Peningkatan Pengetahuan Lansia tentang Penyakit Degeneratif di Wilayah Kampung Tengah Kramat Jati

2019 ◽  
Vol 1 (2) ◽  
pp. 49-55
Author(s):  
Bazzar Ari Mighra ◽  
Wahyuningsih Djaali

The elderly are residents who have a high risk for various degenerative diseases, including stroke, hypertension, and diabetes mellitus. Lack of information and knowledge of the elderly regarding degenerative diseases, healthy lifestyles, and patterns of early prevention, are the main causes of the high incidence of complications of disease in the elderly. The inaccessibility of the elderly to access health services is also a barrier factor for the elderly and families to obtain information related to the disease. The purpose of this activity in general is to improve the degree of public health through increasing the knowledge of the elderly about degenerative diseases in the Kampung Tengah region, and specifically (1) providing knowledge to the elderly about stroke, (2) providing knowledge to the elderly about hypertension, (3) providing knowledge to the elderly about diabetes mellitus, and (4) providing knowledge to the elderly about how to prevent and manage stroke, hypertension, and diabetes mellitus. The method of this activities are lecturing, discussions, practicing and educational approaches. From the results of counseling activities, it can be concluded that the knowledge of the elderly about stroke, hypertension and diabetes mellitus in the Kampung Tengah region is still very minimal, and increasing knowledge about these degenerative diseases is very much needed so that the elderly can better maintain their health.

2012 ◽  
Vol 11 (2) ◽  
pp. 163 ◽  
Author(s):  
Igor De Matos Pinheiro ◽  
Ana Luiza Azevedo do Vale ◽  
Fábio Santos de Jesus ◽  
Crésio De Aragão Dantas Alves

<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> <w:DontGrowAutofit /> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--><!--[if !mso]><object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=ieooui></object> <style> st1\:*{behavior:url(#ieooui) } </style> <![endif]--><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabela normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--> <p class="MsoNormal" style="margin: 0cm 22.7pt 0.0001pt; text-align: justify;"><strong><span style="font-size: 8pt;">Introdução:</span></strong><span style="font-size: 8pt;"> O processo do envelhecimento associado às doenças crônico-degenerativas conduz ao declínio funcional e/ou cognitivo, resultando em redução da qualidade de vida e diminuição da autonomia e independência. <strong>Objetivo: </strong>Comparar a capacidade funcional e cognitiva de idosos em uma unidade de reabilitação geriátrica na cidade de Salvador-Bahia. <strong>Metodologia:</strong> Estudo observacional descritivo de corte transversal, utilizando análise de prontuários. Foram selecionados os prontuários de indivíduos idosos internados na Unidade de Reabilitação do Centro Geriátrico das Obras Sociais Irmã Dulce, entre janeiro e dezembro de 2011. Dados coletados: sociodemográficos, tempo de internação, diagnóstico clínico, escores do Índice de Barthel Modificado (IBM) e do Mini-Exame do Estado Mental (MEEM), na admissão e alta hospitalar. <strong>Resultados:</strong> 38 prontuários preencheram os critérios de inclusão. 73,68% dos pacientes eram do sexo masculino. A idade variou de 62 a 94 anos e o tempo de internação de 34 a 179 dias. As patologias mais prevalentes foram: hipertensão arterial (68,42%), acidente vascular cerebral (57,89%), restrição de mobilidade (42,10%), incontinência dupla (28,94%), diabetes mellitus (23,98%) e demência vascular (21,05%). As alterações observadas nos escores do IBM não modificaram os níveis funcionais dos idosos. Alterações cognitivas foram observadas em 81,57% na admissão e 63,15% na alta hospitalar. Apenas indivíduos com 1 a 3 anos de escolaridade modificaram os níveis de cognição. <strong>Conclusão:</strong> O processo do envelhecimento associado às doenças crônico-degenerativas influencia na funcionalidade e cognição da população estudada. Os resultados forneceram elementos para estabelecimento de objetivos e planos terapêuticos que favoreçam a reabilitação do idoso.</span></p> <p class="MsoNormal" style="margin: 0cm 22.7pt 0.0001pt;"><strong></strong><span style="font-size: 8pt;"> </span><strong><span style="font-size: 8pt;"> <br /></span></strong></p> <p class="MsoNormal" style="margin: 0cm 22.7pt 0.0001pt;"><strong><span style="font-size: 8pt;" lang="EN-US">Abstract</span></strong></p> <p class="MsoNormal" style="margin: 0cm 22.7pt 0.0001pt; text-align: justify;"><strong><span style="font-size: 8pt;" lang="EN-US">Introduction:</span></strong><span style="font-size: 8pt;" lang="EN-US"> The aging process associated with chronic degenerative diseases leads to functional decline and/or cognitive impairment resulting in reduced quality of life and decreased autonomy and independence. <strong>Objective:</strong> To compare the functional and cognitive capacity of elderly in a geriatric rehabilitation unit in the city of Salvador, Bahia. <strong>Methodology:</strong> This is an observational descriptive cross-sectional analysis using medical records.<span>  </span>The medical records of elderly patients admitted in the Rehabilitation Unit of the Geriatric Center of Obras Sociais Irmã Dulce were selected from January to December 2011. The charts were evaluated for sociodemographic, length of stay, clinical diagnosis, scores of the Modified Barthel Index (MBI) and the Mini-Mental State Examination (MMSE) on admission and discharge. <strong>Results:</strong> A total of 38 records met the inclusion criteria. 73.68% of the patients were male. The age ranged from 62 to 94 years and length of stay from 34 to 179 days. The most prevalent diseases were hypertension (68.42%), stroke (57.89%), restriction of mobility (42.10%), double incontinence (28.94%), diabetes mellitus (23.98 %) and vascular dementia (21.05%). The observed changes in the MBI scores did not change the functional levels of the elderly. Cognitive changes were observed in 81.57% on admission and 63.15% on discharge. Only individuals with 1-3 years of education changed levels of cognition. <strong>Conclusion:</strong> The process of aging associated with chronic degenerative diseases influences on the functionality and cognition of the studied population. The results provided evidence for the establishment of goals and treatment plans that promote the rehabilitation of the elderly.</span></p>


