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HUBUNGAN DUKUNGAN KELUARGA DENGAN PERILAKU LANSIA DALAM PENGENDALIAN HIPERTENSI Herlinah, Lily; Wiarsih, Wiwin; Rekawati, Etty
Jurnal Keperawatan Komunitas Vol 1, No 2 (2013): Jurnal Keperawatan Komunitas
Publisher : Jurnal Keperawatan Komunitas

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Abstract

Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan perilaku lansia dalam pengendalian hipertensi di Wilayah Kecamatan Koja Jakarta Utara. Metode penelitian menggunakan cross sectional, dengan jumlah sampel 99 responden. Pengambilan sampel dengan teknik multi stage random  sampling. Sampel pada penelitian ini adalah lansia dengan usia 60 tahun ke atas, didiagnosis hipertensi TD ≥ 140/90 mmHg, lansia tinggal bersama keluarga, berkomunikasi verbal dengan baik, bersedia menjadi responden. Analisis data menggunakan uji chi-square. Hasil penelitian menunjukkan ada hubungan antara dukungan emosional, dukungan penghargaan, informasi, dan instrumental denganperilaku lansia dalam pengendalian hipertensi dengan nilai  (p<0,05). Analisis lebih lanjut menunjukan bahwa dukungan informasi merupakan faktor yang dominan terhadap perilaku lansia dalam pengendalianhipertensi. Dukungan keluarga sangat penting dalam meningkatkan derajat kesehatan lansia.
MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH JAKARTA SELATAN Lestari, Ratna; Rekawati, Etty; Wiarsih, Wiwin
Media Ilmu Kesehatan Vol 7 No 2: MIK Agustus 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i2.279

Abstract

Background: Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life. Objective: This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members.Methods: In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method. Results: The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety.   Conclusion: Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach.  Keywords : Cultural Values, Elderly, Family Caregiver, Mobility Impairment, Spiritual Values
AKUPRESUR EFEKTIF MENINGKATKAN NILAI ANKLE BRACHIAL INDEX PADA DIABETISI Surya, Defrima Oka; Rekawati, Etty; Widyatuti, Widyatuti
Jurnal Endurance Vol 3, No 2 (2018): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.771 KB) | DOI: 10.22216/jen.v3i2.2705

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Peripheral vascular disease is a complication of Diabetes Mellitus (DM) that causes changes in blood vessel walls. Changes in blood vessel walls result in decreased blood flow (perfusion) to the lower extremities marked by decreased ankle brachial index (ABI). Decreased of ABI is a complication that often occurs in Diabetes Mellitus Patients. Acupressure therapy stimulating the flow of energy in the body so that the bodys circulatory flow touch ups. This study aimed to determine the effect of acupressure to ABI in Diabetes Mellitus patients. This study designed was quasi-experimental with pre-post test design at 64 responden. The intervention group received acupressure therapy for 7 sessions, each 2 days for 10 minutes. Acupressure done in acupoint LR3, K13, SP6, SP10 and ST36. The results of analysis statistics showed there were a significant difference in ABI between before and after acupressure therapy (p= 0.001). It was concluded that acupressure effectively increases the value of ABI in people with diabetes. Acupressure can be used as an alternative therapy that can be applied by nurses in the community to prevent complications in Diabetes Mellitus patients as a vulnerable group. Penyakit vaskuler perifer merupakan komplikasi Diabetes Melitus (DM) yang menyebabkan perubahan pada dinding pembuluh darah. Perubahan pada dinding pembuluh darah menyebabkan penurunan aliran darah (perfusi) ke ekstremitas bawah yang ditandai dengan penurunan ankle brachial index (ABI). Penurunan  nilai ABI adalah komplikasi yang sering terjadi pada Diabetisi. Terapi akupresur bermanfaat dalam menstimulasi aliran energi dalam tubuh sehingga memperbaiki aliran sirkulasi tubuh. Penelitian ini bertujuan untuk mengetahui pengaruh akupresur terhadap ABI Diabetisi. Desain penelitian ini adalah quasi eksperimen dengan pendekatan pre-post test design pada 64 responden. Kelompok intervensi diberikan terapi akupresur selama 7 sesi, 2 hari sekali selama 10 menit. Akupresur dilakukan pada titik akupunktur LR3, K13, SP6, SP10 dan ST36. Hasil analisis menunjukkan terdapat perbedaan nilai ABI yang signifikan antara sebelum dan sesudah diberikan terapi akupresur (p= 0,001). Disimpulkan bahwa akupresur efektif meningkatkan nilai ABI pada diabetisi. Akupresur dapat dijadikan salah satu alternatif terapi yang dapat diterapkan perawat di masyarakat untuk mencegah terjadinya komplikasi lanjut pada Diabetisi sebagai kelompok rentan.
Increasing Knowledge, Attitudes, Skills, and Glucose Control in Type-2 Diabetic Patients through EMAS Interventions Andriyanto, Arief; Rekawati, Etty; Rahmadiyah, Dwi Cahya
Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (570.742 KB) | DOI: 10.14710/nmjn.v9i2.22989

