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Factors Influencing Blood Pressure Control in Older Adults Hypertension: A Systematic Review Handayani, Nurul Fauziah; Haryanto, Joni; Sari, Dianis Wulan
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.
Remote Learning in Clinical Nursing Education: A Lesson Learned from The Pandemic Covid-19 Khasanah, Uswatun; Karyadi, Karyadi; Senjaningrum, Ayu Putri; Sari, Dianis Wulan
Fundamental and Management Nursing Journal Vol. 7 No. 1 (2024): VOLUME 7 ISSUE 1 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i1.50424

Abstract

Introduction: The clinical education program offers students a chance to gain practical experience, enabling them to acquire the skills and knowledge necessary to provide safe and effective nursing care. However, During COVID-19, modifying clinical education programs is essential to ensure continuity of nursing training while adapting to safety protocols and limitations on in-person interactions.  This study aims to investigate how educational institutions modify and innovate nursing clinical education during pandemic situation. Method: The study employed a descriptive exploratory design. The informants included ten mentors from various nursing education institutions in Indonesia who guide professional nursing students. The data were collected through in-depth, unstructured video call interviews. The data were collected through in-depth, unstructured video call interviews.  Data analysis was conducted using content analysis. Results: The research found themes with 15 subthemes. These themes are: 1) learning constrain, 2) student challenges, 3) clinical educator challenges, 4) teaching and learning opportunities. Conclusions: Professional education processes during a pandemic require better preparation in developing educational content, mastering various information technologies to support enhanced learning and the periodic evaluation of student competencies. This evaluation is necessary to ensure that students achieve the minimum competencies set by professional organizations.
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.
Nurses’ Experiences in Assisting Elderly with Eating Activities in Nursing Homes Prihatama, Rizky Putra; Yusuf, Ah; Sari, Dianis Wulan; Devi, S.Kep., Ns., M. Sc (SCOPUS ID : 57221912497), (SINTA ID : 6784310), Hilda Mazarina; Imam, Nurul
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 3 (2025): EDITION NOVEMBER 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i3.7658

Abstract

The experiences of nurses in assisting the elderly require considerable attention and time, particularly in fulfilling meal-related needs. Aging is accompanied by a decline in physiological functions, which can affect the ability of the elderly to eat independently. The purpose of this study was to explore nurses’ experiences in assisting older adults with eating activities. This study employed a descriptive qualitative design with a phenomenological approach. A total of eight nurses were selected using purposive sampling technique. The research was conducted in seven nursing homes located in East Java Province. Data were collected through in-depth interviews guided by structured interview questions and supported by field notes. The data were analyzed using Colaizzi’s method with the aid of the QDA Miner Lite application tool. Four major themes emerged from data analysis: 1) Assessment of the Eating Ability of the Elderly in Nursing Homes, 2) Nurses’ Experiences in Feeding the Elderly including determinants such as type of food, eating frequency, and meal times, 3) Incidence of choking among the elderly caused by swallowing disorders, age-related factors and body positioning, 4) Feeding challenges among the elderly including decreased appetite, food selectivity, dissatisfaction with meals, texture modification needs, food mixtures, slow eating pace and the need  for additional snacks. A comprehensive understanding of nurses’ experiences in assisting the elderly individuals during feeding activities is essential for improving appetite and maintaining adequate nutritional intake among older adults.