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"ABSTRAKTujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan denganpemanfaatan posyandu lansia di Puskesmas Bambanglipuro. Desain cross sectionaldan wawancara menggunakan kuesioner digunakan pada 180 orang responden yangdipilih secara multistage random sampling. Hasil penelitian menunjukkan 73,3%responden memanfaatkan posyandu, dimana faktor jenis kelamin (p=0,004),pengetahuan (p=0,001), sikap (p=0,001), ketersediaan posyandu (p=0,001), jarak(p=0,012), dukungan keluarga (p= 0,001), peran petugas (p= 0,001), sikap petugas(p= 0,011), peran kader (p=0,001), sikap kader (p=0,010) dan kebutuhan (p=0,001)berhubungan dengan pemanfaatan posyandu lansia, untuk itu perlu ditingkatkansosialisasi, pembinaan, pengembangan dan penyediaan sarana posyandu, pelatihandan reward kader, jadwal dan rutinitas kegiatan, kemitraan, dukungan dan penelitianlebih lanjut.

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ABSTRACTThe objective of this study was to assess factors related to utilization of earlyintegrated health service post/posyandu in the area of Puskesmas Bambanglipuro.Cross-sectional design and interview with questionnaires was used on 180 elderlythat was selected by multistage random sampling. This study showed that 73,3%elderly people use the elderly posyandu. Sex (p=0.004), knowledge (p=0.001),attitude (p=0.001), availability of posyandu (p=0.001), distance (p=0.012), familysupport (p=0.001), the role of health worker (p=0.001), attitude of health worker(p=0,011), the role of cadre (p=0.001), attitude of cadre (p=0.010) and need(p=0.001) related to the usage of elderly posyandu. Based on the result above,socialization of posyandu lansia should be increased, beside to improve the capabilityof personel and facilities of elderly posyandu and give the reward to the cadre."

"Kualitas pelayanan sosial untuk kesehatan mental lansia dipengaruhi interaksi antara praktisi kesejahteraan sosial dan klien. Interaksi melibatkan banyak aspek, termasuk spiritualitas, maka penelitian ini menggali pemahaman spiritualitas praktisi dan praktiknya dalam pelayanan, bagaimana spiritualitas dihayati lansia, dan bagaimana lansia menghadapi penderitaan. Kajian kualitatif ini melibatkan 20 informan praktisi dan klien dengan metode wawancara, observasi, dan kajian dokumen. Proses coding menggunakan NVivo untuk mempermudah analisis. Hasil penelitian menunjukkan spiritualitas praktisi dihayati dan diekspresikan dalam berbagai komponen dan dipraktikkan ketika berinteraksi dengan klien. Spiritualitas lansia juga tercermin dalam sejumlah kategori yang punya peran penting menjaga kesehatan mental ketika menghadapi penderitaan hidup.

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Service quality for elderly mental health is influenced by interaction between practitioners and clients. The interaction involves spirituality, so this study explores practitioners? understanding of spirituality and its implementation in service, how the elders live spirituality, and how they cope with sufferings. This qualitative study recruited 20 informants explored through interview, observation, and document review. NVivo software was used to organize coding results for analysis process. This study finds that practitioners? spirituality is lived and expressed in various components that is used in interaction. The elders have also spiritual sides echoed through some categories having contributions to their mental health."

"Tesis ini disusun untuk mengetahui efektifitas alat ukur Modified Mobility Interaction Fall Chart (Modified MIF Chart), sebagai alat ukur untuk menapis risiko jatuh, khususnya pada populasi lansia di panti wreda. Desain penelitian adalah cohort prospective dengan menilai komponen performa fisik menggunakan Stop walking when talking (SWWT) dan Difference Time Up and Go (DiffTUG), komponen fungsi visual yang menilai ketajaman penglihatan dengan Snellen chart, dan komponen kognisi yang dinilai menggunakan Montreal Cognitive Assesment versi Bahasa Indonesia (MoCA-INA) pada awal studi dan ditentukan tingkat risiko jatuh. Didapatkan subjek penelitian (n=111) yang menyelesaikan Modified MIF Chart kemudian dilakukan observasi kejadian jatuh selama tiga bulan. Terdapat 12 (10,8%) kejadian jatuh dari seluruh subjek. Terdapat perbedaan bermakna (p=0,038) antara kelompok risiko jatuh tinggi yang mengalami kejadian jatuh sebanyak 8 (18,6%) dibandingkan 4 kejadian jatuh (5,9%) pada kelompok risiko jatuh rendah dengan AUC 0,657 (95% CI: 0,49-0,82). Didapatkan sensitifitas dan spesifisitas Modified MIF chart secara berurutan adalah 64,6% dan 66,7%. Kesimpulan penelitian ini adalah Modified MIF Chart dapat digunakan sebagai alat penapis risiko jatuh pada lansia di panti wreda, tetapi tetap perlu memperhatikan faktor-faktor risiko jatuh internal dan eksternal lain yang belum dinilai oleh Modified MIF Chart.

