wantonoro
Universitas Aisyiyah Yogyakarta

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Efektivitas Abdominal Massage dalam Mengatasi Konstipasi pada Lansia: Review wantonoro
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 1 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i1.1604

Abstract

The aging process and chronic diseases can increase the risk of constipation in the elderly. Abdominal massage is known to affect brain function through the gut-brain axis, thereby enhancing intestinal motility, stimulating intestinal peristalsis, and improving bowel frequency while reducing difficulty during defecation. Although abdominal massage has been reported to be effective, further research is still needed specifically for the elderly population. This review aims to evaluate the implementation of abdominal massage in managing constipation among the elderly based on Randomized Controlled Trial (RCT) studies. The search results yielded 145 related journals, and after selection, six articles met the inclusion criteria, which were: 1) studies with abdominal massage intervention, 2) respondents in the elderly category, 3) RCT studies, and 4) full-text articles in English published between 2020-2025. Abdominal massage is recommended as a non-pharmacological therapy alternative for managing constipation in the elderly. Training to enhance the abilities of nurses and caregivers in performing abdominal massage is crucial for non-pharmacological constipation management. Further studies on specific methods or techniques of abdominal massage for the elderly are recommended to improve the effectiveness of this therapy
Changes Physical Activities of Daily Living Elderly Individuals Involved in Interdisciplinary Care Wantonoro; Hari Akbar Sugiantoro; Tuan Van Nguyen
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.2679

Abstract

The populations of all countries, including Indonesia, are aging, leading to an increasing elderly population with a greater number of health issues and comorbidities. The aim was to determine whether involvement in an interdisciplinary care program can help elderly individuals maintain physical activities of daily living. This was a quantitative longitudinal study with a quasiexperimental one-group pretest–posttest design. Fifteen participants were included, and one participant died before the 6-month follow-up. The Indonesian version of the Barthel Index was used to measure physical activities of daily living (PADLs) before and at one, three and six months after the intervention. Linear regression models using the generalized estimating equation approach were used to determine significant PADLs changes and predictive factors. The mean total PADL score at T1, T2 and T3 increased significantly compared to that at T0 (p<.001). Age (β=-0.33; p=.001), diabetes mellitus (β=-2.16; p=.001), stroke (β=-5.78; p=.001) and congestive heart failure (β=-10.68; p=.001) were the strongest predictors of PADLs. Interdisciplinary team care may help elderly individuals maintain PADLs. The risk factors for PADLs deterioration were older age and comorbidities, including diabetes mellitus, stroke and heart failure. A subsequent investigation of homogeneous participants with a control group is suggested for future studies.