scholarly journals Adaptation of Home Falls and Accidents Screening Tool (HOME FAST) as a Fall Risk Screening Tool for the Elderly in First Level Health Facilities at Purworejo Regency

Author(s):  
Dewi Susilowardani ◽  
Wahyudi Istiono ◽  
I Dewa Putu Pramantara

Background: The Home Falls and Accidents Screening Tool (HOME FAST) is used for early detection of unsafe environmental conditions at home and risk factors for falls in the elderly. However, in Indonesia there are no data on the adaptation of this instrument. Objective: To determine if the HOME FAST adaptation can be used as a screening tool for the risk of falling in the elderly in the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama (FKTP) of Purworejo Regency. Methods: This research was a quantitative study with a cross-sectional design. Subjects were elderly with age over 65 years in the Puskesmas Loano working area that met the inclusion and exclusion criteria. Results: After the adaptation of the HOME FAST instrument was completed, a validity test was performed and a r table result of 0.361 was obtained, indicating all questions were valid. Reliability testing using the Cronbach Alpha formula obtained 0.8461. Subjects were 300 respondents with a distribution of 135 men (45%) and 165 women (55%). The results of the bivariate analysis found three factors that were statistically significantly related, namely gender, age, and the total score of the HOME FAST adaptation instrument. Gender was statistically significantly correlated with a history of falls p = 0.045 (95% CI 2.14-2.56) with RP 1.57 while age was significant with p = 0.046 with (95% CI: 2.85-3.46), and the risk of unsafe total HOME FAST scoring with p = 0.024. From the 2x2 table calculations, the sensitivity of the HOME FAST adaptation scoring method was low with 46% and the specificity of 67%. Conclusion: The adaptation of HOME FAST has a sensitivity of 46% and a specificity of 67%. The prevalence of adaptation results from HOME FAST risk of falling was 36.66%, with the number of safe houses were 190 housing units and 110 unsafe houses.

2020 ◽  
Vol 3 (2) ◽  
pp. 5-10
Author(s):  
I Nyoman Tripayana

Background and goals: People who are getting older will reduce their ability to perform daily physical activities that can affect their physical fitness. Family support is needed by the elderly in living their old age because the family plays an important role and has the responsibility in caring for the elderly. Good family support for elderly activities will be able to maintain and improve the health and fitness of the elderly. This study aims to determine the relationship of family support with physical fitness of the elderly.Method: This study used a cross sectional design involving 96 elderly samples that met the requirements. Data collection is done by testing and filling out questionnaires. Data were analyzed using the Spearman Rho test and binary logistic regression test.Results: Bivariate analysis showed that variables related to physical fitness were family support (p = 0.004), gender (p = 0.035) and work status (p = 0.001). The results of multivariate analysis showed that variables related to physical fitness were family support (AOR 5,618; 95% CI: 1,624-19,435) and work status (AOR 10,974; 95% CI: 2,452-49,095).Conclusion: Family support has a relationship with elderly physical fitness. Characteristics of work status samples have a relationship with physical fitness of the elderly. The family should always provide positive support to the elderly in fulfilling daily activities in accordance with the ability of the elderly in their effort to maintain and improve the physical fitness of the elderly.


2018 ◽  
Vol 1 (2) ◽  
pp. 123-138
Author(s):  
Novianti Novianti ◽  
Dina Mariana

This study aimed to determine the factors that influence the behavior of the elderly in participating in gymnastics for elderly in Jalan Gedang Health Center in Bengkulu City, 2016. This study was an analytical study using cross sectional design. The population were all elderly at gymnastics in Jalan Gedang health center totaled 50 people, with a total sample of 33 people, and were taken using accidental sampling technique. Data collection was done by direct interview using a questionnaire. The data were analyzed using univariate and bivariate analysis with chi square test at α 5 percent. The results showed that most respondents 60.6 percent had less knowledge, most respondents 51.5 percent got lower family support, almost half of respondents 36.4 percent had low motivation, almost half of respondents 42.4 percent behave not active in participating in gymnastics for elderly, and the results of the chisquare value of ρ 0.040, 0.000 and 0.001 showed no relationship between knowledge, family support and motivation to the behavior of the elderly in participating in gymnastics in Jalan Gedang health center in Bengkulu City 2016. Knowledge, family support, and motivation are very important for the elderly in order to follow gymnastics actively, because gymnastics is very useful for maintaining health. Keywords: Awareness, Behavior, Family Support, and Motivation  


