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Pengaruh Bermain Congklak Terhadap Memori Jangka Pendek Lansia Di Panti Pelayanan Sosial Lanjut Usia Dewanata Cilacap Septiana, Putri; Ekowati, Wahyu; Setiyani, Rahmi
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Background. Elderly often have problems related to cognitive function, especially short-term memory. Short-term memory disorders can make the elderly become temperamental and face difficulties in social interaction. There are various ways to increase cognitive function. This study aimed to determine effect of playing congklak on short-term memory of elderly living in Dewanata Long Term Care Facility.Methods. This is a quasi experiment research with non-equivalen group design. Total sample was 28 people which divided into 2 group, control and intervention group. Short-term memory is measured by the digit span forward and backward, and the data were analyzed with the Wilcoxon test and Mann-Whitney test.Results. Majority of respondents were female and age 70 years old on average. There was a significant difference in pre and post test score in intervention group (p = 0.002), but it wasn?t found in control group (p = 0.739). Score difference in intervention group was significantly higher compared to those in control group (p = 0.001).Conclusion. Playing congklak can improve short-term memory of the elderly.

Filial Piety: From the Perspective of Indonesian Young Adults Setiyani, Rahmi; Windsor, Carol
Nurse Media Journal of Nursing Vol 9, No 1 (2019): (JUNE 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Background: Filial piety refers to expectations for children to respect parents and fulfill care responsibility, including provide direct care and support them in their old age. However, socio-demographic changes might shape how young generation would see and practice the value of filial responsibility in parentâ€™s old age.Purpose: This study aimed to explore the meaning of filial responsibility among young adults within the social context of Indonesia.Methods: Symbolic interactionism formed the framework for this study. The constructivist grounded theory method guided the analysis of the data obtained from in-depth interviews with eight university students. The participants were selected using a purposive and snowball sampling technique with the following criteria: 18 years old or over, currently enrolled as a student and had living parents.Â Results: The result showed that redefining the meaning of filial responsibility was obtained as the main theme which linked all four categories: â€˜I am the oneâ€™, â€˜not institutional careâ€™, â€˜the gendering of caregivingâ€™, and â€˜it is okay to do soâ€™. The findings revealed that the value of filial responsibility was still upheld by Indonesian young people. However, their views had been changed somewhat from the traditional practices which were family oriented and highly gendered to a more contemporary form where caregiving was extended to non-family caregivers and supposed to be less gendered in the practice.Conclusion: This study offers an insight into the shifting patterns in elderly caregiving and support in Indonesia. The findings also indicate the need to further promote gender equality in elderly caregiving.

Balance Strategy Exercise versus Lower Limb-ROM Exercise for Reducing the Risk of Falls among Older People Azkia, Zakia; Setiyani, Rahmi; Kusumawardani, Lita Heni
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33229

Background: Falls are a significant health problem and the most common cause of injuries in older people. Different types of exercise have been recommended to prevent falls, including balance exercise and range of motion. However, there is a lack of evidence to compare the effect of the two exercises.Purpose: This study aimed to compare the effect of Balance Strategy Exercise (BSE) and Lower Limb-Range of Motion (ROM) exercise on reducing the risk of falls among older people living in long-term care facilities. Methods: This was a quasi-experimental study using a pre-post design without a control group. A total of 30 older adults from two nursing homes who met the inclusion and exclusion criteria participated in the study. A cluster randomization technique was used to assign the older people into either BSE or Lower-Limb ROM groups evenly. Treatment was given for 30 minutes per session, three sessions per week for three weeks. The risk of falls was measured using the Timed Up and Go (TUG) test. The paired t-test, Wilcoxon and Mann-Whitney U-test were used to analyze the data. Results: Results showed significant differences in the TUG scores before and after the intervention within both the BSE (p=0.001) and the Lower Limb-ROM group (p=0.001). However, the Lower Limb-ROM group demonstrated a significantly higher reduction in TUG score than the BSE group after the intervention (p=0.008).Conclusion: Lower Limb-ROM exercise is better to reduce the risk of falls among older people living in institutional care than BSE. This exercise can be applied as part of a fall prevention program in nursing homes.

Future Living Arrangement for Aging Parents and Its Associated Factors Setiyani, Rahmi; Sumarwati, Made; Ramawati, Dian
Jurnal Keperawatan Soedirman Vol 14, No 3 (2019)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2019.14.3.1196

Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in living arrangement of older people. Objectives: The purpose of this study is to examine adult childrenâ€™s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. Descriptive statistics, Chi-Square and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) preferred parents to live at home, in multi-generational household with children and/or grandchildren (84.5%) in their old age. The choice was significantly influenced by children gender, marital status of parent, and family type (p=0.00; p=0.05, and p=0.05 respectively). Conclusions: In certain circumstances, living in multigenerational household still became a favorable option of living arrangement for elderly parents. Children gender, parentâ€™s marital status and family type were likely to influence the choice. Further researches are needed to investigate which best living arrangement that support older people well-being.

