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"Cardiovascular disease has become the first cause of death. Highest morbidity is found in the age, and among cardiovascular diseases, prevalence of hypertension is the highest. Many studies on the relationship between nutritional factors and hypertension have been done, but studies to observe determinants of hypertension in Indonesia are lacking. Therefore, there is an urgent need to elaborate information on various hypertension risk factors in the Indonesian elderly, which will allow the policy makers to provide appropriate intervention programs.

The primary purpose of this study was to investigate various determinants of hypertension in the Indonesian elderly with different nutritional status.

A cross sectional study was undertaken in Jakarta and 5 other cities with total sample of 1261 elderly using multistage random sampling. Subjects were recruited from elderly population in Jakarta, Padang, Bandung, Jogyakarta, Denpasar and Makasar. Data were collected through interview using structured questionnaires, anthropometrics measurements, biochemical blood and urine analysis, and blood pressure measurements. Daily nutrients intake was analyzed using WorldFood2 Dietary Assessment Program. Data were analyzed by using SPSS programs for Windows version 7.5; General Linear Model, Multiple linear regression and logistic regression analysis were performed to determine the predictive power of independent variables for outcome variables. Prevalence of hypertension found in the study was quite high, more than 50% of the study population for both men and women. This study showed significant differences of determinant and predictive factors of blood pressure between elderly with Body Mass Index (BMI) < 25 kg/m2 and BMI? 25 kg/m2. Prevalence of systolic and diastolic hypertension was higher in the elderly with BMI < 25 kg/lm2 than in the elderly with BMI 25 kg/m2. BMI was a significant determinant for diastolic blood pressure in elderly with BMI > 25 kg/m2. There was a positive association between blood pressure and Waist to hip ratio (WHR) irrespective of BMI value.

Plasma LDL cholesterol >160 mg/dl increased the risk of having systolic hypertension 1.5 to 2 times in the elderly with BMI < 25 kg/m2 after the age of 65 years and increased the risk of having diastolic hypertension 1.5 times. Plasma triglycerides > 200 mg/dl increased the risk of having systolic hypertension 1.7 and 2.5 times in elderly with BMI 25 kg/m2 and in elderly with BMI? 25 kg/m2 respectively, after the age of 65 years and increased the risk of having diastolic hypertension Ft, 1.7 times. Ratio of total cholesterol to HDL cholesterol > 5 increased the risk of having hypertension 1.8 times in elderly with BMI? 25 kg/m2. Plasma HDL cholesterol < 35 mg/dl in elderly with BMI < 25 kg/m2 increased the risk of hypertension approximately 2.4 times. In elderly with BMI < 25 kgmm2, monounsaturated fatty acid (MUFA) had negative correlation (protecting effect) with diastolic and systolic blood pressure. Saturated fatty acid (SFA) had positive correlation with diastolic blood pressure and systolic blood pressure. Cholesterol intake had positive correlation with diastolic blood pressure. Multivariate analyses in this study did not find significant correlation between energy intakes with blood pressure. Although no significant correlation was found between protein intakes with blood pressure, this study showed that arginine intake had protecting effect against hypertension. The study also showed that calcium and potassium intake had negative correlation with DBP and SBP respectively in elderly with BMI > 25 kg/m2. In elderly with BMI < 25 kg/m2 sodium intake had positive correlation with SBP. This study also demonstrated that sport index had negative correlation (protecting effect) with diastolic blood pressure.

Nutrition education to elderly group should emphasize healthy nutrients with protecting effect against hypertension and avoid nutrients with positive correlation to hypertension. Suggestion for sodium restriction especially in the elderly with BMI < 25 kg/m2, and proper physical/sport activity as a protecting factor against hypertension is very important for the elderly. Regular check of blood pressure and plasma lipid should be conducted and Public Health Centers equipped with appropriate laboratory facilities, for early detection of hypertensive risk factors. BMI category should be considered in hypertension program since there were differences of determinant factors of hypertension between different categories of BMI. Future studies should be directed on public health and nutrition intervention to the elderly community."

