Improving adolescents' HIV/AIDS prevention behavior: A phenomenological study of the experience of planning generation program (GenRe) ambassadors as peer educators.

Background: Adolescents face increased vulnerability to HIV/AIDS due to factors such as insufficient knowledge and awareness, stigma, and restricted access to information. The Indonesian government initiated a peer education program through the Planning Generation Program (GenRe) ambassadors. These ambassadors are tasked with educating their peers about HIV/AIDS. However, their experiences are largely underexplored. Objective: This study aimed to explore the GenRe ambassadors' experience in improving adolescents' HIV/AIDS prevention behavior. Methods: This study employed a qualitative phenomenological approach, with in-depth and semi-structured interviews of GenRe ambassadors who had served for at least three to six months within the South Jakarta Health Sub-Department, Indonesia. Purposive sampling and data saturation techniques were utilized. Data were collected from 13 May to 31 August 2022, and Colaizzi's steps were used to guide the data analysis. Results: Nineteen GenRe ambassadors participated, predominantly female university students ages 18-22. Six themes were developed: 1) the impact of GenRe ambassadors' roles in improving HIV/AIDS prevention behavior, 2) activities to improve HIV/AIDS prevention behavior, 3) enhancement of self-concept as GenRe ambassadors, 4) obstacles to activities for improving HIV/AIDS prevention behavior, 5) support for activities to improve HIV/AIDS prevention behavior, and 6) hope for improving the GenRe ambassador program's implementation. Conclusion: GenRe ambassadors are influencers who play a critical role in promoting HIV/AIDS prevention behaviors and fostering positive change in the broader youth community. Despite their positive self-concept, they encounter challenges in fulfilling their roles. Utilizing their insights, community health nurses can create effective peer-led HIV/AIDS prevention programs and contribute to a model of health promotion for adolescents. Leveraging the role of GenRe ambassadors as peer educators is recommended to enhance HIV/AIDS prevention efforts among adolescents.

Family Resilience With Stunted Children Aged Below 5 Years: A Qualitative Study in Depok City, Indonesia.

Stunting is influenced by family and household factors that affect toddler nutrition. As the primary provider of both physical and psychological resources to prevent health problems, the family has a significant role in preventing stunting. Family resilience in supporting child health is mediated by family functioning. A qualitative descriptive study explored the influence of family resilience in fulfilling the nutritional needs of stunted children. This study involved in-depth interviews with 23 mothers of stunted children aged 24 to 59 months. Through content analysis, we identified three main themes: (1) family belief that stunting is hereditary, (2) family belief that stunted children will "grow up," and (3) lack of communication between family members in discussing stunting. Future studies should explore intervention models to increase family resilience and prevent stunting in children under five.

KEDUSIA-RSM: un modelo de enfermería basado en Android para la prevención de la demencia y una mejor función cognitiva en adultos mayores / KEDUSIA-RSM: An Android-Based Nursing Model for Dementia Prevention and Better Cognitive Function in Older Adults

Introducción: Los ancianos con demencia pueden ser una carga para sus familias. El conocimiento de los factores de riesgo de la demencia puede reducir los efectos negativos de la propia demencia. El uso de aplicaciones basadas en Android puede ayudar a las familias a prevenir la senilidad y cuidar a los ancianos. Propósito: Este estudio tiene como objetivo formular un modelo efectivo de enfermería familiar a través de la aplicación Android Dementia Care Family – Raden Siti Maryam (KEDUSIA-RSM), para mejorar la función cognitiva y monitorear los factores de riesgo de demencia en los ancianos. Métodos: Este estudio utilizó un diseño de investigación operativa en dos fases: 1) desarrollo del modelo, integración de los antecedentes del estudio, revisión de la literatura y consulta de expertos, y 2) prueba del modelo piloto que compara los grupos de prueba previa y posterior con el grupo de control. La técnica de muestreo utilizada fue el muestreo por conglomerados compuesto con los resultados de 156 muestras, es decir, 79 familias en el grupo de intervención y 77 familias en el grupo de control. Resultados: La primera etapa produjo dos componentes principales del modelo de enfermería KEDUSIA-RSM, a saber, guías y aplicaciones basadas en Android; hubo una diferencia media significativa en la función cognitiva y el manejo de los factores de riesgo de demencia entre los grupos antes y cuatro meses después del modelo de intervención (valor de p < 0,05). Conclusión: KEDUSIA-RSM ha demostrado ser eficaz para mejorar la función cognitiva y controlar los factores de riesgo de demencia en los ancianos. Es muy recomendable replicar el modelo, realizar capacitación continua para enfermeras en salud pública y desarrollar otros estudios en aplicaciones basadas en iOS o en la web con modelos similares. (AU)

