Sosial Tresna Werdha Research Articles

HUBUNGAN DEPRESI DENGAN INSOMNIA PADA LANSIA DI UPT PELAYANAN SOSIAL TRESNA WERDHA (PSTW) JEMBER

Depression is a common mental disorder characterized by symptoms such as feelings of sadness, loss of pleasure or interest, guilt, or low self-worth. Depression can occur acutely or chronically, leading to disruptions in an individual's daily activities. The aim of this study is to investigate the relationship between depression and insomnia among the elderly at the Social Services Unit for Elderly (UPT Pelayanan Sosial Tresna Werdha, PSTW) in Jember. This study employed a correlational research design with a Cross-Sectional approach. The sampling technique utilized purposive sampling. Data collection was conducted using a questionnaire. The study found that the majority of elderly individuals experienced depression, 38 (56.7%), and the majority experienced insomnia, 57 (85.7%). Statistical tests showed a p-value of 0.020 < 0.05 using Pearson Correlation test. These results indicate that the alternative hypothesis (H1) is accepted with a correlation coefficient (r) = 0.873, indicating a significant relationship between depression and insomnia at the Social Services Unit for Elderly (UPT Pelayanan Sosial Tresna Werdha, PSTW) in Jember. Healthcare professionals, especially nurses, can help provide education on how to manage depression in the elderly.

Empowering Elderly Through Health Counseling to Increase Self-Acceptance and Elderly Activities

Physical and psychological changes in the elderly will affect their social adjustment abilities, for better or worse.High feelings of inferiority in the elderly will result in the elderly having low self-acceptance. The aim of this community service is to increase self-acceptance and activities of the elderly at the UPT Pelayanan Sosial Tresna Werdha Magetan. This community service was carried out from May 2022 to October 2022, in the form of health education about self-awareness and self-acceptance of the elderly. Health education was carried out using lecture and demonstration methods. The target audience for the counseling is 50 elderly people at the UPT Pelayanan Sosial Tresna Werdha Magetan. Health education was carried out orderly and smoothly according to plan. Elderly attendance reached 100% on the first day and 90% on the second day. The elderly were very cooperative, enthusiastic and actively participated in the counseling until it was finished and most of the elderly were able to carry out the self-hypnosis techniques that were trained. This health education can increase the self-awareness and self-acceptance of the elderly, which can be seen from the increase in the willingness and ability of the elderly to take part in social activities that are routinely held in nursing homes. Considering that self-hypnosis techniques are easy for elderly people to do themselves anywhere and at any time, it is recommended that elderly people do it regularly as therapy to improve the self-awareness and self-acceptance.

PANTI SOSIAL TRESNA WERDHA DI BANJARBARU

Panti Sosial Tresna Werdha (PSTW) in Banjarbaru is an alternative residence intended for neglected elderly. The neglected elderly are categorized into two types, including economically neglected and socially neglected. This affects both physical and non-physical needs. To meet their needs, Tresna Werdha social institutions provide housing and various facilities that support elderly activities. Apart from physical needs, non-physical needs are the most important thing for the elderly. To be able to interpret the non-physical aspects for the elderly, it is necessary to review using the Behavioral Architecture method. This method aims to review space elements which will then be eaten with an understanding of home by aspects of Order, identification and dialectic processes. This is still a basis to be applied to the analysis. So the need for the theory of the hierarchy of basic human needs (maslow) to translate the analysis into a concrete form (architecture) in the form of physical needs physiological.needs, safety.needs, belongingness.needs, esteem.needs and.self.actualization. The concept refers to the five aspects of Maslow's theory which is contained in the concept of function and site in the design of the Panti Sosial Tresna Werdha (PSTW) in Banjarbaru.

