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Abstrak :
ABSTRAK
Pengetahuan keluarga terhadap kondisi lansia akan mempengaruhi perlakuan keluarga pada lansia. Penelitian ini bertujuan untuk mengidentifikasi gambaran pengetahuan keluarga tentang pengabaian lansia. Penelitian ini bersifat crosssectional dengan 102 responden yang dipilih secara purposive. Hasil penelitian menunjukkan bahwa tingkat pengetahuan keluarga tentang pengabaian lansia memiliki rerata skor pengetahuan 18,26 dari maksimal 30 (95% CI 17,52;19,00) dan ada hubungan signifikan dengan tingkat pendidikan (p<0,05;=0,05). Hasil lainnya menunjukkan tidak ada hubungan signifikan antara pengetahuan dengan usia, jenis kelamin, sosioekonomi, hubungan kekerabatan, dan jumlah keluarga (p>0,05;=0,05). Edukasi dan sosialisasi tentang pengabaian lansia perlu dilakukan untuk mencegah sekaligus mendeteksi kejadian pengabaian lansia dalam keluarga.

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ABSTRACT
Family’s knowledge about elderly neglect can influence the behavior of family members to older people. The purpose of this research was to identify family’s knowledge about elderly neglect. This was a cross-sectional study with 102 respondent selected by purposive sampling. Result showed that mean of the family’s knowledge score were 18,26 from maximum 30 (95% CI 17,52;19,00) and there were significant relationship with educational level (p<0,05;=0,05). Other result showed there were not significant relationship with age, gender, socioeconomic, kinship, and number of family (p>0,05;=0,05). Education and socialization about elderly neglect are needed to prevent and detect elderly neglect cases in family.

Abstrak :
Prevalensi depresi pada lansia di Indonesia sebasar 30% (Komnas Lansia, 2011). Salah satu upaya untuk mengatasi depresi adalah dengan TAK Stimulasi Persepsi HDR dan Terapi Kognitif Perilaku. Penelitian ini bertujuan untuk mengidentifikasi pengaruh TAK stimulasi persepsi HDR dan CBT terhadap depresi pada lansia harga diri rendah. Desain penelitian ini menggunakan quasi experiment with pre post test control group. Sampel berjumlah 56 orang, 28 kelompok intervensi dan 28 kelompok kontrol. Alat pengumpul data adalah Geriatric Depression Scale (GDS). Data dianalisis menggunakan uji T-Test. Hasil penelitian menunjukkan ada penuruan bermakna kondisi depresi lansia harga diri rendah pada kedua kelompok dengan penurunan sebesar 67,4% kelompok intervensi dan 31,9% kelompok kontrol (p value < 0,05) dan ada terdapat hubungan bermakna antara karakteristik lansia (jenis kelamin, pendidikan, status perkawinan, pekerjaan dan penyakit fisik penyerta) dengan depresi pada lansia harga diri rendah (p value < 0,05). TAK Stimulasi persepsi harga diri rendah dan terapi kognitif perilaku direkomendasikan untuk depresi pada lansia harga diri rendah. ...... Depression is a major problem for elderly, and the prevalence rate of depression among elderly in Indonesia is around 30%. One of to effort overcome depression is TGA Stimulation low self esteem perception and Cognitive Behavioural Therapy. The aim of this study was to determine the influence of TGA Stimulation low self esteem perception and CBT for depression in elderly low self esteem. The research design was quasi experiment with pre-post test control group. The sample of this research are 56 respondents, 28 respondents in the intervention group and 56 respondents in control group. Data collection with Geriatric Depression Scale (GDS) and were analyzed using T-test. The results showed significant decrease of elderly depression low self-esteem in both groups with a decrease of 67.4% intervention group and 31.9% of controls (pvalue <0.05) and significant relationship exists between elderly characteristics (gender, education, marital status, employment and comorbid physical illness) with depression in elderly low self-esteem (pvalue <0,05). Therefore, TGA Stimulation low self-esteem and perception of cognitive behavioral therapy are recommended for depression in the elderly low self esteem.

