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All Journal Jurnal Kedokteran Brawijaya Folia Medica Indonesiana MNJ (Malang Neurology Journal) Jurnal Sport Science Majalah Kesehatan FKUB JMM (Jurnal Masyarakat Mandiri) Kontribusi: Jurnal Penelitian dan Pengabdian Kepada Masyarakat Jurnal Klinik dan Riset Kesehatan Deka in Medicine

Sri Soenarti

Fakultas Kedokteran, Universitas Brawijaya

Author-ID : 8521552

Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Kecenderungan Depresi pada Pasien Lansia Rawat Inap COVID-19 Survivor menggunakan GDS-15 Soenarti, Sri; Pradipto, Wiryawan
Jurnal Klinik dan Riset Kesehatan Vol 1 No 1 (2021): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Pendahuluan: Penyebaran pandemi Sindrom Pernafasan Akut Parah Coronavirus (COVID-19) dapat dikaitkan dengan implikasi kejiwaan, termasuk depresi, salah satu gangguan mental yang paling umum. Ini melonjak di seluruh dunia di tengah pandemi penyakit coronavirus 2019 (COVID-19) yang sedang berlangsung, terutama di antara para lansia yang selamat dari COVID-19 yang dirawat di rumah sakit. Tujuan: Mengetahui dampak pandemi COVID-19 terhadap kemungkinan depresi menggunakan kuesioner Geriatric Depression Scale-15 (GDS-15) pada lansia COVID-19 yang dirawat di rumah sakit Metode: Penelitian ini merupakan penelitian observasional dengan pengumpulan data cross-sectional. Kami mengumpulkan subjek penelitian dari lansia survivor COVID-19 yang dirawat di RSU Saiful Anwar. Subyek dipanggil melalui telepon, dan kemudian mereka ditanyai berdasarkan kuesioner GDS-15. Kuesioner termasuk data demografi dan sosial ekonomi, status kesehatan, dan skor GDS-15. Hasil: Di antara 33 sampel penelitian, cross-sectional phone survey menunjukkan bahwa hanya hanya ada dua partisipan (6,06%) yang skornya menunjukkan kemungkinan depresi. Lansia <70 tahun mengalami tekanan psikologis yang lebih rendah (p 0,057) dibandingkan yang berusia >70tahun. Kesimpulan: Lansia penyintas COVID-19 yang dirawat di rumah sakit pada masa tindak lanjut 3 bulan setelah perawatan di rumah sakit memiliki tingkat kemungkinan depresi yang rendah, dan tidak ada peserta yang mengalami depresi.

The First Experience and Benefits of the 12-week VIVIFRAIL Exercise and Its Workout Music Selection for Elder Adults in the Community of Ardirejo, Kepanjen Soenarti, Sri; Kurniawati, Victoria Maya; Zakiya, Fifi Afifatus; Pramesta, Marshanda Shella; Sulistyaningsih, Rita; Lestari, Harien; Amalia, Iftinan; Marintan, Silmy
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.5

The VIVIFRAIL program is an Multi Component Physical Exercise (MPC) program which includes strength trainings, aerobics, gait trainings, balance and flexibility exercises tailored for each individual, and designed to facilitate evidence-based exercise interventions for elder adults. This program, which is unprecedented in Indonesia, is targeting elder adults in the pre-frail stage who are aiming for robust or fit status. This study utilizes a qualitative method with 15 older adults as the respondents. The data was collected from semi-structured interviews to encourage respondents to openly share their experience on the VIVIFRAIL program. The Consolidate criteria for Reporting Qualitative research (COREQ) method is used for reporting. The objective of this study is to find out the elderly's first experience of participating in VIVIFRAIL exercise and its benefits in returning the elderly's physical performance to robust or fit status as well as the selection of accompanying music during the 12 week exercise in the Ward Area of Ardirejo, Kepanjen District. The results showed that our respondents experienced positive feeling and felt physically fit and fresh. They could also monitor their blood pressure and train their balance to avoid falling. Moreover, after getting the benefit, respondents expected that the program could be continued. As for the workout music selection, respondents chose Javanese traditional music (gending), dangdut/koplo, local music, campursari, oldies songs, and Malangan songs for accompanying their exercise. In conclusion, after participating in the VIVIFRAIL program for 12 weeks, the respondents felt positive and physically fit and fresh.

