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The development of a harmony multisensory space based on reminiscence therapy to improve quality of life for older adults with dementia: A qualitative study Mendrofa, Fery Agusman Motuho; Iswanti, Dwi Indah; Wulaningsih, Indah; Ernawati, Hery; Susilowati, Kristiana
Physical Therapy Journal of Indonesia Vol. 6 No. 2 (2025): July-December 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i2.316

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Introduction: Dementia significantly impacts elderly quality of life, necessitating innovative non-pharmacological approaches. This study aimed to identify key design elements for multisensory environments integrated with reminiscence therapy in Indonesian contexts. Methods: This qualitative study used an exploratory descriptive design through focus group discussions with 10 elderly participants, 2 family caregivers, and 5 healthcare professionals. Participants were selected through purposive sampling based on inclusion criteria established for this research protocol. Data were analyzed using Braun and Clarke's six-phase thematic analysis framework to identify key patterns related to the development of multisensory environments. Results: This study revealed five main themes from a comprehensive data analysis of therapeutic environments for the Indonesian population. These themes are: 1) the importance of positive reminiscence triggers to effectively stimulate memory, 2) the personal space requirements for comfort and safety as essential environmental design considerations, 3) the need for multisensory integration as a critical component of therapeutic environmental interventions, 4) the vital role of family support and communication strategies in a comprehensive care approach, and 5) the relevance of cultural and spiritual considerations in design to provide contextual meaning. Conclusion: The development of Harmony multisensory spaces should integrate reminiscence therapy principles with personalized design elements, emphasizing safety parameters, comfort metrics, and cultural sensitivity to effectively improve the quality of life for elderly individuals with dementia. Implementation requires multidisciplinary collaboration between healthcare professionals, designers, and family caregivers to ensure optimal therapeutic outcomes.
Faktor-Faktor yang Mempengaruhi Kepatuhan Pengobatan Pasien TB Paru Nauw, Mariyana; Mendrofa, Fery Agusman Motuho
Jurnal Sehat Mandiri Vol 20 No 2 (2025): Jurnal Sehat Mandiri, Volume 20, No.2 Desember 2025
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v20i2.2403

Abstract

Treatment adherence in tuberculosis (TB) patients is influenced by social, psychological, and health system factors. This study aims to identify factors that influence treatment adherence in pulmonary TB patients. This study adopted the MIX Methods with a sequential explanatory approach, consisting of quantitative and qualitative phases conducted from June to August 2025. The quantitative phase used a cross-sectional approach to identify factors that influence the availability of treatment for pulmonary TB patients at the Teluk Bintuni Community Health Center. The qualitative phase was conducted through in-depth interviews to understand the influence of variables on treatment adherence. The study population was 60 TB patients who met the inclusion criteria, with an emphasis on research ethics according to established guidelines. Data analysis included univariate, bivariate, and multivariate analyses as well as triangulation to validate the results. The results showed that knowledge, motivation, access to health facilities, family support, and support from health workers played a significant role in improving well-being. Patient motivation was the dominant factor with an Odds Ratio (OR) of 6.764, followed by family support (OR 6.277) and healthcare provider support (OR 5.575). In conclusion, patients with good knowledge were 7.63 times more likely to adhere to treatment, while easy access to healthcare facilities increased the likelihood of adherence by 6.29 times. Emotional and instrumental support from family and effective communication with healthcare providers proved important.
Transcultural Nursing Approach in Designing the Multisensory Room for Older Adults: Sensory Utilities and Activity Exploration Hani, Umi; Widyastuti, Rita Hadi; Mendrofa, Fery Agusman Motuho
Indonesian Journal of Global Health Research Vol 6 No S6 (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.v6iS6.5090