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Background: Diabetes Mellitus (DM) is a chronic and non-communicable disease that has serious impacts. Previous studies have focused on a single intervention in the management of DM. Therefore, EMAS (education, nutrition management, physical activities, and stress management) interventions are proposed to convey the pillars of diabetes mellitus as endorsed by the Indonesian Ministry of Health.Purpose: This study aimed to analyze the effects of EMAS interventions on the knowledge, attitudes, skills, and glucose control in patients with type-2 DM.Methods: This study used a pretest-posttest quasi-experimental design without control groups. The samples were 86 diabetic patients recruited using a purposive sampling technique. The EMAS interventions were conducted for six months and eight sessions (October 2018 to March 2019). The EuroQoLfive-dimensional (EQ-5D) questionnaire was used to collect the data, and the paired t-test was used for data analysis.  Results: The results showed that there were significant differences in the knowledge, attitudes, skills (p=0.001), and glucose control (p=0.04) of type 2 diabetes mellitus after the implementation of EMAS interventions. Conclusion: EMAS interventions significantly increased the knowledge, attitudes, and skills in patients with type 2 diabetes to behave healthier to control their blood sugar. Community nurses can use EMAS intervention for the management of DM among diabetic patients.
MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH, JAKARTA SELATAN Lestari, Ratna; Rekawati, Etty; Wiarsih, Wiwin
MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (65.956 KB) | DOI: 10.30989/mik.v7i2.228

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Background: Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life. Objective: This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members. Methods: In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method. Results: The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety. Conclusion: Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach. Keywords : Cultural Values, Elderly, Family Caregiver, Mobility Impairment, Spiritual Values
INTEGRATION OF FAMILY COACHING AND PLAY THERAPY INCREASE FRUIT AND VEGETABLE CONSUMPTION IN OBESE CHILDREN: CASE REPORT Rohayati, Rohayati; Rekawati, Etty; Fitriyani, Poppy
Jurnal Keperawatan Respati Yogyakarta Vol 8 No 2 (2021): MAY 2021
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v8i2.608

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Fruit vegetable intake according to children's needs is very important to support optimal children's growth. Previous studies have shown that more than 80% of pre-school children are not getting an adequate intake of vegetables and fruits. Preliminary studies show that children's daily consumption of fruit vegetables is less than 1 serving. Family-based interventions with child development approaches are needed to increase the consumption of fruits and vegetables. Ten families with preschool children were recruited in this research using the purposive sampling technique. The inclusion criteria were active kindergarten students who were obese or overweight, lived in the Depok area, did not have chronic diseases or other health problems at the time of the study. The result shows that child's nutritional status is 80% obese and 20% overweight with an average body weight decrease from 34.3 kg to 33.2 kg. The obesity risk behavior show decrease in junk food consumption, sugary drink, formula milk, screen time and increase of adequacy fruit vegetable consumption from 0 % to 60%. The combination of family coaching interventions and play therapy can increase the portion of fruit and vegetable consumption in children and reduce the average weight of preschool children. Keywords: Family Coaching; Play Therapy; Obesity; Fruit Vegetable Consumption
Kajian Literatur tentang Teknologi Berbasis Web sebagai Landasan dalam Pengembangan Program Inovasi “SI-Langkah Mandiri” (Sistem Informasi Lansia Gesit, Kuat, Aktif dan Harmoni dalam Manajemen Diri Hipertensi) Ni Luh Putu Dian Yunita Sari; Etty Rekawati; Widyatuti Widyatuti
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus November-Desember 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11nk408

