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Dwi Mulianda; Margiyati; Andre Dwi Susilo; Jeffri Riyan Mustakim; Nur Khasanah +2 more

Jurnal Pengabdian Kepada Masyarakat Sisthana 2019 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Peningkatan asam urat (hiperurisemia) didefinisikan sebagai peninggian kadar asam urat lebih dari 7,0 ml/dl dan 6,0 mg/dl. Hiperurisemia perlu dilakukan penatalaksanaan untuk membatasi serangan akut, mencegah kekambuhan, dan mencegah komplikasi yang terkait dengan pengendapan kristal urat di jaringan, serta mencegah kecacatan fisik. Penatalaksaan hiperurisemia selain dapat diselesaikan secara farmakologis menggunakan obat-obatan, namun dapat juga dilakukan secara non farmakologis dengan melakukan senam ergonomis, serta manajemen nutrisi. Kegiatan ini bertujuan agar lansia di Posyandu Lansia Setya Manunggal III Kabupaten Semarang dapat mengetahui penatalaksanaan peningkatan asam urat (hiperurisemia). Berdasarkan Evidance Based penatalaksanaan peningkatan asam urat dengan obat-obatan, senam ergonomis, dan manajemen nutrisi signifikan berpengaruh terhadap penurunan asam urat dalam darah. Hasil pengabdian masyarakat diantaranya adalah Lansia Setya Manunggal III Kabupaten Semarang yang hadir pada tanggal 10 Februari 2019 sebanyak 56 orang; Screening asam urat 16 orang (28,6 %) mengalami peningkatan asam urat, 33 orang (58,9 %) asam urat normal, dan 7 orang (12,5 %) asam urat low; terdapat peningkatan pengetahuan lansia   setelah diberikan pendidikan kesehatan penatalaksanaan peningkatan asam urat; terdapat peningkatan ketrampilan lansia   dalam melakukan senam ergonomic sebagai penatalaksanaan peningkatan asam urat; Lansia Setya Manunggal III Kabupaten Semarang sudah menerapkan penatalaksanaan peningkatan asam urat dalam kehidupan sehari-hari.      

Kodir Kodir; Margiyati Margiyati; Shania Nada; Rani Pratiwi

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

The increase in Life Expectancy (UHH) has an impact on the increase in the elderly population and the problems due to aging. One of them is the system for regulating blood sugar levels which is disrupted due to changes in the body composition of the elderly in the form of increased fat composition from the body 14% to 30%. Efforts to prevent the incidence of Diabetes Mellitus is to achieve good nutritional status with anthropometric measurements, namely the division of body weight in kg with height in meters squared expressed in body mass index or BMI. This study aims to analyze the relationship between BMI and blood sugar levels in the elderly at the Sabar Narimo Posyandu, Lempuyangan Hamlet, Gebugan Village, Bergas District, Semarang Regency. The research design used was descriptive observational with a cross sectional approach. The number of samples was 40 elderly who were taken by purposive sampling technique. The instrument used to measure BMI is a digital weight scale, and a microtoise that has been calibrated, while blood sugar levels are measured using a glucometer. Data were analyzed by Pearson Corellation test. The results of this study indicate the frequency distribution of blood sugar levels in the elderly at the Posyandu Sabar Narimo on average 139.92 mg/dl and an average BMI of 25.24 kg/m2. The results showed that BMI was related to the variable of blood sugar levels with a correlation coefficient (r) of 0.614 and a significance value (?) of 0.0234 then there is a relationship. The conclusion in this study is that there is a relationship between blood sugar and BMI in the elderly at the Sabar Narimo Posyandu, Lempuyangan Hamlet, Gebugan Village, Bergas District, Semarang Regency.

Ni Made Sri Muryani; Komang Agus Jerry Widyanata; I Wayan Warditha

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2019 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Aging is a process of disappearing slowly the ability of the network to repair, replace itself and maintain its normal structure and function. In an effort to improve the health of the elderly effectively, it needs to be supported by adequate human resource skills where one of them is an elderly Posyandu cadre. After training for elderly cadres and posyandu and elderly gymnastics, it is expected that the performance of the elderly posyandu cadres can be optimized so that they can provide better health services to the elderly. Method: This activity uses the Community Empowering approach with the method of lecturing, discussion and demonstration and this activity is divided into three stages, namely preparation, implementation, and evaluation. Result: The formation of elderly cadres, increasing knowledge of the elderly, elderly posyandu and the implementation of elderly gymnastics. Conclusion: Training of elderly posyandu cadres and elderly gymnastics has been carried out well in the form of selection of elderly cadres, implementation of elderly posyandu, andelderly gymnastics through the provision of materials and training for elderly posyandu. It is expected that Puskesmas officers will always supervise and evaluate the elderly posyandu activities in Guwang Village, so that the elderly was monitored for their health conditions.

Novita Wulan Sari; Margiyati; Arya Adi Cahyono; Doni Eko Setiawan; Grenada Nabella Putri +2 more

Jurnal Pengabdian Kepada Masyarakat Sisthana 2019 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Hipertensi merupakan penyakit yang sering ditemukan pada lansia dengan umur di atas 60 tahun. Hipertensi terjadi dikarenakan kekakuan pada arteri hingga akhirnya tekanan darah cenderung tinggi. Populasi orang dewasa di dunia sekitar 25% terkena hipertensi  dan  akan  cenderung  meningkat  29% pada tahun  2025. Prevalensi hipertensi bahkan lebih tinggi di beberapa negara berkembang. Kurangnya kepedulian warga serta ketidakmauan lansia dalam memeriksakan tekanan   darahnya   membuat   sebagian   besar   lansia   tidak   menyadari   betapa pentingnya pemeriksaan tekanan darah secara dini. Data pengkajian di RW XVIII Kelurahan Meteseh menunjukkan bahwa lansia di daerah tersebut kurang kesadaran dalam memeriksakan tekanan darahnya. Data laian menunjukkan bahwa beberapa lansia  di  wilayah  tersebut  masih  mengkonsumsi  makanan  tinggi  lemak,  asin, kurang aktivitas. Beberapa lansia juga mengalami obesitas serta stress. Intervensi keperawatan dilaksanakan untuk mengatasi masalah defisiensi kesehatan komunitas lansia di atas diantaranya melalui kegiatan “Kombinasi Self-Help Group (SHG) dan Self-Hypnosis dalam Perawatan Hipertensi pada Lansia” oleh Tim Pengabdian Masyarakat Akper Kesdam IV/Diponegoro.    

Muhammad Ary Sulaiman; Margiyati Margiyati

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Hypertension is not infectious disease which occupy the third place in the region’s small-scale Clinics Rowosari Semarang. Less healthy lifestyles as well as stress lead to uncontrolled hypertension and cause various complicatio. Foot reflexiology message is one of complementary therapies with muscle compression techniques giving rise to a relaxing effect and the lower blood pressure. The purpose of this study  is illustrate the aplication of reflexiology message theraphy to lower blood preassurein hypertensive clients.The methods used in this research is a descriptive case study method with case study approach. The subject are 2 people with criteria of age 35-65 years old and suffering from hypertension grade I and II. Intervensions carried out in the form of foot reflexiology massage therapy 30-60  minutes for three days a row. The results of the case study shows that there is a decrease of blood preassure 160/90 mmHg  143/83 mmHg be on subject I and subject II 180/100 mmHg to 155/87 mmHg. Foot reflexiology message therapy is recomended as a nursing intervention in the client management of clients  with hypertension.