2021 ◽  
Vol 6 (1) ◽  
pp. 18
Author(s):  
Made Mahaguna Putra ◽  
Kadek Siki Mariani ◽  
Ni Nyoman Ari Ratnadi

Introduction: Diabetes mellitus is a major public health issue particularly in the elderly. Religion may affect the Quality of Life in such patients, mediated by factors such as religious coping and medication adherence. This study aimed to investigate the impact of religious coping and medication adherence on quality of life.Method: Diabetes mellitus is a major public health issue particularly in the elderly. Religion may affect the Quality of Life in such patients, mediated by factors such as religious coping and medication adherence. This study aimed to investigate the impact of religious coping and medication adherence on quality of life.Result: there is a significant relationship between Religious Coping and adherence to treatment in Diabetes Mellitus patients with a value of r = 0.266 (p = 0.00) and quality of life (r = 0.216; p = 0.00).Conclusion: Religious coping has an important influence and relationship on treatment adherence to diabetes mellitus sufferers and can provide motivation for sufferers in carrying out medication.


2020 ◽  
Vol 22 (6) ◽  
pp. 582-591
Author(s):  
Elena V. Biryukova

A large-scale epidemic of type 2 diabetes mellitus (T2DM) is observed with advanced ageing worldwide. The prevalence of T2DM significantly increases with age. Therefore, this review aimed to summarise the data on T2DM in advanced and older aged patients. The primary geriatric syndromes, which should be considered for the management of older patients (cognitive impairment, sarcopenia, orthostatic hypotension, falls, urinary incontinence, senile asthenia, etc.), are presented. The causes of the high risk for hypoglycaemia in elderly patients are analysed. Improving the treatment for T2DM is a priority of modern medicine. Using antihyperglycaemic therapy is especially difficult in this population due to the high risk of hypoglycaemia and the multi-organ pathology leading to polypharmacy. Therefore, special attention is paid to treatment recommendations. Hypoglycaemic drugs used in elderly patients should be low risk of hypoglycaemia, without nephro- and hepatic toxicity, safe for cardiovascular organs, easy to administer. Furthermore, advantages and limitations of using various groups of hypoglycaemic drugs in elderly patients are discussed. DPP-4 inhibitors are also considered in detail. Modern data on mechanisms of hypoglycaemic action of DPP-4 inhibitors are presented. Possibilities of using sitagliptin in elderly patients were also considered. Finally, evidence-based studies demonstrating the obvious advantages of sitagliptin for the treatment of T2DM in the elderly and advanced aged population are discussed.


