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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.

Hubungan Fungsi Keluarga, Tugas dan Struktur Keluarga dengan Perencanaan Pernikahan Remaja Putri Di Daerah Rural maurida, nurul; Basri, Achmad Ali; Silvanasari, Irwina Angelia; Vitaliati, Trisna
Jurnal Kesehatan Vol 13 No 1 (2025): April
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v13i1.538

Marriage planning for women adolescent is one of the things that concern in maintaining reproductive health. One indicator of good marriage planning is marriage at a mature age. The phenomenon that occurs is the rise of early marriage among women adolescent in rural areas. The family has a role in decision making in marriage planning of women adolescent. The aim of this research is to analyze the relationship between family function, family task and family structure with marriage planning among women adolescent in rural areas. The research design is quantitative research with a cross sectional approach. The research sample was 100 women adolescent with a sampling technique using quota sampling. The inclusion criteria for the study were women adolescent in rural areas aged 13-18 years and the exclusion criteria were women adolescent with psychological disorders. The independent variables in this research were family function, family task and family structure. The dependent variable of the research was marriage planning. The research instrument was developed from the concept of family nursing and the concept of normal age marriage and has gone through validity and reliability tests so that it was declared valid and reliable. Research data was analyzed using person chisquare. The results showed that the majority of respondents had good family function (75%), good family task (68%) and good family structure (75%). Most respondents have been marriage planning for > 18 years (81%). The results of the person chisquare analysis show that there was a relationship between family function and marriage planning (ρ = 0.001<0.05), there was a relationship between family task and marriage planning (ρ = 0.000<0.05) and there was a relationship between family structure and marriage planning (ρ 0.001 <0.05). Increasing family knowledge is needed to form a family that is able to carry out the functions, task and structure of the family so that they can make good marriage planning decisions for women adolescent in rural areas.

Family-Centred Nursing Theory and the Functional Consequences Model Improve Diabetes Self-Management in Elderly Diabetics Vitaliati, Trisna; Silvanasari, Irwina Angelia; Maurida, Nurul; Basri, Ahmad Ali
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 9 Number 2 Year 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v9i2.1051

Background: The self-care management of older diabetics is inconsistent and exhibits low adherence. This incident may be influenced by the elderly's disease management capabilities and familial involvement, which may not be conducive to their health and care. This study aimed to develop a management plan for elderly diabetes mellitus that emphasizes self-efficacy and family involvement. Methods: This research employed an explanatory survey design with a cross-sectional methodology. The probability sampling method, particularly simple random sampling, was employed to choose respondents for this study from a cohort of 100 individuals with diabetes mellitus and their families. We created a thorough assessment questionnaire for diabetes mellitus management in the elderly, utilizing the functional consequence model and family-centred nursing theory as the research framework. The statistical method employed was SEM-PLS. Results: The outer model analysis revealed that all indicators of each construct were valid, with a factor loading value of > 0.7. The inner model analysis revealed that the variables family structure, family function, family stressors, elderly risk factors, age-related changes, and elderly consequence functions had a significant effect with a t-value of >1.96 and p-value <0.05. Conclusion: The diabetic mellitus management model, which is based on self-efficacy and familial support, improves self-care management among the elderly. Nurses should adopt the diabetic mellitus management model to increase patient autonomy and educate families on how to support their loved ones, thereby improving the self-care practices of elderly adults with diabetes.

Diabetes Self-Care Management Among the Elderly in Rural Areas Vitaliati, Trisna; Irwina Angelia Silvanasari; Nurul Maurida; Achmad Ali Basri
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.518

Diabetes mellitus is susceptible to being experienced by the elderly because of physiological changes caused by the aging process. Diabetes mellitus will accompany the sufferer for life, so the elderly must be able to carry out diabetes self-care management to optimize metabolic control and prevent diabetes complications. In implementing diabetes self-care, this management will certainly be influenced by the characteristics of the sufferer. This study aims to explore the characteristics of elderly with diabetes mellitus in managing their diabetes self-care management in rural areas. The quantitative descriptive research method, with a cross-sectional approach, was carried out among 100 elderly with diabetes mellitus utilizing the purposive sampling method. This research instrument uses The Summary of Diabetes Mellitus Activities. Univariate analysis was performed using frequency distribution. The results of this study show that 57% of the elderly in rural areas had poor diabetes self-care management. Ususally related to the characteristics of the elderly with diabetes mellitus which can influence treatment in managing the disease.This study concludes that there are still elderly people who do not carry out diabetes self-care management independently in their daily lives. This research emphasizes the need for knowledge and awareness to be provided in rural areas regarding Diabetes self-care management. Structured programs need to be designed to improve the behavior of the elderly to promote better adherence to diet, exercise, medication adherence, and proper foot care.

The Association Between Peer Influence and Dating Behavior Among Adolescents at a High School in Rural Area: A Cross-Sectional Study Amalia, Ananda Putri; Silvanasari, Irwina Angelia
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.587

Background: Dating behavior among adolescents today leads to risky dating behavior that has an impact on premarital sexual behavior. Teenagers are curious about new things and can be influenced by their partners, environment, and peers. Purpose: This study aims to analyze the relationship between the role of peers and dating behavior in adolescents. Methods: This research design is quantitative with a cross-sectional approach. The population at State Senior High School "X" Jember was 121 students, with a sample size of 93 students. The sampling technique used was simple random sampling. The independent variable is the role of peers, and the dependent variable is dating behavior. These two variables were measured using a questionnaire on the role of peers and dating behavior. Univariate analysis was performed with frequency distribution. Bivariate analysis using Fisher's Exact test. Results: The results showed that almost all peer roles were in the positive category, with a percentage of 84.9%. Most respondents showed non-risky dating behavior, 72.0%. Fisher's Exact test results show that the p-value (0.000) is smaller than α (0.05). This means the alternative hypothesis is accepted and indicates a relationship between peer roles and adolescent dating behavior. Conclusions: Positive peer roles tend to lead to non-risky dating behavior. Therefore, adolescents should be more careful in choosing peers to avoid engaging in risky dating behavior.

The Association Between Peer Influence and Dating Behavior Among Adolescents at a High School in Rural Area: A Cross-Sectional Study Amalia, Ananda Putri; Silvanasari, Irwina Angelia
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.587

Background: Dating behavior among adolescents today leads to risky dating behavior that has an impact on premarital sexual behavior. Teenagers are curious about new things and can be influenced by their partners, environment, and peers. Purpose: This study aims to analyze the relationship between the role of peers and dating behavior in adolescents. Methods: This research design is quantitative with a cross-sectional approach. The population at State Senior High School "X" Jember was 121 students, with a sample size of 93 students. The sampling technique used was simple random sampling. The independent variable is the role of peers, and the dependent variable is dating behavior. These two variables were measured using a questionnaire on the role of peers and dating behavior. Univariate analysis was performed with frequency distribution. Bivariate analysis using Fisher's Exact test. Results: The results showed that almost all peer roles were in the positive category, with a percentage of 84.9%. Most respondents showed non-risky dating behavior, 72.0%. Fisher's Exact test results show that the p-value (0.000) is smaller than α (0.05). This means the alternative hypothesis is accepted and indicates a relationship between peer roles and adolescent dating behavior. Conclusions: Positive peer roles tend to lead to non-risky dating behavior. Therefore, adolescents should be more careful in choosing peers to avoid engaging in risky dating behavior.

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