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THE EFFECT OF DIABETES SELF-MANAGEMENT EDUCATION ON LIFESTYLE PATTERNS AMONG ELDERLY PATIENTS WITH DIABETES MELLITUS Nurjannah; Desy Marta
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol.03 No.01 Januari 2026
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v3i01.953

Background: Diabetes mellitus (DM) is a chronic metabolic disease that significantly affects the elderly, often leading to complications and reduced quality of life. Lifestyle management plays a crucial role in controlling DM, and palliative care education can enhance self-care and well-being among elderly patients. Purpose: This study aimed to examine the effect of palliative care teaching methods on the lifestyle patterns of elderly patients with diabetes mellitus at Lima Ilir Community Health Center in 2025. Methods: A quantitative quasi-experimental study with a one-group pretest-posttest design was conducted. Thirty-one elderly patients with DM were selected using purposive sampling. The intervention involved palliative care teaching using brochures as educational media. Lifestyle patterns were measured before and after the intervention using the Health-Promoting Lifestyle Profile II (HPLP II) questionnaire. Data were analyzed using paired sample t-test with SPSS. Results: The results showed a significant improvement in lifestyle patterns after the intervention. Before the intervention, 54.8% of participants had poor lifestyle habits, while 22.6% and 22.6% were categorized as moderate and good, respectively. After the intervention, no participants remained in the poor category; 25.8% were moderate, 54.8% good, and 19.4% very good. Statistical analysis revealed a significant difference in lifestyle scores before and after the intervention (p = 0.000, p < 0.05). Conclusion: The palliative care teaching method effectively improves lifestyle patterns among elderly patients with diabetes mellitus. Providing structured education and guidance enhances patients’ understanding of self-management, including diet, physical activity, stress management, and adherence to medication, thereby promoting better quality of life.

RELATIONSHIP BETWEEN FAMILY SUPPORT AND FUNCTIONAL INDEPENDENCE IN POST-STROKE ELDERLY PATIENTS Nurjannah; Urista Wulandari
Jurnal Cakrawala Keperawatan Jurnal Cakrawala Keperawatan Vol.03 No.01 Januari 2026
Publisher : STIKES Estu Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jck.v3i01.954

Background: Stroke is one of the leading causes of disability in the elderly, often resulting in limitations in performing activities of daily living (ADL). Family support plays a crucial role in the recovery process of post-stroke patients. Purpose: This study aimed to determine the relationship between family support and the ability to perform activities of daily living among elderly post-stroke patients at Siti Fatimah General Hospital Palembang in 2025. Methods: This research employed a quantitative correlational analytic design with a cross-sectional approach. The study population consisted of 85 elderly post-stroke patients in the physiotherapy unit, with a sample of 33 respondents selected based on inclusion and exclusion criteria. Data collection instruments included the Caregiver Reaction Assessment (CRA) to measure family support and the Barthel Index to assess ADL ability. Data were analyzed using the Chi-Square test with SPSS version 26. Results: The findings showed that most respondents had a high level of family support (25 respondents, 75.7%) and moderate support (8 respondents, 24.3%). Regarding ADL, the majority of respondents were in the moderate dependency category (15 respondents, 45.5%). The Chi-Square test revealed a p-value = 0.002 (p < 0.05), indicating a significant relationship between family support and ADL ability among elderly post-stroke patients. Conclusion: There is a significant relationship between family support and the ability to perform activities of daily living in elderly post-stroke patients. Higher family support plays a key role in enhancing patients’ independence in meeting their ADL needs.

The Effectiveness of Physical Exercise on the Quality of Life of Elderly Patients with Osteoarthritis at Sekip Public Health Center, Palembang nurjannah; Saryanto
Holistic Nursing Plus Vol. 4 No. 1 (2026): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v4i1.490

Background: Osteoarthritis is a degenerative joint disease that commonly affects the elderly and may lead to pain, physical limitations, and decreased quality of life. Regular physical activity is considered one of the non-pharmacological interventions that can help improve the physical and psychological well-being of older adults with osteoarthritis. Purpose: This study aimed to determine the effectiveness of physical exercise on the quality of life of elderly individuals with osteoarthritis at Sekip Health Center, Palembang. Methods: This study used a quantitative approach with a pre-experimental design using a one-group pretest–posttest design. The study involved 30 elderly respondents with osteoarthritis selected using a total sampling technique. Quality of life was measured using the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire consisting of 26 items. The intervention was a physical exercise program conducted for 30 minutes, three times per week. Data analysis included univariate and bivariate analyses. The normality test was performed using the Shapiro–Wilk test, and the hypothesis was tested using the paired sample t-test with a significance level of 0.05. Results: The results showed that before the intervention most respondents had poor quality of life (66.7%), while 33.3% had moderate quality of life. After the physical exercise intervention, the majority of respondents had moderate quality of life (73.3%), 20% had good quality of life, and only 6.7% had poor quality of life. The mean quality of life score increased from 61.10 before the intervention to 79.17 after the intervention, with an average difference of 18.7 points. The paired sample t-test showed a significant effect of physical exercise on quality of life (p = 0.000 < 0.05). Conclusions: Physical exercise is effective in improving the quality of life of elderly individuals with osteoarthritis. Regular and structured physical activity programs are recommended as a non-pharmacological intervention to enhance physical, psychological, and social well-being among the elderly.

Effectiveness of Reminiscence Therapy on Cognitive Function in Older Adults: A Quasi-Experimental Study nurjannah; Devi Yuniarty
Holistic Nursing Plus Vol. 4 No. 1 (2026): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v4i1.491

Background: Cognitive decline is commonly experienced by older adults and may affect their daily functioning and quality of life. Reminiscence therapy is a non-pharmacological intervention that can stimulate memory and improve cognitive function among the elderly. Purpose: This study aimed to determine the effectiveness of reminiscence therapy in improving the cognitive function of older adults at the Sekip Community Health Center, Palembang. Methods: This study used a quasi-experimental design with a one-group pretest–posttest approach. A total of 32 older adults aged over 60 years were selected using purposive sampling. Cognitive function was measured before and after the intervention using the Mini-Mental State Examination. Data were analyzed using the Wilcoxon Signed-Rank Test with a significance level of 0.05. Results: The mean cognitive score increased from 21.38 before the intervention to 25.66 after reminiscence therapy. Statistical analysis showed a significant improvement (p = 0.000 < 0.05). Conclusions: Reminiscence therapy is effective in improving cognitive function among older adults.

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