2019 ◽  
Vol 4 (1) ◽  
pp. 376-382
Author(s):  
Puspitasari Puspitasari ◽  
Evi Rinata ◽  
Agus Salim

Improving the level of public health can be started by increasing sufficient knowledge about healthy lifestyles. The period of the elderly is a period of life that needs attention because this period is susceptible to disease. Community service activities aim to broaden the views on the importance of health for the elderly. This activity was carried out at the elderly Posyandu, Jiken Village, Tulangan, Sidoarjo in March to April 2019. The method used was observation, Point of Care Testing (POCT) training for Posyandu cadres, counseling and consultation regarding healthy lifestyles. The result of this activity is that Posyandu cadres can do Point of Care Testing (POCT) and can implement it continuously because the simple medical devices they have are complete. In addition, the elderly people are increasingly enthusiastic to come to the posyandu. This can be seen from the list of visits and activeness of the elderly in participating in the whole series of activities while in the posyandu.  


Author(s):  
Mohamad M. Saab ◽  
Caroline Kilty ◽  
Brendan Noonan ◽  
Serena FitzGerald ◽  
Abigail Collins ◽  
...  

Abstract Lung cancer (LC) is the most common cancer and the leading cause of cancer mortality globally. A positive association between LC incidence and socioeconomic deprivation exists. High-risk individuals are less likely to be aware of LC and to correctly appraise LC symptoms and seek medical help accordingly. This qualitative study explored strategies to promote early detection of LC among at-risk individuals living in high-incidence areas in Ireland. Five semi-structured focus groups were conducted with 46 individuals. Data were collected face-to-face in community centres and organisations in high-incidence areas in two Irish counties and analysed using inductive qualitative content analysis. Participants believed that there was insufficient information regarding LC and recommended promoting LC awareness at a young rather than old age. They favoured public health messages that are Simple, clear, and honest; Worded positively; Incorporating a shock element; Featuring a celebrity, healthcare professional, or survivor; and Targeted (SWIFT). Most participants reported becoming immune to messages on cigarette packaging and recommended using a combination of broadcast and print media within national government-run campaigns to promote LC awareness and early detection. Study findings suggest that promoting LC awareness, help-seeking, early presentation, and diagnosis can be achieved by developing and testing targeted interventions. Promoting LC awareness requires a multi-sectoral policy network, or a whole systems approach. Such approaches ought to consider the multifactorial drivers of LC risk behaviours; involve coordinated, collective actions across various stakeholders; operate across multiple agencies; and take a life course perspective.


2019 ◽  
Vol 1 (3) ◽  
pp. 203
Author(s):  
Sri Maharani

Menopause is a period of cessation of menstruation that will be experienced by all women and can not be avoided. Some symptoms of menopause will be experienced by women from mild symptoms to things that can interfere with life. As a result of changing lifestyle patterns that are relaxed, lack of movement and exercise and eating patterns that lead to a ready-to-eat dish containing fat, protein and salt but low in fiber, bring consequences to the development of degenerative diseases such as obesity, diabetes mellitus, diabetes, osteoporosis, disease coronary heart disease (CHD), and hypertension. The problems faced by partners today include the lack of knowledge about menopause, so it is considered necessary to provide counseling to provide knowledge to the elderly to overcome complaints experienced by the elderly in the face of menopause. Community service activities are carried out at the Al-Mutjahidin mosque in Jambi City. Timing in January 2018. The target is the elderly. Community service methods survey approach, lecture, discussion, demonstration / simulation. The results obtained are the elderly are able to understand about menopause. It is recommended that health workers, especially at the Puskesmas, give more information about menopause to the elderly by participating in elderly pengajianpara activities to get information about menopause and can undergo menopause well.


2019 ◽  
Vol 4 (2) ◽  
pp. 500-507
Author(s):  
Lufthiani ◽  
Evi Karota ◽  
Nunung F Sitepu

Health problems in the elderly begins with the process of deterioration of body cells, which causes a decrease in function and immune system so that it can increase risk factors for disease. Some diseases that are often experienced by the elderly include, hypertension, diabetes mellitus, rheumatism, gout, hearing loss, vision problems, osteoporosis, and others. These conditions will have an impact on increasing morbidity and mortality, declining quality of life, and increasing health financing. The method of implementing community service activities is carried out by educating health issues, providing guidance, counseling and mentoring to 20 elderly groups. The purpose of community service activities is to increase health care efforts which are expected to implement programs to create or improve the ability to live healthy in the community both individuals and groups to be able to solve various problems related to health improvement and disease prevention on an ongoing basis. Education is carried out with health education about general elderly diseases that often occur, namely Diabetes and Gout, then conduct guidance and counseling by dividing into groups, and provide assistance by teaching foot exercises and foot care. Results The implementation of community service activities shows the results that Good Knowledge about degenerative diseases (85.0%), after the mentoring activities namely guidance, counseling, foot gymnastics simulation and foot care. Paired t-test results before and after the assistance was given p value of 0.007. It is expected that the elderly group can be independent in efforts to prevent degenerative diseases that are focused on diabetes mellitus


e-CliniC ◽  
2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Yesika Sengkey ◽  
Henry M.F. Palandeng ◽  
Tyrsa C.N. Monintja