Proses Spiritual Emotional Freedom Technique (SEFT) Untuk Meningkatkan Kesejahteraan Psikologis Lanjut Usia

Entering old age will certainly have changes felt by the elderly such as changes in economic, psychological, and social aspects. People who are not ready to face these changes will be vulnerable to psychological problems. It is possible that this condition will actually have a negative impact on the health of the elderly, which can actually reduce their psychological well-being. In an effort to improve the psychological well-being of the elderly, one of them is by providing Spiritual Emotional Freedom Technique therapy. SEFT therapy is one method that can be used to improve their psychological well-being. This kind of therapy is useful in overcoming difficulties related to physical health, emotions, and cognitive function. In the context of improving the psychological well-being of the elderly, the purpose of this study is to be able to see how effective the therapy is for the elderly. Panti Sosial Tresna Werdha Budi Mulia 3 was used as a research location conducted with a qualitative case study methodology. Based on the results of the research after the provision of SEFT therapy, there are certainly changes that are felt, such as the ability of the elderly to get rid of their negative emotions, stress pressure, the sadness they feel is also slowly decreasing.

The Effect of Ergonomic Exercise on Reducing Blood Pressure in Hypertensive Elderly at Ciparay Panti Sosial Tresna Werdha Ciparay

Hypertension is a condition when blood pressure is at 140/90 mmHg or more. Every year people with hypertension continue increased, it is estimated that in 2025 as many as 1.5 billion people suffer from hypertension... One way to reduce blood pressure is to do ergonomic exercises. The purpose of this study is to find out ergonomic exercises for decreasing blood pressure on elderly hypertension at Ciparay Elderly Social Rehabilitation Institution. This research used quasi Experiment design by designing a pre and post test group. The population of this study was hypertensive elderly totaling 70 people, The sampling technique uses non probability sampling with the technique purposive sampling, its about 23 respondent. Data collection using questionnaires, observation sheets, and digital sphygmomanometer. The number of respondents was 23 respondents, ergonomic exercises done 3 times repeatedly - according to 3 weeks. Pressure measurement blood is done before gymnastics (pre test) and after 30 minutes after gymnastics (post test). Statistical test results show the average systole pressure before gymnastics is equaldari to160.15 mmHg to and the remaining gymnastics 140.05 mmHg, a decrease of 20.1 mmHg. Diastolic pressure before gymnastics isfrom 96.28 mmHg and as is gymnastics to 86.11 mmHg, a decrease of 10.17 mmHg. Data analysis using Paired Sample T-Test related to ergonomic exercises for impairment blood pressure in hypertensive elderly with systole pressure p value = 0,000 and diastolic pressure p = 0,000.The conclusion Can be accessed the effect of ergonomic exercises on reducing blood pressure in elderly hypertension. The results of ergonomic exercise intervention can be used as a therapy in pressure reduction blood and it is expected that the elderly are routinely approved for ergonomic exercises.

Penyuluhan Hipertensi serta Pelayanan Kesehatan pada Lansia di Cengkareng Barat

Hypertension is a condition that is often found in primary health care, because the prevalence of hypertension in Indonesia is relatively high. According to RISKESDAS 2018, the prevalence of hypertension in Indonesia was 34.11%. Hypertension is a major public health problem, responsible for at least 45% of deaths from heart disease and 51% of deaths from stroke. The increasing prevalence of hypertension is caused by population growth, old age and risk factors for unhealthy dietary behavior. In addition to hypertension, through general health checks, other diseases can be found, especially degenerative diseases. In elderly it is important to carry out periodic checks because the higher the risk of degenerative diseases due to decreased the function of various organs of the body. The activities of Pengabdian Kepada Masyarakat are carried out by counseling and health care on 4th January 2023 to 42 participants aged ≥46 years (early elderly) at Panti Sosial Tresna Werdha Budi Mulia 4. The results of the counseling get a 43% increase in knowledge about hypertension. The results of the health care get diagnosis of 23% hypertension, 17% stroke, 17% neuralgia, 9% osteoarthritis, 9% diabetes mellitus, 9% cephalalgia, 6% gastritis, 6% dermatitis, and 4% anemia. It is hoped that this activity can run continuously to achieve better elderly health.

