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Background: The elderly are a vulnerable group requiring special attention, particularly regarding degenerative diseases like hypertension. In Melinggih Village, there are around 250 elderly residents, but participation in village activities is very low (only 57 are active). The main issues include limited information on degenerative diseases, a lack of skills in preparing traditional medicine, and weak cadre capacity in designing productive activities. Based on these conditions, this community service program (PKM) was implemented to improve the quality of life, health, independence, and productivity of the elderly, supporting the Indonesia Emas 2045 Vision and SDGs targets. Method: The research team partnered with the elderly group. Implemented solutions included education on degenerative diseases, training in making celery-based herbal drinks using Balinese local wisdom to lower hypertension, cadre mentoring, and elderly gymnastics. The program concluded with a comprehensive evaluation of participants' knowledge and skills. Results: Active activities were structured to increase elderly productivity: 1) Elderly gymnastics, educational activities, and active mentoring were conducted with the PKM team, cadres, and elderly in Melinggih Village regarding hypertension, resulting in increased knowledge and skills in managing elderly hypertension. 2) The elderly learned to make herbal drinks from celery. 3) Health cadres appeared active and collaborated well with the PKM team. Conclusion: Education on degenerative diseases, specifically hypertension, went well, successfully increasing cadres' and the elderly's understanding of their conditions to optimize health awareness. Training on traditional medicine preparation, specifically making celery drinks to lower hypertension, also progressed successfully.

Elderly people are a vulnerable group experiencing declining body functions and an increased risk of degenerative diseases, requiring promotive and preventive efforts to maintain their health. One alternative is the utilization of kitchen spices as herbal drinks because they contain various bioactive compounds that are beneficial for health. However, knowledge among the elderly regarding the benefits and processing methods of herbal ingredients is still limited. This community service activity aimed to improve the knowledge and skills of elderly participants in utilizing kitchen spices as herbal drinks at LKS Payung Besurek Bengkulu City. The method used a participatory approach through educational sessions, interactive discussions, and direct practice in preparing herbal drinks. The results showed high enthusiasm from participants during the activities. Around 85% of participants experienced increased understanding of the health benefits of kitchen spices. Participants were also able to independently prepare herbal drinks using easily available local ingredients. In addition, the activity generated positive social impacts, including improved interaction, increased awareness of healthy lifestyles, and greater independence in maintaining health through natural ingredients. Therefore, this education program is an effective community-based health empowerment strategy for the elderly.

Non-Communicable Diseases (NCDs) such as Diabetes Mellitus and Gout pose a serious threat to the health of the elderly due to their often asymptomatic nature. Cost barriers hinder the elderly community from accessing laboratory services. This community service activity aims to improve health standards and early detection of NCDs through monitoring blood glucose and uric acid levels in the Generasi Kaleb community of the JKI Injil Kerajaan Church, Semarang. The Participatory Health Screening and Education method used includes health education, screening using the Point of Care Testing (POCT) tool, and personal consultation on the results. The service subjects were 50 elderly respondents. The examination results showed a prevalence of abnormal random blood glucose (GDS) of 8%, 32%, had high uric acid levels with a maximum value of 10.3 mg/dL. This activity successfully transformed the elderly's awareness from subjective perception to awareness based on objective data, and encouraged community independence in managing a healthy lifestyle to prevent further NCD complications. .

Stress in older adults needs attention because it can negatively affect physical, emotional, and social well-being, as well as overall quality of life. Elderly individuals living in social welfare institutions are particularly vulnerable to stress due to environmental changes, limited family involvement, loneliness, daily routines, and reduced independence. This study aimed to determine the effect of art painting group activity therapy on stress levels among older adults at Budi Mulia 2 Cengkareng Social Welfare Home. A quantitative pre-experimental study with a one-group pretest-posttest design was conducted involving 33 participants selected through total sampling. Stress levels were measured using the DASS-21 stress subscale. The intervention consisted of four art painting sessions lasting 30–45 minutes each. Data were analyzed using the Wilcoxon test. The mean stress score decreased from 22.18 before the intervention to 15.94 after the intervention. The Wilcoxon test showed a significant difference (p = 0.000), indicating that art painting group activity therapy effectively reduced stress levels among older adults.

