Introduction: Ischemic stroke has become the leading cause of premature death in the last two decades. The biggest problem in preventing recurrence ischemic stroke is the compliance of the sufferers and the obedient behavior will arise only if they are consistent and have a strong intention. This study aims to determine the effect of behavioral counseling in increasing the intention to prevent recurrent ischemic stroke by using the theory of planned behavior model approach. Methods: Randomized Control Trial was conducted on 64 patients after an ischemic stroke that was managed by a public health center in East Java, Indonesia. Simple random sampling technique was used to take samples in this study. We provided behavioral counseling regarding the prevention of ischemic stroke recurrence to the treatment group using the Behavioral module which was compiled based on the guidelines from the Theory of Planned Behavior (TPB), while the intention variable was measured using the intention measurement instrument from the TPB Questionaries. The data obtained were then analyzed by using an independent t test. Results: The result revealed that there was a significant difference in the mean value of the intention variable between the control group and the treatment group after the TPB-based behavioral counseling intervention for 1 month (p=0.015). Discussion: The behavioral counseling of TPB-based can be implemented as an alternative way in increasing the sufferers’ intention to prevent recurrence ischemic stroke. Further research in a broader scope is needed to prove the effectiveness of behavioral counseling on the structural values of the Theory of Planned Behavior.
Background: Adherence behavior of tuberculosis patients become the most crucial factor in achieving success treatment, including adherence to compliance with medication, prevention of transmission, and nutritional compliance. Purpose: This study aims to determine the effect of behavioral counseling based on Theory of Planned Behavior (TPB) in improving adherence of TB patient. Methods: Quasy-experiment pre-post-test with control group were conducted on 108 patients with pulmonary tuberculosis at a Puskesmas located in Subang with simple random sampling technique. This study was conducted by behavioral counseling of TPB-Based in the treatment groups for 2 months. The statistical test used was the independent t test and chi-square. Results: There were significant differences (p<0,05) between treatment and control groups on attitude toward behavioral variables (ATB), subjective norm (SN), perceived behavior control (PBC), intention, medical adherence, prevention of transmission and nutritional compliance. Conclusion: There were significant differences (p<0,05) between treatment and control groups on attitude toward behavioral variables (ATB), subjective norm (SN), perceived behavior control (PBC), intention, medical adherence, prevention of transmission and nutritional compliance. Behavioral counseling of TPB-Based proven to have an effect in improving the ATB, SN, PBC, intention, medical adherence, prevention of transmission, and nutrition compliance of TB patients.
Background: Urinary tract infections may increase the prevalence of healthcare-associated infections, which reaches 40%. CAUTI can cause unnecessary postoperative morbidity, and increase the length of stay and mortality, which can lead to complications of urosepsis and even death. Many interventions of evidence-based nursing are practiced by nurses to prevent CAUTI. One of them is catheter care based on evidence-based nursing. Purpose: This study aimed to determine the effects of catheter care on the duration of catheter installment. Methods: This research described a quantitative study with a quasi-experimental approach with post-test only design with control group. The samples were 88 patients, consisting of 44 patients in the intervention group and 44 patients in the control group. Data were collected using observation sheets and analyzed using Fisher E and Mann Whitney tests. Results: The duration of catheter installment in the control group and the intervention group was 5-11 days and 4-8 days, respectively. Conclusion: Catheter of care could reduce the duration of catheter installment.
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