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Multisensory space applies sensory stimulation that helps train cognitive and motor functions through elements that stimulate the senses in the elderly. This concept is identified for people with moderate to severe cognitive decline and neurodegenerative pathologies. Aim: This study aimed to identify sensory utilities and activities in designing a multisensory space with a transcultural nursing approach. Methods: Researchers collected data qualitatively using the Focus Group Discussion (FGD) technique to explore elements related to the function of the multisensory space. The FGD also identified transcultural nursing aspects that could be applied to the room concept. The FGD involved five participants selected according to the research objectives to explore the needs and activities of multisensory stimulation for the elderly. The FGD was conducted for two hours. Participants were the health service officer, geriatric nurses, one Alzheimer's dementia activist, one architect, and one cultural figures. The results of the FGD were analyzed using the Colaizzi method approach by transcribing data from the FGD results, reading the FGD transcripts several times, and analyzing themes using Atlas.ti. Transcripts and meaningful statements were returned to participants to form categories, subthemes, and themes. Results: The themes analyzed were related to elements in the multisensory room which included both equipment and activities that supported sensory stimulation. Discussion: The identification of spatial elements and research partners in the development of multisensory space design supports the fulfillment of the needs of applicable and innovative elderly health services, especially in applying the concept of transcultural nursing for multisensory rooms for the elderly Conclusion: Cultural considerations play a significant role in the effectiveness of sensory elements, as sensory experiences that resonate with an individual’s cultural background can evoke positive emotions and memories.
Health Care Functions of Elderly Families with Hypertension Who Live Alone Life in Bandung District (Phenomenological Study) Budiman, Budiman; Dedi, Blacius; Mendrofa, Fery Agusman Motuho; Hastuti, Witri; Hani, Umi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.687

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Aims: The aim of this research is to explore the health care function of families of elderly people with hypertension who live their lives alone in Bandung Regency. Methods : This research design uses a qualitative method with an exploratory phenomenological approach. The number of participants was 7 people who conducted a focus group discussion (FGD). Results : The results of this research obtained 5 themes, namely recognizing internal and external health problems based on reflex response, making decisions based on personal needs and complaints of the elderly, caring for oneself by preventing and strengthening positive energy, maintaining environmental health through dividing tasks and joint financial responsibility, and increasing optimization utilization of health services. Conclusions : Research on elderly hypertension families reveals five main themes: understanding hypertension through psychological and physical responses, making decisions based on personal needs, self-prevention and positive energy, dividing environmental health and joint financial responsibility, and optimizing health facility use through PKM and Health Services.
The Effectiveness of Diabetic Self-Management Education (DSME) on Dietary Habit, Obesity, and Physical Activity Among Patients with DM Type II Agow, Liana Lidia; Mendrofa, Fery Agusman Motuho; Sonhaji, Sonhaji
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1531

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Diabetes mellitus and metabolic disorders are the priority programs in Indonesia. There is one program to reduce the fatality impact of diabetes which is diabetic self-management education (DSME). This study aimed to examine the effectiveness of Diabetes Self-Management Education (DSME) on dietary habits, physical activity, and obesity.  This study is a quasi-experimental approach with one group pre-test post-test design. The sample in this study was 75 people with DM type II. The intervention for all samples was done for 4 sessions. Each session lasted 60 to 120 minutes/day with a maximum of 10 patients. The findings revealed that dietary habits were good from 56.0% to 69.3%, physical activity was good from 54.7% to 76.0%, and obesity decreased from 69.3% to 57.35, respectively for pre and post-test. The paired t-test result revealed that DSME correlates with dietary habits, physical activity, and obesity (obesity, physical activity, and dietary habit with p-values 0.024; 0.007; and 0.02, respectively). In conclusion, DSME has significantly influenced dietary habits, physical activity, and obesity. Education is crucial in promoting physical activity among individuals with diabetes. By enhancing self-efficacy, providing education on self-care behaviors, and emphasizing the importance of regular physical activity, these programs contribute to improving metabolic control, quality of life, and overall health outcomes in diabetic patients.
The Impact of Self Reminder Interactive (SRI) Application on Quality of Life, Compliance of anti-TB Drug, and Self Efficacy Among TB Patients Sriningsih, Sriningsih; Mendrofa, Fery Agusman Motuho; Sonhaji, Sonhaji
Ahmar Metastasis Health Journal Vol. 3 No. 4 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v3i4.245

