Social Rehabilitation Services Research Articles

A latent class analysis of community-based rehabilitation needs among Chinese older adults: a mixed study protocol.

Geriatric diseases (e.g., chronic diseases and geriatric syndromes) may result in impaired physical performance and a decline in the quality of life. The results of previous studies reported the positive effects of comprehensive community-based rehabilitation (CBR) services on physical and social functioning and psychosocial wellbeing. However, to provide adequate and personalised rehabilitation services, it is essential to understand the needs of the older adults population. There have been no studies on the need for CBR in older adults populations that consider their heterogeneity. Therefore, high-quality studies are required to recognise the heterogeneity and latent classes of CBR needs in older adults population groups. This study aims to identify the heterogeneity of the rehabilitation needs of older adults in the community and explore whether older adults with similar characteristics have similar needs through a cross-sectional survey and latent class analysis (LCA) to provide support for personalised rehabilitation services. The study is structured into four phases. The first phase will focus on constructing a comprehensive questionnaire to assess rehabilitation needs. In the second phase, a pilot study will be conducted to evaluate the reliability and validity of the completed questionnaire. This step ensures the robustness of the instrument for data collection. The third phase will involve cross-sectional surveys using the finalised questionnaires to collect the necessary data from the targeted population. The fourth phase will focus on conducting LCA to determine the CBR needs of the older adult population. The results of this study will provide novel and critical information for a better understanding of the rehabilitation needs, potential categories, and influencing factors of older adults in the community. The study will be conducted in Guizhou Province in western China, where economic and social development is relatively low, and the results will inform and benefit other regions and developing countries facing similar challenges. However, because of the complete social security and rehabilitation service systems in developed areas, our research results may not fully reflect the situation in these areas. Future studies may need to be conducted in places with different levels of social development. https://www.chictr.org.cn/showproj.html?proj=191398, ChiCTR2300071478.

Penerapan Terapi Menghardik Halusinasi Terhadap Pasien Eks Psikotik dalam Rehabilitasi Sosial

Along with the rapid development, modernization and industrialization efforts, social changes and problems are growing. So that people who are unable to make adjustments, can experience mental turmoil, mental disorders and even mental disorders called psychotics. Therefore, this study aims to describe the application of hallucinatory rebuke therapy in the rehabilitation process of ex-psychotic patients at the Dosarso Shelter House, Kebumen. This research method uses a type of qualitative research with a case study approach. This study had 4 subjects, namely 2 ex-psychotic patients who were still experiencing hallucinations, 1 nurse and 1 administrator who worked at the Dosaraso Shelter in Kebumen. The results of this research show that rebuke therapy at the Dosaraso Shelter Home in Kebumen is carried out in groups and individually. The social rehabilitation service model provided by Dosaraso includes the Institutional Based Rehabilitation (IBR) service model. Then the type of psychotic experienced by TS patients is schizophrenic functional psychotic with auditory and visual hallucinations, while patient D is paranoid functional psychotic with auditory hallucinations. This rebuke therapy is carried out through several stages, namely starting from preparing the place, explaining the therapy, agreeing to the therapy, time contract, implementation, and finally asking the patient's feelings. This research can also help counselors in carrying out therapeutic steps for ex-psychotic patients so that it is very helpful in overcoming social problems in society.

Social Determinants of Health and Traumatic Brain Injury: Implications for Rehabilitation Service Delivery and Outcomes.

Social Determinants of Health and Traumatic Brain Injury: Implications for Rehabilitation Service Delivery and Outcomes.

Prevalence pattern, phenotypic manifestation, and descriptive genetics of congenital limb deficiencies in Pakistan.

