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STRIVING FOR DIABETES SELF-CARE MANAGEMENT IN THE OLDER PEOPLE BASED ON SELF-DETERMINATION THEORY Vitaliati, Trisna; Angelia Silvanasari, Irwina; Maurida, Nurul; Ali Basri, Achmad
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 6 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v6i2.55513

Introduction: Older people with diabetes mellitus need disease management through self-management which is quite complex because the disease will have an impact on their health condition both physically and psychologically. Based on Self Determination Theory, motivation is important component in improving psychological health and treatment effectiveness of patients with diabetes mellitus. The purpose of this community service is to strive for diabetes self-care management so that blood sugar levels can be controlled reduce the risk of complications and achieve a prosperous psychological condition. Methods: The method of implementing this community service is in the form of health education, early screening, diabetes gymnastics, and family assistance in carrying out family healthcare functions. This community service was carried out at Jenggawah Public Health Center in March 2023. The participants of this community service activity are older people with diabetes mellitus. Results: There is an increase in the motivation of older people to carry out self-care activities, and the older people and families can also practice diabetes gymnastics by what has been taught. Conclusion: With optimal management behavior of diabetes mellitus in older people, the psychological aspects of the elderly with Diabetes Mellitus will improve so that further complications of this disease can be prevented.

HUBUNGAN ANTARA FAKTOR KARAKTERISTIK DEMOGRAFIK DENGAN KEPATUHAN GAYA HIDUP SEHAT PADA PASIEN HIPERTENSI Emi Eliya Astutik; Irwina Angelia Silvanasari; Roby Aji Permana
Jurnal Keperawatan Malang Vol 9 No 2 (2024): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v9i2.322

Background: Hypertension is not only found in the elderly group, but now the incidence rate is also increasing in the productive age group. The increase in the incidence of hypertension occurs due to a lack of healthy lifestyle behavior Purpose: The aim of this study is to analyze the relationship between demographic characteristic factor with healthy lifestyle compliance in hypertension patient Methods: This research is a correlation study with a sample of 150 hypertension sufferers. Independent variables, namely demographic characteristic factors, include age, education, knowledge and duration of illness. The dependent variable is adherence to a healthy lifestyle. Data were collected using a questionnaire on demographic characteristic factors and healthy lifestyle adherence. Data analysis used the gamma correlation test Result: The research results showed that there was no relationship between age and adherence to a healthy lifestyle (p value=0.150 > 0.05). There is a relationship between education and adherence to a healthy lifestyle (p value = 0.041 < 0.05). There is a relationship between knowledge and adherence to a healthy lifestyle (p value = 0.043 < 0.05). There is no relationship between disease duration and adherence to a healthy lifestyle (p value = 0.153 > 0.05) Implication: Good education and knowledge can keep hypertensive patients away from non-compliance with a healthy lifestyle, although there are still hypertensive patients who are not fully compliant in living a healthy lifestyle. Health workers can maximize adherence to a healthy lifestyle for hypertension sufferers by providing health education related to their hypertension.

Exploring The Factors Affecting On Reproductive Health Of Adolescents In Rural Areas Achmad Ali Basri; Nurul Maurida; Irwina Angelia Silvanasari; Trisna Vitaliati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.891

The understanding of Indonesian teenagers, especially in rural areas, about reproductive health is still very low, especially among teenage girls, only 10.4% of the 15-24 year old age group know about reproductive health, resulting in various reproductive health problems such as free sex, sexual harassment, dropping out of school, early marriage, pregnancy outside of marriage, and many religious marriages. The purpose of this study was to explore the description of factors affecting on reproductive health management in adolescents. The study used a qualitative method with a phenomenological approach. Participants were selected using a purposive sampling strategy. There were 12 participants with the criteria, namely adolescents aged 14-18 years, receiving data collected through in-depth interviews, observation, and documentation. The results of the research theme were obtained using collaizi analysis which was arranged in stages using data triangulation starting from coding, categorization, and theme formation. Based on the results of the analysis of participant information, three main themes were formulated, namely knowledge, parental support, and peers. The conclusion of this study is that factors that influence adolescent reproductive health in rural areas are knowledge factors, family support and peer support. Adolescents are expected to be able to take responsibility for maintaining their reproductive health independently, increase spirituality and be able to maintain open communication with their parents and peers.

Family Health Care Function is Related to Self-Care Management in Elderly with Hypertension Irwina Angelia Silvanasari; Nurul Maurida; Trisna Vitaliati; Achmad Ali Basri
Jurnal EduHealth Vol. 16 No. 01 (2025): Jurnal EduHealt, Edition January - March, 2025
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Hypertension is a global health problem in the elderly population. The family has a role in self-care for elderly people who are vulnerable to health problems. The aim of this research is to analyze the relationship between family health care functions and self-care management in elderly people with hypertension. This research is quantitative research. The sample size was 150 elderly people with hypertension using a sampling technique, namely simple random sampling. The variables studied were family health care function and hypertension self-care management. The chi square test was used as a bivariate analysis in this study. The research results found that the majority (57.3%) had good family health care functions, the majority (54%) had poor self-care management. Family health care function is related to self-care management in elderly people with hypertension with p value = 0.000 < 0.05%. Most elderly people with hypertension who have good family health care functions have good self-care management. Families should maximize their role regarding the implementation of family health care functions to be able to maximize good self-care management for family members who suffer from hypertension.

