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Upaya Penurunan Risiko Jatuh pada Lansia melalui Program OLORE Sahar, Junaiti; Putri, Yossie Susanti Eka; Simorangkir, Dewi Srimauli; Rekawati, Etty; Silaswati, Shinta
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 4 (2025): Oktober-Desember 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16406

Abstract

Falls in the elderly are a serious global health problem, with more than 80% of cases occurring in those over 60 years of age. Elderly people in nursing homes have a higher risk of falls than those living in the community. The purpose of this study was to test the effectiveness of the OLORE program in reducing the risk of falls in elderly people in nursing homes. This was an experimental study with a pretest-posttest design with a control group. It was applied to 98 elderly people in two nursing homes for 12 weeks. The intervention provided was the OLORE program, which was conducted three times per week. Data collection on falls was carried out using the Morse Fall Scale (MFS) questionnaire in the pre- and post-intervention phases in both groups. Data analysis was performed using a t-test. The results showed that the group receiving the OLORE program experienced a decrease in fall risk scores of 8.57 points; while in the control group it was only 2.55 points. The p-value for each group was 0.001 and 0.096, respectively, which means that there was a significant difference in fall risk between before and after the intervention only for the group receiving the OLORE program. In conclusion, the OLORE program is effective in reducing the risk of falls in elderly residents of nursing homes.Keywords: elderly; fall risk; weight training; physical exercise ABSTRAK Jatuh pada lansia merupakan masalah kesehatan global yang serius, dengan lebih dari 80% kasus terjadi pada usia di atas 60 tahun. Lansia di panti wreda memiliki risiko jatuh lebih tinggi dibandingkan yang tinggal di komunitas. Tujuan penelitian ini adalah menguji efektivitas program OLORE untuk menurunkan risiko jatuh pada lansia di panti wreda. Penelitian ini adalah studi eksperimental dengan rancangan pretest-posttest with control group. Yang diterapkan pada 98 lansia di dua panti wreda selama 12 minggu. Intervensi yang diberikan adalah program OLORE yang dilakukan 3 kali per minggu. Pengumpulan data tentang jatuh dilakukan menggunakan kuesioner Morse Fall Scale (MFS) pda fase sebelum dan sesudah intervensi pada kedua kelompok. Analisis data dilakukan dengan t-test. Hasil analisis menunjukkan bahwa kelompok yang mendapatkan program OLORE mengalami penurunan skor risiko jatuh sebesar 8,57 poin; sedangkan pada kelompok kontrol hanya 2,55 poin. Nilai p untuk masing-masing kelompok adalah 0,001 dan 0,096, yang berarti bahwa ada perbedaan risiko jatuh secara signifikan antara sebelum dan sesudah intervensi hanya untuk kelompok yang mendapatkan program OLORE. Sebagai kesimpulan, program OLORE efektif untuk menurunkan risiko jatuh pada lansia di panti wreda.Kata kunci: lansia; risiko jatuh; latihan beban; latihan fisik
Development of a Home-Based Holistic Dementia Nursing Intervention Model for Family Caregivers Widyastuti, Rita Hadi; Sahar, Junaiti; Rekawati, Etty
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.65049

Abstract

Background: The number of older adults with dementia in Indonesia continues to increase. However, many family caregivers still have limited knowledge and skills, leading to adverse effects on both the older adults and the caregivers themselves. Existing interventions mainly focus on single aspects of care and have not adequately addressed the physical, psychological, social, and spiritual dimensions. Therefore, there is a need for a comprehensive intervention model that holistically meets caregivers’ needs.Purpose: This study aimed to develop a home-based holistic dementia nursing intervention model for family caregivers and identify its key features.Methods: Three approaches were used for model development: (1) literature review, (2) in-depth interviews, and (3) expert validation. Five articles addressing holistic care dimensions and nursing interventions were included in the review. Fifteen participants took part in the in-depth interviews, while expert validation involved three specialists in the geriatric field with specific qualifications. Data were collected between August and September 2022. Analysis was conducted by comparing and synthesizing the findings from the literature review, interviews, and expert validation.Results: The holistic dementia nursing intervention model for family caregivers consisted of four intervention domains: (1) physical, (2) psychological, (3) social, and (4) spiritual. The model also incorporated three key components: (1) communication processes, (2) organizational processes, and (3) belief systems.Conclusion: The home-based holistic dementia nursing intervention model for family caregivers offers a potential conceptual framework to comprehensively address the physical, psychological, social, and spiritual needs of both older adults and their caregivers.
Effectiveness of Family Nutrition Education on the Incidence of Stunting: Systematic Review Hardiyanti, Siti; Rekawati, Etty; Setiawan, Agus; Rahmadiyah, Dwi Cahya
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3058

