Development of the Erdanela model for stroke prevention in the elderly: Effectiveness Test
DOI:
10.29303/jppipa.v8i5.2507Published:
2022-11-30Downloads
Abstract
A new stroke-prevention service (ERDANELA model) has been developed at nursing homes by empowering elderly caregivers to become service-implementing cadres. The aim of this study is to investigate the effect of empowerment on the knowledge, attitude, skill, and behavior of elderly caregivers about stroke-prevention services in nursing homes. A quasi-experimental study was conducted on 52 elderly caregivers who were working at 3 nursing homes in West Sumatra Province, Indonesia. The questionnaire design consists of knowledge, attitudes, skills, and behavior variables. Intervention in the form of training was carried out for three days, using pre-test and post-test methods. The results of this research are the majority of caregivers are 40-49 years old (34.60%), male (51.9%), have middle school education (48.10%), have monthly income bigger than the RMW (75.00%), worked in nursing home>5 years (67.30%), and never attended training while working at nursing-home (73,10%). Caregivers knowledge, attitude, skill, and behavior mean was 18.23±1.89, 7.65±1.22, 6.75±1.37 and 6.00±0,91 respectively before training, and significantly it has increased to 25.48±3.38, 10.15±.09, 9.10±0.96, and 7.06±1.43 respectively after training with sig=0.000<0.05. Empowerment has succeeded in increasing the knowledge, attitudes, skills, and behaviors of elderly caregivers to become service-implementing cadres of the new stroke-prevention service at nursing homes
Keywords:
Empowerment, ERDANELA model, Elderly caregiversReferences
Anung, S. (2019). Percepatan Pencegahan Dan Pengendalian Penyakit Menuju Cakupan Kesehatan Semesta. Dirjen Pencegahan Dan Pengendalian Penyakit Kemenkes RI. Rakerkesda Provinsi Sumatera Barat. Tersedia dari: http://www.p2ptm.kemkes.go.id/profil-p2ptm/latar-belakang/program-p2ptm-dan-indikator
Bostick, J.E, Rantz, M.J., Flesner MK, Riggs CJ. (2006) Tinjauan sistematis studi kepegawaian dan kualitas di panti jompo. Selai. Med. Dir. Asosiasi 2006; 7 :366–376. https://doi.org/10.1016/j.jamda.2006.01.024.
Davis, R., Campbell, R., Hildon, Z., Hobbs, L., & Michie, S. (2015). Theories of behavior and behavior change across the social and behavioral sciences: a scoping review. Health psychology review, 9(3), 323–344. https://doi.org/10.1080/17437199.2014.941722
Dupre, C.M., Libman R, Dupre SI, Katz JM, Rybinnik I, Kwiatkowski T. (2014). Stroke chameleons. Journal of Stroke and Cerebrovascular Diseases. 23 (2):374–8. https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.07.015
Engström, M., Skytt, B., & Nilsson A. (2011). Working life and stress symptoms among caregivers in elderly care with formal and no formal competence: Working life for caregivers with formal and no formal competence. J. Nurs. Manag.;19:732–741. https://doi.org/10.1111/j.1365-2834.2011.01270.x.
Feigin, VL., Norrving, B., George, M. G., Foltz, J. L., Roth, G. A., & Mensah, G. A. (2016). Prevention of stroke: a strategic global imperative. Nature reviews. Neurology, 12(9), 501–512. https://doi.org/10.1038/nrneurol.2016.107
Goldstein, L. B., Bushnell, C. D., Adams, R. J., Appel, L. J., Braun, L. T., Chaturvedi, S., Creager, M. A., Culebras, A., Eckel, R. H., Hart, R. G., Hinchey, J. A., Howard, V. J., Jauch, E. C., Levine, S. R., Meschia, J. F., Moore, W. S., Nixon, J. V., Pearson, T. A., American Heart Association Stroke Council, Council on Cardiovascular Nursing, … Council on Peripheral Vascular Disease, and Interdisciplinary Council on Quality of Care and Outcomes Research (2011). Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 42(2), 517–584. https://doi.org/10.1161/STR.0b013e3181fcb238
Kayser, L., Karnoe, A., Duminski, E., Somekh, D., & Vera-Muñoz, C. (2019). A new understanding of health-related empowerment in the context of active and healthy aging. BMC health services research, 19(1), 242. https://doi.org/10.1186/s12913-019-4082-5
Keishin-Gakuen Educational Group. (2016). Dasar Keperawatan Kaigo, Japan Welfare Education College.