Congenital limb deficiency (CLD) is a group of very rare disorders characterized by substantial hypoplasia or the complete absence of 1 or more bones of limbs. Congenital limb deficiency has a significant physical, clinical, and psychological burden on the affected individuals and their families. This cross-sectional study aimed to describe the prevalence pattern, phenotypic manifestations, and biodemographic factors associated with CLD in a cohort assembled from the Pakistani population from the Northwestern region. Through a prospective cross-sectional study, 141 individuals having 166 limbs with CLD were recruited during 2017-2021. There were 77 (55%) individuals with transverse defects, 61 (43%) with longitudinal defects, and 3 (2%) with Intercalary defects. Among the patients with transverse defects, 52 had terminal amputations and 25 had symbrachydactyly. Among the longitudinal defects, thumb aplasia/hypoplasia was the most common presentation (20 patients), followed by oligodactyly (18), and radial hemimelia (18). Eighty six percent had upper-limb deficiencies, 83% had unilateral deficiencies, and 92% were sporadic in nature. The parental consanguinity was observed in 33% individuals, and 79% cases had an isolated presentation which may be indicative of the substantial role of nongenetic factors in the etiology of CLD. This study demonstrates marked heterogeneity in CLD subtypes in the involvement of limbs and associated variables. There is a need to establish a national registry for CLD, molecular genetic diagnosis, and multidisciplinary medical and social rehabilitation services for these individuals.

Mastering Life Skills as Social Rehabilitation of Persons with Disabilities at a Social Institution

The purpose of this study was to find out the function of social rehabilitation services for persons with disabilities at the Social Institution for the rehabilitation of persons with disabilities in Cibabat Cimahi, to find out the implementation of the social rehabilitation program for persons with disabilities, and to find out changes in the behavior of persons with disabilities after receiving the service program at the Social Institutions for persons with disabilities Cibabat Cimahi. This research was conducted using a descriptive method with a qualitative approach. This research resulted from the exposure of informants conducted by interviews, not in the form of numbers. Collecting data in this study utilizing observation, interviews, literature study, and documentation. Data analysis in this study included collecting all data and reducing data to conclusions as a result of the research. Based on this research, clients with disabilities, before entering and not carrying out the service program at the Social Institution for the rehabilitation of persons with disabilities Cibabat Cimahi, most clients have not been able to carry out activities independently in carrying out their daily activities and do not yet have the ability or expertise. After entering and implementing the program, clients with disabilities participate in service programs, namely physical guidance, mental guidance, social guidance, and skills programs which include sewing, mechanics, handicrafts, housekeeping, electrical, carpentry and cosmetology. After participating in the service program, clients with disabilities will be proven whether clients with disabilities can change their behavior for the better.

Koordinasi pada Pelayanan Rehabilitasi Sosial Rumah Tidak Layak Huni Kota Surabaya

Rehabilitation of uninhabitable houses is one of the services provided by the local government to restore the function of the house by repairing parts of the house. The Social Rehabilitation Program for Uninhabitable Houses in the City of Surabaya (Rutilahu) is critical because settlements are one of the basic human needs essential in increasing human dignity and prosperous quality of life in a just and prosperous society. This study aims to explain coordination in social rehabilitation services for uninhabitable houses in Surabaya. The research method used in this research uses descriptive qualitative research. The results of this study indicate that the coordination is carried out in a bottom-up manner with the initiation of the RT/RW by collecting data on people who have suitable criteria for the beneficiaries of social rehabilitation services for uninhabitable houses in the city of Surabaya.

Peran Program Pelayanan Rehabilitasi Sosial Anak Berhadapan Hukum (ABH)

This study aims to determine how the social rehabilitation service program for children with the law. Using role theory by Biddle and Thomas, this research uses qualitative methods with data collection techniques through interviews, documentation, and observation. focuses on Expectations, Norms, Performance, Evaluation, and Sanctions. The result is that the Marsudi Putra Technical Implementation Unit Surabaya is used as a place of service for the protection of minors who commit criminal acts, with the existence of a rehabilitation center they will get protection rights, the rehabilitation process is given to all clients, sanctions from the Marsudi Putra Technical Implementation Unit can be given to staff who have problems with respect to existing guidelines. The rehabilitation program services provided by the Marsudi Putra Technical Implementation Unit are expected to provide lessons for minors who commit crimes so that they have a deterrent effect and do not make the same mistakes.

