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"Perawatan pada lansia di panti tresna werdha X dilakukan berdasarkan rutinitaskerja dan petugas belum mendapat pelatihan mengenai kebutuhan dasar lansiayang harus dipenuhi. Berdasarkan hal tersebut, peneliti ingin mengetahuihubungan budaya kerja petugas panti menurut persepsi lansia dengan kejadianpengabaian di PSTW X Sumatera Barat. Desain penelitian deskriptif korelasi,menggunakan pendekatan cross sectional. Pengambilan sampel dengan totalsampling, berjumlah 75. Uji statistik digunakan chi square dan regresi logistik.Hasil yang diperoleh seluruh lansia mengalami pengabaian; ada hubungan antarasikap terhadap apa yang dikerjakan, lingkungan pekerjaan; waktu denganpengabaian lansia; Tidak ada hubungan antara perilaku ketika mengambilkeputusan dengan pengabaian lansia. Sikap terhadap apa yang dikerjakanmemiliki pengaruh paling besar terhadap kejadian pengabaian lansia.Disimpulkan bahwa petugas harus lebih memahami tentang peran dan fungsinyasebagai pemberi pelayanan pada lansia. Direkomendasikan agar pejabat yangberwenang dapat menempatkan petugas panti sesuai dengan peran dan fungsiserta kewenangannya, dan merekrut perawat sesuai dengan kebutuhan panti.;The nursing of elderly in Tresna Werda X nursing home is mainly based on theworkrout in and that the caregiver have not yet received training on the basicneeds of the elderly that they should meet. Therefore, the researcher wanted toknow the relations of the work culture of caregiver according to the elderly’sperception with the incidence of neglect in PSTW X West Sumatera. This studyused Descriptive correlation design with cross sectional approach. The method ofsampling used total sampling, which amounts to 75. The statistical test used chisquare and logistic regression. The results of the study show that all of the elderlyexperienced neglect; there is a relation between attitude towards what isconducted, work environment, time with elderly neglect; no relation betweenbehavior in making decisions with elderly neglect. The attitude towards what isconducted has the most impacton the incidence of elderly neglect. It is concludedthat the caregiver should have a better understanding on their roles and functionsas the caregivers to the elderly. Moreover, it is recommended that the authoritiesshould put nursing personnel in accordance with the roles, functions andcompetence, and recruit nurses in accordance with the needs of the nursing home.

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The nursing of elderly in Tresna Werda X nursing home is mainly based on theworkrout in and that the caregiver have not yet received training on the basicneeds of the elderly that they should meet. Therefore, the researcher wanted toknow the relations of the work culture of caregiver according to the elderly’sperception with the incidence of neglect in PSTW X West Sumatera. This studyused Descriptive correlation design with cross sectional approach. The method ofsampling used total sampling, which amounts to 75. The statistical test used chisquare and logistic regression. The results of the study show that all of the elderlyexperienced neglect; there is a relation between attitude towards what isconducted, work environment, time with elderly neglect; no relation betweenbehavior in making decisions with elderly neglect. The attitude towards what isconducted has the most impacton the incidence of elderly neglect. It is concludedthat the caregiver should have a better understanding on their roles and functionsas the caregivers to the elderly. Moreover, it is recommended that the authoritiesshould put nursing personnel in accordance with the roles, functions andcompetence, and recruit nurses in accordance with the needs of the nursing home."

"Kesendirian tanpa adanya anggota keluarga yang merawat dan mendampingi menjadi ketakutan besar ketika menghadapi masa tua nanti. Akan tetapi, kondisi ini yang harus dirasakan oleh banyaknya lansia di Desa Tengku Lese, Kabupaten Manggarai, Nusa Tenggara Timur. Sosok anak-anak yang idealnya memiliki kapabilitas sebagai pendamping terdekat lansia tidak ada di sisi mereka karena bermigrasi ke kota dan bahkan ke luar pulau akibat terhimpit kondisi perekonomian. Kondisi ini mendorong lansia dalam kondisi kian rentan, yang sejatinya memerlukan pendamping, harus juga berperan menjadi pendamping untuk merawat cucu yang ditinggalkan oleh anak-anak mereka. Di sisi lain, fenomena migrasi membentuk sebuah relasi kepedulian antara lansia dan tenaga kesehatan utama di desa, yaitu perawat dan bidan, sebagai pihak yang bertanggung jawab demi keberlangsungan kesehatan masyarakat Desa Tengku Lese, termasuk lansia. Walaupun dilihat sebagai sosok yang memiliki tanggung jawab atas kesehatan lansia, perawat dan bidan juga berada dalam kondisi rentan dengan kesulitan-kesulitan yang dirasakan ketika mengemban tugasnya. Penelitian ini dilakukan dengan observasi partisipan dan wawancara para lansia serta perawat dan bidan. Tulisan ini mencoba menganalisis relasi kepedulian yang terbentuk dari sebuah rasa kerentanan, dengan melihat contoh kasus lansia yang tidak memiliki pendamping dan harus menjadi pendamping bagi cucunya, serta tenaga kesehatan yang berperan dalam merawat lansia.

