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PENINGKATAN PERILAKU PENCEGAHAN STROKE PADA LANSIA MELALUI PENGEMBANGAN MODEL PEMBERDAYAAN KELUARGA DAN LANSIA Ni Made Riasmini; Yeti Resnayati; Shinta Silaswati; Riyanto Riyanto; Amid Salmid
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9727

Abstract

Introduction: The number of patients with hypertension is steadily increasing and poses a significant chronic health problem. Individuals with hypertension have an 87.5% risk of experiencing a stroke. The role of family as caregivers is crucial in elderly care, particularly in stroke prevention. The family empowerment model is an approach designed to enhance self-potential, enabling individuals to make informed decisions regarding their own health. This study aimed to examine the effect of a family empowerment model on stroke prevention behavior among the elderly with hypertension. Methods: This quasi-experimental study involved 132 families with hypertensive elderly, using multistage random sampling. A six-week intervention program consisting of education and skill-building activities was implemented. Stroke prevention behaviour was measured using the validated Elderly Stroke Prevention Behaviour Questionnaire (knowledge, attitude and behaviour). Data were analysed using paired and independent t-tests. Results: Significant improvements were observed in the intervention group following the implementation of the family empowerment model (p < 0.001). Knowledge scores improved from 6.61 (SD = 1.86) to 9.15 (SD = 0.88), attitude scores improved from 17.11 (SD = 2.30) to 25.79 (SD = 3.30), and behaviour scores improved from 7.18 (SD = 2.20) to 9.02 (SD = 0.97).  Conclusion: The eight-week empowerment model effectively improved stroke prevention behaviour among the elderly with hypertension This model can be integrated into community-based programs to promote elderly self-care and reduce the risk of stroke. Recommendations: Empowering the elderly is essential to enhance self-efficacy and overall quality of life.
Pelatihan Kader Kesehatan Sebagai Upaya Peningkatan Kemampuan Skrining Penderita Hipertensi Yeti Resnayati; Ni Made Riasmini; Dina Carolina
Bakti Nusantara Pengabdian Masyarakat Indonesia Vol. 2 No. 1 (2025): January - April
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/bnpmi.v2i1.90

Abstract

Hipertensi merupakan masalah kesehatan global yang membutuhkan perhatian karena dapat menimbulkan komplikasi dan menyebabkan kematian. Jumlah penyandang hipertensi terus meningkat setiap tahunnya dan diperkirakan  pada tahun 2025 di seluruh dunia akan ada 1,5 miliar orang terkena hipertensi dan  diperkirakan setiap tahunnya 9.4 juta  orang meninggal akibat hipertensi dan komplikasinya. Komplikasi hipertensi yang sering terjadi adalah stroke . Stroke menempati peringkat ke-3 penyebab kematian di Indonesia dan juga merupakan peringkat ke-3 penyebab kecatatan di seluruh dunia. Pemerintah Indonesia saat ini melaksanakan transformasi sistem  kesehatan yang salahsatu pilarnya adalah transformasi pelayanan primer. Dalam transformasi pelayanan primer tersebut perlu dilaksanakan pencegahan sekunder yakni skrining penyakit hipertensi. Skrining terhadap penderita hipertensi ini sangat penting untuk mencegah terjadinya hipertensi lebih berat dan kejadian stroke. Permasalahannya siapa yang harus melakukan skrining awal di masyarakat ? Kader kesehatan yang saat ini selalu berada ditengah masyarakat dapat diberdayakan, namun kemampuan mereka dalam melakukan skrining masih rendah sehingga kurang percaya diri, untuk itu perlu kader dengan kompetensi yang memadai yang tentunya melalui pelatihan. Tujuan kegiatan  ini untuk mendapatkan gambaran apakah pelatihan dengan pola 30 jam pelajaran efektif dalam meningkatkan kompetensi kader kesehatan dalam melakukan skrining hipertensi . Metode yang diterapkan adalah pelatihan pola 15 jam teori dan 15 jam praktik. Hasil pelatihan menunjukkan terjadi peningkatan kompetensi baik pengetahuan, sikap, keterampilan dan rasa percaya diri kader kesehatan untuk melakukan skrining. Kesimpulan : pelatihan kader  dengan pola 15 jam teori dan 15 jam praktik dapat meningkatkan kompetensi dan rasa percaya diri kader dalam melakukan skrining skrining awal penderita hipertensi
Tingkat Pengetahuan Masyarakat Terhadap Perilaku Pencegahan Demam Berdarah (Dengue) di Jakarta Timur Eska Riyanti Kariman; Ni Made Riasmini; Nelly Yardes
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.23230

