Peningkatan Self-Care Personal Hygiene Terhadap Risiko Infeksi Saluran Kemih pada Lansia

Authors

  • Kiadzaniko Imanurino Universitas Muhammadiyah Yogyakara
  • Dinasti Pudang Binoriang Universitas Muhammadiyah Yogyakara

DOI:

https://doi.org/10.59024/jikas.v4i2.1628

Keywords:

Health Education, Older adults, Personal hygiene, Self-care, Urinary tract infection

Abstract

Decline in the ability to perform activities of daily living among older adults can lead to poor personal hygiene practices, thereby increasing the risk of infections, including urinary tract infections. This study aims to analyze the effect of improving self-care in personal hygiene on reducing the risk of urinary tract infections in the elderly.The method used was a case study involving a single respondent (Mr. W), with a four-week intervention consisting of one visit per week, each lasting approximately 45 minutes. The intervention included personal hygiene education, practical demonstrations, direct assistance, and environmental modification.The results showed an improvement in both awareness and personal hygiene practices, as indicated by the ability to brush teeth regularly, perform proper genital care after urination, and maintain consistency in changing clothes and underwear, although some habits still required ongoing assistance.In conclusion, a holistic approach through education, assistance, and environmental support is effective in gradually improving personal hygiene practices among older adults. However, continuous efforts are necessary to achieve long-term behavioral consistency.

References

Agnes Dewi Astuti. 2025. “Jurnal Pengabdian Kepada Masyarakat Bidang Ilmu Keperawatan Optimal.” Jurnal Pengabdian Kepada Masyarakat Bidang Ilmu Keperawatan Optimal 1(2):29–35.

Amiri, F. N., M. H. Rooshan, M. H. Ahmady, dan M. J. Soliamani. 2022. “Hygiene practices and sexual activity associated with urinary tract infection in pregnant women.” Eastern Mediterranean Health Journal 15(1):104–10. doi: 10.26719/2009.15.1.104.

Amrullah, Adhi Wardhana, Avianti Eka, Dewi Aditya, Rolando Rahardjoputro, Fakultas Ilmu Kesehatan, Universitas Kusuma Husada, Fakultas Farmasi, Universitas Setiabudi, Desa Gumpang, Kecamatan Kartasura, Faktor Resiko, dan Kabupaten Sukoharjo. 2023. “EDUKASI UPAYA PENCEGAHAN DAN DETEKSI DINI PENYAKIT.” 2(April):20–31.

Arnold, Sif Helene, Melissa M. W. Thomsen, Marius Brostrøm Kousgaard, dan Jette Nygaard Jensen. 2025. “A shared approach to managing urinary tract infections in nursing homes improved perceived care quality, workload, and collaboration–a qualitative study.” Scandinavian Journal of Primary Health Care 43(2):500–509. doi: 10.1080/02813432.2025.2463455.

Asgedom, Akeza Awealom, dan Gebru Hailu Redae. 2024. “Water, sanitation, hygiene, and waste management in primary healthcare facilities in war-torn Tigray, Ethiopia: implications for infection prevention and control.” Infection Prevention in Practice 6(4):100397. doi: 10.1016/j.infpip.2024.100397.

Bae, Suyeon, dan Dayoung Kim. 2024. “Improving home-like environments in long-term care units: an exploratory mixed-method study.” Scientific Reports 14(1):1–16. doi: 10.1038/s41598-024-62328-0.

Bakhtiyary, Milad, Kazem Hosseinzadeh, Mohsen Saffari, dan Fatemeh Rahmati. 2026. “‘Exploring the components of health literacy in older adults: a qualitative content analysis approach.’” BMC geriatrics 26(1). doi: 10.1186/s12877-026-07236-w.

Bausch, Kathrin, Fabian P. Stangl, Jacqui Prieto, Gernot Bonkat, dan Jennifer Kranz. 2024. “Urinary Infection Management in Frail or Comorbid Older Individuals.” European Urology Focus 10(5):731–33. doi: 10.1016/j.euf.2024.08.007.