Introduction: Elderly people with dementia can become a burden to their family. Knowledge of the risk factors for dementia may lower the negative effects of dementia itself. Using Android-based applications can be helpful to families in preventing dementia and caring for the elderly. Objective: This study aimed to formulate an effective family nursing model through an Android-based application, Keluarga Peduli Demensia – Raden Siti Maryam (KEDUSIA-RSM), to enhance cognitive function and to monitor the risk factors of dementia in the elderly. Methods: This study employed an operational research design in two stages: 1) model development, integrating the study background, literature review, and expert consultation, and 2) model trials comparing pre- and post-test groups to control group. The sampling technique used was composite clustering sampling with the results of 156 samples: 79 families in the intervention group and 77 families in the control group. Results: The first stage resulted in the creation of two of the main components of the KEDUSIA-RSM nursing model: the guidebook and its android-based application; There were significant mean differences in cognitive function and dementia risk factor management between those groups before and four months after intervention model (p value < 0.05). Conclusion: KEDUSIA-RSM is proven to be effective in raising cognitive function and managing risk factors for dementia in the elderly. It is highly recommended to replicate the model, to conduct sustainable training for nurses within the community health field and to develop another study on an iOS-based or web-based app with a similar model. (AU)

Cuidado de personas con demencia: respuestas positivas experimentadas por los cónyuges / Caregiving people with dementia: positive responses experienced by spouses

Objetivo: El propósito de este estudio fue determinar la respuesta positiva experimentada por los cónyuges que cuidan a su pareja con demencia. Se sabe que el papel del cónyuge como cuidador de personas con demencia tiene efectos más significativos que el papel de otros miembros de la familia. La aceptación del cónyuge como cuidador de personas con demencia puede afectar la calidad de los servicios prestados. Métodos: Esta investigación utilizó un estudio cualitativo con enfoque fenomenológico a 10 participantes obtenidos mediante una técnica de muestreo intencional. Resultados: Los resultados mostraron que la respuesta positiva de los cuidadores en el cuidado de un cónyuge con demencia se vio a través de sentimientos de gratitud por las bendiciones recibidas, aceptación de las condiciones vividas y el sentimiento de cercanía como pareja. Conclusiones: Las respuestas positivas que aparecen en los cónyuges que son cuidadores pueden ser un punto de entrada para que los trabajadores de la salud mejoren el bienestar de los cónyuges como cuidadores. (AU)

Primary Goal: The purpose of this study was to determine the positive response experienced by spouse cargiving their partner with dementia. The role of the spouse as a caregiver for people with dementia is known to have significant effects than the role of other family members. Spouse’s acceptance as caregivers for people with dementia can affect the quality of services provided. Methods: This research using a qualitative study with a phenomenological approach to 10 participants obtained using a purposive sampling technique. Results: The results showed that the positive response of the caregivers while caring for a spouse with dementia was seen through feelings of gratitude for the blessings received, acceptance to the conditions experienced, and the feeling of closeness as partner. Conclusions: Positive responses that appear in spouses who are caregivers can be an entry point for health workers to improve the welfare of spouses as caregivers. (AU)

The effect of MARIKERJA, a fatigue management programme, on the management of fatigue among manufacturing shift workers in Indonesia.