Abstract: Riskesdas (Basic Health Research) 2013 showed that the prevalence of diabetes mellitus (DM) in Indonesia was 6.9% for those above 15 years and in North Sulawesi in 2013 was 2.4%. Posbindu is a public health service post for elderly in a certain region driven by the community. At Posbindu, the elderly can get integrated health services as well as activities involving health promotion and well-being arranged by the community and social organization. Posbindu cadres are trained community workers set up in a communication forum technology transfered and public health guidance services by and for the people that has a strategic value in developing human resources as early as possible. Therefore, it is necessary to improve the knowledge of Posbindu cadres about DM and related diseases. This study was aimed to obtain the cadres’ knowledge about DM. This was a qualitative study using informants. The results showed that the informants’ knowledge about DM was very good, however, there were several things that should be improved. Conclusion: The informants had already known the important things that must be considered in the community, especially related to DM.Keywords: knowledge, Posbindu cadre, diabetes mellitus. Abstrak: Riset Kesehatan Dasar (2013) menunjukkan bahwa prevalensi DM di Indonesia untuk usia di atas 15 tahun sebesar 6,9% dan di Sulawesi Utara sebesar 2,4%. Pos Pembinaan Terpadu (Posbindu) merupakan pos pelayanan kesehatan untuk masyarakat usia lanjut di suatu wilayah tertentu yang sudah disepakati, yang digerakkan oleh masyarakat. Di Posbindu masyarakat usia lanjut bisa mendapatkan pelayanan kesehatan. Disamping itu, terdapat kegiatan peningkatan kesehatan serta kesejahteraan yang melibatkan peran masyarakat dan organisasi sosial. Kader Posbindu ialah tenaga masyarakat yang telah dilatih, dan dibentuk dalam suatu forum komunikasi alih tehnologi dan pelayanan bimbingan kesehatan masyarakat oleh dan untuk masyarakat yang mempunyai nilai strategis dalam mengembangkan sumber daya manusia sejak dini. Oloeh karena itu, peningkatan pengetahuan kader Posbindu mengenai DM dan hal-hal yang berkaitan perlu dilakukan secara berkesinambungan. Penelitian ini bertujuan untuk mengetahui pengetahuan kader Posbindu mengenai penyakit diabetes melitus (DM)..Jenis penelitian ialah kualitatif menggunakan informan. Hasil penelitian mendapatkan bahwa pengetahuan informan sudah baik walaupun masih terdapat hal-hal yang harus lebih ditingkatkan tentang penyakit DM. Simpulan: Para informan sudah mengetahui hal-hal yang harus diperhatikan dalam masyarakat terutama yang berhubungan dengan penyakit DM.Kata kunci: pengetahuan, kader posbindu, diabetes melitus


2018 ◽  
Vol 2 (2) ◽  
pp. 42-46 ◽  
Author(s):  
Dona Amelia ◽  
Dewi Kurniawati

The negative impact of Diabetes Mellitus are shortening the life expectancy, increasing morbidity rates and worsening the quality of life. These impacts are rising due to the growth of number of patients, particularly unidentified sufferer. International Diabetes Federation estimates that by 2035 there will be 592 million people suffering from DM Dan At least more than 85% of them will have type 2 DM. According to health ministry of RI, in west Sumatera, there were around 44000 DM Sufferers in 2014 and 40% of population group was known as undiagnosed DM with high risk level. Meanwhile in Bukittinggi the highest DM sufferer is on public health Center Tigo Baleh followed by Public Health Center Rasimah Ahmad. However there were not a single data released about DM risk. This research aimed to identify type 2 DM prevalency risk through screening of healthy individuals in 2017. The method of this research was quantitative survey in Tigo Baleh and rasimah Ahmad Areas. Data was collected from 500 respondents by using FINDRISC instrument. The result revealed 5 levels of DM risk, there were Low risk 25%, Slightly Elevated Risk 32%, Moderate Risk 21.2%, High Risk 19.2%, and Very High Risk 2.6%.


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