Group Activity Therapy as an Effort to Prevent Elderly Frailty in Panti Sosial Tresna Werdha Bengkulu City

The targets of this community service activity are:community, especially the elderly.The location for the activity was held at the Panti Sosial Tresna Werda (PSTW) Bengkulu City. PSTW is a residential institution that provides physical, spiritual and social services and care as well as protection for the elderly so that they can enjoy old age like other elderly people. Group activity therapy as an effort to prevent frailty in the elderly has many benefits as one of the most effective interventions to be used in medical therapy for healing a disease that can be applied to the community as therapy, one of which is in the elderly so that the elderly avoid frailty which will affect the elderly. quality of life of the elderly.The hope is that after this activity is carried outcan help social workers and health workers who are in PSTW to improve the welfare of the elderly and prevent the occurrence of frailty in the elderly so that their functional health can be maintained and improve the quality of life of the elderly.

HUBUNGAN FUNGSI KOGNITIF DENGAN KUALITAS HIDUP PADA LANSIA

Background: The aging process could cause physical changes and lowered organ function. These changescan affect the quality of life of the elderly, such as impaired cognitive function. It was found that there are pros and cons of whether or not thecognitive function have relates with quality of life of the elderly.
 Objective: To know the relationship between cognitive function and quality of life.
 Methods: This research is a descriptive study of analytic with crosssectional design with the number of respondents as many as 124 elderly, aged ≥ 60 years in Panti sosial tresna werdha 4 Cengkareng, West Jakarta. By using MMSE questionnaire to assess cognitive function and WHOQOL-BREF for quality of life.
 Results:Respondents were most acquired aged 60-74 years (81.5%), female gender (59.7%), as well as the level of education under high School (79.8%). The results of the study of the relationship test between cognitive function and quality of life is p=0.003 in the physical aspect, p=0.000 in psychological, p=0.004 in social and p=0.002 in the environmental aspects of the quality of life.
 Conclusion: Cognitive function affects all aspects of quality of life in elderly.

Hubungan Interaksi Sosial Dengan Tingkat Depresi Pada Lansia Di Panti Sosial Tresna Werdha Budi Sejahtera Provinsi Kalimantan Selatan

Health problems often occur in the elderly, which affect social interactions. This condition can be one of the triggers for depression in the elderly in the nursing home. The incidence of depression experienced by the elderly who live in the study location is 50-75% due to loneliness, hopelessness, loss of a spouse, and loss of social roles. This type of research is a quantitative non-experimental, correlational research design with a cross-sectional approach. A total of 75 respondents at the Panti Sosial Tresna Werdha Budi Sejahtera, Banjarbaru, South Kalimantan, were taken by purposive sampling technique, and in this study, a questionnaire was used as a research instrument. The statistical test used the Spearman Rank Correlation at a significant level of 0.05 and the results showed that 32 respondents had sufficient social interaction and 32 respondents had a moderate depression level. The results of statistical tests using the Spearman Rank correlation obtained the Correlation Coefficient value of 0.580 and a p-value of 0.000.

KORELASI TINGKAT STRES DENGAN KUALITAS TIDUR LANSIA

Proses menua (aging) adalah proses alami yang dihadapi manusia dimana pada tahap ini terjadi penurunan atau perubahan kondisi fisik, psikologis maupun sosial. Perubahan tersebut dapat mengakibatkan lansia mengalami stres. Stres merupakan suatu keadaan yang diakibatkan oleh perubahan lingkungan dan dianggap menantang, mengancam atau merusak keseimbangan dinamis seseorang. Stres yang tidak ditangani dapat mempengaruhi tidur pada lansia sehingga menyebabkan kualitas tidur pada lansia menjadi buruk. Penelitian ini bertujuan untuk mengetahui hubungan tingkat stres dengan kualitas tidur lansia. Design penelitian ini adalah deskriptif korelasi, jumlah sampel 59 orang lansia yang diambil dengan teknik Purposive Sampling. Pengambilan data dilakukan dengan memberikan kuisioner DASS dan PSQI. Hasil penelitian menunjukkan lansia mengalami stres sedang sebanyak 24 orang (40,7%) dan lansia mengalami kualitas tidur buruk sebanyak 19 orang (42,2%). Hasil uji Rank Spearman didapatkan nilai p value = 0,000 (p<a =0,05) yang menunjukkan adanya hubungan yang bermakna (signifikan) antara tingkat stres dengan kualitas tidur lansia di Panti Sosial Tresna Werdha Jara Mara Pati Singaraja. Nilai coefisien correlation sebesar 0,604 dengan arah hubungan positif yaitu semakin tinggi tingkat stres maka kualitas tidurnya semakin buruk. Di sarankan kepada perawat/petugas Panti Sosial Tresna Werdha Jara Mara Pati Singaraja agar mengadakan program khusus yang dapat menngontrol manajamen stres pada lansia, misanya senam otak dan terapi reminiscence.