OBJECTIVES: To evaluate the effects of a workplace fatigue management programme called MARIKERJA on reducing fatigue among manufacturing shift workers in Indonesia. METHODS: A quasi-experimental pre- and post-test study was conducted among 116 shift workers (58 in the intervention group and 58 in the control group). The MARIKERJA programme was delivered to the intervention group for 12 weeks. Meanwhile, the control groups received the MARIKERJA intervention only at the end of the study period. Fatigue levels were measured using the Fatigue Severity Scale (FSS) in weeks 6 and 12 of the intervention. Data were analysed using a t test and a general linear model repeated measures procedure. RESULTS: There were significant differences in fatigue scores between the control and intervention groups after the MARIKERJA intervention in week 6 (40.07 ± 8.89 vs. 27.12 ± 11.67; p < 0.001) and week 12 (38.22 ± 9.28 vs. 17.53 ± 6.54; p < 0.001). The MARIKERJA intervention effectively reduced fatigue levels by up to 37.3% (R2 = .373; p = 0.001; 95% CI = 15.82-19.25). CONCLUSIONS: The MARIKERJA intervention effectively reduces fatigue among manufacturing shift workers.

Common symptoms of Alzheimer's dementia that are easily recognizable by families.

The increase in dementia incidence among the elderly is directly related to aging, which is associated with changes in bodily functions and other health-related risk factors. Alzheimer's dementia is the most prevalent form of dementia, and individuals in the late stages are predominantly dependent on other family members. Therefore, it is important for families, as the closest support group, to recognize common symptoms early. OBJECTIVE: To provide a family-friendly guide to the ten common symptoms of Alzheimer's dementia. METHODS: This is a descriptive survey-based research that included 354 families comprising elderly people (≥60 years) residing in Jakarta. The instrument aimed at identifying ten common Alzheimer's dementia symptoms in Indonesia. Descriptive statistical analysis based on frequency tables was used. RESULTS: The participant's major characteristics were age ≥66 years (52.3%), female sex (70.3%) and primary school education (87.3%). The predominant symptoms experienced by 42.4% of the elderly included forgetting recent events and asking questions and narrating a particular detail repeatedly. The remaining 35.6% demonstrated signs of forgetting where an item was placed and frequently suspecting others of theft and concealment of personal items. CONCLUSION: The symptoms of frequently forgetting new events and the location of personal belongings are of particular concern for families, as they have a propensity to progress and interfere with daily activities. Therefore, the families of affected individuals are expected to identify this symptom early on and present the affected individual for screening or examination at a health care facility.

O aumento da incidência de demência entre os idosos está diretamente relacionado ao envelhecimento, que está associado a alterações nas funções corporais e outros fatores de risco relacionados à saúde. A demência de Alzheimer é a forma mais prevalente de demência e os indivíduos nos estágios avançados são predominantemente dependentes de outros membros da família. Portanto, é importante que as famílias, como grupo de apoio mais próximo, reconheçam os sintomas comuns precocemente. OBJETIVO: fornecer um guia familiar para os dez sintomas comuns da demência de Alzheimer. Métodos: Trata-se de uma pesquisa descritiva de base survey que incluiu 354 famílias compostas por idosos (≥60 anos) residentes em Jacarta. O instrumento teve como objetivo identificar dez sintomas comuns de demência de Alzheimer na Indonésia. Foi utilizada análise estatística descritiva baseada em tabelas de frequência. RESULTADOS: As principais características do participante foram idade ≥ 66 anos (52,3%), sexo feminino (70,3%) e escolaridade primária (87,3%). Os sintomas predominantes vivenciados por 42,4% dos idosos incluem o esquecimento de acontecimentos recentes, fazer perguntas e narrar um determinado detalhe repetidamente. Os 35,6% restantes demonstraram sinais de esquecimento de onde um item foi colocado e frequentemente suspeitam de furto e ocultação de itens pessoais. CONCLUSÃO: Os sintomas de esquecimento frequente de novos eventos e da localização de objetos pessoais são de particular preocupação para as famílias, visto que apresentam tendência para progredir e interferir nas atividades diárias. Portanto, espera-se que as famílias dos indivíduos afetados identifiquem esse sintoma logo no início e apresentem o indivíduo afetado para triagem ou exame em uma unidade de saúde.

