ABSTRAKLanjut usia (lansia) adalah seseorang yang telah mencapai usia 60 tahun keatas. Jumlah lanjut usia diproyeksikan meningkat sampai dengan 1.5 miliar pada tahun 2050. Seiring meningkat jumlah lansia permasalahan kesehatan juga semakin meningkat, salah satunya masalah penyakit hipertensi yang menjadi urutan pertama penyakit pada lansia. Hipertensi seringkali tanpa gejala (asimptomatik), sehingga banyak diabaikan dan merasa tidak ada masalah, sehingga dibutuhkan keterlibatan berbagai pihak dalam penatalaksanaannya, salah satunya keterlibatan kader kesehatan kesehatan lansia. Kader kesehatan lansia memiliki peran penting dalam pengelolaan hipertensi di masyarakat, meliputi pendataan, pengawasan atau monitoring, dan pendidikan kesehatan terkait hipertensi. Kegiatan ini bertujuan menguatkan peran dan fungsi kader pada lansia sehingga upaya kesehatan masyarakat dalam bentuk promotif, preventif, kuratif dan rehabilitatif dapat berjalan lebih optimal. Kegiatan PkM yang dilaksanakan meliputi edukasi kesehatan kepada kader: peran dan fungsi kader, konsep penyakit hipertensi dan kegawatdaruratannya, manajemen dan penatalaksanan hipertensi, pelatihan pemantauan tekanan darah, dilaksanakan secara hybrid dengan memperhatikan protokol kesehatan. Kegiatan diikuti 9 (90%) kader kesehatan lansia. Hasil post test didapatkan peningkatakan pengetahuan dan pelaksanaan pemantauan tekanan darah, pengetahuan kader meningkat dari rata-rata 68.1 menjadi 96.8 dan pemantauan tekanan darah didapatkan rata-rata 50.8 menjadi 88. Kegiatan ini penting dilakukan bagi para kader untuk meningkatkan pengetahuan dan keterampilan kader kesehatan lansia khususnya dalam penatalaksanaan hipertensi di masyarakat. Kata kunci:lanjut usia; hipertensi; kader kesehatan lansia. ABSTRACTThe Elderly is someone who has reached the age of 60 years and over. The number of elderly people is projected to increase to 1.5 billion by 2050. The increasing number of elderly, unfortunately, followed by an increase in health problems, one of them is hypertension. Hypertension is often asymptomatic, it’s often ignored and no problem. Management of hypertension requires the involvement of various parties, including elderly health cadres. Elderly health cadres have an important role in managing hypertension in the community, such as data collection, supervision or monitoring, and health education related to hypertension. This program aims to strengthen the role and function of elderly health cadres in promotive, preventive, curative, and rehabilitative activities, especially so that hypertension management can run more optimally. PkM activities carried out include health education to cadres: the roles and functions of cadres, the concept of hypertension and its emergencies, hypertension management, blood pressure monitoring training, carried out in a hybrid manner by observing health protocols. The activity was attended by 9 (90%) elderly health cadres. The results of the post-test of cadre knowledge obtained an average value of 96.8 from the previous average of 68.1 for the pre-test. The results of blood pressure monitoring obtained an average of 88 which was previously 50.8. It suggested the importance to maintain the enthusiasm and motivation of elderly health cadres with their potential roles in carrying out these roles. Keywords: elderly; hypertension; elderly health cadres.
ABSTRAKNyeri sendi menjadi urutan pertama keluhan yang dirasakan oleh lansia saat kunjungan Posyandu Lansia dan menjadi salah satu faktor utama lansia mencari pengobatan. Terapi pengobatan famakologi lebih banyak digunakan dalam penatalaksanaan nyeri, terapi ini harus hati-hati diberikan terutama pada lansia, mengingat efek samping yang merugikan dan menjadi risiko lebih besar akibat penurunan fungsi organ atau proses degeneratif. Tujuan kegiatan ini untuk pemberdayaan kader lansia dengan penguatan pengetahuan terkait nyeri sendi pada lansia, pelatihan penatalaksanaan nyeri sendi non farmakologi sebagai salah satu alternatif penanganan nyeri sendi, meliputi edukasi kesehatan nyeri sendi dan penatalaksanaanya, dan melakukan terapi non farmakologi dalam penatalaksanaan nyeri sendi yaitu : pemasangan plester kinesio dan kompres jahe merah. Evaluasi dilakukan dengan melakukan pre test dan post test pengetahuan kader tentang nyeri sendi dan penatatalaksanaannya kompres jahe merah dan kinesiotaping. Kegiatan diikuti seluruh kader yaitu sejumlah 10 orang. Hasil evaluasi pengetahuan meningkat 96% dari nilai rata-rata 50 (kategori sedang) menjadi nilai rata-rata 98 (kategori baik), penatalaksanaan nyeri sendi non farmakologi untuk kompres jahe merah meningkat 139% dari nilai rata-rata 38 (kategori kurang) menjadi nilai rata-rata 91 (kategori baik) dan pemasangan plester kinesio meningkat 250% dari nilai rata-rata 22 (kategori kurang) menjadi nilai rata-rata 77 (kategori baik). Kegiatan ini diharapkan dapat meningkatkan pengetahuan kader tentang nyeri sendi pada lansia, serta kader dapat menerapkan terapi non farmakologi yang aman dan efek samping yang minimal bagi lansia. Kata kunci: lanjut usia; kader lansia; nyeri sendi; kinesiotaping; kompres jahe merah. ABSTRACTOlder adults is someone who has reached the age of 60 years and over. Joint pain is often one of the main factors in the elderly seeking treatment. Pharmacological drug therapy is more widely used in the management of pain, this therapy must be given with caution, especially in the elderly, considering the adverse side effects and the greater risk due to decreased organ function or degenerative processes. The purpose of this activity is to empower elderly cadres by strengthening knowledge related to joint pain in the elderly, training in non-pharmacological joint pain management as an alternative for joint pain management, including joint pain health education