Abstract

The family has an important role in the growth and development of babies so that they do not experience stunting. Knowledge has an impact on increasing understanding of toddler nutrition.Objective: The aim of this literature search is to determine the effectiveness of family nutrition education on the incidence of stunting. Literature search method by combining search term using Boolean operator, below are the keywords used in the literature “mother” AND “Family nutritional science” AND “stunting” OR “growth disorders”. Literature search on several databases: Sage Journal, PubMed, Clinical Key, Science Direct, Proquest, Ebsco, Embase, Springer Link published from January 2018 to December 2023 and found 75.261 article using the PRISMA method. This systematic review research study explains that family nutrition education has the aim of increasing family knowledge, healthy development, diversity of eating patterns, and increasing the growth and development of toddlers. Family nutrition education can increase knowledge and understanding regarding eating patterns and nutrition for toddlers, family nutrition education followed by training can further improve behavior in providing healthy nutrition for toddlers.
The Effect of Nutritional Management in the Nutritional Status of Patients with Pulmonary Tuberculosis: A Systematic Review Literature Sagala, Adi Brando M; Rekawati, Etty; Nursasi, Astuti Yuni
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3085

Abstract

Pulmonary Tuberculosis (TB) incidence and mortality rates in 2021 are higher than in 2020. The main risk factor for TB is malnutrition. Conversely, TB patients with malnutrition will experience obstacles in the healing process. The aim of this study was to review the results of research on the effect of nutritional management on the nutritional status of clients. The study design was a systematic literature review with PRISMA protocol. The literature search was limited to the last 10 years (2013-2023) in six databases, namely: Pubmed, Proquest, Science Direct, Scopus, Sage Journal, Wiley, and supplemented with hand searched in Google Scholar. All literature obtained has been reviewed for quality by each researcher using the Joanna Bridge Institute checklist for critical appraisal, then summarizing evidence, and interpreting the results. The initial search obtained 2688 literatures. The final result was seven literatures in this study. The results of these studies show that nutritional management has a positive effect on the nutritional status of TB patients. The types of nutrition management activities are individual diet, provision of high-calorie and high-protein supplementary foods, nutrition counseling, and supplementation. It was concluded that the intervention of individualized diet preparation had a statistically significant effect on improving nutritional status.
Exercise Therapy is Efficacious in Reducing Pain of Musculoskeletal Disorders in Cleaning Workers: A Systematic Review Fikri, Fikri; Rekawati, Etty; Permatasari, Henny
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3197

Abstract

Musculoskeletal disorders (MSDs) are conditions that lower productivity, cause discomfort in the form of decreased range of motion or chronic pain and impair function. These can be made worse by the workplace and its surroundings, and they impact the muscles, bones, nerves, tendons, ligaments, joints, cartilage, and intervertebral discs. Exercise therapy is one non-pharmacological intervention that might be helpful in reducing pain complaints related to MSDs. This study aimed to review the literature regarding the efficacy of exercise therapy in mitigating pain associated with musculoskeletal disorders (MSDs) in cleaning workers. A systematic review was the methodology employed. Searches for articles published between 2013 and 2023 were conducted using Google Scholar, PubMed, ProQuest, and Science Direct. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach, the search strategy was conducted. Five of the articles were eligible for inclusion. Four studies employed a quasi-experimental design, and one study used an RCT design. Exercise therapy, which includes aerobic, motor control, functional, ergonomic, and foam roller exercises, was found to be beneficial in lowering musculoskeletal pain in cleaning workers across all studies. This evidence suggests that exercise therapy can be used as a nursing intervention to reduce musculoskeletal pain in cleaning workers.
The Effect of Midfulness Meditation in Maintaining Blood Pressure in Elderly People with Hypertension: Systematic Review Sinurat, Diana Nurhayati; Sahar, Junaiti; Rekawati, Etty; Rachmawati, Utami
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3472

Abstract

Elderly with hypertension is group necessary vulnerability​ handling in giving care nursing in a way comprehensive . The purpose of review from systematic This is explore about influence deep mindfulness meditation maintain pressure blood in the elderly with hypertension . Data obtained from Embase, Pubmed, Proquest and Ebscohost databases start from 2019-2023 . Collected articles in review systematic using the keywords "Older people" AND mindfulness meditation AND "Blood Pressure", and "elderly with Hypertension OR transcendental meditation AND Blood pressure ". Selected articles with screening using the PRISMA flowchart in quote from literature This . Review results show that influence mindfulness meditation on pressure blood in patients hypertension give enhancement quality self, reduction in levels of anxiet, stress, as well beneficial For various condition health, influence function and structure brain with fast.
Improving Functional Status of Older Adults Through Health Literacy Media: A Systematic Review Tandilangi, Trisnawati Paulus; Rekawati, Etty; Eriska, Winda
Jurnal Berita Ilmu Keperawatan Vol. 17 No. 2 (2024): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v17i2.5063