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The impact of technology plays a significant role in health, including prevention and rehabilitation of Tuberculosis patients. One of the breakthroughs made to reduce pulmonary tuberculosis sufferers is through telenursing to improve patient behavior in preventing transmission of pulmonary tuberculosis. This study aimed to identify the influence of the Community Resources-based SRI (Self Reminder Interaction) Application on improving the quality of life, anti-TB drug Compliance, and Self-Efficacy among Pulmonary Tuberculosis patients. This study is a quasi-experiment research type with a nonequivalent control pre-test and post-test design. The sample in this study was selected using simple random sampling with a total of 50 respondents. The independent variables of this study were SRI application implementation, then the dependent variables included quality of life, self-efficacy, and anti-TB drug adherence.  The results of this study consist of the majority of respondents were aged 35 to 39 years old, female, and working as private laborers. The bivariate results found the significant impact of SRI application to increase quality of life, self-efficacy, and anti-TB drug adherence after. Among case groups, there is found significant improvement between pre and post-test after giving intervention. It can be concluded that the SRI application is significant in improving TB patient life. Future studies could add more predictors related to the accessibility of technology such as education level, income, and place of residence to explore the impact of such application in multivariate analysis.
Aplikasi Integrative Empowerment Keluarga Berbasis E-Monitoring Roled Based Expert System Dalam Pencegahan Relapse Pada Skizofrenia Iswanti, Dwi Indah; Mendrofa, Fery Agusman Motuho; Huda, Khairul; Mujahidah, Sa'adah; Sawab, Sawab
Jurnal LINK Vol 20 No 2 (2024): NOVEMBER 2024
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v20i2.11851

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E-monitoring integrative empowerment berbasis roled based expert system yang dapat diakses kapan saja dan dimanapun berada menghadirkan Perawat jiwa belum terbentuk untuk membantu keluarga merawat dan mencegah relapse skizofrenia ketika dirumah. Pemberdayaan kemitraan masyarakat ini bertujuan untuk membentuk dan melihat efektifitas dari e-monitoring integrative empowerment berbasis roled based expert system. Evaluasi pemberdayaan kemitraan masyarakat dilakukan dengan desain pra-experimental pada 30 keluarga yang merawat skizofrenia. Kuesioner digunakan untuk mengukur kemampuan keluarga merawat dan mencegah relapse. Analisis data dengan uji Wilcoxon. Hasil: Ada efektifitas e-monitoring integrative empowerment berbasis roled based expert system terhadap kemampuan keluarga merawat dan mencegah relapse (p-value=0,000<0,05). Perawat jiwa dan kader dilatih untuk dapat mensosialiasasikan dan memantau dari program aplikasi system ini sehingga dapat digunakan oleh keluarga yang merawat skizofrenia.
PENGARUH PROGRAM DELI (DEMENSIA PEDULI) TERHADAP PENGETAHUAN DAN EFIKASI DIRI KADER KESEHATAN PADA LANSIA DENGAN GANGGUAN KOGNITIF BERBASIS MASYARAKAT Novi Tiara; Fery Agusman Motuho Mendrofa; Fhandy Aldy Mandaty
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 1 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i1.2154

Abstract

Latar Belakang: Gangguan kognitif menjadi masalah serius bagi lansia karena menyebabkan terjadinya penurunan kinerja pada tugas-tugas kognitif utamanya saat mengambil keputusan akibat adanya keterlambatan terhadap pemrosesan, kerja memori dan fungsi kognitif eksekutif. Demensia merupakan penyakit gangguan fungsi kognitif yang paling umum. Gangguan fungsi kognitif pada demensia biasanya disertai dengan perburukan kontrol emosi, perilaku, dan motivasi. Dampaknya yaitu penurunan kualitas hidup pada lansia. Upaya manajemen demensia melalui pemberdayaan Kader kesehatan dengan pelatihan perlu diinisiasi. DELI merupakan salah satu upaya peningkatan kapasitas kader kesehatan dalam pencegahan demensia di masyarakat yang dirancang berbeda dari pendidikan kesehatan yang sudah ada. DELI dilaksanakan sebanyak 4 sesi selama 2 hari dengan waktu 60-90 menit. Tujuan Penelitian: untuk mengetahui pengaruh program DELI (demensia peduli) terhadap pengetahuan dan efikasi diri kader kesehatan pada lansia dengan gangguan kognitif berbasis masyarakat di Kabupaten Kudus. Metode Penelitian : Desain penelitian menggunakan kuasi eksperimen jenis pretest and posttest with control group. Jumlah masing-masing responden 24 kader pada kelompok intervensi dan kontrol diseleksi dengan simple random sampling. Instrument yang digunakan kuesioner pengetahuan menggunakan Alzheimer’s Disease Knowledge Scale (ADKS) dan kuesioner efikasi diri. Hasil Penelitian : Ada pengaruh program DELI terhadap pengetahuan dan efikasi diri kader kesehatan dengan nilai p=0,001 (p0,05) dan p=0,000 (p0,05).
PENGARUH CAREGIVER CLASS TERHADAP PERAN CAREGIVER INFORMAL DALAM PERAWATAN JANGKA PANJANG LANSIA Lasmini Lasmini; Fery Agusman Mutoho Mendrofa; Witri Hastuti; Umi Hani
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 1 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i1.2155

