Permasalahan Lanjut Usia di Daerah Perdesaan Terpencil

Abstract

AbstrakDalam kurun waktu 35 tahun sejak tahun 1990, jumlah lanjut usia (lansia) di Indonesia meningkat 414% dan akan berada pada peringkat kelima negara dengan lansia terbesar pada tahun 2025. Seperti umumnya di negara berkembang, lebih dari dua per tiga lansia hidup di wilayah perdesaan terpencil. Penelitian ini bertujuan untuk mendeskripsikan dan membahas berbagai masalah gangguan kesehatan, sosial budaya, pelayanan, dan program-program kesehatan lansia di Kepulauan Tanimbar Provinsi Maluku. Penelitian dengan metode kualitatif melalui observasi, partisipasi, dan wawancara terhadap 30 lansia di dua wilayah semiurban dan 6 wilayah perdesaan terpencil di kepulauan Tanimbar Provinsi Maluku pada bulan April-Juni 2010. Pengumpulan data, diskusi, dan wawancara dilakukan terhadap pemegang program lansia di dinas kesehatan dan puskesmas. Gangguan kesehatan yang banyak dialami lansia adalah artralgia genu, gastritis kronis, nyeri pinggang bawah, katarak, hipertensi, dan diabetes melitus. Masalah sosial budaya akibat urbanisasi membuat para lansia tinggal sendiri tanpa perawatan anak atau cucu. Pelayanan kesehatan terlihat belum optimal, sarana/prasarana terbatas, aspek promosi kesehatan terabaikan, serta tenaga kesehatan yang memperhatikan kesehatan lansia masih kurang. Pos pelayanan terpadu (posyandu) lansia belum efektif, informasi minimal, kader belum optimal menunjang kebutuhan lansia. Ke depan, perlu memperkuat sistem pelayanan kesehatan lansia; peningkatan perhatian dan kemitraan dengan lembaga eksekutif dan legislatif; serta melakukan inovasi strategi pendidikan, pelayanan, dan penelitian di bidang kesehatan lansia di daerah terpencil dan perdesaan Indonesia.Kata kunci: Kesehatan, lanjut usia, perdesaan Abstract Indonesia is a country with the highest increase numbers of elderly in the world. In the range 35 years since 1990, the increase number of the elderly will be 414% that will set Indonesia in the fifth rank of the highest elderly in the world by the year of 2025. In most developing countries on the world, Permasalahan Lanjut Usia di Daerah Perdesaan Terpencil Problems of The Elderly in Remote Rural AreaLaurentius Aswin Pramono* Cornelles Fanumbi** 201 more than two third elderly live in remote and rural area. The aim of this study is to descript and discuss statistic data, health, health services, and programs for elderly in remote and rural Indonesia represented by Tanimbar Islands Maluku Province. The study use qualitative method by observation, participation, and interview with 30 elderly from 2 semiurban and 6 rural area in remote, rural, new developing administration district, and outer islands of Republic Indonesia, Tanimbar Islands, Maluku Province in April to June 2010. We also interview and discuss elderly problems with elderly section program in health department West-Southeast Maluku region and elderly program personnel in public health center. From the study, we found major health problems of the elderly in Tanimbar are genus artralgia, chronic gastritis, lower back pain, cataract, hypertension...

Web-Based Application to Support Physical Fitness Information of Elderly People

“…The elderly service still depends on health services by the health workers, which has not been optimal yet, especially in remote rural area. 16 These two constraints can be overcome by inputting the fitness data in the pulse beat and lung capacities which have been converted in the time unit of jogging in 1600 meter in this fitness monitoring application. Webbased health information system will make it easier for users to access health information.…”

Plants and herbs for therapy of diabetes

“…5 In many remote rural areas with low human resources, sometimes paramedics (nurses, midwifes, even traditional healers) give treatment for diabetes patients. 6,7 This phenomena also occur in remote rural areas in Indonesia. 6 Since in several remote villages there are only glibenclamide which is available in the primary health cares, health practitioners always suggest glibenclamide for the treatment of diabetes as if the drug is the only drug used for diabetes.…”

“…6,7 This phenomena also occur in remote rural areas in Indonesia. 6 Since in several remote villages there are only glibenclamide which is available in the primary health cares, health practitioners always suggest glibenclamide for the treatment of diabetes as if the drug is the only drug used for diabetes. This pitifull condition continue from time to time without any evaluation of blood glucose (no monitoring), complication examination, and titration of doses and intensification of treatment, while blood glucose control has not achieve the target.…”

Peran Keluarga Dalam Merawat Lansia Dengan Kualitas Hidup Lansia

“…Permasalahan yang muncul pada lansia yang berkaitan dengan kesehatan seperti hipertensi, DM, demensia, katarak dan pembesaran prostat jinak bisa menimbulkan bermacam masalah kejiwaan seperti ansietas, depresi dan gangguan kualitas tidur. Kondisi tersebut memberikan dampak yang cukup tinggi terhadap tingkat rasa sakit dan juga kematian, serta penurunan kualitas hidup (Pramono & Fanumbi, 2012).…”