Abstract

Older age can be followed by an aging process that shows a decrease in physical function due to various degenerative problems that reduce immunity caused the older adults vulnerable to infectious diseases.  Health literacy can improve the physical function of the older adults in using self management agents, social support, access to health services and increasing the quality of life of  older adults. The aim of this paper is to obtain the existence evidence of health literacy impact in improving older adults health status and functional or physical well-being living in community-setting and clinical setting. This paper used some databases Proquest database, PubMed, Sage Journal, Scopus, Ebscohost, Science Direct, anf Taylor & Francis. There are 11 articles published between 2014 - 2024 were reviewed using the PRISMA method. This review found that there are different types of health literacy media (print and digital) and there are combination of health literacy with physical activity interventions to deliver health information to older people. Standardized health literacy media in readability, and easy to use such as video/web/electronic, game-based, digital, and mobile-based and health literacy interventions combined with planned physical activities can increase knowledge, self-efficacy, cognitive function, quality of life, and reducing frailty score, fall risk, depression score.
The Effect Of Wound Care With Olive Oil On Pressure Ulcer Healing In Older Adults: A Systematic Review Handayani, Eka Sila; Sahar, Junaiti; Rekawati, Etty; Eka Putri, Yossie Susanti
Jurnal Riset Kesehatan Vol 14 No 1 (2025): MEI 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v14i1.12544

Abstract

Background: Pressure ulcers are a significant concern commonly encountered by the elderly, both in medical institutions and domestic settings. The worldwide incidence of pressure ulcers in the elderly varies from 3.3% to 11.1%. In Indonesia, 95% of the elderly are autonomous, although 5% exhibit varied degrees of reliance, ranging from mild to complete. Preventive interventions include wound care, adequate nutrition, regular position changes, and the use of moisturizers such as olive oil. Aim : To determine the effect of using olive oil in the care of pressure ulcers in the elderly. MethodThe researcher used a systematic literature review method with five databases: Clinical Key, PubMed, Garuda, SAGE, and ProQuest, focusing on publications from 2015 to 2024. The included studies were Randomized Controlled Trials and Case-Control Studies that involved elderly > 60 years old participants as samplesResults: Based on the literature review, three RCT and quasi-experimental articles indicated that olive oil is effective in reducing the severity of pressure ulcers and the risk of worsening. Conclusion: Based on the research articles reviewed and analyzed, olive oil has been proven effective in preventing and accelerating the healing of stage 1 and 2 pressure ulcers, with a large effect size (Cohen’s d ≈ 0.97–1.5). Olive oil can be considered as a treatment option for pressure ulcers in the elderly due to its accessibility and affordability.
INFORMATION SUPPORT IN INCREASING ELDERLY PARTICIPATION IN POSYANDU AT KARANG BARU HEALTH CENTRE Sahara, Elvira; Rekawati, Etty
Indonesian Journal of Health Science Vol 9 No 1 (2025): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v9i1.11307

Abstract

The activeness of the elderly coming to the posyandu has an important role for the health of the elderly. In this case, the factor that plays an important role in increasing the activeness of the elderly to the posyandu is information support from the family. This study aims to determine the role of information support from the family in increasing the activeness of the elderly to come to the posyandu. Through the use of correlative quantitative design through a cross-sectional approach with a sample of 370 elderly by random sampling, using a family support questionnaire and a list of elderly attendance at posyandu. This study shows that the frequency distribution of good information support (52.2%) and analysis of the significant relationship between information support and the activeness of the elderly in attending posyandu (p<0.05). The important role of information support from the family in supporting the elderly to continue to actively participate in coming to posyandu. Recommendation: Family involvement is needed in providing health information to the elderly to support the elderly to actively attend posyandu as part of health interventions for the elderly
The Effect of Knowledge of the Elderly and Family Caregivers on the Incidence of Readmission in the Elderly with Heart Failure: Systematic Review Saraswati, Sarita; Rekawati, Etty; Sahar, Junaiti
Adi Husada Nursing Journal Vol 9 No 1 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i1.386

