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Gambaran Harga Diri Pada Pasien Skizofrenia di Poliklinik Jiwa Rumah Sakit Jiwa Provinsi Bali di Bangli Tahun 2012 Masyoni, Kadek Ayu; Muryani, Ni Made Sri; Ruspawan, IDM; Suastha, I Gede Made Addy
Jurnal Kesehatan Medika Udayana Vol 3 No 01 (2017)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Background: Self-esteem as an individual evaluation, where individual value is obtained by analyzing how well someone's performance adjusts to Ideal self. Purpose: The purpose of this study is to describe the self-esteem of schizophrenic patients at Poliklinik Jiwa Rumah Sakit Jiwa Provinsi Bali. Methode: This research uses descriptive research method by describing one's self-esteem. This study used 30 respondents and random sampling techniques according to inclusion criteria. Result: This study obtained 53.33% of respondents had moderate self-esteem, 30% of respondents had low self-esteem and 16.67% of respondents had high self-esteem. Conclusions: The results of this study indicate that most (53.33%) have moderate self-esteem, where individuals often experience fluctuations (feelings of ups and downs) between feelings of being able or unable to themselves in facing life challenges. ABSTRAK Latar Belakang: Harga diri sebagai suatu evaluasi individu, dimana nilai perseorangan yang diperoleh dengan menganalisa seberapa baik kinerja seseorang yang menyesuaikan dengan Ideal diri. Tujuan: Tujuan penelitian ini adalah menggambarkan harga diri pasien skizofrenia di Poliklinik Jiwa Rumah Sakit Jiwa Provinsi Bali. Metode: Penelitian ini menggunakan metode penelitian deskriptif dengan menggambarkan harga diri seseorang. Penelitian ini menggunakan 30 responden dan teknik pengambilan sampel secara acak sesuai dengan kriteria inklusi. Hasil: Penelitian ini memperoleh hasil 53.33% responden memiliki harga diri sedang, 30% responden memiliki harga diri rendah dan 16.67% responden memiliki harga diri  tinggi. Simpulan: Hasil penelitian ini menunjukkan sebagian besara (53.33%) memiliki harga diri sedang, dimana  individu sering mengalami fluktuasi (naik turun) antara perasaan mampu atau tidak mampu akan dirinya dalam menghadapi tantangan hidup.
Gambaran Konsep Diri Pada Pasien dengan Kanker Payudara Stadium III dan IV di Ruang Angsoka RSUP.Sanglah Denpasar Fajar Lestari, Gusti Ayu Made Desi Anggryni; Muryani, Ni Made Sri; Rasdini, Gusti Ayu Ari; Sukanti, I Nengah
Jurnal Kesehatan Medika Udayana Vol 3 No 02 (2017)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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Background: Breast cancer (breast carsinoma) is a disruption in the normal mammary cell growth in which the abnormal cells arise from cells - normal cells, proliferate and infiltrate lymphoid tissue and blood vessels. One of the management of breast cancer (mammary carcinoma) is to perform surgery, and therefore a radical operative action resulting in loss of body parts has a psychological value and can not be avoided there is also a change - a change to the "self concept". Advanced Research goal is to determine the client's self-concept picture with breast cancer stage III and IV in the Room Angsoka 3 Sanglah Hospital Denpasar. Methode: This type of research is a descriptive study and use a consecutive sampling technique with the data collection instrument using a scale of Self - esteem of Rosenberg which consists of 25 items consisted of 20 questions, the question of positive and 5 negative questions. Result: Of the 30 respondents clients with breast cancer the majority of respondents had self-concept was that 15 respondents (50%), high self-concept as much as 14 respondents (46.7%) and low self-concept is only one of the respondents (3.3%). Conclusion: The results of this study indicate that the majority of respondents have a moderate self-concept, it is expected that families provide support to patients. ABSTRAK Latar Belakang: Kanker payudara (carsinoma mammae) merupakan gangguan dalam pertumbuhan sel normal mammae dimana sel abnormal timbul dari sel-sel normal, berkembang biak dan menginfiltrasi jaringan limfe dan pembuluh darah. Salah satu penatalaksanaan kanker payudara (carcinoma mammae) yaitu pembedahan, oleh karena itu suatu tindakan operatif yang radikal yang mengakibatkan hilangnya bagian tubuh mempunyai nilai