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Pelatihan Family Caregiver Dalam Merawat Lansia Dengan Masalah Gangguan Kognitif Dianis Wulan Sari; Pratiwindya Sudarsiwi, Neisya; Fitryasari, Rizki; Nashiruddin Habibie, Aziz; Fitrotul 'Aini, Nauvila; Arifah Astri, Nur; Farapti, Farapti; Misbahatul Mar’ah Has, Eka
Jurnal Pengabdian Masyarakat - PIMAS Vol. 3 No. 3 (2024): Agustus
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v3i3.1553

Abstract

Cognitive impairment and dementia place a significant burden on families in care. Those caring for older adults with dementia often face extraordinary emotional, physical, and financial challenges. Therefore, families and older adults need to maximize their role and provide support to reduce the burden they feel. Objective: This Community Service aims to increase the knowledge and skills of family caregivers in caring for older adults with cognitive impairment problems. Activities are carried out by providing counseling and demonstrations. The partner involved in the activity is the Kertosono Community Health Center. Activities are evaluated using pre-post tests. The average score of participants at the pretest was 5.36 and increased at the posttest to 8.46, so there was an increase in family caregivers' knowledge regarding cognitive impairment problems. The difference between the pre-test and post-test significance values ​​is 0.000, this value is <0.05 which explains that there is a significant difference between the pre-test and post-test scores. Training is useful for improving the knowledge and skills of family caregivers in caring for older adults with cognitive impairment problems.
Pengembangan Aplikasi Relaksasi Guided Imagery Berbasis Android Untuk Tingkat Stres Pada Pasien Pra Lansia dengan Hipertensi Sari, Purwanti Nurfita; Haryanto, Joni; Sari, Dianis Wulan
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 2 (2023): EDITION JULY 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i2.4414

Abstract

Chronic stress in hypertensive patients results in fatal complications. Information technology is more effective than face-to-face communication for stress management. It has been demonstrated that media technology is more appealing, of high quality, effective, and efficient. The goal of this study is to create a guided imagery app for Android that will help pre-elderly hypertensive patients feel less stressed. A research and development design was used for this project. In addition to application development through focus group discussions and professional consultations, as well as assessing the viability of utilizing the application, exploration of stress levels and evaluation of stress management are monitored. The study's older participants, who ranged in age from 45 to 59, had hypertension. 50 patients were involved in phase 1 data collecting utilizing the perceived stress scale questionnaire. 30 patients in phase 2 used a system usability scale questionnaire, which was modified and tested for validity again with 10 respondents. The inclusion criteria for primary hypertension patients undergoing treatment were pre-elderly, aged 45–59 years old, male and female, Muslim, able to read and write, own a smartphone and be able to operate it, and have no visual or hearing limitations. Purposive sampling was used and data was analyzed using descriptive data analysis. The results show a moderate level of stress (62%). The results of the due diligence got a value of 80.66 (good and proper). The development of an Android-based guided imagery relaxation application can be recommended to pre-elderly hypertensive patients as a medium that can be used independently at home to help control stress levels.
Understanding predictors of caregivers’ treatment-seeking behavior for mental health: the roles of stigma, motivation, relationship, and literacy Fitryasari, Rizki; Iswanti, Dwi Indah; Sari, Dianis Wulan; Nurlela, Lela; Marthoenis, Marthoenis; Warsini, Sri; Mulud, Zamzaliza Abdul
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.75117