Common symptoms of Alzheimer's dementia that are easily recognizable by families / Sintomas comuns da demência de Alzheimer facilmente reconhecíveis pelas famílias

ABSTRACT. The increase in dementia incidence among the elderly is directly related to aging, which is associated with changes in bodily functions and other health-related risk factors. Alzheimer's dementia is the most prevalent form of dementia, and individuals in the late stages are predominantly dependent on other family members. Therefore, it is important for families, as the closest support group, to recognize common symptoms early. Objective: To provide a family-friendly guide to the ten common symptoms of Alzheimer's dementia. Methods: This is a descriptive survey-based research that included 354 families comprising elderly people (≥60 years) residing in Jakarta. The instrument aimed at identifying ten common Alzheimer's dementia symptoms in Indonesia. Descriptive statistical analysis based on frequency tables was used. Results: The participant's major characteristics were age ≥66 years (52.3%), female sex (70.3%) and primary school education (87.3%). The predominant symptoms experienced by 42.4% of the elderly included forgetting recent events and asking questions and narrating a particular detail repeatedly. The remaining 35.6% demonstrated signs of forgetting where an item was placed and frequently suspecting others of theft and concealment of personal items. Conclusion: The symptoms of frequently forgetting new events and the location of personal belongings are of particular concern for families, as they have a propensity to progress and interfere with daily activities. Therefore, the families of affected individuals are expected to identify this symptom early on and present the affected individual for screening or examination at a health care facility.

RESUMO. O aumento da incidência de demência entre os idosos está diretamente relacionado ao envelhecimento, que está associado a alterações nas funções corporais e outros fatores de risco relacionados à saúde. A demência de Alzheimer é a forma mais prevalente de demência e os indivíduos nos estágios avançados são predominantemente dependentes de outros membros da família. Portanto, é importante que as famílias, como grupo de apoio mais próximo, reconheçam os sintomas comuns precocemente. Objetivo: fornecer um guia familiar para os dez sintomas comuns da demência de Alzheimer. Métodos: Trata-se de uma pesquisa descritiva de base survey que incluiu 354 famílias compostas por idosos (≥60 anos) residentes em Jacarta. O instrumento teve como objetivo identificar dez sintomas comuns de demência de Alzheimer na Indonésia. Foi utilizada análise estatística descritiva baseada em tabelas de frequência. Resultados: As principais características do participante foram idade ≥ 66 anos (52,3%), sexo feminino (70,3%) e escolaridade primária (87,3%). Os sintomas predominantes vivenciados por 42,4% dos idosos incluem o esquecimento de acontecimentos recentes, fazer perguntas e narrar um determinado detalhe repetidamente. Os 35,6% restantes demonstraram sinais de esquecimento de onde um item foi colocado e frequentemente suspeitam de furto e ocultação de itens pessoais. Conclusão: Os sintomas de esquecimento frequente de novos eventos e da localização de objetos pessoais são de particular preocupação para as famílias, visto que apresentam tendência para progredir e interferir nas atividades diárias. Portanto, espera-se que as famílias dos indivíduos afetados identifiquem esse sintoma logo no início e apresentem o indivíduo afetado para triagem ou exame em uma unidade de saúde.

Estimation of sodium and potassium intakes assessed by two 24-hour urine collections in a city of Indonesia.

Intakes of excess Na and insufficient K are two major contributors of heart diseases and stroke development. However, no precise study has previously been carried out on Na and K intakes among Indonesian adults. The present study aimed to estimate the Na and K intakes using two consecutive 24-h urine collections. Participants were community-dwelling adults aged between 20 and 96 years, randomly selected from a pool of resident registration numbers. Of the 506 participants, 479 (240 men and 239 women) completed urine collections. The mean Na excretion was 102·8 and 100·6 mmol/d, while the mean K excretion was 25·0 and 23·4 mmol/d for men and women, respectively. Na and K excretions were higher in participants with a higher BMI. A higher K excretion was associated only with younger age. More than 80 % of the participants consumed more than 5 g/d of salt (the upper limit recommended by the Indonesian government), whereas none of them consumed more than 3510 mg/d of K (the lower limit). The high Na and low K intakes, especially high Na among participants with high BMI, should be considered when future intervention programmes are planned in this country.

Nurses' efforts to maintain competence: a qualitative study.

BACKGROUND: The clinical competence of nurses should be maintained to ensure patient safety. Competence is the integration of knowledge, skills, and attitudes. Nurse competency also improves the quality of nursing care and reduces the incidence of missed nursing care. This study aimed to explore the experiences of nurses maintaining a nurse competence system in hospitals through continuing education. DESIGN AND METHODS: The research method used was qualitative phenomenological research, and the data was collected through an in-depth interview which was consist of six participants. RESULTS: The results of the research were 1). continuing professional development to maintain the competence, 2) credentialing system in the career ladder system, 3). missed care still occurred in the implementation of nursing services 4). Nurses had hopes that managers supported the efforts to maintain competence through continuing professional development. CONCLUSION: Nurse managers are expected to improve the supervision program to maintain clinical competence and decrease missed care.