The growing elderly population in nursing homes is often accompanied by physical and psychosocial declines that negatively impact their quality of life. This study aims to analyze the effect of occupational therapy implementation on the quality of life among the elderly at the Jambi Nursing Home. Utilizing a quantitative pre-experimental design with a one-group pretest-posttest approach, this study involved 30 elderly respondents selected through sampling mehtods. Data were collected using the WHOQOL-BREF questionnaire and analyzed using the Paired Sample T-Test. The results revealed that prior to the intervention, the majority of respondents (53,4%) had a poor quality of life. However, after receiving a two-week occupational therapy program, their quality of life significantly improved, with 60% of respondents shifting into the good category. Bivariant analysis demonstrated a p-value of 0,000 (p <0,05). Indicating a significant influence of occupational therapy, Occupational therapy is proven effective as a non-pharmacological intervention to enhance independence and well-being among the elderly in in institutional care.

The increasing elderly population presents challenges in healthcare services, particularly related to decreased mobility and independence in daily activities. Physiotherapy plays a crucial role in maintaining and improving the mobility function of older adults through appropriate evaluation and intervention approaches. One simple, valid, and reliable measurement tool for assessing functional mobility is the Timed Up and Go Test (TUG). This study aims to examine the role of physiotherapy in increasing independence in older adults through functional mobility assessment using the TUG. The method used was a descriptive-analytical study with a cross-sectional approach in a group of older adults. Measurements were conducted using the TUG to assess mobility, balance, and fall risk. The assessment results were then used as the basis for planning physiotherapy interventions, which included muscle strength training, balance training, and functional exercises. The results showed that older adults with better TUG scores had higher levels of independence in daily activities. Targeted physiotherapy interventions based on TUG results have proven effective in improving mobility and reducing fall risk. Therefore, using the TUG as an initial assessment tool is crucial in determining appropriate rehabilitation strategies. In conclusion, physiotherapy plays a significant role in increasing the independence of older adults through an approach based on functional mobility assessment using the TUG. Routine implementation of this assessment is expected to support optimal quality of life for older adults.

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.

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

Balance is a crucial component in maintaining independence in the elderly and preventing the risk of falls. Decreased balance function with aging can increase the incidence of falls, impacting the elderly's quality of life. This activity aims to screen balance in the elderly using the One Leg Standing Test (OLST) as a simple measurement tool to assess static balance. The activity was conducted in the elderly community in RT 05/RW 08, Karang Anyar Village, Central Jakarta. The test was conducted by asking participants to stand on one leg, and a time was determined until they lost their balance. The screening results showed variations in balance ability, with some elderly still in the good category, while others showed a decline in balance ability and were at risk of falls. These findings demonstrate the importance of balance training programs, muscle strengthening, and fall prevention education for the elderly. This screening activity is expected to form the basis for planning further health interventions to improve the safety and quality of life of the elderly in the community.

Independence refers to the freedom to act and the ability to control one’s own or a group’s activities to protect oneself or others from various diseases or conditions. Among the elderly, the ability to perform Activities of Daily Living (ADL) often declines, which in turn reduces their independence in carrying out daily activities such as dressing, toileting, climbing stairs, or moving around. One of the common health problems affecting older adults is rheumatoid arthritis—an autoimmune disorder that causes inflammation and swelling in the joints, often affecting one or both sides of the body, making it difficult for the elderly to perform routine tasks. This study aims to determine the relationship between the level of independence and the incidence of rheumatoid arthritis among the elderly in the working area of Tinangkung Utara Public Health Center, Banggai Kepulauan Regency. This research employed a quantitative approach using the Chi-Square test. The study involved 50 respondents selected through a non-probability purposive sampling technique. The results of the Chi-Square analysis showed a p-value of 0.002 with a significance level of < 0.05, indicating that the research hypothesis was accepted. This finding means there is a significant relationship between the level of independence and the occurrence of rheumatoid arthritis among the elderly in the study area. In conclusion, the level of independence influences the occurrence of rheumatoid arthritis in older adults. Therefore, it is highly recommended that the elderly maintain active and independent movements as a way to keep their joints healthy and functional..

