Yovian Timothy Satyo
Universitas Tarumanagara

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Kegiatan Penapisan Pemeriksaan Gula Darah Sewaktu terhadap Penyakit Diabetes Mellitus Tipe 2 pada Populasi Lanjut Usia di Panti Werda Hana Ernawati Ernawati; Marendra Shinery Kartolo; Fladys Jashinta Mashadi; Yovian Timothy Satyo; Junius Kurniawan
Jurnal Pengabdian Masyarakat Nusantara Vol. 6 No. 2 (2024): Juni : Jurnal Pengabdian Masyarakat Nusantara
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/pengabmas.v6i2.498

Abstract

Insulin and glucagon, hormones secreted by the pancreas, regulate blood glucose, the main source of energy for cells. Insulin facilitates glucose uptake and glycogen synthesis, whereas glucagon increases blood glucose by stimulating glycogenolysis and gluconeogenesis in the fasting state. An increase in blood glucose above normal over a long period of time can cause diabetes mellitus. The prevalence of type 2 diabetes among the elderly in Indonesia is 6.2%, with a projected increase to 12 million cases by 2030. The causes include genetic factors, aging, unhealthy eating patterns, a lack of movement, and comorbidities such as obesity and hypertension. This activity uses the PDCA (Plan-Do-Check-Action) method, which aims to carry out blood glucose checks as an early detection of type 2 diabetes mellitus. The Hana Nursing Home in South Tangerang hosted this activity, which involved 61 participants. The results of the blood glucose examination showed that 15 people (24.58%) had diabetes and 33 people (54.1%) had pre-diabetes. Early detection and effective management are essential to prevent complications and maintain functional status.
Hubungan Kadar Insulin Puasa dengan Indeks Massa Tubuh Pada Kelompok Lanjut Usia di Panti Lanjut Usia Olivia Charissa; Alexander Halim Santoso; Joshua Kurniawan; Dean Ascha Wijaya; Fernando Nathaniel; Yohanes Firmansyah; Bryan Anna Wijaya; Gracienne Gracienne; Yovian Timothy Satyo; Steve Vallery Ranonto
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.v6i7.13126

Abstract

ABSTRACT Elderly population is increasing globally. One of the global adversity is obesity. Prevalence of obesity in the elderly population is growing over time and has become a global threat. Obesity also affect insulin level and resistancy, becoming the foundation for diabetes melitus, the unending global health problem. This will bring various health risks for elderly. This study aims to find out the correlation between fasting insulin level with body mass index in the elderly population. This cross-sectional study was done in Santa Anna Nursing Home. The sampling method is total sampling. Body mass index data collection was carried out according to standard physical examination protocols and insulin level analysis was carried out according to standard laboratory protocols. Statistic analysis used in the study is Spearman correlation, with hoped significance level of 5% and power of 80%. We found 31 respondents with mean age of 73.1 (±9.55) years with female as the dominant gender. The median of insulin level were 10 (5,4 – 29,,5) uIU/mL, with mean BMI of 22,24 (3,95) kg/m2. Statistical analysis found no significant correlation between fasting insulin level with BMI (p-value : 0.179), but clinically could be seen that increase of fasting insulin level will affect the increase of BMI though its only a weak correlation (r-spearman : 0.248). Fasting insulin level plays a role and could affect body mass index in the elderly body.  Keywords: Body Mass Index, Elderly, Fasting Insulin, Nursing Home  ABSTRAK Jumlah penduduk lanjut usia secara global akan terus meningkat. Salah satu permasalahan yang mendunia adalah obesitas. Prevalensi obesitas pada populasi lanjut usia kian meningkat dan menjadi ancaman global. Obesitas juga memengaruhi kadar dan resistensi insulin yang menyebabkan diabetes melitus menjadi masalah kesehatan yang tak kunjung berakhir di dunia. Hal ini menjadi dasar berbagai risiko kesehatan pada lansia. Studi ini dilakukan untuk mengetahui apakah terdapat hubungan yang bermakna antara kadar insulin puasa dengan indeks massa tubuh pada kelompok lanjut usia. Studi cross-sectional ini dilaksanakan di Panti Lanjut Usia Santa Anna. Metode pengambilan sampel berupa total sampling. Pengambilan data indeks massa tubuh dilakukan sesuai protokol pemeriksaan fisik standar dan analisa kadar insulin dilaksanakan sesuai protokol laboratorium standar. Analisa statistik yang digunakan pada penelitian ini berupa analisa korelasi spearman, dengan nilai signifikansi yang diharapkan pada penelitian ini adalah sebesar 5% dengan kekuatan penelitian sebesar 80%.  Didapatkan 31 responden dengan rerata usia sebesar 73,1 (±9,55) tahun dengan dominan berjenis kelamin perempuan (71,0%). Rerata kadar insulin puasa adalah 10 (5,4 – 29,,5) uIU/mL, dengan rerata IMT 22,24 (3,95) kg/m2. Pada uji statistik tidak didapatkan korelasi yang bermakna antara kadar insulin puasa dengan IMT (p-value : 0.179), tetapi secara klinis dapat terlihat bahwa peningkatan kadar insulin puasa akan berdampak terhadap peningkatan IMT walaupun tergolong dalam korelasi lemah (r-spearman : 0.248). Kadar insulin puasa tampak memegang peranan dan dapat berdampak terhadap indeks massa tubuh pada lansia. Kata Kunci: Indeks Massa Tubuh, Insulin Puasa, Lanjut Usia, Panti Lanjut Usia
An Observational Study on Cognitive Function, Sleep Quality, Depression, Educational Background, and Functional Independence on Elderly at Sasana Tresna Werdha RIA Pembangunan Nursing Home, Ciracas, East Jakarta, Indonesia Yovian Timothy Satyo; Irawaty Hawari
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.15811