Kemenkes RI, (2013). Pedoman Pengendalian Stroke. Direktorat P2PTM. Jakarta
Kemenkes RI, (2018). Pedoman Pendayagunaan Tenaga Caregiver Lanjut Usia. Badan Pengembangan Dan Pemberdayaan SDM Kesehatan. Jakarta
Kemenkes RI, (2019). Panduan Praktis untuk Caregiver dalam Perawatan Jangka Panjang bagi Lanjut Usia. Direktorat Kesehatan Keluarga. Jakarta
Kemenkes RI, (2020). Panduan Pelayanan Kesehatan Lanjut Usia Pada Era Pandemi Covid-19. Direktorat Kesehatan Keluarga. Jakarta
Kementerian Kesehatan RI. (2019). Petunjuk Teknis Pos Pembinaan Terpadu Posbindu bagi Kader. Jakarta : Kementrian Kesehatan RI
Misbah, N., & Tansah, A. (2015). Faktor-Faktor Yang Mempengaruhi Pemanfaatan Pos Pembinaan Terpadu Oleh Lansia. Jurnal Medikes (Media Informasi Kesehatan), 2(2). https://doi.org/10.36743/medikes.v2i2.112
Nichols, M., Sarfo, F. S., Singh, A., Qanungo, S., Treiber, F., Ovbiagele, B., Saulson, R., Patel, S., & Jenkins, C. (2017). Assessing Mobile Health Capacity and Task Shifting Strategies to Improve Hypertension Among Ghanaian Stroke Survivors. The American journal of the medical sciences, 354(6), 573–580. https://doi.org/10.1016/j.amjms.2017.08.005
Opoku, D., Stephani, V., & Quentin, W. (2017). A realist review of mobile phone-based health interventions for non-communicable disease management in sub-Saharan Africa. BMC medicine, 15(1), 24. https://doi.org/10.1186/s12916-017-0782-z
Riskesdas (Riset Kesehatan Dasar). (2018). Balitbangkes. Jakarta: Departemen Kesehatan (diunduh 30 Maret 2021). Retrieved from http://www.depkes.go.id/resources/download/infoterkini/materi_rakorpop_2018/Hasil Riskesdas 2018.pdf
Song Y., Anderson R.A., Corazzini K.N., Wu B. (2014). Staff characteristics and care in Chinese nursing homes: A systematic literature review. Int. J. Nurs. Sci. 1. 423–436. https://doi.org/10.1016/j.ijnss.2014.10.003.
Sunjaya, A. P. (2019). Potensi, Aplikasi dan Perkembangan Digital Health di Indonesia. Journal Of The Indonesian Medical Association, 69(4), 167-169. https://doi.org/10.47830/jinma-vol.69.4-2019-63
Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach's alpha. International journal of medical education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd
WHO (World Health Organization). (1986). The Ottawa charter for health promotion: WHO: World Health Organization; 1986.
WHO (World Health Organization). (2016) the Secretariat. WHO Framework on integrated people-centered health services, A report by the Secretariat: WHO; 2016. Retrieved from http://www.who.int/servicedeliverysafety/areas/people-centred-care/en/.
WHO. (2020). Digital Health. (diunduh 31 Maret 2021). Retrieved from https://www.who.int/health-topics/digital-health#tab=tab_2
Zeng, Y., Hu, X., Li, Y., Zhen, X., Gu, Y., Sun, X., & Dong, H. (2019). The Quality of Caregivers for the Elderly in Long-Term Care Institutions in Zhejiang Province, China. International journal of environmental research and public health, 16(12), 2164. https://doi.org/10.3390/ijerph16122164
License
Copyright (c) 2022 Erdanela Setiawati, Nur Indrawaty Lipoeto, Yuliarni Syafrita, Adang Bachtiar
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
