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PENERAPAN ANKLE STRATEGY EXERCISE DENGAN MASALAH KEPERAWATAN RESIKO JATUH PADA KLIEN LANJUT USIA Savitri Gemini; Fasida Dharma; Made Tantra Wirakusuma
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 1 No. 2 (2024): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Juni 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/tgbz9z13

Lansia pada umumnya memiliki tanda – tanda terjadinya penurunan fungsi – fungsi biologis, psikologis, sosial, dan ekonomi. Terjadi penurunan fungsi fisiologis yang mengakibatkan terjadinya gangguan degeneratif, salah satunya penurunan fungsi keseimbangan dinamis sehingga peningkatan resiko jatuh. Tujuan karya tulis ilmiah profesi ini untuk mengetahui Penerapan Ankle Strategy Exercise Dengan Masalah Keperawatan Resiko Jatuh Pada Klien Lanjut Usia Di Wilayah Kerja Puskesmas Sei Panas Kota Batam, yang dilaksanakan pada tanggal 21 Agustus – 01 September 2023. Metode yang digunakan pada karya tulis ilmiah profesi ini adalah studi kasus yang dilakukan berdasarkan tahap – tahap asuhan keperawatan meliputipengkajian keperawatan, diagnose keperawatan, intervensi keperawatan, implementasi keperawatan dan evaluasi keperawatan. Ankle Strategy Exercise dilakukan 6 kali pertemuan selama 2 minggu. Hasil studi kasus: Ny.M dan Ny.A terdapat penurunan skala Time Up and Go Test. Sebelum dilakukan ankle strategy exercise di dapatkan hasil Time Up and Go test Ny.M 24,45 detik (problem) dan Ny.A 23,10 detik (problem) Setelah di lakukan Ankle Strategy Exercise di dapatkan hasil Time Up and Go test menjadi Ny.M 10,05 detik (normal) dan Ny.A 09,50 detik (normal). Kesimpulan: Penerapan Ankle Strategy Exercise efektif dapat menurunkan resiko jatuh secara signifikan. Perawat diharapkan dapat memberikan terapi tersebut sesuai standar operasional prosedur pada pasien maupun keluarga sehingga dapat dilakukan secara mandiri

Factors Associated With Family Caregivers’ Knowledge and Attitudes Toward Home-Based Geriatric Care in Primary Healthcare: A Cross-Sectional Study Savitri Gemini; Nur Indrawati Lipoeto; Rizanda Machmud; Arina Widya Murni
Majalah Kesehatan Indonesia Vol. 7 No. 3 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026324

Family caregivers play a central role in home-based geriatric care, especially in settings where institutional long-term care remains limited. However, caregiver capacity may vary according to socio-demographic, relational, and service-related factors. This study aimed to identify factors associated with family caregivers’ knowledge and attitudes toward home-based geriatric care in a primary healthcare context. A quantitative analytic study with a cross-sectional design was conducted from September to December 2025 in two Puskesmas working areas in Batam City, Indonesia. A total of 326 family caregivers were recruited using proportional sampling. Data were collected through structured questionnaires and analyzed using univariate analysis, Chi-square tests, and multivariate logistic regression. Most caregivers had low knowledge (86.5%) and negative attitudes (61.0%) despite reporting high communication patterns and positive perceptions of healthcare facility quality. Bivariate analysis showed that economic status, caregiving duration, communication pattern, and perceived quality of healthcare facilities were significantly associated with knowledge, whereas economic status, communication pattern, and perceived quality of healthcare facilities were associated with attitudes. In the multivariate model, only caregiving duration (AOR = 15.790; p < 0.001) and communication pattern (AOR = 0.157; p = 0.013) remained independently associated with caregiver knowledge. No independent predictors were identified for attitudes. These findings indicate that caregiver knowledge was more strongly associated with experiential and relational factors, particularly caregiving duration and family communication. Structured, family-centered, and nurse-led interventions in primary healthcare may help strengthen caregiver preparedness in home-based geriatric care. Abstrak: Caregiver keluarga memainkan peran sentral dalam perawatan geriatri berbasis rumah, terutama di lingkungan yang layanan perawatan jangka panjang institusionalnya masih terbatas. Namun, kapasitas caregiver dapat bervariasi menurut faktor sosiodemografis, relasional, dan faktor terkait layanan. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan pengetahuan dan sikap caregiver keluarga terhadap perawatan geriatri berbasis rumah dalam konteks pelayanan kesehatan primer. Penelitian kuantitatif analitik dengan desain potong lintang dilakukan dari September hingga Desember 2025 di dua wilayah kerja Puskesmas di Kota Batam, Indonesia. Sebanyak 326 caregiver keluarga direkrut menggunakan proportional sampling. Data dikumpulkan melalui kuesioner terstruktur dan dianalisis menggunakan analisis univariat, uji Chi-square, dan regresi logistik multivariat. Sebagian besar caregiver memiliki pengetahuan rendah (86,5%) dan sikap negatif (61,0%) meskipun melaporkan pola komunikasi yang tinggi dan persepsi positif terhadap kualitas fasilitas pelayanan kesehatan. Analisis bivariat menunjukkan bahwa status ekonomi, lama merawat, pola komunikasi, dan persepsi terhadap kualitas fasilitas pelayanan kesehatan berhubungan secara signifikan dengan pengetahuan, sedangkan status ekonomi, pola komunikasi, dan persepsi terhadap kualitas fasilitas pelayanan kesehatan berhubungan dengan sikap. Pada model multivariat, hanya lama merawat (AOR = 15,790; p < 0,001) dan pola komunikasi (AOR = 0,157; p = 0,013) yang tetap berhubungan secara independen dengan pengetahuan caregiver. Tidak ditemukan prediktor independen untuk sikap. Temuan ini menunjukkan bahwa pengetahuan caregiver lebih kuat berhubungan dengan faktor pengalaman dan relasional, khususnya lama merawat dan komunikasi keluarga. Intervensi yang terstruktur, berpusat pada keluarga, dan dipimpin oleh perawat di pelayanan kesehatan primer berpotensi membantu memperkuat kesiapan caregiver dalam perawatan geriatri berbasis rumah.