The effectiveness of puzzle therapy on cognitive functions among elderly with dementia at Balai Pelayanan Sosial Tresna Werdha (BPSTW) Yogyakarta, Indonesia

Background: People with Alzheimer's dementia can experience a disruption in their daily activities, which can increase the burden of treatment costs. Puzzle therapy can encourage the release of the expression of the person living with Alzheimer's through artistic expression and creative processes. This study aims to determine the effectiveness of puzzle therapy on cognitive function of elderly dementia.Methods: A quasi-experimental approach using pre-post with control group design was used in this study.  The number of respondents in the intervention group was 44 and in the control group was 27. The cognitive function on the elderly was assessed by the questionnaire of the Hopkins Verbal Learning Test (HVLT). Data were analyzed using SPSS version 17 for Windows. Bivariate paired T-test and Independent T-test were used in this study.Results: There was a significant increase in the mean value of cognitive function among the intervention group (2.16±2.67; P=0.013) after puzzle therapy. The intervention group without dementia was also found significantly increase (2.10±2.19; 0.000). While in the control group who had dementia obtained a non-significant decrease in cognitive functions (0.29±0.75; 0.356). However, the control group without dementia was found to be significantly increased (0.5±0.7; 0.008) in the cognitive function.Conclusion: Puzzle therapy intervention can improve cognitive scores significantly in all elderly people.

Bakti Sosial Jantung Sehat: Pengembangan Upaya Preventif Kardiovaskuler dan Peningkatan Kualitas Hidup Lansia

Cardiovascular disease is the major causes of death in the world. Hypertension and diabetes mellitus are the important risk factors for cardiovascular disease. The prevalence of hypertension and diabetes mellitus is higher in the elderly population. Promotive and preventive efforts for the occurrence of hypertension and diabetes mellitus are the important strategies for preventing cardiovascular disease in elderly population. This was a social activity program developingthe preventive strategy against cardiovascular disease and improving of the quality of life of the elderly. This activity program was attended by 66 elderly participants routinely participated in the Panti Sosial Tresna Werdha Puspa Karma, Mataram. This program were consisted of counseling and healthy heart gymnasticsregularly every week for 3 months. The parameters taken in this event are height, body mass index (BMI), abdominal circumference, systolic and diastolic blood pressure, and serum fasting blood glucose (GDP) levels at the beginning and end of the programin order to assess the success of this program in reducingthe risk of suffered from cardiovascular disease. There were significant differences in the mean of body weight, BMI, abdominal circumference, systolic and diastolic blood pressure, and serum GDP levels between the the beginning and end of the programs (p<0.05). This social activity program reduced effectively the risk of cardiovascular disease in the elderly.