Abstract

Latar Belakang : Peningkatan UHH memberikan dampak bertambahnya populasi lanjut usia. Perkembangan demografi ini dapat membawa dampak di bidang kesehatan, ekonomi, dan sosial.masalah kesehatan yang sering dialami lansia dalah penyakit tidak menular diantaranya hipertensi, osteoarthitis, Diabetes meilitus, penyakit jantung, stroke,  gagal ginjal, tubercolosis dan kanker. Masalah kesehatan tersebut dapat menyebabkan ketidakmampuan lansia dalam melakukan kegiatan sehari-hari sehingga membutuhkan perawatan jangka panjang. Pelaksanaan PJP, caregiver mempunyai peran yang sangat penting dalam mendampingi dan membantu lansia untuk melakukan kegiatan dan memenuhi kebutuhan sehari – hari. Tujuan Penelitian : untuk mengetahui perbedaan peran caregiver informal dalam perawatan jangka panjang lansia. Metode penelitian : Desain penelitian menggunakan kuasi eksperimen jenis pretest and posttest with control group. Jumlah masing-masing responden 24 kader lansia pada kelompok intervensi dan kontrol diseleksi dengan purposive sampling. Instrumen yang digunakan yaitu lembar kuisoner peran caregiver informal dalam perawatan jangka panjang yang dikembangkan oleh peneliti yang terdiri dari 3 (tiga) komponen yaitu pengetahuan, sikap dan lembar observasi keterampilan yang sesuai dengan tugas caregiver yang meliputi aspek fisik, aspek mental, aspek sosial budaya dan aspek spiritual. Penelitian dilakukan selama 16 jam atau selama 2 hari. Hasil penelitian : terdapat pengaruh caregiver class terhadap peran caregiver informal dalam perawatan jangka panjang lansia dengan nilai p=0,000 (p0,05)
Sistem intervensi terpadu mahasiswa berbasis kesehatan mental untuk menurunkan stres mahasiswa keperawatan Bahroen, Siti Um-um Andriyani; Mendrofa, Fery Agusman Motuho
Jurnal Inovasi Kesehatan Masyarakat Vol 6 No 1 (2025): Journal of Public Health Innovation (JPHI)
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/h7r0ea93

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Latar Belakang: Gangguan kesehatan mental pada mahasiswa keperawatan semakin meningkat, dengan stres sebagai faktor utama yang menghambat prestasi akademik. Penelitian ini menganalisa keberhasilan program SITI (Sistem Intervensi Terpadu Mahasiswa), metode holistik berbasis evidence-based practice yang disesuaikan dengan tingkat keparahan stres mahasiswa keperawatan S1.Metode: Penelitian quasi-eksperimental dengan desain pretest–posttest control group dilakukan di Universitas Muhammadiyah Sukabumi pada 67 mahasiswa keperawatan menggunakan purposive sampling. Kelompok eksperimen menerima program SITI sesuai tingkat stres, dan pengukuran menggunakan PSS-10 serta DASS-21.Hasil: Kelompok eksperimen mengalami penurunan bermakna rerata skor stres dari 20,97 ke 16,56 (p < 0,05), sedangkan kelompok pembanding meningkat dari 21,27 ke 23,24. Uji ANOVA menunjukkan perbedaan bermakna antarkelompok (F = 14,353, p = 0,000).Kesimpulan: Program SITI efektif menurunkan tingkat stres mahasiswa keperawatan melalui pendekatan menyeluruh dan terindividualisasi, menyediakan landasan implementasi intervensi kesehatan mental terintegrasi dalam kurikulum keperawatan