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Loneliness without family members to care for and accompany them becomes a great fear when facing old age. However, this is the reality experienced by many elderly people in Desa Tengku Lese, Manggarai Regency, East Nusa Tenggara. The ideal figure of children who could serve as close companions for the elderly is absent because they have migrated to cities or even off the island due to economic pressures. This situation leaves the elderly more vulnerable, as they not only need companionship but also often find themselves taking on the role of caregivers for their grandchildren, left behind by their children. On the other hand, the phenomenon of migration has forged a relationship of care between the elderly and the primary healthcare providers in the village—nurses and midwives—who are responsible for the community's health, including that of the elderly in Desa Tengku Lese. Despite being seen as responsible for the elderly's health, nurses and midwives themselves face vulnerabilities and challenges in carrying out their duties. This research was conducted through participant observation and interviews with the elderly and healthcare workers. This paper try to analyze the caregiving relationships formed from a sense of vulnerability, examining cases where the elderly lack companionship and must care for their grandchildren, as well as the role of healthcare workers in elderly care."

"Cedera terkait jatuh pada lanjut usia diidentifikasi sebagai masalah kesehatan masyarakat yang memiliki konsekuensi besar dalam mempengaruhi kualitas hidup lanjut usia. Identifikasi risiko jatuh penting dilakukan dalam upaya deteksi dini dan pencegahan untuk menurunkan morbiditas dan mortalitas akibat jatuh pada lansia. Penelitian ini ditujukan untuk mengembangkan instrumen penilai risiko jatuh pada lansia di masyarakat, dengan memodifiksi instrumen IFRAT (Indonesian Fall Risk Assessment Tool) yang pernah dikembangkan sebelumnya, namun memiliki nilai akurasi yang rendah. Instrumen Modifikasi IFRAT mengidentifikasi risiko jatuh secara multifaktor meliputi status sosiodemografi (umur jenis kelamin, wilayah tempat tinggal), faktor instrinsik (riwayat jatuh seblumnya, riwayat penyakit kronis, depresi, inkontinensia, gangguan penglihatan, gangguan pendengaran dam gangguan keseimbangan) dan faktor ekstrinsik (lingkuran tempat tinggal dan konsumsi obat).Hasil penelitian ini mengidentifikasi prevalensi jatuh pada lansia dalam satu tahun terakhir sebesar 20% dan prevalensi jatuh selama monitoring ssebesar 12,5%. Instrumen M-FRAT memiliki akurasi yang baik berdasarkan nilai Receiver operating characteristic sebesar 0.76; 95%CI (0,688 – 0,824), dengan sensitifitas 71,15% dan spesifisitas 73,26%. Hasil uji kepraktisan menunjukkan bahwa instrumen M-IFRAT dapat diterima dan digunakan di lapangan. Dapat disimpulkan bahwa instrumen M-IFRAT akurat dan praktis untuk menilai risiko jatuh pada lansia di masyarakat.

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Fall-related injuries in the elderly are identified as a public health problem that has major consequences in affecting the quality of life of the elderly. One in four elderly people fall every year. Early detection of fall risk is useful in primary prevention efforts to reduce morbidity and mortality in the elderly caused by fall. This study is aimed at developing an instrument for assessing the risk of falls in elderly living in the community dwelling, by modifying the former instrument called IFRAT (Indonesian Fall Risk Assessment Tool) that has a low accuracy level. The Modified IFRAT identifies the risk of falling in a multifactorial approach including sociodemographic status (age, gender, region of residence), intrinsic factors (previous fall history, history of chronic disease, depression, incontinence, visual impairment, hearing loss and balance disorders) and extrinsic factors (home environment hazard and medication).