EVALUASI KUALITAS HIDUP DAN SKALA NYERI PADA LANJUT USIA PENYINTAS COVID-19 PASCA RAWAT INAP Soenarti, Sri; Sutanto, Heri; Indiastari, Dewi; Budiarti, Niniek; Hermanto, Djoko Heri; Susanto, Jefri Pratama
Majalah Kesehatan Vol. 10 No. 2 (2023): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2022.010.02.5

COVID-19 menyebabkan banyaknya kematian pada populasi lanjut usia (lansia). Di Indonesia, hingga akhir Mei 2021 terdapat 49% kematian akibat COVID-19 dan pada pasien di atas 60 tahun (lansia) hanya didapatkan 10% kasus sembuh. Lansia dikategorikan sebagai kelompok berisiko terinfeksi virus Corona. Wabah penyakit ini tidak hanya berdampak pada kesehatan fisik tetapi juga kesehatan mental. Pada saat pandemi, memahami kualitas hidup lansia yang sembuh dari COVID-19 pasca perawatan di rumah sakit adalah tantangan global yang baru. Penelitian ini dilakukan dengan mengambil data lansia yang selamat dari COVID-19 pasca rawat inap untuk dinilai kualitas hidupnya dan kesehatan diri. Penilaian dengan wawancara melalui telepon. Data demografi, sosial ekonomi, status kesehatan diambil dari rekam medis pasien. Responden memperoleh rerata skor kualitas hidup (EQ-5D) 0,911 dan rerata skor VAS 89,6. Nyeri sendi memiliki korelasi yang signifikan secara statistik dengan ketidaknyamanan (p < 0,000). Lama rawat inap kurang dari 14 hari memiliki hubungan yang bermakna dengan ketidaknyamanan (p < 0,05). Sedangkan dimensi lain seperti mobilitas, perawatan diri, aktivitas sehari-hari dan kecemasan/depresi tidak berkorelasi dengan ketidaknyamanan secara signifikan. Kesimpulannya, kualitas hidup dan kesehatan diri yang dilaporkan oleh lansia penyintas COVID-19 relatif bagus. Adanya keluhan nyeri sendi dikaitkan dengan kualitas hidup yang lebih buruk (dimensi ketidaknyamanan), sementara risiko ketidaknyamanan meningkat secara signifikan dengan lama rawat yang lebih singkat.

The influence of gross motor habits on the physical activity abilities of preschool students at Hudan Cendia kindergarten Gamagita, Laras Putri; Yudasmara, Dona Sandy; Weningtyas, Anditri; Amelia, Dessy; Soenarti, Sri; Hanifah, Sukma Nur; Prasetyo, Rizal Dwi; Prayoga, Wahyu Surya
Jurnal Sport Science Vol 13, No 2 (2023)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um057v13i2p45-56

Physical activity habits in children aged 3-5 are built based on motor skills intervention. Gross motor activity can increase the ability to move and involve children in physical activities outside the room. This needs to be known about surveillance of physical and gross motor activities of children aged 3-5 years. This study correlated physical activity and gross motor skills in students at Kindergarten Hudan Cendikia with 20 subjects in Kindergarten A. Data were obtained from filling out physical activity questionnaires using the Global Physical Activity Questionnaire (GPAQ) and gross motor skills tests using the Gross Motor Development Test-2 (TGMD-2) with the data analysis technique used is correlation analysis using SPSS and quantitative descriptive analysis. The results of this study were that there was no relationship between physical activity and gross motor skills in children aged 3-5 years with a significance value of 0.330 > 0.05, students at Kindergarten Hudan Cendikia had an average gross motor skill which was very good with moderate physical conditions, on student involvement in sedentary activities students have high average results.

Rehabilitation Impact of Vivifrail Exercise Program Type C on the Cognitive Function of Pre-Frail Elderly People in the Community Sri Soenarti; Dwi Indriani Lestari; Muhammad Barlian Nugroho; Harien Lestari; Tita Hariyanti
Folia Medica Indonesiana Vol. 60 No. 3 (2024): September
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v60i3.62581

