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The elderly population in Indonesia, particularly in Surabaya, has been growing significantly, making the need for facilities serving the elderly increasingly urgent. Elderly rehabilitation services must be provided holistically, covering four main aspects: social, health, psychological, and spiritual. However, the implementation of holistic services in some nursing homes still shows differences in quality and has not fully met the expected standards. This study aims to analyze and compare holistic services in two nursing homes, namely Griya Lansia Husnul Khatimah in Malang and UPTD Griya Wreda Jambangan in Surabaya. The method used in this study is descriptive-qualitative comparison, with a field observation approach and a literature review to establish assessment criteria based on the four aspects of holistic services. The research results show that both nursing homes analyzed have shortcomings in the social and psychological service aspects. This indicates a gap in the quality of services received by the elderly in both homes, which needs attention to ensure that holistic services can be applied more effectively and in line with the established standards. This study is expected to provide recommendations for improving the quality of services in nursing homes in Indonesia.

Gout arthritis, or often called gout, is a type of arthritis caused by the accumulation of uric acid crystals in the joints and surrounding tissues. Arthritis itself is a term used to describe inflammation of the joints. The process of gout begins with an increase in uric acid levels in the blood, called hyperuricemia. Gout arthritis sufferers in the world affect approximately 10% to 25% of the world's population, the WHO prevalence of gout arthritis in the world is 34.2%. The type of research used in this study is quantitative research using a quasi-experimental research method, namely the pre-posttest control one group design method. This study is a study conducted on 1 group using an intervention without a comparison. This study has been conducted with a total of 20 elderly people who meet the inclusion and exclusion criteria. It is known that the Sig. (2-tailed) value of 0.00 is greater than 0.05. then there is a significant difference between the results before and after the warm cinnamon water compress. So it can be concluded that there is an effect of warm cinnamon compresses (Cinnamomun Burmannii) on gout arthritis in the elderly at the Sei Pancur Community Health Center.

The elderly are a vulnerable group to experience decreased physical and cognitive function, such as hypertension and dementia, which can affect their quality of life. The Activity Therapy Program aims to improve the well-being of the elderly through laughter therapy, listening to music, and playing guess the word. The method used is group dynamics, which involves fun activities to stimulate the cognitive and social of the elderly. This activity is expected to increase social interaction, sensory stimulation, and improve the cognitive function of the elderly. The implementation of therapy was carried out involving 60 elderly people, with stages that included orientation, work, and termination. Evaluations showed that 60% of participants actively participated in laughter and guess therapy, as well as being able to express their feelings. This program has shown success in improving the quality of life of the elderly by encouraging them to be more active and social. In conclusion, TAK can be an effective solution to improve the quality of life of the elderly through physical and cognitive stimulation. It is recommended that this program be carried out regularly to maintain the memory and social health of the elderly.

The increase in the number of elderly residents demands the provision of residential facilities that not only meet physical needs, but also support the psychological and social well-being of their users. This study aims to formulate the concept of behavioral architecture-based nursing home design by focusing on the relationship between elderly activity patterns, privacy levels, and spatial relationships of space in the local context of Indonesia. This study uses a qualitative-descriptive approach in the framework of architectural design, with data collection through observation of elderly activities, site analysis, and documentation studies. Activity data was analyzed to identify space needs and usage patterns, then synthesized with site characteristics to formulate the concepts of zoning, circulation, and behavior-based spatial relationships. The results of the study show that the activities of the elderly form a layered behavioral structure, including residential and health activities as primary needs as well as social, productive, and educational activities as support for psychosocial welfare. Hierarchically arranged space zoning based on privacy levels has been proven to improve the readability of the space, sense of security, and comfort of the elderly. The integration of green open spaces as part of the activity system also strengthens support for light physical activity and social interaction. This study confirms that the application of behavioral architecture allows the translation of data on elderly behavior and site conditions into a contextual, humanist, and quality-of-life-oriented design concept. These findings provide practical implications for designers and policymakers in the development of sustainable elderly housing.