HUBUNGAN MENGKONSUMSI KOPI DAN MEROKOK DENGAN TERJADINYA INSOMNIA PADA LANSIA DI WILAYAH KERJA UPT PUSKESMAS SEI LANGKAI KOTA BATAM Nur Mastari; Savitri Gemini; Desy Desy
Ensiklopedia of Journal Vol 8, No 1 (2025): Vol. 8 No. 1 Edisi 2 Oktober 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i1.3526

The prevalence of elderly people experiencing insomnia every year is estimated at around 25%-57% and 19% experience serious sleep disorders. As they age, the elderly usually face various health problems, one of which is insomnia. This insomnia not only worsens the quality of life of the elderly, but also increases the possibility of health complications such as hypertension, stroke, coronary heart disease, and even the risk of premature death. One of the contributing factors is excessive coffee consumption and smoking habits. Research Objective To determine the relationship between coffee consumption and smoking with insomnia in the elderly in the Sei Langkai Community Health Center Work Area. This study used an analytical observational design through a Cross Sectional approach. The research sample was 95 elderly people taken using a purposive sampling technique. The data collection tool used a questionnaire and data analysis used the Spearman Rank statistical test. Based on the results of the Spearman Rank statistical test on the relationship between coffee consumption and smoking, the p-value showed 0.000 (0.05) which means Ho was rejected. Therefore, it can be concluded that there is a relationship between coffee consumption and smoking and insomnia in the elderly in the Sei Langkai Community Health Center (UPT) working area of Batam City. Elderly people should reduce excessive coffee consumption and stop smoking, as both can worsen heart and lung health, sleep problems, and increase the risk of chronic disease. Keywords: Insomnia, Elderly, Coffee Consumption, Smoking

HUBUNGAN MENGKONSUMSI KOPI DAN MEROKOK DENGAN TERJADINYA INSOMNIA PADA LANSIA DI WILAYAH KERJA UPT PUSKESMAS SEI LANGKAI KOTA BATAM Nur Mastari; Savitri Gemini; Desy Desy
Ensiklopedia of Journal Vol 8, No 1 (2025): Vol. 8 No. 1 Edisi 2 Oktober 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i1.3476

