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All Journal Nursing Current : Jurnal Keperawatan Nursing Genius Journal
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.
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 . Resnayati, Yeti Riasmini, Ni Made Riyanto Riyanto Salmid, Amid Savitri Pardede, Bella Sutanto, Jusuf