Rifatul Fani
Institut Teknologi, Sains, Dan Kesehatan RS Dr. Soepraoen Kesdam V/BRW Malang, Indonesia

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Survey Of Socio-Demographic, Behavioral, and Clinical Factors Associated with Stroke in The Elderly in Indonesia Pratiwi, Nadia Rahmi Amelia; Asri, Yuni; Fani, Rif'atul; Patria, Dion Kunto Adi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8054

Abstract

Stroke is the leading cause of death and disability throughout the world, with a higher burden in low- and middle-income countries, including Indonesia. As the elderly population grows, identifying factors linked to stroke is essential for prevention and policy-making. This study aims to examine the association between sociodemographic, behavioral, and clinical factors and stroke among Indonesians aged ? 60 years using data from the 2023 Indonesian Health Survey (Survei Kesehatan Indonesia/SKI). This study employed a cross-sectional design using secondary data from a nationally representative survey. A total of 97,339 older adults were included in the analysis. Stroke status was based on self-reported physician-diagnosed status. Independent variables included age, sex, education, marital status, employment, residence, hypertension, heart disease, smoking, and alcohol consumption. Data were analyzed using complex survey analysis with sampling weights, utilizing descriptive statistics and Chi-square tests to examine associations between variables. Analyses were conducted using IBM SPSS Statistics version 27.0.1, adjusting stratification and clustering in the survey design. The prevalence of stroke was 3.2%. Significant associations were found between stroke and age, gender, education, occupation, place of residence, hypertension, heart disease, smoking habits, and alcohol use (all p0.05). Stroke was more common among individuals with hypertension, heart disease, lower educational attainment, those who were unemployed, and those living in urban areas. Stroke in older Indonesians is strongly influenced by modifiable factors, particularly hypertension and lifestyle behaviors. Targeted prevention, early detection, and lifestyle interventions are critical to mitigating the stroke burden in Indonesia’s aging population.
SELF-MANAGEMENT AND QUALITY OF LIFE AMONG CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS Putri Prasetya, Sherli Amelia; Fani, Rif'atul; Ristanto, Riki
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1417

Abstract

Introduction: Chronic kidney disease is a progressive condition that requires long-term hemodialysis and can substantially affect patients’ quality of life. Effective self-management is essential to support patients in managing symptoms, adapting to treatment demands, and maintaining physical and mental well-being. Methods: A descriptive correlational design using a cross-sectional approach was used in this research. The participants were patients with CKD undergoing routine hemodialysis at a regional public hospital in Sidoarjo, Indonesia. A total of 194 respondents were recruited using purposive sampling. Self-management was assessed using the Hemodialysis Self-Management Instrument (HDSMI-18), and quality of life was calculated using the Kidney Disease Quality of Life (KDQoL-36) questionnaire. Univariate analysis with Spearman correlation tests used to analyzed data. Results: Self-care was significantly associated with symptom control (r = 0.190; p = 0.008), effects of kidney disease (r = 0.412; p < 0.001), disease burden (r = 0.322; p < 0.001), and mental quality of life (r = 0.497; p < 0.001). Problem solving was associated with effects of kidney disease (r = 0.220; p = 0.002) and mental quality of life (r = 0.158; p = 0.027). Emotional management was related to physical (r = 0.147; p = 0.041) and mental quality of life (r = 0.147; p = 0.040). Overall self-management was associated with effects of kidney disease (r = 0.296; p < 0.001), disease burden (r = 0.171; p = 0.017), and mental quality of life (r = 0.277; p < 0.001), while partnership showed no significant associations. Conclusions: Self-management related to quality of life among patients undergoing hemodialysis, with self-care showing the strongest and most consistent associations. These findings highlight the importance of strengthening self-management skills, particularly self-care, problem solving, and emotional regulation, to optimize quality of life in patients with CKD.