Active garden therapy for the elderly and people with disabilities

Garden therapy has been used in the world medical practice for many decades. There are many examples where human interaction with plants has a positive impact or facilitates the lives of various segments and groups of society: children, youth, elderly people, with mental health problems, people with disabilities, crime victims, patients with cancer and Alzheimer’s disease, mental health problems, drug addicts and alcoholics, combatants, victims of military or terrorist acts, etc. Garden therapy is the process of using plants and the garden to improve well-being through the effects on the mind, body and soul. Garden therapy combines gardening and rehabilitation and is a synthesis of landscape design, medicine and psychology. It can help work with different target groups: in hospitals, nursing homes, rehabilitation and cancer centers, hospices, as well as other medical and residential complexes. Despite this, garden therapy is still not widespread in Ukraine and requires wider development. This is due to the general set of social and health problems, as well as regional problems of modern times, including the post-Chernobyl factor, the mass factor of post-traumatic stress disorders among the affected population of the temporarily occupied territories and the contingent of ATO participants. Undoubtedly, the urgent task today is to develop garden therapy programs for recovery from illness and combating the stressful effects of prolonged self-isolation during quarantine activities related to the COVID-19 pandemic. The article considers an example of creating a location for active garden therapy for visitors to the Center for medical and social rehabilitation services in Melitopol, Zaporozhia region.

FORMATION OF SOCIAL COMPETENCE OF CHILDREN WITH COMPLEX DEVELOPMENTAL DISABILITIES BY MEANS OF MUSIC ART IN A REHABILITATION CENTER

This article is devoted to the problem of forming of social competence of children with complex developmental disabilities by means of Music Art in rehabilitation centers. This is a key task of institutions that provide pedagogical, psychological, social and comprehensive rehabilitation services to children with disabilities. It was found that social competence determines the important components of integration processes, stimulates the acquisition of imitational skills and bilateral communication skills in children with complex developmental disabilities, formulate clear, accessible for determinant perception of children with psychophysical disabilities own social positions in today's society. It was found that new methods and technologies, which are implemented in the conditions of rehabilitation institutions, are aimed at mastering elementary social algorithms that facilitate the socialization of children with complex developmental disabilities by giving them practical tools for self-sufficient living within a modern society. It is grounded that the introduction of "The Integrated social and artistic course "My World" into the system of corrective and developmental activities within rehabilitation institutions can start a systematic line of social development of children with complex developmental disabilities. It is emphasized that adhering to a holistic line of social development of a child with complex disabilities during musical and corrective activities will enable children with complex developmental disabilities to generalize their own practical experience and independently solve elementary social problems. It is argued that the implementation of "The Integrated social and artistic course "My World" is an important condition for the formation of social competence of children with complex developmental disabilities by means of music education under the conditions of rehabilitation centers.

PENERAPAN DIVERSI TERHADAP ANAK PELAKU TINDAK PIDANA PENCURIAN DIWILAYAH HUKUM POLSEK SLEMAN

With the development of the era of the population in the Sleman sub-district, Sleman Regency, Yogyakarta Special Region, currently experiencing changes in the way of life in society and an increasingly growing economy and the number of immigrants from other regions who are economically capable who live in the Sleman Regency area so that it will affect the lifestyle of children. -children in the mix. As is happening now, there are public reports to the Sleman Sector police for cases of theft and abuse committed by children to find out the application of diversion to children who are perpetrators of the crime of theft by Sleman Police Investigators. The research method is a descriptive empirical juridical approach.The application of diversion is carried out by Sleman Police Investigators in overcoming the problem of diversion in cases of children in the crime of theft at the Sleman Police, which refers to Law Number: 11 of 2012 concerning the Juvenile Criminal Justice System. The implementation of diversion at the Sleman Police has two obstacles, namely; Internal Barriers, and External Barriers and Efforts made by Sleman Police Investigators and Youth Social Rehabilitation and Protection Center (BPRSR) Yogyakarta Social Service to create justice for Sleman Police investigators seek a diversion process between by: Bringing the litigants together for settlement through the diversion process, invites from the Correctional Center, SOCIAL Activists, legal counsel for child offenders and parents of child offenders to accompany, Investigators immediately request the determination of the results of the diversion to the Court.