PKM Kelompok Lanjut Usia dalam Penatalaksanaan Rematik di Panti Sosial Tresna Werdha Budi Luhur

Health problems that often occur in the elderly is rheumatism. Rheumatism is a disease that attacks the joints and bones or supporting tissues around the joints, this disease group is an autoimmune disease that is mostly suffered by the elderly. Initial survey conducted at Panti Sosial Tresna Werdha Province found that most of the elderly suffer from rheumatism. current partners, among others, the Information and Education Communication Media , such as rheumatism gymnastics posters, are still lacking. Some elderly people do not understand the traditional methods of treatment for rheumatic pain prevention. Targets and outcomes: In addition to the outputs in journals, the targets in this community service are Carrying out health counseling activities for the elderly about managing rheumatism with traditional ingredients (Ginger therapy) by 80%. Rheumatic sufferers understand how to make ginger therapy ingredients, making media (posters) and rheumatism exercises. Implementation methods include education about rheumatism, rheumatism exercises, educational media. The results obtained by the elderly understand about rheumatism, prevention and traditional treatment with grated jage, and man to carry out routine anti-diphythmic dip. It is hoped that the orphanage staff will be able to monitor, motivate and improve the health of the elderly through health promotion activities, especially regarding rematies.

THE EFFECT OF BRAIN GYM TO THE LEVEL OF DEPRESSION IN GERIATRIC AT BALAI PERLINDUNGAN SOSIAL TRESNA WERDHA CIPARAY BANDUNG

Pendahuluan: Data World Health Organization (2010) menunjukkan lansia di dunia yang terkena depresi sebanyak 7 juta orang. Meningkat pada lansia yang tinggal di institusi sekitar 50-75%. Tujuan: penelitian ini untuk mengetahui pengaruh Brain Gym terhadap tingkat depresi pada lansia di Balai Perlindungan Sosial Tresna Werdha Ciparay Bandung Tahun 2016. Metode: Penelitian ini menggunakan Quasy eksperiment pre-post test dengan kelompok kontrol. Sampel dalam penelitian ini sebanyak 34 orang yang dibagi menjadi dua kelompok masing-masing 17 orang. Sampel yang digunakan adalah purposive sampling yang memenuhi kriteria inklusi dan eksklusi. Brain gym diberikan pada kelompok perlakuan sebanyak 9 kali dalam 5 hari. Kuesioner menggunakan Geriatric Depression Scale Short form yang memiliki nilai Alfa Cronbach 0.960 ≥ 0.632 menyatakan kuesioner valid dan reliabel. Data dianalisis menggunakan uji wilcoxon dan uji Mann Whitney. Hasil Penelitian : Wilcoxon menunjukkan hanya pada kelompok intervensi ada perbedaan tingkat depresi dengan p value pada kelompok kontrol 0.109 (α>0.05) dan p value pada kelompok intervensi 0.000 (α<0.05). Hasil Mann Whitney pada kedua kelompok didapatkan p value 0.000 (α ≤ 0,05), maka Ho ditolak hal ini menunjukan ada pengaruh Brain Gym terhadap tingkat depresi. Diskusi: berdasarkan hasil penelitian menyatakan bahwa Brain Gym dapat menurunkan tingkat depresi pada lansia sehingga pada lansia penting dilakukan pemeriksaan tingkat depresi secara berkala dan diterapkan gerakan Brain Gym untuk mengurangi tingkat depresi pada lansia.

Reduction of stress and blood pressure with meditation therapy in elderly groups in balai pelayanan sosial tresna werdha (BPSTW) in Yogyakarta

Stress in elderly institution residents is an interesting phenomenon to study. Sustained stress in the elderly can be harmful and cause mental and physical health problems. Hypertension is one of the physical health problems that can result from stress. Nursing Intervention Classification 2013 recommends the use of Meditation Therapy to address the problem. Meditation is a self-directed exercise to relax and calm the mind, besides that meditation is an easy and inexpensive activity. This certainly provides benefits for the institution in caring for the elderly. Less information on meditation therapy, challenging nurses to perform scientific verification.Scientific proof of reduced stress and blood pressure in elderly groups at the Balap Pelayanan Tresna Werdha (BPSTW) in Yogyakarta This research is a quasy experiment with pretest and posttest with control group. The treatment group was given meditation therapy for 7 times a week, while the control group was not given treatment. Respondents were selected using simple random sampling. Stress measurement using the DASS (Depression Anxiety Stress Scale) and blood pressure were measured using a digital sphygmomanometer. The stress in intervention group of elderly after being treated results decreased by 1.8, whereas in the control group it increased by 0.029. The systole blood pressure in the intervention group of elderly decreased 6.257 mmHg and 0.457 mmHg in the control group. When the elderly diastole blood pressure in the intervention group experienced an average decrease of 3.4 mmHg, while in the control group it increased by 1.057 mmHg. Conclusion: Meditation therapy is significant for reducing stress and blood pressure in the elderly at the Balai Pelayanan Tresna Werdha (BPSTW) in Yogyakarta