Abstract

ABSTRACT Dengue Hemorrhagic Fever (DHF) is a significant public health problem in Indonesia. Based on data recorded by theIndonesian Ministry of Health and based on the DKI Jakarta Provincial Health Office, DHF cases continue to increase. This condition shows the need for effective prevention efforts, one of which is through increasing public knowledge. However, there is still a gap between knowledge and prevention behavior. To determine the relationship between thelevel of knowledge and DHF prevention behavior in the community in RW 08, Jatinegara Village, East Jakarta. This type of research is descriptive analytical with a cross-sectional approach. A sample of 90 people was taken using a purposive sampling technique, with the criteria that there had been a family member who had DHF. Data werecollected using a questionnaire on knowledge and behavior of dengue fever prevention (20 questions each, Guttman scale), which had been tested for validity and reliability (Cronbach's Alpha 0.723 and 0.879). Data analysis used thechi-square test. The majority of respondents with high knowledge had good dengue fever prevention behavior(86,5%), while respondents with low knowledge tended to have less good behavior (84,2%). The results of the chi-square test showed a p-value of 0.000 (0,05) and an Odds Ratio (OR) of 34,286, which means that high knowledgeincreases the chances of good prevention behavior by 34 times compared to low knowledge. There is a significant relationship between the level of knowledge and dengue fever prevention behavior in the community. Keywords: Dengue Hemorrhagic Fever (DHF), Level of Knowledge, Prevention Behavior.  ABSTRAK Demam Berdarah Dengue (DBD) merupakan masalah kesehatan masyarakat yang signifikan di Indonesia. Berdasarkan data yang tercatat di Kemenkes RI maupun bersadarkan Dinkes Provinsi DKI Jakarta, kasus DBD terus mengalami peningkatan. Kondisi ini menunjukkan perlunya upaya pencegahan yang efektif, salah satunya melalui peningkatan pengetahuan masyarakat. Namun, masih ditemukan kesenjangan antara pengetahuan dan perilaku pencegahan. Mengetahui hubungan tingkat pengetahuan dengan perilaku pencegahan DBD pada masyarakat di  Kelurahan Jatinegara Jakarta Timur. Jenis penelitian ini adalah deskriptif analitik dengan pendekatan cross- sectional. Sampel sebanyak 90 orang diambil menggunakan teknik purposive sampling, dengan kriteria pernah ada anggota keluarga yang terkena DBD. Data dikumpulkan menggunakan kuesioner pengetahuan dan perilaku pencegahan DBD (masing-masing 20 soal, skala Guttman), yang telah diuji validitas dan reliabilitasnya (Cronbach’s Alpha 0,723 dan 0,879). Analisis data menggunakan uji chi-square. Mayoritas responden dengan pengetahuan tinggi memiliki perilakupencegahan DBD yang baik (86,5%), sedangkan responden dengan pengetahuan rendah cenderung memiliki perilaku kurang baik (84,2%). Hasil uji chi-square menunjukkan nilai p-value 0,000 (0,05) dan Odds Ratio (OR) 34,286, yangberarti pengetahuan tinggi meningkatkan peluang perilaku pencegahan yang baik sebesar 34 kali dibandingkan pengetahuan rendah. Terdapat hubungan yang signifikan antara tingkat pengetahuan dengan perilaku pencegahan DBD pada masyarakat. Kata Kunci: Demam Berdarah Dengue (DBD), Tingkat Pengetahuan, Perilaku Pencegahan.
APAKAH ADA HUBUNGAN ANTARA KUALITAS TIDUR DENGAN FUNGSI KOGNITIF LANSIA? Raden Siti Maryam; Ruth Teresna Silitonga; Ni Made Riasmini; Mia Fatma Ekasari; Puspita Hanggit Lestari
Optimal Nursing Journal Volume 3 No 1 Juni 2026
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67717/740314

Abstract

Background: The elderly life stage is characterized by increased vulnerability to decline in physiological and psychological functions, including sleep quality and cognitive function. Sleep disorders in the elderly can be fatal, one of the impacts is decreased cognitive function. Objective: This study aims to examine the relationship between sleep quality and cognitive function in the elderly in the Posyandu Melati area, RW.09, East Jakarta. Research Method: This study used a cross-sectional design with a quantitative approach. A total of 106 elderly were selected by purposive sampling. The instruments used included the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) to measure cognitive function. Data were analyzed using the Chi-Square test. Results: The findings showed that the majority of respondents had poor sleep quality (58.5%) and abnormal cognitive function (88.7%). There was a relationship between age and education level with cognitive function (p = 0.026 and 0.003). There was a significant relationship between sleep quality and cognitive function in the elderly (p = 0.001). Conclusion: Elderly with poor sleep quality are 20 times more likely to experience cognitive impairment. These findings highlight the importance of addressing sleep quality in older adults as a means of maintaining cognitive function. Nurses play a crucial role in providing education and interventions to improve sleep quality in older adults to prevent cognitive decline through Integrated Primary Care Posyandu (Posyandu ILP) activities and community group activities.
Hubungan Gangguan Kognitif dengan Kemandirian Lansia dalam Melakukan Basic Activity of Daily Living (BADL) Ni Made Riasmini; Luthfiyah Astried; Yeti Resnayati
Jurnal Sehat Mandiri Vol 20 No 1 (2025): Jurnal Sehat Mandiri, Volume 20 Nomor 1 Juni 2025
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v20i1.1728