psikologik dan tidak dapat dihindarkan terjadi pula perubahan-perubahan terhadap “self concept”  Tujuan penelitian ini adalah untuk mengetahui gambaran konsep diri pada pasien dengan kanker payudara stadium III dan IV di Ruang Angsoka 3 RSUP Sanglah Denpasar. Metode: Jenis penelitian ini adalah penelitian deskriptif dan menggunakan teknik consecutive sampling dengan  instrument pengumpulan data menggunakan  skala Self-esteem dari Rosenberg  yang terdiri dari 25 butir pertanyaan  terdiri dari 20 pertanyaan positif dan 5 pertanyaan negatif. Hasil: Dari 30 responden klien dengan kanker payudara sebagian besar responden memiliki konsep diri sedang yaitu 15 responden (50%), konsep diri tinggi sebanyak 14 responden (46,7%) dan konsep diri rendah hanya 1 orang responden (3,3%). Simpulan: Hasil penelitian ini menunjukkan sebagian besar responden memiliki konsep diri sedang, diharapkan keluarga untuk memberikan support pada pasien
Gambaran Tingkat Kecemasan Pada Pasien Stroke di Ruang Belibis RSUD. Wangaya Denpasar Suputra, Dewa Ketut; Muryani, Ni Made Sri; Sukarja, I Made; Krisnayani, Ni Made Wina
Jurnal Kesehatan Medika Udayana Vol 4 No 01 (2018)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Background: Stroke is a major cause of disability in adults, where four million Americans experience neurological deficits due to stroke, two-thirds of these deficits are moderate to severe. This disease has become a worldwide health problem and is increasingly important, with two-thirds of strokes now occurring in developing countries. Stroke sufferers themselves will experience a psychological response, namely anxiety because in addition to being a life threat, patients will feel anxious about their future. The purpose of this study was to determine the description of the level of anxiety in stroke patients in the Belibis Room of Wangaya Hospital Denpasar. Methode: The type of design used is descriptive design. Data collection was carried out by the researchers themselves using a standard questionnaire sheet, the Hamilton Anxiety Rating Scale (HARS), with the number of respondents 30 people who were Stroke patients in the Belibis room of Wangaya Hospital Denpasar. Result: The results of this study indicate that the majority of stroke patients in the Belibis room of Wangaya Hospital Denpasar experienced moderate anxiety, namely as many as 17 (56.7%) respondents, mild anxiety as many as 6 (20%) respondents, severe anxiety as many as 6 (20%) respondents, panic 0%, and only 1 (3.3%) respondents who did not experience anxiety. Conclusion: Individuals who experience anxiety are mostly aged over 50 years, female sex, high school education, and have private jobs. It is expected that families can provide motivation and positive encouragement to patients. ABSTRAK Latar Belakang: Stroke adalah penyebab utama kecacatan pada orang dewasa, dimana empat juta orang Amerika mengalami defisit neurologik akibat stroke, dua pertiga dari defisit ini bersifat sedang sampai parah. Penyakit ini telah menjadi masalah kesehatan yang mendunia dan semakin penting, dengan dua pertiga stroke sekarang terjadi di negara – negara yang sedang berkembang. Penderita stroke sendiri akan mengalami suatu respon psikologis, yaitu kecemasan karena selain menjadi suatu ancaman hidup, pasien akan merasa cemas akan masa depannya. Tujuan penelitian ini untuk mengetahui Gambaran Tingkat Kecemasan Pada Pasien Stroke di ruang Belibis RSUD Wangaya Denpasar. Metode: Jenis desain yang digunakan adalah desain deskriptif. Pengumpulan data dilakukan oleh peneliti sendiri dengan menggunakan lembar kuesioner yang sudah baku yaitu Hamilton Anxiety Rating Scale (HARS), dengan jumlah responden 30 orang yang merupakan pasien Stroke di ruang Belibis RSUD Wangaya Denpasar. Hasil: Hasil penelitian ini menunjukkan bahwa sebagian besar penderita stroke di ruang Belibis RSUD Wangaya Denpasar mengalami kecemasan sedang, yaitu sebanyak 17 responden (56,7%), kecemasan ringan sebanyak 6 orang (20%), kecemasan berat sebanyak 6 orang (20%), panik 0%, dan hanya 1 orang (3,3%) responden yang tidak mengalami kecemasan. Simpulan: Individu yang mengalami kecemasan sedang sebagian besar berusia diatas 50 tahun, jenis kelamin perempuan, pendidikan SMA, dan memiliki pekerjaan swasta. Diharapkan keluarga mampu memberikan motivasi dan dorongan positif pada pasien.  