Post-partum Hemorrhage and Anemia as its Modifiable Risk Factor: A Literature Review Anggraeni, Mekar Dwi; Setiyani, Rahmi; Setiawati, Nina
Jurnal Keperawatan Soedirman Vol 14, No 3 (2019)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2019.14.3.1205

Maternal mortality is an indicator of a countryâ€™s health status. Postpartum hemorrhage is the main cause of maternal mortality. Understanding the postpartum hemorrhage risk factors useful to develop strategy in order to reduce maternal mortality. The aim of this study was to find modifiable postpartum hemorrhage's risk factors. This study used 6 steps which include formulating the research questions and objectives, searching the extant literature, screening for inclusion, assessing the quality of primary studies, extracting data, and analyzing data. The article was searched from Google Scholar and NCBI databases using bilingual keywords: "faktor-faktor, perdarahan postpartum, risk factors, and postpartum hemorrhage". There were 1736 papers founded and only 14 articles met the inclusion criteria and included in the analysis. The review revealed that anemia, age, parity, birth passage laceration, obstetric history, multiple pregnancy, placental retention, prolonged labor, atonia uteri, pre-eclampsia, pregnancy induced hypertension, section caesarian, placental complication, history of post-partum hemorrhage, episiotomy, high neonatal birth weight. Anemia is the only modifiable risk factor which may be prevented by nurses.Â

Family Therapy is Effective to Enhance Family Self-Sufficiency to Care For Elderly Family Members with Hypertension Iskandar, Asep; Pratama, Koernia Nanda; Setiyani, Rahmi
Jurnal Keperawatan Soedirman Vol 14, No 1 (2019)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2019.14.1.997

Hypertension is a one of the most common medical problems affecting the elderly.Strategies to manage the problem is already developed. However, patient's compliance, particularly elderly, to follow hypertension management is considered low.Some factors contributed to patient's non-compliance behavior are including lack of motivation and family support. Lack of family support was associated to lack of family self-sufficiency for hypertension management.This study aimed at determines the effect of family therapy on family self-suffienciency in managing hypertension. This study used quasy experimental study with control group design.A total of 40 families which divided into two groups (treatment group and control group) were involved in this study.Samples in each group (20 families each) were assigned using simple random sampling technique. Level of family self-sufficiency was determined using Indonesian Ministry of Health definition. Data was analyzed using Wilcoxon test.Result showed that there was a significant difference in family self sufficiency level before and after intervention (p=0.000).Thus, it can be concluded that family therapy is effective to enhance family self-sufficiency to care for elderly family member with hypertension.

Mentoring Kolaborasi Instruktur Klinik Berhubungan dengan Persepsi terhadap Pendidikan Interprofesi Priyandaru, Bayu Aji; Mulyono, Wastu Adi; Setiyani, Rahmi
Jurnal Keperawatan Soedirman Vol 11, No 1 (2016)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2016.11.1.639

Interprofessional collaboration is required to optimize health care. Interprofessional Education (IPE) is one of the strategies to prepare the collaboration skill since at educational stage. The implementation of IPE in the clinical setting can be conducted through the implementation of mentoring collaboration by CI. This study is to examine the relationship between perception of IPE and implementation of mentoring collaboration among Clinical Instructors (CI) in Banyumas Hospital. A cross-sectional study invited total of 175 CIÃ¢â‚¬â„¢s to participate. Interdisciplinary Education Perception Scale (IEPS), and the modified Clinical Instructor Behavior Instrument (CIBI) were administered to measure the perception and the mentoring collaboration respectively. Results showed the majority of diploma degree in nursing (65.1 %) and over three years (77.0 %) experience as CI. Female CI population was slightly higher than the male (56.3 % compared to 43.7 %). The average score of CIÃ¢â‚¬â„¢s perception of IPE was 83.63 %. Meanwhile, the average score of implementation of mentoring collaboration was 81.83 %. There was a significant relationship between perception of IPE and mentoring collaboration among CIs (p = 0.000 and r= 0.313). It concluded that there was a relationship between perception of IPE and the implementation of mentoring collaboration by CIs in Banyumas Hospital

