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Hubungan Persepsi Kerentanan, Persepsi Hambatan Dan Dukungan Sosial Dengan Kepatuhan Latihan Fisik Pada Lansia Hipertensi Trisno Putri, Noor Rochmah Ida Ayu; Rekawati, Etty; Wati, Dwi Nurviandari Kusuma
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/snppkm.v4i1.1378

Abstract

Hypertension, a chronic condition often experienced by the elderly and can cause serious complications if not managed properly. Physical exercise is an important non-pharmacological strategy to control blood pressure, however, the level of elderly compliance with exercise is still low. This study analyzed the relationship between perceived vulnerability and perceived barriers with physical exercise compliance in 108 elderly with hypertension in the Tugu Community Health Center (Puskesmas) work area, Depok. Data were collected using a questionnaire based on the Health Belief Model (HBM), and analyzed using the chi-square test and multiple logistic regression. The results showed that 55.6% of elderly had low compliance with physical exercise. Bivariate analysis showed a significant relationship between compliance with perceived vulnerability (p=0.018; OR=2.77) and perceived barriers (p=0.004; OR=2.39). Multiple logistic regression confirmed that elderly with high perceived vulnerability were 3.12 times more adherent, while those with fewer perceived barriers were 3.05 times more adherent. The dominant factor was social support (OR=3.60). Perceived vulnerability and perceived barriers play an important role in physical exercise compliance in elderly with hypertension. Improving health education to raise risk awareness and reducing barriers through targeted interventions, family involvement, and community support are important strategies. These findings underscore the need to integrate psychosocial factors into geriatric community nursing to improve hypertension management in older adults.
Effectiveness of digital gaming intervention in enhancing adolescents’ knowledge and attitudes toward sexual and reproductive health: a systematic review Cahyani, Reztika; Rekawati, Etty; Mulyono, Sigit; Widyatuti
Berita Kedokteran Masyarakat Vol 41 No 11 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i11.24483

Abstract

Purpose: Adolescents often lack adequate sexual knowledge, leading to risky behaviors. Traditional sexual health education is usually less effective in enhancing the motivation and engagement of students. Digital gaming interventions offer a promising alternative in the digital era, providing interactive, engaging, and safe learning experiences. This systematic review aims to analyze the effectiveness of digital games in enhancing adolescents’ knowledge and attitudes toward sexual and reproductive health education. Methods: This systematic review followed the PRISMA guidelines and employed the Joanna Briggs Institute (JBI) critical appraisal. A literature search across ClinicalKey, Cochrane, EBSCO, ScienceDirect, and Scopus identified studies published between 2015 and 2025. The inclusion criteria were original, quantitative studies in English that were freely accessible and focused on digital gaming interventions in adolescent reproductive health. Conventional games or unrelated topics were excluded. Four authors independently screened and reviewed the studies, yielding nine articles for analysis. Results: Nine studies with 6,969 adolescents (aged 11–24) from six countries were included. Digital game interventions significantly improved SRH knowledge and attitudes, with effects ranging from modest (6.27% gain; β = 0.05–0.08) to numerous (η² = 0.80). The small number of studies, design heterogeneity, and cultural differences limit the evidence. Conclusion: Digital gaming intervention improves adolescents’ SRH knowledge and attitudes across contraception, STI prevention, and healthy relationships. However, the limited number of studies, design heterogeneity, and cultural variations restrict generalizability. Future rigorous studies and integration into schools and community programs are recommended. Registered in PROSPERO, ID CRD4202511 68048.
Pengalaman Tim Multidisiplin Melayani Lansia di Panti: Studi Deskriptif Fenomenologis Royani Royani; Achir Yani Syuhaimie Hamid; Etty Rekawati; Ede Surya Darmawan
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.783

Abstract

Elders need friendly, competent, and responsive staff and an organized, clean and welcoming environment. However, preliminary interviews with multidisciplinary teams in nursing homes showed they sometimes felt bored. This study aimed to understand the multidisciplinary teams’ experiences of caring for elders in nursing homes. This is descriptive qualitative research used semi-structured interviews, forum group discussions (FGDs) with 64 participants in Jakarta provincial government-owned nursing homes, document analysis, and observations. The data were collected from September 2022 to July 2023 and analyzed using Colaizzi's measures. The results showed the elders at the nursing homes experienced physical, psychological, behavioral and social changes, where some of them came from poverty or neglect background. Their needs included biological, psychological, social, and spiritual aspects. The multidisciplinary teams felt a variety of emotions when serving the elders, such as happiness, sadness, and sometimes annoyance. Some also felt “reframing,” a feeling of being forced due to no other choice. Therefore, cultivating characters such as empathy, compassion, patience, and sincerity in providing the care is important. Changes in elders with different backgrounds require integrated support. Nursing home management should provide periodic training to the multidisciplinary teams; thus, the service quality can be improved.
The Effect of Culturally-Based Interventions on Stunting Prevention Efforts in Children Aged 0–5 Years: A Systematic Literature Review Zubair, M. Abdul Hamid; Rekawati, Etty; Rahmadiyah, Dwi Cahya; Sari, Indah Permata
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.176-182