Abstrak :
Perawatan pada lansia di panti tresna werdha X dilakukan berdasarkan rutinitas kerja dan petugas belum mendapat pelatihan mengenai kebutuhan dasar lansia yang harus dipenuhi. Berdasarkan hal tersebut, peneliti ingin mengetahui hubungan budaya kerja petugas panti menurut persepsi lansia dengan kejadian pengabaian di PSTW X Sumatera Barat. Desain penelitian deskriptif korelasi, menggunakan pendekatan cross sectional. Pengambilan sampel dengan total sampling, berjumlah 75. Uji statistik digunakan chi square dan regresi logistik. Hasil yang diperoleh seluruh lansia mengalami pengabaian; ada hubungan antara sikap terhadap apa yang dikerjakan, lingkungan pekerjaan; waktu dengan pengabaian lansia; Tidak ada hubungan antara perilaku ketika mengambil keputusan dengan pengabaian lansia. Sikap terhadap apa yang dikerjakan memiliki pengaruh paling besar terhadap kejadian pengabaian lansia. Disimpulkan bahwa petugas harus lebih memahami tentang peran dan fungsinya sebagai pemberi pelayanan pada lansia. Direkomendasikan agar pejabat yang berwenang dapat menempatkan petugas panti sesuai dengan peran dan fungsi serta kewenangannya, dan merekrut perawat sesuai dengan kebutuhan panti.;The nursing of elderly in Tresna Werda X nursing home is mainly based on the workrout in and that the caregiver have not yet received training on the basic needs of the elderly that they should meet. Therefore, the researcher wanted to know the relations of the work culture of caregiver according to the elderly’s perception with the incidence of neglect in PSTW X West Sumatera. This study used Descriptive correlation design with cross sectional approach. The method of sampling used total sampling, which amounts to 75. The statistical test used chi square and logistic regression. The results of the study show that all of the elderly experienced neglect; there is a relation between attitude towards what is conducted, work environment, time with elderly neglect; no relation between behavior in making decisions with elderly neglect. The attitude towards what is conducted has the most impacton the incidence of elderly neglect. It is concluded that the caregiver should have a better understanding on their roles and functions as the caregivers to the elderly. Moreover, it is recommended that the authorities should put nursing personnel in accordance with the roles, functions and competence, 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 the workrout in and that the caregiver have not yet received training on the basic needs of the elderly that they should meet. Therefore, the researcher wanted to know the relations of the work culture of caregiver according to the elderly’s perception with the incidence of neglect in PSTW X West Sumatera. This study used Descriptive correlation design with cross sectional approach. The method of sampling used total sampling, which amounts to 75. The statistical test used chi square and logistic regression. The results of the study show that all of the elderly experienced neglect; there is a relation between attitude towards what is conducted, work environment, time with elderly neglect; no relation between behavior in making decisions with elderly neglect. The attitude towards what is conducted has the most impacton the incidence of elderly neglect. It is concluded that the caregiver should have a better understanding on their roles and functions as the caregivers to the elderly. Moreover, it is recommended that the authorities should put nursing personnel in accordance with the roles, functions and competence, and recruit nurses in accordance with the needs of the nursing home.

Abstrak :
ABSTRAK Stres adalah masalah yang umum dialami oleh setiap individu, termasuk juga pada lanjut usia. Ketika seseorang memasuki masa usia lanjut, terdapat sejumlah penurunan fungsi tubuh, baik secara fisik, kognitif, psikologis, maupun sosial yang dapat menimbulkan stres sehingga berdampak pada meningkatnya tekanan darah tinggi (hipertensi). Penelitian ini bertujuan untuk menguji efektivitas intervensi dengan pendekatan Terapi Kognitif-Perilaku untuk menurunkan tingkat stres pada lansia dengan hipertensi. Partisipan dalam penelitian ini adalah lanjut usia (N=4) berusia 65-74 tahun. Setiap partisipan mempersepsikan hidupnya sebagai stres, yang diukur dengan alat ukur Perceived Stress Scale (Cohen, Kamarck, dan Mermelstein, 1983) dan memiliki penyakit hipertensi berdasarkan pengukuran menggunakan alat digital blood pressure monitoring. Desain penelitian yang digunakan adalah pre-post design, dimana dilakukan pengukuran tingkat stres dan tekanan darah pada awal dan akhir intervensi untuk melihat perubahan yang terjadi. Pada akhir intervensi terlihat adanya penurunan tingkat stres dan perubahan tekanan darah dari hipertensi menjadi tekanan darah pada kategori normal untuk lanjut usia. Hasil ini menunjukkan bahwa intervensi dengan pendekatan Terapi Kognitif-Perilaku berhasil menurunkan tingkat stres yang berdampak pada penurunan tekanan darah yang tinggi pada lanjut usia.

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ABSTRACT Stress is a common problem that happen in every individual, including older adult. When people become old, there are decline in bodily function, such as physically, cognition, psychological, and social aspect which can be stressful and increase high blood pressure (hypertension). The aim of this study is to examine effectiveness of Cognitive-behavioral therapy to reduce stress for older adult with hypertension. The participant of the study is older adult (N=4) with age between 65-74 years old. Each participant perceives their life as stressful, measured by perceived stress scale (Cohen, Kamarck, dan Mermelstein, 1983), and has hypertension based on digital blood pressure monitoring machine. The pre-post design applied in study, which is stress and blood pressure measured before and after intervention to see any possible change. At the end of intervension, there are decrease in stress score and change in blood pressure from hypertension to normal blood pressure for older adult. Result indicated that Cognitive-behavioral therapy success to reduce stress and decrease the hypertension in older adult.