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Abstrak :
Terapi shiatsu modifikasi bersifat nonfarmakologis. Penelitian ini bertujuan mengukur pengaruh terapi shiatsu modifikasi sebanyak 8 kali terhadap tingkat kecemasan, kualitas tidur serta tekanan darah sistolik dan diastolik. Penelitian ini menggunakan disain quasi experiment pre dan post-test. Besar sampel 56 responden, dipilih dengan stratified random sampling dan purposive sampling yang dibagi menjadi menjadi kelompok perlakuan dan kelompok kontrol. Hasil menunjukkan penurunan rata-rata nilai kecemasan sebesar 5,5, gangguan kualitas tidur sebesar 2,36, tekanan darah sistolik sebesar 29,65 mmHg dan diastolik 17.5 mmHg (p = 0.000; 0.000; 0.000). Latihan ini direkomendasikan sebagai salah satu intervensi keperawatan pada lansia hipertensi di komunitas. ......Modification on shiatsu therapy is non pharmacological. This study aimed to measure effect of modification on shiatsu therapy toward anxiety level, quality of sleep, systolic and diastolic blood pressure. A quasi-experimental design with pre and post-test between treatment and control groups was applied. Samples were selected by stratified random sampling and purposive sampling. The treatment group was provided by intervention for 8 times. Results showed decrease of anxiety average 5.5, quality of sleep 2.36 and systolic blood pressure 29.65 mmHg and diastolic 17.5 mmHg (p = 0.000; 0.000; 0.000). It is recommended to provide this exercise as nursing intervention at community

Abstrak :
Peningkatan jumlah lansia dan umur harapan hidup juga dapat menimbulkan berbagai masalah kesehatan pada Jansia salah satunya yaitu demensia. Demensia merupakan suatu kondisi dimana terjadi penurunan dan gangguan kognitif. Demensia biasanya meliputi penurunan kemarnpuan mengingat dan berpikir, gangguan perilaku dan mood. Demensia tidak dapat dihindari karena berl Increment in amount of elderly and !iii: span can also generate various health problems at elderly and one of them is dementia. Dementia is a condition which is called cognitive impalnnent and damage. It usually describes the declining of memory and thought ability, behavior and mood disorder. Dementia can not be avoided as related to several factors and lifestyle especially the food pattern. The objective of this research is to know the food pattern and other factors related to dementia and the dominant factor related to dementia at elderly in West Jakarta region. Cross-sectional design is used in this study. Researeh was oouducted in West Jakarta region in September 2007 until Janunry 2008. The population was elderly of 60 years old or above in West Jakarta region. The samples obtained were specific food pattern (vegetarian) after controlling the level of education, vitamin ascorbic acid, Fe, folate acid intakes, age and nutritional status. Further researches should be done by using the larger samples with cohort design. Case-control or experimental design can also be done to know the influence of nutrients and other factors related to dementia.

Abstrak :
Hasil pembangunan kesehatan adalah meningkatuya umur harapan hidup, sehingga terjadi peningkatan jumlah lansia di Indonesia dengan berbegai masalah kesehatannya. Untuk mengatasi masalah tersebut maka dilakukanlah suatu upaya dalam bentuk kegiatan posyandu lansia yang bertujuan agar pra lansia (45-59 tahun) dan lansia kegiatan sosial secara rutin. Angka pemanfaatan Posyandu Lansia di Wliayah Kerja Puskesmas Naras Kola Pariaman masih sangat rendah yaitu 13,23% pada talmn 2007, angka ini masih jauh dari SPM yaitu 40"/o. Penelitian ini bertujuan unlnk mendapatkan informasi yang mendalam tentang posyandu lansia karena ketidalctahuan terhadap kegiatan posyandu lansia dan adanya pengaruh keluarga yang sangat kuat dalam memanfaatkan pengobatan tradisional. Mengatasi masalah tersebut maka perlu adanya penyuluhan tentang posyandu lansia secara intensif dengan langkah-langkah sebagai berikut: advokasi kepeda Dinas Kesehatan Kota Pariaman untuk mendapatkan dukuagan dana sosialisasi posyandu untuk perbaikan alat kesehatan dan pengadaan Kartu Menuju Sehat (KMS) lansia, meningkatkan sosialisasi posyandu lansia melalui pelatihan petugas pembina wilayah dan kader, penyuluhan melalui media lokal serta meningkatkan komitmen Puskesmas Naras dalam memberikan pelayanan di posyandu lansia dengan menamhah petugas kesebatan posyandu lansia di daerah pegunungan, melakukan perneriksaao laberatorium saderhana dan mendatangkan petugas PKM dalam sadap kegiatan posyandu lansia serta melakukan senam lansia secara rutin. ...... As the consequence of the result of health development is the increase of life expectacy age that leads to the increase in the number of the elderly people in Indonesia including its health problem. In order to overcome the problem, an effort is conducted in the form of activities of the integrated health posts (posyandu) for the elderly that aims to make the pre elderly people (aged 45-59) aod elderly people (aged'?:60) become healthy and self reliant by conducting their health examination and social activities regularly. The number of utilization of the integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City was still low (13.23%) in 2007. The number was lower than Minimal Service Staodard (SPM), that was 40%. The study aimed to obtain the information of the utilization of the integrated health posts for the elderly and factors supported and delayed in utilizing the integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City. To overcome the problems mentioned above, it is needed a elucidation (communication, information, and education) about the integrated health posts fur the elderly intensively with following steps: advocacy towards the Health Office of Pariaman City to get the financial support of socialization of the integrated health posts to repair the medical appliances and to procure the health monitoring card (KMS) for the elderly, to maintain the socialization of the integrated health posts for the elderly through training for regional assistance staffs and health volunteers, to run the elucidation through local media and to maintain the commitment of Naras Health Center in providing the service in the integrated health posts for elderly by adding health staffs at mountain area, to conduct the simple laboratorium test, and to make the health center staffs attended in every activity conducted in the integrated health posts, as well as to conduct the exercise for elderly regularly.