"Hipertensi merupakan penyakit kronik akibat gangguan sistem sirkulasi darah telah menjadi masalah besar bagi kesehatan masyarakat. Survei Kesehatan Rumah Tangga (SKRT) tahun 1995 menyebutkan bahwa penyakit sirkulasi ini pada kelompok umur 45-60 tahun mencapai 20.9%, sedang pada umur diatas 60 tahun angka ini mencapai 29.5%. Demikian juga pada tahun 1995 penyakit sirkulasi menduduki urutan pertama-penyebab kematian pada lansia, yakni sebesar 18.9%.Penelitian pendahuluan terhadap 90 lansia di Kota Depok pada tahun 2001 didapatkan proporsi hipertensi sebesar 50.0%, dan berdasarkan jenis kelamin pada laki-laki sebesar 41.9%, sedang pada perempuan 57.4%, dan angka ini jauh lebih besar dari prevalensi hipertensi yang ditetapkan oleh Depkes RI (20-30%) untuk lansia di tahun 2000.Penelitian ini bertujuan untuk melihat faktor-faktor yang diduga berhubungan dengan hipertensi pada lansia di Kota Depok. Sampel dalam penelitian sebanyak 310 orang lansia (181 perempuan dan 129 laki-laki) berumur 55-93 tahun, dimana pengambilan sampel dilakukan secara rancangan stratifikasi proporsional di 4 wilayah puskesmas dari 24 puskesmas yang ada di Kota Depok.Penelitian ini melihat hubungan antara umur, jenis kelamin, riwayat keluarga, konsumsi natrium, konsumsi lemak, konsumsi kalsium, IMT, merokok, stress, aktivitas fisik, dan faktor sosial ekonomi (status perkawinan, status pendidikan, status pekerjaan, dan penghasilan keluarga), dengan hipertensi. Hasil penelitian menunjukkan bahwa prevalensi hipertensi pada responden di Kota Depok sebesar 57.4%. Persentase ini lebih tinggi dibandingkan hasil penelitian sebelumnya.Berdasarkan analisis multivariat didapatkan hasil sebagai berikut: responden yang berumur 70 tahun berpeluang mendapat hipertensi 2.97 kali (95% CI: 1.3640-6.4610; p=0.0061) dibandingkan yang berumur 55-59 tahun, responden yang berumur 65-69 tahun berpeluang mendapat hipertensi 2.45 kali (95% CI: 1.2517-4.8134; p=0.0090) dibandingkan yang berumur 55-59 tahun dan responden yang berumur 60-64 tahun berpeluang mendapat hipertensi 2.18 kali (95% CI: I.0971-4.3350; p=0.0261) dibandingkan yang berumur 55-59 tahun. Responden yang mempunyai riwayat keluarga hipertensi berpeluang mendapat hipertensi 1.97 kali (95% CI: 1.0816-3.5997) dibandingkan yang tidak punya riwayat keluarga hipertensi. Responden dengan derajat stres tinggi berpeluang mendapat hipertensi 3.02 kali (95% CI: 1.5262-6.0087; p=0.0015) dibandingkan yang derajat stres rendah, dan responden dengan derajat stres sedang berpeluang mendapat hipertensi 2.47 kali (95% CI: 1.3594-4.4900; p=0.0030) dibandingkan yang derajat stres rendah. Responden dengan aktivitas kurang berpeluang mendapat hipertensi 2.73 kali (95% CI: 1.6296-4.5649; p=0.0001) dibandingkan yang aktivitas cukup. Dan responden yang tidak kawin berpeluang mendapat hipertensi 2.07 kali (95% CI: 1.1414-3.7561;p=0.0166) dibandingkan yang kawin. Selanjutnya disimpulkan bahwa dari kelima variabel tersebut, derajat stres tinggi merupakan variabel yang paling dominan berhubungan dengan hipertensi.Berdasarkan faktor-faktor yang berhubungan secara signifikan dengan hipertensi, pada penelitian di atas, maka faktor yang dapat diintervensi adalah aktivitas fisik dan stres.Oleh karenanya sehubungan dengan faktor di atas, serta tingginya angka kejadian hipertensi pada lansia, maka saran yang dapat diberikan kepada Dinas Kesehatan Kota Depok serta jajaran di bawahnya, adalah meningkatkan program promosi penanggulangan hipertensi pada lansia melalui kegiatan latihan fisik berupa senam terapi 2 kali seminggu dan gerak jalan pagi, serta melakukan pembinaan mental/ kerohanian. Perlu diperhatikan untuk membentuk kelompok-kelompok lansia baru, terutama untuk komunitas yang sosial-ekonominya rendah.

