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Journal : Public Health of Indonesia

Effectiveness of Slow Stroke Back Massage (SBBM) on blood pressure, anxiety, and depression among older people with hypertension: A quasi-experimental study Patonengan, Gita Sandy; Mendrofa, Fery Agusman Motuho; Hani, Umi
Public Health of Indonesia Vol. 9 No. 2 (2023): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i2.678

Abstract

Background: The high incidence of hypertension among older adults requires the efforts of healthcare workers to prevent complications that can worsen the condition. Hypertension can also lead to anxiety and depression due to a combination of factors, such as a physiological decline in physical condition. One of the non-pharmacological therapies considered for reducing blood pressure, anxiety, and depression is slow stroke back massage (SSBM). Objectives: The study aimed to examine the effectiveness of SSBM in reducing blood pressure, anxiety, and depression among older adults with hypertension. Methods: This study utilized a quasi-experimental pretest-posttest control group design. The research was conducted in March 2023 with 50 respondents aged 60-74. Aneroid Sphygmomanometer, Geriatric Depression Scale (GDS), and Geriatric Anxiety Scale (GAS) were used for data collection. Mann-Whitney and Wilcoxon tests were used to analyze data. Results: The SSBM therapy in the experimental group was effective compared to the standard therapy in the control group in reducing blood pressure, anxiety, and depression. Conclusion: SSBM therapy is an effective complementary therapy for reducing blood pressure, anxiety, and depression in older adults. Therefore, it can be utilized as a preventive measure against complications that may arise in the older adult population.
Assessing needs for developing a multisensory room design with Javanese gestures for older adults Mendrofa, Fery Agusman Motuho; Hani, Umi; Widyastuti, Rita Hadi; Murniati, Restu; Pratama, Wisnu
Public Health of Indonesia Vol. 9 No. 4 (2023): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i4.757

Abstract

Background: Multisensory stimulation in the elderly helps train cognitive function and motor skills by incorporating elements that stimulate their senses. The application of a multisensory room caters to sensory stimulation identified for individuals experiencing cognitive decline from moderate to severe and those with neurodegenerative conditions such as Parkinson's, Dementia, and Alzheimer's. Objective: This study aimed to assess needs to develop a multisensory room design tailored with a Javanese cultural approach for the older adults. Methods: A plan for a multisensory room was made involving experts in gerontic nursing, design, and interior space design. Qualitative data collection utilized the Focus Group Discussion (FGD) technique. FGD was employed to comprehend factors associated with the necessity of a therapeutic room for the elderly, especially concerning the functionality of the multisensory space. Additionally, the FGD sought to identify Javanese cultural elements applicable to the room concept. Participants in the FGD included geriatric nurses, representatives from Alzheimer's Indonesia, Javanese cultural experts, architects, and Health Service members. The analysis of FGD results was conducted using the Colaizzi method. This involved creating transcripts from the FGD, multiple readings of the transcripts, extracting significant statements, validation with participants, and formulating meaningful themes, sub-themes, and categories. The themes identified during the data analysis were integrated and presented as research outcomes. Results: Two themes emerged from the analysis: aspects that need to be considered when creating a multisensory room and the elements in a multisensory room. Conclusion: By addressing the demand for innovative elderly health services and collaborating with stakeholders in developing spatial models, this study anticipates the creation of applicable and beneficial space designs. This endeavor aims to validate the effectiveness of the applied concepts in line with evolving health needs, particularly concerning the elderly population.
The Effect of Reminiscence Exercise Therapy and Nursing Resource Management on the Psychological Well-being of Elderly in Nursing Homes: A Multi-Perspective Study Mendrofa, Fery Agusman Motuho
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1136