EFEKTIFITAS KOMPRES EKSTRAK JAHE TERHADAP NYERI SENDI LANSIA DENGAN ARTHRITIS GOUT DI PANTI SOSIAL TRESNA WERDA KHUSNUL KHOTIMAH PEKANBARU

Gout merupakan penyakit dimana terjadi penumpukan asam urat dalam tubuh secara berlebihan. Gout ditandai dengan (peradangan sendi) yang akut. Sebagian besar dari lansia mengalami gangguan sistem muskuloskletal, yang menyebabkan nyeri sendi. Pengobatan farmakologis tindakan pemberian obat sebagai penurunan nyeri seperti pemberian obat anti inflamasi dan memiliki efek seperti mual, diare, perdarahan tukak, kerusakan pada ginjal, dan gangguan kardiovaskuler. Pengobatan non farmakologis adalah tindakan dalam batas keperawatan yang dapat digunakan untuk menurunkan nyeri sendi pada lansia Adapun Pengobatan non farmakologis seperti mengompres bagian sendi. Jahe adalah obat yang menjadi pilihan utama untuk menurunkan nyeri sendi pada lansia dengan (Artritis Gout) karena selain tidak memiliki efek samping bagi kesehatan, obat ini juga mudah dikonsumsi, mudah terjangkau. Penelitian ini bertujuan untuk mengetahui efektifitas kompres ekstrak jahe terhadap penurunan nyeri sendi pada lansia di panti sosial tresna werdha khusnul khotimah pekanbaru riau. Jenis penelitian ini adsalah kuantitatif dengan desain penelitian pre eksperimental design. Teknik pengambilan sampel dengan cara total sampling, sampel penelitian ini berjumlah 39 responden, intervensi diberikan dalam 1 kali intervensi selama 3 hari dengan 13 responden setiap harinya. Evaluasi dengan cara melihat penurunan nyeri sendi dengan menggunakan skala nyeri. Hasil uji Marginal Homogenelty didapatkan adanya efektifitas kompres ekstrak jahe terhadap penurunan nyeri sendi lanjut usia dengan rata-rata sebelum diberikan kompres ekstrak jahe adalah 6,83 dengan standar deviasi 1,298 dan sesudah diberikan kompres ekstrak jahe adalah 4,11 dengan standar deviasi 1,410, p value 0,000 secara statistik signitifkan (p<0,05). Hasil penelitian ini dapat menjadi pertimbangan perawat yang ada dirumah sakit maupun di komunitas dalam penurunan nyeri sendi pada lansia.

PENGARUH TERAPI BERKEBUN TERHADAP PERUBAHAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI PANTI SOSIAL TRESNA WERDHA MINAULA KENDARI