Pengaruh Dukungan Keluarga dalam Meningkatkan Perilaku Adaptif Remaja Pubertas Endang Triyanto; Rahmi Setiyani; Rahmawati Wulansari
Jurnal Keperawatan Padjadjaran Vol. 2 No. 1 (2014): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Periode pubertas merupakan masa kritis bagi remaja. Perubahan akibat pubertas sering menimbulkan berbagai perilaku maladaptive seperti membolos, membangkang, dan tawuran. Keluarga sebagai lingkungan utama remaja memegang peranan penting dalam membentuk perilaku remaja. Tujuan penelitian untuk mengidentifikasi pengaruh optimalisasi dukungan keluarga terhadap perilaku adaptif pada usia pubertas. Desain quasi experimentaldengan pendekatan pre-post test without control group design. Responden dipilih secara purposive samplingdi Rempoah Baturaden. Perilaku adaptif remaja meningkat dari 60% menjadi 97% setelah diberikan perlakuan dukungan keluarga. Kesulitan orang tua dalam memberikan dukungan adalah ketika mengarahkan untuk belajar, menjalin komunikasi terbuka, dan menghadapi emosi remaja. Hasil penelitian menunjukkan terdapat pengaruh optimalisasi dukungan keluarga yang signifikan terhadap peningkatan perilaku adaptif remaja (p value0.001). Orang tua hendaknya selalu meningkatkan pengetahuan untuk melaksanakan dukungan keluarga kepada anak remaja.Kata kunci:Dukungan, keluarga, perilaku, pubertas, remaja Abstract The period of puberty is a critical period for adolescents. The consequence of changing puberty is often arise a dis-adaptif behaviour such as a shirker, protester, gang fighter. Family as the primary environment teenager plays an important role in shaping adolescent behavior. The research objective was to identify the influence of family support for adaptive behavior of adolescent puberty. Quasi-experimental design approach without pre-posttest control group design was applied. Respondents was selected by purposive sampling in Baturaden. Adaptive behavior that increased from 60% to 97% after optimization family support. Difficulties of parents in providing family support when directed to learn, to establish open communication, and teenagers emotional. There is the influence of family support optimization significantly to the increase of adaptive behavior adolescents with p value of 0.001. Parents should always increase their knowledge to implement family support to teenagers.Key words: Behavior, family, puberty, support, teenagers

Pengaruh Bermain Congklak Terhadap Memori Jangka Pendek Lansia Di Panti Pelayanan Sosial Lanjut Usia Dewanata Cilacap Putri Septiana; Wahyu Ekowati; Rahmi Setiyani
Journal of Bionursing Vol 1 No 1 (2019): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Background. Elderly often have problems related to cognitive function, especially short-term memory. Short-term memory disorders can make the elderly become temperamental and face difficulties in social interaction. There are various ways to increase cognitive function. This study aimed to determine effect of playing congklak on short-term memory of elderly living in Dewanata Long Term Care Facility.Methods. This is a quasi experiment research with non-equivalen group design. Total sample was 28 people which divided into 2 group, control and intervention group. Short-term memory is measured by the digit span forward and backward, and the data were analyzed with the Wilcoxon test and Mann-Whitney test.Results. Majority of respondents were female and age 70 years old on average. There was a significant difference in pre and post test score in intervention group (p = 0.002), but it wasn’t found in control group (p = 0.739). Score difference in intervention group was significantly higher compared to those in control group (p = 0.001).Conclusion. Playing congklak can improve short-term memory of the elderly.

The Readiness of Discharge planning in Aspects of Caregiver Involvement among Caring for the Elderly with Stroke Lita Heni Kusumawardani; Rahmi Setiyani; Asep Iskandar; Pramono Pramono; Dwi Ichsan Supardi
Media Keperawatan Indonesia Vol 6, No 1 (2023)
Publisher : Universitas Muhammadiyah Semarang

The elderly with stroke depend on the people around them, so caregivers must be around the patient. Its readiness to care for the elderly with a stroke can cause the treatment to be not optimal so that it pays attention to the needs of the elderly. This study aimed to determine the readiness of discharge planning in the aspect of the involvement of elderly caregivers with stroke. The study was carried out within eight months. This type of research is descriptive exploratory with a cross-sectional study design and uses a purposive sampling method for 102 respondents with criteria that match the research sample. The inclusion criteria were that the respondent is the main caregiver for the elderly with stroke. Data analysis in this study used univariate analysis and data collection tools like questionnaires. The questionnaire was declared valid and reliable (r-value > 0.361; Cronbach's alpha = 0.811). The respondents (caregivers) in this study obtained results with an age range of 17 to 74 years, and the median value of the respondent's age data is 43 years. The elderly age ranges from 60 to 88 years, and the median value of the respondent's age data is 67 years. The client's length of stay is in the range of 3-14 days, with a median value of 5 days of treatment. The description of the implementation of the readiness discharge planning in the aspect of caregiver involvement in caring for the elderly with stroke is in a good category, as many as 60 people (58.82%). Nurses are expected to maintain and improve discharge planning services for caregivers, especially stroke patients, to improve nursing care and quality of life for stroke patients.

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