Abstract

Background: The aging population in Indonesia continues to grow rapidly, with projections reaching 19.8% by 2045 according to Indonesia's Central Bureau of Statistics (2022). Elderly individuals in nursing homes face complex physical and psychosocial challenges that require comprehensive interventions. Objectives: This study aimed to analyze the combined effect of Reminiscence Exercise Therapy (RE) and nursing resource management optimization on the psychological well-being of elderly residents in nursing homes. Method: This study employed a quasi-experimental design with a sequential explanatory mixed-methods approach. The quantitative component used a pre-post test design with three groups (n=72): RE intervention with nursing resource management optimization (combined intervention), RE intervention only, and control group. Data collection included Geriatric Depression Scale (GDS-15), Satisfaction With Life Scale (SWLS), and Timed Up and Go (TUG) test. The qualitative component involved in-depth interviews with nurses (n=12) and managers (n=6) to explore implementation processes. Results: Both intervention groups showed significant improvements in all three parameters compared to the control group (p<0.001). However, the combined intervention group demonstrated significantly greater improvements than the RE-only group in GDS-15 scores (mean difference -1.46, p=0.023), SWLS scores (mean difference 3.45, p=0.002), and TUG test (mean difference -1.44 seconds, p=0.034). Qualitative analysis identified four main themes: (1) synergy between reminiscence-based care and management practices, (2) empowerment of nursing staff in person-centered care approaches, (3) optimization of resource allocation for reminiscence activities, and (4) implementation barriers at system level. Conclusion: An integrated approach combining Reminiscence Exercise Therapy with nursing resource management optimization is significantly more effective in improving psychological well-being and functional mobility of elderly nursing home residents compared to RE Therapy alone or standard care. This study highlights the importance of considering organizational and management factors when implementing psychosocial interventions in nursing homes. Future research should explore the long-term sustainability of this integrated approach in various organizational contexts.
Co-Authors Aditya Kartika Megantoro Agow, Liana Lidia Andriyani, Yustina Ardina, Yenli Asih Dewi Setyawati Baehaqi Bagus Widjonarko Bahroen, Siti Um-um Andriyani Bima Suryantara Budiman Budiman Chatarina U. Wahyuni Dedi, Blacius Dewi Mayangsari Dicky Dwispataru Diyanto Diyanto Domianus Namuwali Dwi Indah Iswanti Dyah Ayu Wulandari Firda Fibrila Gloria Caesar Cabral Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi, Gunarmi Hani, Umi Hari Basuki Notobroto Hasan Machfoed Hery Ernawati, Hery Indah Wulaningsih Julius Afta Setyonugroho Juritno Harmi Gaib Kandar Kandar Kandar, Kandar Kasiyanti, Heny Khairul Huda Khairul Huda KHAIRUL HUDA, KHAIRUL Kuntoro Kuntoro Laila, Umi Lasmini Lasmini Liana Lidia Agow Mandaty, Fhandy Aldy Manurung, Romianti Meidiana Dwidiyanti Muhammad Bagus Andrianto Muhammad Muin Mujahidah, Sa'adah Murniati, Restu Myla Ristiyowati Nauw, Mariyana Ni Nyoman M A Ni Nyoman Maryaningtyas Adinatha Nia Agustiningsih Nurani, Lenina Nursalam . Nursalam Nursalam Nursalam, Nursalam Ovtalia Andriyani Pangaribuan, Ingka Kristina Patonengan, Gita Sandy PK, Rizki Fitryasari Pratama, Wisnu Puji Lestari, Sri Purdani, Kartika Setia Rachmad Hargono Rahma, Nurrulya Rita Dewi Rita Hadi Widyastuti Rita Oktaviani Rizky Fitryasari Rose Nurhudariani Rusmini Rusmini safitri, ifana Saifudin, I Made Moh. Yanuar Sari , Fitri Arumdani Mei Kumala Sarwoko Sarwoko Satria Hendrawan, Gagah Sawab Sawab Sa’adah Mujahidah Shindi Hapsari Sigarlaki, Heni Sonhaji Sonhaji Sonhaji Sonhaji Sri Puji Lestari Sri Puji Lestari Sumarmi Sumarmi Susi Nurhayati Susilowati, Kristiana Sutrisno Sutrisno Tiara, Novi Tri Ismu Pujianto Tri Ismu Pujiyanto Ucik Mulyanti Umi Hani Widiyaningsih Widyaningsih Witri Hastuti Witri Hastuti Yuni Nurhidayat