scholarly journals PKM: improving the posyandu elderly capacity to improve the degree of elderly health

2020 ◽  
Vol 4 (2) ◽  
pp. 281-288
Author(s):  
Kadek Ayu Suarmini ◽  
Putu Agus Windu Yasa Bukian ◽  
Putu Sukma Megaputri ◽  
Ni Kadek Nadia Sintia Dewi

Kubutambahan and Bulian Village are two villages that are included in the working area of the Primary health care in Kubutambahan. Integrated Healthcare Center (IHC) elderly in these two villages still have lower coverage than other villages. In addition, the elderly IHC cadre are also not very active in promoting activities and inviting all elderly elements in the villages of Bulian and Kubutamabahan to come to the IHC. The elderly exercise becomes innovative as an improvement in the quality of life of the elderly. In view of the need for active cadres so that elderly gymnastic instructors are not only trained by health workers but also by elderly IHC cadres themselves. The method used is application technology with three patern (promotion, information and education). The stages of implementation are preparation, implementation and evaluation. The target is for all the elderly in the working area of the health center. The results of this service include the provision of IHC information through loudspeakers car, cadre training, provision of additional food as a reward for the arrival of the elderly to the IHC, providing health information and elderly exercise. This service is effectively carried out so that there is an increase in elderly visits and elderly cadres become trained. In addition, the elderly cadre also developed themselves by becoming an elderly gymnastic instructor. The conclusion is that there is an increase in elderly visits and cadres are increasingly trained.

2021 ◽  
Vol 5 (1) ◽  
pp. 1-11
Author(s):  
Syaifurrahman Hidayat ◽  
Mujib Hannan

The decreasing of biological function in the aging process affecting a damage in organ tissue in the elderly, so they are easy to be susceptible of diseases including chronic pain. Pain management in the elderly with osteoarthritis in the community in large mount use pain relievers, and rarely use non-pharmacological therapy, even though the use of non-pharmacological pain management has a smaller risk of drug side effects. The solution needed to be done is Assistance to elderly in Independent Nursing Services with Chronic Pain Problems. The implementation method is providing health education to elderly families, mentoring chronic pain management independently, assisting in developing an integrated healthcare center program for the elderly on chronic pain management and conducting training for elderly health cadres. The results of the implementation of mentoring for elderly were carried out in four activities including health counseling for the elderly and family, assistancing in managing chronic pain independently, optimizing the elderly integrated healthcare center program on pain management and training for elderly health cadres. Assistancing for the elderly in independent nursing services as part of human resource development efforts in improving the handling of problems that occur in the elderly, one of which is chronic pain in the elderly, namely with independent nursing services that can be done at home, so that it becomes part of promotive and preventive efforts


2020 ◽  
Vol 28 (2) ◽  
pp. 99-117 ◽  
Author(s):  
Sandra Hakiem Afrizal ◽  
Achmad Nizar Hidayanto ◽  
Putu Wuri Handayani ◽  
Besral Besral ◽  
Evi Martha ◽  
...  

PurposeThis study was aimed to evaluate the implementation of an integrated antenatal care (ANC) scheme through a retrospective document study using a checklist for measuring the adequacy of the cohort ANC register documented by midwives in an urban area and to describe the barriers for the midwives during the ANC record process.Design/methodology/approachAn exploratory descriptive study using a sequential mixed method was utilised where a quantitative method was employed by collecting secondary data of 150 entries of the cohort ANC register and followed by in-depth interviews among midwives and community health workers.FindingsThe results show that the cohort registry indicators for integrated care such as laboratory and management were poorly recorded. Several barriers were found and categorised during the implementation of the integrated ANC, namely (1) governance and strategy, (2) process of care, (3) organisation and management support.Research limitations/implicationsThe contribution of this present research is that it provides empirical data of the integrated ANC implementation in primary health care (PHC) which has the responsibility to deliver an integrated level of care for ANC using a cohort registry for pregnancy registration monitoring which facilitates the continuity and quality of care.Practical implicationsPractical implication of the finding is that functional integration such as the clinical information system to facilitate an efficient and effective approach during the implementation of integrated ANC in primary care should be considered to support the clinical, professional, organisational, system and normative integration.Originality/valueSince only limited studies have been conducted to assess the quality of the cohort ANC registry and to investigate the barriers against integrated ANC implementation in Indonesia, the research findings are valuable information for the national and local governments to improve the ANC service in Indonesia.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Vivian C Honorato dos Santos de Carvalho ◽  
Sinara L Rossato ◽  
Flávio D Fuchs ◽  
Erno Harzheim ◽  
Sandra C Fuchs

