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"[ABSTRAKPeningkatan jumlah lansia di perkotaan setiap tahunnya menimbulkan masalah kesehatan pada lansia, sehingga diperlukannya pelayanan keperawatan masyarakat akan kebutuhan lansia. Masalah yang ditemukan pada lansia yang tinggal di Sasana salah satunya adalah insomnia. Karya ilmiah ini akan membahas terkait Nenek A dengan insomnia. Praktik klinik selama 7 minggu dimana peneliti melakukan terapi non farmakologis dalam mengatasi insomnia di Sasana Tresna Werdha Budi Mulia 1 DKI Jakarta yang bertujuan menganalisis insomnia dengan intervensi back massage dan terapi musik. Pitssburgh Sleep Quality Index bernilai 11 interpretasi kualitas tidur buruk. Intervensi yang diberikan dalam waktu 4 minggu dengan back massage dan musik terapi selama ± 45 menit seminggu 2 kali pertemuan saat memberikan massage dan musik terapi didukung menciptakan suasana yang kondusif dan menjaga privasi, penggunaan baby oil untuk massage, dan tehnik massage yang tidak terlalu kuat serta memperhatikan kondisi kulit lansia, serta handscoons sebagai pelindung diri merupakan hal yang mendukung dalam pelaksanaan. Hasil dari intervensi back massage dan musik terapi yang mampu menginisiasi tidur pada klien dan PSQI menurun bernilai 7. Perawat STW diharapkan kedepannya dapat memberikan intervensi pada lansia yang insomnia sehingga dapat meningkatkan kemampuan perawat dalam memberikan terapi secara non farmakologi.

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ABSTRACTAn increase of geriatric in urban areas will be cause health problems in the geriatric, so the urband areas need public health nursing. Problems were founded in the geriatric who live in Sasana one of which is insomnia . Related scientific papers will discuss about Nenek A with insomnia. Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy. Pitssburgh Sleep Quality Index (PSQI) score 11 interpretation poor sleep quality. Intervention is given within 4 weeks with a back massage and music therapy for ± 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy, the use of baby oil to massage, and massage techniques that are not too strong and attention elderly skin conditions, as well as personal protective handscoons is supporting the implementation. Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7. Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non-pharmacological therapy.;An increase of geriatric in urban areas will be cause health problems in the geriatric so the urband areas need public health nursing Problems were founded in the geriatric who live in Sasana one of which is insomnia Related scientific papers will discuss about Nenek A with insomnia Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy Pitssburgh Sleep Quality Index PSQI score 11 interpretation poor sleep quality Intervention is given within 4 weeks with a back massage and music therapy for 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy the use of baby oil to massage and massage techniques that are not too strong and attention elderly skin conditions as well as personal protective handscoons is supporting the implementation Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7 Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non pharmacological therapy , An increase of geriatric in urban areas will be cause health problems in the geriatric so the urband areas need public health nursing Problems were founded in the geriatric who live in Sasana one of which is insomnia Related scientific papers will discuss about Nenek A with insomnia Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy Pitssburgh Sleep Quality Index PSQI score 11 interpretation poor sleep quality Intervention is given within 4 weeks with a back massage and music therapy for 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy the use of baby oil to massage and massage techniques that are not too strong and attention elderly skin conditions as well as personal protective handscoons is supporting the implementation Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7 Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non pharmacological therapy ]"

"Insomnia adalah gangguan jumlah dan kualitas tidur yang mengganggu fungsi. Insomnia menjadi satu masalah gangguan tidur yang paling banyak dialami oleh lansia di masyarakat perkotaan saat ini. Penulisan karya ilmiah akhir ners ini bertujuan untuk melaporkan hasil analisis praktik klinik keperawatan di Sasana Tresna Werdha Budi Mulia 1 Ciracas yang dilakukan selama 7 pekan dalam mengatasi masalah insomnia pada lansia. Penulisan karya ilmiah akhir ini menggunakan studi literatur dari hasil riset terkait konsep kesehatan lingkungan urban dan intervensi keperawatan untuk mengatasi insomnia pada lansia. Hasil analisa keperawatan kesehatan masyarakat perkotaan terhadap masalah insomnia pada lansia adalah bahwa faktor ansietas dan relaksasi otot memiliki peran penting untuk meningkatkan jumlah dan kualitas tidur pada lansia. Latihan relaksasi otot progresif yang dilakukan sebanyak tiga kali dalam sepekan menjadi intervensi keperawatan yang direkomendasikan untuk mengatasi insomnia pada lansia.

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Insomnia is a disruption in amount and quality of sleep that impairs functioning. Insomnia is one of disruption of sleep which most often found in elderly today 39 s urban society. This scientific papers aimed to report the analysis the result of clinical nursing intervention for insomnia in elderly at Nursing Home Budi Mulia 1 Ciracas in 7 weeks. Process of writing this scientific paper use literature study and result of research that related to the concept of urban environmental health and nursing intervention to treat insomnia in elderly.

The results of the analysis of the urban public health nursing to the incidence of insomnia in elderly is anxiety and relaxation are important to increase amount and quality of sleep in elderly. Progressive muscle relaxation is a nursing interventions that recommended to solve the insomnia in elderly. "