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Association between Family Support and Depression Among Elderly Patients with Type 2 Diabetes Mellitus at Samarinda City Public Health Center Fatimah, Farah Aini; Nugroho, Hary; Nugrahayu, Eka Yuni
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 7, No 1 (2024): JKPBK Juni 2024
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v7i1.8761

Abstract

Diabetes mellitus (DM) is a metabolic disorder in carbohydrate, lipid and protein characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Elderly people with DM are very susceptible to depression. Depression can worsen the medical condition of people with DM. Family Support is one of the factors that can influence the depression status in elderly DM patients. The purpose of this study was to determine the relationship between family support and the level of depression in older people with type 2 DM at the Samarinda City Public Health Center. This was an analytical observational research design with a cross-sectional survey approach on three public health centers in Samarinda City. Two research instruments were used such as the Family APGAR questionnaire and the Geriatric Depression Scale (GDS) form, with topics of family support and elderly depression  respectively. Sampling was done by purposive sampling technique and obtained 68 respondents. The results showed that 45 respondents (66,2%) perceive "excellent" family support whilst 23 respondents (33,8%) perceive "poor" family support. The research data upon depression level gathered 52 (76,5%) respondents did not experience depression whereas the other 16 (23,5%) respondents experienced moderate depression. The results of statistical tests on independent variables and dependent variable using Chi-Square test produced p-value <0.05. The conclusion of this study is that there is relevance between family support and its impact to the stage of older adults depression who suffer from type 2 DM at the Samarinda City Public Health Center (p-value = 0.000, OR 18,200).
Heat-Related Illness Risk and Prevention Strategies Among Hajj Pilgrims: A Scoping Review Zahrah, Siti Nuriyatus; Riadi, Dela; Fatimah, Farah Aini
Jurnal Kesehatan Vokasional Vol 11, No 2 (2026): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.121170

Abstract

Background: Extreme desert heat (>40 degrees C) with heavy exertion during the Hajj mass gathering places elderly pilgrims with multiple comorbidities at elevated risk of heat-related illness (HRI); passive hydration advice alone has not resolved this burden.Objective: This review mapped evidence on the burden, risk factors, and prevention strategies for HRI among Hajj pilgrims, spanning behavioral, technological, and physiological approaches, and proposed a prevention framework for future testing.Methods: This scoping review followed PRISMA-ScR guidance. Peer-reviewed literature on Hajj heat illness and exercise-heat physiology published 2020-2026 was searched across PubMed/MEDLINE, Scopus, Cochrane CENTRAL, ScienceDirect, and Google Scholar, screened against an explicit PICOS framework, and synthesized narratively through inductive thematic coding.Results: Of 150 records identified through databases and 20 through citation searching, 65 duplicates were removed, 105 unique records screened, 57 reports assessed, and 20 sources met eligibility. Included sources documented substantial comorbidity and heat-illness burden among pilgrims, established risk factors including advanced age, cardiometabolic comorbidity, and limited prior heat acclimatization, and reported prevention approaches spanning education, cooling technology, and monitoring.Conclusion: Heat-related illness remains a major, multifactorial risk for Hajj pilgrims; an integrated framework combining education, conditioning principles, cooling technology, and monitoring warrants prospective testing before policy adoption.