Cox, Stefan, Maud Vleeming, Wesley Giorgi, Geert Jan Dinant, Jochen Cals, dan Eefje de Bont. 2023. “Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study.” Antibiotics 12(2). doi: 10.3390/antibiotics12020241.

Dewi, Ratna Sari, dan Laila Amalia Asla. 2025. “EDUKASI HYGIENE GENITALIA SEBAGAI UPAYA PENCEGAHAN INFEKSI SALURAN KEMIH.” 2(1):133–39.

Durkin, Michael J., Viktoria Schmitz, Kevin Hsueh, Zoe Troubh, dan Mary C. Politi. 2023. “Older adults’ and caregivers’ perceptions about urinary tract infection and asymptomatic bacteriuria guidelines: A qualitative exploration.” Antimicrobial Stewardship and Healthcare Epidemiology 3(1):1–6. doi: 10.1017/ash.2023.498.

van Eijk, Jorna, Jeanine J. S. Rutten, Cees M. P. M. Hertogh, Martin Smalbrugge, dan Laura W. van Buul. 2023. “Observation of urinary tract infection signs and symptoms in nursing home residents with impaired awareness or ability to communicate signs and symptoms: The development of supportive tools.” International Journal of Older People Nursing 18(5):1–10. doi: 10.1111/opn.12560.

Erol, Cigdem, Aysel Pehlivanli, Salih Riza Ozan Yildiz, Leman Elif Dogangonul Doygun, Seyma Arslan, Nermin Karakurt, Sidre Erganis, Ezgi Gulten, Duygu Ocal, Hasan Selcuk Ozger, Hacer Dogan Varan, Daryoush Majidi, Huseyin Doruk, Ozlem Kurt Azap, dan Nurefşan Tuba Kurt. 2024. “Evaluation of urinary tract infection in the elderly patients: a multicenter prospective study.” Journal of Global Antimicrobial Resistance 39:54. doi: 10.1016/j.jgar.2024.10.172.

Fahruddin, Sri Gunda Fahrina, Raphita Diorarta, Hesti Rahayu, dan Eny Dewi Pamungkas. 2025. “Personal Hygiene untuk Meningkatkan Kualitas Hidup Lansia.” APMa Jurnal Pengabdian Masyarakat 5(1):9–15. doi: 10.47575/apma.v5i1.681.

Ford, James H., Anna T. Nora, dan Christopher J. Crnich. 2023. “Moving behavioral interventions in nursing homes from planning to action: a work system evaluation of a urinary tract infection toolkit implementation.” Implementation Science Communications 4(1):1–13. doi: 10.1186/s43058-023-00535-y.

Gágyor, Ildikó, Katrin Rentzsch, Stephanie Strube-Plaschke, dan Wolfgang Himmel. 2021. “Psychometric properties of a self-assessment questionnaire concerning symptoms and impairment in urinary tract infections: The UTI-SIQ-8.” BMJ Open 11(2):1–9. doi: 10.1136/bmjopen-2020-043328.

Hardi, Nicholas, Kevin Kristian, Fernandus William, Fransisca Theresia, Patricia Angelica, Juan A. Kuistono, Michelle A. Irawan, dan Yvonne S. Handayani. 2025. “Cognitive frailty in urban community-dwelling older adults: Associated physical and psychological risk factors.” Journal of Family and Community Medicine 32(4):316–23. doi: 10.4103/jfcm.jfcm_52_25.

Hogg, Elliot, Samuel Frank, Jillian Oft, Brian Benway, Mohammad Harun Rashid, dan Shouri Lahiri. 2022. “Urinary Tract Infection in Parkinson’s Disease.” Journal of Parkinson’s Disease 12(3):743–57. doi: 10.3233/JPD-213103.

Jia, Hairong, Wenhao Su, Jiaqi Zhang, Zhaoyang Wei, Pepertual Tsikwa, dan Yanru Wang. 2024. “Risk factors for urinary tract infection in elderly patients with type 2 diabetes: A protocol for systematic review and meta-analysis.” PLoS ONE 19(9):1–8. doi: 10.1371/journal.pone.0310903.