Gambaran Konsep Diri Remaja yang Mengalami Masa Pubertas di SMK Kesehatan Panca Atma Jaya Kabupaten Klungkung Tahun 2012 Setiawan, I Made Dody; Muryani, Ni Made Sri; Achjar, Komang Ayu Henny; Febianingsih, Ni Putu Eka
Jurnal Kesehatan Medika Udayana Vol 4 No 02 (2018)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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Abstract

ABSTRACT Background: Teen are transition age from childhood to adulthood, in adolescence age the individuals will experience a change in attitudes, behaviors in line with the level of physical growth. Teenagers are very easily influenced by factors that exist outside of him as family, environment, society, peers and school friends. When enter puberty, every child has personality system that established from development so far. The concept gives sense of continuity, integrity, and consistency in a person which is a physical representation of an individual, the central core of "Me" in which all perceptions and experiences organized. In assessing theirself can positively and negatively. Individuals who have positive self-concept will be optimistic, believe in yourself and always be positive about everything, also to the failure. Individuals who have negative self-concept, believes that he looked weak, helpless, unable to do anything, incompetence, failure, poor, unattractive, unpopular and loses attraction of life. The Aim of this study was to find out description of tees self-concept who experience puberty in health vocational school of Panca Atma Jaya, Klungkung regency in 2012. Method: The method has been used in this study were descriptive method with Coss sectional approach. The sampling were simple random sampling technique so that number of sample were 130 respondents it has been collected from March-May 2012. Result: The self-concept of teen who experiences puberty, of 130 respondents, there were 2 respondents (1.5%) have negative self-concept and 128 (98.5%) respondents have a positive self-concept. Conclusion: The existence of extracurricular activities at SMK Panca Atma Jaya has a positive impact on students in developing students' self-concepts.   Key words: Description of Self-Concept; Teen;, Puberty       ABSTRAK Latar belakang: Masa remaja merupakan masa transisi dari masa kanak-kanak menuju usia dewasa, pada masa remaja individu mengalami perubahan dalam sikap, perilaku sejajar dengan tingkat pertumbuhan fisiknya. Remaja sangat mudah dipengaruhi oleh faktor yang ada diluar dirinya seperti keluarga, lingkungan, pergaulan, teman sebaya dan teman sekolah. Ketika memasuki masa pubertas, setiap anak telah mempunyai sistem kepribadian yang merupakan pembentukan dari perkembangan selama ini. Konsep diri memberikan rasa kontinuitas, keutuhan, dan konsistensi pada seseorang yang merupakan representasi fisik seorang individu, pusat inti dari “Aku” dimana semua persepsi dan pengalaman terorganisasi. Dalam menilai diri sendiri seorang individu dapat menilai dirinya positif ada pula yang menilai negatif. Individu yang memiliki konsep diri positif akan bersikap optimis, percaya diri sendiri dan selalu bersikap positif terhadap segala sesuatu, juga terhadap kegagalan yang dialami. Individu yang memiliki konsep diri negatif  meyakini dan memandang bahwa dirinya lemah, tidak berdaya, tidak dapat berbuat apa-apa, tidak kompeten, gagal, malang, tidak menarik, tidak disukai dan kehilangan daya tarik terhadap hidup. Adapun tujuan dari penelitian ini, adalah untuk mengidentifikasi Gambaran Konsep Diri Remaja Yang Mengalami Masa Pubertas di SMK Kesehatan Panca Atma Jaya Kabupaten Klungkung tahun 2012. Metode: Metode yang digunakan dalam penelitian ini adalah metode deskriptif dengan pendekatan coss sectional. Jumlah sampling yang diambil menggunakan teknik simple random sampling yaitu sebanyak 130 responden yang dikumpulkan dari bulan Maret-Mei 2012. Hasil: Konsep diri remaja yang mengalami masa pubertas, dari 130 responden, sebanyak 2 (1,5%) responden mempunyai konsep diri negatif dan 128 (98,5%) responden memiliki konsep diri positif. Simpulan: Adanya kegiatan ekstrakulikuler di SMK Panca Atma Jaya memberikan dampak positif bagi siswa dalam membangun konsep diri siswa.