Abstract

Cognitive impairment experienced by the elderly is a serious problem because it has an impact on the ability of the elderly to carry out daily activities. After old age, there are a number of potential physical changes in a person. This is related to differences in the speed of cognitive function in the elderly because it can interfere with the independence of the elderly to carry out Basic daily activities. The aim of this research is determine the relationship between cognitive impairment and elderly independence in carrying out Basic Activities Daily Living (BADL).the elderly. This type of research is quantitative with a cross-sectional approach. The population of this study was 292 people with a sample of 68 respondents and sampling using simple random sampling techniques. The results of data analysis with the chi-square test showed that there is a meaningful relationship between cognitive impairment and independence of Basic Activity Daily Living (BADL) with p-value<0.001. The conclusion is the elderly with severe cognitive impairment are at greater risk of experiencing dependency in BADL compared to elderly people who experience mild cognitive impairment.
Efektivitas Model Praktik Kolaborasi Interprofesional (PKIP) Tenaga Kesehatan Terhadap Kinerja Pelayanan Kesehatan Rumah Prayetni Prayetni; Ni Made Riasmini; Bondan Palestin; Tri Prabowo
Jurnal Keperawatan Vol 3 No 1 (2018)
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v3i1.198

Abstract

Primary health care is an essential service that can be accepted by individuals, families in the community. Family health services face clients with actual, potential or potential health problems that are complex using biopsikososiospiritual Cooperation between health workers is needed so that the health services provided are effective and efficient. This research is operational research with qualitative and quantitative methods. Qualitative research uses descriptive design and quantitative research using Cross Sectional design. This study was designed to develop a model / form of interprofessional cooperation practice of health workers that is validated through statistical tests. The research will be carried out by two people, the first model develops and the two effective models of PKIP on the performance of health services and the quality of services to clients. The research sample used in the quantitative research was purposive sampling with a total of 155 people. To test the model using a structured equation model test (SEM). The results of the study showed all variables of Recognition among Professionals of Health Workers, Self-Confidence, Role of Health Responsibility, Leadership, Communication, Team Work, forming PKIP models that were in accordance with the influence, and connecting to the performance of home health services.
Improving Cognitive Function of the Elderly through Tai Chi Exercise Program and Cognitive Stimulation Ni Made Riasmini; Rika Sabri; Husnul Khatimah; Yeti Resnayati; Nana Mulyana; Eska Riyanti; Riyanto Riyanto
Jurnal Keperawatan Vol 9 No 1 (2024): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v9i1.1472

Abstract

The increasing proportion of elderly followed by the increasing life expectancy has improved the prevalence of various chronic-degenerative diseases and dementia. The promotive efforts using exercise programs, such as Tai Chi and cognitive therapy, significantly increase the physical fitness, mental well-being, and cognitive function of the elderly. This research aimed to predict the effectiveness of exercise programs for particular groups living in nursing homes. The method of this research was a quasi-experiment with a control group design. Samples are elderly living in the nursing home. The research samples were 116 elderlies living in nursing homes in Jakarta and South Sumatra. They were selected using a random sampling strategy. Statistical tests employed a dependent t-test, independent t-test, and multiple linear regression test. This study revealed that the intervention group showed different cognitive function average values before and after implementing the exercise programs (p-value = 0.001). In contrast, the control group did not show any differences. The intervention and control groups showed different cognitive function mean values after applying the exercise program (p-value = 0.057). Another finding denoted that the length of stay in the nursing home affected the elderly's cognitive functions). This research recommends policymakers and healthcare personnel use the developed exercise program to perform complementary therapy, empower the elderly, and be replaced by many orders of the healthcare system.
The Influence of Lifestyle Modifications in Elderly People With Hypertension on Self-Efficacy and Quality of Life Resnayati, Yeti; Maryam, Raden Siti; Riasmini, Ni Made; Pudjiati, Pudjiati; Carolina Hapsari, Dina
Nursing Genius Journal Vol. 1 No. 2 (2024): Nursing Genius Journal (February-April)
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v1.i2.2024.47

Abstract

Background:  Problems in the elderly occur due to a decline in all organ functions. The aging process can cause various physical, biological, mental, and socio-economic problems. One very important factor influencing quality of life is lifestyle and lifestyle promotion behavior.  Methods:  Pretest-posttest research design with control group design. Sample of elderly individuals. The sampling strategy used was simple random sampling with a sample size of 39 each for the intervention group and control group. Data analysis used the difference between two means test (t-test). Results:   shows a significant difference (p = 0.000) in self-efficacy and quality of life for the elderly between the intervention group and the control group after the lifestyle modification intervention. Conclusion:    It is hoped that continued promotional and preventive activities for senior people can be carried out through the integrated guide post (Posbindu). Lifestyle adjustments for elderly people with hypertension can increase their self-efficacy and quality of life.