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Analisis peran senam otak terhadap fungsi kognitif lansia: A literature review Juwari, Juwari; Ardian, Iwan; Luthfa, Iskim; Setyowati, Wahyu Endang
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1013

Abstract

Background: The elderly are an age group vulnerable to cognitive decline due to degenerative processes. Impaired cognitive function can impact quality of life, independence, and the risk of dementia. One non-pharmacological intervention considered effective in maintaining and improving cognitive function in the elderly is brain gym, which combines simple physical movements with mental stimulation. Purpose: To analyze the role of brain gym on cognitive function in the elderly. Method: Literature review research of scientific articles through research journal databases and internet searches related to the role of brain gymnastics on cognitive function in the elderly for the period 2018 to 2025. The literature review process begins with topic selection, followed by a study search through Google Scholar, PubMed, Scopus, and EBSCO sites, with the search keywords "Brain Gym", OR "Brain Gym" AND "Cognitive Function", OR "cognitive" AND "Elderly". The selection of article eligibility is carried out systematically following the PRISMA format, including the stages of identification, screening, and selection of articles for further analysis. Results: An analysis based on a review of 10 articles shows that brain gymnastics has an impact on improving cognitive function in the elderly. Brain gymnastics is effective when performed at least once a week for 15 minutes over a period of 6 weeks or more. This duration can improve blood flow and oxygen supply to organs, especially the brain, resulting in improved concentration and cognitive function. Conclusion: Increased physical activity such as aerobics, strength training, or brain gymnastics has been shown to significantly impact cognitive function. Performing gymnastics for at least 15 minutes once a week within 6 weeks can improve cognitive function in the elderly and provide health benefits, including increased alertness, concentration, and memory. Suggestion: It is hoped that brain gymnastics will become a mandatory program for the elderly in community health centers throughout Indonesia to support the quality of life of the increasing number of elderly. Furthermore, community health centers can also serve as educational centers for families and caregivers about the importance of maintaining brain health in old age.   Keywords: Brain Gymnastics; Cognitive Function; Elderly.   Pendahuluan: Lansia merupakan kelompok usia yang rentan mengalami penurunan fungsi kognitif akibat proses degeneratif. Fungsi kognitif yang terganggu dapat berdampak pada kualitas hidup, kemandirian, serta risiko terjadinya demensia. Salah satu intervensi non-farmakologis yang dinilai efektif dalam mempertahankan dan meningkatkan fungsi kognitif lansia adalah senam otak (brain gym), yang menggabungkan gerakan fisik sederhana dengan stimulasi mental Tujuan: Untuk menganalisis peran senam otak terhadap fungsi kognitif lansia. Metode: Penelitian literature review artikel ilmiah melalui database jurnal penelitian, pencarian di internet terkait dengan peran senam otak terhadap fungsi kognitif pada lansia dalam rentang waktu 2018 hingga 2025. Proses literature review dimulai dengan pemilihan topik, dilanjutkan dengan penelusuran studi melalui situs Google Scholar, PubMed, Scopus dan EBSCO, menggunakan kata kunci dalam pencarian adalah “Senam Otak”,OR ”Brain Gym” AND ”Fungsi Kognitif” OR “cognitive”AND “Lansia” OR “Elderly”. Seleksi kelayakan artikel dilakukan secara sistematis mengikuti format PRISMA, mencakup tahap identifikasi, penyaringan, dan pemilihan artikel untuk analisis lebih lanjut. Hasil: Analisis berdasar telaah pada 10 artikel menunjukkan bahwa, senam otak memiliki pengaruh terhadap peningkatan fungsi kognitif pada lansia, senam otak efektif dilakukan minimal 1 kali dalam seminggu dengan durasi 15 menit dalam jangka waktu 6 minggu atau lebih dengan durasi ini dapat melancarkan aliran dan volume pasukan darah yang membawa oksigen ke organ tubuh terutama otak, sehingga terjadi peningkatan konsentrasi dan fungsi kognitif. Simpulan: Peningkatan aktivitas fisik, seperti aerobik, latihan kekuatan, atau senam otak telah telah terbukti signifikan memiliki hubungan dengan fungsi kognitif. Senam selama minimal 15 menit dengan durasi 1 minggu sekali dalam 6 minggu dapat terjadi peningkatan fungsi kognitif pada lansia dan memperoleh manfaat kesehatan antara lain dapat meningkatkan kewaspadaan, konsentrasi, dan memori. Saran: Diharapkan agar senam otak dijadikan program wajib bagi para lansia di puskesmas di seluruh Indonesia sebagai upaya mendukung kualitas hidup lansia yang semakin meningkat jumlahnya. Selain itu, puskesmas juga dapat berperan sebagai pusat edukasi bagi keluarga dan caregiver tentang pentingnya menjaga kesehatan otak pada usia lanjut.   Kata Kunci: Fungsi Kognitif; Lansia; Senam Otak.
Analisis hubungan pengetahuan dan dukungan keluarga dengan kejadian stunting: A literature review Harno, Harno; Ardian, Iwan; Setyowati, Wahyu Endang; Luthfa, Iskim
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1014