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Hypertension is a chronic disease, it caused to the problem on blood circulation system, and it has become a big problem to public health. Based on the Household Health Survey (SKRT) in 1995 mentioned that this disease at age group 45-60 years reach 20.9%, while at age over than 60 years this number reach 29.5%. It was also in 1995; this disease lies at the first line of death on elderly, i.e. 18.9%. The previous study to 90 elderly at Depok City in 2001, it was found that the proportion was 50.0%, and based on male it was 41,9%, while on female 57,4%, and this number was bigger than hypertension prevalence that stated by MOH RI (20-30%) for elderly in 2000.The objective of this study was to determine the factors that estimated related to hypertension on elderly at Depok City. The number of sample in this study was 310 elderly (181 females and 129 males) their age 55-93 years, where the sample took proportionally in four areas of Health Centers out of 24 Health Centers that available at Depok City. This study see the relationship among age, sex, family history, sodium consume, fatty consume, calcium consume, IMT, smoking, stress, physic activity, and social economy factors (marital status, education status, profession status, and family income), with hypertension. The result of this study shows that hypertension prevalence on respondent at Depok City was 57.4%. This presentation was higher than the previous study.Based on multivariate analysis it was found that the result as the followings: the respondent whose age z 70 years having tendency of hypertension 2.97 times (95% CI: 1.3640-6.4610; p=0.0061) compared to whose age 55-59 years. The respondent whose age 65-69 having tendency of hypertension 2.45 times (95% CI: 1.2517-4,8134; p=0.0090) compared with whose age 55-59 years. And the respondent whose age 60-64 having tendency of hypertension 2.18 times (95% Cl: 1.0971-4.3350; p=0.0261) compared with whose age 55-59 years. Respondent whose having family history on hypertension tend to have hypertension 1.97 times (95% CI: 1.0816-3.5997) compared to whose not having hypertension on family history. Respondent with higher stress tend to have hypertension 3.02 times (95% CI: 1.522622-6.0087; p=0.0015) compared whose is lower stress, and respondent with moderate stress tend to have hypertension 2.47 times (95% CI: 1,3594-4900; p=0.0030) compared to whose lower stress. Respondent with lack of activity tend to have hypertension 2.73 times (95% CI: 1.6296-4.5649; pO.0001) compared to whose enough activity. And respondent whose unmarried tend to have hypertension 2.07 times (95% CI: 1.1414-3756I;p=0.0166) compared with whose married. Then it concluded that from the fifth variables, the degree of high stress is a variable that the most dominant related to hypertension.Based on the factors that related significantly to hypertension in this study, so the factors that can be intervention, i.e. stress and physical activity. Therefore, referring the factors above, also the high rate of hypertension on elderly, so the recommendation that can be given to the Local Health Service of Depok City also it?s related. They are improving the program on promotion to overcome the hypertension for elderly through physical exercise in the form of gymnastic therapy, twice a week and morning jogging, also doing mental management/spiritual. It is considering establishing the new groups of elderly, especially to community with lower social economy."

"Hipertensi menjadi salah satu masalah kesehatan masyarakat di Indonesia dengan prevalensi tertinggi pada kelompok lanjut usia. Tujuan penelitian ini adalah untuk mengetahui prevalensi dan faktor-faktor yang berhubungan dengan hipertensi yang belum terdiagnosis pada lansia di Indonesia. Desain penelitian ini adalah cross-sectional dengan menggunakan data sekunder dari hasil survei Riskesdas 2018. Sampel pada penelitian ini adalah seluruh penduduk berusia ≥60 tahun di Indonesia yang belum terdiagnosis hipertensi, yaitu sebanyak 70.127 orang. Data dianalisis secara regresi logistik sederhana (bivariat) dan regresi logistik berganda (multivariat). Hasil penelitian menunjukkan bahwa prevalensi hipertensi yang belum terdiagnosis pada lansia di Indonesia sebesar 52,4%. Umur, jenis kelamin, tingkat pendidikan, wilayah tempat tinggal, konsumsi makanan asin, perilaku merokok, dan aktivitas fisik merupakan faktor- faktor yang berhubungan dengan hipertensi yang belum terdiagnosis pada lansia di Indonesia, dengan umur sebagai faktor yang paling berhubungan dengan AOR = 1,44 (95% CI: 1,36-1,52). Untuk mengurangi prevalensi hipertensi yang belum terdiagnosis pada lansia, pemerintah diharapkan dapat fokus pada penguatan promosi, skrining, dan surveilans kesehatan pada lansia.