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Hypertension is the non-communicable disease that is highest identified in Indonesian older peolple. The purpose of this paper is to provide an overview of the application of technology, especially website-based applications in smartphones so that it can be a foundation in the development of the innovation program "SI-Langkah Mandiri". The method of searching library resources was done online using databases such as Science Direct, Scopus, Pubmed, ProQuest and Google Scholar. The keywords used were "smartphone", "technology", "website", "elderly" and "hypertension". Literature searches were limited in 2016 to 2020 with a minimum Q3 Scopus index and a minimum Sprott index S2. The results obtained: there were 20 research articles analyzed consisting of three themes, namely, gerontechnology as a basis for program development, service development or technology-based program menus and the benefits of developing technology-based applications for older people with hypertension. The "SI-Langkah Mandiri" web-based innovation program has the potential to be developed in Indonesia. This is supported by the gerontechnology approach and several studies that support the development of menus in the application. The development of technology-based innovations in the realm of community nursing should be further optimized to support the 4.0 era and accelerate the distribution of interventions. Keywords: website; elderly; hypertension ABSTRAK Hipertensi menjadi penyakit tidak menular yang teridentifikasi paling banyak dialami oleh lansia di Indonesia. Tujuan penulisan ini adalah untuk memberikan gambaran tentang penerapan teknologi khususnya aplikasi berbasis website dalam smartphone sehingga dapat menjadi landasan dalam pengembangan program inovasi “SI Langkah Mandiri”. Metode pencarian sumber pustaka dilakukan secara daring dengan menggunakan basis data seperti Science Direct, Scopus, Pubmed, ProQuest dan Google Scholar. Kata kunci yang digunakan adalah “smartphone”, “technology”, “website”, “elderly” dan “hypertension”. Penelusuran literatur dibatasi dalam tahun 2016 hingga 2020 dengan indeks Scopus minimal Q3 dan indeks Sinta minimal S2. Hasil yang didapatkan adalah terdapat 20 artikel penelitian yang dianalisis terdiri dari tiga tema yaitu, gerontechnology sebagai landasan pengembangan program, pengembangan layanan atau menu program berbasis teknologi serta manfaat pengembangan aplikasi berbasis teknologi untuk lansia hipertensi. Program inovasi berbasis web “SI-Langkah Mandiri” potensial dikembangkan di Indonesia. Hal ini didukung dengan pendekatan gerontechnology dan beberapa penelitian yang mendukung pengembangan menu dalam aplikasi. Pengembangan inovasi berbasis teknologi dalam ranah keperawatan komunitas sebaiknya lebih dioptimalkan untuk mendukung era 4.0 dan percepatan sebaran intervensi. Kata kunci: website; lansia; hipertensi
Dukungan Penghargaan Keluarga Berhubungan dengan Kualitas dan Kepuasan Hidup Lansia di Depok Etty Rekawati; Junaiti Sahar; Dwi Nurviyandari Kusuma Wati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 2 (2020): April 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11214

Abstract

The transition of elderly lives from productive periods to non-productive makes them need support from relatives, friends or family. The purpose of this study was to look at the relationship between family appreciation support with quality and life satisfaction of the elderly in the city of Depok, West Java, with a cross-sectional design. The subjects of this study were 135 elderly people> 60 years old, living with family, do not have infectious diseases, able to communicate in Indonesian; selected by purposive sampling technique. Data were analyzed using Chi square test. The results of the study indicate that there was a relationship between family appreciation support with the quality of life of the elderly (p-value = 0.022) and life satisfaction of the elderly (p-value = 0.014). The results of this study are expected to support the development of nursing science in the future, especially regarding the quality and satisfaction of life of the elderly. Keywords: elderly; award support; quality of life; life satisfaction ABSTRAK Transisi kehidupan lansia dari masa produktif menjadi non produktif membuat mereka memerlukan dukungan dari kerabat, teman atau keluarga. Tujuan penelitian ini adalah untuk melihat hubungan antara dukungan penghargaan keluarga dengan kualitas dan kepuasan hidup lansia di Kota Depok, Jawa Barat, dengan desain cross-sectional. Subyek penelitian ini adalah 135 lansia yang berusia >60 tahun, tinggal bersama keluarga, tidak memiliki penyakit menular, mampu berkomunikasi dengan bahasa Indonesia; yang dipilih dengan teknik purposive sampling. Data dianalisis menggunakan uji Chi square. Hasil peneltian menunjukkan bahwa ada hubungan antara dukungan penghargaan keluarga dengan kualitas hidup lansia (p-value = 0,022) dan kepuasan hidup lansia (p-value = 0,014). Hasil penelitian ini diharapkan dapat mendukung perkembangan ilmu keperawatan di masa mendatang, khususnya tentang kualitas dan kepuasan hidup lansia. Kata kunci: lansia; dukungan penghargaan; kualitas hidup; kepuasan hidup
Model Keperawatan Keluarga Santun Lansia dalam Upaya Peningkatan Kualitas Asuhan Keluarga pada Lansia: A Literature Review Etty Rekawati; Achir Yani S. Hamid; Junaiti Sahar; Widyatuti Widyatuti; Ni Luh Putu Dian Yunita Sari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 3 (2019): Juli 2019
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf10303

