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Hubungan antara kualitas tidur dengan kesejahteraan psikologis pada keluarga dengan lansia Saputri, Dea Sefi; Amelia, Vivi Leona; Riyaningrum, Wahyu; Angelia, Nunik
Holistik Jurnal Kesehatan Vol. 19 No. 5 (2025): Volume 19 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i5.556

Abstract

Background: The aging process in older adults results in physiological decline, increasing their dependence on family support. In addition to physiological decline, older adults often experience cognitive impairment, including dementia, a chronic or progressive syndrome that causes cognitive decline, affecting memory, thinking, orientation, comprehension, calculation, learning capacity, language, and judgment. One impact that families can experience when caring for older adults with a high care burden is a decline in the caregiver's sleep quality. Purpose: To determine the relationship between sleep quality and psychological well-being in families with older adults. Method: This quantitative study used a cross-sectional approach. The population was 19,934 families with older adults in Cilongok District. The sample size was calculated using the Slovin formula with a 5% margin of error (0.05), and a purposive sampling technique resulted in a sample of 392 respondents. The measurement instruments used were the Pittsburgh Sleep Quality Index (PSQI), the Ryff Psychological Well-Being Scale (RPWB), and the Mini-Mental State Examination (MMSE). Data were analyzed using the Spearman test. Results: Dementia data showed the mean age of elderly care recipients was 71.90 years with a standard deviation of ±6.91. The majority of elderly patients suffered from hypertension and moderate dementia. Analysis revealed marital status (p=0.038), sources of health information (p=<0.001), elderly health problems (p<0.001), subjective sleep quality dimensions (p=0.003), sleep latency (p=0.014), and total PSQI score (0.025). Conclusion: Sleep quality is positively correlated with psychological well-being. The better the sleep quality, the higher the psychological well-being score. Suggestion: Future researchers can combine data collection through questionnaires and in-depth interviews to further explore psychological well-being and sleep quality in elderly patients.    Keywords: Caregivers; Elderly; Psychological Well-Being; Sleep Quality.    Pendahuluan: Proses penuaan pada lansia mengakibatkan penurunan fisiologis yang meningkatkan ketergantungan lansia pada keluarga untuk membantunya. Selain penurunan fisiologis, fungsi kognitif juga sering dialami oleh lansia yaitu demensia, salah satu sindrom bersifat kronis atau progresif yang menyebabkan penurunan fungsi kognitif, sehingga memengaruhi memori, pemikiran, orientasi, pemahaman, perhitungan, kapasitas belajar, bahasa dan penilaian. Salah satu dampak yang dapat dirasakan keluarga ketika merawat lansia dengan kondisi beban perawatan yang tinggi adalah dapat menurunkan tingkat kualitas tidur caregiver. Tujuan: Untuk mengetahui hubungan kualitas tidur dengan kesejahteraan psikologis pada keluarga dengan lansia. Metode: Penelitian kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah keluarga dengan lansia di Kecamatan Cilongok yang berjumlah 19,934 jiwa. Sampel dihitung dengan rumus Slovin dengan margin of error 5% (0.05) dan dengan teknik purposive sampling mendapatkan sampel sebanyak 392 responden. Instrumen pengukuran yang digunakan yaitu Pittsburgh Sleep Quality Index (PSQI), Ryff's Psychological Well-Being Scale (RPWB), dan Mini Mental State Exam (MMSE). Selanjutnya data dianalisis menggunakan Uji Spearman. Hasil: Data demensia menunjukkan usia rata-rata lansia yang dirawat adalah 71.90 tahun dengan standar deviasi ±6.91. Sebagian besar gangguan kesehatan yang dimiliki lansia adalah hipertensi dan mengalami tingkat demensia dalam kategori sedang. Hasil analisis didapatkan status perkawinan (p=0.038), sumber informasi kesehatan (p=<0.001), gangguan kesehatan lansia (p<0.001), dimensi kualitas tidur subjektif (p=0.003), latensi tidur (p=0.014), dan total skor PSQI (0.025). Simpulan: Kualitas tidur berkorelasi positif terhadap kesejahteraan psikologi. Semakin baik kualitas tidur yang dimiliki, akan semakin tinggi nilai kesejahteraan psikologis seseorang. Saran: Peneliti selanjutnya dapat mengombinasikan pengambilan data melalui kuesioner dan wawancara mendalam untuk memungkinkan menggali lebih dalam kondisi kesejahteraan psikologis dan kualitas tidur pada lansia.   Kata Kunci: Kesejahteraan Psikologis; Kualitas Tidur; Lansia; Pengasuh.
Pengaruh Leaflet “Bugar di Usia Senja” Terhadap Tingkat Kemandirian Lansia di Desa Bojongsari Suryani, Wiwit; Riyaningrum, Wahyu
Jurnal Promotif Preventif Vol 7 No 1 (2024): Februari 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i1.1168

