Solihin, Asri Handayani
Sekolah Tinggi Ilmu Kesehatan Dharma Husada

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Evaluating a caregiver-focused safety culture model: Effects on caregivers’ safety perception, older adults’ quality of life, and the incidence of adverse events in Indonesia Solihin, Asri Handayani; Probosuseno; Effendy, Christantie
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3650

Abstract

Background: Older adults are increasingly vulnerable to health risks, particularly in home care environments with limited formal safety measures. In Indonesia, family caregivers play a central role in providing care; however, research on interventions to enhance the safety of older adults at home remains limited. Objectives: This study aimed to evaluate the impact of a caregiver-focused safety model, the Aging Safe from the Risk (ASRi) model, on caregivers’ perceptions of safety culture and assessed its indirect effects on older adults’ quality of life (QoL) and incidence of adverse events. Methods: A quasi-experimental study was conducted from July to November 2022, involving 135 older adult–caregiver pairs (intervention: n = 68; control: n = 67). Older adults’ QoL was measured using the modified WHO-QOL BREF (Indonesian version) and WHO-QOL OLD instruments. Family caregivers completed a Home Safety Culture (HSC) questionnaire and reported adverse events. Data were analyzed using descriptive statistics, chi-square tests, independent t-tests, Mann–Whitney U tests, Fisher’s exact tests, repeated-measures general linear models (GLM-RM), and exploratory ANCOVA within the intervention group. Results: Baseline characteristics were largely similar for older adults (age, comorbidities, fall risk, medication use) and caregivers (gender, age, education, marital status), although some imbalances were noted. Significant between-group differences were observed in the spiritual dimension (baseline p = 0.019, r = 0.202; fourth month p = 0.018, r = 0.204) and environmental dimension of safety culture (all time points p <0.001, r = 0.347-0.431), with a transient difference in the personal dimension at month one (p = 0.013, r = 0.215). QoL scores were consistently higher in the control group (p <0.001, Cohen’s d = 0.551-0.645), reflecting baseline imbalance. Adverse events decreased in the intervention group during follow-up (p <0.001, Cramér’s V = 0.343-0.364); however, the higher baseline incidence suggests that regression to the mean may have contributed to this reduction. Conclusion: The ASRi model was associated with modest improvements in caregivers’ perceptions of safety culture. Differences in QoL and adverse events should be interpreted cautiously due to baseline imbalances and potential regression to the mean. While these findings provide preliminary indications that caregiver engagement through the ASRi model may support safer home care practices, causal conclusions cannot be drawn. Randomized studies with longer follow-up are needed to confirm these effects. Trial Registry: NCT05487482 [clinicaltrials.gov]
Hubungan Pengetahuan Dan Dukungan Keluarga Dengan Risiko Jatuh Pada Lansia Solihin, Asri Handayani Solihin; Dwi Maryani; Biben Fikriana
Jurnal Keperawatan 'Aisyiyah Vol. 10 No. 2 (2023): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33867/jka.v10i2.455

Abstract

Lansia adalah seseorang yang telah mencapai usia 60 tahun. Bertambahnya usia pada lansia dapat mengalami masa kemunduran dalam berbagai aspek seperti kondisi psikologis, sosial, dan fisik yang dapat mempengaruhi risiko jatuh. Peran keluarga dalam perawatan lansia harus memiliki pengetahuan yang baik terutama pencegahan jatuh. Salah satunya adalah mempertahankan dukungan keluarga. Bentuk dukungan keluarga tersebut adalah dukungan instrumental, informasional, penilaian dan emosional. Tujuan penelitian adalah untuk mengetahui hubungan pengetahuan dan dukungan keluarga dengan risiko jatuh pada lansia menggunakan metode korelasional dengan pendekatan cross sectional. Populasi pada penelitian ini adalah keluarga yang memiliki lansia dengan teknik proporsional random sampling sebanyak 95 orang. Instrumen penelitian berupa kuesioner pengetahuan keluarga, dukungan keluarga dan risiko jatuh pada lansia M-IFRAT. Analisa data secara univariat dan bivariat menggunkan uji spearmank rank menunjukan bahwa ada hubungan yang signifikan antara pengetahuan dan dukungan keluarga dengan risiko jatuh pada lansia di Kelurahan Antapani Tengah Tahun 2022 yang ditandai dengan nilai p = 0.000 < 0,05 dengan koefisien korelasi 431 dan nilai p = 0,002 < 0,05 dengan koefisien korelasi 312. Dengan demikian, keluarga harus aktif dalam mengikuti kegiatan penyuluhan terkait dengan pengetahuan keluarga mengenai risiko jatuh dan pemberian dukungan keluarga dalam melakukan perawatan pada lansia.
Digital Health Literacy and Health Information Seeking Behavior among Adolescents in Indonesia Sutha, Diah Wijayanti; Christine; Novianti, Siti; Solihin, Asri Handayani
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.1-7

