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Health issues among the elderly are often related to declining bodily functions, digestive disorders, and specific nutritional needs for easily digestible foods. The 60-and-older age group is at high risk for gastrointestinal disorders due to low fiber intake. Therefore, alternative foods are needed that are soft in texture, neutral in taste, safe, and nutritious. One potential solution is the development of food products based on tempeh gembus with the addition of banana hearts, which are rich in fiber, soft in texture, and readily available. This study employed an experimental method using a Completely Randomized Design (CRD) to test three formulation variations (F1, F2, F3). The nutritional content of formulation F1 includes energy 111.575 kcal, carbohydrates 20.185 g, protein 6.91 g, fat 0.355 g, and fiber 6.67 g. Formula F2 contains 88.225 kcal of energy, 14.095 g of carbohydrates, 7.72 g of protein, 0.205 g of fat, 7.3 g of fiber, and 0.0015% flavonoids. Formula F3 has 107.015 kcal of energy, 7.995 g of protein, 0.295 g of fat, 6.88 g of fiber, and 0.0021% flavonoids. In conclusion, the best tempeh with added banana hearts is Formula F2, with its nutritional content, fiber, flavonoids, and BAL >10⁸ CFU/g, which has the potential to serve as a functional food and probiotic source to help improve digestive health in the elderly. Further testing is recommended directly on elderly groups, along with product shelf-life testing.

This research was conducted to describe the condition of displaced communities who experience limitations in meeting basic needs, such as decent housing, access to education, and health services. Socio-economic inequality is the main factor that affects the quality of life of vulnerable groups, including children, adults, and the elderly. The Rumah Asa program is designed as an effort to provide protection, psychological support, and economic empowerment through skills training and health services according to needs. The research used a qualitative approach through interviews, field observations, and questionnaire dissemination to gain an in-depth understanding of the respondents' living situation. The research population consisted of displaced individuals who had the potential to become beneficiaries of the program. The data obtained were analyzed to identify patterns of vulnerability and intervention needs. The results showed that each respondent faced unstable socio-economic conditions, with limited income, lack of family support, and high health risks. The discussion showed that neglect is multidimensional and requires comprehensive interventions that include material, emotional, social, and health aspects. The conclusion of the study confirms that the Rumah Asa Program has great potential as a model of effective social intervention in improving the quality of life of vulnerable groups, as long as it is supported by the collaboration of the community, government, and social institutions.

This study aims to examine the relationship between family support and depression levels among the elderly in Pejuang Village, Bekasi City, through a descriptive-narrative literature review. The review analyzed relevant scientific articles discussing family support, social support, and depression in older adults. Literature was selected based on the suitability of the elderly population, the presence of family or social support variables, and the measurement of depressive symptoms or depression levels. The analysis compared each article’s objectives, research design, respondent characteristics, instruments, findings, and conclusions. The results indicate that most studies found a relationship between family support or social support and depression among the elderly. Adequate family support, including emotional, instrumental, informational, and appraisal support, helps older adults feel cared for, valued, secure, and better able to adapt to the aging process. Preliminary findings at the Elderly Posyandu in Pejuang Village also show variations in family support and depression levels among elderly participants. Conversely, limited family support may increase loneliness, psychological distress, and depressive symptoms. Therefore, family support functions as a protective factor in reducing depression risk among older adults. Strengthening the involvement of families, health workers, and elderly posyandu cadres is necessary as a promotive and preventive strategy to maintain psychological well-being through education, early detection, and sustainable community-based assistance for vulnerable elderly groups living in community and family environments.

Hypertension is one of the most common health problems among the elderly and has the potential to cause serious complications such as heart disease and stroke. Dietary patterns and lifestyle factors are known to play an important role in increasing blood pressure, particularly fat intake and sleep quality. This study aimed to analyze the relationship between fat intake and sleep quality with the incidence of hypertension among elderly individuals in the coastal area of Tuban District. This study used an analytical observational design with a case-control approach. The total number of respondents in this study was 136 elderly individuals, consisting of 68 cases (elderly with hypertension) and 68 controls (elderly without hypertension). Data on fat intake were obtained using a 24-hour food recall method, while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data were analyzed using the Pearson Chi-Square test with a significance level of α ≤ 0.05. The results showed that there were significant relationships between fat intake (p = 0.000) and sleep quality (p = 0.000) with the incidence of hypertension among the elderly in the coastal area of Tuban District. Elderly individuals with high fat intake and poor sleep quality were more frequently found in the hypertension group compared to the non-hypertension group. In conclusion, fat intake and sleep quality are associated with the occurrence of hypertension among the elderly. Hypertension control efforts can be carried out through limiting fat intake and maintaining good sleep quality.