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Hypertension is one of the public health problems in Indonesia with the highest prevalence in elderly. The purpose of this study was to determine the prevalence and factors associated with undiagnosed hypertension among elderly in Indonesia. The design of this study is cross-sectional using secondary data from the results of the 2018 basic health research survey. The sample in this study was the entire population aged ≥60 years in Indonesia who had not been diagnosed with hypertension, which was 70,127 people. Data were analyzed by simple logistic regression (bivariate) and multiple logistic regression (multivariate). The results showed that the prevalence of undiagnosed hypertension among elderly in Indonesia was 52.4%. Age, gender, education level, area of residence, consumption of salty food, smoking behavior, and physical activity are the factors associated with undiagnosed hypertension among elderly in Indonesia, with age as the most associated factor (AOR = 1.44, 95% CI: 1.36-1.52). To reduce the prevalence of undiagnosed hypertension among elderly, the government is expected to focus on strengthening promotion, screening, and health surveillance on elderly."

"Kepatuhan minum obat sangat penting bagi lansia hipertensi untuk mengontrol tekanan darah sehingga mencegah terjadinya komplikasi. Tujuan studi literatur ini ialah untuk mengetahui kepatuhan minum obat pada lansia hipertensi. Peneliti menggunakan 5 database sebagai alat pencarian artikel dan metode PRISMA untuk menyeleksi artikel. Penelusuran literatur dilakukan pada bulan juni hingga juli 2020 dan didapatkan 10 artikel yang sesuai. Hasil studi literatur ini menunjukan kepatuhan minum obat pada lansia hipertensi masih rendah. Terdapat 3 faktor utama yang mempengaruhinya yaitu literasi kesehatan, efikasi diri dan fungsi kognitif. Intervensi yang paling efektif untuk meningkatkan kepatuhan minum obat pada lansia hipertensi adalah multimodal intervention.

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Medication adherence is important for older people with hypertension to control their blood pressure to prevent complications. The purpose of this literature study is to determine medication adherence in older people with hypertension. The researcher used 5 databases as an article search tool and PRISMA method to select articles. This literature study was conducted from June to July 2020 and obtained 10 suitable articles. The results of this literature study show that medication adherence in older people with hypertension is still low. 3 main factors influence it, include health literacy, self-efficacy, and cognitive function. The most effective intervention to improve medication adherence in older people with hypertension is a multimodal intervention."

"Loneliness (kesepian) merupakan salah satu persepsi subjektif yang dialami seseorang akibat kurangnya kontak sosial dengan orang lain. Lansia merupakan salah satu kelompok usia yang berisiko tinggi mengalami loneliness (kesepian) akibat berbagai penurunan dan kehilangan yang dialami baik secara fisik, psikologis, dan lingkungan sosial. Penelitian ini bertujuan untuk mengetahui gambaran loneliness (kesepian) pada lansia di kelurahan Depok dengan sampel sebanyak 103 responden. Desain penelitian menggunakan metode deskriptif yaitu teknik random sampling dengan cluster sampling. Instrumen penelitian menggunakan UCLA loneliness scale untuk mengetahui kejadian loneliness (kesepian) pada lansia. Hasil analisis deskriptif menyatakan bahwa sebanyak 52% lansia di kelurahan Depok tidak mengalami loneliness (kesepian). Mempertahankan dan meningkatkan aktivitas rutin secara individu maupun kelompok di komunitas perlu diperhatikan oleh keluarga dan perawat komunitas untuk menghindari terjadinya loneliness (kesepian) pada lansia.

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Loneliness is one of the subjective perception that being experienced by individual as result of the lack of social interaction with others. Elderly is groups of certain age who has certain quite high number at risk of loneliness. It happens due to degrading physical, psychological ability and social environment.

The purpose of study was to describe the loneliness among elderly in certain area of Depok, with 103 respondents sample. Descriptive method of random sampling with cluster was being chosen as design research methodology. And UCLA loneliness scale was being used as the research instrument.

The result of this research stated that 52% of elderly people in certain area of Depok did not experience loneliness. Maintaining and improving routine activities in both individual level and community can be one of suggestion and need to being considered by family and community nurse to avoid loneliness in the elderly groups."

