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Hubungan Literasi Kesehatan dan Frailty pada Lansia di Komunitas: Meta Analisis Lusty Frisky Wilyagripina; Ella Nurlaella Hadi
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.v10i1.52021

Abstract

Abstrak Frailty merupakan sindrom klinis multidimensional pada lansia yang meningkatkan risiko kejadian buruk seiring penuaan populasi global. Literasi kesehatan (health literacy) yang rendah pada lansia dapat menghambat manajemen mandiri kesehatan dan pencegahan penurunan fungsional. Rendahnya literasi kesehatan diduga berkontribusi terhadap peningkatan risiko frailty melalui mekanisme perilaku, sosial, dan fisiologis tetapi hubungannya dengan frailty belum banyak dieksplorasi secara kuantitatif. Penelitian ini bertujuan untuk menganalisis secara sistematik dan kuantitatif hubungan antara literasi kesehatan dan frailty pada lansia yang tinggal di komunitas. Meta-analisis ini mengikuti pedoman PRISMA 2020, dengan pencarian literatur pada PubMed, ScienceDirect, SpringerLink, dan Scopus (2021-2025) menggunakan kata kunci seperti "health literacy" AND "elderly" AND "frailty". Kriteria inklusi mencakup studi observasional analitik pada lansia ≥60 tahun di komunitas dengan laporan odds ratio (OR) atau data yang memungkinkan perhitungannya. Data dianalisis menggunakan model random effects pada Review Manager 5.4, dengan evaluasi heterogenitas (I²) dan bias publikasi (funnel plot). Tiga studi (n=1.956) menunjukkan bahwa literasi kesehatan tinggi berhubungan dengan penurunan risiko frailty (OR gabungan=0,58; 95% CI: 0,48–0,71; p<0,00001), tanpa heterogenitas signifikan (I²=0%) atau bias publikasi. (Times New Roman 11, reguler, spasi 1, spacing before 6 pt, after 6 pt) Kata Kunci: frailty, komunitas, literasi kesehatan, lansia. Abstract Frailty is a multidimensional clinical syndrome in older adults that increases the risk of adverse health outcomes as the global population ages. Low health literacy (HL) among the elderly can hinder self-management and the prevention of functional decline. Poor health literacy is suspected to contribute to an increased risk of frailty through behavioral, social, and physiological mechanisms; however, its quantitative association with frailty has not been widely explored. This study aimed to systematically and quantitatively analyze the association between health literacy and frailty among community-dwelling older adults. This meta-analysis followed the PRISMA 2020 guidelines, with literature searches conducted in PubMed, ScienceDirect, SpringerLink, and Scopus (2021–2025) using keywords such as “health literacy” AND “elderly” AND “frailty.” The inclusion criteria comprised analytical observational studies involving community-dwelling older adults aged ≥60 years that reported odds ratios (ORs) or provided sufficient data for calculation. Data were analyzed using a random-effects model in Review Manager 5.4, with assessment of heterogeneity (I²) and publication bias (funnel plot). Three studies (n = 1,956) demonstrated that higher health literacy was associated with a reduced risk of frailty (pooled OR = 0.58; 95% CI: 0.48–0.71; p < 0.00001), with no significant heterogeneity (I² = 0%) or publication bias observed. Keywords: community, frailty, health literacy, older adults.
Bimanese Traditional Healing Practices in Patients with Hypertension in West Nusa Tenggara, Indonesia Martiningsih, Martiningsih; Enie Novieastari; Astuti Yuni Nursasi; Ella Nurlaella Hadi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.18-28