2021 ◽  
pp. 268-277
Author(s):  
Gertrudis Tutpai ◽  
Ermeisi Er Unja ◽  
Florentina Nura

At the time of writing, Covid19 cases were steadily increasing in Banjarmasin. Elderly people were afraid to go to the health facilities to control their blood pressure because they were afraid of catching this disease. However, checking blood pressure in the elderly with hypertension is extremely important, and in the absence of qualified medical staff their families need to take on the role. This research is to find the correlation between family support and controlling blood pressure of elderly patients in health facilities. This study was a quantitative research with cross sectional design that used documentation sheets and questionnaires about family support. Selected via purposive sampling, 50 people from families with hypertension were included in this study. The research period was May to July 2020. Data analysis used Chi Square test at


2020 ◽  
Vol 6 (2) ◽  
pp. 245
Author(s):  
Dwi Widiyaningsih ◽  
Dwi Suharyanta

All forms of charm of the dieng region are able to attract the attention of both domestic people and abroad, with its unique socio-cultural and geographical location which is approximately 2000m above sea level with temperatures reaching 5 degrees Celsius at night and 10 degrees Celsius during the day. It turned out to be a very beautiful natural condition not accompanied by proper healthy behavior, 9 out of 10 households smoke to eliminate the cold, and 4 out of 6 elderly women smoke because of the culture of their ancestors who descended as a cultural heritage signifying that they are strong and respected women. culture like this is certainly very in contrast to the GERMAS (Healthy Community Movement) non-smoking program which was launched in 2016 as an increase in ARI cases from 2009 until 2104 and tends to be stagnant until 2017, as well as various disease events due to smoking such as pulmonary TB, cancer, etc. are also often found in the district Wonosobo. This study aims to look for socio-cultural and geographical influences on smoking behavior in the elderly female sex in the Dieng plateau region wonosobo district. The subjects of this study were elderly women people over 60 who smoke. with a population of 113 elderly, technical. The sample used is total sampling. This type of research is quantitative with cross sectional design as for the analysis of the data used is bivariate analysis (kendall’s tau) where the results are obtained there is a significant influence between social culture on smoking behavior in elderly women (0.001 <0.010), and there is an influence geographic significance of smoking behavior among elderly women (0,000 <0.010). With a significance level of 0,000 (ρ <0.05) so it can be concluded socially culture and geography are related to the smoking behavior of women in the highlands dieng.


2020 ◽  
Vol 2 (2) ◽  
pp. 68-77
Author(s):  
Imelda Imelda ◽  
Fidiariani Sjaaf ◽  
Tri Puspita PAF

Hypertension is a non-communicable disease which is a very serious health problem today and is the biggest cause of stroke, both systolic and diastolic blood pressure. The incidence of hypertension is very high especially in the elderly population. The purpose of this study was to determine the factors associated with the incidence of hypertension in the elderly at the Lubuk Minturun Air Dingin Health Center. This research is an analytic study with cross sectional design and conducted a qualitative study with in-depth interviews. This research was conducted at the Air Dingin Lubuk Minturun Health Center from July to November 2019. The sample used was 110 people taken by accidental sampling. Univariate analysis is presented in the form of a frequency distribution table while bivariate analysis uses the Chi-Square test with α = 0.05 and a confidence level of 95%. The results of this study are there is a correlated between the level of salt consumption with the incidence of hypertension in the elderly (p = 0.025), there is a relationship between the level of consumption of fatty foods with the incidence of hypertension in the elderly (p = 0.010), there is no correlated between smoking habits with the incidence of hypertension in the elderly elderly (p = 0.846), there is no correlated between sports habits with the incidence of hypertension in the elderly (p = 0.179), there is no correlated between obesity and the incidence of hypertension in the elderly (p = 0.980), there is a correlated between the level of stress with the incidence of hypertension in the elderly (p = 0.011), there was no correlated between socioeconomic status and the incidence of hypertension in the elderly (p = 0.101).