The study identified the prevalence of falls in the elderly in the past year by 20% and the prevalence of falls during monitoring of 12.5%. The M-FRAT instrument has good accuracy based on the Receiver operating characteristic score of 0.76; 95%CI (0.688 – 0.824), with a sensitivity of 71.15% and a specificity of 73.26%. The practicality test show that the M-IFRAT is practical and acceptable to be applied in community. It can be concluded that the M-IFRAT is accurate and practical to assess the risk of falls in the elderly in the community."

"Penuaan menyebabkan adanya perubahan struktur maupun fungsi pada sistem kardiovaskular lansia. Perubahan sistem kardiovaskular tersebut membuat lansia rentan mengalami hipertensi atau risiko ketidakstabilan tekanan darah. Salah satu intervensi keperawatan yang dapat dilakukan untuk menurunkan tekanan darah adalah terapi rendam kaki dengan air hangat. Penulisan ini bertujuan untuk menggambarkan hasil intervensi keperawatan pada lansia dengan hipertensi melalui terapi rendam kaki dengan air hangat terhadap penurunan tekanan darah. Intervensi dilakukan selama 5 hari berturut-turut dengan durasi 15 menit dan menggunakan suhu air hangat dalam rentang 400C -40,50C. Hasil menunjukkan adanya penurunan tekanan darah sistolik sekitar 2-5 mmHg dan 2-12 mmHg pada tekanan darah diastolik. Terapi rendam kaki air hangat merupakan intervensi yang sederhana, aman yang dapat menimbulkan sensasi kenyamanan dan relaksasi untuk masalah penyakit jantung sehingga membantu mengurangi keluhan hipertensi pada lansia.

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Aging causes structural and functional changes in the cardiovascular system of the elderly. Changes in the cardiovascular system make the elderly vulnerable to hypertension or the risk for unstable blood pressure. One of the nursing interventions that can be done to reduce blood pressure is foot soak therapy with warm water. This case study aims to describe the results of therapy soak feet with warm water in changing blood pressure which conducted in the elderly with hypertension. This intervention performed for 5 consecutive days in 15 minutes duration and using warm water temperatures in the range of 400C -40,50C. The results showed the blood pressure has decreased, in systolic around 2-5mmHg and 2-12 mmHg in diastolic. Warm water foot soak therapy is a simple, safe intervention that can cause a sensation of comfort and relaxation for heart disease problems so that it helps reduce complaints of hypertension in the elderly."

"Hipertensi masih menjadi tren penyakit yang paling sering diderita oleh lansia. Penatalaksanaan hipertensi dapat dilakukan menggunakan intervensi non-farmakologi dan intervensi farmakologi. Intervensi yang disarankan untuk penatalaksanaan pertama pada penderita hipertensi ialah intervensi non-farmakologi melalui modifikasi gaya hidup dengan mengatur pola diet. Diet yang disarankan ialah Dietary Approaches to Stop Hypertension (DASH). Tujuan dari penerapan diet DASH ini ialah untuk menurunkan tekanan darah pada lansia hipertensi dengan masalah keperawatan risiko ketidakstabilan tekanan darah. Intervensi dilakukan selama empat belas hari penerapan diet DASH dengan pencatatan asupan makanan menggunakan food recall 24 jam setiap harinya dan pengukuran tekanan darah setiap kunjungan rumah. Hasil dari intervensi yang telah dilakukan pada Nenek K tidak menunjukan hasil yang diharapkan, tekanan darah pada Nenek K tidak menurun secara signifikan. Akan tetapi, pola makan pada Nenek K sudah teratur dan terkontrol dengan penerapan diet DASH. Hal ini terjadi karena ada berbagai faktor lain yang mempengaruhi tekanan darah seperti aktivitas fisik, stres, dan kepatuhan minum obat, sehingga alasan dari tujuan intervensi tidak tercapai selain waktu penerapan yang singkat, masih banyak hal yang mempengaruhi tekanan darah pada lansia dan diet makanan hanya salah satu faktor saja.

