Nursing Care For Mrs. Y With Helplessness At Rojinhome Ikedaen Okinawa Japan

Ita apriliayani; Ririn Isma Sundari; Fia Muzayanah

doi:10.55227/ijhet.v4i6.692

Authors

Ita apriliayani Universitas Harapan Bangsa
Ririn Isma Sundari Universitas Harapan Bangsa
Fia Muzayanah Universitas Harapan Bangsa

DOI:

https://doi.org/10.55227/ijhet.v4i6.692

Keywords:

Nursing Care, Helplessness, Institutionalized Elderly, Powerlessness, Rojinhome

Abstract

The increasing elderly population in Japan and Indonesia increases the risk of powerlessness in residents of care facilities such as Rojinhome Ikedaen. This case study aims to describe nursing care for Mrs. Y with powerlessness through the process of assessment, diagnosis, intervention, implementation, and evaluation for 3x24 hours. The type of research is a qualitative descriptive case study with a nursing process approach. The population of the elderly in the Finesu room (20 people), a single purposive sample of Mrs. Y (92 years old, diabetes). Instruments include assessment sheets (MMSE, social interaction), interviews, observations; thematic analysis with triangulation. The results showed a diagnosis of powerlessness (D.0092) related to unsatisfactory interpersonal interactions; coping promotion intervention (I.09312) increased interaction interest from 2 to 5 and social participation. Conclusion: Stepwise nursing care is effective in reducing initial powerlessness, a continuous protocol for full independence is recommended.

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References

Apriliyani, I., Sundari, RI, & Muzayanah, F. (2026). Nursing care for Mrs. Y with helplessness at Rojinhome Ikedaen Okinawa Japan [Manuscript in preparation]. Harapan Bangsa University.

Cabinet Office, Government of Japan. (2024). Annual report on the aging society [Summary] FY2024.https://www8.cao.go.jp/kourei/english/annualreport/2024/pdf/2024.pdf

Chen, X., Giles, J., Yao, Y., Yip, W., Meng, Q., & Berkman, L. (2021). Powerlessness and depression among elderly in nursing homes: A meta-analytic review. International Journal of Nursing Studies, 118, Article 103924.https://doi.org/10.1016/j.ijnurstu.2021.103924

Chen, X., Zhang, Q., & Liu, Y. (2021). Social engagement and psychological well-being among institutionalized older adults. International Journal of Nursing Studies, 118, Article 103897.https://doi.org/10.1016/j.ijnurstu.2021.103897

Creswell, J. W. (2023). Qualitative inquiry and research design: Choosing among five approaches (5th ed.). SAGE Publications.

Emzir. (2019). Qualitative research methodology: Qualitative data analysis. Student Library.

Herdman, TH, Kamitsuru, S., & Lopes, CT (Eds.). (2021). NANDA International nursing diagnoses: Definitions and classification 2021–2023 (12th ed.). Thieme.https://www.thieme.com/nanda-2021

Igarashi, A., Yamamoto-Mitani, N., Gushiken, Y., Takai, Y., Tanaka, M., & Okamoto, Y. (2021). Developing and piloting a person-centered care program in a Rōjin Home in Japan. Geriatric Nursing, 42(4), 891–899.https://doi.org/10.1016/j.gerinurse.2021.03.014

Keliat, BA, Akemat, P., Helena, N., & Nurhaeni, H. (2020). The psychiatric nursing process (3rd ed.). EGC.

Ministry of Health of the Republic of Indonesia. (2021). Guidelines for health services for the elderly in Tresna Werdha social homes.https://www.kemkes.go.id

Ministry of Health of the Republic of Indonesia. (2024). Projection of the elderly population of Indonesia 2023-2045.

Ministry of Health, Labor and Welfare Japan. (2022). Kaigo service shisetsu/jigyōsho chōsa [Survey of nursing care service facilities and establishments].https://www.mhlw.go.jp/toukei/list/24-22-2.html

Ministry of Internal Affairs and Communications. (2024). Population census 2024.

Indonesian National Nurses Association (PPNI). (2017). Indonesian Nursing Diagnosis Standards (SDKI).

Indonesian National Nurses Association (PPNI). (2019a). Indonesian Nursing Intervention Standards (SIKI).

Indonesian National Nurses Association (PPNI). (2019b). Indonesian Nursing Outcome Standards (SLKI).

Santini, ZI, Jose, P.E., & Koyanagi, A. (2022). Social disconnectedness and depression among older adults. The Lancet Healthy Longevity, 3(1), e62–e70.https://doi.org/10.1016/S2666-7568(21)00230-4[11]

Sugihara, Y., Sugisawa, H., Nakatani, Y., & Shibata, H. (2020). Learned helplessness and quality of life among Japanese elderly in long-term care facilities. International Journal of Geriatric Psychiatry, 35(4), 412–420.https://doi.org/10.1002/gps.5263

Sugiyono. (2023). Quantitative, qualitative, and R&D research methods. Alfabeta.

Sudaryono. (2022). Health research methodology. Nuha Medika.

Susanty, S., Chung, MH, Chiu, HY, Chi, MJ, Hu, SH, Kuo, CL, & Chuang, YH (2022). Prevalence of loneliness and associated factors among community-dwelling older adults in Indonesia: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(8), Article 4911.https://doi.org/10.3390/ijerph19084911

Tanaka, K., Yamamoto, R., & Hoshi, T. (2019). Cultural dimensions of powerlessness among institutionalized elderly in Japan: The role of amae and ikigai. Aging & Mental Health, 23(7), 891–898.https://doi.org/10.1080/13607863.2018.1471585

Wahyuni, S., & Kristianto, H. (2021). Empowerment-based nursing interventions for the level of helplessness of the elderly in nursing homes. Indonesian Nursing Journal, 24(2), 78–86.https://doi.org/10.7454/jki.v24i2.1234

World Health Organization. (2022). Aging and health.https://www.who.int/news-room/fact-sheets/detail/aging-and-health