The elderly with cognitive decline becomes more anxious, restless, and socially withdrawn, thus requiring special attention. Social and emotional support and moral and material support provided by relatives and friends will strengthen the elderly's daily lives. This study aims to analyze the relationship between peer social support and stress levels in the elderly. The research design in this study was quantitative analytic with a cross-sectional approach. The sample in this study was 59 elderly living in the Tresna Werdha Social Institution. The measuring tool for this study used a Peer Social Support Questionnaire and the Stress Assessment Questionnaire (SAQ). The correlation test in this study used was the Spearman correlation test. The results of this study indicate that most of the elderly are in the moderate category of stress, with as many as 37 respondents (62.7%), and have peer social support in the positive category, namely 53 respondents (89.8%). Based on the Spearman correlation test, it was found that p-value = 0.001, which means that there is a correlation between peer social support and stress. Spearman's correlation value of -0446 indicates that the direction of the correlation is negative, with the strength of the relationship being. The higher the value of peer social support, the lower the stress on the elderly. Tresna Werdha Social Institution health workers can motivate the elderly so they can increase peer social support and improve programs that benefit the elderly.
Government Regulation Number 36 of 2004 concerning Downstream Oil and Gas Business Activities, the government regulates, fosters, and supervises the implementation of downstream business activities which includes guaranteeing the availability and smooth distribution of fuel throughout the territory of the Unitary State of the Republic of Indonesia. Vehicle Routing Problem (VRP) which is a form of route problem involving vehicles to distribute goods to customers with the aim of minimizing the total distance, minimizing the use of vehicles and the overall distribution time which is expected to reduce errors in selecting gas stations into road routes. Based on the application of the fuel distribution system to gas stations in East Java, especially in the Bojonegoro Regency area using the Vehicle Routing Problem (VRP) method, using a tanker with a capacity of 40 KL is more effective than a tanker with other capacities, distance and operating costs for a tanker of 40 KL the results after the application of the VRP method are more effective than the current distribution patterns, if the VRP method is used it will produce several benefits, including reducing the total mileage of the previous tank car from 3,740 KM to 1,058 KM compared to the current average total mileage of TBBM Semarang-To gas stations in Blora. There was a saving in the cost of diesel fuel from IDR 25,432,000 to IDR. 7,194,400 per day considering there is great efficiency, the pattern for sending Bio Solar fuel from TBBM Tuban to gas stations in Bojonegoro Regency uses a new route using a tanker capacity of 40 tons.
The role of caregivers for dementia patients to improve health care is not yet optimal. Dementia patient care is an experience-based effort for complex dementia patients that can increase the psychological pressure of caregivers. The aim of the study was to determine the effectiveness of the caregiver's role in dementia patients to improve health care. Search strategies for English-language studies that are relevant to the topic are carried out using the ScienceDirect, SagePub, Springer databases limited from 2014 to 2020. The keywords used are "caregiver", "dementia", "health care", "role". Fulltext articles are reviewed to select studies that fit the criteria. The inclusion criteria in this review are health workers, caregivers. A search using the keywords above with the ScienceDirect, SagePub, Springer database that met the inclusion criteria was only 22 articles. Research examined in this article uses a variety of methods, namely systematic literature review by 1 articles, RCT by 4 articles, interview by 1 articles, qualitative study by 5 articles, quasi-experimental study 2 article, participatory research of 1 article, bootstrapping methods of 1 article, scoping review of published literature by 1 articles, quantitative study by 1 articles, cohort study path analysis by 1, a survey to clarify the evaluation by 1, SEM by 1, standardized protocol by 1. Research using random techniques as much as 10 articles, while those using non-random techniques as many as 12 articles. The role of caregivers for dementia patients to improve health care is an effective experience-based effort and is the most appropriate activity for elderly patients with dementia. Enhance the role of the caregiver by changing the caregiver's perception of a more positive view of his role.
Health problems in the community in Sukoreno Village, Jember Regency, namely children feeling anxious and even afraid when circumcision is about to be performed. This is because children receive information from their friends which makes fear worse for no apparent reason. The family, especially the parents, also have difficulty dealing with these problems so they don't know how to handle them. Parents have never known about deep breathing spiritual therapy and its benefits in preventing or reducing anxiety and fear, especially in children who will be circumcised. The aim is to provide education or health counseling regarding deep breathing spiritual therapy to reduce anxiety in children who are about to be circumcised in Sukoreno Village, Jember Regency. Using the education or health counseling stage method, namely the orientation, work, and termination stages. Using the leaflet instrument as an extension tool. The results of the service are providing education about the meaning of deep breathing spiritual therapy, the goals and benefits of therapy, indications for therapy, benefits of therapy, mechanisms of therapy, and things that need to be considered in therapy. There were 20 children who attended. The conclusion of this dedication is that deep breathing spiritual therapy is useful in reducing anxiety in children who will be circumcised.
Models of care services for the elderly in terms of medical surgical care and mental health need to be improved. Elderly with disabilities are at high risk of adverse health outcomes, and the best model of care has yet to be determined. A good holistic care model to empower every individual in society to improve the quality of care needs to be recommended. For example, comprehensive health care programs such as the Program of All-Inclusive Care for the Elderly (PACE) for adults and the elderly. The research objective was to determine the effectiveness of PACE in improving medical-surgical care and mental health. The search strategy for English-language studies relevant to the topic was carried out using the ScienceDirect database, limited from 2011 to 2021. The keywords used were “PACE”, “Medical Surgical Treatment”, “Mental Health”, “elderly”. Article full text reviewed to select studies that fit the criteria. The inclusion criteria in this review are: the nursing service program model, namely PACE. The search used the keywords above with the ScienceDirect database that matched the inclusion criteria for only 7 articles. The PACE service model improves services in Medical Surgical and Mental Health care, and implement a collaborative care model using a comprehensive interdisciplinary team.
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