The prevalence of elderly people experiencing insomnia every year is estimated at around 25%-57% and 19% experience serious sleep disorders. As they age, the elderly usually face various health problems, one of which is insomnia. This insomnia not only worsens the quality of life of the elderly, but also increases the possibility of health complications such as hypertension, stroke, coronary heart disease, and even the risk of premature death. One of the contributing factors is excessive coffee consumption and smoking habits. Research Objective To determine the relationship between coffee consumption and smoking with insomnia in the elderly in the Sei Langkai Community Health Center Work Area. This study used an analytical observational design through a Cross Sectional approach. The research sample was 95 elderly people taken using a purposive sampling technique. The data collection tool used a questionnaire and data analysis used the Spearman Rank statistical test. Based on the results of the Spearman Rank statistical test on the relationship between coffee consumption and smoking, the p-value showed 0.000 (0.05) which means Ho was rejected. Therefore, it can be concluded that there is a relationship between coffee consumption and smoking and insomnia in the elderly in the Sei Langkai Community Health Center (UPT) working area of Batam City. Elderly people should reduce excessive coffee consumption and stop smoking, as both can worsen heart and lung health, sleep problems, and increase the risk of chronic disease. Keywords: Insomnia, Elderly, Coffee Consumption, Smoking

HUBUNGAN PENYAKIT PENYERTA DENGAN DEPRESI PADA LANSIA DIABETES MELLITUS Ridho Akbar Firdaus; Savitri Gemini; Laeli Mufidah
Ensiklopedia of Journal Vol 8, No 2 (2026): Vol. 8 No. 2 Edisi 3 Januari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i2.3724

This study examines the relationship between comorbidities and depression in elderly patients with diabetes mellitus at Puskesmas Sei Langkai, Batam. The background highlights high cases of elderly diabetes mellitus (3,064 cases/4.93%) and elderly depression (52 cases/0.02%) in 2023, where comorbidities can increase depression risk, impacting physical, psychological, and social aspects. Method:A quantitative study with cross-sectional design involving 54 elderly samples selected through purposive sampling. Data were collected using questionnaires and analyzed with the Kruskal-Wallis test. The majority of respondents (79.6%) had comorbidities, with hypertension being the highest (77.8%). About 63% suffered from diabetes mellitus for 2 years. Statistical tests showed a significant relationship between comorbidities and depression (p=0.0490.05). Comorbidities increase the health burden on elderly diabetes mellitus patients and correlate with depression occurrence. These findings emphasize the importance of comprehensive health monitoring in the elderly, particularly detection and management of comorbidities to prevent or reduce depression risk. This information is useful for elderly patients and their families in holistic healthcare efforts.Keywords: Comorbidities, Depression, Diabetes Mellitus

HUBUNGAN INDEKS MASSA TUBUH (IMT) DAN TEKANAN DARAH DENGAN KEJADIAN ASAM URAT PADA LANSIA Nella Hetty Sinaga; Savitri Gemini; Siska Pratiwi
Ensiklopedia of Journal Vol 8, No 2 (2026): Vol. 8 No. 2 Edisi 2 Januari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i2.3679

Uric acid is the end result of catabolism (breakdown) of a substance called purine. Purine substances are natural substances which are one of the groups of chemical structures that form DNA and RNA.. This research is a quantitative study, using an analytic design with a cross sectional approach with the affordable population in this study were all elderly people in the Sei Langkai Health Center Working Area in 2024, totaling 203 elderly gout. The sampling method technique used in this researcher uses simple random sampling by measuring body mass index in the elderly, which consists of measuring body weight using a weight scale in kilograms and height in the elderly using a stature meter in centimeters and measuring blood pressure using a tensimeter, then measuring uric acid in the elderly using Easy Touch. P-value of 0.000, which means that there is a strong correlation between BMI and uric acid levels in the elderly and there is a significant relationship between blood pressure and the incidence of gout, with a P-value of 0.000.Keywords: Body Mass Index, Blood Pressure, Uric Acid, Elderly

PENERAPAN OTAGO EXERCISE DALAM MENGURANGI INSTABILITY DENGAN STROKE DI PANTI WERDHA TRUE LOVE flin Elianora Betaria Pasaribu; Savitri Gemini
Ensiklopedia of Journal Vol 8, No 2 (2026): Vol. 8 No. 2 Edisi 3 Januari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i2.3743

Abstract: Elderly individuals with non-hemorrhagic stroke face high risks of balance disturbances and falls due to motor and cognitive decline. The Otago Exercise Program, a structured regimen to strengthen lower limb muscles and improve balance, has proven effective in reducing fall risk among older adults. This study aims to implement the program to reduce instability, an elderly patient with non-hemorrhagic stroke at the True Love Nursing Home. Using a case study approach within the nursing care process framework, physical examination and revealed weakness and stiffness in the left extremities, with muscle strength scores of 3/3/4/4. The intervention emphasized mobility improvement through six days of Otago Exercise. Interventions followed the plan with goals, contributing to gerontological nursing knowledge. Keywords: Elderly; Non-Hemorrhagic; Otago Exercise.