The Relationship between Coping Mechanisms and Anxiety Levels among Hypertensive Elderly in Rural Areas Wahyuni, Adhitya Restu; Silvanasari, Irwina Angelia; Suswati, Wahyi Sholehah Erdah
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.475

Background: Hypertension is a prevalent condition among the elderly in rural areas. Anxiety in older adults with hypertension in these regions can significantly impact their blood pressure management, as it may hinder their adherence to medical treatment and healthy lifestyle practices. Purpose: This study aims to analyze the relationship between coping mechanisms and anxiety levels in elderly individuals with hypertension in rural areas. Methods: This quantitative study employs a cross-sectional approach. The population consisted of 198 elderly individuals, with a sample size of 132 elderly individuals with hypertension, selected using simple random sampling. The independent variable is the coping mechanism, and the dependent variable is the level of anxiety. Research instruments included the Coping Mechanism Questionnaire and the Hamilton Anxiety Rating Scale (HARS). Statistical analysis was conducted using the gamma test. Results: The findings indicate that the majority (59.1%) of participants utilized maladaptive coping mechanisms, while nearly half (41.7%) experienced severe anxiety. The gamma test revealed a P-value of 0.000 ≤ 0.05, with a contingency coefficient of -1.000, indicating a statistically significant and strongly negative relationship between coping mechanisms and anxiety levels in elderly individuals with hypertension. Conclusions: The study concludes that adaptive coping mechanisms are associated with lower anxiety levels in hypertensive elderly. Providing these individuals with information and counseling on effective coping mechanisms could help reduce anxiety and promote more adaptive coping strategies.

The Relationship between Coping Mechanisms and Anxiety Levels among Hypertensive Elderly in Rural Areas Wahyuni, Adhitya Restu; Silvanasari, Irwina Angelia; Suswati, Wahyi Sholehah Erdah
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.475

Background: Hypertension is a prevalent condition among the elderly in rural areas. Anxiety in older adults with hypertension in these regions can significantly impact their blood pressure management, as it may hinder their adherence to medical treatment and healthy lifestyle practices. Purpose: This study aims to analyze the relationship between coping mechanisms and anxiety levels in elderly individuals with hypertension in rural areas. Methods: This quantitative study employs a cross-sectional approach. The population consisted of 198 elderly individuals, with a sample size of 132 elderly individuals with hypertension, selected using simple random sampling. The independent variable is the coping mechanism, and the dependent variable is the level of anxiety. Research instruments included the Coping Mechanism Questionnaire and the Hamilton Anxiety Rating Scale (HARS). Statistical analysis was conducted using the gamma test. Results: The findings indicate that the majority (59.1%) of participants utilized maladaptive coping mechanisms, while nearly half (41.7%) experienced severe anxiety. The gamma test revealed a P-value of 0.000 ≤ 0.05, with a contingency coefficient of -1.000, indicating a statistically significant and strongly negative relationship between coping mechanisms and anxiety levels in elderly individuals with hypertension. Conclusions: The study concludes that adaptive coping mechanisms are associated with lower anxiety levels in hypertensive elderly. Providing these individuals with information and counseling on effective coping mechanisms could help reduce anxiety and promote more adaptive coping strategies.

Empowerment of Health Cadres in Utilizing Family Medicinal Plants (TOGA) as an Effort to Control Non-Communicable Diseases in the Elderly: Pemberdayaan Kader Kesehatan Dalam Pemanfaatan Tanaman Obat Keluarga (TOGA) Sebagai Upaya Mengontrol Penyakit Tidak Menular Pada Lansia Basri, Achmad Ali; Maurida, Nurul; Silvanasari, Irwina Angelia
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v1i1.30

The aging process results in a decrease in physical and psychological conditions, a decrease in independence, an inability to work and an impact on the non-fulfillment of independence in fulfilling daily basic needs and socializing with the community. Community empowerment efforts to optimize promotive, preventive, curative and rehabilitative for elderly problems need to carry out activities that can support these efforts through the elderly Posyandu, providing support for the elderly and optimizing the use of family medicinal plants for curative efforts for the elderly health problems. This activity aims to apply community-based science and technology for health cadres to manage elderly health problems. The method used in this empowerment is by making health promotion media in the form of leaflets and flipcharts, lectures, demonstrations, providing equipment for processing family medicinal plants, training in cultivating family medicinal plants and training in the production of traditional family medicines which are carried out in Jenggawah Village, the working area of the Jenggawah Health Center. Fifty health cadres attended empowerment participants. Pretest results obtained good knowledge 6%, good attitude 5%, good behavior 3%. After the community service activities were conducted, the post-test scores for good knowledge were 68%, good attitudes were 74%, and good behavior was 62%. So it can be concluded that there has been an increase in knowledge and skills in managing elderly health problems, especially non-communicable diseases, and an increase in cadres’ ability to process herbal ingredients. Suggestions that can be given are that cadres need to apply the knowledge and skills acquired in their daily activities and when implementing the elderly Posyandu.

