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All Journal Manuju : Malahayati Nursing Journal Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan KREATIF: Jurnal Pengabdian Masyarakat Nusantara
Daniel Goh
Universitas Tarumanagara
Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

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Edukasi Dan Skrining Diabetes Mellitus Tipe 2 Melalui Pemeriksaan HbA1c Pada Kelompok Lanjut Usia Robert Kosasih; Daniel Goh; Tosya Putri Alifia
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 4 No. 2 (2024): Juni : Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v4i2.3404

Abstract

Type 2 diabetes mellitus is a chronic disease characterized by high blood glucose levels due to insulin resistance or inadequate insulin production. In the elderly, diabetes mellitus causes various serious complications such as heart disease, nerve damage, kidney failure and vision problems. Risk factors for diabetes mellitus include family history, obesity, lack of physical activity, a diet high in fat and sugar, and hypertension. This community service activity aims to increase awareness and early detection of type 2 diabetes mellitus through education and HbA1c screening in the elderly. Of the 93 lanjut usiats, 74 were women and 19 were men, with an average age of 74.05 years. The mean HbA1c value was 7.59, with 55.9% in the moderate category and 25.8% in the poor category. Results showed that suboptimal glycemic control was higher in women. This program highlights the need for regular monitoring and appropriate interventions to improve glycemic control and quality of life for older adults through comprehensive education, physical activity and stress management.
Hubungan Kadar 25(OH)D3 dengan Lingkar Betis Pada Kelompok Lanjut Usia di Panti Santa Anna: Studi Potong-Lintang Alexander Halim Santoso; Susi Olivia Lontoh; Yohanes Firmansyah; Giovanno Sebastian Yogie; Daniel Goh; Andini Ghina Syarifah; Stanislas Kotska Marvel Mayello Teguh; Anthon Eka Prayoga Khoto
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13124

Abstract

ABSTRACT The research on vitamin D is still developing until its role in the immune system, the absorption of phosphate from the intestine, and preventing its excretion in the kidneys are known. The prevalence of low levels of vitamin D is high, and recently, it was discovered that there was a relationship between vitamin D deficiency and the incidence of sarcopenia in the elderly. Determining vitamin D levels and the incidence of sarcopenia in the elderly at the Santa Anna Nursing Home. This study was an analytical study with a cross-sectional design conducted on elderly residents of the Santa Anna Nursing Home in July 2023 to assess vitamin D levels and calf circumference to assess sarcopenia. The data obtained were analyzed using Mann-Whitney. Result Of the 32 respondents, the average age was 72.66 years, and 22 (68.7%) respondents were women. It was found that 30 (93.8%) respondents experienced vitamin D deficiency, and 15 (46.9%) respondents experienced sarcopenia. The results of statistical tests showed that there was no difference in the mean levels of vitamin D between the sarcopenic and non-sarcopenic groups. However, the group of patients with sarcopenia had vitamin D levels that tended to be lower compared to the group without sarcopenia (18 vs. 21 ng/mL; MR 15.50 vs. 17.38). There was no statistically significant difference in mean vitamin D levels between the groups with and without sarcopenia. However, there is a tendency for groups of patients with sarcopenia to have vitamin D levels that tend to be lower than those in groups without sarcopenia. Keywords: Vitamin D, Sarcopenia, Elderly  ABSTRAK Hingga saat ini, penelitian terhadap vitamin D terus berkembang hingga diketahui perannya dalam sistem imun, absorpsi fosfat dari usus dan mencegah terekskresinya pada ginjal. Tingginya prevalensi kurangnya kadar vitamin D dan baru-baru ini, diketahui ada hubungan defisiensi vitamin D dengan kejadian sarkopenia pada lansia. Mengetahui kadar vitamin D dengan kejadian sarkopenia pada lansia di Panti Werda Santa Anna. Penelitian ini adalah analitik dengan desain potong lintang yang dilakukan pada lansia penghuni Panti Werdha Santa Anna pada Juli 2023 untuk menilai kadar vitamin D dan lingkar betis untuk menilai sarkopenia. Data yang didapat kemunian dianalisis menggunakan Mann-Whitney. Didapat 32 responden dengan rerata usia 72,66 tahun dan sebanyak 22 (68,7%) responden adalah perempuan. Didapat 30 (93,8%) responden mengalami defisiensi vitamin D dan 15 (46,9%) responden mengalami sarkopenia. Hasil uji statistic didapat hasil tidak terdapat perbedaan rerata kadar vitamin D antara kelompok sarkopenia dan tidak. Namun dapat terlihat bahwa kelompok pasien dengan sarkopenia memiliki kadar vitamin D yang cenderung lebih rendah dibandingan dengan kelompok tanpa sarkopenia (18 vs 21 ng/mL; MR 15,50 vs 17,38). Tidak terdapat perbedaan rerata kadar vitamin D yang bermakna secara statistik antara kelompok dengan atau tanpa sarkopenia. Namun terdapat kecenderungan kelompok pasien dengan sarkopenia memiliki kadar vitamin D yang cenderung lebih rendah dibandingan dengan kelompok tanpa sarkopenia. Kata Kunci: Vitamin D, Sarkopenia, Lanjut Usia
Hubungan Kadar Insulin Puasa dengan Tekanan Darah Pada Kelompok Lanjut Usia: Studi Potong Lintang di Panti Santa Anna Robert Kosasih; Frisca Frisca; Alexander Halim Santoso; Yohanes Firmansyah; William Gilbert Satyanegara; Fernando Nathaniel; Joshua Kurniawan; Friliesa Averina; Daniel Goh; Ribkha Anggeline Hariesti Sitorus; Brian Albert Gaofman
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13127