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Hypertension is still one of the most common disease suffered by the elderly. Managing hypertension is done through non-pharmacological and pharmacological intervention. The recommended intervention as first-line intervention for patients with hypertension is non-pharmacological through lifestyle modification by adjusting diet patterns. The recommended diet pattern is Dietary Approaches to Stop Hypertension (DASH). The purpose of implementing DASH is to reduce blood pressure in patients with the risk of blood pressure instability. In this study, the intervention was carried out for fourteen days of applying DASH. Food intake was recorded using food recall 24 hours a day and blood pressure was measured at every home visit. The results of the intervention that had been carried out on Mrs. K did not show the expected results. Mrs. K’s blood pressure did not decrease significantly. This happened because of the short implementation time of the DASH diet, which was 14 days. The results of this study could be to be used by nurses as a reference in implementing DASH for the elderly with hypertension to reduce blood pressure. However, Mrs. K's eating pattern was regular and controlled with the application of DASH diet. There were other factors that affected blood pressure such as physical activity, stress, and medication adherence that might have contributed to the failing of the intervention. The short amount of time during which the intervention was done was just one factor of it. "

"Long Covid atau post COVID-19 syndrome merupakan kondisi masih adanya gejala pada pasien COVID-19 yang sudah dinyatakan sembuh. Pada lansia yang terkonfirmasi positif COVID-19, kondisi long covid lebih banyak terjadi akibat adanya perubahan fisiologis yang terjadi berkaitan dengan proses penuaan. Gejala yang dialami oleh lansia yang mengalami long COVID-19 atau post COVID-19 syndrome yaitu mudah lelah, terutama saat beraktivitas, sesak napas, jantung berdebar, nyeri pada sendi dan nyeri otot. Kondisi post COVID-19 syndrome ini dapat menyebabkan masalah keperawatan penurunan toleransi aktivitas. Penulisan ini melaporkan asuhan keperawatan pada lansia di Kelurahan Kukusan dengan masalah keperawatan penurunan toleransi aktivitas dan penerapan terapi rehabilitasi. Intervensi terapi rehabilitasi dilakukan tiga kali pertemuan setiap pekan selama dua pekan, dengan jumlah total enam kali pertemuan intervensi. Setiap sesi terapi rehabilitasi dilakukan selama 10 menit. Hasil implementasi yang dilakukan terhadap Nenek A menunjukkan hasil penerapan terapi rehabilitasi pada lansia post COVID-19 dapat mengatasi penurunan toleransi aktivitas ditandai dengan evaluasi perasaan tidak nyaman berkurang, keluhan mudah lelah berkurang, serta ditandai dengan penurunan tekanan darah namun tidak secara signifikan, terdapat penurunan nadi secara signifikan, saturasi oksigen dalam kondisi stabil, laju pernapasan dalam kondisi stabil dan normal, serta penurunan skala kelelahan (skala BORG) secara signifikan.

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Long Covid or post COVID-19 syndrome is a condition that still has symptoms in COVID-19 patients who have been declared cured. In the elderly who are positively confirmed COVID-19, long covid conditions occur more due to physiological changes that occur related to the aging process. Symptoms experienced by elderly people who experience long COVID-19 or post COVID-19 syndrome are easily tired, especially when on the move, shortness of breath, heart palpitations, pain in the joints and muscle pain. This post-COVID-19 syndrome condition can cause nursing problems to decrease activity tolerance. This writing reports nursing care in the the elderly in Kukusan Village with nursing problems decreased activity tolerance and application of rehabilitation therapy. Rehabilitation therapy interventions are carried out three meetings every week for two weeks, with a total of six intervention meetings. Each rehabilitation therapy session is carried out for 10 minutes. The results of the implementation showed that the results of the implementation of rehabilitation therapy in the elderly post COVID19 can overcome the decrease in activity tolerance characterized by the evaluation of reduced uncomfortable feelings, complaints of fatigue reduced, and characterized by a decrease in blood pressure but not significantly there is a significant decrease in pulse, oxygen saturation in stable condition, respiratory rate in stable and normal condition, as well as a significant reduction in fatigue scale (BORG scale). "