Abstract

Background: The widespread use of the internet among adolescents has transformed how they access health information. However, the abundance of unverified online content poses risks for individuals who lack the skills to assess its credibility. Digital health literacy is therefore essential for enabling adolescents to seek, evaluate, and use health information responsibly. Objectives: This study examined the relationship between digital health literacy and health information–seeking behavior among Indonesian adolescents, providing empirical evidence to inform digital health promotion strategies. Methods: A cross-sectional analytic study was conducted with 524 adolescents aged 12–19 years from five provinces in Indonesia. Data were collected using an online questionnaire comprising the eHealth Literacy Scale (eHEALS) and a Health Information–Seeking Behavior (HISB) instrument developed by the researchers. Descriptive statistics were used to profile respondents, and Spearman’s rank correlation was applied to assess the relationship between variables. Results: Overall, 38.2% of adolescents demonstrated high, 46.7% moderate, and 15.1% low digital health literacy. Adolescents with higher literacy levels exhibited more active and critical health information–seeking behavior, including more frequent use of credible sources, information verification, and appropriate application of information in decision-making. A significant positive correlation was found between digital health literacy and health information–seeking behavior (ρ = 0.307; p = 0.007), indicating that digital health literacy substantially influences adolescents’ engagement with online health information. Conclusion: Digital health literacy plays an important role in shaping adolescents’ health information–seeking behavior. Strengthening digital health literacy should be prioritized in health promotion initiatives targeting young populations in the digital era.
Game-Based Learning Anemia (GBLA) Untuk Meningkatkan Pengetahuan Pencegahan Anemia Pada Remaja Putri: Studi Quasi Eksperimen di SMK Pasundan 2 Garut Bayyin Sazty Noer; Asri Handayani Solihin; Deris Riandi Setiawan
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52686

Abstract

Pendahuluan: Anemia masih menjadi masalah kesehatan pada remaja putri yang banyak dipengaruhi oleh rendahnya pengetahuan terkait pencegahan anemia. Metode pendidikan kesehatan konvensional sering kali kurang menarik bagi remaja digital native, sehingga diperlukan pendekatan edukasi yang lebih inovatif dan interaktif. Game-Based Learning Anemia (GBLA) dikembangkan sebagai media pembelajaran berbasis permainan digital untuk meningkatkan keterlibatan dan pengetahuan remaja. Metode: Penelitian ini menggunakan desain quasi-experimental pretest–posttest with control group yang dilaksanakan pada Juni 2025 di SMK Pasundan 2 Garut. Sebanyak 56 remaja putri dipilih menggunakan purposive sampling dan dibagi menjadi kelompok intervensi (GBLA) dan kelompok kontrol (leaflet), masing-masing 28 responden. Pengukuran pengetahuan pencegahan anemia dilakukan sebelum dan sesudah intervensi. Analisis data menggunakan uji nonparametrik, yaitu uji Wilcoxon dan uji Mann–Whitney U. Hasil: Terdapat peningkatan pengetahuan pencegahan anemia yang signifikan pada kedua kelompok setelah intervensi (p < 0,001). Namun, peningkatan skor pengetahuan pada kelompok intervensi lebih besar dibandingkan kelompok kontrol. Perbedaan skor pengetahuan post-test antara kedua kelompok menunjukkan hasil yang signifikan secara statistik (p=0,001). Kesimpulan: Game-Based Learning Anemia (GBLA) efektif meningkatkan pengetahuan pencegahan anemia pada remaja putri. Metode ini direkomendasikan untuk diintegrasikan dalam program pendidikan kesehatan berbasis sekolah dan kegiatan promosi kesehatan remaja sebagai media edukasi yang interaktif dan sesuai dengan karakteristik remaja.
Pengaruh Edukasi Terhadap Dukungan Keluarga Mengenai Keselamatan Lansia Di Rumah Di Sekolah Lansia Sibulan Kecamatan Sukajadi Kota Bandung Mely Nursari Ningsih; Asri Handayani Solihin; Kuslan Sunandar
Jurnal Sehat Masada Vol 17 No 1 (2023): Jurnal Sehat Masada
Publisher : Sekolah Tinggi Ilmu Kesehatan Dharma husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38037/jsm.v17i1.417

Abstract

Elderly is someone who has reached the age of 60 years and over. The elderly are vulnerable to health and safety problems at home, such as falls (25%), pressure sores (10.8%), drug safety (3.577 times) more at risk than non-elderly, and psychosocial-related hazards (9.8%). One of the efforts that can be done is by providing education to raise family awareness of the importance of family support regarding the safety of the elderly at home. The purpose of the study was to identify the effect of education on family support regarding the safety of the elderly at home. This type of research is Quasi Experimental using a pretest-posttest one group design with a prospective technique. The research location is at the Sibulan Elderly School, Sukajadi District Bandung City. The total population is 70 people, with a sample size of 30 people using purposive sampling technique. Data collection using a support questionnaire. Data analysis using t test. The results showed that the family support before being given education with an average value of 73.57 and after being given education the average value became 79.30. So it can be concluded that there is a significant effect of education on family support regarding the safety of the elderly at home p-value (0.000<0.05). It is recommended that families seek information through print media, mass media or participate in counseling activities about family support regarding the safety of the elderly at home, especially information about the health of the elderly and related to drug use in the elderly.
Riwayat Penyakit Kronis dengan Kejadian Jatuh pada Lansia Chandra Kirana; Asri Handayani Solihin; Supriadi Supriadi
Jurnal Sehat Masada Vol 18 No 1 (2024): Jurnal Sehat Masada
Publisher : Sekolah Tinggi Ilmu Kesehatan Dharma husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38037/jsm.v18i1.459

Abstract

The history of chronic diseases that many elderly suffer from is hypertension, diabetes mellitus, heart and joints and the elderly have consequences for falling. History of chronic disease in Sumedang Regency was 33.1%, joint disease was 14.5%, stroke was 4.6% and heart was 6.7%, while 3 people fell. The type of research used is descriptive and correlative with a cross-sectional approach. The sample of this study was the elderly with a total of 57 people who were selected based on a purposive sampling technique using criteria. The research instrument used is a questionnaire. The analysis used is univariate and chi-square tests. The results showed that 66.7% of the elderly had a history of chronic joint disease and 73.7% of the elderly had experienced falls and a value of (p=0.000) was obtained. In conclusion, there is a relationship between a history of chronic disease and the incidence of falls in the elderly. Suggestions for the Public Health Centre to develop a fall prevention program by reducing chronic diseases in the elderly through Prolanis and Posbindu activities.