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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. "

"Jumlah masyarakat perkotaan semakin lama semakin meningkat akibat arus urbanisasi. Tinggal di perkotaan berdampak terhadap peningkatan level stress dan fungsi aktivitas. Daerah perkotaan memiliki jumlah pengangguran dan gelandangan yang tinggi, termasuk didalamnya lansia. Lansia mengalami penurunan dalam kemampuan fisik dan aktivitas sehingga membutuhkan tempat penanmpungan untuk membantu memenuhi kebutuhan mereka yakni panti sosial. Lansia yang tinggal di panti tidak lepas dari masalah-masalah kesehatan, salah satunya adalah insomnia. Insomnia adalah masalah yang sering terjadi pada lansia yang dapat menurunkan kualitas hidup lansia sehingga harus diselesaikan. Karya ilmiah ini bertujuan untuk menganalisis intervensi dalam mengatasi insomnia, yakni dengan sleep hygiene, relaksasi otot progresif, peningkatan aktivitas, dan pemberian massase. Hasil dari analisis terhadap seorang lansia menemukan bahwa serangkaian intervensi tersebut dapat mengatasasi masalah insomnia pada lansia.

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Urban populations keep increasing by time because of urbanization. Living in urban area effects increasing of sress level and activities. Urban slum and jobless/homeless are developing at a rapid rate including elders. Elders that living in nursing home are in risk of health problems, one of the problem is insomnia. Insomnia is a common problem in elders that may decrease quality of life, therefore this problem have to be solved. This writing aim to analize the interventions that can be used to reduce or solve insomnia, they are sleep hygiene progressive muscle relaxation, increasing activities, and back massage. The result by analizing the interventions in one elder found that the interventions can solve insomnia problem in elder."

"Kondisi masyarakat perkotaan yang membutuhkan tempat tinggal bagi lansia semakin meningkat seiring dengan meningkatnya jumlah lansia. PSTW Budi Mulia 1 Cipayung adalah salah satu pilihan tempat tinggal bagi lansia dengan berbagai fasilitas dan pelayanan yang dapat mempertahankan kemandirian dan kualitas hidup lansia. Sebuah riset internasional yang dilakukan oleh US Census Bureau, International Data Base tahun 2004 dalam Made (2010) terhadap penduduk Indonesia menyatakan bahwa sebanyak 31,7% dari jumlah lansia di Indonesia mengalami insomnia. Bapak E (68 tahun) merupakan salah satu klien yang tinggal di PSTW dan mengalami insomnia. Karya ilmiah ini bertujuan untuk menggambarkan asuhan keperawatan secara komprehensif bagi lansia dengan masalah insomnia dan menganalisis intervensi terapi aktivitas dalam mengatasi masalah insomnia pada lanjut usia. Terapi aktivitas merupakan sekumpulan kegiatan-kegiatan yang dilakukan untuk meningkatkan status kesehatan individu. Jenis terapi aktivitas yang digunakan adalah penjadwalan aktivitas dan olahraga aerobik lansia. Setelah dilakukan intervensi keperawatan selama tujuh minggu diperoleh hasil bahwa klien mengalami peningkatan kualitas tidur yang ditandai dengan skor PSQI klien menurun dari 18 menjadi 13.

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Urban communities who need a place to stay for the elderly increased along with the increasing number of elderly. PSTW Budi Mulia 1 Cipayung as one of the housing options for the elderly with a variety of facilities and services to maintain autonomy and quality of life the elderly. US Census Bureau, International Data Base on 2004 found that 31.7% elderly in Indonesia suffered insomnia. Mr. E (68 years old) is a client who lived on PSTW and suffered insomnia.

This paper aims to describe a comprehensive nursing care for elderly people with insomnia and analyze activity therapy interventions for insomnia in the elderly. The meaning Activity therapy is set of activities undertaken to improve the health status of elderly. This type of activity therapy consist of activity scheduling and aerobic excercise. After giving interventions for seven weeks, Mr. E showed that sleep quality client improved by PSQI score from 18 become 13."

"Kawasan perkotaan merupakan kawasan yang padat lingkungannya. Hal tersebut tentunya berdampak pada masayarakat perkotaan yang ada di dalamnya. Salah satunya adalah lansia. Masalah yang paling sering dikeluhkan lansia adalah insomnia. Insomnia adalah keluhan tentang kurangnya kualitas tidur yang disebabkan oleh sulit memasuki tidur, sering terbangun malam kemudian mengalami kesulitan untuk kembali tidur, bangun terlalu pagi dan tidur yang tidak nyenyak. Penatalaksanaan insomnia dapat dilakukan melalui terapi farmakologi dan terapi non farmakologi. Intervensi yang ditetapkan pada karya ilmiah ini adalah terapi non farmakologi yang meliputi sleep restriction, sleep restriction, teknik relaksasi (relaksasi nafas dalam dan relaksasi progressif), teknik massase dan pemberian aromaterapi.