Abstract

Background: Incorporating cultural factors into nursing care can support the achievement of therapeutic goals. The use of traditional medicine alongside conventional treatment has gained attention in managing hypertension, especially in culturally diverse settings. Purpose: This study aims to explore the medication practices of patients with hypertension from a nursing perspective, emphasizing cultural influences and traditional medicine use. Methods: Employing a qualitative ethnographic design, the research was conducted at three public health centers in rural and urban Bima, Sumbawa Island, West Nusa Tenggara, from February to August 2024. Sixteen patients with hypertension, purposively selected via snowball sampling, participated through in-depth interviews and participant observation. Data analysis involved thematic analysis and triangulation, with validation from informants and experts. Results: Findings reveal that patients often combine prescribed antihypertensive medications with traditional remedies. Three main themes emerged. The first, cultural care practices in medication, includes six subthemes: oral traditional medicine, traditional body scrubs for warming, Bimanese munching-spraying medicine, and treatments applied to the head. The second theme highlights the combination of Bimanese traditional treatments with hypertension medication, divided into two subthemes. The third emphasizes belief in the effectiveness of Bimanese treatments. These practices are deeply rooted in local cultural beliefs and traditions. Conclusions: Recognizing and integrating traditional treatments into nursing care can improve medication adherence among hypertensive patients. Respecting cultural practices and fostering trust in traditional medicine are essential for culturally competent care. Healthcare providers should consider these factors to enhance treatment outcomes and patient satisfaction.
Risk Factors for Latent Tuberculosis Infection (LTBI) Among Household Contacts of TB Patients: A Systematic Review Jihan Fadilah Faiz; Ella Nurlaella Hadi
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.288-302

Abstract

Latent Tuberculosis Infection (LTBI) is a condition in which an individual carries the TB bacteria without showing symptoms of active disease. An estimated 2.3 billion people globally are infected with LTBI, with household contacts of TB patients identified as a high-risk group. This systematic review aims to identify risk factors for LTBI among household contacts of TB patients. We conducted a literature search using Science Direct, PubMed, and Google Scholar, covering the period from 2019 to 2024. Inclusion criteria included studies on LTBI risk factors among household contacts of TB patients, written in English or Indonesian, research articles, and participants who lived with an active TB patient for at least one night and/or had frequent interactions with the patient within three months prior to TB treatment, Interferon-Gamma Release Assays (IGRA) or Tuberculin Skin Test (TST) tests were required. We evaluated article quality using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. Nine articles were included. LTBI risk factors among household contacts of TB patients include increasing age, male, occupation type (farmers or laborers or fishermen), duration of employment for more than 10 years, duration of working hours for more than 8 hours per day, contact with TB patients, sharing a bedroom with TB patients, bedroom density, overweight, and owning pets. Government, healthcare workers, and the society particularly household contacts of TB patients, must understand these LTBI risks to prevent further transmission and support the 2030 TB elimination program.
PARENTS' PERSPECTIVES ON VACCINATION RUBELLA MEASLES/MR IN CHILDREN Deni, Yuthia; Hadi, Ella Nurlaella
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v15i1.1086

Abstract

Background:The global measles cases increased by 79% in the first two months of 2022 compared to the same period in 2021, leading to an outbreak, including in Indonesia. In 2022, Indonesia reported a total of 4845 confirmed laboratory cases of measles and six deaths in 32 out of 38 provinces. Challenges related to parental trust and doubts about vaccines have raised the risk of outbreaks due to unvaccinated children.Purpose:To synthesize and critically assess parental perspectives and attitudes towards the use of Measles Rubella/MR vaccination in childrenMethods:The research method employed was a systematic literature review, conducted by using primary studies from PubMed, Proquest, and ScienceDirect with the keywords “Parent; MR Vaccine; Parental perspective or parent's decision; child” published between 2018-2023, in English, open access, and relevant to the topicResults:A total of 17,759 research articles were screened for eligibility, and 9 articles met the inclusion criteria. Based on the 9 reviewed articles, parental perspective of Measles Rubella/MR vaccination was influenced by six factors: vaccine, social, knowledge, disease, trust, and practicality.Conclusion:It is crucial to develop strategies that target vaccine trust and address sources of vaccine hesitancy. Maintaining a trusting partnership between parents, healthcare providers, and the government is essential in dispelling doubts about the benefits and safety of vaccines.
The Impact of Regional Policies on Postpartum Family Planning Services in Special Region Yogyakarta Province : A Run Chart Analysis Fikriyatul Arifah; Ella Nurlaella Hadi
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56058

