several interventions, namely yoga and butterfly hugs, the patient seemed to be more cheerful and active. This is evidenced by the patient looking willing and inviting other people to communicate, and starting to be confident to appear in front of others. Gratitude therapy can reduce chronic low self-esteem in schizophrenic patients. Therefore, giving gratitude therapy interventions is recommended for health workers, especially the psychiatric nursing team as a non-pharmacological intervention in reducing chronic low selfesteem in schizophrenic patients. Suggestions for further research, so that you can apply gratitude therapy interventions with more samples and carry out follow-ups in sufficient time. So it is hoped that in the future more and more nurses will use gratitude therapy interventions as evidence-based practice to overcome chronic low self-esteem in patients with mental health problems. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11612 Title: POTENTIAL OF MONOCLONAL ANTIBODY (mAb) AS ALTERNATIVE TREATMENT OF ALZHEIMER: A SYTEMATIC SCOPING REVIEW Authors: Aghnia Armansyah, Nuraulia; Melati Putri, Azalia; Nurul Azizah, Wafiq; Maryati, Ida Abstract: Alzheimer's disease (AD) is a global problem that is expected to increase along with the increasing rate of population aging. Monoclonal antibodies (mAb) are considered capable of overcoming the accumulation of amyloid-β plaques; pathological signs of AD. This study aims to explore the potential of mAbs as alternative pharmacological therapies for the elderly with AD. This study uses a scoping review design based on the PAGER framework. The results of the study were identified based on the PRISMA-ScR protocol and criticized using the JBI Critical Appraisal Checklist. Article searches were conducted through 3 databases including EBSCO-Host Academic Science Complete, PubMed, and ScienceDirect, and 3 online resources including Sage Journals, Taylor Francis, and Google Scholar. Inclusion criteria were full English text, primary research articles, and published between 2018-2022. A total of 8 articles were included in the review. Most of the evidence shows 6 mAbs have potential to reduce amyloid-β accumulation in AD patients. Alternative therapy with monoclonal antibodies has side effects that represent a major problem in the high incidence of vasogenic cerebral edema and micro cerebral hemorrhage or Amyloid Related Imaging Abnormalities (ARIA). Plasma tau has the potential to strengthen the clinical diagnosis of AD. The use of mAbs as AD immunotherapy can reduce amyloid-β with side effects that are monitored continuously. Differences in mAb examination results can be influenced by less accurate clinical diagnostic accuracy 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11610 Title: THE EFFECT OF ERGONOMIC EXERCISE ON REDUCING BLOOD PRESSURE IN HYPERTENSIVE ELDERLY AT CIPARAY PANTI SOSIAL TRESNA WERDHA CIPARAY Authors: Irawan, Erna; Maidartati, Maidartati Abstract: Hypertension is a condition when blood pressure is at 140/90 mmHg or more. Every year people with hypertension continue increased, it is estimated that in 2025 as many as 1.5 billion people suffer from hypertension... One way to reduce blood pressure is to do ergonomic exercises. The purpose of this study is to find out ergonomic exercises for decreasing blood pressure on elderly hypertension at Ciparay Elderly Social Rehabilitation Institution. This research used quasi Experiment design by designing a pre and post test group. The population of this study was hypertensive elderly totaling 70 people, The sampling technique uses non probability sampling with the technique purposive sampling, its about 23 respondent. Data collection using questionnaires, observation sheets, and digital sphygmomanometer. The number of respondents was 23 respondents, ergonomic exercises done 3 times repeatedly - according to 3 weeks. Pressure measurement blood is done before gymnastics (pre test) and after 30 minutes after gymnastics (post test). Statistical test results show the average systole pressure before gymnastics is equaldari to160.15 mmHg to and the remaining gymnastics 140.05 mmHg, a decrease of 20.1 mmHg. Diastolic pressure before gymnastics isfrom 96.28 mmHg and as is gymnastics to 86.11 mmHg, a decrease of 10.17 mmHg. Data analysis using Paired Sample T-Test related to ergonomic exercises for impairment blood pressure in hypertensive elderly with systole pressure p value = 0,000 and diastolic pressure p = 0,000.The conclusion Can be accessed the effect of ergonomic exercises on reducing blood pressure in elderly hypertension. The results of ergonomic exercise intervention can be used as a therapy in pressure reduction blood and it is expected that the elderly are routinely approved for ergonomic exercises. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11609 Title: THE RELATIONSHIP BETWEEN SELF-EFFICACY AND FAMILY SUPPORT WITH HYPERTENSION TREATMENT ADHERENCE OF ELDERLY Authors: Ruswadi, Indra; Asyari, Hasyim; Marsono, Marsono; Akhmadi, Akhmadi; Purwanta, Purwanta Abstract: Hypertension is a degenerative disease that increasing in its prevalence. Hypertension requires a long enough time to its treatment, even if there are no symptoms the patients should continue taking medication. So, patients need to obey to take medication. Adherence to taking medication correlated with self-efficacy and family support. This research aims to determine the relationship between self-efficacy and family support in hypertension treatment adherence of the elderly at Widasari Health Center, Indramayu Regency. The research design is a cross-sectional study. The sample of this research was 78 elderly. The data analysis used univariate to explain independent variables such as self-efficacy and family support, the dependent variable is hypertension treatment adherence, while the bivariate was used to determine the relationship between independent variables and the dependent variable. Dependent variable using the chi-square statistical test. The result of this research showed that 61.5% of the elderly had high self-efficacy criteria, 71.8% of the elderly received their family support, and 60.3% of the elderly obey to hypertension treatment adherence. The chi-square statistical test showed that there was a relationship between self-efficacy and family support with hypertension treatment adherence and also there is a relationship between self-efficacy and the level of adherence to taking medication in people with hypertension. It is recommended to increase the elderly self-efficacy by being able to communicate with fellow elderly who are undergoing hypertension treatment and now have reduced symptoms due to treatment adherence. Nurses should be able to provide health promotion about the importance of self-efficacy and family support in increasing compliance for the elderly undergoing hypertension treatment. 2023-01-01T00:00:00Z