This community service activity aims to empower the Galansia Business Group in Sait Buttu Saribu Village, Pematang Sidamanik District, Simalungun Regency, which is engaged in the processing of agricultural products and household products. The main problems faced by the partners include limited production capacity, inconsistent product quality, simple business management, and traditional marketing methods. To overcome these problems, the community service team applied a participatory approach by providing appropriate technology, business management assistance, and digital marketing training. The results of the activities showed a significant increase in production capacity, time efficiency, and product quality consistency thanks to the use of onion slicing machines and liquid soap mixing machines. In terms of marketing, the partners successfully utilized social media as a means of promotion and distribution, and improved product packaging to make it more attractive and professional. In terms of management, the partners were able to implement simple digital-based financial records and were facilitated in handling business legality. The impact achieved was an increase in members' income of more than 50% and the growth of entrepreneurial spirit among the village's elderly. This program has proven to be effective in supporting business independence and can be used as a model for community-based MSME empowerment in the digital era.

Urinary incontinence is a common medical condition among older women, characterized by the involuntary leakage of urine due to impaired bladder control. This condition not only affects physical health but also has significant psychosocial impacts, including reduced self-confidence and quality of life. Non-pharmacological interventions, particularly pelvic floor muscle exercises, have been recognized as effective strategies to strengthen the bladder sphincter and pelvic floor muscles, thereby enhancing urinary retention. The present study aimed to evaluate the effectiveness of pelvic floor muscle exercises in reducing the frequency of urinary incontinence among elderly women. An experimental design with a one-group pretest–posttest approach was employed. The study population consisted of 64 elderly women receiving care at the Gunung Pati Public Health Center in Semarang, from which 45 participants were selected through purposive sampling based on inclusion criteria. Data were collected using structured questionnaires and clinical observation to assess the frequency of urinary incontinence episodes before and after the intervention. Statistical analysis was performed using the Wilcoxon signed-rank test, and the results indicated a significant reduction in urinary incontinence episodes following the exercise program, with a p-value of <0.001. These findings suggest that pelvic floor muscle exercises are a simple, cost-effective, and non-invasive intervention to manage urinary incontinence in elderly women. Implementing such exercises in community health programs can play a vital role in promoting the well-being and independence of older women. The study recommends incorporating pelvic floor muscle training into routine elderly care services and encourages further research with larger samples and longer follow-up periods to confirm the long-term benefits.

Background: Stroke is a health condition that significantly impacts quality of life and causes physical and mental disability, as well as death, in both productive and elderly individuals. The loss of bodily functions in stroke patients can hinder productivity and reduce the fulfillment of ADL (Activities of Daily Living). Dependence in ADL is the inability to perform all or some activities and the need for assistance from others. The high incidence of stroke in patients and its role as a leading cause of disability makes it difficult for stroke patients to perform daily activities, causing mental and emotional disturbances, reducing productivity and quality of life. The loss of independence and mobility in stroke patients necessitates family support, as they play a crucial role in the care and rehabilitation of their loved ones. Objective: The purpose of this study was to determine the relationship between family support and the fulfillment of daily living (ADL) in stroke patients. Methods: This study employed a correlational analytic method with a cross-sectional approach. A purposive sampling technique was used for the sample, employing 89 respondents. Data analysis used the Spearman rank sum. Results: The Spearman rank sum analysis yielded a ρ value of 0.000, less than 0.05, and an r value of 0.827 (very strong). Therefore, it can be concluded that there is a very strong relationship between family support and the fulfillment of daily needs (ADL) in stroke patients at Sunan Kalijaga Regional General Hospital, Demak.