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.

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.

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.

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.

Community empowerment is an important pillar in social development in Indonesia. This article discusses the implementation of the Merdeka Belajar-Kampus Merdeka (MBKM) Program by students of the Christian Leadership Study Program, Faculty of Theology, Tarutung State Christian Institute in Hutaraja Simanungkalit Village, Sipoholon District, North Tapanuli Regency. This activity focuses on spiritual and social development, through a literacy mentoring program for children and support for the elderly. The research method used is a qualitative descriptive approach with a collaborative participatory method, which allows active interaction between students and the community. Data collection was carried out through observation, informal interviews, and documentation of activities. The evaluation results showed that the program succeeded in improving children's basic literacy skills and providing emotional support for the elderly, as well as strengthening social relationships in the community. Through this experience, students developed social skills and empathy, while the community felt the positive impact of student involvement. This article emphasizes the importance of collaboration between the academic world and local communities in realizing effective and sustainable empowerment.

Hypertension is a non-communicable disease that significantly contributes to morbidity and mortality, particularly among the elderly. Patient knowledge about hypertension plays a crucial role in determining their adherence to medication, especially in taking antihypertensive drugs regularly. This study aims to analyze the relationship between the level of hypertension knowledge and medication adherence in elderly patients at the Sultan Agung Islamic Hospital Banjarbaru Polyclinic. This study used a quantitative correlational approach with a cross-sectional design. A sample of 35 respondents was obtained using accidental sampling technique. Data were collected using standardized questionnaires to measure knowledge (correct/incorrect scores) and adherence (using the modified MMAS-8 score 0–8). Data analysis included descriptive statistics, chi-square test, and Odds Ratio (OR) calculation at α = 0.05. The results showed a significant relationship between the level of knowledge and medication adherence (p = 0.002). The OR value of 17.33 (95% CI: 2.17–138.18) indicates that elderly patients with low knowledge have a much higher chance of non-adherence to medication compared to those with good knowledge. Based on these findings, it is recommended to develop targeted educational programs for the elderly focusing on increasing knowledge about hypertension and the importance of medication adherence, along with involving families to support medication adherence in hypertensive patients. This educational program could help improve the quality of life for the elderly by better managing hypertension.

The increasing number of elderly people in Yogyakarta City demands the provision of an inclusive environment that supports the welfare of the elderly. This study aims to assess the suitability of Yogyakarta City for the concept of an elderly-friendly city based on seven main variables: green open space, public transportation, pedestrian facilities, health services, social support, elderly-friendly intergenerational interactions, and advocacy for the basic rights of the elderly. The research used a quantitative approach with observation and questionnaire methods to elderly people in all sub-districts in Yogyakarta City. The data were analyzed using a Guttman scale to determine the level of suitability of each variable. The results showed that overall Yogyakarta City is classified as “suitable” for the concept of an elderly-friendly city, with a total score of 5.32 out of a maximum scale of 6.80. Four variables meet the suitability criteria, namely public transportation, health services, social support, and intergenerational interaction. Meanwhile, the other three variables are still not fully suitable and require improvement. This study recommends improvements in these three aspects so that the implementation of the concept of an elderly-friendly city in Yogyakarta City can be more optimal and sustainable.