2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Lia Jeremia Rumahorbo ◽  
Rieke Suzana Fanggidae ◽  
Martina Pakpahan ◽  
Dora Irene Purimahua

<p>Hypertension takes the first place as a health problem for the elderly. Hypertension in the elderly comes as a part of aging where blood vessels become stiff and fragile. The purpose of this research was to identify factors that can not be modified and factors that can be modified that affect the incidence of hypertension in the elderly. Literature review used articles from Indonesia OneSearch, Google Shoolar and PubMed databases was then selected using PRISMA Flow Diagrams to produce eight articles according to the inclusion and exclusion criteria. Critical appraisal was done to see the feasibility and quality of the article. Data analysis in this literature review used a simplified approach method. The results of the literature study found that factors that can not be modified that affect the incidence of hypertension in elderly including; family history, race and age. While the factors that can be modified that affect the incidence of hypertension in elderly among others; obesity, physical activity, stress and nutrition. Health workers with family and the elderly can make effort to prevent hypertension against factors that can be changed by routinely checking blood pressure, controlling body weight, exercising regularly, regulating diet, good stress management and optimizing the function of Posbindu (service post of Community Health Centre for the elderly) preventing and managing hypertension in the elderly in the community. Future studies can examine the correlation of each risk factor that influences the incidence of hypertension in the elderly.</p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Hipertensi menempati urutan pertama sebagai masalah kesehatan yang diderita lansia. Hipertensi pada lansia muncul sebagai bagian dari penuaan dimana pembuluh darah menjadi kaku dan rapuh. Tujuan Penelitian untuk mengidentifikasi faktor-faktor yang tidak dapat dimodifikasi dan faktor-faktor yang dapat dimodifikasi yang memengaruhi kejadian hipertensi pada lansia. Kajian literatur menggunakan artikel yang berasal dari <em>database</em> Indonesia <em>OneSearch</em>, <em>Google Shoolar</em> dan <em>PubMed</em> kemudian diseleksi dengan menggunakan<em> Flow </em><em>Diagram </em>PRISMA<em> </em>sehingga menghasilkan delapan artikel sesuai dengan kriteria inklusi dan eksklusi. Dilakukan <em>critical appraisal</em> untuk menganalisis artikel. Analisa data dalam penelitian ini menggunakan <em>simplified approach method</em>. Hasil penelitian didapatkan bahwa faktor-faktor yang tidak dapat dimodifikasi yang memengaruhi kejadian hipertensi pada lansia yaitu; riwayat keluarga, ras dan usia. Faktor-faktor yang dapat dimodifikasi yang memengaruhi kejadian hipertensi pada lansia yaitu; obesitas, aktivitas fisik, stres dan nutrisi.  Petugas kesehatan bersama keluarga dan lansia dapat melakukan upaya pencegahan Hipertensi terhadap faktor-faktor yang dapat diubah dengan rutin melakukan pemeriksaan tekanan darah, mengontrol berat badan, berolahraga teratur, mengatur diet, manajemen stress yang baik serta optimalisasi fungsi Posbindu dalam pencegahan dan penanganan Hipertensi pada lansia dikomunitas. Penelitian selanjutnya dapat meneliti hubungan tiap faktor risiko yang memengaruhi dengan kejadian hipertensi pada lansia.</p>