HUBUNGAN OBESITAS DENGAN PREEKLAMSIA PADA IBU HAMIL TRIMESTER KETIGA DI WILAYAH KERJA PUSKESMAS LUBUK BAJA KOTA BATAM Cindy Claudia Sianturi; Savitri Gemini; Roza Erda
Ensiklopedia of Journal Vol 8, No 1 (2025): Vol. 8 No. 1 Edisi 2 Oktober 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i1.3492

Prelelclampsia is a pregnancy complication that can increase maternity and feltal morbidity and mortality. Obesity is known as an important risk factor associateld with the incidence of preeclampsia. to determin the relationship between obesity and preeclamsia in third trimester pregnant women in the working area of Lubuk Baja Community Helalth Center, Batam City in 2025. This type of research use observationa with a cross-selctional design. Thel study population was all third trimester pregnant women in the working area of Lubuk Baja Community Health Center, with a sample of 41 respondents selelcteld through a purposivel sampling telchniquel. Data werel collelcteld using obselrvation shelelts and meldical relcords, then analyzeld univariatelly and bivariatelly with thel Chi-Squarel telst at a 95% confidelncel levell (α = 0.05). The results of univariate research showed that out of 41 pregnant women, the incidence of obesity in pregnant women in the third trimester was 25 pregnant women (61.0%) in the obesity category and 29 pregnant women (70.7%) in the mild preeclamsia category, while 12 pregnant women (29.3%) experienced severe preeclamsia in the working area of the Lubuk Baja Health Center, Batam City in 2025. Bivariate analysis showed a significant relationship between obesity and the incidence of preeclampsia in pregnant women in the third trimester (p = 0.000 0.05). Therelfore, it can bel concludeld that obesity has a significant rellationship with thel incidence of preeclamsia in prelgnant women in thel third trimelstelr in thel working area of thel Lubuk Baja Community Helalth Centelr, Batam City in 2025. Promotive and prelvelntivel elfforts are through nutrition education, welight control, and screlelning of prelgnant women to prelvelnt prelgnancy complicationsKeywords: Obesity, Preeclampsia,Third Trimester Pregnant Women

HUBUNGAN KETERPAPARAN MEDIA SOSIAL PADA IBU TERHADAP PEMBERIAN IMUNISASI HUMAN PAPPILOMA VIRUS Reysa Lamis; Catur Yulinawati; Savitri Gemini
Menara Medika Vol 8, No 2 (2026): VOL 8 NO 2 MARET 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i2.7354

Pendahuluan: Kanker serviks 99% disebabkan oleh infeksi Human Papilloma Virus (HPV). Upaya pencegahan primer yang efektif melalui imunisasi HPV terutama diberikan pada anak perempuan usia 9 hingga 13 tahun. Namun, cakupan imunisasi HPV di Indonesia hanya mencapai 55%. Salah satu faktor yang memengaruhi keputusan ibu dalam memberikan imunisasi adalah keterpaparan informasi melalui media sosial. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan keterpaparan media sosial pada ibu terhadap pemberian imunisasi Human Pappilona Virus (HPV) di SD IT Luqman Al Hakim 02 Wilayah Kerja UPTD Puskesmas Tanjung Uncang Kota Batam Tahun 2025. Metodologi: Penelitian ini menggunakan desain observasional analitik dengan rancangan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu siswa kelas 5 dan 6 di SD IT Luqman Al Hakim 02 sebanyak 87 ibu dengan menggunakan teknik total sampling. Alat pengumpulan data menggunakan lembar kuesioner. Analisa data menggunakan uji chi-square. Hasil: Sebagian besar ibu termasuk dalam kategori terpapar media sosial sebanyak 52 orang (59,8%) dan sebanyak 64 anak (73,6%) telah diberikan imunisasi HPV. Hasil uji statistik chi square diperoleh p value 0,001 0,05 sehingga terdapat hubungan signifikan antara keterpaparan media sosial pada ibu dengan pemberian imunisasi HPV. Kesimpulan dan Saran: Media sosial berperan dalam memengaruhi keputusan ibu terkait imunisasi HPV dan diharapkan instansi pemerintah memperkuat peran media sosial sebagai saran edukasi publik dengan menyediakan konten yang informatif mengenai imunisasi HPV pada anak sekolah dasar yang mudah dipahami oleh masyarakat.

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