Abstract

ABSTRACT Hypertension is one of the most common causes of death in the world. Insulin is a hormone that has been studied for a long time, and hyperinsulinemia is a condition where the body requires large amounts of insulin to achieve normal sugar levels. It was found that hypertensive patients with metabolic syndrome disorders have higher insulin levels with or without obesity which makes it considered as a risk factor. Finding the correlation between fasting insulin and blood pressure in nuring home. Cross-sectional study research on the correlation of fasting insulin levels with blood pressure in the elderly group at Santa Anna Nursing house. Respondents who meet the inclusion criteria will follow a series of data collection according to applicable physical and laboratory examination standards. Statistical analysis using spearman correlation analysis. There were 30 respondents who met the inclusion criteria with an average age of 73 (56 - 88) years, systolic blood pressure (SBP) 120 (105-150) mmHg, diastolic blood pressure (DBP) 70 (55-80) mmHg, and fasting insulin levels 9.45 (5.4-29.5) μIU / ml. the results of the analysis did not find a significant correlation between fasting insulin levels and blood pressure (p-value = 0.590 and 0.898). In this study, it was found that the higher the fasting insulin level, the lower the systolic blood pressure (r-systolic = -0.102). Fasting insulin is one of the tests that can be carried out as an early detection of metabolic disease, especially as a prevention of hypertension. Keywords: Fasting Insulin, Elderly, Blood Presure  ABSTRAK Hipertensi merupakan salah satu penyebab kematian tersering di dunia. Insulin merupakan hormon yang telah dipelajari sejak lama, dan hiperinsulinemia merupakan suatu kondisi dimana tubuh membutuhkan jumlah insulin yang banyak untuk mencapai kadar gula darah yang normal. Ditemukan bahwa pada penderita hipertensi dengan gangguan sindroma metabolik memiliki kadar insulin yang lebih tinggi baik itu dengan atau tanpa obesitas yang membuatnya dipertimbangkan sebagai faktor risiko. Meneliti bagaimana korelasi kadar insulin puasa dengan tekanan darah di panti lansia. Penelitian studi potong lintang mengenai korelasi kadar insulin puasa dengan tekanan darah pada kelompok lanjut usia di Panti Lansia Santa Anna. Responden yang memenuhi kriteria inklusi akan mengikuti rangkaian pengambilan data sesuai standar pemeriksaan fisik dan labotorium yang berlaku. Analisis statistik menggunakan analisis korelasi spearman.  Terdapat 30 responden yang memenuhi kriteria inklusi dengan rerata usia 73 (56 – 88) tahun, tekanan darah sistolik (TDS) 120 (105-150) mmHg, tekanan darah diastolik (TDD) 70 (55-80) mmHg, dan kadar insulin puasa 9,45(5,4-29,5)μIU/ml. hasil analisis tidak didapatkan korelasi yang bermakna antara kadar insulin puasa dengan tekanan darah (p-value= 0,590 dan 0,898). Pada penelitian ini didapatkan semakin tinggi kadar insulin puasa maka akan semakin rendah tekanan darah sistolik (r-sistolik=-0,102). Insulin puasa merupakan salah satu pemeriksaan yang dapat dilakukan sebagai deteksi dini penyakit metabolik, khususnya sebagai pencegahan terhadap hipertensi.   Kata Kunci: Insulin Puasa, Lansia, Tekanan Darah
Implementation of Integrated Health Services for Post-Disaster Communities in Agam Regency, West Sumatra, Indonesia Shirly Gunawan; Noer Saelan Tadjudin; Alexander Halim Santoso; Yohanes Firmansyah; Daniel Goh; Belinda Angie; Anggita Tamaro; Irvan Baharits Al Basith; Djulia Djulia; RA Rengganis Ularan; Hetty Karunia Tanjungsari; Mei Ie; Alicia SariJuwita
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 4 No. 1 (2026): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v4i1.647

Abstract

Background of study: The natural disaster in Agam Regency, West Sumatra, have disrupted access to health services and increased the risk of acute illness, exacerbating chronic illnesses, and causing psychosocial problems. This situation demands a rapid, integrated, and adaptive health response to the limitations of post-disaster facilities. This community service activity aims to improve access and quality of health services for disaster- affected communities through an integrated approach to medical services and logistics distribution. Methods: The program was implemented over three days at several locations and health posts in Agam Regency. Activities included cross-sector coordination, implementation of health services, daily evaluation, reporting, and planning for sustainability. Interventions included basic and advanced medical services, post-operative wound care, chronic disease management, home-visits, and medical assistance. Result: Health services were provided for more than 200 patients, predominantly with cases of hypertension, upper respiratory tract infections, dermatitis, musculoskeletal disorders, and diabetes mellitus. The home visit approach successfully reached vulnerable groups with limited mobility. Conclusion: The use of simple health technology and family involvement improved continuity of care and community empowerment. This program has supported physical health recovery in post-disaster communities and has the potential to be replicated in other disaster-affected areas.
Co-Authors Alexander Halim Santoso Alicia Sarijuwita Andini Ghina Syarifah Anggita Tamaro Anthon Eka Prayoga Khoto Belinda Angie Brian Albert Gaofman Djulia Djulia Fernando Nathaniel Friliesa Averina Frisca Frisca Giovanno Sebastian Yogie Hetty Karunia Tanjungsari Irvan Baharits Al Basith Joshua Kurniawan Mei Ie Noer Saelan Tadjudin RA Rengganis Ularan Ribkha Anggeline Hariesti Sitorus Robert Kosasih Shirly Gunawan Stanislas Kotska Marvel Mayello Teguh Susi Olivia Lontoh Tosya Putri Alifia William Gilbert Satyanegara Yohanes Firmansyah