2021 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Melantika Nur Fitria Syahri ◽  
Tiyas Kusumaningrum ◽  
Bagus Setyoboedi

Abstrak Latar Belakang : Gizi buruk adalah penyumbang angka morbiditas dan mortalitas pada anak. Dinas Kesehatan Kota Surabaya menyatakan kasus gizi buruk secara 100% telah teratasi. Fakta menunjukkan di kecamatan Sukomanunggal mengalami peningkatan angka gizi buruk. Pemerintah telah melakukan upaya perbaikan melalui program - programnya, tetapi kualitas perawatan dan pola asuh ibu belum diketahui. Sehingga dilakukanlah penelitian untuk mengeksplorasi pengalaman ibu dalam merawat anak balita usia 6-24 bulan dengan status gizi buruk post diagnosis di kecamatan Sukomanunggal kota Surabaya. Metode : Penelitian ini merupakan penelitian kualitatif. Jumlah partisipan sebanyak 15 partisipan dan dipilih menggunakan metode purposive sampling. Variabel dalam penelitian ini adalah pengalaman ibu. Teknik pengumpulan data yang digunakan adalah wawancara mendalam dilengkapi dengan catatan lapangan. Hasil : Hasil penelitian didapatkan (53%) ibu mengubah pola pemberian makan (jumlah, menu, frekuensi) dan dari (53%) (83,3%) memberikan makanan secara aktif dan responsif. Ibu memiliki persepsi bahwa masalah gizi pada balita disebabkan faktor keturunan (60%) dan faktor nafsu makan (40%).  Ibu memberikan makanan tambahan (selingan) berupa snack sehat (80%) dan makanan ringan (20%). Ibu tidak memberikan vitamin kepada balitanya (53%). Ibu memiliki pola PHBS yang baik, yaitu (87%) balita tidak memiliki kebiasaan memasukkan barang yang dipegangnya ke mulut dan (53%) ibu mengajari serta membiasakan balita mencuci tangan. Ibu memiliki tingkat kepatuhan yang baik terhadap program puskesmas, (73%) ibu rutin membawa balitanya ke posyandu, (67%) ibu patuh memberikan PMT-P, (87%) ibu mengimunisasikan balita secara lengkap, dan (54%) ibu memberikan obat cacing rutin kepada balitanya. Tetapi hanya (26%) ibu yang melakukan konsultasi ke tenaga kesehatan. Kesimpulan : Perawatan yang dilakukan oleh ibu terhadap balitanya yang mengalami gizi buruk, yaitu melakukan perubahan pola pemberian makan dengan strategi praktik pemberian makan yang aktif dan responsif, memberikan makanan tambahan (selingan) berupa snack sehat yang berbahan lokal serta mengurangi konsumsi makanan ringan yang berlebihan, menerapkan Perilaku Hidup Bersih dan Sehat (PHBS), patuh terhadap program puskesmas dan melakukan konsultasi lebih lanjut ke tenaga kesehatan. Abstract Background : Malnutrition is a contributor to the morbidity and mortality rates in children. The Surabaya City Health Office stated that cases of malnutrition were 100% resolved. The facts show that in Sukomanunggal there has been an increase in the number of malnutrition. The government has made efforts to improve through its programs, but the quality of care and parenting is unknown. So a study was conducted to explore the experiences of mothers in caring for toddlers aged 6-24 months with malnutritional’s status post diagnosis in Sukomanunggal, Surabaya. Method : This research was a qualitative study. The number of participants was 15 participants and was selected using the purposive sampling method. The variable in this study was the experience of mothers. The data collection technique used was indepth interviews equipped with field notes. Results : The results showed that (53%) mothers changed their feeding patterns (number, menu, frequency) and from (53%) (83.3%) gave food actively and responsively. Mother had a perception that nutritional problems in toddlers were due to heredity (60%) and appetite factors (40%). Mothers provided additional food (interlude) in the form of healthy snacks (80%) and snacks (20%). Mothers did not give vitamins to their children (53%). Mothers had a good hygienic habits pattern, that was (87%) toddlers did not have the habit of entering the items they hold in their mouths and (53%) mothers teach and get children to wash their hands. Mothers had a good level of adherence to the puskesmas program, (73%) mothers routinely brought their babies to posyandu, (67%) mothers obediently gave supplementary feeding, (87%) mothers fully immunized their children, and (54%) mothers gave medication routine worms to her toddler. But only (26%) mothers consulted health workers. Conclusion : The care performed by mothers on their children who experience malnutrition, it is changing the pattern of feeding with an active and responsive feeding practice strategy, providing supplementary food in the form of healthy snacks made locally and reducing excessive consumption of snacks, apply hygienic habits, adhere to the puskesmas program and conduct further consultations with health workers.


