[Applying the community mental health nursing model among people with schizophrenia]. / Aplicación del modelo comunitario de enfermería de salud mental entre las personas con esquizofrenia.

OBJECTIVE: This study aimed to evaluate the application of community mental health nursing (CMHN) model using an intervention of nursing standard care and cognitive behavioral therapy on life skills and work productivity for the adult population with schizophrenia. METHOD: This study was an experimental study with an equivalent control group using randomly allocated 193 participants to either the intervention or control group at community health center in Cipayung, Jakarta. The intervention comprised in a 4-month cognitive behavioral therapy that was implemented by 33 community psychiatric nurse staff to improve the life skills and work productivity of people with schizophrenia. The instruments used to evaluate the intervention were the Indonesian version of the life skill profile (LSP) questionnaire and the work productivity and activity impairment scale (WPAI). The data analysis used a paired t-test. RESULTS: The findings show that there was a significant difference in scores on the LSP before and after the implementation in the intervention group (19.94 ± 1.27 and 38.83 ± 9.32) with p < .001 and the control group (26.93 ± 12.50 and 30.89 ± 12.41) with p = .002. The findings also show that there was a significant difference of WPAI before and after the implementation for the intervention group (2.21 ± 1.12 and 3.82 ± 1.28) with p < .05 compared with the control group (1.91 ± 1.42 and 2.19 ± 1.58) with p = .188. CONCLUSIONS: CMHN models using basic community mental health nursing interventions can be used to improve life skills and work productivity of people with schizophrenia so this could be a skill to strengthen the ability to live in the community in this type of patients.

Aplicación del modelo comunitario de enfermería de salud mental entre las personas con esquizofrenia / Applying the community mental health nursing model among people with schizophrenia

Objetivo: El presente estudio tuvo como objetivo evaluar la aplicación del modelo comunitario de enfermería de salud mental (CMHN) utilizando una intervención de atención estándar de enfermería y terapia cognitiva conductual en habilidades para la vida y productividad laboral para la población adulta con esquizofrenia.Método: Estudio experimental con un grupo de control equivalente que utilizó 193 participantes asignados al azar al grupo de intervención o control en el centro de salud comunitario en Cipayung, Yakarta. La intervención consistía en una terapia cognitiva conductual de cuatro meses que fue implementada por 33 enfermeros psiquiátricos comunitarios para mejorar las habilidades para la vida y la productividad laboral de las personas con esquizofrenia. Los instrumentos utilizados para evaluar la intervención fueron la versión indonesia del cuestionario de perfil de habilidades para la vida (LSP) y la escala de productividad laboral y deterioro de la actividad (WPAI). El análisis de datos utilizó una prueba t pareada.Resultados: Los resultados muestran que hubo una diferencia significativa en las puntuaciones en el LSP antes y después de la implementación en el grupo de intervención (19,94 ± 1,27 y 38,83 ± 9,32) con p < 0,001 en comparación con el grupo control (26,93 ± 12,50 y 30,8 ± 12,41) con p = 0,002. Los resultados también muestran que hubo una diferencia significativa de WPAI antes y después de la implementación para el grupo de intervención (2,21 ± 1,12 y 3,82 ± 1,28) con p < 0,05 y en el grupo control (1,91 ± 1,42 y 2,19 ± 1,58) con p = 0,188.Conclusiones: Los modelos CMHN que utilizan intervenciones básicas de enfermería en salud mental comunitaria pueden utilizarse para mejorar las habilidades para la vida y la productividad laboral de las personas con esquizofrenia en Indonesia. La mejora de las habilidades para la vida y la productividad laboral podría fortalecer la capacidad de vivir en la comunidad en este tipo de pacientes.

Objective: This study aimed to evaluate the application of community mental health nursing (CMHN) model using an intervention of nursing standard care and cognitive behavioral therapy on life skills and work productivity for the adult population with schizophrenia.Method: This study was an experimental study with an equivalent control group using randomly allocated 193 participants to either the intervention or control group at community health center in Cipayung, Jakarta. The intervention comprised in a 4-month cognitive behavioral therapy that was implemented by 33 community psychiatric nurse staff to improve the life skills and work productivity of people with schizophrenia. The instruments used to evaluate the intervention were the Indonesian version of the life skill profile (LSP) questionnaire and the work productivity and activity impairment scale (WPAI). The data analysis used a paired t-test.Results: The findings show that there was a significant difference in scores on the LSP before and after the implementation in the intervention group (19.94 ± 1.27 and 38.83 ± 9.32) with p < .001 and the control group (26.93 ± 12.50 and 30.89 ± 12.41) with p = .002. The findings also show that there was a significant difference of WPAI before and after the implementation for the intervention group (2.21 ± 1.12 and 3.82 ± 1.28) with p < .05 compared with the control group (1.91 ± 1.42 and 2.19 ± 1.58) with p = .188.Conclusions: CMHN models using basic community mental health nursing interventions can be used to improve life skills and work productivity of people with schizophrenia so this could be a skill to strengthen the ability to live in the community in this type of patients.

Applying the community mental health nursing model among people with schizophrenia.

