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All Journal Nursing Current : Jurnal Keperawatan Nursing Genius Journal Journal of Health Empowerment and Interprofessional Practice
Silaswati, Shinta
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Dentistry Health Professions Medicine & Pharmacology 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.
Impact of Tera Exercise on Musculoskeletal Health in Older Adults Silaswati, Shinta; Juliani Pramestika, Dwi; Lestari Handayani, Tri
Journal of Health Empowerment and Interprofessional Practice Vol. 2 No. 1 (2026): Journal of Health Empowerment and Interprofessional Practice
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/jheip.v2i1.72

Abstract

Background of study: The aging process in older adults is accompanied by musculoskeletal changes that frequently manifest as joint pain, impairing daily functioning, independence, and overall quality of life. Non-pharmacological interventions are increasingly explored, with tera exercise—a light exercise emphasizing stretching, joint mobility, flexibility, circulation, and relaxation—emerging as a promising approach.Aim : This study aimed to evaluate the effectiveness of tera exercise in reducing joint pain among elderly residents of a private nursing home in Jakarta, thereby providing empirical evidence for its role as a non-pharmacological intervention to improve musculoskeletal health and quality of life.Methods: A quasi-experimental design with a one-group pretest–posttest approach was employed. Using purposive sampling, 20 respondents were recruited. Joint pain levels were measured using the Numeric Rating Scale (NRS) before and after a two-week tera exercise program conducted three times per week. Data were analyzed using the Wilcoxon Signed Rank Test.Result: Prior to the intervention, 10 respondents (50%) reported mild to moderate pain, while 10 respondents (50%) experienced severe to very severe pain. After the intervention, 17 respondents (85%) reported mild to moderate pain, and only 3 respondents (15%) remained in the severe to very severe category. Statistical analysis yielded a p-value < 0.05 and a Z-score of -2.646, indicating a significant reduction in joint pain.Conclusion: Tera exercise is an effective non-pharmacological strategy for alleviating joint discomfort and improving musculoskeletal health among older adults in nursing home settings. However, limitations include the small sample size and absence of a control group. Future studies should employ larger samples, randomized controlled designs, longer observation periods, and examine additional factors such as physical activity, psychological status, and pharmacological therapies.
Improving Physical Performance and Fall Risk in the Elderly Through Structured Tai Chi: A Quasi-Experimental Investigation in an Indonesian Nursing Home Silaswati, Shinta; Savitri Pardede, Bella; Jamaludin, Jamaludin; Sutanto, Jusuf
Nursing Genius Journal Vol. 1 No. 1 (2026): Nursing Genius Journal Vol. 1 No. 1 January 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v1.i1.2026.171

Abstract

Background: Falls are a major cause of injury and disability among older adults. Tai Chi, with its slow and controlled movements, is a promising intervention for improving balance and reducing fall risk. Purpose: This study evaluated the effect of a structured two-week Tai Chi program on physical performance and fall risk among elderly nursing home residents in East Jakarta, Indonesia. Methods: A quasi-experimental one-group pre-post design was used with 20 participants (mean age 66.4±4.2 years; 85% female). Fall risk was assessed using the Short Physical Performance Battery (SPPB) before and after a 10-session Tai Chi program. Data were analyzed using the Wilcoxon signed-rank test. Results: Pre-intervention SPPB scores indicated high fall risk (Mean=7.8±1.1). Post-intervention scores improved significantly (Mean=9.6±1.0; p=0.046). The proportion of participants classified as "stable" (SPPB 10-12) increased from 0% to 20%. Conclusion: A short-term Tai Chi program significantly improved physical performance and reduced fall risk in institutionalized elderly, supporting its integration into nursing home fall prevention strategies.
Co-Authors Jamaludin . Juliani Pramestika, Dwi Lestari Handayani, Tri Resnayati, Yeti Riasmini, Ni Made Riyanto Riyanto Salmid, Amid Savitri Pardede, Bella Sutanto, Jusuf