The Effectiveness of Digital-Based Psychotherapy in Overcoming Psychological Problems in College Students During the COVID-19 Pandemic: A Scoping Review

Purpose: This review aims to determine the effectiveness of the application of digital-based psychotherapy in overcoming the psychological problems of college students during the COVID-19 pandemic. Methods: Several databases consisting of EBSCO-Host CINAHL, PubMed, Scopus, Sage Journal, and Taylor and Francis were used in the search process and resulted in experimental studies focusing on the effectiveness of the application of digital-based psychotherapy during the COVID-19 pandemic timeline (2019-2022). Descriptive and exploratory analyses were performed based on the data set from the study. Results: A total of 12 articles were included in the review. The digital psychotherapy interventions found are diverse including websites, smartphone applications, and video conferencing with the types of therapies provided in the form of, Cognitive Therapy, Cognitive-Behavioral Therapy, Psychodynamic Therapy, and Mindfulness Therapy. Each intervention has a diverse duration and frequency adjusting to the type of therapy given. Digital psychotherapeutic interventions are effective in reducing mental health problems among college students during the COVID-19 pandemic. Conclusions: The use of digital psychotherapy can be used as a prevention and support service for students who experience psychological problems during the COVID-19 pandemic. The combination of the use of digital media with video conferencing can be considered to increase the effectiveness of this service. Nurses need to understand how the procedure for implementing digital-based psychotherapy is to improve the quality of mental care services as an effort to prevent and support students. More research is needed to find out the effectiveness of the use of digital psychotherapy services and how they impact the psychological well-being of students holistically.

Nursing Care on HIV/AIDS-Positive Men Who Have Sex with Men: A Qualitative Descriptive Study of Nurse's Perspective in Indonesia

HIV/AIDS-positive men who have had sex with men (MSM) account for roughly one-third of new infections in the region, with numerous nations facing a high and rising prevalence. They often face stigmatization and discrimination from society, including nurses. This study aims to explore nurses' perspectives on caring for HIV/AIDS-infected MSM. A descriptive qualitative design was utilized. Fifteen nurses who cared for HIV/AIDS-positive MSM in the two hospitals in Jakarta, Indonesia, were recruited with purposive sampling techniques. A semi-structured and in-depth interview was conducted. Data were analyzed using thematic analysis. We emerged three superordinate and nine subordinate themes: (1) negative nurse perceptions in the early phase of treatment, (2) nurse attitudes contrasting with negative perceptions, and (3) nurses with knowledge of HIV/AIDS. The negative perceptions appeared only at the beginning of the treatment phase, and thereafter, they were followed by a positive attitude. Nurses appeared to develop a better understanding after interacting with their patients and receiving training on HIV/AIDS. Therefore, intensive training is expected to not only increase their knowledge but to encourage a positive attitude.

Analysis of Convalescent Plasma Transfusion in Children Confirmed with COVID-19: A Systemic Review

AIM

: This study aims to analyze the effectiveness of convalescent plasma therapy in children who are confirmed positive for coronavirus disease-2019. This study focuses on the mechanism of treatment administration and the prognosis after convalescent plasma transfusion.

METHOD:

Article searches were conducted using a combination of keywords, namely, “COVID-19,” “convalescent plasma,” and “children” or “pediatric.” Databases used were from Pubmed, ScienceDirect, Wiley Online, Springerlink, and Ebsco and 501 articles were found. The articles submitted are articles with low bias, where the selection of reports follows the inclusion and exclusion criteria according to the Preferred Reporting Items for Systematic Review and Meta-Analysis protocol.

Results:

A total of 8 articles were selected. Convalescent plasma transfusion was given to 11 children whose condition worsened starting with signs of tachypnea and decreased saturation, then the children were admitted to intensive care. The dose of convalescent plasma is based on the child’s weight. All children had a good prognosis after the transfusion, and 7 children had recovered and were discharged from the hospital.

CONCLUSION:

Convalescent plasma transfusion in children who are confirmed positive for coronavirus disease-2019 effectively improves the clinical condition of children. However, it must be noted that the blood from the donor has gone through the correct protocol.