Abstract

Background: The high rate of stunting is closely linked to cultural influences within local communities. Therefore, health promotion intervention strategies need to be adapted to align with the cultural context of each community. Objective: This study aims to analyze culturally based interventions for preventing stunting in children aged 0–5 years. Methods: This literature review was conducted systematically using the PRISMA 2020 guidelines. Searches across five databases (ProQuest, ScienceDirect, Taylor & Francis, Scopus, and Google Scholar) yielded seven articles involving 352 participants who received culturally based stunting prevention interventions. Results: Seven articles were analyzed in depth, including three experimental studies without control groups. Five studies reported that culturally based health education interventions effectively improved knowledge, attitudes, and stunting prevention practices among caregivers of toddlers (p<0.05). The remaining two studies found that culturally grounded supplementary feeding interventions improved toddlers’ nutritional status (p<0.05). Conclusion: Culturally based interventions are effective in strengthening stunting prevention efforts for children aged 0–5 years. Integrating cultural approaches enhances community acceptance and can serve as a strategic option for governments to accelerate stunting reduction programs.
Intervensi Pencegahan Jatuh Pada Lansia Berbasis Keperawatan Keluarga: Tinjauan Sistematis Didi Kurniawan; Junaiti Sahar; Etty Rekawati; Ratu Ayu Dewi Sartika
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.40717

Abstract

Falls in the elderly are a serious problem because they can cause physical injuries, such as fractures, head trauma, and even death. Preventing falls in the elderly requires a multidimensional approach that is not only focused on the individual, but also involves the family as the main support unit. This review aims to identify family nursing-based fall prevention interventions. This systematic review method follows the PRISMA framework with article searches through Cinahl, ProQuest, Pubmed, ScienceDirect, Google scholar, and the Cochrane database of systematic reviews. The findings of this review revealed that of the 541 articles identified in the initial stage, nine articles met the eligibility criteria and were retained for further in-depth analysis. The results of the analysis provide insights into fall prevention interventions including; health education, mindfulness and psychoeducation, Otago exercise program, family involvement, fall risk assessment, and home modification. These findings have important implications for community health nurses in providing family nursing care, through empowering the family as the main caregiver in managing fall risk at home.
Peran Aktivitas Fisik dan Sosiodemografis dalam Meningkatkan Kesejahteraan Lansia: Tinjauan Literatur Adil Candra; Imami Nur Rachmawati; Etty Rekawati
Faletehan Health Journal Vol 11 No 01 (2024): Faletehan Health Journal, Maret 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i01.685

Abstract

The increasing population of the elderly presents new challenges concerning quality of life. The depiction of elderly physical activity is influenced by their level of well-being. This study aimed to examine the depiction of factors influencing physical activity and independence among the elderly, which impact optimal elderly quality of life. Three journal databases, namely Scopus, Science Direct, and ProQuest were utilized for the period spanning from 2002 to 2022. The search yielded six articles meeting the inclusion criteria. Findings from the literature review indicated that elderly physical activity is associated with various aspects of their well-being, such as prosperity, social relationships, physical and mental health. Socio-demographic factors, such as gender, age, assets, and income were also linked to the elderly's activity profiles. Another finding suggested the necessity for the development and implementation of technology in the planning and management of recreational and health activities for the elderly. It can enhance various aspects of elderly well-being, including physical work capacity, emotional status, somatic health, and cognitive function. In conclusion, physical activity plays a crucial role in enhancing overall elderly well-being, while socio-demographic factors and social environments also significantly influence elderly activity profiles and well-being.
Efektivitas Intervensi Self-Management di Komunitas terhadap Manajemen Diabetes Melitus Tipe 2: a Systematic Review Tangnga, Martinus; Rekawati, Etty; Rachmawati, Utami
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.2971