Abstract

Proses menua dapat menimbulkan berbagai masalah baik secara fisik, mental, sosial, ekonomi dan psikologis terutama pada lansia. Kemandirian pada lansia sangat penting untuk merawat dirinya sendiri dalam memenuhi kebutuhan dasar manusia. Penelitian ini bertujuan untuk mengetahui pengaruh leaflet “Bugar di Usia Senja” terhadap tingkat kemandirian pada lansia. Jenis penelitian yang digunakan adalah Quasy eksperiment dengan desain one group pre-post test. Sampel sebanyak 54 responden yang diperoleh dengan perhitungan Slovin, dan teknik penarikan sampel puposive sampling yaitu lansia yang tercatat dalam buku catatan posyandu Desa Bojongsari dan masih dapat membaca. Instrumen yang digunakan yaitu kuesioner berkaitan dengan data demografi, dan lembar observasi Indeks Barthel (Activities of Daily Living/ ADL). Data yang diperoleh kemudian dianalisis secara univariat dan bivariant dan selanjutnya disajikan dalam bentuk tabel dan narasi. Berdasarkan hasil uji Wilcoxon Sign Rank pada data Pre-Post Test menunjukkan hasil p value 0,000 (p<0,05). Edukasi senam lansia dengan menggunakan leaflet ‘’Bugar di Usia Senja’’ berpengaruh terhadap tingkat kemandirian pada lansia di Desa Bojongsari.
Hubungan Tingkat Activity Daily Living dengan Tingkat Depresi pada Pasien Stroke di RSUD Prof Dr Margono Soekarjo Purwokerto Diyan Pangestu, Uti; Riyaningrum, Wahyu
El-Mujtama: Jurnal Pengabdian Masyarakat  Vol. 4 No. 5 (2024): El-Mujtama: Jurnal Pengabdian Masyarakat
Publisher : Intitut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/elmujtama.v4i5.4315

Abstract

Stroke is the largest cause of disability worldwide and is second to heart disease. Problems often faced by stroke patients include the inability to perform activity daily living (ADL) due to decreased motor function. This inability causes many stroke patients to experience depression. Knowing the relationship between the level of activity daily living with the level of depression in stroke patients at Prof. Dr. Margono Soekarjo Purwokerto Hospital. This study is an observational quantitative study, with a cross sectional approach. The sample used in the study was stroke patients who did inpatient Adenium Prof Dr Margono Soekarjo Purwokerto Hospital as many as 48 respondents who were taken using nonprobability sampling technique. Data collection was done using a questionnaire, then processed and analyzed using Fisher's Exact Test. The average age of respondents is 56-65 years or the late elderly category, the gender of most respondents was female (58.3%). The education level of most respondents is elementary education (43.8), while the most dominant disease history is respondents who have a history of disease (60.4%). The ADL level of stroke patients in the Adenium room of Prof. Dr. Margono Soekardjo Purwokerto Hospital was mostly in the severe category (52.1%). The level of depression in stroke patients in the Adenium room of Prof. Dr. Margono Soekardjo Purwokerto Hospital mostly had depression in the mild category (45.8%). There is a relationship between the level of ADL with depression in stroke patients in the Adenium room of Prof. Dr. Margono Soekarjo Purwokerto Hospital.
EFEKTIVITAS KEGIATAN MERONCE DENGAN MEDIA MANIK-MANIK DAN MEDIA ORIGAMI UNTUK PERKEMBANGAN MOTORIK HALUS PADA ANAK USIA PRASEKOLAH DI TK PERTIWI SOKARAJA KULON Yustiyani, Winda; Riyaningrum, Wahyu
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 1 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.10472254