Abstract

Introduction: Caregivers play a crucial role in seeking timely treatment for individuals with mental disorders. However, reliance on traditional healing practices often leads to delayed medical care. This study aims to identify predictors of caregivers' treatment-seeking efforts, focusing on the role of stigma, motivation, relationship with the patient, and mental health literacy. Methods: A cross-sectional study involving 301 caregivers of patients with mental disorders was conducted in two mental hospitals using cluster sampling. Variables studied include sociodemographic factors, caregiving burden, stigma, social support, motivation, mental health literacy, and treatment-seeking behavior. The data were collected through validated questionnaires as instruments. Multivariate regression analysis was performed to identify significant predictors of treatment-seeking behavior. Results: The study revealed that caregivers' relationship with the patient, perceived stigma, caregiving motivation, and mental health literacy significantly predicted treatment-seeking behavior (p < 0.05). Mental health literacy emerged as the strongest predictor (β = 0.349), followed by motivation (β = 0.202), stigma (β = -0.125), and relationship with the patient (β = -0.108). Together, these variables explained 23.4% of the variance in treatment-seeking efforts. Conclusions: Mental health literacy is the most influential factor in caregivers' efforts to seek medical treatment. Interventions aimed at increasing mental health literacy and reducing stigma are critical to enhancing caregivers' engagement with formal healthcare services. Findings support the development of culturally appropriate education and support programs to improve mental health outcomes.
Pemberdayaan Komunitas melalui Support Group untuk Meningkatkan Kualitas Hidup Lansia dengan Masalah Gangguan Kognitif Sudarsiwi, Neisya Pratiwindya; Sari, Dianis Wulan; Yusuf, Ah; Fitryasari, Rizki; Habibie, Aziz Nashiruddin; Aini, Nauvila Fitrotul; Astri, Nur Arifah; Nihayati, Hanik Endang; Irawan, Faisal Adi; Rahayu, Ninik Dwi; Nasifah, Ike Ayunda
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 4 (2025): Edisi Oktober - Desember
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i4.7922

Abstract

Lansia dengan gangguan kognitif di menghadapi penurunan kualitas hidup akibat penurunan fungsi memori, perubahan perilaku, dan ketergantungan dalam aktivitas sehari-hari. Kondisi ini berdampak pada meningkatnya beban fisik, emosional, dan sosial bagi keluarga sebagai caregiver. Kurangnya pengetahuan mengenai perawatan lansia, stigma sosial, serta minimnya dukungan emosional dan akses informasi kesehatan menyebabkan caregiver mengalami isolasi sosial dan stres. Pengabdian kepada masyarakat ini bertujuan memberdayakan keluarga dan komunitas melalui pembentukan support group sebagai solusi untuk meningkatkan pengetahuan, keterampilan merawat, dan dukungan psikososial bagi caregiver. Metode pelaksanaan meliputi sosialisasi, edukasi gangguan kognitif, pelatihan perawatan lansia dan strategi koping, pembentukan support group, serta evaluasi melalui pre-test dan post-test, observasi, dan kuesioner. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan caregiver, keterampilan perawatan, dan penguatan jejaring sosial, ditunjukkan dengan peningkatan skor pengetahuan dan kepuasan peserta terhadap dukungan emosional. Program ini berkontribusi pada peningkatan kualitas hidup lansia dan caregiver serta memperkuat kapasitas kader posyandu dalam keberlanjutan program. Temuan pengabdian ini menegaskan pentingnya intervensi berbasis komunitas sebagai strategi efektif mengatasi tantangan perawatan lansia dengan gangguan kognitif.
The Effectiveness of Educational Interventions In Improving Nurses Knowledge of Dementia Care: A Systematic Review Ike Ayunda Nasifah; Dianis Wulan Sari; Sylvia Dwi Wahyuni
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50777

Abstract

Background: As the global population ages, dementia has emerged as a pressing public health issue. Nurses play a pivotal role in dementia care; however, many lack adequate knowledge and confidence. Targeted educational interventions are essential to improve nursing competencies in dementia care. Objective: This systematic review aimed to evaluate the effectiveness of educational interventions in improving nurses’ knowledge, attitudes, and self-efficacy in dementia care. Methods: A systematic search was conducted across four databases Scopus, PubMed, ProQuest, and Science Direct following PRISMA guidelines. Studies published between 2020 and 2025 were screened using PICOS criteria and assessed for quality using the Joanna Briggs Institute (JBI) appraisal tools. Data were synthesized narratively. Results: Ten studies were included, consisting of quasi-experimental, RCT, and qualitative designs. Interventions such as digital games, virtual reality, simulation, mobile learning, and arts-based methods demonstrated improvements in nurses’ knowledge, empathy, and confidence. Three major themes emerged: (1) enhanced knowledge of dementia, (2) improved attitudes and self-efficacy, and (3) deeper emotional engagement and humanistic understanding. Conclusion: Educational interventions particularly interactive and emotionally engaging formats effectively improve dementia-related competencies in nurses. These findings support the integration of innovative, person-centered training methods into nursing education and practice to enhance dementia care.
Nurse Recruitment in Conflict-Prone Areas: Systematic Review Basri Basri; Dianis Wulan Sari; Ferry Efendy; Ucik Nurmalaningsih
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.v6iS6.5138