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This thesis is designed to determine the effectiveness of the Modified Mobility Interaction Fall Chart (Modified MIF Chart) as a tool to screen the risk of falls, especially in the elderly population in nursing homes. The research design was a prospective cohort by assessing the physical performance components using Stop walking when talking (SWWT) and Difference Time Up and Go (DiffTUG), a visual function component that assessed visual acuity using a Snellen chart, and a cognitive component assessed using the Montreal Cognitive Assessment. Indonesian language version (MoCA-INA) at the start of the study and the level of risk of falling was determined. Obtained research subjects (n = 111) who completed the Modified MIF Chart then observed the fall for three months. There were 12 (10.8%) incidence of falls for all subjects. There was a significant difference (p = 0.038) between the high risk group who experienced falls as much as 8 (18.6%) compared to 4 falls (5.9%) in the low risk group with AUC 0.657 (95% CI: 0, 49- 0.82). The sensitivity and specificity of the Modified MIF chart are 64.6% and 66.7%, respectively. The conclusion of this study is that the Modified MIF Chart can be used as a means of screening for the risk of falls in the elderly in nursing homes, but still needs to consider other internal and external risk factors that have not been assessed by the Modified MIF Chart."

"Studi ini bertujuan untuk mengetahui karakteristik demografi, sosial, ekonomi, lingkungan, perilaku dan disabilitas penduduk lansia di Indonesia. Status kesehatan buruk ditunjukkan oleh apakah memiliki efek negative pada kegiatan lansia (aktifitas terganggu) dengan menggunakan data Susenas 2012. Hasil regresi logistik biner menunjukkan bahwa faktor demografi, sosial, ekonomi, lingkungan, perilaku dan disabilitas memiliki pengaruh signifikan terhadap kesehatan terganggu pada lansia. Selain itu, faktor-faktor tersebut juga mempengaruhi risiko kesehatan terganggu lansia. Lansia dalam kelompok umur tua, berstatus tidak kawin/lainnya, tidak bekerja, pengeluaran menengah keatas, tinggal di kota, mengkonsumsi lainnya air bersih, menggunakan mck tidak sendiri, menggunakan bukan listrik PLN dan mempunyai disabilitas, memiliki peluang lebih tinggi terhadap risiko mengalami kesehatan terganggu.

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This study aimed to determine the demographic, social, economic, environmental, behavioral and disability of elderly health status in Indonesia. Poor health status is indicated by whether is has negative effect on elderly activities (activitas terganggu) is using Susenas 2012 Data. The results of binary logistic regression showed that demographic factors, social, economic, environmental , behaviors and disabilities have a significant influence on poor health of elderly. In addition, these factors also affect the risk of impaired health of the elderly. Elderly in older age groups, status not married / other, not working, middle and upper expenditure, live in cities, consuming more water, using MCK did not own, using instead PLN and have disabilities, have the opportunity higher against the risk of having poor health."

"[ABSTRAKLansia diabetesi sebagai populasi rentan di komunitas memerlukan dukungan. Salah satu dukungan yang ada di komunitas adalah self help group. Penelitian ini mengidentifikasi pengalaman lansia diabetesi dalam mengikuti kegiatan Rumpi Pendiam. Desain penelitian menggunakan fenomenologi deskriptif, dengan metode wawancara mendalam dan catatan lapangan pada tujuh partisipan. Hasil penelitian dianalisis menggunakan metode Colaizzi. Tema penelitian yang ditemukan adalah merasakan manfaat positif dari program, penilaian terhadap layanan, mendapat dukungan perhatian untuk mengikuti kegiatan dan fasilitasi kebutuhan, harapan agar program berlanjut, dan mengikuti kegiatan menumbuhkan nilai spiritual positif. Penelitian ini merekomendasikan perlunya evaluasi dari program Rumpi Pendiam agar program dapat berlanjut dan teratur.