"Fungsi kognitif pada usia lanjut akan menurun sejalan dengan proses penuaan yang terjadi secara alami. Senam lansia merupakan salah satu cara untuk mencegah penurunan fungsi kognitif pada lansia. Penelitian ini bertujuan mengetahui hubungan antara keaktifan mengikuti senam lansia dengan tingkat fungsi kognitif. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross sectional, menggunakan 85 responden lansia di kelurahan Depok Jaya, dipilih menggunakan teknik cluster sampling pada setiap posbindu. Keaktifan mengikuti senam lansia diukur menggunakan kuesioner untuk menilai keaktifan mengikuti senam selama tiga bulan dan tingkat fungsi kognitif diukur dengan Mini-Mental State Examination MMSE . Uji analisis bivariat menggunakan uji chi square, hasil uji statistik menyatakan terdapat hubungan yang signifikan antara keaktifan mengikuti senam lansia dengan tingkat fungsi kognitif.

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Cognitive function in the elderly will decrease along with the natural aging process. Physical exercise such as elderly gymnastic is one way to prevent cognitive decline in elderly. This study aimed to determine the relationships between elderly gymnastics liveliness and cognitive function level. The design of this research was correlative analytic with cross sectional approach, with 85 elderly as respondents in Depok Jaya village, selected using cluster sampling technique at each senior center. The liveness of elderly gymnastics was measured by using questionnaire that assessed the level of gymnastics liveness during three months and cognitive function measured by Mini Mental State Examination MMSE . The bivariate analysis test using chi square test, disclosed that there was significant correlation between the liveness of elderly gymnastics with cognitive function level."

"Latar Belakang Kasus lansia dengan gangguan tidur yang mengunjungi pelayanan kesehatan semakin meningkat setiap tahunnya, Beberapa penyebab gangguan tidur yaitu penurunan fisiologis akibat penuaan, perubahan lingkungan, gaya hidup dan perubahan psikologis. Salah satu perubahan psikologis penyebab gangguan tidur pada lansia adalah kesepian. Salah satu cara lansia mengatasi kesepiannya adalah menggunakan Smartphone , namun dampak penggunaan Smartphone terhadap kualitas tidur dan kesepian pada lansia belum banyak diteliti. Tujuan: Penelitian ini mencari adakah hubungan penggunaan Smartphone Screen Time dan platform media sosial dengan kualitas tidur dan kesepian lansia. Metode: Penelitian Cross sectional terhadap 98 pasien yang menjalani rawat jalan di Pusat Kesehatan Jiwa Nasional RS Marzoeki Mahdi Bogor dengan kriteria inklusi lansia yang mengalami gangguan tidur, mampu berkomunikasi dengan baik dan menggunakan Smartphone (iPhone minimal versi 12 atau Android minimal versi 9). Analisis data yang dipakai adalah Regresi logistik. Hasil:Dari hasil uji data bivariat maupun multivariat. Didapatkan bahwa pemakaian smartphone screen time yang melebihi 5 jam sehari memiliki hubungan yang signifikan terhadap kualitas tidur yang buruk pada lansia. namun smartphone screen time tidak terbukti secara statistik memiliki hubungan dengan tingkat kesepian. Selain itu akses platform media sosial tidak terbukti secara statistik memiliki hubungan bermakna dengan kualitas tidur, namun memiliiki hubungan bermakna dengan tingkat kesepian pada lansia. Kesimpulan: Pemakaian Smartphone screen time yang rendah dapat meningkatkan kualitas tidur dan penggunaan platform media sosial berbasis bergambar dibandingkan saat lansia mengakses platform media sosial berbasis gambar menurunkan tingkat kesepian pada lansia. Saran: Berdasarkan hal tersebut, perawat perlu memberikan pengawasan dan edukasi pada lansia mengenai pembatasan waktu penggunaan Smartphone screen time terutama menjelang tidur malam serta panduan mengakses jenis platform media sosial berbasis gambar untuk mengatasi kesepian pada lansia.

