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HUBUNGAN PENYAKIT PENYERTA DENGAN DEPRESI PADA LANSIA DIABETES MELLITUS Firdaus, Ridho Akbar; Gemini, Savitri; Mufidah, Laeli
Ensiklopedia of Journal Vol 8, No 2 (2026): Vol. 8 No. 2 Edisi 3 Januari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i2.3724

Abstract

This study examines the relationship between comorbidities and depression in elderly patients with diabetes mellitus at Puskesmas Sei Langkai, Batam. The background highlights high cases of elderly diabetes mellitus (3,064 cases/4.93%) and elderly depression (52 cases/0.02%) in 2023, where comorbidities can increase depression risk, impacting physical, psychological, and social aspects. Method:A quantitative study with cross-sectional design involving 54 elderly samples selected through purposive sampling. Data were collected using questionnaires and analyzed with the Kruskal-Wallis test. The majority of respondents (79.6%) had comorbidities, with hypertension being the highest (77.8%). About 63% suffered from diabetes mellitus for >2 years. Statistical tests showed a significant relationship between comorbidities and depression (p=0.049<0.05). Comorbidities increase the health burden on elderly diabetes mellitus patients and correlate with depression occurrence. These findings emphasize the importance of comprehensive health monitoring in the elderly, particularly detection and management of comorbidities to prevent or reduce depression risk. This information is useful for elderly patients and their families in holistic healthcare efforts.Keywords: Comorbidities, Depression, Diabetes Mellitus
PENERAPAN OTAGO EXERCISE DALAM MENGURANGI INSTABILITY DENGAN STROKE DI PANTI WERDHA TRUE LOVE Pasaribu, flin Elianora Betaria; Gemini, Savitri
Ensiklopedia of Journal Vol 8, No 2 (2026): Vol. 8 No. 2 Edisi 3 Januari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i2.3743

Abstract

Abstract: Elderly individuals with non-hemorrhagic stroke face high risks of balance disturbances and falls due to motor and cognitive decline. The Otago Exercise Program, a structured regimen to strengthen lower limb muscles and improve balance, has proven effective in reducing fall risk among older adults. This study aims to implement the program to reduce instability, an elderly patient with non-hemorrhagic stroke at the True Love Nursing Home. Using a case study approach within the nursing care process framework, physical examination and revealed weakness and stiffness in the left extremities, with muscle strength scores of 3/3/4/4. The intervention emphasized mobility improvement through six days of Otago Exercise. Interventions followed the plan with goals, contributing to gerontological nursing knowledge. Keywords: Elderly; Non-Hemorrhagic; Otago Exercise.
ASUHAN KEPERAWATAN DENGAN PENERAPAN TEKNIK AKUPRESUR/P6 DALAM MENGATASI NAUSEA PADA DYSPEPSIA Sawitri, Siti Alifia; Gemini, Savitri
Ensiklopedia of Journal Vol 8, No 2 (2026): Vol. 8 No. 2 Edisi 3 Januari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i2.3744

Abstract

Abstract: Dyspepsia is an upper gastrointestinal disorder characterized by epigastric discomfort, nausea, vomiting, and early satiety. The prevalence of dyspepsia is relatively high in several countries, including the United States (23–25.8%), India (30.4%), and China (23.3%). In Indonesia, the prevalence of dyspepsia reaches 40–50% of the population. One non-pharmacological approach to managing dyspepsia is acupressure therapy. Acupressure is an effective non-pharmacological intervention for reducing nausea by stimulating the autonomic nervous system and balancing the body’s energy.  This study employed a descriptive case study method involving one patient (Mrs. A) with a medical diagnosis of dyspepsia and a nursing diagnosis of nausea at Harapan Bunda Hospital, Batam. The intervention consisted of acupressure therapy at the Pericardium (P6) point for three consecutive days, with a duration of two minutes per session prior to pharmacological therapy. Data were collected through observation of changes in the patient’s nausea intensity and physiological responses.  After three days of acupressure therapy, the patient demonstrated a significant reduction in nausea complaints. On the first day, the patient experienced severe nausea with five episodes of vomiting; on the second day, nausea decreased without vomiting; and on the third day, the patient no longer experienced nausea. The patient’s general condition improved, appetite increased, and daily activities returned to normal.  The application of acupressure therapy at the Pericardium (P6) point was proven to be effective in reducing the intensity of nausea in patients with dyspepsia. Stimulation of this point helps stabilize the autonomic nervous system and improve the flow of body energy, thereby suppressing stimulation of the vomiting center. Acupressure can be considered a safe and easily applied complementary non-pharmacological nursing intervention for managing nausea in patients with dyspepsia.  Keywords: Dyspepsia; Nausea; Acupressure Technique; Pericardium (P6).
HUBUNGAN KETERPAPARAN MEDIA SOSIAL PADA IBU TERHADAP PEMBERIAN IMUNISASI HUMAN PAPPILOMA VIRUS Lamis, Reysa; Yulinawati, Catur; Gemini, Savitri
Menara Medika Vol 8, No 2 (2026): VOL 8 NO 2 MARET 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i2.7354