Karakteristik Hipertensi pada Lansia yang Tinggal Bersama Keluarga Irwina Angelia Silvanasari; Nurul Maurida; Trisna Vitaliati
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk420

Hypertension is a disease that is often experienced by the elderly due to physical deterioration in the cardiovascular system. The purpose of this study was to identify the characteristics of hypertension in the elderly who live with their families. This descriptive study involved 100 elderly people in Wonojati Village, Jenggawah Health Center, Jember, who were selected by simple random sampling technique. Data collection was carried out using a questionnaire, then analyzed with descriptive statistics. It was found that most of the elderly with hypertension were female (75%), elementary schooled (67%), unemployed (61%), from the Madurese (66%), had a history of hypertension (68%), had a habit of consuming salty foods. (54%), had a good level of knowledge (58%), adhered to the hypertension diet (52%), the average age was 62 years, the average systolic blood pressure was 156 mmHg, and the average diastolic blood pressure was 93 mm Hg. Regular treatment and lifestyle of elderly people with hypertension also require supervision from families who live in the same house as the elderly.Keywords: hypertension; elderly; characteristics; family ABSTRAK Hipertensi merupakan salah satu penyakit yang sering dialami oleh lansia akibat kemunduran fisik pada sistem kardiovaskuler. Tujuan dari penelitian ini adalah mengidentifikasi karakteristik hipertensi pada lansia yang tinggal bersama keluarga. Penelitian deskriptif ini melibatkan 100 lansia di Desa Wonojati, Puskesmas Jenggawah, Jember, yang dipilih dengan Teknik simple random sampling. Pengumpulan data dilakukan menggunakan kuesioner, lalu dianalisis dengan statistik deskriptif. Didapatkan bahwa sebagian besar lansia dengan hipertensi berjenis kelamin perempuan (75%), berpendidikan SD (67%), tidak bekerja (61%), dari suku Madura (66%), memiliki riwayat hipertensi (68%), memiliki kebiasaan mengkonsumsi makanan asin (54%), memiliki tingkat pengetahuan dalam kategori baik (58%), patuh dalam diet hipertensi (52%), rata-rata usia 62 tahun, rata-rata tekanan darah sistolik adalah 156 mmHg, dan rata-rata tekanan darah diastolik adalah 93 mmHg. Keteraturan pengobatan dan gaya hidup lansia dengan hipertensi juga memerlukan pengawasan dari keluarga yang tinggal satu rumah dengan lansia.Kata kunci: hipertensi; lansia; karakteristik; keluarga

PEMBERDAYAAN KELUARGA UNTUK SADAR HIPERTENSI MELALUI PELATIHAN AKUPRESUR DAN RELAKSASI OTOT PROGRESIF Silvanasari, Irwina Angelia
GEMASSIKA: Jurnal Pengabdian Kepada Masyarakat Vol. 9 No. 1 (2025): MEI
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gemassika.v9i1.1337

Hypertension is a common disease not only in the older age group but also in the productive age group. Various health problems will arise if the hypertension that occurs cannot be controlled properly. Controlling hypertension requires high awareness and adequate skills in self-care management. A family approach needs to be taken to provide more optimal results. Empowering families who are aware of hypertension through acupressure and progressive muscle relaxation carried out in this activity can increase family knowledge and skills in controlling hypertension. The family has a good understanding of hypertension and is able to practice acupressure and progressive muscle relaxation well. Families can teach and accompany family members who suffer from hypertension regarding controlling their hypertension in their daily lives on a regular basis. It is hoped that good understanding and ability to control hypertension can improve health status and improve the quality of life for families with hypertension sufferers.

The Relationship Between Stress Levels and Self-Care Management in Elderly Individuals with Hypertension Ni Putu Natari Ayunda Oktavia; Irwina Angelia Silvanasari; M. Elyas Arif Budiman
Jurnal Kesehatan dr. Soebandi Vol 13 No 1 (2025): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v13i1.771

Elderly individuals undergo gradual physical and psychological deterioration. They commonly encounter difficulties in self-care management, potentially exacerbating their health conditions. Self-care management among elderly individuals with hypertension tends to be inadequate. Challenges within self-care management among the elderly often stem from stress. The objective of this study is to analyze the relationship between stress levels and self-care management among elderly individuals with hypertension. This research employs a quantitative design with a cross-sectional correlation approach. The sample in this study consists of 145 elderly individuals with hypertension, selected using cluster random sampling. The study utilizes the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and the Perceived Stress Scale (PSS). The results, analyzed using the gamma test, show a contingency coefficient P-value of -0.991 and a P-value of 0.000 ≤ 0.05. Statistically, this indicates a significant relationship between stress levels and self-care management, with a very strong negative correlation. This means that lower stress levels are associated with better self-care management. Elderly individuals experiencing high stress are unable to effectively manage self-care, highlighting the need for optimal individualized stress management to improve the health status of the elderly.

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