Gambaran Tingkat Kecemasan Keluarga dengan salah satu anggota Keluarganya Menderita Skizofrenia di Poliklinik Jiwa Rumah sakit Jiwa Provinsi Bali tahun 2012 Kristian, I wayan Aryo Rumambi; Sumirta, I Nengah; Suarnata, I Ketut; Muryani, Ni Made Sri
Jurnal Kesehatan Medika Udayana Vol 5 No 01 (2019)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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Abstract

ABSTRACT Background: The presence of schizophrenia in the family is a very heavy stressor that must be borne by the family. Families who have family members with schizophrenia can increase stress and family anxiety. The purpose of this study was to describe the level of anxiety of families with one of their family members suffering from schizophrenia at Poliklinik Jiwa Rumah Sakit Jiwa Provinsi Bali. Method: This research is a quantitative research with descriptive research design with consecutive sampling technique, with a sample of 30 respondents. Results: Most of the families of schizophrenia patients experienced mild anxiety levels of 12 (40.0%) respondents, moderate anxiety as many as 11 (36.7%) respondents, severe anxiety as many as 6 (20.0%) respondents, and panic was experienced by 1 (3.3%) respondents. Conclusion: Most of the families of schizophrenic patients experience mild anxiety, as many as 12 with symptoms often feeling lethargic, muscle twitch, tremor, and often feeling short of breath. ABSTRAK Latar belakang: Kehadiran Skizofrenia dalam keluarga merupakan stressor yang sangat berat yang harus ditanggung keluarga. Keluarga yang memiliki anggota keluarga dengan skizofrenia dapat meningkatkan stress dan kecemasan keluarga. Tujuan penelitian ini untuk mengambarkan tingkat kecemasan keluarga dengan salah satu anggota keluarganya menderita skizofrenia di Poliklinik Jiwa Rumah Sakit Jiwa Provinsi Bali. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian deskriptif dengan tehnik consecutive sampling, dengan jumlah sampel 30 responden. Hasil: Sebagian besar keluarga pasien skizofrenia mengalami tingkat kecemasan ringan sebanyak 12 (40.0%) responden, kecemasan sedang sebanyak 11 (36.7%) responden, kecemasan berat sebanyak 6 (20.0%) responden, dan panik dialami oleh 1 (3.3.%) responden. Simpulan: Sebagian besar keluarga pasien skizofrenia mengalami kecemasan ringan yaitu sebanyak 12 dengan gejala sering merasa lesu, kedutan otot, gemetar, dan sering merasa napas pendek.