Abstract

Pendahuluan: Kanker serviks 99% disebabkan oleh infeksi Human Papilloma Virus (HPV). Upaya pencegahan primer yang efektif melalui imunisasi HPV terutama diberikan pada anak perempuan usia 9 hingga 13 tahun. Namun, cakupan imunisasi HPV di Indonesia hanya mencapai 55%. Salah satu faktor yang memengaruhi keputusan ibu dalam memberikan imunisasi adalah keterpaparan informasi melalui media sosial. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan keterpaparan media sosial pada ibu terhadap pemberian imunisasi Human Pappilona Virus (HPV) di SD IT Luqman Al Hakim 02 Wilayah Kerja UPTD Puskesmas Tanjung Uncang Kota Batam Tahun 2025. Metodologi: Penelitian ini menggunakan desain observasional analitik dengan rancangan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu siswa kelas 5 dan 6 di SD IT Luqman Al Hakim 02 sebanyak 87 ibu dengan menggunakan teknik total sampling. Alat pengumpulan data menggunakan lembar kuesioner. Analisa data menggunakan uji chi-square. Hasil: Sebagian besar ibu termasuk dalam kategori terpapar media sosial sebanyak 52 orang (59,8%) dan sebanyak 64 anak (73,6%) telah diberikan imunisasi HPV. Hasil uji statistik chi square diperoleh p value 0,001 0,05 sehingga terdapat hubungan signifikan antara keterpaparan media sosial pada ibu dengan pemberian imunisasi HPV. Kesimpulan dan Saran: Media sosial berperan dalam memengaruhi keputusan ibu terkait imunisasi HPV dan diharapkan instansi pemerintah memperkuat peran media sosial sebagai saran edukasi publik dengan menyediakan konten yang informatif mengenai imunisasi HPV pada anak sekolah dasar yang mudah dipahami oleh masyarakat.
PENERAPAN ANKLE STRATEGY EXERCISE DENGAN MASALAH KEPERAWATAN RESIKO JATUH PADA KLIEN LANJUT USIA Gemini, Savitri; Dharma, Fasida; Wirakusuma, Made Tantra
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 1 No. 2 (2024): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Juni 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/tgbz9z13

Abstract

Lansia pada umumnya memiliki tanda – tanda terjadinya penurunan fungsi – fungsi biologis, psikologis, sosial, dan ekonomi. Terjadi penurunan fungsi fisiologis yang mengakibatkan terjadinya gangguan degeneratif, salah satunya penurunan fungsi keseimbangan dinamis sehingga peningkatan resiko jatuh. Tujuan karya tulis ilmiah profesi ini untuk mengetahui Penerapan Ankle Strategy Exercise Dengan Masalah Keperawatan Resiko Jatuh Pada Klien Lanjut Usia Di Wilayah Kerja Puskesmas Sei Panas Kota Batam, yang dilaksanakan pada tanggal 21 Agustus – 01 September 2023. Metode yang digunakan pada karya tulis ilmiah profesi ini adalah studi kasus yang dilakukan berdasarkan tahap – tahap asuhan keperawatan meliputipengkajian keperawatan, diagnose keperawatan, intervensi keperawatan, implementasi keperawatan dan evaluasi keperawatan. Ankle Strategy Exercise dilakukan 6 kali pertemuan selama 2 minggu. Hasil studi kasus: Ny.M dan Ny.A terdapat penurunan skala Time Up and Go Test. Sebelum dilakukan ankle strategy exercise di dapatkan hasil Time Up and Go test Ny.M 24,45 detik (problem) dan Ny.A 23,10 detik (problem) Setelah di lakukan Ankle Strategy Exercise di dapatkan hasil Time Up and Go test menjadi Ny.M 10,05 detik (normal) dan Ny.A 09,50 detik (normal). Kesimpulan: Penerapan Ankle Strategy Exercise efektif dapat menurunkan resiko jatuh secara signifikan. Perawat diharapkan dapat memberikan terapi tersebut sesuai standar operasional prosedur pada pasien maupun keluarga sehingga dapat dilakukan secara mandiri
Factors Associated With Family Caregivers’ Knowledge and Attitudes Toward Home-Based Geriatric Care in Primary Healthcare: A Cross-Sectional Study Gemini, Savitri; Lipoeto, Nur Indrawati; Machmud, Rizanda; Murni, Arina Widya
Majalah Kesehatan Indonesia Vol. 7 No. 3 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026324