Abstract

Background: Stunting is a chronic nutritional problem that impacts children's physical growth and cognitive development and contributes to increased long-term morbidity and mortality. Determinants such as parental knowledge, especially maternal knowledge, and family support play a crucial role in stunting prevention. Purpose: To analyze the relationship between knowledge and family support levels and stunting incidence. Method: This study employed a literature review design approach using searchable databases including Scopus, PubMed, EBSCO, and Science Direct. The search was conducted in May 2025. Article inclusion criteria included articles published between 2019 and 2025 that discussed the relationship between knowledge and family support and stunting incidence, in both English and Indonesian. The search terms used were "Stunting" AND "Knowledge" OR "Knowledge" AND "Family Support" OR "Family Support" AND "Baby" OR "Baby" OR "Children". Results: Analysis based on a review of 12 articles showed a significant relationship between maternal knowledge and family support and stunting prevention. Interventions that include nutrition education, family involvement, and support from health workers have proven effective in reducing the prevalence of stunting. Conclusion: Adequate knowledge and strong family support are crucial factors in reducing the prevalence of stunting. Therefore, educational interventions and family empowerment need to be prioritized in a holistic and sustainable stunting prevention strategy.   Keywords: Family; Knowledge; Stunting; Support.   Pendahuluan: Stunting merupakan masalah gizi kronis yang berdampak pada pertumbuhan fisik dan perkembangan kognitif anak, serta berkontribusi terhadap peningkatan morbiditas dan mortalitas jangka panjang. Faktor-faktor determinan seperti pengetahuan orang tua, terutama ibu, dan dukungan keluarga memegang peranan penting dalam pencegahan stunting. Tujuan: Untuk menganalisis hubungan antara tingkat pengetahuan dan dukungan keluarga dengan kejadian stunting. Metode: Penelitian ini melakukan pendekatan desain literature review dengan databased pencarian yaitu Scopus, PubMed, EBSCO, dan Science Direct, pencarian dilakukan bulan Mei 2025. Kriteria inklusi artikel yakni, artikel yang terbit pada tahun 2019-2025, membahas terkait hubungan pengetahuan dan dukungan keluarga dengan kejadian stunting, bahasa inggris dan bahasa Indonesia. Kata kunci dalam pencarian adalah “Stunting” AND ”Pengetahuan” OR “Knowledge” AND ”Dukungan Keluarga” OR “Family support”AND “Balita” OR “Toddler” OR “Children”. Hasil: Analisis berdasar telaah pada 12 artikel menunjukkan bahwa hubungan signifikan antara pengetahuan ibu serta dukungan keluarga dengan pencegahan stunting. Intervensi yang melibatkan edukasi gizi, keterlibatan keluarga, dan dukungan tenaga kesehatan terbukti efektif dalam menurunkan prevalensi stunting. Simpulan: Pengetahuan yang memadai dan dukungan keluarga yang kuat merupakan faktor penting dalam menurunkan prevalensi stunting. Oleh karena itu, intervensi edukatif dan pemberdayaan keluarga perlu menjadi prioritas dalam strategi pencegahan stunting secara holistik dan berkelanjutan.   Kata Kunci: Dukungan; Keluarga; Pengetahuan; Stunting.
Literature Review: Positive Impact of Training in Improving Nursing Care Quality Competencies Yustina, Yustina; Sari, Dyah Wiji Puspita; Ardian, Iwan; Abdurrouf, Muh.
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.v7i2.5846