Gambaran Peran Keluarga dalam Merawat pasien Dengan Gangguan Persepsi Sensori: Halusinasi Di Poliklinik Jiwa UPTD. Rumah Sakit Jiwa Provinsi Bali Parjana, I Wayan Edi; Muryani, Ni Made Sri; Suarjaya, I Wayan
Jurnal Kesehatan Medika Udayana Vol 5 No 02 (2019)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Background: Hallucinations are one of the mental disorders in which the client experiences sensory changes in perception, feels a false sensation in one's senses which is not really there. The family is the closest person to the patient's family role that can be carried out by family to family members who experience hallucinations is to help clients know hallucinations and train clients to control their hallucinations. Objective: The purpose of this study was to describe the role of families in treating patients with sensory perception disorders: hallucinations. Results: The results of the study were obtained in fulfilling the patient's self-care who had a good role, namely 7 (21.9%) family members, patient health care as many as 7 (21.9%) family members, prevention of potential patient accidents as many as 8 (25 , 0%) family members and were prevented from withdrawing from the environment as many as 11 (34.4%) family members who received patients with hallucinations. Conclusions: conclusions were obtained as many as 6 (18.8%) family members who play a good role in caring for patients with hallucinations. 26 (81.3%) family members did not play a good role in caring for family members with hallucinations. Keywords: Role of family; hallucinations   ABSTRAK Latar Belakang : Halusinasi merupakan salah satu gangguan jiwa dimana klien mengalami perubahan sensori persepsi, merasakan sensasi palsu pada panca indra seseorang yang sebenarnya tidak ada. Keluarga adalah orang terdekat dengan pasien peran keluarga yang dapat dilakukan keluarga pada anggota keluarga yang mengalami halusinasi adalah membantu klien mengenal halusinasi dan melatih klien untuk mengendalikan halusinasinya. Tujuan : Tujuan penelitian ini dilakukan untuk mengetahui gambaran peran keluarga dalam merawat pasien dengan gangguan persepsi sensori : halusinasi. Metode : Penelitian ini merupakan penelitian yang bersifat deskriptif. Dengan menggunakn teknik consecutive sampling didapatkan responden dengan jumlah 32 anggota keluarga dengan sasaran keluarga pasien yang menatar pasien berobat atau kontrol ke poliklinik jiwa. Hasil : Hasil penelitian didaptkan dalam pemenuhan perawatn diri pasien yang berperan dengan baik yaitu sebanyak 7 (21,9%) anggota keluarga, pemeliharaan kesehatan pasien yaitu sebanyak 7 (21,9%) anggota keluarga, pencegahan potensi kecelakaan pasien yaitu sebanyak 8 (25,0%) anggota keluarga dan di pencegahaan menarik diri dari lingkungan yaitu sebanyak 11 (34,4%) anggota keluarga yang mearwat pasien dengan halusinasi. Simpulan : Sebanyak 6 (18,8%) anggota keluarga yang berperan baik dalam merawat pasien dengan halusinasi, 26 (81,3%) anggota keluarga tidak berperan baik dalam merawat anggota keluarga dengan halusinasi.   Kata kunci : Peran keluarga; Halusinasi  
GAMBARAN TINGKAT KECEMASAN ANGGOTA BINTARA DAN TAMTAMA PRAJURIT TNI-AD YANG MELAKSANAKAN TRADISI SATUAN DI KESATUAN DENKAV 4/SP Muryani, Ni Made Sri; Muhajirin, Muhajirin
Media Keperawatan:Politeknik Kesehatan Makassar Vol 12, No 2 (2021): MEDIA KEPERAWATAN: POLITEKNIK KESEHATAN MAKASSAR
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/jmk.v12i2.2227

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The unit tradition is one of the efforts made by military units to instill pride and a sense of responsibility towards the unit. In the implementation of the unit tradition, there are still problems, namely the presence of new members who experience anxiety when facing the unit tradition. This study aims to determine description of anxiety levels of Bintara and Tamtama Army Soldiers who hold squad tradition in Denkav 4/SP. This study uses descriptive method with quantitative approach using questionnaire measuring instrument and sampling technique used is total sampling with the number of samples as many as 40  respondents. Most tamtama soldiers have a moderate anxiety level with a total of 35%,                  as well as the majority of petty officers have a moderate anxiety level with a total of 40%. The level of anxiety found in each soldier is classified as moderate so that assistance and guidance from seniors is needed in carrying out the tradition of the unit in order to be more motivated and reduce the impact of anxiety caused
Infra-Red Therapy Reduces Lower Extremity Pain in Elderly with Osteoarthritis I Gede Yudiana Putra; Ni Made Sri Muryani; Putu Intan Daryaswanti
NurseLine Journal Vol 6 No 1 (2021): May 2021
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v6i1.19735