 Chronic pain is pain that persistent and will continue beyond the proper healing time, there are two time points used in daily practice, namely 3 months and 6 months after the first injury. Sensitivity of peripheral nociceptive neurons and central underlying the process of transition from acute pain to chronic pain. There are several factors that influence the increasing incidence of postoperative chronic pain including preoperative, intraoperative and postoperative factors. Untreated acute postoperative pain also increases the risk of increasing chronic postoperative pain. In Asia, the prevalence of chronic pain varies widely, between 7% in Malaysia to 60% in Cambodia. The prevalence of postoperative chronic pain in adults is reported to be around 20% in developed countries. The incidence includes all ages with a higher incidence in women and the elderly. The purpose of this study was to describe the characteristics of postoperative chronic pain in outpatients in the surgical polyclinic and obstetrics and gynecology polyclinic at RSU Medan. The type of research used in this study was Observational with a Cross Sectional method approach. Based on the research that has been done, it was found that ages 26-35 years experienced the most chronic pain, namely as much as 29.8% and women experienced more chronic pain compared to men. Based on this study it was found that the majority of respondents experienced moderate pain intensity as many as 36 respondents (63.2%). There were descriptions of characteristics that were mostly 26-35 years old.

This study aims to analyze the strategy of improving the quality of public services through digital innovation in Sunter Agung Urban Village. In the era of globalization and rapid development of information technology, public services are expected to be more responsive, transparent, and efficient. The research used a descriptive qualitative approach with data collection through documentation studies and in-depth interviews with urban village officials and service users. The results showed that the use of digital innovations such as web-based service applications, online queuing systems, and document digitization has had a positive impact on improving service quality, including accelerating administrative processes and increasing community satisfaction. However, various obstacles are still found, including limited network infrastructure, suboptimal human resource capacity in mastering technology, and low digital literacy among the community, especially the elderly. For this reason, the proposed quality improvement strategy includes strengthening institutional capacity through digital training for apparatus, developing technological infrastructure, and digital literacy campaigns involving the wider community. This research is expected to serve as a reference for local governments in developing inclusive and sustainable digital-based public services.

Anemia in the elderly often occured chronically. Attention to anemia in the elderly is very lacking compared to women of childbearing age. The condition of the elderly is usually degenerative and food intake decreases, causing the condition of their body protein to decrease. Albumin protein in the elderly is still very much needed to affect the brain, bone and muscle mass, immune system, metabolism, and health of hair, skin, and nails. The purpose of utilizing local wisdom materials in the form of a combination of moringa leaf powder and snakehead fish has social and economic impacts. The elderly who have received this nutrition will improve their health. The activity method is the lecture method, discussion and coercion, and is applied directly by giving drinks to the elderly. Results of community service activities. The elderly experienced an increase in Hemoglobin after being given a combination of moringa leaf powder and snakehead fish by an average of 2 gr% and blood protein of 1.1 g dl before and after being given a combination of moringa leaf powder and snakehead fish.

The growing number of elderly in Indonesia demands more attention from families and communities towards their welfare. The many cases of elderly neglect show a lack of empathy and education regarding the role of families and communities in caring for the elderly. This study designed a social campaign entitled "Senja Kasih" which utilizes Instagram social media as a medium for delivering messages to the public. This campaign uses an emotional appeal approach to arouse audience emotions and empathy towards elderly issues. The research method used is mixed methods through interviews, observations, questionnaires, and literature studies. The design results include a campaign logo, visual concepts to increase the effectiveness of message delivery. This campaign collaborates with the Panti Lansia Yayasan Buddhayana Panditarama as a stakeholder. It is hoped that the "Senja Kasih" campaign can increase public awareness, build empathy, and encourage participation in supporting and caring for the elderly.  

Background: The elderly are an important part of the population which is increasing in number in various countries. In facing the various problems and challenges faced by the elderly, family support is very important in helping them. This support not only provides confidence and motivates the elderly to overcome the difficulties they face, the type of support provided by family members can vary from informational support, emotional support, to practical instrumental support. All of these forms of support have a significant contribution to the independence of the elderly in carrying out daily activities. The independence of the elderly is also greatly influenced by their psychological condition or mental status. Various mental disorders such as stress, depression, and fear, as well as emotional conditions such as aggression, anger, and numbness, can significantly affect an elderly person's ability to live independently. Research Objective: to identify a description of the level of independence of elderly people in providing daily activities. Research Method: The research method used in this research is cross sectional. The total sample was 74 elderly people aged 60 years and over. The instrument uses a questionnaire and the measurement instrument uses the Barthel index. The researcher's data analysis technique uses Spearman Rho. Results: shows family support for the elderly, 47 respondents (63.5%) received high family support, 27 respondents (36.5%) received sufficient family support, there were 23 respondents (31.1%) who fell into the category of dependency and 51 respondents (68.9%) were in the independent category. Using Spearman Rho analysis, the results show that the p value = 0.000 < α = 0.05 and the r value = 0.849, meaning that there is a positive and significant relationship between family support and the independence of the elderly in financing daily activities in the Cikembar District Health Center Work Area. Sukabumi Regency. Conclusion: Increasing family support for the elderly is very necessary for the independence of the elderly. Recommendation: It is hoped that the results of this research can become a reference for future researchers, and it is hoped that the community health center will provide intensive counseling to families so that they provide greater support to the elderly.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