Abstract

Family caregivers play a central role in home-based geriatric care, especially in settings where institutional long-term care remains limited. However, caregiver capacity may vary according to socio-demographic, relational, and service-related factors. This study aimed to identify factors associated with family caregivers’ knowledge and attitudes toward home-based geriatric care in a primary healthcare context. A quantitative analytic study with a cross-sectional design was conducted from September to December 2025 in two Puskesmas working areas in Batam City, Indonesia. A total of 326 family caregivers were recruited using proportional sampling. Data were collected through structured questionnaires and analyzed using univariate analysis, Chi-square tests, and multivariate logistic regression. Most caregivers had low knowledge (86.5%) and negative attitudes (61.0%) despite reporting high communication patterns and positive perceptions of healthcare facility quality. Bivariate analysis showed that economic status, caregiving duration, communication pattern, and perceived quality of healthcare facilities were significantly associated with knowledge, whereas economic status, communication pattern, and perceived quality of healthcare facilities were associated with attitudes. In the multivariate model, only caregiving duration (AOR = 15.790; p < 0.001) and communication pattern (AOR = 0.157; p = 0.013) remained independently associated with caregiver knowledge. No independent predictors were identified for attitudes. These findings indicate that caregiver knowledge was more strongly associated with experiential and relational factors, particularly caregiving duration and family communication. Structured, family-centered, and nurse-led interventions in primary healthcare may help strengthen caregiver preparedness in home-based geriatric care. Abstrak: Caregiver keluarga memainkan peran sentral dalam perawatan geriatri berbasis rumah, terutama di lingkungan yang layanan perawatan jangka panjang institusionalnya masih terbatas. Namun, kapasitas caregiver dapat bervariasi menurut faktor sosiodemografis, relasional, dan faktor terkait layanan. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan pengetahuan dan sikap caregiver keluarga terhadap perawatan geriatri berbasis rumah dalam konteks pelayanan kesehatan primer. Penelitian kuantitatif analitik dengan desain potong lintang dilakukan dari September hingga Desember 2025 di dua wilayah kerja Puskesmas di Kota Batam, Indonesia. Sebanyak 326 caregiver keluarga direkrut menggunakan proportional sampling. Data dikumpulkan melalui kuesioner terstruktur dan dianalisis menggunakan analisis univariat, uji Chi-square, dan regresi logistik multivariat. Sebagian besar caregiver memiliki pengetahuan rendah (86,5%) dan sikap negatif (61,0%) meskipun melaporkan pola komunikasi yang tinggi dan persepsi positif terhadap kualitas fasilitas pelayanan kesehatan. Analisis bivariat menunjukkan bahwa status ekonomi, lama merawat, pola komunikasi, dan persepsi terhadap kualitas fasilitas pelayanan kesehatan berhubungan secara signifikan dengan pengetahuan, sedangkan status ekonomi, pola komunikasi, dan persepsi terhadap kualitas fasilitas pelayanan kesehatan berhubungan dengan sikap. Pada model multivariat, hanya lama merawat (AOR = 15,790; p < 0,001) dan pola komunikasi (AOR = 0,157; p = 0,013) yang tetap berhubungan secara independen dengan pengetahuan caregiver. Tidak ditemukan prediktor independen untuk sikap. Temuan ini menunjukkan bahwa pengetahuan caregiver lebih kuat berhubungan dengan faktor pengalaman dan relasional, khususnya lama merawat dan komunikasi keluarga. Intervensi yang terstruktur, berpusat pada keluarga, dan dipimpin oleh perawat di pelayanan kesehatan primer berpotensi membantu memperkuat kesiapan caregiver dalam perawatan geriatri berbasis rumah.