Analysis of Social Rehabilitation Services for the Visually Impaired People(Implementation of the Regulation of the Minister of Social Affairs of the Republic of Indonesia at the Technical Implementation Unit of Social Rehabilitation Bina Netra Malang, of Indonesia)

Analysis of Social Rehabilitation Services for the Visually Impaired People(Implementation of the Regulation of the Minister of Social Affairs of the Republic of Indonesia at the Technical Implementation Unit of Social Rehabilitation Bina Netra Malang, of Indonesia)

Social Rehabilitation for Vagrants and Beggars Through Institutional Approach in Indonesia

The problem of vagrants and beggars is a fairly complex issue in big cities such as Jakarta, Bandung, Semarang, Surabaya, Medan, and Makassar. These big cities' charms have attracted the poor with low education levels and limited access to education, health, and skill development. Many service programs for the vagrants and beggars have been carried out, yet the problems related to the vagrants and beggars have never subsided. Quantitative and qualitative approach are used to determine how the condition of social rehabilitation services carried out for vagrants and beggars by the government and the community, the extent of their level of social functioning, and the role of social workers in social rehabilitation services. A population sample is a group of homeless people and beggars who receive social services in government institutions and community organisation. The sampling used was the purposive sampling method with a sample of 487 respondents in the six provinces, namely DKI Jakarta, West Java, East Java, Central Java, North Sumatra, and South Sulawesi. This research found that in the process of social rehabilitation services for vagrants and beggars, there are still differences in the service standards between institutions; limitations in human resources, including social workers; limited budget support; limited cooperation, and coordination between local government organizations at the provincial, regency/municipal, and central government along with related stakeholders. It conclude that the national policy platform related to the handling of vagrants and beggars needs to be the focus to overcome the complexity of the problems faced by this marginal group.

Social and pedagogical rehabilitation infrastructure for children with autism spectrum disorder on the example of the Northwestern Federal District

Goal. A study of the rehabilitation infrastructure of the social and pedagogical spectrum of the Northwestern Federal District for children with autism spectrum disorder (ASD).
 Materials and methods. The indicators of the level of disability of children with ASD were calculated and analyzed on the basis of data from the state statistical reporting in the Northwestern Federal District for 2018. Based on the information provided by the portal of the Federal Resource Center for the Organization of Comprehensive Support for Children with Autism Spectrum Disorders (FRC) a review of social and psychological and pedagogical services was carried out, indicators of the provision of children with organizations providing assistance to people with ASD, the structure of organizations by departments were studied (education, social protection of the population, non-profit organizations, excluding health care and culture and sports).
 Results. In 2018, 5770 children were registered in the Northwestern Federal District, for the first time and repeatedly recognized as disabled due to mental disorders and behavioral disorders, of which 684 are disabled children with autism spectrum disorders, which amounted to 3.3% of the total disability of the child population on appeal to the bureau of medical and social expertise in the Northwestern Federal District. Rehabilitation measures/services for children with these disorders are provided in 205 organizations: mainly educational institutions - 94%, as well as social protection - 4%, non-profit organizations - 2%. Five regional resource centers have been organized: four of which are in the field of education - in the Leningrad, Murmansk, Pskov regions and the Komi Republic, one - in the field of social protection - in the Novgorod region. In the field of education, organizations implement adapted educational programs in accordance with Federal state educational standards and provide a range of medical and social rehabilitation services for children with ASD, depending on the type of organization (pre-school educational organizations, general education organizations, educational centers and others). In the field of social protection, organizations (rehabilitation centers and others) mainly provide assistance according to the standard for the provision of social services, including social, socio-medical, socio-psychological, socio-pedagogical, socio-labour, socio-legal services. Non-profit organizations located in St. Petersburg and Arkhangelsk provide social-psychological, social-pedagogical and social-labor services to children with ASD.
 Conclusion. The results of the study showed that a social and pedagogical rehabilitation infrastructure was created for children with ASD in the Northwestern Federal District in 2018 (healthcare institutions were not studied). Children with ASD and their families can receive services in organizations of various departmental affiliation, which are represented in all constituent entities of the Russian Federation that are part of the Northwestern Federal District, but are concentrated mainly in urban areas, which limits children in obtaining services directly near their places of residence. A system has been created to inform specialists and parents about the rehabilitation infrastructure for children with ASD, which is presented by the FRC portal, at the same time, the need for the organization to submit data to the portal is optional. Services for children with ASD are aimed at solving issues of psychological, pedagogical, social and vocational rehabilitation, including career guidance work with adolescents and, as a result, at the social adaptation of a child with ASD and his integration into society.