Abstract

Heart Failure (HF) is a progressive disease that occurs in 0.13% of Indonesia's population and is dominated by the elderly. This disease requires high costs due to high rehospitalization rates. In meeting their daily needs, the elderly with HF needs caregivers to pay attention to their health, prevent risk factors, and identify resources owned by the family to support the needs of the elderly with HF. The aim of this systematic review was to identify the effect of knowledge of elderly clients and caregivers on the incidence of re-hospitalization in the elderly with HF. The data collection method uses an electronic database from journals that have been published through ScienceDirect, EBSCOHost, ProQuest, ClinicalKey, and Scopus. The data was analyzed using PRISMA diagram. The results of the systematic review of related journals show that the knowledge of clients and caregivers can reduce the incidence of re-hospitalization, and worsening of conditions, and reduce the risk of mortality in heart failure patients, therefore good understanding and literacy is needed for caregivers and elderly clients with HF.
Co-Authors A.A. Ayu Rani Puspadewi AA Sudharmawan, AA Achir Yani S. Hamid Achir Yani Syuhaimie Hamid Adawiyah, Robiyatul Adil Candra Agung Waluyo Agus Setiawan Akbar, M. Agung Allenidekania Allenidekania Aminah Soemadi Al Djuwardi Anggraini Marissa Aria Kekalih Arief Andriyanto Arief Andriyanto, Arief Arjuna Arjuna Astuti Nursasi Astuti Yuni Nursasi Ayu Widya Lestari Azwar Azwar Budi Anna Keliat Cahyani, Reztika Candra, Adil Ceacilia Nika Candra Kusuma Dahlia, Debie - Defrima Oka Surya Dewi Srimauli Simorangkir Dian Ayubi Didi Kurniawan Didi Kurniawan Didi Kurniawan Didi Kurniawan Dikha Ayu Kurnia Dwi Cahya Rahmadiyah Dwi Nurviyandari Ede Surya Darmawan Eriska, Winda Faridah, Ida Fatin, Nurul Fikri Fikri Fina Mahardini Fitriani Fitriani Fonny Veronika Runtulalo Fransiska Novita Sari Gupta, Prateek Handayani, Eka Sila Henny Permatasari Henny Permatasari Ikhwanudin Ikhwanudin Imami Nur Rachmawati Imami Nur Rachmawati Indah Permata Sari Indah Permata Sari Indah Permatasari Indira Mastura Pulungan Istifada, Rizkiyani Iswanto Iswanto Jamilatur Rasyidah Efendi Junaiti Sahar Juniati Sahar Juniati Sahar, Juniati Kartika, Annisa Wuri Kasfi, Anna Kristamuliana Kristamuliana Kuei-Ru Chou Kuntarti La Ode Saltar Lestari, Ayu Widya Lily Herlinah Lita Heni Kusumawardani Mahmuddin Mahmuddin Mardhatillah Mardhatillah Marwah Marwah Mersiliya Sauliyusta Nani Nurhaeni Nasirun, Hafizs Ni Made Candra Citra Sari Nuridah Nuridah Oky Octaviani Poppy Fitriani Poppy Fitriyani Prateek Gupta Prio, Asminarsih Zainal Putra, Mepsa Putri, Yossie Susanti Eka Rachmawati, Utami Rahayu, Bhekti Yuniarti Rahmawani, Atika Ratna Lestari Ratu Ayu Dewi Sartika Rita Hadi Widyastuti Rita Hadi Widyastuti Rita Hadi Widyastuti rohayati rohayati Rohayati, Rohayati Rossyda, Erna Netty Royani Royani Royani Royani Ryanti Maranata Safaruddin Sagala, Adi Brando M Sahara, Elvira Saraswati, Sarita Sari, Ni Luh Putu Dian Yunita Sheirly Mariani Sigit Mulyono Silaswati, Shinta Silvia Elki Putri Sinurat, Diana Nurhayati Siti Chodidjah Siti Hardiyanti Sovia Sovia Sri Wulan Widyawati Sri Yona Susana Susana Sutrisno, Sutrisno Syahrani Iskandar Tandilangi, Trisnawati Paulus Tangnga, Martinus Tety Nikasia Matanari Tinneke A. Tololiu Trisno Putri, Noor Rochmah Ida Ayu Utami Rachmawati Vincentia Exandy Salvera Arnoldy Wafa Sofia Fitri Wahyuni, Anyta Hera Wanda , Dessie Wang, Jing Jy Wati, Dwi Nurviandari Kusuma Wati, Dwi Nurviyandari Kusuma Widyatuti Widyatuti Wiwin Wiarsih Yelly Sari Arifin Yossie Susanti Eka Putri Yulita, Refi Yusriana Yusriana Zubair, M. Abdul Hamid