The Human aging and the decline of physiological occur in the elderly due to degenerative process. Non-communicable diseases such as hypertension is often suffered by the elderly. Gardening therapy is one of the methods that can be used as an alternative to normalize the blood pressure. The purpose of this research is to examine the effects of gardening therapy on the changes in elderly blood pressure with hypertension. The research design used Quasy experimental pre post test with control group and the total sample of 15 respondents are selected by using purposive sampling. The independent variable in this study is the gardening therapy and the dependent variable is the systolic and diastolic blood pressure as measured by sphygmomanometer and stethoscope. The data were analyzed by using paired t-test and independent t-test (α = 0.05). The results of bivariate analysis in this study showed that there was an effect of the gardening therapy on the changes in systolic and diastolic blood pressure in the first, third, and fourth measurements, while for systolic diastolic which was described by the following p value, p1 = 0.005, p3 = 0.015, p4 = 0.017 and p3 = 0.018 and p4 = 0.025. The analysis of difference in the four meetings showed that there were differences between control group and systolic blood pressure between the control group and the intervention at the third meeting at Institusi Sosial Tresna Werdha Minaula Kendari which was represented by the following p value, p3 TDS = 0.045. The conclusion of this study is that the gardening therapy is an effective way to normalize the blood of elderly people with hypertension, so it is necessary to do the therapy as an alternative non-pharmacological therapy that can be done independently or together without causing side effects. Key Words: Gardening therapy, elderly blood pressure.

Hubungan Spiritualitas dengan Kesepian pada Lansia di UPT Pelayanan Sosial Tresna Werdha (PSTW)

Elderly is a condition where someone experience a lot of changes, for instance psychological change.Loneliness is a elderly psychological disorder elderly that can be overcome with spirituality. This studyaimed to analyze the correlation between spirituality and loneliness in elderly in the Pelayanan SosialTresna Werdha (PSTW) Jember. This research applied an observasional analytic design with crosssectional approach. 91 respondents are gained by employing simple random sampling using SpiritualWell-Being Scale (SWBS)(r=0,895) and UCLA Loneliness Scale (r=0,94). Data were analyzed byusing Spearmen correlation test with significance level of 0.05. The result of the spirituality variablereserach shows 71,00 median and ± 45-86, meanwhile on loneliness variable 38,00 median and ± 20-69. There was a significant negative correlation between spirituality ang loneliness (p value: 0.000 ; r:-0,718). Spirituality become one of coping strategy to overcome elderly’s loneliness. Spiritualitybecome power to elderly in facing problem and increasing life quality so can decrease their loneliness.The study shows that the importance of increasing the spirituality to decrease loneliness level onelderly who live at Panti Werdha.Keywords: elderly, spirituality, loneliness

Effectiveness of Lafiska exercise on risk of fall, balance, and health status in the elderly

This study aims to investigate the effectiveness of Latihan Fisik Lansia "elderly physical exercise" on the balance status, risk of fall, and health status of institutionalized older adults. A quasi-experimental design was applied measuring pre-test and post-test outcomes in a control group to determine the effectiveness of the intervention in the interventional group. Eighty participants from Panti Sosial Tresna Werdha Budi Mulia 1 Cipayung were divided into an inter-ventional group with 39 older adults (70.3 ± 8.13 years) and a control group with 41 older adults (69.88 ± 8.71 years). Trained facilitators guided the exercise during 16 sessions over eight weeks, each having duration of 50 min, with a small group consisting of 10-12 participants. This study used Morse Fall Scale to measure risk of fall, Berg Balance Scale to measure balance status, and SF-12 to measure health status. Lafiska had an impact on lowering risk of fall, enhancing balance status, and enhancing health status (P value <.0001). Lafiska is a viable exercise option for older adults with independent mobility, as well as older adults with assistive devices.

The experience of older people living in an elderly residential home (Panti Sosial Tresna Werdha): a phenomenology

The aim of this study was to gain an overview of the experiences of older people living in an elderly residential home (Panti Sosial Tresna Werdha [PSTW]). The study used qualitative method with the descriptive phenomenology approach. The participants consisted of six older people who live in institutions. Data were collected through in-depth interviews in accordance with the purpose of the research, and an analysis of the data from the interviews was performed using the analysis stage by Collaizi. Three themes emerged from this study, namely independent living needs and support systems as a reason for staying at PSTW, the adaptive response to life in PSTW, and family support as a contributing factor to remaining at PSTW. Most of the elderly's support came from their children or nephews and nieces. Receiving full emotional support from relatives through family visits was deemed necessary for the elderly, as it made them feel happy to continue the rest of their lives in the elderly care home.