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Background. Elderly people with sleep disorders cases which visiting health services are increasing every year, but the health care services provided have not focused on the causes. Some of the causes of sleep disorders are physiological decline due to aging, environmental changes, lifestyle and psychological changes. One of the psychological changes that cause sleep disturbances in the elderly is loneliness. Complaints of loneliness in the elderly in the service have also not been optimally explored. The elderlie’s way to overcome their loneliness is to use a Smartphone , but the impact of Smartphone usage on sleep quality and loneliness levels in the elderly has not been widely studied. Objective. This study looks for the relationship between the use of Smartphone Screen Time and social media platforms with sleep quality and the level of loneliness of the elderly. Methods. The study was conducted with a cross-sectional method on 98 patients undergoing outpatient care at PKJN (National Mental Health Center) Marzoeki Mahdi Hospital Bogor with the inclusion criteria of elderly people who experience sleep disorders, able to communicate well and use Smartphone (iPhone at least version 12 or Android at least version 9). The data analysis method used was multivariate logistic regression. Results. From the results of bivariate and multivariate data tests. It was found that the use of smartphone screen time that was more than 5 hours a day had a significant relationship with poor sleep quality in the elderly. but smartphone screen time was not statistically proven to have a relationship with the level of loneliness. Conclusion. Sleep quality in the elderly has a relationship with Smartphone Screen Time. Low screen time smartphone usage can improve sleep quality in the elderly compared to high screen time smartphone usage. The level of loneliness in the elderly has relationship with accessing text-based social media platforms than when the elderly access image-based social media platforms. Suggestion. Based on this, nurses need to provide supervision and education to the elderly regarding limiting the use of Smartphone screen time, especially before going to bed at night and guidance accessing types of image-based social media platforms to overcome loneliness in the elderly."

"ABSTRAKArtikel ini membahas tentang preferensi tempat tinggal lansia di Panti Werdha. Studi sebelumnya memperlihatkan bahwa lansia lebih memilih untuk tinggal bersama anggota keluarga mereka untuk mendapatkan dukungan sosial dan kualitas hidup yang baik. Padahal, Panti Werdha sebenarnya juga dapat menyediakan hal-hal tersebut dengan lebih baik melalui fasilitas-fasilitas yang dimilikinya. Dari kondisi tersebut, artikel ini kemudian akan melihat alasan lansia yang tinggal di Panti Werdha karena preferensi untuk tinggal disana yang masih jarang. Studi-studi sebelumnya menjelaskan bahwa preferensi tempat tinggal lansia dapat dilihat dari aspek internal dan eksternal pada lansia. Namun, studi-studi sebelumnya memiliki kelemahan karena hanya berfokus menjelaskan pada satu aspek tersebut. Artikel ini melihat bahwa preferensi tempat tinggal lansia di Panti Werdha dapat dijelaskan melalui berbagai aspek pada lansia. Artikel ini kemudian berargumen bahwa proses pemilihan tempat tinggal lansia secara mendalam dapat dilihat melalui pemaknaan mereka terhadap Panti Werdha ketika memutuskan untuk tinggal disana. Pemaknaan lansia penting untuk dilihat sebagai dasar rasionalitas mereka dalam berpikir ketika memutuskan dan memilih tinggal di Panti Werdha. Hasil penelitian menunjukkan bahwa terdapat kecocokan rasionalitas yang dibangun oleh Panti Werdha dengan tujuan yang dimiliki oleh lansia ketika memutuskan untuk tinggal disana. Melalui studi kasus pada tujuh lansia di Panti Werdha, penelitian ini menggunakan metode kualitatif.

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ABSTRACTAbstractThis article discusses the elderly 39 s living arrangement preference at Panti Werdha. Previous studies showed that the elderly prefered to live with members of their families in order to get social supports and better quality of life although Panti Werdha can actually provide better social supports and better quality of life through facilities that it owns. Referrring to that situation, this article is concerned about the reasons why the elderly choose to live at Panti Werdha since the preference to live there is still rare. Previous studies explained that the preference of living arrangements of the elderly can be seen from the internal and external aspects of the elderly. However, previous studies have weaknesses because it only focuses explain on one particular aspect. Moreover,this article argues that the elderly 39 s residential preference can profoundly be observed through their sensing on Panti Werdha once they decide to live there. This elderly 39 s sensing is essential in observing their logical rationality when they decide and choose to live at Panti Werdha. The research findings show that rationality developed by Panti Werdha match the elderly 39 s objectives when they decide to live there. Through case studies on seven elderlies at Panti Werdha, this research employs qualitative methods."