2020 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
NINDY VARA MEIGIA

Minimum Standards Service is basic service quality regulation that is entitled to be obtained by every citizen. Elderly people must obtain 100% health services. Various factors can lead to low visits to the elderly posyandu in the Gading Puskesmas area in 2017. Objective: to find out the relationship between family support, knowledge, and elderly activities in the elderly posyandu in Gading Surabaya puskesmas. Method: The type of research is observational analytic with a cross-sectional design. Data processing and analysis is done by univariate and bivariate. Data collection techniques by conducting simple random sampling with a sample of 94 elderly people. Location and time of research from December 2018 at the posyandu in the Gading Surabaya health center area. Results: There is a significant value of 0,000 <0,05, so it can be concluded is have a relationship with family support, knowledge of elderly with activity following the elderly posyandu at Gading Surabaya health center


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Marselli Widya Lestari ◽  
Tri Wahyuni Bintarti

Gout or Gouty Arthritis is a degenerative disease. Gouty arthritis is a clinical syndrome that is caused by deposition of purine crystals in the tissues, due to levels of uric acid (hyperuricemia) in the extracellular fluid that passes through saturation. The etiology of gout arthritis included age, sex, history of medication, obesity, consumption of purine and alcohol. Aging is an important risk factor for men and women. This study uses an analytical-descriptive approach with cross-sectional design. This study was conducted to obtain a relationship between nutritional status and uric acid levels in the community in the area of ​​Al-Hidayah Islamic Boarding School, Ngawi. This research was conducted in Majasem Village, Kendal District, Ngawi Regency, starting from 7 June - 31 August 2018. The results showed that there was a relationship between nutritional status and uric acid levels in the community in the area of ​​Al-Hidayah Islamic Boarding School, Ngawi (p=0,008). Suggestions for further research are bivariate analysis based on gender, knowledge and attitude to response to diet so that other factors that influence can be seen clearly


2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2014 ◽  
Vol 17 (4) ◽  
pp. 818-829 ◽  
Author(s):  
Erika Aparecida Silveira ◽  
Luana Dalastra ◽  
Valéria Pagotto

Polypharmacy is a common practice among the elderly, but few studies have evaluated its association with nutritional markers. The aim of this study was to estimate the prevalence of polypharmacy and its association with nutritional markers, chronic diseases, sociodemographic and health variables. This research is part of the Study Elderly/Goiânia, which evaluated 418 elderly community in a cross-sectional design. Polypharmacy was defined as the use of five or more concomitant medications. The following nutritional markers were investigated: BMI, waist circumference, percentage body fat, weight gain and loss, use of diet, daily consumption of fruits, vegetables, skimmed and whole milk. Multivariate analysis was performed using hierarchical Poisson regression, with significance level set at 5%. The prevalence of polypharmacy was 28% (95%CI 23.1 - 32.5), with a significant association with feminine gender, age range 75 - 79 years, eutrophic nutritional status and obesity, use of diet, poor self-rated health and presence of two, three or more chronic diseases. The high prevalence of polypharmacy and its association with nutritional markers and chronic diseases call the attention for the need of nutritional surveillance and monitoring in the elderly.


2020 ◽  
Vol 1 (2) ◽  
pp. 27-31
Author(s):  
Rilla Fiftina Hadi ◽  
Titis Hadiati ◽  
Natalia Dewi Wardani

Abstract Background: According to WHO, the elderly people have physical and mental challenges, including depression. The incidence of depression lead to suicide on elderly is about 12.7%. In Grobogan Regency, Purwodadi, Central Java, there has been an increase of depression in the last 5 years. Purwodadi Subdistrict depends on the number of orders with the highest number of traffic cases and the elderly.Objective: To determine the correlation between depression level and the risk of suicide.Methods: This research is a quantitative study with cross sectional design in which all respondents were observed and variables were measured at one time. Samples were taken from elderly outpatient of primary health care and Posyandu lansia at Purwodadi, who met the inclusion and exclusion criterias. Research samples were selected based on nonprobability sampling method through purposive sampling. This research used the Indonesian version of the GDS (Geriatric Depression Scale) and CSSRS (Columbia Suicide Severity Rating Scale) questionnaire.Results: The prevalence of elderly depression is 63.3%, and a significant correlation was found between severe depression and low risk of suicide (p <0.05)Conclusion: significant correlation was found between severe depression and low risk of suicide


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