Retos ◽  
2015 ◽  
pp. 126-129
Author(s):  
Francisco Salinas Martínez ◽  
Armando Cocca ◽  
Kamal Mohamed ◽  
Jesús Viciana Ramírez

Realizamos un análisis del estado actual de las personas mayores en relación con la actividad física y el sedentarismo, éste último aspecto convertido en la actualidad como una de las principales fuentes de amenaza para la salud pública de los países europeos y americanos. Damos a conocer los efectos negativos de la inactividad física sobre los parámetros cardiovasculares, diabetes, depresión y cáncer, entre otros. Mostramos los beneficios de la actividad física (herramienta clave para solucionar los problemas propios del sedentarismo) para la salud de este colectivo de la población; al tiempo que estudiamos las razones por las que las personas mayores acuden a los programas de actividad física. Finalmente, aportamos una serie de conclusiones.Palabras clave: Actividad Física. Calidad de Vida. Personas mayores. Salud. Sedentarismo.Abstract: We analyzed the current status of the elderly in relation to physical activity and sedentary, the latter now become a major source of threat to public health in the European and American countries. We report the negative effects of physical inactivity on cardiovascular parameters, diabetes, depression and cancer, among others. We show the benefits of physical activity (a key tool to solve the problems of the sedentary lifestyle) for the health of this group of the population while we study the reasons why older people attend physical activity programs. Finally, we provide a number of conclusions. Keywords: Physical Activity. Quality of Life. Elderly. Health. Sedentary.


2020 ◽  
Vol 8 (2) ◽  
pp. 94-101
Author(s):  
Santoso Budi Rohayu

Health services are efforts to prevent and cure disease and restore health to family groups and communities. The purpose of this study was to determine and identify the relationship between health services and perceptions of the elderly in Sekuru Tuare Village, the area of the Sekban Health Center, Fakfak Regency. The research method used was non-experimental research with a cross sectional research design. The samples taken were 25 respondents who had been adjusted to the inclusion criteria. Data were collected using a questionnaire that has been tested for validity, and analyzed using the Rank Spearman test. The results showed that there was no relationship between gender, education, and occupation with perceptions of the elderly in elderly posyandu services.The results of the analysis using SPSS 22 obtained ρ value 0.01 (α 0.05), thus there was no significant relationship between health services and perceptions. elderly about posyandu for elderly in the village of Sekuru Tuare expansion. It is hoped that the Puskesmas As program implementers, through health workers and elderly posyandu cadres it can improve the quality and quantity of services according to the needs and desires of the elderly so that a healthy standard of living and knowledge of the importance of posyandu among the elderly can increase.                                                                 Keywords: Quality of healthy life, health services, Elderly Perception


