Garuda - Garba Rujukan Digital

Ratna Puji Priyanti

STIKES Pemkab Jombang, Indonesia

Author-ID : 3291871

Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Family Experience in Dealing with Emergency Cardiovascular Disease Ratna Puji Priyanti; Anja Hesnia Kholis; Asri Asri; Rifa'i Rifa'i; Supriliyah Praningsih
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Discusiion: The risk of cardiovascular disease has shifted. Cardiovascular disease initially only affected certain age groups but not with the current incidence of cardiovascular disease. This makes the community more susceptible to cardiovascular disease attacks. An attack of cardiovascular disease, in general, is only considered to be a cursory attack. The patients with high-risk factors must be supported by the ability of families to recognize and perform first aid in cardiovascular disease attacks. The purpose of this study was to understand the family's experience in dealing with emergency heart disease at home.Method: This study used qualitative research with a case study approach; 2 participants with family members who face emergency heart disease were selected. The data collection used semi-structured interview techniques using observation and field notes. The data analysis used Creswell's qualitative data analysis method.Result: The results of the study found 4 themes related to the family experience in dealing with emergency heart disease at home. The themes were knowledge, past experience, values and beliefs.Conclusion: The conclusion of the study is that the family experience when dealing with emergency heart disease is strongly influenced by the knowledge that forms a value and belief which then influences the attitudes involved in decision making.

Management Of Diabetes Mellitus Type 2 For Elderly: Taichi Exercise To Reduce Blood Sugar Levels Fahruddin Kurdi; Zainal Abidin; Ratna Puji Priyanti; Anja Hesnia Kholis
Nursing and Health Sciences Journal (NHSJ) Vol. 1 No. 2 (2021): September 2021
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v1i2.51

Elderly are high risk for the development of type 2 diabetes due to the combined effects of increasing insulin resistance and impaired pancreatic function with aging. Diabetes mellitus is a chronic disease that causes insulin in the pancreas is not effective one of the treatments that can be done by diabetics to reduce blood sugar levels One of them with physical activity, the activity is taichi exercises.The purpose of this study was to investigate the effect of taichi exercises on reducing blood sugar levels in patients with type II diabetes mellitus.The design of this study was pre-experiment one group pre-test and post-test design with a population of 88 patients and a sample of 44 respondents. Research sampling technique used purposive sampling. Data collection with observation sheets. The intervention was carried out four times during 4 weeks. Before the intervention, sugar levels of type II diabetics were classified as moderate as 24 people (54.5%) and high as many as 20 people (45.5%). After the management of taichi exercises sugar levels experienced changes in the categories of good as many as 16 people (36.4%), moderate as many as 20 people (45.5%) and high as many as 8 people (18.2%). Data analized with Wilcoxon Signed Rank test with a significant level α = 0.05, the result ρ-value = 0.001 means ρ-value <α so that there is a significant effect of taichi exercises on decreasing blood sugar levels in patients with type II diabetes mellitus. Blood sugar levels in patients with diabetes mellitus before doing taichi exercises with the number of respondents 44 people mostly experienced changes, evidenced by the level of blood sugar levels from moderate levels to good. Keywords: Elderly, Taichi, Diabetes Mellitus, Blood sugar level

Mental Health and Cognitive Outcomes in Older Adults After Disasters: Epidemiological Evidence, Determinants, Interventions, and Tiered Service Models for Policy and Education Iswanto; Asri; Ratna Puji Priyanti; Fahruddin Kurdi; Maya Fitriasari
Jurnal Kesehatan Komunitas Indonesia Vol 6 No 1: April 2026
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v6i1.701

Background: Natural and human-made disasters disproportionately increase the risk of mental health disorders and cognitive decline among older adults through trauma exposure, displacement, social isolation, and disrupted health services. Despite expanding literature, a synthesized evidence base linking epidemiology, determinants, interventions, and scalable service models for policy and educational use remains limited. Objective: This study aims to synthesize epidemiological evidence, identify key determinants, map effective interventions, and develop policy-ready tiered service models to support mental health and cognitive recovery in older adults following disasters. Methods: This narrative review, enhanced by evidence mapping, employs a bio-psychosocial framework aligned with the Inter-Agency Standing Committee (IASC) tiered MHPSS pyramid. Literature was retrieved from scientific databases (PubMed, Scopus, Web of Science), international clinical and policy guidelines (WHO, IASC, NICE, VA/DoD), and Indonesian context-specific sources. Data were narratively synthesized across epidemiological trends, risk/protective factors, intervention efficacy, and service pathway implementation. Results: Post-disaster epidemiological burden varies widely; meta-analyses of older earthquake survivors report pooled prevalences of 19.3% for PTSD, 23.5% for depression, and 10.9% for anxiety. Indonesian evidence (North Lombok) indicates 59.9% PTSD prevalence, strongly associated with chronic comorbidities (OR 2.49). Prospective Japanese cohorts demonstrate that severe housing damage accelerates cognitive decline, an effect moderated by social connectivity. Effective interventions include Psychological First Aid (PFA), task-sharing models (e.g., PM+), trauma-focused psychotherapy, cautious pharmacotherapy, and telehealth adaptations. Implementation requires age-friendly, tiered pathways with standardized screening and referral protocols. Conclusion: Post-disaster responses must integrate geriatric-sensitive, tiered MHPSS frameworks that ensure continuity of chronic care, preserve social networks, and establish clear, age-disaggregated monitoring systems. These findings provide a structured evidence base for emergency health policy, community response planning, and public health curriculum development.

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