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All Journal Nursing Current : Jurnal Keperawatan Indonesian Journal of Health Sciences Research and Development (IJHSRD)
Silaswati, Shinta
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Health Professions Nursing Public Health

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PENINGKATAN PERILAKU PENCEGAHAN STROKE PADA LANSIA MELALUI PENGEMBANGAN MODEL PEMBERDAYAAN KELUARGA DAN LANSIA Riasmini, Ni Made; Resnayati, Yeti; Silaswati, Shinta; Riyanto, Riyanto; Salmid, Amid
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9727

Abstract

Introduction: The number of patients with hypertension is steadily increasing and poses a significant chronic health problem. Individuals with hypertension have an 87.5% risk of experiencing a stroke. The role of family as caregivers is crucial in elderly care, particularly in stroke prevention. The family empowerment model is an approach designed to enhance self-potential, enabling individuals to make informed decisions regarding their own health. This study aimed to examine the effect of a family empowerment model on stroke prevention behavior among the elderly with hypertension. Methods: This quasi-experimental study involved 132 families with hypertensive elderly, using multistage random sampling. A six-week intervention program consisting of education and skill-building activities was implemented. Stroke prevention behaviour was measured using the validated Elderly Stroke Prevention Behaviour Questionnaire (knowledge, attitude and behaviour). Data were analysed using paired and independent t-tests. Results: Significant improvements were observed in the intervention group following the implementation of the family empowerment model (p < 0.001). Knowledge scores improved from 6.61 (SD = 1.86) to 9.15 (SD = 0.88), attitude scores improved from 17.11 (SD = 2.30) to 25.79 (SD = 3.30), and behaviour scores improved from 7.18 (SD = 2.20) to 9.02 (SD = 0.97).  Conclusion: The eight-week empowerment model effectively improved stroke prevention behaviour among the elderly with hypertension This model can be integrated into community-based programs to promote elderly self-care and reduce the risk of stroke. Recommendations: Empowering the elderly is essential to enhance self-efficacy and overall quality of life.
DETERMINANTS OF LONELINESS, RESILIENCE, AND MENTAL HEALTH IN ELDERLY PATIENTS AT LONG TERM CARE IN JAKARTA : LONELINESS, RESILIENCE, AND MENTAL HEALTH Andas, Amzal Mortin; Romantika, I Wayan; Silaswati, Shinta; Prima, Ashar; Purnamasari, Anisa; Lisnawati, Lisnawati
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 6 No. 2 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol6.Iss2/251

Abstract

  Background: Elderly individuals in nursing homes often experience psychological challenges such as loneliness, decreased resilience, and mental health issues. Understanding the prevalence and determinants of these issues is essential for designing targeted interventions. This study aims to examine the prevalence of loneliness, resilience, and mental health issues among elderly patients at Long Term Care, and to identify the key factors influencing these variables. Methods: A cross-sectional study design was employed involving 126 elderly residents aged 60-90 years. Data were collected using validated instruments, including the UCLA Loneliness Scale, the Resilience Scale, and the General Health Questionnaire (GHQ-12). Demographic and clinical data, such as age, gender, education level, length of stay, marital status, income, and history of chronic diseases, were also recorded. Statistical analyses included descriptive statistics for prevalence and logistic regression to identify significant predictors of loneliness, resilience, and mental health. Results: The prevalence of loneliness was 58%, with a higher incidence among females and those aged over 70 years. Resilience was significantly lower in participants with chronic diseases and lower socioeconomic status. Mental health issues were identified in 45% of participants, with lower education levels, longer stays in the nursing home, and chronic illness as significant contributing factors. Logistic regression revealed that chronic disease history (OR = 3.32, p < 0.05) and length of stay >5 years (OR = 1.91, p < 0.05) were the strongest predictors of poor mental health outcomes. Conclusion: The study highlights the high prevalence of loneliness, reduced resilience, and mental health issues among elderly residents at Long Term Care. Chronic disease and prolonged institutionalization emerged as critical factors influencing psychological well-being. These findings underscore the need for targeted interventions, such as structured psychosocial therapies, to address these challenges and improve the quality of life of elderly patients.
Co-Authors Andas, Amzal Mortin L. Lisnawati Prima, Ashar Purnamasari, Anisa Resnayati, Yeti Riasmini, Ni Made Riyanto Riyanto Romantika, I Wayan Salmid, Amid