Abstract

Quality nursing care is highly dependent on the competence of nurses in providing care in accordance with professional standards. Many nurses still face challenges in improving their skills and knowledge along with the development of science and technology in the health sector. Training is one of the effective methods to improve competence and quality of nursing care. Objective: This study aims to analyze the positive impact of training in improving nurses' competence in providing quality nursing care. Methods: This study used a review of national and international literature published between 2020-2024 and freely available. A systematic search using Google Scholar, PubMed, and SciSpace databases, using the keywords: Competency, Quality of nursing care, Training, with the PCC approach. The article selection process used PRISMA which was then subjected to critical appraisal. The process of searching and screening journal articles began by identifying 5,940 articles from the three main databases. After duplication elimination, 5,040 articles remained. Screening was conducted, removing 845 articles that did not meet the criteria, leaving 55 articles. Next, selection based on inclusion and exclusion criteria eliminated 44 articles, leaving only 11 articles eligible for further review and review. Results: The results showed that there was a significant improvement in the aspects of knowledge, skills, and attitudes of nurses after attending the training. Conclusion: training has a significant positive impact in improving nurses' competence and the quality of nursing care.
Analysis of Effective Nursing Supervision Models to Improve the Quality of Services and Patient Satisfaction: Literature Review Rahayu, Cucu Sri; Sari, Dyah Wiji Puspita; Abdurrouf, Muh.; Ardian, Iwan
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6039

Abstract

Many murder services as an indicator of the quality of health services are one of the determining factors for the image of health service institutions in the eyes of the public. Therefore, there is a need for a management function that can improve health services. Clinical supervision is an effective method in improving health services.Objective: To identify effective surgical supervision models to improve service quality and patient satisfaction.Method: This research uses a literature review design. Journal searches were carried out on the Researchgate, Elseiver, Science, Direct, EBSCO, E-Journal, Proquest E-Journals databases. A total of 10 articles were obtained which were then extracted.Results: Clinical supervision in its implementation must be based on evidence-based nursing practice so that clinical supervision can be implemented effectively. Proctor model supervision is effective clinical supervision because it contains three functions, namely a normative function in efforts to develop professionalism; formative function in efforts to develop skills and knowledge; and restorative function in an effort to provide support.Conclusion: implementing proctor model clinical supervision can improve service quality and patient satisfaction.
Literature Review: Determinants of Patient Loyalty in Using Health Services Prasetyo, Sigit Eko; Sari, Dyah Wiji Puspita; Ardian, Iwan; Abdurrouf, Muh.
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6199

Abstract

Patient loyalty is an important indicator of the success of a healthcare facility. Building patient loyalty is not an easy task. Many factors influence a patient's decision to remain loyal to a healthcare facility. Objective: This study aims to identify and analyze various factors that influence patient loyalty in health services. Methods: This research uses a literature study approach by reviewing national and international articles published in the period 2020-2024. The articles selected were limited to scientific publications available in full-text format and freely accessible. Literature sources were obtained from three main databases, namely Google Scholar, PubMed, and SciSpace. The search strategy was carried out using keywords based on the PICO (Population, Intervention, Comparison, Outcome) framework, such as “health services”, “factors” and patient loyalty”, resulting in 615 articles. The process of analyzing articles using PRISMA, searching and filtering journal articles began by identifying 615 articles from three main databases, Google Scholar (401 articles), PubMed (7 articles), and SciSpace (207 articles). At the initial stage, duplicate articles were eliminated, and the number of articles remaining after this screening was 107. In the screening process from this stage, 84 articles were excluded because they did not meet the predetermined criteria, so only 23 articles entered the next stage. At the eligibility stage, further selection was carried out by considering the inclusion and exclusion criteria. Of the 23 articles screened, 13 did not meet the criteria and were excluded from the selection process. In the end, only 10 articles met all the requirements and were included in the further review stage. Results: Analysis of the literature review patient loyalty in using health services is influenced by factors of service quality, price, communication, and trust.
The development of an islamic nursing care model to improve patient satisfaction Ardian, Iwan; Nursalam, Nursalam; Ahsan, Ahsan; Haiya , Nutrisia Nu'im; Azizah , Intan Rismatul
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.50026