Self-perceived health among children with spina bifida in the West Bank: a cross-sectional study

BackgroundChildren born with spina bifida endure constant physical disability, which is challenging for themselves and their families. To date, the impact of spina bifida on the health-related quality of life (HRQOL; eg, physical, psychological, and social wellbeing) of these children has been assessed mainly through parent proxy reports, and self-perceived health among these children is rarely measured. This study aimed to measure self-perceived health in children with spina bifida in the West Bank, to compare this with that in a healthy reference group also from the West Bank, and to assess the potential association between self-perceived health and the level of disability in children with spina bifida. MethodsA cross-sectional study was conducted in the West Bank. The Paediatric Quality of Life Inventory (PedsQL) was administered to a convenience sample of 200 children aged 8–12 years, of whom 50 have spina bifida and 150 are healthy. For the children with spina bifida, their disability was categorised and ranked according to four aspects of impairment (mobility, bowel function, bladder function, and hydrocephaly). Data were analysed with SPSS version 24. Difference in PedsQL scores between the two groups of children was tested with the Mann-Whitney U-test. The Spearman's rank correlation coefficient was used to evaluate the association between the level of physical impairment in children with spina bifida and their self-perceived health. Written informed consent was obtained from the children's parents. The children's verbal assent was also obtained, and their right to withdraw from the study at any time was emphasised. FindingsChildren with spina bifida had lower overall PedsQL scores (mean 45·5, SD 14.5) than those reported by the reference group of healthy children (mean 80·0, SD 12·8). For children with spina bifida, social functioning had the lowest mean score (30·5, SD 20·8), followed by physical functioning (37·5, SD 16.6), emotional functioning (56·0, SD 17·2), and school functioning (62·6, SD 17.8), whereas the range for all of the PedsQL scores in the reference group was 71·7–84·5. The results demonstrate significant inverse associations between self-perceived health (overall PedsQL score) in children with spina bifida and both the level of mobility impairment (rs=−0·65, p<0·0001) and the presence of hydrocephalus (rs=−0·53, p<0·0001). A weak inverse association was found between self-perceived health and both bladder and bowel dysfunction. For both groups, no associations were found between demographic characteristics (age, gender, type of settlement of residence [city, village, camp]) and self-perceived health. InterpretationThe findings provide insights into the importance of social support and rehabilitation services for children with spina bifida in the occupied Palestinian territory. In particular, community awareness, and education of health care providers and family members, may be important. FundingNone.