Abstract

Perkembangan motorik halus adalah gerakan yang dilakukan menggunakan otot kecil yang membutuhkan kecermatan dan koordinasi tangan dan mata. Salah satu kegiatan yang dapat meningkatkan kemampuan motorik halus anak usia dini adalah kegiatan meronce dan kegiatan origami. Tujuan penelirian untuk mengetahui efektifitas kegiatan meronce dengan media manik-manik dan media origami untuk perkembangan motorik halus pada anak usia prasekolah di TK Pertiwi Sokaraja Kulon. Penelitian ini menggunakan metode penelitian kuantitatif quasi experimental design menggunakan pendekatan with pretest posttest kontrol grup desain. Teknik pengambilan sampel yaitu total sampling dengan jumlah 34 responden. Analisis data menggunakan uji willcoxon. Hasil perkembangan motorik halus kelompok meronce sebelum dilakukan perlakuan (88,2%) katagori sesuai, setelah diberikan perlakuan naik menjadi (94,1%) katagori sesuai. Sedangkan perkembangan kelompok origami sebelum diberikan perlakuan (82,4%) katagori sesuai, setelah dilakukan perlakuan naik menjadi (88,2%) katagori sesuai. Efektifitas kegiatan meronce dan origami p-value 0,508 dengan rata-rata meronce 2,71 dan origami 2,47. Dari nilai rata-rata kegiatan meronce lebih efektif untuk perkembangan motorik halus anak. Ada perbedaan dan efektivitas kegiatan meronce dan origami untuk perkembangan motorik halus anak. kegiatan meronce dengan media manik-manik lebih efektif dalam peningkatan perkembangan motorik halus anak usia prasekolah di TK Pertiwi Sokaraja Kulon.
Pengaruh Pendidikan Kesehatan dengan Media Video Animasi terhadap Pengetahuan dan Sikap Siswa tentang Bullying Kamal, Fitri Amelia; Estria, Suci Ratna; Etlidawati, Etlidawati; Riyaningrum, Wahyu
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4717

Abstract

Bullying remains a serious problem in elementary schools and has a negative impact on students’ psychological health as well as their social relationships. Low levels of knowledge and response toward this behavior contribute to its high incidence. This study targeted fifth- and sixth-grade students at MI Muhammadiyah Dukuhturi, Bumiayu, Brebes, because at this age social interactions become increasingly complex, heightening the risk of both perpetrating and experiencing bullying. Effective prevention requires engaging and easily understood education, one of which is health education delivered through animated video that conveys information interactively. This research employed a quantitative pre-experimental design with a one group pretest–posttest approach. The entire population of 40 students was included as the sample using a total sampling technique because the population size was relatively small and the researchers aimed to obtain a comprehensive picture without inaccuracy from selecting only part of the respondents. The research instrument consisted of a knowledge and attitude questionnaire, while the intervention was carried out by screening an educational animated video of approximately four minutes’ duration, presented once in a scheduled session during a single learning activity. Data analyzed with a paired t-test showed an increase in mean knowledge scores from 29.65 to 35.62 and in attitude scores from 57,97 to 89,05, both with p = 0,0001 (p 0,05). These findings confirm that health education using animated video is effective in improving students’ knowledge and fostering positive attitudes toward bullying, making it a suitable and interactive educational method for bullying prevention in elementary schools. In line with these findings, the purpose of this study was to determine the effect of health education using animated video media on students’ knowledge and attitudes about bullying at MI Muhammadiyah Dukuhturi, Bumiayu.
The Relationship Between Nurses' Knowledge And Motivation With The Implementation Of Patient Safety Puspita, Risa Dhea; Etlidawati, Etlidawati; Hardini, Deisy Sri; Riyaningrum, Wahyu
Jurnal Keperawatan Profesional Vol 14, No 1 (2026): Challenges and Integrated Approaches in Various Clinical Conditions
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i1.13378