Background: Hypertension in the elderly is caused by degenerative processes and triggering factors such as poor diet, smoking, and alcohol consumption. The WHO identifies hypertension as a major risk factor for cardiovascular diseases that can lead to serious complications such as stroke and heart disease. Objective: To identify the factors influencing dietary behavior related to hypertension in elderly patients who will be treated as outpatients in the Orchid Room of Bhakti Asih General Hospital, Tangerang, focusing on knowledge, attitudes, health worker support, and family support. Research Method: This quantitative study uses primary data from questionnaires with a Field Research method. The sample consists of 40 respondents, and data analysis was conducted using the Chi-Square Test. Research Results: The results of the Chi-Square test show a significant relationship between knowledge (ρ = 0.000), attitudes (ρ = 0.012), health worker support (ρ = 0.009), and family support (ρ = 0.000) towards dietary behavior related to hypertension in the elderly. Conclusion: Overall, knowledge, attitudes, health worker support, and family support influence dietary behavior related to hypertension in the elderly, which can impact the effective management of hypertension and prevent further complications. Recommendation: For future researchers, this study has limitations, and it is hoped that further research can develop this topic with a more comprehensive research methodology approach.

Gout is a type of inflammatory joint disease that occurs due to the accumulation of uric acid crystals. It usually occurs in several joints, such as the toes, ankles, knees, and big toes. Gout is also commonly called gout. This study aims to determine the Effect of Bay Leaf Decoction on Reducing Uric Acid in the Elderly at the Binjai Estate Health Center in 2024. The design of this study uses a descriptive correlation research method ( correlation study). The population in this study were all elderly people as many as 26 respondents, a total sampling of 26 samples. The variables in the study were the independent variable, namely boiled bay leaves and the dependent variable, uric acid levels in the elderly. The research instrument used a questionnaire and chi-square test. The results of the study show that regular elderly drink stew leaf greetings , grade sour tendon down as many as 16 people (84.2%) and elderly minority drink stew leaf regards regular , level sour tendon No down as many as 3 respondents (15.8%) while majority elderly who do not regular drink stew leaf greetings , grade sour tendon down as many as 1 respondent (14.2%) and a minority elderly who do not regular drink leaf greetings , grade sour tendon No down as many as 6 respondents (85.8%). The chi-square test shows that mark significant p-Value = 0.002< a( 0.05), so H 1 is accepted. Conclusion This research is There is connection influence stew leaf regards to decline level sour veins in the elderly at the Community Health Center Binjai Estate.

Hypertension and diabetes mellitus, which many elderly suffer from, are a significant problem in Indonesia because they pose a risk of serious complications and even death. At the Olak Kemang Community Health Center, the incidence of hypertension and diabetes mellitus in the elderly has increased. However, the scope of elderly people's active participation in various hypertension and diabetes mellitus management programs is still low. Based on the results of the team's research and initial observations, it is known that the main cause of this problem is a lack of family support and limited knowledge about the efforts that families must make in managing illnesses in the elderly. This situation indicates weak family functioning which has an impact on health. This community service activity aims to strengthen family functions and self-care behavior for elderly people with hypertension and diabetes mellitus in the work area of the Olak Kemang Community Health Center through the implementation of Posdaya (Family Empowerment Post). Posdaya activities include counseling about family functions, developing family skills to manage hypertension and diabetes mellitus in the elderly, as well as assisting families to be able to access various application-based health services for the elderly and families. The activity was attended by 20 elderly people and their families. The results of the activity showed that 80% of participants experienced increased knowledge. In addition, participants provided statements of attitude to improve family function and implement self-care behavior for elderly people with hypertension and diabetes mellitus.