Proses menua merupakan proses menghilangnya secara perlahan kemampuan jaringan untuk memperbaiki diri atau mengganti dan mempertahankan fungsi normalnya sehingga tidak dapat bertahan terhadap infeksi dan perbaikan kerusakan yang diderita. Masalah kesehatan yang sering terjadi pada lansia salah satunya adalah muskuloskeletal, yaitu penurunan massa dan tonus otot, serat otot berkurang ukurannya, kekuatan otot berkurang. Insiden jatuh di Indonesia tercatat dari 115 penghuni panti sebanyak 30 lansia atau sekitar 43,47%. Salah satu upaya mencegah terjadinya jatuh pada lansia yaitu dengan cara latihan keseimbangan fisik. Tujuan dari penelitian ini adalah menganalisis pengaruh latihan keseimbangan fisik dengan penilaian Tinetti POMA terhadap penurunan kejadian lansia jatuh. Desain penelitian ini menggunakan pre-eksperimental dengan metode one group pretest posttest design. Teknik sampling pada penelitian ini menggunakan metode simple random sampling dan besar sampel menggunakan Roschoe dengan jumlah sampel 30 responden. Hasil penelitian menunjukan bahwa Sebelum diberikan intervensi, menunjukan hasil bahwa responden lansia yang memiliki risiko jatuh tinggi sebanyak 9 responden (30,0%), dan responden dengan risiko jatuh sedang sebanyak 21 responden (70,0%). Sedangkan setelah diberikan intervensi menunjukan hasil yang sama besar yaitu sebanyak 15 responden (50%) memiliki risiko jatuh sedang dan 15 responden (50%) memiliki risiko jatuh rendah. Hasil statistik dengan uji paired t test menunjukkan ada pengaruh latihan keseimbangan fisik lansia dengan kajian jatih pada lansia dengan P value 0,000. Perawat diharapkan mampu mencegah risiko jatuh pada lansia dengan memberikan bekal ilmu pengetahuan kepada petugas panti/ kader tentang pengkajian lansia yang beresiko jatuh yang kemudian untuk melakukan pencegahan pada lansia dengan diberikan latihan keseimbangan fisik. Kata kunci : Tinetti POMA, latihan keseimbangan fisik RISK DECREASING FALLS THROUGH TINETTI PERFORMANCE ORIENTED MOBILITY ASSESSMENT (POMA) ASSESSMENT WITH EXERCISEPHYSICAL BALANCE IN ELDERLY ABSTRACT Aging is a process of slowly disappearing the ability of tissue to repair itself or replace and maintain its normal function so it cannot withstand infections and repair damage suffered. Health problems that often occur in the elderly, one of which is musculoskeletal, which is a decrease in muscle mass and tone, muscle fiber decreases in size, muscle strength decreases. The falling incident in Indonesia was recorded by 115 orphanage residents as many as 30 elderly or around 43.47%. One effort to prevent falls in the elderly is by physical balance training. The purpose of this study was to analyze the effect of physical balance training with the Tinetti POMA assessment of the decline in the incidence of elderly falls. The design of this study used a pre-experimental method with one group pretest posttest design. The sampling technique in this study used a simple random sampling method and the sample size used Roschoe with a sample of 30 respondents. The results showed that before the intervention was given, the results showed that elderly respondents who had a high risk of falling were 9 respondents (30.0%), and respondents with a moderate risk of falling were 21 respondents (70.0%). Whereas after being given the intervention showed the same results as many as 15 respondents (50%) had a risk of moderate fall and 15 respondents (50%) had a risk of falling low. Statistical results with paired t test showed that there was an effect of elderly physical balance training with a jatih study on the elderly with P value 0,000. Nurses are expected to be able to prevent the risk of falling on the elderly by providing knowledge to nursing staff / cadres about the study of elderly people who are at risk of falling who then to prevent the elderly by being given physical balance training. Keywords: POMA Tinetti, physical balance training
Lower back pain is one of musculoskeletal disorder in the shape of pain in the back bone, to be exact is in the forth lumbar to the first sacrum. It is caused by the not appropriate posture (not ergonomic) while working or doing the activities, such as very long standing or sitting. This complaint can be reduced by sit stretching regularly. The aim of this study is to find out impact of sit stretching towards the changes of scale of lower back pain on employees at PT. Rifan Financindo Berjangka Branch Semarang. The method of research is quasy experiment designed in pre test and post test with compare group. Research subjects are 30 male and female employees. Sample taking uses total sampling. Statisitic test utilizes Mann Whitney with level of meaning (α=0,05). The result of pre test statisitc test is p-value = 0,467 (> 0,05), it means that there is no significant difference scale of lower back pain between intervention group and compare group before performing sit stretching to intervention group. The post test statisitic the result is p-value = 0,001 (> 0,05), it means there is a significant difference scale of lower back pain at intervention group with compare group after performing sit stretching on the intervention group. Based on result of p-value on post test can be concluded that there is an impact of sit stretching towards the changes in scale of lower back pain on the employees at PT. Rifan Financindo Berjangka Branch Semarang.
Penyakit tidak menular kronis merupakan penyakit yang sering menyerang lansia yang dapat menyebabkan masalah psikologis salah satunya depresi. Penelitian ini bertujuan untuk mendeskripsikan tentang deteksi dini depresi pada lansia dengan penyakit tidak menular kronis. Metode penelitian ini menggunakan teknik analisis studi deskriptif. Jumlah sampel pada penelitian ini sebanyak 272 responden dengan teknik pengambilan sampel menggunakan cluster sampling selanjutnya menggunakan random sampling, sehingga terpilih 1 cluster yaitu Puskesmas Kedungmundu. Penelitian ini dilakukan selama 21 hari muali tanggal 09 April – 30 April. Alat ukur yang diguanakan yaitu kuesioner CESD-R (Center for Epidemiologic Studies Depression Scale). Analisis data yang digunakan yaitu analisis univariate dengan tabel distribusi frekuensi. Hasil penelitian ini di dapatkan responden sebagian besar terindikasi depresi yaitu sebanyak 187 responden atau sebesar 68,8%, sedangkan yang tidak terindikasi depresi sebanyak 85 responden atau sebesar 31,3%. Berdasarkan hasil penelitian ini perlu dilakukan upaya pengembangan pelayanan kesehatan di Puskesmas dalam meningkatkan unit pelayanan jiwa (Poli Jiwa), untuk melakukan upaya penecgahan masalah gangguan jiwa terutama dilakukannya deteksi depresi pada lansia yang mengalami penyakit tidak menular kronis dengan melakukan skrining minimal setiap 6 bulan sekali.
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