Abstract

Background: Prevalensi diabetes melitus tipe 2 (T2DM) yang terus meningkat secara global menunjukkan pentingnya strategi manajemen berkelanjutan, salah satunya melalui intervensi manajemen mandiri berbasis komunitas. Tujuan: Tinjauan sistematis ini bertujuan mengevaluasi efektivitas intervensi tersebut dalam mengontrol diabetes dan meningkatkan kualitas hidup pada orang dewasa dengan T2DM. Metode: Dengan mengikuti pedoman PRISMA 2020, tujuh Randomized Controlled Trials (RCTs) yang diterbitkan antara tahun 2020-2024 dianalisis. Studi-studi ini melibatkan 1.193 partisipan dari berbagai negara, seperti Amerika Serikat, Ghana, Tiongkok, Nepal, dan Taiwan. Intervensi yang diuji meliputi edukasi digital, program yang dipimpin oleh community health workers (CHWs), dan program memasak berbasis komunitas. Hasil: Sebagian besar studi menunjukkan adanya peningkatan pada HbA1c, perilaku perawatan diri, dan kualitas hidup. Efektivitas intervensi bervariasi tergantung pada durasi intervensi, ukuran sampel, dan konteks sosial budaya. Intervensi multikomponen yang menggabungkan edukasi, dukungan sosial, dan keterlibatan kader kesehatan (CHW) menghasilkan luaran yang paling konsisten dan positif. Kesimpulan: Meskipun intervensi ini menjanjikan dalam meningkatkan kontrol glikemik, perilaku perawatan diri, dan kualitas hidup, keterbatasan jumlah studi, heterogenitas intervensi, serta bias metodologis membatasi kekuatan bukti secara keseluruhan. Oleh karena itu, diperlukan uji coba terkontrol acak (RCT) jangka panjang di berbagai setting, serta evaluasi cost-effectiveness sebelum implementasi dalam skala luas.
The influence of body mass index (BMI) and physical activity changes on the effectiveness of e-health in obesity among adults: A systematic review Mahmuddin, Mahmuddin; Mulyono, Sigit; Rekawati, Etty; Wiarsih, Wiwin
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The use of e-health is now widely used as a new intervention e-health can be applications in smart phones, smart watches, or wearables, as well as telemedicine, interactive video and web-based interventions. Purpose: Submitting the results of exploration related to the impact of e-health use in increasing physical activity and changes in BMI in adults with obesity. Method: Literature reviews on several databases such as clinical key nursing, sage journal, and Pubmed using PRISMA methods. Results: This systematic review study proves that eHealth has an influence on physical activity and BMI in adults with obesity. From the 7 articles that used e-health as an intervention in changing physical activity and BMI showed significant results against changes in physical activity, BMI despite using different types of eHealth, such as virtual reality, smartphone applications/wearable devices and telehealth. Conclusion: The use of e-health can be recommended as part of a body weight management strategy as it has a good impact over time and needs to be integrated with nursing interventions so that nurses can monitor patient progress and adjust recommendations based on the data collected.
Mindfulness Intervention Reduces Care Burden Status of Family Caregivers for the Elderly: A Systematic Review Syahrani Iskandar; Etty Rekawati; Kuntarti Kuntarti
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5375

Abstract

ABSTRACT The increasing elderly population in Indonesia poses significant challenges for families acting as caregivers responsible for providing optimal care. Caregivers often experience physical, mental, and emotional stress, commonly referred to as caregiver burden. Mindfulness therapy has emerged as an effective approach to reducing stress by transforming negative thought patterns. Objective: This study aims to evaluate the effectiveness of mindfulness interventions in reducing caregiver burden and enhancing the health and well-being of caregivers for elderly family members through a systematic review. Method: A systematic review was conducted using the PRISMA approach. Data were collected from three databases: PubMed, EBSCOHost, and Scopus, with inclusion criteria focusing on research articles evaluating the effectiveness of mindfulness for caregivers of the elderly, published between 2019–2024. Five studies with a Randomized Controlled Trial (RCT) design were thoroughly analyzed using the Critical Appraisal Skills Programme (CASP). Results: The findings revealed that mindfulness interventions significantly reduced stress levels, depressive symptoms, and anxiety among caregivers. Additionally, improvements in sleep quality and emotional well-being were noted in some studies. While the effect on reducing caregiver burden was inconsistent, most studies demonstrated significant enhancements in mental health and overall well-being. Conclusion: Mindfulness-based interventions have proven effective in supporting the physical and mental health of caregivers for the elderly.
The Effect of Early Ambulation on Postoperative Elderly: A Systematic Review Susana Susana; Etty Rekawati; Junaiti Sahar; Yossie Susanti Eka Putri
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5412

Abstract

Elderly patients face various surgical risks, including complications, slower recovery, prolonged hospital stays, functional decline, and even death. Early ambulation is beneficial in reducing these risks in older adults. However, elderly patients often lack motivation to ambulate due to insufficient understanding and family support, leading to longer bed rest. Aim : To evaluate the impact of early ambulation as an intervention to enhance postoperative recovery in elderly patients. Methods: This is a systematic review study with a PICO approach. Article searches were conducted using online databases such as EBSCO, PubMed, ScienceDirect, SpringerLink, and Scopus with the keywords (Elderly OR Older Adult) AND (Post Operative OR Post Surgery) AND (Early Ambulation OR Early Mobilization) AND (Reduce Length of Stay) published between 2014–2024 and The 5 relevant articles were found. Results: Five studies indicated that the implementation of early ambulation programs in elderly surgical patients not only reduces length of stay but also improves functional capacity and decreases the incidence of complications such as pneumonia, atelectasis, and venous thrombosis. Conclusion: The studies show that early mobilization reduces hospital stays, accelerates organ function recovery, and provides psychological benefits, such as reduced postoperative anxiety.
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