Abstract

Introduction: This study aimed to the development of an Islamic nursing care model to improve patient satisfaction. Methods: Cross-sectional design random sampling technique on 134 respondents, consisting of patients and nurses in the surgical inpatient room, internal medicine inpatient room, and postpartum and gynecology inpatient rooms, using simple random techniques. The variables of this study were the nursing factors, Islamic nursing care, and patient satisfaction and were collected using questionnaire. The data were collected using questionnaire in December 2021 at Islamic Hospital, Indonesia, and processed using a Smart Partial Least Squares (SmartPLS) analysis and Sommers' correlation test. Results: The Sommers' test results show significant relationship between nursing factor (nurse knowledge, nurse's attitude, nurse competence, nurse personality) and patient satisfaction; nurse knowledge (p=0.000); nurse attitude (p=0.000); nurse competence (p=0.000); nurse personality (p=0.000; α<0.05). SmartPLS test results show the nurse factor with Islamic nursing care has a strong significant influence (p value 0.000; β value 0.539; t value> 1.96). Then for Islamic nursing care with patient satisfaction, it has a very strong significant effect (p value 0.000; β value 0.753; t value> 1.96). Conclusions: Islamic nursing care as a mediator of nurse factors with patient satisfaction can be described in this study model because Islamic nursing care is a real form of care by nurses that is felt by the patient and the application of Islamic values so that the form of nursing care makes patients feel satisfied.
Pemberdayaan Remaja Untuk Keluarga Anti TBC (PARU KUAT) Ardian, Iwan; Haiya, Nutrisia Nu'im; Azizah , Intan Rismatul; Winarti, Niken Tri; Jannah, Tika Roudotul
CARADDE: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 3 (2024): April
Publisher : Ilin Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31960/caradde.v6i3.2177

Abstract

Penyakit Tuberkulosis (TBC) masih menjadi masalah kesehatan di Indonesia dengan  penularan dan perkembangan penyakit TBC semakin meluas. Oleh karenanya pemerintah mengeluarkan gerakan posyandu remaja namun pengetahuan remaja akan TB dan kesadaran dalam menemukan kasus pada remaja masih kurang. Salah satu metode yang dapat digunakan yaitu memberikan pemberdayaan. Tujuan pemberdayaan ini adalah peningkatan pengetahuan dan ketrampilan dari kader posyandu remaja tentang penyakit TBC dan komunikasi efektif dalam memberikan pendidikan kesehatan yang nantinya dapat memberikan informasi ini kepada remaja lain, keluarga, dan masyarakat, melalui pemberdayaan remaja untuk keluarga anti TBC (PARU KUAT).
Investigasi Kualitas Hidup Pasien Hemodialisa Berdasarkan Aspek Dukungan Keluarga Haiya, Nutrisia Nu'im; Ardian, Iwan; Azizah, Intan Rismatul; Marfu'ah, Siti
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3310

Abstract

Patients with end-stage kidney disease require hemodialysis, which is a replacement for kidney function. Continuous hemodialysis therapy has a psychological impact and an impact on quality of life. Changes in the quality of life of hemodialysis patients are influenced by many factors, one of which is family support. Family support is needed in holistic nursing services so that patients remain motivated and maintain their physical and psychological condition, even though they are dependent on hemodialysis therapy. This study aimed to obtain an overview of the quality of life of hemodialysis patients based on aspects of family support. The research design was cross-sectional with a total sampling technique of 41 respondents. The inclusion criteria were hemodialysis patients who had undergone hemodialysis 3 times, a family waiting for them, and those who experienced decreased consciousness. The variables measured were family support and quality of life using the WHOQOL-BREF (WHO Quality of Life Breef) questionnaire instrument, analyzed using the gamma test. The majority of hemodialysis patients were men (65,9%) aged 45-55 years or early elderly (36,6%) working in the private sector (26,8%) with a hemodialysis duration of 1–3 years (73,2%) with a program 2 times per week (97.6%), accompanied by chronic illness (65,9%), and living with husband or wife (68,3%). Family support had a significant effect on the quality of life of hemodialysis patients (p= 0,012 and r =1,000, respectively). The better the family support, the better the quality of life of hemodialysis patients.