"Masalah jatuh pada lansia merupakan masalah fisik yang sering dialami lansia akibat proses penuaan Jatuh adalah suatu peristiwa yang dilaporkan penderita atau saksi mata yang melihatnya mengakibatkan seseorang menjadi terduduk atau terbaring tanpa sengaja di lantai atau tempat yang lebih rendah dengan atau tanpa kehilangan kesadaran Risiko jatuh dapat dihindari dengan upaya pencegahan melalui identifikasi faktor risiko latihan kekuatan fisik dan modifikasi lingkungan Karya ilmiah bertujuan memaparkan hasil asuhan keperawatan pada residen dengan masalah risiko jatuh di STW Budi Mulya 1 Ciracas Salah satu intervesi untuk masalah risiko jatuh yaitu latihan keseimbangan yang dilakukan tiga kali seminggu selama lima minggu Hasil evaluasi yang didapat peningkatan kekuatan otot ekstemitas bawah meningkat dari 4444 menjadi 4455 skor MFS Morse Fall Scale menurun dari 55 menjadi 25 dan skor BBT Berg Balance Test meningkat dari 40 menjadi 50 Saran diharapkan pihak STW melakukan pencegahan risiko jatuh pada lansia dengan memberikan latihan keseimbangan melalui kegiatan senam secara rutin modifikasi lingkungan da penilaian secara rutin MFS dan BBT setiap tiga bulan

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The incidence of falling in elderly is caused by ageing process Fall is often reported by witnesses causing individual falling powerlessness on floor or lower ground without losing consciousness Risk for fall can be avoided by identifying the risks balance exercise and environmental modification This paper aims to describe the result of nursing care towards the residents with risk for fall three times a week for five weeks The result showed that there are higher muscle strength found from 4444 to 4455 and the lowered score of MFS from 55 to 25 as well as the higher score of Berg Balance Test BBT from 40 to 59 The recommendation given to STW is that to keep committing balance exercise as a routine and modify environment around as well as evaluate MFS and BBT every three months "

"Latar belakang: Perawatan demensia dapat menimbulkan dampak negatif yang dialami oleh pelaku rawat keluarga. Intervensi keperawatan holistik pada pelaku rawat keluarga selama merawat lansia dengan demensia dapat mengurangi dampak negatif akibat merawat lansia dengan demensia. Tujuan: Penelitian bertujuan mengidentifikasi efektivitas model KASIH terhadap kualitas pengasuhan, beban pelaku rawat, salah perlakuan, dan fungsi kognitif lansia dengan demensia. Metodologi: Penelitian menggunakan penelitian operasional melibatkan 114 responden dengan pengambilan sampel dilakukan secara simple random sampling. Hasil : Hasil menunjukkan adanya perbedaan bermakna dari waktu ke waktu antara kelompok kontrol dan intervensi pada skor kualitas pengasuhan (nilai ρ .001), skor beban (nilai ρ .001), skor salah perlakuan (nilai ρ .001), dan skor fungsi kognitif (nilai ρ .001). Simpulan: Model KASIH mampu meningkatkan skor kualitas pengasuhan, menurunkan skor beban pelaku rawat keluarga dan salah perlakuan, serta memperlambat penurunan fungsi kognitif setelah evaluasi 2 bulan dan 4 bulan. Model KASIH dapat diadopsi untuk meningkatkan dampak positif pengasuhan lansia dengan demensia pada pelaku rawat keluarga dan lansia dengan demensia.

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Background: Dementia care can have a negative impact on family caregivers. Holistic nursing interventions for family caregivers while caring for the elderly with dementia can reduce the negative impact of caring for the elderly with dementia. Objectives: The study aimed to identify the effectiveness of the KASIH model on the quality of care, caregiver burden, mistreatment, and cognitive function of the elderly with dementia. Method: The study used operational research, involved 114 respondents which sampling was done by simple random sampling. Results: There were significant differences over time between the control and intervention groups on quality of care scores (ρ .001), burden scores (ρ .001), mistreatment scores (ρ .001), and cognitive function scores (ρ .001). Conclusion: The KASIH model improved caregiving quality scores, reduced family caregiver burden and mistreatment scores, and slowed cognitive function decline after 2-month and 4-month evaluations. The KASIH model can be adopted to increase the positive impact of caring for older people with dementia on family caregivers and older people with dementia."

