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"Hambatan komunikasi verbal merupakan salah satu masalah kesehatan yang dialami lanjut usia (lansia). Hambatan komunikasi verbal yang terjadi pada lansia berhubungan dengan penyakit cerebrovaskular. Karya ilmiah akhir ners ini bertujuan menganalisis asuhan keperawatan kesehatan masyarakat perkotaan pada Ibu SM (89 tahun) dengan masalah hambatan komunikasi verbal di Wisma Cempaka Sasana Tresna Werdha Karya Bhakti Cibubur. Intervensi dalam asuhan keperawatan ini terdiri dari mendengar aktif, penurunan ansietas, peningkatan komunikasi, yaitu melalui terapi wicara. Hasil evaluasi dari 23 implementasi menunjukkan peningkatan kemampuan mengucapkan kata, kalimat sederhana, dan kalimat kompleks. Mrs. SM juga terlihat percaya diri menyanyi di hadapan orang lain. Kesimpulannya adalah terapi wicara merupakan cara meningkatkan komunikasi pada lansia dengan hambatan komunikasi verbal.

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Impaired verbal communication is one of health problems experienced by elderly. Impaired verbal communication that occurs on elderly is associated with cerebrovascular disease. The aim of this study is to analyze urban community nursing care on Mrs. SM (89 years) with impaired verbal communication at Wisma Cempaka Sasana Tresna Werdha Karya Bhakti Cibubur. Nursing Intervention includes active listening, decreased anxiety, improved communication through speech therapy.

The results from 23 implementations showed an increament in the ability to say words, simple sentences, and complex sentences. Mrs. SM also looked confident while singing in front of others. The conclusion is speech therapy is a way to improve communication on the elderly with impaired verbal communication."

"Tahap tumbuh kembang manusia terakhir adalah lansia. Lansia memiliki beberapa permasalahan psikis salah satunya kesepian. Lansia yang kesepian akan berdampak pada tujuan hidup lansia tersebut. Tujuan hidup lansia berbeda dan perlu ada stimulus dari luar agar tujuan hidupnya baik. Stimulus yang diberikan salah satunya adalah terapi kelompok teraupetik yang melatih lansia untuk beradaptasi pada perubahan dirinya termasuk tujuan hidupnya. Tujuan dari penelitian ini adalah menggambarkan penerapan terpai kelompok teraupetik terhadap tujuan hidup lansia yang mengalami kesepian dengan pendekatan Model Adaptasi Callista Roy. Sejumlah 20 lansia diberikan pendidikan kesehatan dan dilanjutkan dengan 12 lansia mengaikuti kegiatan TKT Lansia. Hasil: terdapat peningkatan pada nilai tujuan hidup lansia dan peningkatan kemampuan lansia dalam beradaptasi terhadap perubahan aspek dalam dirinya. Diperlukan penelitian lebih lanjut terkait aspek apa saja yang mempengaruhi perubahan tujuan hidup lansia.

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The last stage of human is the elderly. They have several psychological problems, one of them is lonely. The problem elderly will have an impact on the purpose in life of elderly. The elderly needs to be external stimulation so that their purpose in life are good. One of the stimuli given is theraupetic group therapy that train the elderly to adapt to their change, including their purpose in life. Goal of the research is to illustrate the application of theraupetic group therapy to the purpose in life of the elderly who experience loneliness with the Callista Roy Adaptation Model approach. A total of 20 elderly were given health education and continued with 12 elderly people following the theraupetic group therapy. Results: there was an increase in the value of the elderly's life goals and an increase in the ability of the elderly to adapt to changes in aspects of themselves. Further research is needed related to what aspects affect the changes in the purpose in life of the elderly."

"The aim of this study is to measure life satisfaction ofeiders and to examine the impact of social support on lifesatisfaction. Diener and Biswas Diener (ZOUI) mentioned that in ahuman nature approach, having one is biological needs mer,engaging in interesting activities, and having the presence of socialsupport are seen as necessary and sufficient for high subjectivewell-being (S WB). Whereas life satisfaction is one of SWB'components, this theory has been used in this research. Effects ofinstrumental, informational, emotional, and appraisal support onlife satisfaction of eiders in Iran were tested by analyzing datacollected from a random sample of 384 persons aged 65 and overwho participated in the spring of 2007 survey. The mean of lifesatisfaction in sample obtained 16.5 with standard deviation of3.49. Multiple regression (stepwise) was used to determine whethersocial support (also entered demographic variables in regression)influence elder's life satisfaction. Findings reveal that appraisalsupport (adequacy of support or the degree of satisfaction withsupport from children and relatives) directly improves elder lifesatisfaction (RJ= 0.883 and Beta= (1438). There was a relationshipbetween emotion, instrumental and informational support, age,number of children and education with life satisfaction of elders.The results show psychological importance and benefits of socialsupport. This research suggests that because of these benefits ofsocial support, policy makers, beside making policies with thepropose to improve elder's welfare should also have to reinforcetraditional culture."

"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."