Efectividad de los ejercicios de equilibrio entre los adultos mayores en Depok, Indonesia / Effectiveness of balance exercise among older adults in Depok City, Indonesia

OBJETIVO: Las caídas son uno de los problemas más serios entre los adultos mayores. El deterioro del equilibrio es una de las causas importantes de la caída. Este estudio tiene como objetivo investigar el efecto de un ejercicio de equilibrio de ocho semanas sobre la estabilización postural y el riesgo de caídas entre los adultos mayores en la comunidad. MÉTODO: Este estudio cuasi experimental empleó un diseño previo y posterior a la prueba utilizando un grupo de control. El estudio incluyó un grupo de intervención de 30 encuestados y un grupo de control de otros 30 encuestados. La muestra se seleccionó usando muestreo aleatorio de múltiples etapas. Los datos se analizaron mediante una prueba t. RESULTADOS: El ejercicio de equilibrio afectó significativamente el equilibrio postural y el riesgo de caída. Hubo diferencias significativas entre los dos grupos (grupo de intervención y grupo de control) en el equilibrio postural (p < 0,001) y el riesgo de caída (p = 0,023). CONCLUSIÓN: El ejercicio de equilibrio se puede utilizar como uno de los esfuerzos preventivos para mantener el equilibrio postural y reducir el riesgo de caídas entre los adultos mayores en la comunidad. En el futuro, el estudio puede considerar la variación de edad para conocer la efectividad del ejercicio de equilibrio

OBJECTIVE: Falls are a serious problem for older adults. Balance impairment is one of the most significant reasons why adults fall from a standing position. This study aims to investigate the effect of an eight-week postural balance exercise intended to reduce the risk of falls among older adults in a community in Depok City, Indonesia. METHOD: This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group of 30 respondents and a control group of a further 30 respondents. The sample was selected using multistage random sampling. The data were analyzed using a t-test. RESULTS: The balance exercise significantly affected the respondents' postural balance and reduced their risk of falling. There were significant differences between the two groups (intervention group and control group) in postural balance (p < 0.001) and the risk of suffering a fall (p = 0.023). CONCLUSIÓN: Balance exercises can be utilized as one of the preventive efforts to maintain postural balance and reduce the risk of falls among older adults. Future studies may consider the variation of age to more accurately determine the effectiveness of this balance exercise

Relapse in drug abuse: A concept analysis

OBJECTIVE: The purpose of this study is to clarify the concept of relapse in drug abuse. METHOD: Concept analysis was examined using the help of various literature obtained through internet databases published from 1998 to 2019. RESULTS: Identification of attributes, antecedent, and consequences of relapse causes the operational definition of the concept of relapse as the return state of the client consuming drugs or the re-emergence of symptoms such as before, so the client is not able to sustain its behavior change over time. CONCLUSIONS: This concept analysis is able to demonstrate that the concept of relapse is a self-management therapy that is made to prevent the relapse in the area of addiction behavior and focus on the important problems of help addicts change their behavior to help the developments that addicts have made in the process of treatment or self-change

No disponible

Effectiveness of balance exercise among older adults in Depok City, Indonesia. / Efectividad de los ejercicios de equilibrio entre los adultos mayores en Depok, Indonesia.

OBJECTIVE: Falls are a serious problem for older adults. Balance impairment is one of the most significant reasons why adults fall from a standing position. This study aims to investigate the effect of an eight-week postural balance exercise intended to reduce the risk of falls among older adults in a community in Depok City, Indonesia. METHOD: This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group of 30 respondents and a control group of a further 30 respondents. The sample was selected using multistage random sampling. The data were analyzed using a t-test. RESULTS: The balance exercise significantly affected the respondents' postural balance and reduced their risk of falling. There were significant differences between the two groups (intervention group and control group) in postural balance (p < 0.001) and the risk of suffering a fall (p = 0.023). CONCLUSIóN: Balance exercises can be utilized as one of the preventive efforts to maintain postural balance and reduce the risk of falls among older adults. Future studies may consider the variation of age to more accurately determine the effectiveness of this balance exercise.