Kung, Po Jen, Ching Min Chen, Katherine A. Ornstein, dan Yi Yuan Cheng. 2025. “Challenges and Possibilities in Preventing Emerging Infectious Diseases in Long-Term Care: A Qualitative Descriptive Study.” Journal of Nursing Management 2025(1). doi: 10.1155/jonm/2732734.

Lestari, Nur Cahyani Ari, Tut Barkinah, Syahrida Wahyu Utami, Rahmawati Wahyuni, Deananda, dan Rosalin Ariefah Putri. 2024. “Trends of activity daily life (ADL) and mental health problems among middle-aged and elderly in Indonesia using IFLS 4 and IFLS 5.” Science Midwifery 12(4).

Leung, Man Wai, Margaret O’Donoghue, dan Lorna Kwai Ping Suen. 2023. “Personal and Household Hygiene Measures for Preventing Upper Respiratory Tract Infections among Children: A Cross-Sectional Survey of Parental Knowledge, Attitudes, and Practices.” International Journal of Environmental Research and Public Health 20(1). doi: 10.3390/ijerph20010229.

Ligon, Marianne M., Chetanchandra S. Joshi, Bisiayo E. Fashemi, Arnold M. Salazar, dan Indira U. Mysorekar. 2023. “Effects of aging on urinary tract epithelial homeostasis and immunity.” Developmental Biology 493:29–39. doi: 10.1016/j.ydbio.2022.11.003.

Longhini, Jessica, Kayla Gauthier, Hanne Konradsen, Alvisa Palese, Zarina Nahar Kabir, dan Nana Waldréus. 2025. “The effectiveness of nursing interventions to improve self-care for patients with heart failure at home: a systematic review and meta-analysis.” BMC Nursing 24(1). doi: 10.1186/s12912-025-02867-7.

Miller, Sophie J., Lucy Carpenter, Steven L. Taylor, Steve L. Wesselingh, Jocelyn M. Choo, Andrew P. Shoubridge, Lito E. Papanicolas, Geraint B. Rogers, Maria Inacio, Maria Crotty, Lex E. X. Leong, Craig Whitehead, David J. Lynn, David Gordon, dan Erin Flynn. 2024. “Intestinal microbiology and urinary tract infection associated risk in long-term aged care residents.” Communications Medicine 4(1):1–10. doi: 10.1038/s43856-024-00583-y.

Mititelu, Magdalena, Gabriel Olteanu, Sorinel Marius Neacșu, Iuliana Stoicescu, Denisa Elena Dumitrescu, Emma Gheorghe, Monica Tarcea, Ștefan Sebastian Busnatu, Corina Bianca Ioniță-Mîndrican, Ovidiu Tafuni, Ionela Belu, Antoanela Popescu, Sergiu Lupu, dan Carmen Elena Lupu. 2024. “Incidence of Urinary Infections and Behavioral Risk Factors.” Nutrients 16(3). doi: 10.3390/nu16030446.

Monica, Dhea, Eva Prilelli Baringbing, dan Yana Afrina. 2025. “Faktor-Faktor yang Mempengaruhi Kejadian Infeksi saluran kemih pada Pasien Rawat Jalan di Poliklinik Urologi RSUD dr. Doris Sylvanus Kota Palangka Raya.” Jurnal Surya Medika 11(3):383–92. doi: 10.33084/jsm.v11i3.12079.

Nejadsadeghi, Elham, Elham Eshaghi Gorji, Ahmad Vakili-Basir, Samaneh Norouzi, Seyedeh Leila Dehghani, dan Shahab Papi. 2024. “The impact of theory-based education on promoting urinary tract infection prevention behaviours among elderly diabetic women – experimental study.” Przeglad Menopauzalny 23(1):41–52. doi: 10.5114/pm.2024.136963.

Paramita, Windya Kartika. 2021. “Tinjauan Sistematis : Pengaruh Perilaku Kebersihan dan Perawatan Kesehatan Lansia Systematic Review : Affecting Behaviour of Hygiene and Health Care of the Eldery.” 9(1):69–78. doi: 10.20473/jpk.V9.I1.2021.69-78.