Abstract

Patient safety serves as a principal benchmark for appraising the caliber of hospital care. Nurses' knowledge and motivation function as pivotal determinants that bolster the enactment of patient safety. Data from the Dr. R. Goeteng Taroenadibrata Purbalingga Regional General Hospital (RSUD) in 2024 recorded 27 patient safety incidents out of a total of 16,896 inpatients (0.16%). This study aims to identify the relationship between nurses' knowledge and motivation with the implementation of patient safety in the inpatient ward of Dr. R. Goeteng Taroenadibrata Purbalingga Regional General Hospital. The investigation employed a numerical methodology coupled with a descriptive-correlational framework and a cross-sectional orientation. The cohort of the inquiry bercomprised 38 nursing personnel recruited via a total-enumeration procedure. The measurement tool included a questionnaire on nurses' knowledge, motivation, and implementation of patient safety. Data analysis was examined through a Chi-Square procedure yielding a p-value <0.05. The findings revealed that the greater proportion of participants possessed good knowledge (81.6%), high motivation (65.8%), and good implementation of patient safety (65.8%). The Chi-Square test showed a significant relationship between knowledge and implementation of patient safety with a p value of 0.004 (p < 0.05) and a relationship between nurse motivation and implementation of patient safety with a p value of 0.003 (p < 0.05). Thus, an association exists between nurse knowledge and motivation with the implementation of patient safety in the inpatient ward of Dr. R. Goeteng Taroenadibrata Purbalingga Regional General Hospital.
The Effect of Virtual Reality on Anxiety and Pain in Pre-Anesthesia Putra Amatris, Aura Jonathan Anbiya; Supriyadi, Supriyadi; Riyaningrum, Wahyu; Ching Cing, Marta Tania Gabriel
Jurnal Keperawatan Profesional Vol 14, No 1 (2026): Challenges and Integrated Approaches in Various Clinical Conditions
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i1.13518

Abstract

Patients undergoing surgery often experience pre-anesthesia anxiety and pain, which can affect their physical and psychological readiness as well as the smoothness of the anesthesia process. This condition is still commonly found in regional hospitals, so there is a need for non-pharmacological interventions that are easy to implement, effective, and safe. This study aims to evaluate the effect of Virtual Reality (VR) therapy on anxiety and pain levels in pre-anesthesia patients at Dr. R. Goeteng Taroenadibrata Hospital in Purbalingga. The research design used was a quantitative quasi-experimental study with a pretest-posttest approach and a control group. The sample consisted of 50 pre-anesthesia patients divided into two groups: an intervention group and a control group, each with 25 respondents. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS), while pain was measured using the Visual Analogue Scale (VAS). Data analysis was performed using the Wilcoxon test to see the differences before and after the intervention in each group, as well as the Mann–Whitney test to compare the differences between groups with a significance level of p < 0.05.  The results showed a significant decrease in anxiety and pain levels in the intervention group after VR therapy, as well as a significant difference between the intervention and control groups. This study concluded that VR therapy is effective in reducing anxiety and pain in pre-anesthesia patients and can be implemented in regional hospitals.
Development of an Innovative Pocket Ampoule Cutter to Improve Nurses’ Self-Protection Badzli, Farrel; Supriyadi; Riyaningrum, Wahyu; Annisa, Rully
Jurnal Ilmiah Multidisiplin Vol. 5 No. 02 (2026): Maret: Jurnal Ilmiah Multidisiplin
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukim.v5i02.2635

Abstract

Nurses are the healthcare professionals who most frequently handle injectable medications packaged in glass ampoules. The conventional method of opening ampoules manually using fingers poses a risk of occupational injury, particularly cuts caused by sharp glass fragments. Therefore, innovation is needed to enhance nurses’ self-protection during the ampoule-opening procedure. This study aims to develop an innovative device called the Pocket Ampoule Cutter (PAC) to improve nurses’ self-protection. This research employed a Research and Development (R&D) method using the ADDIE model, which consists of the stages of Analysis, Design, Development, Implementation, and Evaluation. The validation process involved three nursing experts and one occupational health and safety (OHS) expert, while the implementation stage involved ten nurses at RST Wijaya Kusuma Purwokerto. Data were collected using validation sheets and user evaluation questionnaires based on a Likert scale to assess aspects of safety, ease of use, comfort, design, material quality, maintenance, hygiene, and overall feasibility of the device. The validation results showed that the PAC achieved an average feasibility score of 95.83%, which falls into the “very feasible” category. Meanwhile, the implementation results based on nurses’ assessments showed an average score of 93.33%, also categorized as “very feasible.” These findings indicate that the PAC effectively improves nurses’ protection by minimizing direct hand contact with broken ampoule glass and facilitating a safer ampoule-opening procedure. In conclusion, the Pocket Ampoule Cutter (PAC) is considered a feasible, practical, and safe device that can enhance nurses’ self-protection during the ampoule-opening process.