Highlights:1. This study emphasizes the importance of providing physical exercises to pre-frail elderly individuals, especially in a community setting.2. This study establishes a foundation for future research to explore the relationship between physical exercise, particularly the Vivifrail Type C Protocol, and cognitive function in pre-frail elderly individuals. Abstract Frailty is a clinical syndrome that increases vulnerability, potentially leading to disability or death. The pre-frail phase is ideal for preventing frailty and improving quality-adjusted life years, particularly through physical exercises that reduce the risk of dementia and cognitive impairment. Multicomponent exercises, such as the Vivifrail Exercise Program, may enhance cognitive function and daily independence by preventing and mitigating frailty through tailored routines. However, its impact on cognitive function in pre-frail elderly people had not been well studied. This study aimed to determine the effect of the Vivifrail Exercise Program Type C on the cognitive function of pre-frail elderly people. This study was a quasi-experiment with a non-randomized control group pretest-posttest design. The sample was chosen by the quota sampling method. Twenty-seven subjects were analyzed, comprising 16 individuals in the exercise group and 11 individuals in the control group. The exercise group participated in the Vivivfrail Type C Exercise Program, with 45-minute sessions conducted biweekly for 12 weeks. The evaluated parameters included the Montreal Cognitive Assessment-Indonesian Version (MoCA-INA) and the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA). The statistical analysis utilized the Kruskal-Wallis test, followed by the post-hoc Mann-Whitney test and independent t-test (p<0.05). A path analysis was performed using simple linear regression. The subjects' average ages were 72.2 years in the control group and 67.47 years in the exercise group. The Vivifrail Exercises Program Type C significantly improved the MoCA-INA scores from 20.25 to 24.06. It also increased the LOTCA scores in several domains, i.e., thinking operations and visual perception. The exercise group demonstrated more improvement than the control group (p=0.032). An enhancement in cognitive function was particularly observed in elderly women with pre-frailty. In conclusion, the Vivifrail Exercise Program Type C can help improve the cognitive function of the elderly within the community.

Prevalence of streptococcus pneumoniae in elderly with pneumonia: A meta-analysis and systematic review in Asia Soenarti, Sri; Wijaya, Yannita; Pratama, Adhya; Nugraha, Aditya; Seto, Agnes; Fathoni, Alfan; Sekarani, Ayu; Utama, Gede; Juhandana, Madya; Ardiyanti, Putri; Utomo, Vidi; Safira, Zahra; Sholichah, Zuhrotus; Santoso, Dimas
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e278

BACKGROUND: There is currently insufficient study focusing on comprehensive studies that thoroughly assess the prevalence of Streptococcus pneumoniae specifically among elderly patients with pneumonia in Asia. OBJECTIVE: To analyze the prevalence of Streptococcus pneumoniae as a causative factor of pneumonia among elderly populations in Asian countries. METHODS: This meta-analysis was designed to systematically collect data from PubMed, Scopus, and Embase within the timeframe of January to February 2024. The study focused on gathering prevalence data of Streptococcus pneumoniae among elderly patients diagnosed with pneumonia in Asian countries. Statistical analysis employed a single-arm meta-analysis methodology to consolidate and evaluate the cumulative prevalence of Streptococcus pneumoniae in this specific population group. RESULTS: The total sample included in our study comprised 15 articles. Through our analysis, we found that the cumulative prevalence of Streptococcus pneumoniae among elderly patients diagnosed with pneumonia in Asia was 9% (Event rate: 0.09; 95% CI: 0.06, 0.12; Egger's test: p = 0.7047; p Heterogeneity < 0.0001; p < 0.0001). CONCLUSION: Streptococcus pneumoniae remains a plausible causative agent of pneumonia in elderly Asian populations.

Hubungan Antara Kepatuhan Terapi Antiretroviral terhadap Terjadinya Kondisi Underweight, Lingkar Betis, Handgrip Strength, dan Skinfold Triceps pada Pasien HIV/AIDS di RSSA Malang Budiarti, Niniek; Kurniawan, Fitto; Soenarti, Sri
Jurnal Klinik dan Riset Kesehatan Vol 4 No 1 (2024): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.04.1.4