Abstract

ABSTRACT Along with the development of society and healthcare technology, there are an increase in life expectancy and the elderly population. They must be differentiated from simply older adults because they have their own set of health problems associated with the aging process now known as geriatric syndromes. Sleep disorder, cognitive function decline, and depression are common health problems that are often found in the elderly. They are interconnected and influenced by other factors such as educational background. The culmination of all of those factors is the decrease of the elder’s quality of life in the form of functional disability. To get a description of the cognitive function, sleep quality, depression, educational background, and functional independence of the elders at Sasana Tresna Werdha RIA Pembangunanan Nursing Home. The data obtained in this research are a significant predictor of the elders’ quality of life and can serve as a foundation for both analytical and interventional studies that aims to improve the elder’s quality of life. This research uses an observational descriptive approach using a cross-sectional method at Sasana Tresna Werdha RIA Pembangunan Nursing Home. The population for this research is all of the elderly that lives there and meets the inclusion criteria for this research which is still able to be interviewed. In total there are 44 elders that participated in this research. The sampling technique used in this research was total sampling. The data will be collected by interview using questionaires. The data will be analyzed using a univariate analysis in which categorical data will be presented its proportion in frequency and its percentage while numerical data will be presented with its mean and standard deviation if its distribution is parametrical and will be presented with its median and interquartile range if its distribution is non-parametrical. Furthermore, a crosstab will be made between two variables to be observed in more detail the possibilities of interrelationship bertween the two variables. The description of the elders’s cognitive function is that out of 44 elders, 30 (68.2%) are normal, 4 (9.1%) are categorized as mild cognitive impairment, and 10 (22.7%) are categorized as dementia. The description of the elders’ sleep quality is that 13 (29.5%) have good sleep quality and 31 (70.5%) have poor sleep quality. The description of the elder’s depression is that 29 (65.9%) are normal, 7 (15.9%) have mild depression, 4 (9.1%) have moderate depression, and 4 (9.1%) had severe depression. The description of the elders’ educational background is that 5 (11.4%) have low educational background, 10 (22.7%) have moderate educational background, 28 (63.6%) had high educational background, and 1 (2.3%) have unknown educational background. The description of the elder’s functional independence is that 10 (22.7%) are totally dependent, 2 (4.5%) are severely dependent, 7 (15.9%) are moderately dependent, 2 (4.5%) are mildly dependent, and 23 (52.3%) are independent. The majority of the elders at Sasana Tresna Werdha RIA Pembangunan have a normal cognitive function, have poor sleep quality, have no depression, have a high educational background, and are still functionally independent. Keywords: Cognitive Function, Sleep Quality, Depression, Educational Background, Functional Independence