Published date: Feb 07 2022

Journal Title: KnE Life Sciences

Issue title: 5th International Conference in Nursing (IVCN)

Pages: 687–698

DOI: 10.18502/kls.v7i2.10369

Umi HaniDepartment of Community Health Nursing, University of Karya Husada, Semarang, Indonesia

Fery Agusmanfery.mendrofa21@gmail.comDepartment of Community Health Nursing, University of Karya Husada, Semarang, Indonesia

During the pandemic, health programs for the elderly in the community have been limited to prevent the transmission of COVID-19. However, health services still need to be provided for the elderly to maintain their health. This paper aimed to explain the health problems of the elderly and the participation of elders, the family, and community health workers in the revitalization of strategies for integrated health service activities for the elderly during the pandemic. The Community as Partner model was used in this study. A one-group pre-test/post-test pilot study was conducted. The activities included health assessments via telemedicine (video call), drive-through services for vital signs assessment and simple lab checks, home visits, and education via WhatsApp as needed. We also provided training to community health workers and nursing students. The pilot project ran from June 2020 to May 2021 with 184 community-dwelling elderly in Central Java. The evaluation included participant questionnaires and measurements before and after the program. Change in outcomes was assessed using Wilcoxon signed-rank tests. The study found health problems of the elderly included depression, hypertension, and joint stiffness. 100 elderly people participated in the online exercise activities accompanied by their families and felt a decrease in complaints of joint stiffness, and 84 others participated in health education and exercise activities in open areas, adhering to strict health protocols. Most of the participants said they were satisfied with the activities. The online health education and exercise activities were successfully adapted to be effective interventions.

Keywords: elderly, empowerment, health services

[1] Badan Pusat Statistik. Statistik penduduk lanjut usia di indonesia 2019. Status Penduduk Lanjut Usia di Indones 2019. 2019;26:258.

[2] Hidayati M, Lestari SP, Sunu J, et al. Healthy aging menuju lansia sehat dan aktif. 2020;1:205–211.

[3] Dinas Kesehatan Provinsi Jawa Tengah. Rencana strategis dinas kesehatan provinsi jawa tengah tahun 2018 - 2023.

[4] Mendrofa FAM, Hani U, Iswanti DI, et al. Environmental management to control behavioral and emotional problems in elderly with dementia. 2020;200:9–21.

[5] Mawaddah N, Kusuma YLH, Mujiadi M, et al. Revitalisasi posyandu lansia di desa sumbertebu kecamatan bangsal kabupaten mojokerto. PengabdianMu: Jurnal Ilmiah Pengabdian Kepada Masyarakat. 2019;5:39–45.

[6] Mawaddah N, Prasetya A, Arianti FW, et al. Tatanan hidup baru pelayanan kesehatan posyandu lansia pada era pandemi Covid-19 di desa sumbertebu kecamatan bangsal kabupaten mojokerto. ABDIMAKES. 2021;1:6–13.

[7] Kemenkes RI. Panduan pelayanan kesehatan lanjut usia pada era pandemi Covid-19. 2020.

[8] Nikou S, Agahari W, Keijzer-Broers W, et al. Digital healthcare technology adoption by elderly people: A capability approach model. Telemat Informatics. 2020;53:101315.

[9] Hasinuddin M, Yulianto S, Suhron M. Old bemoralty (older community being more healthy) improvement efforts through independence elderly posyandu based on hierarchical class system of abraham maslow. Indonesian Nursing Journal of Education and Clinic. 2018;2:228.

[10] Wangsanata SA. Konseling sebaya berbasis online guna menjaga kualitas hidup lansia di masa pandemi covid-19. KONSELING Jurnal Ilmu Peneliti dan Penerapannya. 2021;2:56–60.

[11] Dwyer MJ, Pasini M, De Dominicis S, et al. Physical activity: Benefits and challenges during the COVID-19 pandemic. Scandinavian Journal of Medicine & Science in Sports. 2020;30:1291.

[12] Calina SS, Emanuel SA, Juliánna S. Influence of the physical activity in the elderly people diagnosed with knee osteoarthritis during the pandemic period caused by COVID-19.

[13] Cicognani E, Albanesi C, Valletta L, et al. Quality of collaboration within health promotion partnerships: Impact on sense of community, empowerment, and perceived projects’ outcomes. Journal of Community Psychology. 2020;48:323– 336.

[14] Kim K, Jeong M. Effectiveness evaluation of community empowerment program - Focusing on daegwallyeong-meyeon. Journal of Korean Society of Rural Planning. 2020;26:71–82.

[15] Leonita E, Jalinus N. Peran media sosial dalam upaya promosi kesehatan: Tinjauan literatur. INVOTEK: Jurnal Inovasi Vokasional dan Teknologi. 2018;18:25–34.

[16] Pribadi SY, Utami DP, Imami DA, et al. Pemanfaatan teknologi informasi dalam pemantauan tingkat kesehatan lansia pada situasi pandemi Covid-19 di posyandu dusun wates desa wonoretno. Community Empower. 2021;6:610–613.

[17] Sabilla M, Mustakim FS, Ariasih RRA, et al. Community services in pandemic situation: Preparing quality of life in middle age group through social media education “Kulwap”(Kuliah Whatsapp). Paper presented at: International Conference on Health Science; 2020. 5p.

[18] de Moura Sá GG, Silva FL, Dos Santos AMR, et al. Technologies that promote health education for the community elderly: Integrative review. Revista Latino-Americana de Enfermagem. 27.

[19] Sawa R, Doi T, Misu S, et al. The severity and number of musculoskeletal pain associated with gait in community-dwelling elderly individuals. Gait Posture. 2017;54:242–247.

[20] Ekaputri M, Redho A, Amelisa A. Comparison of strengthening exercise and range of motion (rom) to decrease the intensity of pain in the elderly with osteoarthritis in simpang tiga pekabaru health center. Paper presented at: Al Insyirah International Scientific Conference on Health; 2021. 8p.

[21] Taufandas M, Rosa EM, Afandi M. Pengaruh range of motion untuk menurunkan nyeri sendi pada lansia dengan osteoartritis di wilayah puskesmas godean i sleman Yogyakarta. Care : Jurnal Ilmiah Ilmu Kesehatan. 2018;6(1). DOI: 1033366/cr.v6i1785

[22] Hartinah S, Pranata L, Koerniawan D. Efektivitas range of motion (rom) aktif terhadap kekuatan otot ekstremitas atas dan ekstremitas bawah pada lansia. Publ Penelit Terap dan Kebijak. 2019;2. DOI: https://doi.org/10.46774/pptk.v2i2.87