and its management, and conducting non-pharmacological therapy in the management of joint pain, namely: installation kinesio plaster and red ginger compress. The evaluation was carried out by conducting a pre-test and post-test on the cadre's knowledge of joint pain and its management of red ginger compresses and kinesiotaping. The activity was attended by all cadres, namely a total of 10 people. The results of the evaluation of knowledge increased from an average score of 50 (moderate category) to an average score of 98 (good category), non-pharmacological management of joint pain for red ginger compresses from an average score of 38 (poor category) to an average score of 91 (good category) and installation of kinesio tape from an average value of 22 (poor category) to an average value of 77 (good category). This activity is expected to increase cadres' knowledge about joint pain in the elderly, and cadres can apply non-pharmacological therapies that are safe and have minimal side effects for the elderly. Keywords: older adults; elderly cadres; joint pain; kinesiotaping; red ginger compress.
Introduction: Natural disasters are phenomenon that were noticed throughout the world and Indonesia because it's great impact to the world's economic. Villagers of Pandansari Krajan had experienced many natural disaster phenomenon, but they had less participation in disaster risk reduction activities. The aimed of this research was to evaluate which factor was the most well-prepared for community resilience strengthening program. Method: This research was a non-experimental, descriptive survey method was used. The population was the entire adult at Pandansari Krajan village, with the number of respondents as many as 363, taken with simple random sampling technique. Result and Analysis: The result showed that the respondent's knowledge on the disaster risk in his place was the best score, that was 18.88. The lowest average score was the implementation of disaster risk reduction activities, that was 26.71 from the maximum score of 64. Disaster theory had been given and many natural disasters events were experienced by the villagers, those were the main reasons for this high score. However, resource-based economy strengthening played an important role along with the process of increasing community resilience. In addition to the economic condition, communication between communities and government need to be improved so that disaster risk reduction programs can be aligned between the two parties. Discussion: Training activities were needed to strengthen the community's economy so that resiliency can be improved. In addition, further research is needed to look forward for the most vulnerable groups when disaster arrive.
Introduction: The older adults and people with comorbidities are more susceptible to the infected of the COVID-19 virus, and have a higher risk of mortality compared to other populations. Steps to prevent transmission have been taken by the government, such as socializing physical distancing movements, staying at home, wearing masks when leaving the house, to prohibiting people from going to village. This study wants to know the factors and situations that influence the behaviour of preventing COVID-19. Methods: This research design uses observational design with correlation description approach. The total population is 148, obtained a sample of 126 respondents using the Slovin’s formula. Random sampling technique used with the help of the excel application. The older adult’s group was 63 respondents and the chronic disease group was 63 respondents. The researcher used 11 questionnaires and multivariate analysis test results using SEM with SmartPLS. Results: The results of the multivariate analysis test using SEM (Structural Equation Modeling) with SmartPLS (Partial Least Square) showed that the factors that influenced COVID-19 prevention behaviour in the older adult’s group were knowledge, while in the chronic disease group was social support and attitude towards COVID-19. Conclusion: It is hoped that it can improve preventive behaviour against COVID-19 by understanding what factors are weakening or factors that can increase the risk of COVID-19 transmission in the elderly and people with chronic diseases, and can be a policy reference in implementing the protocol of COVID-19 for the Village Government.
Introduction: Osteoarthritis is a slowly progressive non-inflamation in diarthrodial (synovial) joints which increasingly occurs as one ages, showing such initial symptom as pain in the joints during activities. The pain gets worse over time, causing the obstruction of joint movements and affects the patient’s functional ability. The aim of the study was to identify the effect of red ginger compress therapy and kinesio tapping on pain and stiffness in the joints and functional ability. Methods: This research used the Quasi Experiment pre and post test design with control group. A simple random technique to collect 112 respondents who were devided into intervention group receiving red ginger compress therapy, kinesiotaping group, combination of red ginger compress therapy and kinesiotaping group, and control group, each of which consisted of 28 respondents in Pangesti Elderly Home Lawang and Pangesti Tresno Mukti Elderly Home Turen. Results: Evaluation based on WOMAC index was applied on day one, three, five and seven. The result of ANCOVA showed the red ginger compress intervention with p = 0.005, kinesiotaping with p = 0.005 and red ginger compress + kinesiotaping with p = 0.005 in reducing pain, joint stiffness and difficulty functional ability. Conclusion: This research findings are expected to be one of non-pharmcological therapies recommended to patients with OA.
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