Introduction: Tooth loss is a common oral health problem in the elderly population and can significantly impact quality of life. The use of dentures is an important solution to restore chewing function, aesthetics, and speaking comfort. This literature review aims to analyze the effect of gender on denture use in the elderly population. Method: The research method uses a narrative review approach by searching various scientific databases such as PubMed, Google Scholar, and Science Direct. Result: Consistent pattern exists that older women have a higher prevalence of denture use than men across countries and research settings. Factors influencing this difference include socioeconomic factors, care-seeking behavior, perceived need, aesthetic considerations, and a higher burden of tooth loss in women. Furthermore, denture use is correlated with improved quality of life and overall health. Women tend to have higher aesthetic expectations and satisfaction, while men are more functionally oriented. Conclusion: Shows that gender is an important factor that needs to be considered in planning dental health services for the elderly population.  

Background: The elderly are individuals who have reached the age of 60 and above. For most elderly people, loss or limitation of resources is a factor that can trigger anxiety. Anxiety is a complex emotional condition associated with feelings of fear and often accompanied by physical symptoms such as rapid heartbeat, shortness of breath, or chest pain. The role of nurses as care providers in reducing complaints in anxious clients uses independent nursing interventions, one of which is the application of non- pharmacological therapy. Non-pharmacological therapy is diversionary therapy. Objective: To determine the effectiveness of diversionary therapy in reducing anxiety levels in elderly people at the Abiyoso Yogyakarta BPSTW unit .Method: The design of this case study is descriptive. This study conducted treatment or intervention on clients to observe changes before and after using the HARS questionnaire .Results: All three forms of diversion therapy administered showed a decrease in anxiety levels in Mr. B. Measurements using the HARS instrument showed a decrease in scores  from an initial 19 to 13 after three interventions. Conclusion: The intervention, administered over three consecutive days, showed positive  changes with a decrease in anxiety scores.

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

Type 2 diabetes mellitus in the elderly significantly impacts quality of life (QoL) due to physiological changes in aging, comorbidities,and the risk of chronic complications. Nutritional management is considered a key intervention to improve glycemic control and functional status in the elderly.Objective: To review the current evidence regarding the effect of nutritional interventions on the quality of life in elderly with type 2 diabetes mellitus through a Literature Review approach.Methods: The Literature Review was conducted by identifying articles from the Scopus database published in 2020–2025. The review process included screening based on inclusion-exclusion criteria, eligibility assessment, and narrative synthesis of relevant studies,including controlled trials,quasi-experimental studies, observational studies, and systematic observations.Results: From the selected studies, interventions with a low glycemic index diet and a balanced diet have been shown to reduce HbA1c levels and the risk of complications; a multicomponent program combining diet and exercise produces synergistic effects on glucose control, physical function,and quality of life.Structured nutrition education (DSME) and family involvement improve satisfaction and metabolic outcomes.The use of technology (mobile apps) shows potential in monitoring intake and glucose,although digital literacy challenges and limited sample size and study design are often limitations.Conclusion: Targeted nutrition interventions, especially when combined with exercise, education,family support,and age-friendly technology,have the potential to improve metabolic control and quality of life in older adults with T2DM.Recommendation: Large-scale RCTs and more robust longitudinal studies are needed to establish the long-term effectiveness and cost-effectiveness of multicomponent nutrition interventions and technology adaptations for older adults with multimorbidity.

Depression is one of the most common mental health problems experienced by older adults and is influenced by various factors, including individual characteristics and chronic disease conditions. This study aims to determine the influence of age, gender, and chronic disease history on the incidence of depression among older adults residing at Roujin Home Asahi No Ie, Japan. The study used a quantitative method with a cross-sectional design. The population consisted of all elderly individuals living at Roujin Home Asahi No Ie, and the sampling technique used was total sampling. The Geriatric Depression Scale (GDS) was utilized as the instrument to measure depression levels. Data were analyzed using univariate and bivariate analyses with the Chi-Square test. The results showed a significant relationship between age and depression levels (p = 0.001), indicating that older age increases the risk of depression. Gender also demonstrated a significant association with depression (p = 0.015), showing differences in vulnerability between male and female elderly individuals. In addition, a significant relationship was found between chronic disease history and depression (p = 0.002), indicating that elderly individuals with chronic illnesses are more likely to experience depression. Based on these findings, it can be concluded that age, gender, and chronic disease history significantly influence depression among older adults. These results are expected to support the development of preventive strategies and geriatric nursing interventions to improve mental health and quality of life among elderly individuals in nursing home environments.