OBJECTIVE: This study aimed to evaluate the application of community mental health nursing (CMHN) model using an intervention of nursing standard care and cognitive behavioral therapy on life skills and work productivity for the adult population with schizophrenia. METHOD: This study was an experimental study with an equivalent control group using randomly allocated 193 participants to either the intervention or control group at community health center in Cipayung, Jakarta. The intervention comprised in a 4-month cognitive behavioral therapy that was implemented by 33 community psychiatric nurse staff to improve the life skills and work productivity of people with schizophrenia. The instruments used to evaluate the intervention were the Indonesian version of the life skill profile (LSP) questionnaire and the work productivity and activity impairment scale (WPAI). The data analysis used a paired t-test. RESULTS: The findings show that there was a significant difference in scores on the LSP before and after the implementation in the intervention group (19.94±1.27 and 38.83±9.32) with p<.001 and the control group (26.93±12.50 and 30.89±12.41) with p=.002. The findings also show that there was a significant difference of WPAI before and after the implementation for the intervention group (2.21±1.12 and 3.82±1.28) with p<.05 compared with the control group (1.91±1.42 and 2.19±1.58) with p=.188. CONCLUSIONS: CMHN models using basic community mental health nursing interventions can be used to improve life skills and work productivity of people with schizophrenia so this could be a skill to strengthen the ability to live in the community in this type of patients.

Parental presence in the implementation of atraumatic care during children's hospitalization.

Hospitalization requires children to adapt to various difficult conditions, such as treatments, health personnel, and separation from their families, especially their parents. Separation from parents often causes significant emotional changes in children like anxiety, which could trigger the trauma of hospitalization in both the short and long terms. The study used a qualitative research method with a descriptive phenomenology study approach. It was conducted in the Child Care Room with 11 participants. Data analysis was performed using Creswell thematic analysis. The study produced three themes: i) nurses support the presence of parents during children's hospitalization; ii) parental presence is the main source of coping for children during hospitalization; iii) Parents have a role in fulfilling the children's psychological needs during hospitalization.

Posttraumatic growth in adolescent survivors of earthquake, tsunami, and liquefaction in Palu Indonesia: a phenomenological study.

Exploration of posttraumatic growth (PTG) experiences in adolescent survivors of earthquakes, tsunamis, or liquefaction are needed by nurses to maximize the potential for recovery and growth of adolescents from trauma after natural disasters. The study used a qualitative method with a descriptive phenomenology approach. Data were collected through in-depth interviews with 16 adolescent survivors and were analyzed using the Colaizzi method. The results of this study have two main themes: trauma becoming the basis for realizing the meaning of life and escaping from disaster as a second chance to live better. PTG is a positive change that needs to be pursued. Escaping from disaster and realizing the meaning of life are the key points to get success in pursuing PTG to live a better life. In addition, support from mental health nurses through cognitive therapy (CT) and acceptance commitment therapy (ACT) are needed to increase the PTG.

La experiencia familiar en el cuidado de clientes con riesgo suicida en Indonesia / Family's experience in caring for clients with suicidal risk in Indonesia

El suicidio es una de las emergencias psiquiátricas que requieren atención integral porque los individuos corren el riesgo de ponerse en peligro a sí mismos, a los demás y al entorno. El suicidio en Indonesia está aumentando. Las familias tienen un papel importante en el cuidado de los clientes y la prevención del suicidio, pero las cargas familiares no se han estudiado profundamente. El objetivo del estudio fue obtener una visión general de la experiencia familiar en el cuidado de clientes con riesgo de suicidio. El diseño de la investigación fue cualitativo con un enfoque de fenomenología descriptiva que involucró a seis participantes. Los datos fueron recolectados por entrevista en profundidad y analizados utilizando el método Colaizzi. Los resultados del estudio encontraron cinco temas; los intentos de suicidio son una carga compleja para las familias, los cambios de comportamiento como un signo de suicidio, la preocupación como una forma de apoyo familiar y comunitario, las percepciones familiares sobre las causas y consecuencias del intento de suicidio y las estrategias de supervivencia de las familias superando el impacto del intento de suicidio. Los resultados del estudio recomiendan que la familia como unidad social de prevención del suicidio sea más sensible a los cambios en el comportamiento de clientes y enfermeras, ya que los consejeros pueden proporcionar intervenciones para mejorar el estado de salud mental de los clientes y las familias, como la educación sanitaria. terapia de psicoterapia familiar, manejo del estrés y grupo de autoayuda. La conclusión que puede extraerse de los cinco temas anteriores es que la carga de la familia que brinda cuidados al cliente con el riesgo de suicidio es mayor cuando la familia no puede reconocer los signos de suicidio del cliente, por lo que es necesario un sistema de apoyo. y afrontamiento constructivo

Suicide is one of the psychiatric emergencies that require comprehensive care because individuals are at risk of endangering themselves, others and the surrounding. Suicide in Indonesia is increasing. Families have a major role in caring for clients and preventing suicide but family burdens have not been studied profoundly. The aim of the study was to get an overview of family experience of caring for clients with suicide risk. The research design was qualitative with descriptive phenomenology approach involving six participants. Data was collected by in depth interview and analyzed using Colaizzi method. The results of the study found five themes; suicide attempts is a complex burden for families, behavioral changes as a suicide sign, concern as a form of family and community support, family perceptions about the causes and consequences of attempted suicide and coping strategies of families overcoming the impact of attempted suicide. The results of the study recommend that the family as the front social unit of suicide prevention can be more sensitive to changes in the behavior of clients and nurses as counselors can provide interventions to improve the mental health status of clients and families such as health education, family psycoeducation therapy, stress management and self help group. The conclusion that can be drawn from the five themes above is the burden of the family who provide caring for the client with the risk of suicide is heavier when the family is unable to recognize the client's suicide signs so there is a need for a support system and constructive coping