Museum activities in the context of socio-cultural and educational spaces

The article presents the questionnaire results, which is aimed at studying the use of museum pedagogy in the organization of the educational process, the provision of social rehabilitation services to people with special educational needs. The problems of providing services to museum institutions in modern society have been revealed. It is also noted about the relevance of the use of information and communication technologies in the organization of museum activities. The problems of museums arising during the COVID-19 pandemic have been identified.&#x0D; The transition to online functioning has forced museums to adapt to new conditions. However, the low popularity of the museum during quarantine has become even low. Although, most respondents are positive about excursions to the museum. However, this desire does not increase popularity among young people.&#x0D; According to the survey results, the modern museum can become an environment for informal and formal education. And the method of social rehabilitation of persons with special educational needs.&#x0D; Thus, the article reveals the problems of the modern museum and reflects the role of the museum in modern society. The survey results confirm that the museum activity problem is relevant and requires new ideas in solving problems. The introduction of museum pedagogy as an innovative and interactive method will contribute to the development of museum activities in Ukraine. And this method can become an effective tool for overcoming social barriers by persons with disabilities.

Standartization of medical and social rehabilitation services in perm region

Background. The process of rehabilitation services of disabled people in Russia began in 90s, when National standards (GOSTs) were developed on the basis of ISO international quality standards, however, the issue of the availability of standards is still relevant. The aim: development of approaches to the formation of a system of comprehensive rehabilitation and habilitation of disabled people, including disabled children, in the Perm Region during the implementation of a pilot project in 20172018. Materials and methods. During the process of implementation in the Perm region in 20172018 a pilot project the group of experts had to implement the methodological materials of the Ministry of Labor of the Russian Federation including standards of rehabilitation and habilitation of disabled children and adults. Two groups of disabled people of working age were selected for testing one is with motor disorders (n = 21) and other is with mental disorders (n = 25). Evaluation using standardized diagnostic scales was carried out at the beginning and at the end of the rehabilitation course, when each client filled out a client feedback questionnaire, and specialists a specialist feedback questionnaire. The duration of the rehabilitation course was 21 days. Results. Comparison of the results obtained with the data on the effectiveness of clients rehabilitation according to the existing rehabilitation programs showed the advantage of the developed standards, which was expressed by a significant improvement in the assessed indicators, as well as more accurate assessment of the rehabilitation results. Conclusions. The results of the standards development and implementation showed the possibility of creating medical and social services in rehabilitation that would make possible to put into practice the idea of a biopsychosocial model of rehabilitation through the use of the International Classification of Functioning, Disabilities and Health (ICF) as a methodology.

Organizational Commitment Among Residential Senior Care Workers

Despite growing evidence of the increase in the aging population nationally, there continues to be a shortage of health and social care professionals who work with older adults. Some studies examine this phenomenon by looking at motivations that underlie commitment to geriatric careers. Others study commitment among those who are already geriatric professionals. Both the volume and diversity of the aging population challenge organizations to provide care. Drawing on 44 interviews, observations of 62 meetings, and a 5-year immersion, this organizational ethnography looks at commitment factors at a large, urban, faith-based residential senior care organization. Commitment factors are examined on three levels: daily tensions and rewards; value tensions and rewards; and deal breakers and clinchers. Findings show that intrinsic identity-based factors such as affective bonds with older persons and sharing in faith values sustain commitment on the person level. Interprofessional tensions may detract from commitment. Implications pertain to the role of leadership in equity-related and ethical tensions as well as the improved uptake of allied health professional expertises such as social work and chaplaincy. This study extends the extant knowledge by incorporating perspectives of social workers, chaplains, rehabilitation, recreational, diet and environmental services workers in addition to the more commonly examined groups such as nurses and certified nursing assistants, and in a setting that includes Assisted Living in addition to long-term care.