Personal hygiene is an essential factor in maintaining the health and quality of life of the elderly, as aging is often accompanied by a decline in physical strength, mobility, and cognitive function that can reduce the ability to maintain personal cleanliness independently. Limited understanding of the importance of personal hygiene may increase the risk of infections, skin disorders, and other health complications, making education and awareness crucial for promoting better hygiene behavior. This study used a descriptive correlational design with a cross-sectional approach involving 204 elderly individuals residing at the Pucang Gading Elderly Social Service Home in Semarang and Wening Wardoyo Ungaran, with 135 respondents selected using a non-probability sampling technique. Data were collected using validated and reliable questionnaires measuring the level of understanding and personal hygiene practices and were analyzed using the Somers’d statistical test. The results showed that most respondents were female (60%) and aged between 70–79 years (48.9%). The level of understanding of personal hygiene among the elderly was predominantly in the moderate category (72.6%), and their personal hygiene practices were also mostly categorized as moderate (72.6%). Statistical analysis revealed a p-value of 0.000 (<0.05) with a correlation coefficient (r) of 0.472, indicating a positive and significant relationship between the level of understanding and personal hygiene practices. These findings suggest that improving knowledge through continuous education and guidance from health workers is necessary to enhance awareness, independence, and hygiene behavior among the elderly.

Background: Elderly people were a vulnerable population who experienced physical, psychological, social, and environmental changes that could reduce their quality of life. One important factor influencing quality of life was social support. Social support played a crucial role in helping alderly people improve their well-being and life satisfaction. Elderly people who received high social support from family, friends, or their environment tended to feel more valued, loved, and cared for. Method: This study employed a quantitative method with a cross-sectional approach. The study population consisted of 204 elderly people living in Pucang Gading Social Service Home, Semarang and Wening Wardoyo Social Servise Home, Ungaran. A total of 135 respondents were selection using non probability sampling. Data were collected using the Multidimensional Scale of Perceived Social Support (MSPSS) to measure social support and the WHOQOL-OLD questionnaire to assess quality of life of older adults. Data analysis was conducted using the Somers’d test with a significance level of 0,05. Results: The results showed that most respondents have high social support (60,7%) and high quality of life (74,1%). The somers’d test indicated a p-value = 0,000 (p<0,05) and a correlation coefficient (r) of 0,508, indicating a positive relationship with moderate strength. Conclusion: There was a significant relationship between social support and quality of life among elderly people at social homes in Semarang. Increasing social support from family, peers, and the institutional environment could help elderly people experience their later years more happily, meaningfully, and prosperously.

Degenerative diseases are a major cause of morbidity in the elderly and continue to increase with age, lifestyle changes, and a lack of public awareness of the need for regular health check-ups. This community service activity aims to increase understanding and early detection of non-communicable diseases in people aged 30 years and older, particularly the elderly in the Appassarenge neighborhood, Bentenge Village, Ujung Bulu District, Bulukumba Regency. The activity methods included group exercise, blood pressure checks, blood sugar checks, health counseling, and referrals for participants with test results above normal limits. Data were analyzed descriptively to determine the proportion of participants with high blood pressure and blood sugar levels. The results showed that the majority of respondents had hypertension (70.97% of 31 participants), while 55.88% of 34 participants had high blood sugar levels. These findings indicate a high risk of non-communicable diseases in the elderly population related to diet, lack of physical activity, and a lack of regular health check-ups. This activity received a positive response because it provided easy access to health services and raised public awareness of the importance of early detection and adopting a healthy lifestyle. Overall, this community service activity contributed to increasing the elderly's knowledge and awareness of health, as well as supporting promotive and preventive efforts in preventing degenerative diseases.

The elderly are highly susceptible to ascariasis infection because, in addition to the occurrence of immunosenescence, helminths possess the ability to evade host immune responses, making them difficult to eradicate. This community service activity aimed to improve health literacy and early detection of diseases among the elderly in Pejaten, South Jakarta, with a specific focus on Ascariasis. The program was successfully attended by approximately 70 residents, where a medical team from the Faculty of Medicine and Health conducted comprehensive health history assessments and free medical check-ups. This education proved vital as a catalyst for behavioral change, shifting the community's initial perception that worm infections only affect children to an understanding that adults and the elderly are also at high risk. Through health screenings, residents also gained critical insights into their physical condition, including blood pressure, heart, lung, digestive, and skin health, as well as identifying personal risk factors for Ascariasis.