Background: Human Immunodeficiency Virus or commonly known as HIV is a virus that infects CD4 cells thereby impaired the human immune system. The number of new HIV cases in Indonesia in 2019 was reported to have reached 50,282 cases and tends to increase from year to year. What often happens in people with HIV/AIDS (PLWHA) tends to experience weight loss accompanied by opportunistic infections that do not occur in normal people. Adherence to therapy is the main factor that must be emphasized by PLWHA in order to achieve treatment success. However, ARV therapy adherence rates are reported to be <80%. This number can be a predictor of therapy failure. One indicator of the success of therapy is when there is clinical improvement in the patient's condition, such as no opportunistic infections or weight gain. Aim: The aim of this study was to determine whether there is a relationship between adherence to antiretroviral therapy and underweight conditions in HIV/AIDS patients. Methods: This study used a cross sectional design with an analytical observational nature and the research subjects were patients at RSSA Malang who visited from June to August 2023. Results: The results of the study showed that there was a significant relationship between adherence to taking ARVs and being underweight (p=0.018) and there was no significant relationship between adherence to taking ARVs with calf circumference, handgrip strength, and triceps skinfold. Conclusion: The conclusion of this study is that the more compliant the patient is with ARV therapy, the higher the increase in body mass index and the smaller the possibility of becoming underweight.

The impact of assisted living facilities on hospitalization, length of stay, and mortality rates among the elderly: A systematic review and meta-analysis Sopacua, Andre; Haryanto, Ahmad; Soenarti, Sri
Deka in Medicine Vol. 2 No. 1 (2025): April 2025
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2025.e514

BACKGROUND: With 21.3% of the global population aging, the demand for assisted living facilities (ALFs) for individuals with complex medical conditions has surged. However, residing in ALFs may be associated with higher hospital admission rates, longer hospital stays, and increased mortality compared to living at home. The exact relationship between ALFs and these adverse health outcomes remains unclear. OBJECTIVES: To determine the correlation between ALFs—including nursing homes (NH), home care (HC), and residential care (RC)—and hospitalization rates, length of hospital stay, and mortality compared to community-dwelling individuals. METHODS: A literature search was conducted across five databases, focusing on risk ratios for hospitalization and mortality, as well as mean changes in hospital duration. This study compared interventions involving NH, HC, and RC with community dwelling. Quality appraisal was performed using the Newcastle-Ottawa Scale (NOS), and a forest plot was generated using a random-effects model with 95% confidence intervals (CI). RESULTS: Community-dwelling individuals had a 1.21 times higher likelihood of hospitalization compared to those in ALFs (RR 1.21, 95% CI: 0.97–1.51, I²=100%, p=0.10). Subgroup analysis showed that individuals receiving HC and NH had lower hospitalization rates than those in community settings, while RC residents had a higher risk. Additionally, ALF residents experienced longer hospital stays compared to the control group [MD: -1.21 (95% CI: -3.06 to 0.65, I²=99%, p=0.20)]. Mortality rates were 2.83 times higher among community dwellers than ALF residents (RR 2.83, 95% CI: 1.43–5.61, I²=100%, p=0.003). Subgroup analysis also indicated lower mortality risks among individuals receiving RC, NH, and HC compared to those in community settings. CONCLUSION: ALFs are associated with an increased risk of hospitalization and mortality, as well as a shorter length of hospital stay.

THE NEUROPROTECTIVE EFFECT OF HONEY’S POLYPHENOL FOR THE POTENTIAL TREATMENT OF NEURODEGENERATIVE DISEASES: A SYSTEMATIC REVIEW Soenarti, Sri; Nanda Utama, Gede; Utomo, Vidi Prasetyo
MNJ (Malang Neurology Journal) Vol. 11 No. 2 (2025): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2025.011.02.12

Background: Neurodegenerative disorders, such as Alzheimer's and Parkinson's, are distinguished by the progressive deterioration of the central nervous system's structure and functionality. Their pathophysiology is significantly influenced by neuroinflammation and oxidative stress. Natural honey, high in polyphenols and flavonoids, may be useful in the treatment of various ailments. Methods: This systematic review follows the PRISMA guidelines, covering literature searches conducted from June 1 to July 20, 2024. Included studies were published in the last decade and focused on the effects of honey on neurodegenerative diseases. Results: The review included six studies, comprising four in vivo studies and two in vitro studies. The in vivo studies used rodents and nematodes as subjects. Honey demonstrated significant neuroprotective effects in Parkinson's disease models, including improved motor coordination and reduced neuronal damage. In Alzheimer's disease models, honey reduced amyloid-β aggregation and enhanced antioxidant defences. Discussion: The studies indicate that honey has anti-inflammatory and antioxidant benefits, helping to reduce oxidative stress and prevent neuronal damage. The polyphenols and flavonoids in honey also increased the concentration and activity of antioxidant enzymes such as glutathione (GSH) and superoxide dismutase (SOD). Additionally, honey can boost the expression of Brain-Derived Neurotrophic Factor (BDNF), which is crucial for synaptic plasticity and cognitive performance. Conclusion: Honey, particularly its polyphenol and flavonoid components, shows potential as a neuroprotective agent for neurodegenerative diseases. However, further research, especially clinical trials in humans, is needed to confirm these findings and explore the therapeutic potential of honey more comprehensively.

