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All Journal Bhakti Sabha Nusantara Holistic Nursing PLUS
Puji Setya Rini
Lincoln University College
Health Professions Nursing Public Health Social Sciences Other

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The Effectiveness of Autogenic Training on Stress, Anxiety, and Quality of Life Among Elderly : A Systematic Review Puji Setya Rini
Holistic Nursing Plus Vol. 4 No. 1 (2026): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v4i1.452

Abstract

Introduction: Older adults are vulnerable to increased stress and anxiety due to physiological, psychosocial, and spiritual changes experienced with aging. These conditions negatively impact the quality of life (QoL). Autogenic Training (AT), a self-suggestion-based relaxation technique, is known to activate the body's relaxation response and reduce psychological tension. However, the effectiveness of AT on stress, anxiety, and quality of life in the elderly still requires comprehensive scientific evidence to be established. Methods: This study used a systematic review design based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Articles were searched for in the PubMed, ScienceDirect, and Google Scholar databases using the keywords: “Autogenic Training,” “Stress,” “Anxiety,” “Quality of Life,” and “Elderly.” Of the 287 articles identified, 48 were reviewed in full text, 12 met the methodological criteria, and 5 were not RCTs, were not experimental studies, and were not studies literature. Seven open-access articles (2020–2025) were included in the final analysis. Results: Seven studies showed consistent results that Autogenic Training is effective in reducing stress and anxiety and improving the quality of life of the elderly. Conclusion: Autogenic Training has been proven effective in reducing stress and anxiety and improving the quality of life of the elderly through physiological relaxation and psychological regulation mechanisms. This intervention is recommended as a non-pharmacological complementary therapy in gerontological nursing practice and forpromoting mental health in older adults.
Implementation Of A Simplified Comprehensive Geriatric Assessment And Emergency Warning-Sign Education For Older Adults In An Internal Medicine Outpatient Clinic Puji Setya Rini
Bhakti Sabha Nusantara Vol. 5 No. 2 (2026): Bhakti Sabha Nusantara
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/bsn.v5i2.539

Abstract

Introduction: Older adults are vulnerable to acute health deterioration due to multimorbidity, functional decline, cognitive impairment, nutritional problems, and fall risk. Comprehensive Geriatric Assessment (CGA) provides a multidimensional approach to identifying geriatric problems and supporting appropriate interventions. This community service program aimed to implement simplified CGA and improve older adults’ knowledge of emergency warning signs. Methods: The program involved 30 older adults attending the Internal Medicine Outpatient Clinic of Muhammadiyah Hospital Palembang. Participants underwent simplified CGA covering medical, functional, cognitive and mental, fall-risk, nutritional, and social domains. Education on early recognition and initial management of emergency conditions was subsequently provided. Knowledge was assessed using pretest and posttest questionnaires. Data were analyzed descriptively and using the Wilcoxon Signed Rank Test. Results: Participants had a mean age of 68.77 ± 5.59 years, with equal proportions of males and females. The mean total CGA score was 12.20 ± 6.36. The highest mean scores were observed in the medical (3.67 ± 1.32), functional (3.03 ± 2.08), and fall-risk (1.93 ± 1.34) domains. The median knowledge score increased from 8.00 at pretest to 13.00 at posttest. All participants demonstrated increased scores, with a statistically significant difference between pretest and posttest results (Z = 4.835; p < 0.001). Discussion: Simplified CGA identified multidimensional geriatric problems, while targeted education was followed by improved knowledge of emergency warning signs. Conclusion: Integrating simplified CGA with emergency education is a practical approach to identifying geriatric problems and improving older adults’ immediate knowledge of emergency conditions.
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