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the musculoskeletal system and often causes severe pain and functional limitations, especially among the elderly. This study aimed to provide a comprehensive overview of nursing care for a patient diagnosed with RA through a family-based approach. The research employed a descriptive qualitative method with a case study design conducted in a rural village in Brebes, Central Java. Data were collected through in-depth interviews, observation, and documentation. The results showed that the integration of non-pharmacological interventions, including warm compresses using ginger and lemongrass, and deep breathing techniques, significantly reduced pain intensity. Additionally, increased family involvement in caregiving, facilitated by structured health education, enhanced the patient's quality of life. This study confirms the importance of applying Dorothea Orem’s Self-Care Deficit Theory to support the independence and well-being of RA patients within their home environments. The findings suggest that community nurses should prioritize family empowerment in chronic disease management, particularly in areas with limited health access.

Elderly life is characterized by a decline in biological, psychological, and social functions. This condition often limits the ability of the elderly to meet basic needs independently, which ultimately can affect their quality of life. Independence in daily activities is a crucial factor because it is directly related to physical and psychological well-being. A good quality of life in the elderly reflects not only physical health but also social, emotional, and environmental aspects. Therefore, research on the relationship between elderly independence and quality of life is important, especially for elderly people living in social institutions such as the Uma Kandung Foundation in Banjarmasin. This study used a quantitative approach with a cross-sectional design. The study sample consisted of 110 elderly people selected using a purposive sampling technique. The instruments used included the Katz Index questionnaire to measure the level of independence of the elderly in meeting basic needs, and the WHOQOL-BREF to assess quality of life. Data were analyzed using the Spearman Rank test to examine the relationship between the two variables. The results showed that the majority of elderly respondents were in the partially dependent category (76.4%), while the quality of life of the majority of respondents was in the sufficient category (75.5%). The Spearman Rank test yielded a significance value of p = 0.000 with a correlation coefficient of r = -0.665, indicating a significant relationship between elderly independence in meeting basic needs and quality of life. A negative relationship indicates that the lower the elderly's dependency or the higher their level of independence, the better their quality of life. The conclusion of this study is that independence in meeting basic needs plays a significant role in the quality of life of the elderly.

Background: The increasing number of elderly people has an impact on increasing problems, especially those that occur in the elderly, one of which is physical problems, namely the limitations of the elderly in carrying out daily activities, strokes that attack the elderly cause elderly dependence to increase, one form of measuring the ability of the elderly with stroke to carry out daily activities is to assess the Activity of Daily Living (ADL) of the elderly. Determination of functional independence is carried out to identify the abilities and limitations of the elderly, as well as to create the selection of appropriate interventions, The impact of decreased independence can make vulnerability to disease in old age. Methods: The research design used is descriptive method. The research location was carried out at TK.II Udayana Army Hospital, with a total sample of 58 respondents selected by purposive sampling technique. The instrument of this study was the Barthel Index Questionnaire, data processing was carried out using computerization. Data is presented textually/narrative and accompanied by tables and figures. Results: The characteristics of respondents were mostly female with 51.7%, the age group was mostly in the elderly age range of 60-74 years with a percentage of 55.2%, hypertension became the highest disease history experienced by the elderly as much as 43.1% and 98.3% of the elderly lived with their families. The level of independence of stroke elderly in carrying out daily activities shows that most of the elderly experience mild dependence as much as 67.2% and moderate dependence of 24.2%. Conclusion: The results showed that the level of independence of the elderly with stroke in carrying out daily activities experienced mild dependence.