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ABSTRACTElderly with diabetics are vulnerable population in the community that need support. Self - help group is one of the existing support in the community. This study identifies the experience of elderly with diabetics who followed activities in Rumpi Pendiam. Research design used descriptive phenomenology, with in-depth interviews and field notes to seven participants. The results were analyzed by Colaizzi methode. Research themes found are positive benefit from the program, measurment of the services, the support concern to join the activities and facilitating needs, the expectation of the program to continues, and do the activities fostering positive spiritual values. The study recommends the need of evaluation for the program Rumpi Pendiam that allowing to continues regularly., Elderly with diabetics are vulnerable population in the community that need support. Self - help group is one of the existing support in the community. This study identifies the experience of elderly with diabetics who followed activities in Rumpi Pendiam. Research design used descriptive phenomenology, with in-depth interviews and field notes to seven participants. The results were analyzed by Colaizzi methode. Research themes found are positive benefit from the program, measurment of the services, the support concern to join the activities and facilitating needs, the expectation of the program to continues, and do the activities fostering positive spiritual values. The study recommends the need of evaluation for the program Rumpi Pendiam that allowing to continues regularly.]"

"Tesis ini bertujuan untuk membuktikan kesahihan dan keandalan Physical Activity Scale For The Elderly (PASE) versi bahasa Indonesia (PASE-INA) untuk mendapatkan metode kuantifikasi penilaian aktivitas fisik yang sahih dan andal untuk dapat diterapkan pada populasi lansia di Indonesia. Uji kesahihan konstruksi dilakukan dengan uji korelasi Pearson, sedangkan uji keandalan dilakuan dengan menilai intraclass correlation (ICC) untuk keandalan test-retest dan Cronbach’s ? untuk konsistensi internal. Sebanyak 64 orang lansia diwawancara dengan menggunakan kuesioner PASE yang sudah diterjemahkan ke dalam Bahasa Indonesia. Wawancara dilakukan sebanyak dua kali, dengan rentang waktu 1-3 minggu. Rerata skor total PASE-INA adalah 123.09(SD 35.48). Seluruh butir PASE-INA terbukti sahih dengan rentang nilai koefisien korelasi 0.310-0.533. Konsistensi internal dari skor total PASE-INA menunjukkan keandalan yang baik, dengan nilai Cronbach’s ? 0.844. Dari uji keandalan ­test-retest didapatkan hasil yang moderat dengan nilai ICC 0.728 (CI 95% 0.590-0.825). Kesimpulan dari penelitian ini adalah PASE-INA merupakan kuesioner yang sahih dan andal dalam menilai aktivitas fisik lansia di Indonesia.

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This thesis aims to prove the validity and reliability of the Indonesian version of the Physical Activity Scale for The Elderly (PASE-INA) to obtain a valid and reliable method of quantification of physical activity assessment to be applicable to the elderly population in Indonesia. Construction validity was tested using the Pearson correlation test, while the reliability test was performed by assessing the intraclass correlation (ICC) for test-retest reliability and Cronbach’s ? for internal consistency. A total of 64 elderly people were interviewed using the PASE questionnaire which had been translated into Indonesian. Interviews were conducted twice within a 1 to 3-weeks interval. The mean PASE-INA total score was 123.09(SD 35.48). All PASE-INA items were proven valid with a correlation coefficient value range of 0.310-0.533. The internal consistency of the PASE-INA total score shows good reliability, with a Cronbach’s ? value of 0.844. From the test-retest reliability test, moderate results were obtained with an ICC value of 0.728 (95% CI 0.590-0.825). The conclusion of this study is that PASE-INA is a valid and reliable questionnaire in assessing the physical activity of the elderly in Indonesia."

"Gangguan kesehatan mental yang merupakan gejala awal kesehatan jiwa khususnya depresi memberikan kontribusi yang besar bagi beban penyakit. Depresi menjadi beban penyakit nomor tiga di seluruh dunia, menempati urutan kedelapan di negara-negara berkembang, dan menempati urutan pertama pada negara dengan penghasilan menengah keatas.Penelitian ini bertujuan untuk mengetahui prevalensi dan faktor-faktor yang berhubungan dengan gangguan mental emosional pada lansia Perdesaan di Indonesia. Design study yang digunakan adalah cross-sectional menggunakan data lanjutan dari hasil Riskesdas 2013 dengan sampel lansia berusia ≥60 tahun yang berada di wiayah Perdesaan di Indonesia dan memiliki data variabel lengkap yang dibutuhkan dalam penelitian ini yaitu 49246 sampel.Hasil penelitian ini menunjukkan bahwa umur lansia ≥75 tahun berisiko 1.7 kali (95%CI=1.614- 1.809), perempuan berisiko 1.4 kali (95%CI=1.364-1.517), status perkawinan yang tidak menikah berisiko 1.7 kali (95%CI=1.370-2.201), pendidikan rendah berisiko 3.1 kali (95%CI=1.965-4.710), tidak bekerja berisiko 2.2 kali (95%CI=2.060-2.218), status sosial ekonomi terbawah berisiko 1.8 kali (95%CI=1.633-2.138), status gizi kurang berisiko 1.6 kali (95%CI=1.500-1.706), memiliki penyakit kronis berisiko 1.9 kali (95%CI=1.783-1.984), mengalami disabilitas berisiko 8 kali (95%CI=7.446-8.727), kurang aktifitas fisik perminggu berisiko 1.6 kali (95%CI=1.468-1.759), dan tidak merokok memproteksi 0.6 kali (95%CI =0.619-0.711) untuk mengalami gangguan mental emosional didaerah Perdesaan.Kesimpulan, bagi lansia sebaiknya mempunyai aktifitas baik dirumah ataupun diluar rumah, menerapkan pola hidup sehat agar menurunkan faktor risiko gangguan mental emosional dan mendekatkan diri kepada Allah SWT agar hati dan jiwa tentram, serta berpikir positive.