Peningkatan Efektivitas Urban Farming untuk Meningkatkan Nilai Ekonomi dan Kesehatan Lansia Kelompok Tani Kurnia Lestari Kota Malang Hayati, Yati Sri; Sitawati, Sitawati; Kartika, Annisa Wuri; Kristianingrum, Niko Dima; Soenarti, Sri; Lutfiana, Velinda Dewi; Rahmawati, Risma Dwi; Sari, Herdyana Lintang; Armannaena, Tria; Arfiati, Nurliza Prita
Kontribusi: Jurnal Penelitian dan Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2025): Mei 2025
Publisher : Cipta Media Harmoni

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53624/kontribusi.v5i2.586

Latar Belakang: Peningkatan jumlah penduduk lansia dapat menimbulkan peningkatan angka ketergantungan penduduk. Lansia seringkali dianggap sebagai individu tidak produktif. Urban farming atau pertanian perkotaan merupakan salah satu solusi bagi lansia untuk beraktivitas di pekarangan rumah. Tujuan: Untuk melihat peningkatan efektivitas urban farming dalam ekonomi dan kesehatan kelompok lansia setelah diberikan intervensi pengetahuan dan pemberdayaan masyarakat. Metode: Kegiatan intervensi dilakukan dengan model pemberdayaan masyarakat yang mencakup kegiatan pendampingan pertanian, pendidikan kesehatan, kegiatan senam ergonomik dan pemeriksaan kesehatan. Hasil: Peningkatan produk pertanian dengan rata rata peningkatan 5 kg setiap kali panen dengan perubahan media tanam dan setting lahan. Kesimpulan: Kegiatan pengabdian masyarakat yang mencakup pendampingan pertanian dan kegiatan edukasi kesehatan dengan konsep urban farming dapat meningkatkan nilai ekonomi kelompok lansia di area perkotaan dengan peningkatan produk dan kualitas hasil panen serta peningkatan kualitas hidup lansia.

Co-Authors ADITYA NUGRAHA Amalia, Iftinan Amanda, Febrina Amelia, Dessy Anditri Weningtyas Ardiyanti, Putri Arfiati, Nurliza Prita Arifah, Medisa Roro Putri Nur Armannaena, Tria Dona Sandy Yudasmara Dwi Indriani Lestari Elvira Sari Dewi Fathoni, Alfan Gamagita, Laras Putri Hanifah, Sukma Nur Harien Lestari Haryanto, Ahmad Hayati, Yati Sri Heri Sutanto hermanto, djoko heri Indiastari, Dewi Indriyani, Damayanti Jannah, Riska Raudhatul Jefri Pratama Susanto, Jefri Pratama Juhandana, Madya Kartika, Annisa Wuri Kristianingrum, Niko Dima Kumboyono Kumboyono Kurniawan, Fitto Kurniawati, Victoria Maya Lestari, Harien Lutfiana, Velinda Dewi Machfud, Savinka Salsabiela Iriana Marfuah Marfuah Marintan, Silmy Muhammad Barlian Nugroho Nanda Utama, Gede Niniek Budiarti B Nursuhaida, Haffa Syafana Pradipto, Wiryawan Pramesta, Marshanda Shella Prasetyo, Rizal Dwi Pratama, Adhya Prayoga, Wahyu Surya Rahmawati, Risma Dwi Riswandha, Sofyan Safira, Zahra Santoso, Dimas Sari, Herdyana Lintang Sekarani Damana Putri, Ayu Septi Nurhayati Seto, Agnes Sholichah, Zuhrotus Sitawati Sitawati Sopacua, Andre Sulistyaningsih, Rita Teuku Heriansyah, Teuku Tita Hariyanti Utama, Gede Utomo, Vidi Utomo, Vidi Prasetyo Wijaya, Yannita Yuliezar Perwira Dara, Yuliezar Perwira Zakiya, Fifi Afifatus

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