Abstract

Indonesia’s maternal mortality ratio (MMR) remains high at 189 per 100,000 live births in 2023, far above the 2030 SDG target of 70 per 100,000. One key strategy to reduce MMR is Postpartum Family Planning (PPFP) services, which help prevent closely spaced or unintended pregnancies. The Government of the Special Region of Yogyakarta (DIY) issued Governor Circular Letter No. 11/SE/VII/2022 on PPFP services as a commitment to improving maternal health. This study aimed to describe trends in PPFP coverage in DIY before and after the policy using run chart analysis. A quantitative descriptive design was applied, utilizing secondary data from the Family Information System (SIGA) of BKKBN from January 2022 to December 2023. Run chart analysis was conducted on 24 data points with a median of 820 to detect random and non-random variation based on four rules: shift, trend, runs, and astronomical point. The results showed two major shifts from below to above the median, a six-month upward trend, and only two median crossings, indicating non-random variation. These patterns coincided with the policy’s implementation. In conclusion, a meaningful systemic change in PPFP performance has occurred in DIY since early 2023, suggesting a positive role of regional policy, although causality cannot be confirmed.
Analisis Implementasi Kebijakan Pemberian Air Susu Ibu (ASI) Eksklusif di Wilayah Kerja Puskesmas Kecamatan X Jakarta Timur : Policy Implementation Analysis on Exclusive Breastfeeding in Working Area X Community Health Center in East Jakarta Dzul Fahmi Afriyanto; Ella Nurlaella Hadi; Meiriza Andarwati; Risma Wardiani; Queen Nazhofah; Andi Muhammad Yusuf; Devi Afni
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 2 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (740.766 KB) | DOI: 10.56338/mppki.v5i2.1988

Abstract

ASI Eksklusif sangat penting untuk diberikan kepada bayi sebab ASI merupakan salah satu cara untuk menurunkan angka kematian ibu (AKI) dan angka kematian bayi (AKB). Pemberian ASI Eksklusif dapat menekan AKB dan mengurangi 30.000 kematian bayi di Indonesia serta 10 juta kematian bayi di dunia. Peran Puskesmas sebagai ujung tombak pelayanan kesehatan dalam implementasi program pemberian ASI Eksklusif menjadi sangat penting. Penelitian ini bertujuan untuk menganalisis kebijakan tentang pemberian ASI eksklusif di wilayah Kerja Puskesmas Kecamatan X Jakarta Timur. Penelitian ini menggunakan metode kualitatif, disain penelitian Rapid Assesment Procedure (RAP). Data dikumpulkan dengan metode wawancara mendalam (WM) kepada kepala puskesmas, pemegang program gizi, pemegang program KIA, dan kader posyandu. Selain itu, dilakukan dengan diskusi kelompok terarah (DKT) kepada Ibu ASI Eksklusif dan Ibu Tidak ASI Eksklusif. Selanjutnya data tersebut dianalisis secara tematik. Hasil penelitian menunjukkan bahwa unsur komunikasi masih belum optimal terutama dari sosialisasi dan penerimaan informasi, sedangkan untuk unsur sumber daya, struktur birokrasi, dan disposisi sudah diimplementasikan dengan baik dan terintegrasi antar semua sektor baik internal maupun eksternal.
Dukungan Keluarga terhadap Kepatuhan Pengobatan pada Pasien Tuberculosis : Literature Review: Family Support for Medication Compliance in Tuberculosis Patients : Literature Review Queen Nazhofah; Ella Nurlaella Hadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 6 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.245 KB) | DOI: 10.56338/mppki.v5i6.2338

Abstract

Latar Belakang: Penyakit Tuberkulosis (TBC) merupakan salah satu penyebab utama terjadinya morbiditas dan mortalitas di dunia. Sebagian besar estimasi insiden TBC pada tahun 2019 pasien TB paru sebanyak 7,1 juta dan mengalami penurunan pada tahun 2020 menjadi 5,8 juta kasus TB. Beberapa penelitian telah menunjukkan bahwa faktor sosial dan motivasi keluarga, secara signifikan mempengaruhi kepatuhan berobat pasien. Metode: Penelitian ini menggunakan pendekatan Sistematic Review dengan menggunakan metode PRISMA dengan menganalisis jurnal antara tahun 2017 hingga 2021. Pencarian jurnal dilakukan pada tiga database Elsevier (scopus), Scince Direct , Google Scholar. Hasil: Sebanyak 14 artikel tidak disertakan karena tidak relevan dengan topic yang akan dibahas sehingga tersisa 10 artikel yang relevan membahas tentang dukungan keluarga terhadap kepatuhan pasien TBC. Kesimpulan: Sebagian besar artikel menyebutkan bahwa, dukungan keluarga berperan dalam kepatuhan berobat pasien TB paru yang berdampak terhadap kesembuhan pasien.
Perilaku Sedentari dan Determinannya: Literature Review: Sedentary Behavior and Its Determinants : Literature Review Niswatun Nafi'ah; Ella Nurlaella Hadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 12 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v5i12.2795