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Mental health disorders are early symptoms of mental health, especially depression that provide a major contribution to the burden of disease. Depression become number three worldwide burden of disease, number eight in developing country and become the first in developed country.

This study aims to determine the prevalence of and factors associated with emotional mental disorders on elderly in Indonesian rural areas. Design study is cross-sectional, use of advanced Riskesdas 2013 data with sample of elderly aged ≥60 years who are in rural area in Indonesia and variable data required in this study is 49.246 samples.

The results of this study indicate that the elderly ≥75 years of age at risk of 1.7 (95% CI = 1614-1809), women at risk of 1.4 (95% CI = 1364-1517), not married (marital status) at risk of 1.7 (95% CI = 1370-2201), low education risk 3.1 times (95% CI = 1965-4710), unemployee at risk of 2.2 (95% CI = 2060-2218), socioeconomic status, the lowest risk of 1.8 (95% CI = 1633-2138 ), nutritional status is less risk of 1.6 (95% CI = 1500-1706), had 1.9 times the risk of chronic disease (95% CI = 1783-1984), disability risk 8 times (95% CI = 7446-8727), less physical activity at risk of 1.6 (95% CI = 1468-1759), not eating fruit at risk 1.2 times (95% CI = 1191-1399), vegetable consume less risk 1.4 times (95% CI = 1389-1547) and not smoke protect 0.6 times (95% CI = 0619-0711) for mental emotional disorder in rural areas.

Conclusion, for elderly women should have a good activity at home or outside the home, adopting a healthy lifestyle in order to lower the risk factors for mental disorders of emotional and pray a lot to Allah SWT to be the heart and soul at ease, as well as positive thinking."

"Hipertensi dan DM tipe 2 merupakan penyakit kronis yang dapat memengaruhi kualitas hidup lansia. Prolanis menjadi salah satu pendekatan untuk meningkatkan kualitas hidup lansia. Penelitian ini bertujuan untuk mengetahui hubungan peran serta dalam kegiatan prolanis dengan kualitas hidup lansia. Desain penelitian cross-sectional dengan jumlah sampel 114 responden. Teknik pengambilan sampel yang digunakan purposive sampling. Peran serta dalam kegiatan prolanis dinilai dengan merekap daftar hadir kegiatan prolanis selama 6 bulan terakhir dan kualitas hidup dinilai dengan kuesioner WHOQOL_BREF. Analisis data dengan uji korelasi Pearson. Hasil penelitian menunjukkan peran serta dalam kegiatan prolanis memiliki hubungan yang bermakna dengan kualitas hidup lansia (p=0,000). Nilai korelasi Pearson 0,539 menunjukkan korelasi positif dengan kekuatan korelasi yang kuat. Pelaksanaan kegiatan prolanis dapat menjadi salah satu intervensi keperawatan untuk meningkatkan kualitas hidup lansia di komunitas. Penelitian selanjutnya dapat melakukan penelitian dengan menambah variabel yang berbeda

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Hypertension and type 2 diabetes are chronic diseases that can affect the quality of life of the elderly. Prolanis is one of the approaches to improve the quality of life of the elderly. This study aims to determine the relationship of participation in prolanist activities with the quality of life of the elderly. A cross-sectional study design with a sample of 114 respondents. The sampling technique used was purposive sampling. Participation in prolanist activities was assessed by summarizing the attendance list of prolanist activities over the past 6 months and quality of life was assessed by the WHOQOL_BREF questionnaire. Data analysis with Pearson correlation test. The results showed that participation in prolanis activities had a significant relationship with the quality of life of the elderly (p = 0,000). The Pearson correlation value of 0.539 shows a positive correlation with the strength of a strong correlation. Implementation of prolanist activities can be one of the nursing interventions to improve the quality of life of the elderly in the community. Future studies can conduct research by adding different variables."