Exploration the Needs of Nursing Care of Drugs Addiction Service Institutions in Indonesia

BACKGROUND: To explores the nurses and health professionals' views about the need for nursing care for drug addiction clients. AIM  To explores the nurses and health professionals' views about the need of nursing care to care for drug addiction clients. METHODOLOGY: This study used qualitative research and the data collection used interviews. The study involved ten nurses and ten health profession recruited from the three government centres of addiction services in the capital city of Indonesia. The analysis of the data using thematic analysis.  RESULTS: There were four themes Gray Area between Nurses and Other Health Workers in handling clients, The Role of Drug Addiction Nurses, Challenges and Strategies in caring for addiction clients and hopes.  CONCLUSION: Nurses in carrying out their duties must be equipped with knowledge, attitudes and special skills. The presence of a psychiatric nurse in the setting of drug addiction services needs to be considered a step in resolving the dilemma of drug addiction nursing services in Indonesia. Exceptional guidance and training for nurses in drug addiction services must be provided to improve nurses' knowledge, skills, abilities, and behaviour in handling drugs addiction clients.

The Experience of Stigma in Nurses on the Early Spread of the COVID-19

BACKGROUND: Nurses are at the forefront of handling the coronavirus disease 2019 (COVID-19) and have a significant risk in handling the disease. The rapid transmission of the virus causes nurses to experience various mental health problems and stigma in performing their duties. AIM: This study explored mental health conditions and the stigma of nurses at the forefront of handling the COVID-19. METHODS: This research was a qualitative study with 17 nurses serving in hospitals and health centers in various provinces in Indonesia. The data analysis of this research employed a descriptive analysis technique. RESULTS: The data analysis revealed four themes: Nurses carrying out their duties as a professional call, psychological and physical responses as a reaction to work stress, stigma due to running a profession, and social support as a reinforcement for carrying out their duties. CONCLUSION: This study concludes that nurses require protection and guarantees for the work risk and the stigma consequences from the community.

The Effects of Cognitive Behavior Therapy and Social Skill Training among Schizophrenia with Risk of Violent Behavior

BACKGROUND: Schizophrenia is a condition in which people suffer from impaired ability to think, perceive, and show emotional responses and interact socially. Patients with schizophrenia can experience the risk of violent behavior (RVB). Psychotherapy is needed to deal with the problem. AIM: This study aimed to investigate the effects of cognitive behavior therapy (CBT) and social skill training (SST) on signs and symptoms of risks of violent behavior (RVB). METHODOLOGY: This study employed a quasi-experimental without a control group. The research samples used purposive sampling were 30 patients with symptoms of risks of violent behavior. Meanwhile, the measurement used the sign and symptom questioners of risks of violent behavior (Z = 0.791). RESULT: This study revealed that signs and symptoms decreased significantly (p < 0.05) from 10.45 to 5.41 after the respondents had obtained the CBT. Moreover, after the respondents had received CBT and SST, the sign and symptoms decreased significantly (p < 0.05) from 5.41 to 0.52. CONCLUSION: This study recommends that the combination of CBT and SST be administered to patients with schizophrenia with risks of violent behavior.

Knowledge about Care of Pregnant Mothers during the Covid-19 Pandemic

BACKGROUND: China reported a case of pneumonia known as severe acute respiratory syndrome coronavirus to the World Health Organization of unknown cause in Wuhan City. Regulation Number 6 of 2018 concerning Health Quarantine regulates the basic provisions of the PSBB. Health services at the primary care are very limited, one of which is the care of pregnant women which is an activity that monitors and supports the health of normal pregnant women and detects normal pregnancies. AIM: The purpose of this study was to describe the knowledge of pregnant women about the care of pregnant women during the COVID-19 pandemic at the Jayengan primary health care. METHODS: This study uses a crosssectional design, the sample selection using purposive sampling with a sample of 40 respondents. Data collection was carried out using questionnaires made by researchers and filled out by respondents. Then, the data that have been collected is processed using software. RESULTS: The results showed that the value of the sub-variable understanding of pregnant women with an average value of 100, the sub-variable time of visit to pregnant women had an average value of 72.5, the sub-variable of breast care for pregnant women had an average value of 79.16, sub-variable nutrition variables in pregnant women have an average of 75.63, the tetanus toxoid immunization sub-variable for pregnant women got an average value of 76.66, the pregnancy check-up sub-variable got an average value of 97.5, and the care of pregnant women who were confirmed to have COVID-19 got an average score of 55.93. CONCLUSION: The conclusion shows that the average knowledge level of respondents is sufficient.