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Perilaku caring dalam ilmu keperawatan merupakan inti dari keperawatan yang bertujuan untuk memahami dan memenuhi kebutuhan klien. Lansia yang berkesempatan tinggal di Panti Sosial karena adanya keterbatasan jumlah perawat di PSTW menyebabkan caregiver menjadi yang terdekat dengan lansia selama 24 jam. Penelitian ini merupakan penelitian deskriptif korelasi untuk mengidentifikasi adanya hubungan antara perilaku caring caregiver dengan kepuasan lansia. Sampel dalam penelitian ini adalah lansia sebanyak 107 responden diambil di PSTW X DKI Jakarta. Instrumen penelitian menggunakan Caring Factor Survey (CFS) dan Service Quality (SERVQUAL). Hasil penelitian (p value (0,02) < α (0,05); dan nilai OR = 2,9) menunjukan adanya hubungan antara perilaku caring caregiver dengan kepuasan lansia. Perlunya peningkatan sumber daya manusia guna meningkatkan mutu pelayanan sehingga lansia di Panti Sosial dapat puas dan kondisinya menjadi optimal.

 

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The caring behaviour in nursing is the core of nursing that aims to understand and meet client needs. The elderly who stay at the Social Institution due to the limited number of nurses in PSTW cause caregivers to be closest to the elderly for 24 hours. This research is a descriptive correlation study to identify the relationship between caring caregiver behaviour and elderly satisfaction. The sample in this study were 107 respondents taken at PSTW X DKI Jakarta. The research instrument uses the Caring Factor Survey (CFS) and Service Quality (SERVQUAL). The results of the study (p-value (0.02) < I± (0.05); and OR = 2.9) indicate the correlation between caring caregiver behavior and elderly satisfaction. The need to increase human resources is necessary to improve service quality. As a result, the elderly at PSTW X DKI Jakarta will be satisfied with the service quality, and their condition potentially becomes optimal.

 

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"Lansia merupakan kelompok individu dengan usia lebih dari 60 tahun. Semakin bertambahnya usia, maka fungsi sistem-organ tubuh akan semakin menurun karena adanya perubahan struktur anatomi dan fisiologi pada jaringan tubuh. Salah satu sistem yang mengalami penurunan fungsi yaitu sistem kardiovaskular yang akan berdampak pada meningkatnya tekanan darah lansia. Salah satu terapi non farmakologi yang dapat dilakukan untuk membantu menurunkan tekanan darah adalah slow deep breathing, yaitu teknik napas dalam yang dilakukan secara perlahan. Penulisan manuskrip ini bertujuan untuk menganalisis hasil intervensi keperawatan latihan slow deep breathing terhadap perubahan tekanan darah pada lansia di Kabupaten Cilacap. Intervensi latihan slow deep breathing dilakukan pada tiga lansia dengan posisi semi fowler atau high fowler dan lansia melakukan pernapasan dengan frekuensi napas 6 kali per menit, 4 detik inspirasi dan 6 detik ekspirasi, selama 15 menit setiap dua kali sehari selama 2 minggu. Hasil analisis terhadap latihan slow deep deep breathing pada lansia menunjukkan adanya penurunan tekanan darah sistolik sekitar 0 – 20 mmHg dan 0 – 10 mmHg pada diastolik. Latihan slow deep breathing merupakan intervensi yang sederhana dan aman sehingga diharapkan lansia dapat memasukannya ke dalam aktivitas harian untuk membantu mengontrol tekanan darah.

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Elderly is a group of individuals with the age of more than 60 years. With increasing age, the function of the body's organ systems will decrease due to changes in the anatomical and physiological structures of body tissues. One system that has decreased function is the cardiovascular system which will have an impact on increasing the blood pressure of the elderly. One of the non-pharmacological therapies that can be done to help lower blood pressure is slow deep breathing, which is a slow deep breathing technique. The purpose of writing this manuscript is to analyze the results of nursing interventions with slow deep breathing exercises on changes in blood pressure in the elderly in Cilacap Regency. The slow deep breathing exercise intervention was carried out on three elderly people in a semi-fowler or high fowler position and the elderly breathed with a respiratory rate of 6 times per minute, 4 seconds of inspiration and 6 seconds of expiration, for 15 minutes twice a day for 2 weeks. The results of the analysis of slow deep deep breathing exercises in the elderly showed a decrease in systolic blood pressure of about 0-20 mmHg and 0-10 mmHg in diastolic. Slow deep breathing exercise is a simple and safe intervention so it is hoped that the elderly can incorporate it into daily activities to help control blood pressure. "