Abstract

Latar belakang: Perilaku sedentari merupakan salah satu faktor risiko yang dapat menyebabkan berbagai masalah gangguan metabolisme tubuh seperti: obesitas, kolesterol tinggi, hipertensi, diabetes melitus, cardio metabolik. Perilaku sedentari juga berkaitan dengan gejala depresi dan kecemasan pada remaja. Tujuan: untuk mengetahui determinan perilaku sedentari pada remaja. Metode: Desain penelitian ini menggunakan literatur review terhadap artikel yang membahas mengenai determinan perilaku sedentari pada remaja. Artikel didapatkan dari Google Scholar dan PubMed dengan kata kunci Determinan, Perilaku, Sedentari, dan Remaja. Artikel yang digunakan berbahasa Indonesia dan Inggris yang dipublikasikan dalam rentang waktu mulai tahun 2018 sampai tahun 2022. Hasil: Penelusuran artikel pada Google Scholar dengan kata kunci didapatkan artikel sebanyak 374. Sedangkan, pencarian artikel pada PubMed dengan kata kunci didapatkan artikel sebanyak 611. Dari artikel tersebut dilakukan skrining sehingga dihasilkan 10 artikel yang layak dan sesuai dengan kriteria dan tujuan literature review ini. Kesimpulan: Determinan perilaku sedentari pada remaja pada literature review ini adalah umur, jenis kelamin, pengetahuan, sikap, status sosial ekonomi, pola asuh orang tua, dukungan teman sebaya, pemanfaatan media sosial, dan kebijakan sekolah. Kata Kunci: Perilaku, sedentari, remaja
Faktor Sosial Budaya yang Mempengaruhi Kejadian Stunting pada Anak : Literature Review: Social-Cultural Factors that Affected Stunting Case in Children : Literature Review Jessica Apulina Ginting; Ella Nurlaella Hadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 1 (2023)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i1.2911

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Latar belakang: Stunting adalah kekurangan gizi kronis akibat kekurangan nutrisi dalam jangka waktu yang lama. Diperkirakan hampir seperempat anak di Indonesia mengalami stunting. Tujuan: Untuk mendeskripsikan faktor-faktor sosial budaya yang mempengaruhi kejadian stunting pada anak. Metode: Penulis menggunakan systematic review terhadap artikel penelitian tentang faktor sosial budaya yang menyebabkan stunting pada anak dengan pendekatan kuantitatif. Artikel penelitian didapatkan dari Google Scholar, PubMed, dan ScienceDirect dengan kata kunci “sosial” “budaya” “stunting” “anak” “Indonesia”. Artikel yang digunakan dalam rentang waktu lima tahun terakhir (2018-2022) dengan bahasa Indonesia dan bahasa Inggris. Hasil: Penelusuran artikel penelitian didapatkan 10 artikel berdasarkan kriteria inklusi dan eksklusi. Dari artikel tersebut didapatkan tujuh tema yang menjadi faktor-faktor sosial budaya yang mempengaruhi terjadinya stunting di Indonesia, yaitu asupan nutrisi ibu hamil, pemberian ASI eksklusif, pemberian makanan pendamping ASI, sikap terhadap stunting, pola asuh anak, kebersihan lingkungan, ekonomi. Kesimpulan: Systematic review ini menjelaskan multifaktorial sosial budaya yang mempengaruhi kejadian stunting pada anak di Indonesia meliputi asupan nutrisi ibu hamil, pemberian ASI eksklusif, pemberian makanan pendamping ASI, sikap terhadap stunting, pola asuh anak, kebersihan lingkungan, ekonomi.