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Region is an area of dense urban environment. It is certainly an impact on urban communities in it. One is the elderly. The most common problems are the elderly complained of insomnia. Insomnia is a complaint about the lack of quality sleep caused by difficult enter sleep, frequent night awakenings and then have difficulty returning to sleep, waking up too early and sleep soundly. The management of insomnia can be done through pharmacological therapy and non-pharmacological therapy. Interventions are defined in this paper is a non-pharmacological therapies include sleep restriction, sleep restriction, relaxation techniques (deep breathing relaxation and progressive relaxation), and the provision of technical massase aromatherapy. "

"Jumlah lanjut usia Indonesia semakin bertambah setiap tahunnya. Hal tersebut masih belum didukung dengan kelengkapan pelayanan kesehatan khusus lansia. Hadirnya nursing home dapat membantu kebutuhan masyarakat akan perawatan lansia holistik. Masalah yang banyak ditemukan di nursing home adalah masalah gangguan tidur. Penelitian di berbagai belahan dunia menyebutkan bahwa gangguan tidur yang banyak terjadi pada lansia adalah insomnia. Terapi farmakologis banyak digunakan dalam mengatasi insomnia meskipun memiliki efek samping berbahaya. Pada karya ilmiah akhir ini akan dibahas mengenai kasus Ibu SS yang mengalami insomnia. Peneliti mengkaji efektifitas terapi back massage pada Ibu SS dalam mengatasi insomnia. Hasil menunjukan bahwa setelah 7 minggu terapi dilaksanakan pada minggu keempat pola tidur terbentuk. Beberapa penelitian juga menyebutkan bahwa terapi back massage memberikan efek bagi peningkatan kualitas dan kuantitas tidur seseorang. Saran bagi penelitian selanjutnya adalah untuk memperluas topik penelitian dengan menambahkan terapi lain seperti akupuntur dan aromaterapi dalam menciptakan kualitas tidur yang baik bagi residen.

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The amount of geriatric population is increasing each year. But many countries haven’t providing complete health services yet for tackling this issue. Nursing home care is one of many solutions for geriatric population. One of crucial problems founded in geriatric is sleep disturbance. Research from all over nations show that the prevalence of insomnia is the highest occurred in elderly than any kind of sleep disturbance. For omitting insomnia problem, many elder used pharmacology therapy. But, pharmacology therapy gives negative side effects. This research will talk about Ibu SS case which has insomnia problem. Research assessed the effective of beck massage therapy for tackling insomnia problem. Result shows that after seven weeks implementation, resident finally has sleep pattern. Several research from all over the world also show that back massage therapy can definitely reduce insomnia problem and increase quality and quantity of sleep in adult residents. Suggest for next research are for widening the topic of the research such as researching the effect of aromatherapy and acupuncture for tackling insomnia problem."

"Lansia mengalami penuaan pada tubuhnya, salah satunya pada kebutuhan dasar manusia yaitu tidur. Lansia cenderung mengalami insomnia dengan karakteristik sulit memulai tidur, sulit mempertahankan tidur yang nyenyak, dan bangun terlalu awal. Tujuan penulisan ini yaitu menganalisis asuhan keperawatan pada Nenek S dengan masalah insomnia terapi guided imagery dan musik di STW Budi Mulia 01 Ciracas. Hasil yang didapatkan yaitu terdapat peningkatan kualitas tidur yang ditunjukkan dengan pernyataan subjektif lansia dan penurunan skor PSQI dari 17 (buruk) ke 12 (buruk) setelah diberikan intervensi selama 4 minggu dengan frekuensi 3-5 kali setiap minggu dengan durasi 15-30 menit. Untuk mencapai kualitas tidur yang lebih baik direkomendasikan untuk memberikan intervensi setiap hari dengan durasi 40-45 menit dengan kombinasi intervensi insomnia lainnya.

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Older adult must undergoes aging so that it changes sleep pattern. Older adult tends to have insomnia characterized by difficulty in falling asleep, difficulty in mantaining deep sleep, and early awakening. This aim of study is to analyse nursing care plan for Mrs. S with insomnia using guided imagery and music therapy in “STW Budi Mulia 01 Ciracas”.