The association of diabetes literacy with self-management among older people with type 2 diabetes mellitus: a cross-sectional study.

BACKGROUND: Diabetes has become one of public health problem up until now. As the disease progressed, it might lead to increasing complication as well as death related to them. Diabetes as chronic disease in older people can lead to more vulnerable conditions if they fail to carry out a proper diabetes self-management. Diabetes literacy is an internal factor affecting how the older people go about their diabetes management routines. This study aimed to describe diabetes literacy of the older people and identify the relation of diabetes literacy to diabetes self-management of the older people with T2DM in selected areas of Depok City, West Java, Indonesia. METHOD: A cross-sectional observational study was utilized and used 106 samples of older people individuals with T2DM, all of whom were chosen via cluster sampling. This research took place in five selected areas under the supervision of three public health center in Depok City. The data were analyzed using a bivariate t-independent test, the Pearson product-moment correlation, and logistic regression for multivariate analysis to determine the relationship of independent and dependent variable. RESULT: This research shows a significant correlation between diabetes literacy and diabetes self-management (p = 0,011). CONCLUSION: Diabetes self management is associated with diabetes literacy in older people with type 2 diabetes mellitus. Diabetes literacy should be considered when assessing and addressing diabetes-specific health education needs.

Effectiveness of Lafiska exercise on risk of fall, balance, and health status in the elderly

This study aims to investigate the effectiveness of Latihan Fisik Lansia "elderly physical exercise" on the balance status, risk of fall, and health status of institutionalized older adults. A quasi-experimental design was applied measuring pre-test and post-test outcomes in a control group to determine the effectiveness of the intervention in the interventional group. Eighty participants from Panti Sosial Tresna Werdha Budi Mulia 1 Cipayung were divided into an inter-ventional group with 39 older adults (70.3 ± 8.13 years) and a control group with 41 older adults (69.88 ± 8.71 years). Trained facilitators guided the exercise during 16 sessions over eight weeks, each having duration of 50 min, with a small group consisting of 10-12 participants. This study used Morse Fall Scale to measure risk of fall, Berg Balance Scale to measure balance status, and SF-12 to measure health status. Lafiska had an impact on lowering risk of fall, enhancing balance status, and enhancing health status (P value <.0001). Lafiska is a viable exercise option for older adults with independent mobility, as well as older adults with assistive devices

No disponible

The experience of older people living in nursing home (Panti Wredha) in DKI Jakarta, Indonesia

Inability to fulfil daily needs and natural aging process will affect both health and life satisfaction among older people. Services to older people in nursing home may be affected when cooperation between nurse, caregiver and older people are not optimal. Hence, the cooperation between them must be optimized to enhance services and maintain quality of life among the older people. The aim of this study was to develop a partner model between nurse, caregiver and older people in nursing home, Panti Wredha in Jakarta, to improve caring behavior, health status, satisfaction and quality of life of older people. This study's operational method consisted of three phases: (I) exploration phase, (II) model development phase, and (III) model trial phase to assess the model effectiveness. The first year was phase I and II. The second year was phase III model trial to assess the model effectiveness. This article will report the phase I findings. Qualitative design with a descriptive phenomenology approach was used. The population was older people living in Nursing Home (Panti Wredha) in Jakarta. The sample for phase I was selected according to some criteria until data saturation was achieved: eight older people. Data were collected using face-to-face interview to older people. Data were analyzed using Collaizi method. The result of 11 themes (older people). This result will be used further for development of model and module, and will test by readability and expert test

No disponible

Walking and talking activities as nursing therapy for improving quality of life among older adults

Objective: The most prominent problem resulting from decreased body function in older adults is declining quality of life. Walking and talking among older adults in peer group may become a nursing therapy to improve their quality of life. The objective of this study was to identify the impact of walking and talking intervention of quality of life among community dwelling older adults in Depok, Indonesia. Method: This study applied quasi-experimental design with 43 and 40 older adults in the intervention and control group, respectively. The participants were selected using multistage random sampling method. Results: Based on t test, the average quality of life score of older adults improved more significantly in the intervention group than that in the control group, with p value of 0.003, its mean p value < α, respectively. An ANCOVA analysis was used to detect confounding factors. The result showed that all characteristics have a p value of > 0.05, which means there were no confounding factors warranting further investigation. Conclusions: It was concluded that walking and talking therapy in peer group significantly increase the quality of life of older adults