The increasing elderly population in Indonesia necessitates the development of more comprehensive health services, yet various obstacles continue to hinder the fulfillment of these needs. This study aims to identify the main barriers experienced by older adults in accessing contemporary healthcare services and to outline the essential health service needs relevant to this age group. A literature study method was employed by analyzing scientific publications related to elderly health across physical, social, economic, and healthcare system dimensions. The findings indicate that older adults encounter limitations such as reduced mobility, low health literacy, insufficient elderly-friendly facilities, high healthcare costs, and a shortage of healthcare professionals trained in geriatrics. Meanwhile, their primary health service needs include continuous promotive and preventive care, easily accessible healthcare facilities, family support in managing health routines, and user-friendly health technologies. These results highlight the importance of developing more inclusive, affordable, and sustainable health services to improve the quality of life of the elderly in Indonesia.

Hypertension in the elderly requires long-term treatment to prevent cardiovascular consequences. Adherence to antihypertensive medication is crucial for blood pressure management. Adherence to antihypertensive medication is a crucial aspect in hypertension management. Poor adherence can lead to uncontrolled blood pressure, thereby increasing the risk of cardiovascular problems, including stroke, myocardial infarction, and heart failure. This study aims to determine the correlation between adherence to antihypertensive medication and blood pressure in the elderly at the Ronggo Husada Primary Inpatient Clinic in Malang. This study used a cross-sectional design. The cohort consisted of 52 geriatric patients with hypertension who consistently visited the Ronggo Husada Primary Inpatient Clinic in Malang. The sample consisted of 40 patients. The sampling method used was purposive sampling. Research factors included medication adherence and blood pressure. Data collection was conducted through a questionnaire. This study was conducted at the Ronggo Husada Primary Inpatient Clinic in Malang on November 6, 2025. Data processing used the Chi-square test. The analysis included univariate and bivariate analyses, using the Chi-square test. The results showed that more than 50% of elderly participants demonstrated moderate adherence to antihypertensive medication (18 individuals (45%). Nearly 50% of elderly participants suffered from stage I hypertension (14 individuals (35%), and stage II hypertension (11 individuals (27.5%). Statistical analysis using the Chi-square test showed a significant correlation between adherence to antihypertensive medication and blood pressure in the elderly, with a p-value of 0.000, which is below the alpha threshold of 0.05 (5%). Elderly individuals who demonstrated strong adherence had better blood pressure regulation compared to those with poor adherence. These results emphasize the importance of adherence to therapy in the management of hypertension in the elderly.    

The increasing proportion of the elderly population in Indonesia has led to a rise in degenerative health problems, one of which is osteoporosis. Osteoporosis is a bone disease characterized by decreased bone density, increasing the risk of fractures, particularly among elderly women. Low calcium intake, lack of physical activity, and limited knowledge regarding osteoporosis prevention are major contributing factors. This community service activity aimed to improve the knowledge of Aisyiyah women in Cirebon Regency regarding osteoporosis in the elderly, including its definition, risk factors, impacts, and prevention strategies through proper nutrition and regular physical activity. The activity was conducted from October to December at the Aisyiyah Study Hall in Cirebon Regency, targeting pre-elderly and elderly women. The methods used included health education through lectures and interactive question-and-answer sessions, supported by laptops, LCD projectors, and PowerPoint presentations. Evaluation of participants’ knowledge was carried out using oral pre-tests and post-tests related to the delivered material. The results indicated an improvement in participants’ understanding of osteoporosis, the importance of adequate calcium intake, and the role of physical activity in maintaining bone health. This community service program is expected to contribute to increasing health awareness and reducing the risk and prevalence of osteoporosis among the elderly.

