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Perceived Family Functionality among Elderly Patient with Covid-19 Infection: A Perspective from Developing Country Sri Sunarti; Didi Candradikusuma; Dewi Indiastari; Siti Fatma Prehatiningsih; Bogi Pratomo Wibowo; Affa Kiysa Waafi
Jurnal Kedokteran Brawijaya Vol. 32 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.02.8

Abstract

Family is a basic social unit of senior citizen. Relationship among family members considered as source of emotional comfort. Meanwhile, economic, political, and social changes during pandemic has an impact on the family, the support provided can be manifested among vulnerable groups such as the elderly. Prolonged stress due to isolation care of Covid-19 infection increase psychological distress by reducing family support. This study aimed to explore perceived family function among elderly patients after Covid-19 infection. A cross sectional study was conducted among 33 elder patients with history of Covid-19 infection in Saiful Anwar General Hospital, Indonesia. Perceived family functionality was evaluated using APGAR family score. Data was analyzed using descriptive analyses, independent T test, correlation and regression. Mean total APGAR score was 9.610.70 with joint pain had significant association with APGAR score (p 0.021) indicating full family support in elder person with symptoms. Gender female was associated with 'Resolve' (p 0.038) which might correlate with bigger role of elder female in Indonesian family. Length of stay was significantly associated with 'Partnership' (p 0.012) and 'Growth' (0.043) with inverse correlation. It showed how prolonged hospital stay affected family relationship especially in terms of communication. Perceived family supports remained high in elderly during Covid-19 isolation in Indonesia. Specific symptoms such as joint pain, even strengthen the family support for elder member of family. Prolonged stay in the hospital during Covid-19 infection, might become a communication barrier between elder person and the family which affect decision sharing and emotional expression.
Perceptions and Experiences of Survivors of Mount Semeru Eruption in Getting Health Services during Covid-19 Pandemic Sri Sunarti; Aurick Yudha Nagara; Atma Gunawan; Marshanda Shella Pramesta; Fifi Afifatus Zakiya; Victoria Maya Kurniawati
Jurnal Kedokteran Brawijaya Vol. 32 No. 3 (2023)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.032.03.9

Abstract

Disaster events pose challenges for health workers in overcoming health problems in refugee camps. The eruption or hot clouds of Mount Semeru that occurred during the Covid-19 pandemic made sick survivors have to continue to receive health services, even though they were in refugee camps. Survivors' experiences in receiving health services and their illnesses varied widely. Perceptions of survivors in obtaining health services showed that most of them were well served and experienced a good referral system to higher-level hospitals. Home care was carried out by health workers to survivors after returning from refuges.
Insomnia pada Lansia: Tantangan dalam Mendiagnosis dan Pemberian Perawatan Siti Fatma; Sri Sunarti
Jurnal Klinik dan Riset Kesehatan Vol 2 No 2 (2023): Februari 2023
Publisher : RSUD Dr. Saiful Anwar Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.2.6

Abstract

Perubahan pola tidur pada usia lanjut sering terjadi, bisa sebagai proses fisiologis atau merupakan bagian dari penyakit kronis tertentu. Insomnia adalah salah satu gangguan yang paling banyak dikeluhkan oleh pasien usia lanjut, dan dipengaruhi oleh beberapa faktor seperti perubahan fisiologis, kebiasaan tidur, adanya penyakit – penyakit komorbid, juga bisa karena efek samping obat – obatan yang dikonsumsi. Untuk itu diperlukan skrining tersendiri agar bisa melakukan penilaian klinis komprehensif pada pasien usia lanjut seperti gangguan tidur primer, penyakit komorbid, gangguan mental seperti depresi dan cemas. Penatalaksanaan insomnia ini merupakan tantangan tersendiri dalam diagnosis dan terapi karena dibutuhkan perawatan komprehensif meliputi perubahan gaya hidup, kontrol penyakit komorbid, dan juga manajemen efek samping obat, sehingga nantinya bisa ditentukan terapi yang paling tepat dan efektifitas obat yang optimal.