No disponible

Reducing neglect and improving social support for older people following a self-help group in the poor urban community of Jakarta, Indonesia

Increasing age has an impact on the decline of organ function and results in increasing dependence on others, including family. Efforts must be made to increase older adult's' independence to help them overcome naturally occurring changes and health problems. This research aims to determine the effects of the self-help groups as nursing interventions using guidelines of selfhealth monitoring and management on the incidence of neglecting and the social support of older people. A quasi-experimental design was used on a total sample of 208 people, consisting of 103 in the intervention group and 105 in the control group. An independent t-test was conducted before and after the intervention model to analyze the social support variable, and chi-square test was applied to analysis the neglect variable. The results showed the effects on the incidence of neglect of older people, and there were significant differences between and within the intervention and control groups (p < 0.05) in terms of social support. The intervention model demonstrated reduction of the incidence of neglect and an increase in social support. The results indicate that this program can be used as a guideline for health care center nurses in fostering self-help groups for older people in the community

No disponible

The effects of chair yoga with spiritual intervention on the functional status of older adults

Objective: "Functional status" is an individual's ability to fulfill his/her needs and to perform the activities of daily life independently. Functional decline can lead to a higher level of dependency. This study aims to investigate the effects of chair yoga with spiritual intervention on the functional status of older adults. Method: This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group of 42 respondents and a control group of a further 42 respondents. The sample was selected using multistage random sampling. The data were analyzed using a t-test. Results: The results of the study show that the mean score for the intervention group was higher after the intervention (p=0.000). Furthermore, the mean score for functional status after the intervention was significantly higher for the intervention group than for the control group (p=0.000). Conclusions: It is concluded that the use of chair yoga with spiritual intervention is a useful preventive measure against functional decline in older adults. The study also suggests that this form of intervention should be considered as a complementary nursing therapeutic practice for older adults in the community

No disponible

Relationship between the levels of family burden in caring for older people with the incidence of mistreatment

Background: Caring for older people can be a burden for the family that led to mistreatment. Objective: To determine the relationship between the levels of family burden in caring for older people with the occurrence of mistreatment incidence. Design and participants: A cross sectional study design was conducted with 135 older people who live with their family as respondents. Setting: 135 families with older people at Kelurahan/Village of Harjamukti area, Kecamatan/ District of Cimanggis, Depok city. Method: This study applied probability sampling technique with multistage cluster sampling. Results: Family characteristics show that almost half of older people were caring by family members (caregivers) who were aged 20-39 years, nearly all caregivers were women, family income mostly less than UMK, families mostly monosyllabic nation Betawi and caregivers mostly were their own child. Most of the families stated that no expense in caring for the older people (89.6%), but there are still families who feel the burden of caring. The highest type of mistreatmet of the older people is psychological mistreatments. Conclusions: From the statistical test obtained by p value equals to 0.553, it was concluded there was no correlation between the incidences of any family burden with mistreatment

No disponible

Family support in caring for older people with diabetes mellitus: a phenomenology study

Objective: This study was conducted to gain a deep understanding of the experience of older people with diabetes mellitus (DM) about their family support in Tasikmalaya, Indonesia. Method: The qualitative design was used with a phenomenological approach. Data were collected through in-depth semi-structured interviews of eight older people with DM. Ethical clearance was obtained from The Ethics Committee of the Faculty of Nursing, University of Indonesia. All the participants were provided with information about the purpose and the type of the study. Participants' type of participation in this research was voluntary. The recorded interviews were reported anonymously. Data were analyzed using the seven steps of Colaizzi include reading the transcript, listening to the transcript, choosing keywords, categorizing grouping, creating narratives, validating, and translating findings into a complete narrative. Results: Three themes were identified about family support toward older people with DM such as the changes in older people with DM, optimum family support and suboptimal family support. Conclusions: The physical and psychological changes which older people with DM had experienced affect the family support they had received. Therefore, this study will give a valuable contribution to the improvement of health service for older people with DM in Indonesia

No disponible