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Background: Elderly is someone who because of his advanced age experiences biological, physical, psychological and social changes. One of the physical changes that occur in the elderly is a problem with decreased area of ​​motion, one of which is osteoarthritis which often affects several joints, such as the joints of the fingertips, thumbs, knees, hips, heels and causes joint pain. Pain is very disturbing and makes it difficult for the elderly to do their activities, so the need for proper treatment is to reduce the pain that occurs due to osteoarthritis. One therapy that can be recommended is non-pharmacological therapy, namely infrared therapy. Purpose: This study aims to determine the effect of infrared therapy on the reduction of lower limb pain in the elderly with osteoarthritis. Methods: The design of this study is a quasy experimental design with a pre-post-test control group design .. where the elderly will be divided into 2 groups, namely the treatment group given infrared therapy and the control group who did not receive infrared therapy. This research was conducted at PSTW Wana Sraya Denpasar, for three weeks from July 20 to August 2020. The sample in this study was 30 elderly who experienced pain in their lower extremities with osteoarthritis. Results: The results of this study showed that most of the elderly> 65 years were 63.3% and 66.6% female. The elderly mostly experience pain scale 4-6 (moderate pain) in the lower extremities. The results of statistical tests showed that giving infrared therapy had an effect on reducing the pain scale in the lower extremities in the elderly with OA (p = 0.000) Conclusion: There was a decrease in the pain scale before and after infra-red administration and there was a significant effect on reducing lower limb pain in the elderly with osteoarthritis who were given infrared 8 times a week for 3 weeks.
BALINESE TRADITIONAL TREATMENT (BALIAN) IN PATIENTS WITH MENTAL DISORDERS Ni Made Sri Muryani; Indah Winarni; Setyoadi Setyoadi
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.05 KB) | DOI: 10.33546/bnj.425

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Background: Balinese believe that mental disorders are caused after being possessed and cursed by one’s ancestors, so Balinese choose traditional Balinese treatment (balian/shaman) in handling patients with mental disorders. Objective: The purpose of this research was to explore deeply about the use of balian in treating patients with mental disorder. Methods: A qualitative method with an interpretive phenomenological approach was used. In-depth interview technique with semi-structured interview guidelines was used for data collection. Data were analyzed using Interpretative Phenomenological Analysis (IPA) approach. Results: Five themes emerged, including 1) ancestors’ curse, 2) possessed by a spirit, 3) believe that balian has healing power, 4) balian becomes the first choice prior to the hospital, and 5) the use of traditional and medical treatment at once. Conclusion: Balian became the first choice in treating patients with mental disorders. It is because Balinese still believes that mental disorders caused by the ancestors’ curse and possessed by the spirit.
PELATIHAN KADER POSYANDU LANSIA DAN SENAM LANSIA DI DESA GUWANG KECAMATAN SUKAWATI KABUPATEN GIANYAR Ni Made Sri Muryani; Komang Agus Jerry Widyanata; I Wayan Warditha
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 1 No. 1 (2019): Juni : Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.46 KB) | DOI: 10.47859/wuj.v1i1.120

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Aging is a process of disappearing slowly the ability of the network to repair, replace itself and maintain its normal structure and function. In an effort to improve the health of the elderly effectively, it needs to be supported by adequate human resource skills where one of them is an elderly Posyandu cadre. After training for elderly cadres and posyandu and elderly gymnastics, it is expected that the performance of the elderly posyandu cadres can be optimized so that they can provide better health services to the elderly. Method: This activity uses the Community Empowering approach with the method of lecturing, discussion and demonstration and this activity is divided into three stages, namely preparation, implementation, and evaluation. Result: The formation of elderly cadres, increasing knowledge of the elderly, elderly posyandu and the implementation of elderly gymnastics. Conclusion: Training of elderly posyandu cadres and elderly gymnastics has been carried out well in the form of selection of elderly cadres, implementation of elderly posyandu, andelderly gymnastics through the provision of materials and training for elderly posyandu. It is expected that Puskesmas officers will always supervise and evaluate the elderly posyandu activities in Guwang Village, so that the elderly was monitored for their health conditions.