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Family is the closest person to the elder person who has an important role in caring for elder person. The purpose of this study is to provide an overview of the cordial older family nursing model in an effort to improve the quality of family care in elder person. The study approach was the study of literature with expert agreement. The search method for library resources was done online, which uses databases such as Science Direct, Scopus, Sage, Pubmed and ProQuest. The keywords used were "elder mistreatemnt", "intervention" and "family approach". Literature search was only limited in 2008 to 2019 and in English. The results obtained 15 research articles analyzed. There were three themes obtained, namely the provision of information through training, giving positive perceptions to families who care for the elderly and counseling. Training was oriented towards family coping and coping strategies in caring for the elder person aimed at caregivers, cadres and health workers. Planting suggestions were given in groups or individually to families who care for the elderly, and counseling is given individually to families who need it. Further research is expected to be able to identify the quality of life of the elder person related to the application of the cordial older family nursing model. Keywords: elderly; the cordial older family nursing model; family care quality ABSTRAK Keluarga merupakan orang terdekat lansia yang memilki peran penting dalam merawat lansia. Tujuan dari penulisan ini adalah memberikan gambaran model keperawatan keluarga santun lansia dalam upaya peningkatan kulitas asuhan keluarga pada lansia. Pendekatan studi adalah studi literatur dengan kesepakatan pakar. Metode pencarian sumber pustaka dilakukan online yaitu menggunakan basis data seperti Science Direct, Scopus, Sage, Pubmed dan ProQuest. Kata kunci yang digunakan adalah “elder mistreatment”, “intervention” dan “family approach”. Penelusuran literatur hanya dibatasi dalam tahun 2008 hingga 2019 dan dalam bahasa Inggris. Hasil yang didapatkan adalah didapatkan 15 artikel penelitian yang dianalisis. Ada tiga tema yang didapatkan, yaitu pemberian informasi melalui pelatihan, pemberian persepsi positif pada keluarga yang merawat lansia dan konseling. Pelatihan berorientasi pada dukungan dan strategi koping keluarga dalam merawat lansia yang ditujukan kepada pelaku rawat, kader dan petugas kesehatan. Penanaman sugesti diberikan secara berkelompok ataupun individual pada keluarga yang merawat lansia, dan konseling diberikan secara individual bagi keluarga yang memerlukannya. penelitian lanjutan diharapkan dapat mengidentifikasi mengenai kualitas hidup lansia yang berkaitan dengan penerapan model keperawatan santun lansia. Kata kunci: lansia; model keperawatan keluarga; kualitas asuhan keluarga
Manfaat Aromassage untuk Lansia dengan Hipertensi: A Literature Review Ni Luh Putu Dian Yunita Sari; Etty Rekawati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 2 (2019): April 2019
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (71.48 KB) | DOI: 10.33846/sf10204

Abstract

The increasing number of elderly led to the health problems, one of them is hypertension. Hypertension is a non communicable disease being most experienced in Indonesia’s elderly. The purpose of this study is to know the kind of therapeutic massage for the elderly with hypertension, the kind of an essential oil that recommended for aromassage and assessing aromassage benefits for the elderly with hypertension. The method of searching conducted online database such as Science Direct, Scopus, Sage, Pubmed and ProQuest. The keywords that used were aromatherapy”, “massage”, “blood pressure”, “elderly” and “hypertension”. The literatures restricted in 2008 year until 2019 in English. The result was that 20 articles analyzed, kind of a therapeutic massage for the elderly with hypertension that most widely used is foot massage and the essential oil recommended is Lavender. Aromassage gives benefits such as decreasing blood pressure and other vital signs, affecting the quality of sleep, affecting self-esteem and another psychological disturbance. The literature review is expected to be a basis for complemeting hypertension drugs in the community and also developing another further advanced research. Keywords: aromatherapy, massage, elderly, hypertension ABSTRAK Peningkatan jumlah lansia berimplikasi pada meningkatnya masalah kesehatan, salah satunya adalah hipertensi. Hipertensi menjadi penyakit tidak menular terbanyak yang dialami lansia di Indonesia. Tujuan penulisan ini adalah untuk mengetahui jenis massage yang terapeutik untuk lansia dengan hipertensi, jenis minyak esensial yang direkomendasikan untuk intervensi aromassage serta menelaah manfaat aromassage untuk lansia dengan hipertensi. Metode pencarian sumber pustaka dilakukan secara daring dengan menggunakan basis data seperti Science Direct, Scopus, Sage, Pubmed dan ProQuest. Kata kunci yang digunakan adalah “aromatherapy”, “massage”, “blood pressure”, “elderly” dan “hypertension”. Penelusuran literatur dibatasi dalam tahun 2008 hingga 2019 dalam bahasa Inggris. Hasil yang didapatkan adalah terdapat 20 artikel penelitian yang dianalisis, jenis massage yang terapeutik untuk lansia dengan hipertensi yang paling banyak digunakan adalah foot massage dan jenis minyak esensial yang direkomendasikan adalah Lavender. Aromassage memberikan manfaat seperti penurunan tekanan darah dan tanda-tanda vital lainnya, memengaruhi kualitas tidur, harga diri serta memperbaiki keluhan psikologis. Hasil literature review ini diharapkan dapat menjadi dasar dalam memberikan intervensi pendamping obat hipertensi di tatanan komunitas dan juga pengembangan penelitian lanjutan. Kata Kunci: aromaterapi, massage, lansia, hipertensi