Abstract

Recruitment of nurses in conflict zones often raises issues, and recruitment techniques are always difficult to adapt to the challenges that may arise in conflict environments (Sadhaan et al., 2022). The recruitment process of nurses in conflict areas often focuses on staffing needs, without considering other important criteria such as lack of information, transparency about the work environment, minimal security support, and lack of recruitment standards that are more appropriate to conflict conditions. (The lack of nurses' desire to work in conflict areas is a multifaceted problem that is influenced by various factors, including conflict management, working conditions, career expectations and systemic barriers (T. Pono et al., 2023). The purpose of this systematic review is to determine the impact of nurse recruitment for conflict areas. This study was conducted using 15 literature selections using the PRISMA approach to analyze 15 articles taken from 4 databases: Clarivate, SAGE, Pubmed, Scopus in 2019-2024. The keyword combinations used were: (“Conflict Impact” OR “Conflict Area” AND “Nurse Recruitment”). In assessing the bias and methodological quality of the articles obtained, this study used the Joanna Briggs Institute (JBI) critical assessment with a bias score range of 75-100%. Out of 856 articles, 15 research articles met the inclusion criteria of nurses' experience working in conflict areas. The conclusion of this study is that the recruitment of nurses in conflict-prone areas shows that the main challenges include security, the urgent need for medical personnel, and specialized skills in handling crisis situations. in this case, recruited nurses must have high adaptability and training in stress management and medical techniques in emergency conditions.
Factors Influencing Blood Pressure Control in Older Adults Hypertension: A Systematic Review Nurul Fauziah Handayani; Joni Haryanto; Dianis Wulan Sari
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5300

Abstract

Hypertension is the leading cause of premature death worldwide, and it increases with age, like many other chronic diseases. Poor blood pressure control behavior is the main cause of hypertension management failure. Objective: Hypertension significantly increases the risk of stroke and heart disease, which is a leading cause of death and disability globally, particularly among older adults. This review identified factors that influence blood pressure control behavior of the elderly with hypertension. Method: The PRISMA guidelines are used as a systematic search in PubMed, Scopus, Sage journals, Google Scholar and Science Direct in 2019 – 2024. The Joanna Briggs Institute's unified analytics framework was adopted for data synthesis. The population in this review is the elderly who suffer from hypertension. Results: A total of 17.542 articles were obtained from the four databases. sixteen articles were selected after extraction and incorporation of inclusion criteria. Conclusion: This review shows that economics, health literacy and education are the main factors in blood pressure control behavior in elderly people suffering from hypertension. Lessons from this review can help improve adherence to hypertension control, prevent health complications, and improve quality of life in the future.
Psychological and Organizational Determinants of Healthcare Workers’ Retention in Geriatric Care: A Systematic Review Ninik Dwi Rahayu; Joni Haryanto; Dianis Wulan Sari
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.710

Abstract

The increasing elderly population increases the demand for geriatric care, while nurse retention remains a major concern due to high workloads, emotional demands, and limited organizational support. High turnover disrupts care continuity and reduces service quality. This systematic review aims to identify key psychological and organizational factors influencing geriatric nurse retention. Method: The review followed PRISMA 2023 guidelines using the PEOS framework. Quantitative cross-sectional studies published between 2015–2025 were retrieved from PubMed, Web of Science, ProQuest, Springer Nature, and ScienceDirect. Study quality was evaluated using the JBI Critical Appraisal Checklist. A total of 13 studies met the inclusion criteria, while 28,076 were excluded. Findings were narratively synthesized to integrate the overall evidence. Thirteen studies from multiple countries identified five main themes: psychological and organizational factors, individual characteristics, student interest, and the interaction between personal and institutional conditions. Intrinsic motivation, social and organizational support, and safe, flexible work environments enhance retention, whereas burnout, excessive workload, and low salary reduce retention intentions.  Geriatric nurse retention is influenced by psychological, social, and organizational factors. Supportive leadership, flexible work policies, and early geriatric education are important for sustaining long-term engagement in geriatric nursing.
Penguatan Kapasitas Caregiver Indonesia dalam Pelayanan Geriatri Internasional melalui Program Cross-Cultural Training Nur Arifah Astri; Dianis Wulan Sari; Neisya Pratiwindya Sudarsiwi; Woro Mustika Weni; Rizki Fitryasari P.K.; Elida Ulfiana; Santi Martini; Joni Haryanto; Ah. Yusuf S.
Jurnal Pengabdian Masyarakat - PIMAS Vol. 5 No. 3 (2026): Agustus
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v5i3.2569