Prieto, Jacqui, Jennie Wilson, Alison Tingle, Emily Cooper, Melanie Handley, Jo Rycroft Malone, Jennifer Bostock, dan Heather Loveday. 2025. “Preventing urinary tract infection in older people living in care homes: the ‘StOP UTI’ realist synthesis.” BMJ Quality and Safety 34(3):178–89. doi: 10.1136/bmjqs-2023-016967.

Riskayanti, Septiana Dwi, Iskim Luthfa, dan Moch Aspihan. 2026. “Hubungan Tingkat Pemahaman dengan Praktik Personal Hygiene pada Lansia di Rumah Pelayanan Sosial Semarang Peraturan Presiden Nomor 88 Tahun 2021 mengenai Strategi Nasional Kelanjutusiaan teridentifikasi . Sebuah penelitian yang dilakukan oleh Hakim ( 2023.” 4:31–43.

Setyaningsih, Tri, Yurita Mailintina, Ribka Sabarina Panjaitan, Dian Fitria, dan Ary Rahmaningsih. 2024. “The Relationship Of Logotherapy In Improving The Self-Concept Of The Elderly In The Trisna Werda Social Home Budi Mulia II Cengkareng.” 15. doi: 10.54209/eduhealth.v15i03.

Shang, Jingjing, Ashley M. Chastain, Margaret V. McDonald, Jinjiao Wang, Ji Won Lee, Xuefan Ji, Bridget Morse-Karzen, dan David Russell. 2026. “Infection prevention and control knowledge, attitudes, and practices among patients and informal caregivers in home-based care: A systematic review.” American Journal of Infection Control 54(1):71–87. doi: 10.1016/j.ajic.2025.10.005.

Silva, João Luis Almeida da, Cassiane Dezoti da Fonseca, Eniva Miladi Fernandes Stumm, Roseanne Montargil Rocha, Myria Ribeiro da Silva, dan Dulce Aparecida Barbosa. 2021. “Factors Associated with Urinary Tract Infection in a Nursing Home.” Revista Brasileira de Enfermagem 74Suppl 2(Suppl 2):e20200813. doi: 10.1590/0034-7167-2020-0813.

Simorangkir, Lindawati, dan Endang Sinaga. 2022. “Self-Care Agency Meningkatkan Personal Hygiene Pada Lansia di Panti Werdha Binjai.” Nursing Current 7(1):60–67.

Solihin, Asri Handayani, Probosuseno, dan Christantie Effendy. 2025. “Evaluating a caregiver-focused safety culture model: Effects on caregivers’ safety perception, older adults’ quality of life, and the incidence of adverse events in Indonesia.” Belitung Nursing Journal 11(5):637–47. doi: 10.33546/bnj.3650.

Wang, Wei, Wei Yao, Wanyun Tang, Yuhao Li, Hongbo Sun, dan Wenbo Ding. 2024. “Risk factors for urinary tract infection in geriatric hip fracture patients: a systematic review and meta-analysis.” Frontiers in Medicine 11. doi: 10.3389/fmed.2024.1360058.

Wong, Rachel Li Yin, Chad Yixian Han, Jolene Thomas, dan Reegan Knowles. 2025. “A qualitative descriptive study on the perspectives and experiences of multidisciplinary HCPs in providing nutritional care to older adults with cancer.” Supportive Care in Cancer 33(3):1–12. doi: 10.1007/s00520-025-09254-7.

Zahro, Annisa Luthfiana Alifa, Aris Widiyanto, dan Nurhayati Isnani. 2022. “Journal of Language and Health Volume 5 No 3, Desember 2024.” Laporan Kasus: Pankreatitis Akut 3(2):71–78.

Zhang, Zi Chen, Qiu Hui Du, Hong Hong Jia, Yu Min Li, Yu Qin Liu, dan Shao Bo Li. 2024. “A qualitative study on inner experience of self-management behavior among elderly patients with type 2 diabetes in rural areas.” BMC Public Health 24(1):1–7. doi: 10.1186/s12889-024-18994-w.

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Published

2026-05-11