"ABSTRAK Lansia merupakan kelompok rentan yang memiliki penyakit kronik karena menurunnya kemampuan fisik, psikologis dan sosialnya. Prevalensi lansia DM diJawa Barat mengalami peningkatan dari 1,3% menjadi 2% di tahun 2013. Lansiamemerlukan dukungan dari masyarakat sekitarnya, terutama kader dalammemberikan pelayanan kesehatan terkait DM. Salah satu jenis pelayanankesehatan yang diberikan kepada kelompok lansia di posbindu PTM diantaranyapemeriksaan adanya gula dalam urine sebagai deteksi awal adanya penyakitdiabetes mellitus, pemeriksaan aktivitas sehari ? hari, pemeriksaan status gizi, dankegiatan olah raga. Dukungan dari keluarga, teman, dan kader kesehatan sangatpenting untuk membuat perubahan gaya hidup dalam hal diet dan pola aktivitas.Praktik residensi bertujuan memberi gambaran pemantauan diet dan aktivitassebagai bentuk pemberdayaan kader dalam mempertahankan kadar gula darahpada lansia DM. Hasil evaluasi kegiatan didapatkan : terjadi peningkatanpengetahuan kader dari rata-rata 3,29 menjadi 9,84; peningkatan sikap kader darirata-rata 33,29 menjadi 36,50; peningkatan keterampilan kader dari rata-rata 29,29menjadi 32,50, dan penurunan kadar gula setelah dilakukan pemantauan diet danaktivitas sebesar 63%. Pendidikan kesehatan dapat dilakukan secara individualmaupun berkelompok oleh petugas kesehatan atau kader yang telah mendapatpelatihan. Pemberdayaan kader dapat meningkatkan pengetahuan, sikap danketerampilan kader. Puskesmas perlu memberikan bimbingan dan pembinaan bagikader kesehatan untuk meningkatkan asuhan keperawatan lansia DM. ABSTRACT Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. "

"Hipertensi merupakan salah satu penyakit dengan angka mortalitas dan morbiditas yang sangat tinggi di dunia. Hipertensi merupakan penyakit terbanyak dengan kasus 3.336 di Puskesmas Pasar Manggis. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan minum obat antihipertensi pada lansia di wilayah kerja Puskesmas pasar Manggis Tahun 2020. Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross-sectional. Responden dalam penelitian ini yaitu lansia (≥60 tahun) dengan hipertensi yang bertempat tinggal di wilayah kerja Puskesmas Pasar Manggis sebanyak 59 responden, yang dipilih menggunakan metode quota sampling. Pengambilan data dilakukan melalui wawancara via telepon dengan panduan kuesioner Morisky Medication Adherence Scale-8 (MMAS-8) dan kuesioner yang telah diadaptasi dari penelitian sebelumnya serta dianalisis dengan uji chi-square . Hasil penelitian menunjukkan bahwa faktor pendidikan (p=0,011), pengetahuan (p=0,009), dan dukungan keluarga (p=0,001) memiliki hubungan yang signifikan dengan kepatuhan minum obat antihipertensi. Jenis kelamin, umur, peran petugas kesehatan dan akses terhadap pelayanan kesehatan tidak memiliki hubungan yang signifikan dengan kepatuhan minum obat antihipertensi (p> 0,05). Hasil penelitian ini diharapkan bermanfaat bagi Dinas Kesehatan Kota Jakarta Selatan & Puskesmas Pasar Manggis sebagai dasar pengambilan keputusan untuk upaya kedepannya dalam meningkatkan kesadaran, pengobatan dan pengendalian penyakit hipertensi di masyarakat.

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Hypertension is a disease with very high mortality and morbidity in the world. Hypertension is the most common disease with cases of 3.336 in Puskesmas Pasar Manggis. This study aims to determine the factors associated with antihypertensive medication adherence among elderly in the working area of Pasar Manggis Health Center in 2020. This research is a quantitative-based cross-sectional design. Respondents in this study were 59 elderly (≥60 years old) with hypertension who lived in the working area of Pasar Manggis Health Center which were selected using the quota sampling method. Data was collected through phone interview questions with the Morisky Medication Adherence Scale-8 (MMAS-8) questionnaire and a questionnaire that has been modified from previous studies which will be analyzed by chi-square test. The results showed that educational factors (p = 0.011), knowledge (p = 0.009), and family support (p = 0.001) had a significant relationship with antihypertensive medication adherence. Gender, age, role of health workers and access to health services do not have a significant relationship with antihypertensive medication adherence (p> 0.05). The result of this study are expected to benefit the Sout Jakarta city Health Office & Pasar Manggis Health Center as a basis for making decisions for future efforts to raise awareness, treatmet and control of hypertension in the community."