Elderly exercise is a sporting activity that can help improve heart health, maintain stable blood pressure and blood sugar levels, and prevent various degenerative diseases in the elderly. Abnormal blood sugar levels can cause metabolic disorders that lead to various serious health problems. This study aims to determine the impact of elderly exercise on improving the health and independence of older adults in carrying out daily activities. This study used an evaluative method with a cross-sectional approach at the Nibong Community Health Center, North Aceh, involving 38 elderly people (14 men and 24 women) as a sample. The results showed that after participating in regular exercise, the number of elderly people with high blood sugar levels decreased to 31.6%, while the number of elderly people with normal blood sugar levels increased to 86.6%. Statistical tests showed a significant difference between blood sugar levels before and after exercise (p < 0.05). From these results, it can be concluded that elderly exercise is effective in lowering blood sugar levels, increasing insulin sensitivity, improving fitness and balance, and motivating elderly people to maintain their health. It is recommended that the Nibong Community Health Center regularly hold structured elderly exercise programs and provide educational counseling on the importance of a healthy lifestyle and controlling sugar intake. The results of this study can serve as a reference for health institutions and further research

Sleep quality is a crucial component of health and overall well-being among older adults, as the aging process is commonly associated with various physiological, psychological, and environmental changes that may significantly disrupt normal sleep patterns. Declining bodily functions, increased health problems, and changes in daily routines often contribute to sleep disturbances in later life. This literature review aims to analyze the factors influencing sleep quality in the elderly by synthesizing findings from relevant national and international studies published in recent years. Various factors were identified, including physiological conditions such as chronic diseases, pain, and hormonal changes; psychological factors such as anxiety, depression, stress, and cognitive decline; lifestyle-related factors such as levels of physical activity, dietary habits, medication use, and caffeine consumption; and environmental aspects including noise exposure, lighting conditions, temperature, and overall bedroom comfort. The reviewed literature consistently indicates that poor sleep quality is strongly associated with impaired physical health, reduced cognitive function, increased fatigue, and decreased emotional well-being in older adults. This review highlights the importance of comprehensive, multidisciplinary interventions that address both intrinsic and extrinsic determinants of sleep to effectively improve overall sleep quality among elderly populations.

This study aims to develop a predictive model using linear regression to identify potential arrhythmias in the elderly based on electrocardiogram (ECG) data. Data were collected through observations at healthcare facilities from elderly patients with indications of arrhythmia, then preprocessed such as cleaning, normalization, feature selection, and outlier checking were carried out. The features used include PR interval, QRS duration, QT interval, and heart rate. The dataset was divided into training data (80%) and test data (20%) to build and evaluate the model. The training results showed that the model was able to predict the risk of arrhythmia with a Mean Squared Error (MSE) value of 0.15 and a coefficient of determination (R²) close to 1. Evaluation using a confusion matrix showed an accuracy of 76.19%, precision of 82.80%, recall of 76.19%, and F1 score of 72.70%. These results prove that linear regression can be used as an initial approach in the early detection of arrhythmias non-invasively in the elderly. This study provides a foundation for the development of ECG data-based clinical decision support systems and suggests future exploration of more complex models and integration with real-time monitoring technologies.

Aritmia merupakan gangguan irama jantung yang umum terjadi pada lansia dan dapat menimbulkan risiko kesehatan serius jika tidak terdeteksi secara dini. Penelitian yang dilakukan bertujuan untuk mengidentifikasi aritmia pada lansia menggunakan algortima K- Nearest Neighbor (KNN) berdasarkan data elektrokardiogram (EKG). Data yang digunakan berjumlah 105 data EKG lansia yang diperoleh dalam format CSV. Proses awal melibatkan pembersihan dan normalisasi data menggunakan metode StandardScaler, serta pelabelan awal menggunakan algoritma K-Means Clustering untuk mengelompokkan data ke dalam dua kelas: Normal dan Sangat Berpotensi Aritmia. Data kemudian dibagi menjadi 70% data latih dan 30% data uji dengan metode stratified split untuk menjaga proporsi label. Model KNN dilatih dengan parameter k = 3, dan dievaluasi menggunakan confusion matrix serta classification report. Hasil pengujian menunjukkan akurasi model sebesar 97% dengan nilai precision dan recall yang tinggi pada kedua kelas. Hasil ini menunjukkan bahwa algoritma KNN efektif dalam mengklasifikasikan kondisi aritmia pada lansia dan memiliki potensi untuk diterapkan dalam sistem pendukung diagnosis berbasis data EKG.