Background: Elderly individuals with uncontrolled high blood pressure are at high risk for developing complications. One of the prevention efforts for hypertension complications is regular blood pressure monitoring. Blood pressure control and prevention of hypertension complications are influenced by several factors, including the patient's knowledge of hypertension and dietary patterns. Through understanding, early detection, and appropriate treatment, elderly individuals can manage and prevent serious complications that may arise.       Methods: The activity implementation stage includes preparation of facilities and equipment, followed by health education using educational video media and leaflets. The activity was held in one session. The target audience for this activity was elderly individuals, both independent and assisted, aged 45 years and older. Evaluation was conducted using pre- and post-tests.  Results: The activity was carried out at Wantilan, Desa Guwang, with the attendance of 30 elderly individuals from the local elderly group in the village. The activity began with elderly exercise, followed by health education through an educational video and leaflet distribution. The pre-test and post-test results showed a significant improvement in the elderly's knowledge about hypertension. The elderly demonstrated a better understanding of hypertension, including the definition of normal blood pressure, how to measure blood pressure, and the importance of a healthy lifestyle to control hypertension.         Conclusion: Health education is crucial in controlling hypertension in the elderly. With accurate knowledge about hypertension, the elderly become more confident in taking preventive actions. Increased independence has a positive impact on physical, mental, and emotional aspects, which helps the elderly feel more optimistic and have a better quality of life.

Elderly individuals living in nursing homes often face psychological challenges such as loneliness, loss of social roles, and limited interaction with family members. This qualitative study aims to explore how nursing home staff perceive the psychological well-being of the elderly based on Ryff’s six dimensions: self-acceptance, positive relations with others, autonomy, environmental mastery, purpose in life, and personal growth. A qualitative approach was employed using in-depth interviews with two permanent staff members at Panti Werdha Harapan Ibu, Semarang, who were purposively selected based on their involvement in elderly care. Data were collected through open-ended interviews guided by Ryff’s scale indicators and analyzed thematically. The results indicate that the elderly are able to accept their condition, build warm social relationships, maintain a level of independence in daily activities, and successfully adapt to the nursing home environment. They also show enthusiasm in participating in various activities and a willingness to continue personal development. These findings suggest that the psychological well-being of the elderly in nursing homes is largely influenced by social support from staff and fellow residents, as well as structured activities that foster a sense of purpose and meaning in life. The implications of this study highlight the vital role of nursing home staff as key agents in maintaining and enhancing the psychological well-being of the elderly through a personal, warm, and humanistic approach.

The elderly stage is characterized by complex physical, psychological, and social changes, often leading to a decline in bodily functions and limitations in daily activities. This condition frequently results in older adults becoming highly dependent on assistance from others, including family members and caregivers in nursing homes. This study aims to understand the changes in bodily functions experienced by older adults and to identify factors that accelerate or worsen these processes, particularly among those residing in nursing homes. The research employed a descriptive qualitative approach, involving three older adult participants and one caregiver at Harapan Ibu Nursing Home. Data were collected through in-depth interviews and analyzed descriptively to illustrate patterns of functional decline and influencing factors. The main findings indicate that older adults experience decreased mobility, muscle strength, motor function, as well as impairments in vision and hearing. However, those who remain active in daily activities and receive environmental support demonstrate better levels of independence and quality of life. The study concludes that the decline in bodily functions among older adults is a natural process that can be slowed through physical activity, social support, and a supportive environment, enabling them to maintain a meaningful and independent life despite limitations.

The elderly period carries a negative perception because it is considered one of the vulnerable groups in society. They often experience changes in physical health, reduced social support, and the possibility of decreased quality of life. In this case, empowerment of the elderly is important to improve the quality of life and achieve successful aging, as is the empowerment carried out for the elderly at the Al-Falah Health Post Dompet Dhuafa. This study aims to determine what empowerment model is carried out at the Al-Falah Health Post and what programs are carried out in achieving successful aging for the elderly at the Al-Falah Health Post as well as the obstacles and what efforts are made to overcome these obstacles. This study uses a descriptive qualitative research method. Data collection was carried out by interviews, observations, and documentation. And the determination of informants used purposive sampling. The results of this study show a picture of empowerment at the AL-Falah Health Post involving various training for elderly cadres, the achievement of successful aging in the elderly at the Al-Falah Health Post in the forms of achievements include: a) minimizing and low risk of disease, the elderly have awareness and commitment to maintain their health, b) physical and cognitive function that is still maximal allows the elderly to continue learning, maintain physical and mental health, and increase their independence in everyday life, c) social relationships in life at the Al-Falah Health Post create an environment that supports active and beneficial social relationships.