IJNP (Indonesian Journal of Nursing Practices)

The Influence of Self-Efficacy-Based Family Psychoeducation on Family Caregiving Skills for Patients with Paranoid Schizophrenia

Yessy Endyka — 2025-06-14

Background: Schizophrenia is one of the leading causes of disability worldwide. Among various types of schizophrenia, Paranoid schizophrenia is the most common type, which occurs about 40.8%. This type of prognosis has a better response to treatment, and many patients are still in stable conditions. Patients with paranoid schizophrenia need long-term care and supervision from their significant others, especially family members. In this situation, the role and support of the family becomes important; one of the nonpharmacological management for paranoid schizophrenia involving the family is family psychoeducation. In this research, psychoeducation was corrected and enhanced by presenting self-efficacy as part of family psychoeducation.

Objective: Self-efficacy-based family psychoeducation aims to provide a better understanding of changes in a person’s behavior on long-term treatment of mental illness.

Methods: This study used quantitative and pre-experimental designs with one group pretest and posttest. This study was conducted in the working area of Jenangan Public Health Center. The research period started in October and continued until November 2023. The authors used a purposive sampling technique. Respondents in this study were family members of paranoid schizophrenia patients who were also their caregivers. This family psychoeducation used a guideline module to guide the therapist on how to perform self-efficacy-based family psychoeducation to respondents. The family caregiving skills for patients with paranoid schizophrenia were assessed using five family health tasks questionnaires and statistically tested with the Wilcoxon test. The total number of respondents in this study was 48 respondents.

Results: The results of the statistical analysis showed that the P value was 0.000. This indicated a statistically significant difference, meaning that overall, the Family Psychoeducation intervention based on Self-Efficacy had a positive impact on the family's ability to care for individuals with paranoid schizophrenia.

Conclusion: It can be concluded that self-efficacy-based psychoeducation influences caregiving skills for paranoid schizophrenia. This therapy is highly recommended for patients with mental health conditions. This therapy can be applied in hospital settings and in community family nursing. These findings highlight the importance of incorporating family psychoeducation as a part of the comprehensive treatment plan for patients with schizophrenia.

Palliative Care Needs in Stroke Patients According to Family Perspectives in Yogyakarta: A Phenomenological Study

Raditya Bagus Septian — 2025-06-14

Background: Stroke patients have complex problems that require palliative care to optimize the patient's quality of life. Identifying palliative care needs is the first step in providing palliative care.

Objective: This study aimed to explore the palliative care needs of stroke patients according to family perspectives in Yogyakarta.

Methods: This is a phenomenological approach involving 10 family members providing care for patients with stroke. Participants were obtained through a purposive sampling technique with data from the homecare of Dr. Sardjito Hospital, Yogyakarta. Semi-structured interviews and observations were conducted with each participant until data saturation. Verbatim transcripts of the interviews were analyzed using the Colaizzi method. The reporting of this study was based on the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

Results: Seven themes emerged from the analysis: physical needs, psychological needs, social needs, cognitive needs to cope with dementia, spiritual needs, end-of-life care needs, and homecare service needs for stroke patients.

Conclusion: This finding suggests that health workers should provide comprehensive palliative care by paying attention to the primary needs of stroke patients.

A Descriptive Qualitative Study of Nurses’ Experience in Providing Anxiety First Aid to Patients with Cancer

Febriana Sartika Sari — 2025-06-14

Background: Anxiety is a crucial issue in patients with cancer. Excessive and undetectable anxiety in cancer patients will contribute to the worsening of cancer patients' conditions. Therefore, nurses play a crucial role in providing anxiety first aid for cancer patients.

Objective: The purpose of the study is to explore nurses’ experience in delivering anxiety first aid to patients with cancer.

Method: This study utilized a descriptive qualitative design and reported following COREQ. The study was conducted in a public hospital in Surakarta, Indonesia. It included sixteen oncology nurses selected using a purposive sampling technique. Five head nurses participated in the focus group discussion, while the other eleven primary nurses conducted in-depth interviews. The focus group discussion lasted approximately 90 minutes, while each nurse's in-depth interview lasted approximately 60 minutes. The data analysis used the Colaizzi method.

Results: The study indicated five themes, including 1) factors that cause anxiety, 2) psychosocial interventions for anxiety first aid, 3) peer support, 4) healthcare constraints, and 5) expectations for improving healthcare quality.

Conclusion: The study highlighted factors that cause anxiety, psychosocial interventions for anxiety, first aid, peer support, treatment constraints, and expectations for improvement of health care services. To improve healthcare services for patients with cancer, it is important to establish a digital-based mental health support system, such as a friendly digital platform that serves as an instrument for healthcare providers to conduct timely and precise screenings and manage anxiety, thereby alleviating the burden of nurses' already considerable workloads.