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Background: Social media has many positive and negative influences on individuals, especially for adolescents related to HIV. However, little is known about how social media impacts HIV-related outcomes among adolescents in boarding schools. Objective: This study aims to investigate the social media use, knowledge, attitudes, and sexual behavior at risk of HIV transmission and their relationship with the demographic characteristics of adolescent students at boarding schools. Methods: This study was school-based and used a cross-sectional design. The questionnaires were used to assess social network site usage, knowledge, attitudes, and risky behavior. Cluster random sampling involved students (n = 214) from three boarding schools in Cirebon City, West Java, Indonesia, in 2022. Chi-square tests and Cramer’s V were used to explore correlations between social and demographic factors. Results: A considerable number of adolescent students exhibited high social media addiction (58.4%), with the majority possessing limited knowledge of HIV transmission (54.7%). Additionally, nearly half displayed a negative attitude towards preventing HIV transmission (47.2%), while only a small fraction engaged in risky behavior (2.8%). Bivariate analysis revealed that social media use was moderately associated with the type of social media application (φc = 0.246, p

Background: Coronary Heart Disease (CHD) has a high recurrence in Indonesia. This condition may occur as a result of the failure of compliance with post-acute management following a heart attack by CHD patients. One of the causes is the lack of effective health education. Objective: The aim of this study was to identify the feasibility of the workbook in improving patients’ self-efficacy (SE) and quality of life (QoL). Methods: This research used a quasi-experimental with pretest-posttest control design. A pretest was done to the patients who were treated in the cardiac intensive unit, and a posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospitals in West Java, Indonesia. A purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The intervention group was given a health education using a workbook, and the control group was given a direct health education. Self-efficacy was measured using a questionnaire developed by the authors, with high validity and reliability. A SF-12 instrument was used for measuring the quality of life. Data were analyzed using a descriptive quantitative analysis such as mean, Mann Whitney test, and Independent t-test. To estimate the effects of the intervention to QoL and SE, Kruskal Wallis test and One-way ANOVA were used. Results: The results showed that there was an increase in SE and QoL in both groups, either in the posttest 1 or posttest 2. The comparison of QoL in the pretest, posttest I and II obtained p=.452, .741, and .826, while SE between and within groups obtained p = .732, .220, and .009, respectively. Conclusions: Health education using the workbook was significantly more effective to increase SE than QoL of the CHD patients.

Background: A surgical procedure using general anaesthesia in laparotomy surgery results in reduced bowel sound. A large number of patients who experience a delay in returning bowel sound after laparotomy surgery become the reason to give proper intervention in order to increase bowel sound return time. One of the non-pharmacological interventions that can be used is chewing gum. Objective: The purpose of this study is to identify the difference of bowel sound return time between groups of intervention and control after being given chewing gum intervention among post-laparotomy surgery patients. Methods: This quasi-experimental study used post-test only control group design. Thirty respondents were selected by purposive sampling technique. Data were collected through observation by calculating the bowel sound return time among post laparotomy surgery patients in the intervention group (n=15) and control group (n=15), and were analyzed using the Mann Whitney test. The intervention group was asked to chew the gum once for 30 minutes, and bowel sound was measured every 30 minutes for 120 minutes. Results: The results showed that bowel sound return time in the intervention group was 90 minutes and the control group was 150 minutes, and p-value was 0.005. Conclusion: There was a difference in the return time of bowel sound between the intervention and control groups. Therefore, the intervention of chewing gum could become one of the non- pharmacological interventions that can be considered in increasing the bowel sound return time among post-laparotomy surgery patients.

Background: Stroke patient has a risk of experiencing pressure injury, which could affect patient’s life and quality of life; therefore, optimum pressure ulcer prevention should be done. Patients experiencing pressure ulcer should be given appropriate care, to prevent infection and worse conditions. Objective: To identify the prevalence, prevention and treatment of pressure injury of stroke patients in the neurological ward. Methods: This research was a quantitative descriptive research using Landelijke Prevalentiemeting Zorgroblemen instrument. The samples were collected using consecutive sampling method with inclusion criteria of stroke patients experiencing paraplegia, which obtained 30 respondents. Data were presented in frequency distribution format. Results: The result showed that the prevalence of pressure injury was 3.3% of degree III and brought from home. Based on risk assessment, 43.3% of patients had a very high risk of getting pressure injury, and 56.7% had changed position, 100% had received nutritional support but 80% of patients had not received health education and 83.3% did not get a pillow on their heels, and 100% did not get pressure injury mattress, massage, moisturizing cream and oil. Treatment of pressure injury was using 0.9% NaCl liquid with hydrocolloid dressing. Conclusion: It can be concluded that there are still some patients experiencing pressure injury and in terms of items of pressure injury prevention, which often done is malnutrition prevention, the least are the changes of position in using pillows, and in health education. The one that have never been done are the use of oil, moisturizing cream, massage and pressure air mattress. The injury treatment provided to the patient has been adequate. The suggestion that can be given is the preparation of standard operating procedure, leaflets and the provision of pressure air mattress.

Background: Patients with coronary heart disease (CHD) should have good self-management capabilities. This is determined by the effective of health education which is based on the assessment of patients’ learning needs and consideration of health personel. On the other hand the study of perceptions of CHD patients’ learning needs in Indonesia is little known. Objective: This study aimed to identify the CHD patients’ learning needs. Methods: This study was a descriptive quantitative with cross-sectional approach. Population was CHD patients in one of the referral hospital in West Java Indonesia. Samples were recruited using consecutive sampling technique for a 2-month period (n=106). Data were collected using TR-CPLNI instrument and analyzed using descriptive quantitative and kruskall wallis test. Results: The order of learning needs based on the highest to the lowest mean was anatomy and physiology of heart (4.42); medication information (4.33); cardiopulmonary information (4.32); life style (4.28); dietary information (4.19); symptom management (4.08); psychology (4.07); and physical activity (3.64). The significant differences (p

Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD in Indonesia was still unknown. Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients. Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variabels were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and Spirituality Index of Well-Being scale. Data were taken on 100 respondents within 3 months in outpatient cardiac unit with the consecutive sampling technique and analyzed by spearman correlation test. Results: The results showed mean of the anxiety; depression; and spiritual well-being respectively were 47.66; 43; and 60. Based on spearman test, spiritual wellbeing correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571). Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with a negative correlation direction. The higher the spiritual well-being will be the lower the level of anxiety and depression. Thus nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.