2019 ◽  
Author(s):  
Haneen Ali ◽  
Huiyang Li

Abstract Background and Objectives: The call light system is one of the major communication technologies that links the nursing home staff to the needs of the residents. By providing residents with the ability to request assistance, the system becomes an indispensable resource for patient-focused healthcare. However, there is little known about how the call light systems are being used in nursing homes and how the system contributes to the safety and the quality of care for seniors. Therefore, the aims of this study are to understand the nursing home staff experience while using the call light systems and to uncover the usability issues associated with the implemented systems. Method: A mix of 150 hours of hypothetic-deductive (unstructured) and 90 hours of standard-procedure (structured) observational study were conducted in four different nursing homes. The data collected includes insights into the nursing homes work system and the process of locating and responding to call lights. Results: The data shows that the highest alarm rate is before and after meal times. The nursing staff exceeded the allotted time set by administration 50% of the time. Additionally, the staff canceled 10% of the call lights and did not immediately assist residents due to high workloads. Further, the staff forgot to come back to assist residents over 3% of the time. Usability issues such as broken parts, lack of feedback, lack of prioritization, and low/no discriminability are contributing to the long response time. More than 8% of the time, residents notified the staff about call lights after they waited for a long time, as these residents were left unattended. Conclusion: Nursing homes that are still using old call light systems risk the continuation of usability issues that can affect performance of the staff and contribute to a decline in staff and resident outcomes. While the healthcare industry has been at the forefront of technological advancements and implementation, it is important to recognize the influence of technology in the quality of service delivery for the elderly population in nursing homes and to the nursing homes staff working conditions.


2019 ◽  
Author(s):  
Sabere Anselme Traoré ◽  
Serge M.A. Somda ◽  
Joël Arthur Kiendrébéogo ◽  
Jean-Louis Kouldiati ◽  
Paul Jacob Robyn ◽  
...  

AbstractObjectiveTo assess the adherence to Integrated Management of Childhood Illness (IMCI) guidelines in primary health care facilities in Burkina Faso and to determine the factors associated.Materials and MethodsWe used data from a large survey on health facilities, held from October 2013 to April 2014. Primary health facilities were evaluated, health workers interviewed and consultations observed. The standard guideline for an under five year’s old child consultation was the Integrated Management of Childhood Illness (IMCI).Results1,571 consultations were observed, carried out by 522 different practitioners. The danger signs were usually not checked (13.9% only checking for at least three general danger signs). The adherence for cough (74.8%), diarrhoea (64.9%), fever (83.8%) and anaemia (70.3%) was higher. The principal factors found to be associated with poorer adherence to guidelines of consultation were female sex (Rate Ratio (RR) = 0.91; 95% CI 0.86 – 0.95), non-nurse practitioner (RR=0.93; 95% CI 0.88 – 0.97), IMCI training (RR=1.06; 95% CI 1.01 – 1.11), non-satisfaction of the salary (RR=0.95 95% CI 0.91 – 0.99).ConclusionThis study highlights a poor adherence to the IMCI guidelines and by then, revealing a poor quality of under-five care. Indeed, many characteristics of health workers including gender, type of profession, training satisfaction with salary were found to be associated with this adherence. Therefore, more initiatives aiming at improving the quality of care should be developed and implemented for improving the child health care.


2020 ◽  
Vol 1 (3) ◽  
pp. 75-79
Author(s):  
Sholaikhah Sulistyoningtyas ◽  
Yeni Komala

Postpartum infections are still the leading cause of maternal death after bleeding and hypertension in pregnancy. The main cause of infection during the puerperal period is the presence of injury at perineum.Wound healing with perineal stitch quality assessment in the puerperium was expected to prevent postpartum mother from the danger of infection or physiological complaints that is by adding the intake or consumption of high protein diet in daily life.The purpose of this study was to determine the effect of high consumption of phyto-protein on perineal wound healing quality in postpartum mothers at Primary Health Center of Mlati II District Sleman Year 2017. The research design used was experimental research. The population used in this study was postpartum who maternally and experienced injury to the perineum. The result of p-value of REEDA scale shows p-value is 0,050=0,05 and for food record shows p value equal to 0,000<0,05, then the test result is significant. Conclusion and Suggestion: There is effect that happen between  high consumption of phyto-protein to quality of perineum healing with p value  0,05 (p value < 0,05). It is hoped that health workers can provide alternative counseling if they can not persuade postpartum women to abandon the culture of abstinence.


Sign in / Sign up

Export Citation Format

Share Document