Abstract

The growing demand for long-term care in Japan has opened wider opportunities for Indonesian caregivers and nurses to work in geriatric care services. However, working in a cross-cultural care setting requires more than technical caregiving skills. This article aims to explore the experiences of Indonesian caregivers working in older adult’s care facilities in Japan as a basis for identifying preparation needs for future Indonesian caregivers. This article used a qualitative descriptive approach through semi-structured interviews with four Indonesian caregivers who had direct experience in caring for older adults in Japan. The interview data were transcribed and analyzed thematically. The findings identified four main themes: readiness in Japanese language communication and workplace cultural adaptation; understanding of the kaigo role and basic older adults care skills; preparedness in dementia care, ethics, documentation, and patient safety; and mental resilience, social support, and career development. The findings indicate that prospective Indonesian caregivers need realistic preparation before departure, including practical Japanese for geriatric care, understanding of daily caregiving roles, dementia care, ethical awareness, incident reporting, and support from experienced caregivers. These findings can serve as an initial basis for developing cross-cultural geriatric care training for Indonesian caregivers. Keywords: caregiver, cross-cultural care, older adults care, Indonesian workers   ABSTRAK Meningkatnya kebutuhan layanan perawatan jangka panjang di Jepang membuka peluang bagi caregiver dan perawat Indonesia untuk bekerja dalam layanan perawatan lansia. Namun, bekerja dalam konteks geriatri lintas budaya tidak hanya membutuhkan keterampilan merawat, tetapi juga kesiapan bahasa, budaya, etika, dan mental. Artikel ini bertujuan untuk menggali pengalaman caregiver Indonesia yang bekerja dalam layanan perawatan lansia di Jepang sebagai dasar pemetaan kebutuhan persiapan calon caregiver Indonesia. Artikel ini menggunakan pendekatan kualitatif deskriptif melalui wawancara semi-terstruktur dengan empat caregiver Indonesia yang memiliki pengalaman langsung merawat lansia di Jepang. Data wawancara ditranskripsikan dan dianalisis secara tematik. Hasil wawancara menunjukkan empat tema utama, yaitu kesiapan komunikasi bahasa Jepang dan adaptasi budaya kerja; pemahaman peran kaigo dan keterampilan dasar perawatan lansia; kesiapan menghadapi demensia, etika, dokumentasi, dan keselamatan pasien; serta ketahanan mental, dukungan sosial, dan pengembangan karier. Temuan ini menunjukkan bahwa calon caregiver Indonesia membutuhkan pembekalan yang lebih realistis sebelum keberangkatan, terutama terkait bahasa Jepang praktis, gambaran kerja kaigo, perawatan demensia, etika, pelaporan insiden, dan dukungan dari caregiver berpengalaman. Kata kunci: caregiver, Jepang, layanan lansia, perawatan lintas budaya, tenaga kerja Indonesia
Implementasi Modul Kesadaran Diri Emosional dan Spiritual untuk Penurunan Tekanan Darah pada Pasien Hipertensi di Kelurahan Ditotrunan Lumajang: Implementation of Emotional and Spiritual Self-Awareness Module for Blood Pressure Reduction in Hypertensive Patients Abu Bakar; Nur Arifah Astri; Dianis Wulan Sari; Rizki Fitryasari; Neisya Pratiwindya Sudarsiwi; Nauvila Fitrotul 'Aini; Ah Yusuf; Aziz Nashiruddin Habibie; Hakim Zulkarnain
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 11 No. 5 (2026): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v11i5.11714

Abstract

The priority health problem in Ditotrunan Village, Lumajang Regency, is the high prevalence of unmanaged hypertension. This condition causes degenerative diseases such as heart disease and stroke, which significantly reduce the community’s quality of life. Unhealthy lifestyles, including smoking, consuming foods high in salt and fat, and a lack of physical activity, further aggravate hypertension. Many residents also lack understanding of the importance of stress management and emotional and spiritual awareness in controlling blood pressure. Therefore, an emotional and spiritual self-awareness module was implemented as an intervention. The implementation involved delivering educational materials, training health cadres to use sphygmomanometers, and quantitatively monitoring the outcomes of the counseling sessions. The results showed an improvement in residents’ knowledge, increasing from an average score of 55.3 to 72.22. This community service program proved effective in enhancing public awareness of the role of emotional and spiritual self-awareness in managing hypertension.