The result showed that there is an increasing sleep quality showed by client’s subjective report and reduction of PSQI score (17 to 12) after given interventions for 4 weeks, 3-5 times a week, and 15-30 minutes in duration. It is recommended that better sleep quality can be achieved if done everyday for 40-45 minutes in duration and combined with other insomnia interventions.;;;"

"ABSTRAKPerubahan fisiologis merupakan hal yang terjadi pada lansia, perubahan meliputi perubahan sistem integumen. Tujuan dari karya ilmiah ini adalah menganalisis hasil praktik klinik Keperawatan Kesehatan Masyarakat Perkotaan klien dengan kerusakan integritas kulit. Praktik klinik dilakukan selama tujuh minggu di Sasana Tresna Werdha (STW) Budi Mulia 1 Ciracas. Hasil pemeriksaan fisik yang didapatkan adalah pada klien terdapat eksem, gatal-gatal (pruritus), dan kulit kering (xerosis). Klien juga mengalami penurunan kognitif. Intervensi keperawatan yang dilakukan adalah perawatan kulit dengan emollient. Intervensi dilakukan selama enam minggu, dengan total intervensi adalah 30 kali pertemuan dan teknik yang digunakan adalah dengan mengolesi vaseline di kulit sambil dilakukan massage. Hasil setelah diberikan intervensi adalah peningkatan elastisitas, hidrasi, tekstur, integritas kulit, kondisi lesi kulit, dan kemerahan dari gangguan sedang menjadi gangguan ringan. Perawat dapat melakukan pemberian perawatan kulit pada lansia sebagai upaya meningkatkan kualitas integritas kulit sehingga kualitas dan kesejahteraan lansia meningkat.

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ABSTRACTPhysiological changes are things that happen in the elderly, the changes include changes in integument system. The purpose of this paper is to analysed the result of clinical practice to the client with impaired skin integrity. Clinical practice was carried out for seven weeks in Sasana Tresna Werdha (STW) Budi Mulia 1 Ciracas. The result of physical assessment such as there are eczema, pruritus, and xerosis within client. Client also have cognitive problem. Nursing interventions was skin care with emollient. Interventions was carried out for six weeks, with total intervention was 30 times and the techniques was smearing Vaseline to the skin with a little bit massage. The result such as there are improvement to the client's skin elasticity, hydration, texture, skin integrity, skin lesions, and redness from moderate to mild. Nurses can perform skin care to the elderly as an effort to improve the quality of the skin integrity so that the quality and welfare of the elderly increases.;Physiological changes are things that happen in the elderly the changes include changes in integument system The purpose of this paper is to analysed the result of clinical practice to the client with impaired skin integrity Clinical practice was carried out for seven weeks in Sasana Tresna Werdha STW Budi Mulia 1 Ciracas The result of physical assessment such as there are eczema pruritus and xerosis within client Client also have cognitive problem Nursing interventions was skin care with emollient Interventions was carried out for six weeks with total intervention was 30 times and the techniques was smearing Vaseline to the skin with a little bit massage The result such as there are improvement to the client 39 s skin elasticity hydration texture skin integrity skin lesions and redness from moderate to mild Nurses can perform skin care to the elderly as an effort to improve the quality of the skin integrity so that the quality and welfare of the elderly increases"

"[ABSTRAK Lansia yang tinggal di perkotaan lebih banyak dibandingkan lansia yang tinggal di pedesaan Peningkatan usia harapan hidup dan peningkatan jumlah lansia yang tinggal di perkotaan memicu timbulnya masalah kesehatan perkotaan khususnya populasi yang rentan yaitu lansia Karya ilmiah ini bertujuan untuk menganalisis hasil praktik klinik pada nenek K 73 tahun dengan masalah malnutrisi menggunakan intervensi oral hygiene Praktik klinik dilakukan di STW 1 Ciracas selama tujuh minggu dengan melakukan intervensi oral hygiene pada 4 lansia dengan malnutrisi Hasil pengkajian status nutrisi pada klien kelolaan menggunakan MNA didapatkan hasil 14 5 dan pengukuran tinggi badan 154 cm dan berat badan 30 kg hasil penilaian IMT 12 65 yang berarti mengalami malnutrisi Intervensi oral hygiene yang dilakukan dengan memfasilitasi klien untuk menggosok gigi menggunakan sikat dan pasta gigi dengan gerakan vertikal secara lembut dan menggunakan obat kumur selama dua kali sehari Hasil intervensi keperawatan dengan melakukan oral hygiene kepada klien yang malnutrisi selama lima minggu yaitu tidak tercium bau mulut mukosa mulut lembab saliva bertambah peningkatan selera makan dan peningkatan berat badan 1 kg Care giver diharapkan melakukan oral hygiene dua kali sehari untuk meningkatkan status nutrisi pada lansia di sasana Kata kunci lansia oral hygiene malnutrisi STW ABSTRACT Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW ;Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW , Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW ]"