PELATIHAN KEGAWAT DARURATAN PADA PETUGAS SATUAN PELAYANAN REHABILITASI SOSIAL LANJUT USIA (SPRSLU) KABUPATEN GARUT

First aid is very important as a prevention effort so that something worse doesn't happen. This first aid action in an emergency can be in the form of basic life support (BLS) which consists of several simple techniques that aim to maintain a person's life. The purpose of this training is to increase the knowledge and skills of officers to maintain the lives of the elderly. The method used is the workshop/training method in accordance with the problems faced by the elderly social rehabilitation service unit officers, namely they have not mastered the emergency guidelines correctly. The results obtained from this training are the knowledge of officers before receiving emergency training with a less category of 2 (two) people or 10%, enough for 12 people or 12% and knowledge of officers with good categories of 6 people or 30%. The conclusion of this training is that it is able to increase the knowledge of the Elderly Social Rehabilitation Service Unit officers on the concept of emergency victim assistance, able to improve the skills of youth youth groups in providing basic life support and emergency assistance and able to increase the mental readiness of participants in providing emergency assistance.

An Overview of Blood Pressure Based on Affecting Hypertension Factors in Elderly Stage; Description Study at Garut Elderly Social Rehabilitation Service Unit

Hypertension is systolic blood pressure greater than 140 mmHg and a diastolic pressure greater than 90 mmHg, based on two or more measurements. The factors that affect hypertension are grouped into two, which is the factors that cannot be changed and the factors that can be changed. The purpose of this study was to determine the description of blood pressure based on the factors that influence hypertension in elderly stage at Garut Elderly Social Rehabilitation Service Unit. This study used a descriptive design with a quantitative approach. The population in this study were all elderly with hypertension as many as 32 elderly. A sample of 32 elderly was taken by total sampling technique. The instruments used to measure blood pressure were a calibrated digital sphygmomanometer and a questionnaire. The data analysis used descriptive statistical analysis. The results showed that the female (53.1 percent) obtained an average systolic output of 165 mmHg and diastolic 101 mmHg. In the range of elderly (46.9 percent) and elderly (46.9 percent), at the age of 60-74 (elderly), the average systolic outcome was 169.3 mmHg and diastolic output was 103.1 mmHg. age 75- 90 (Old) obtained a mean systolic output of 166.6 mmHg and diastolic 101.2 mmHg. Patients with a family history (71.9 percent) had a mean systolic output of 167.6 mmHg and diastolic output of 103.4 mmHg. In non-obese patients (90.6 percent), with a lean BMI, the average systolic output was 170.5 mmHg and diastolic output was 101.1 mmHg, at normal BMI, an average systolic output was 165.2 mmHg and diastolic output was 165.2 mmHg. 101.6 mmHg. In patients who did not consume salty foods (96.9 percent), the average systolic output was 166.5 mmHg and diastolic output was 101.4 mmHg. Non-smoking patients (71.9 percent) had a mean systolic output of 170.1 mmHg and diastolic output of 102.7 mmHg. In patients who did exercise (68.7 percent), the average systolic output was 165.6 mmHg and diastolic output was 101.5 mmHg. It can be concluded that the systolic blood pressure picture of the overall systolic mean is 166.5 mmHg and the diastolic is 101.4 mmHg. Then the most cases of hypertension are in the elderly category with a family history of hypertension. It is recommended to detect other family members with PKMS (Social Welfare) by making home visits. It can increase preventive and curative efforts related to hypertension as well as providing counselling about hypertension to the elderly at Garut Elderly Social Rehabilitation Service Unit. Abstrak: Hipertensi adalah tekanan darah sistolik lebih dari 140 mmHg dan tekanan diastolik lebih dari 90 mmHg, berdasarkan dua atau lebih pengukuran. Faktor-faktor yang mempengaruhi hipertensi dikelompokkan menjadi dua, yaitu faktor yang tidak dapat diubah dan faktor yang dapat diubah. Tujuan penelitian ini adalah untuk mengetahui gambaran tekanan darah berdasarkan faktor-faktor yang mempengaruhi hipertensi pada lansia di Unit Pelayanan Rehabilitasi Sosial Lanjut Usia Garut. Penelitian ini menggunakan desain deskriptif dengan pendekatan kuantitatif. Populasi dalam penelitian ini adalah seluruh lansia dengan hipertensi sebanyak 32 lansia. Sampel berjumlah 32 lansia diambil dengan teknik total sampling. Instrumen yang digunakan untuk mengukur tekanan darah adalah sphygmomanometer digital terkalibrasi dan kuesioner. Analisis data menggunakan analisis statistik deskriptif. Hasil penelitian menunjukkan bahwa berjenis kelamin perempuan (53,1 persen) diperoleh rata-rata luaran sistolik 165 mmHg dan diastolik 101 mmHg. Pada rentang usia lanjut usia (46,9 persen) dan lanjut usia (46,9 persen), pada usia 60-74 (lanjut usia) didapatkan rata-rata luaran sistolik sebanyak 169,3 mmHg dan diastolik sebanyak 103,1 mmHg, pada usia 75- 90 (Lama) didapatkan luaran sistolik rata-rata 166,6 mmHg dan diastolik 101,2 mmHg. Pada pasien dengan riwayat keluarga (71,9 persen) didapatkan rata-rata luaran sistolik sebanyak 167,6 mmHg dan diastolik sebanyak 103,4 mmHg. Pada pasien non obesitas (90,6 persen), dengan IMT kurus didapatkan rata-rata luaran sistolik sebanyak 170,5 mmHg dan diastolik sebanyak 101,1 mmHg, pada BMI normal didapatkan luaran sistolik rata-rata sebanyak 165,2 mmHg dan diastolik sebanyak 101,6 mmHg. Pada pasien yang tidak mengkonsumsi makanan asin (96,9 persen) didapatkan rata-rata luaran sistolik sebanyak 166,5 mmHg dan diastolik sebanyak 101,4 mmHg. Pada pasien non-merokok (71,9 persen) didapatkan rata-rata luaran sistolik sebanyak 170,1 mmHg dan diastolik sebanyak 102,7 mmHg. Pada pasien yang melakukan senam (68,7 persen) didapatkan rata-rata luaran sistolik sebanyak 165,6 mmHg dan diastolik sebanyak 101,5 mmHg. Dapat disimpulkan bahwa gambaran tekanan darah sistolik dari rerata sistolik keseluruhan adalah 166,5 mmHg dan diastolik sebesar 101,4 mmHg kemudian kasus hipertensi terbanyak pada kategori lansia dengan riwayat keluarga hipertensi. Disarankan untuk melakukan deteksi anggota keluarga lain dengan PKMS dengan melakukan kunjungan rumah dengan meningkatkan upaya preventif dan kuratif terkait hipertensi serta pemberian penyuluhan tentang hipertensi pada lansia di Unit Pelayanan Rehabilitasi Sosial Lanjut Usia Garut.

Organizational commitment among residential care workers

AbstractThe growth of the older adult population and documented demand of health, allied health, and social care professionals contrast starkly with the reality that the eldercare field, including care organizations, struggle to attract and retain committed workers. Extant studies evaluate organizational capacity to engender commitment by examining various job and workplace factors. Drawing on 44 interviews, observations of 62 meetings, and a 5-year immersion, this organizational ethnography looks at commitment factors at a large, urban, faith-based residential senior care organization. Commitment factors are delineated on three levels such as daily tensions and rewards, value-based tensions and rewards, deal breakers and clinchers. Identity-based factors such as affective bonds with older persons and sharing in faith values sustain commitment on the person level whereas interprofessional tensions may detract from commitment. This study extends the knowledge base by incorporating perspectives of care workers such as social workers, chaplains, rehabilitation, recreational, diet and environmental services workers in addition to the more commonly examined groups such as nurses and certified nursing assistants, and in a setting that includes Assisted Living in addition to long-term care.