PSYCHOSOCIAL SUPPORT IN INCREASING COVID-19 AND MENTAL HEALTH IN THE ELDERLY

Rizki Muliani; Tri Nur Jayanti; Inggrid Dirgahayu; Irfan Safarudin; Anri Anri

doi:10.31764/jces.v4i1.3445

PSYCHOSOCIAL SUPPORT IN INCREASING COVID-19 AND MENTAL HEALTH IN THE ELDERLY

Rizki Muliani, Tri Nur Jayanti, Inggrid Dirgahayu, Irfan Safarudin, Anri Anri

Abstract

Abstrak: RW 01 Rancanumpang merupakan area komunitas dengan jumlah usia lansia (24,2%) terbanyak kedua setelah usia dewasa (41,8%). Posbindu sebagai tempat pelayanan kesehatan yang mudah dijangkau oleh lansia telah di non aktifkan sejak Maret 2020 sebagai upaya meminimalkan penyebaran COVID-19. Hal ini menyebabkan munculnya masalah psikososial bagi lansia karena tidak adanya akses untuk melakukan pemeriksaan kesehatan secara periodik. Oleh karena itu, kegiatan ini bertujuan untuk mengaktifkan kembali Posbindu dan memberikan dukungan psikososial agar dapat mengoptimalkan kesehatan lansia. Metode pelaksanaan kegiatan ini meliputi penyuluhan tentang Adaptasi Kebiasaan Baru (AKB); penjelasan dan simulasi pelaksanaan Posbindu menggunakan protokol pencegahan penularan COVID-19; dan demonstrasi teknik penanganan masalah psikososial. Kegiatan ini melibatkan lansia dan kader sebagai sasaran kegiatan dan tim EFT sebagai trainer dan fasilitator saat demonstrasi penanganan masalah psikososial. Hasil dari kegiatan ini yaitu terlaksananya rangkaian kegiatan yang dihadiri oleh para lansia dan kader sesuai dengan perencanaan, adanya peningkatan pengetahuan lansia tentang AKB, peningkatan kemampuan kader dalam melaksanakan Posbindu menggunakan protokol kesehatan, dan peningkatan kemampuan lansia untuk mempraktikkan Emotional Freedom Technique (EFT) dalam penanganan masalah psikososial serta penurunan masalah psikososial setelah diberikannya EFT pada lansia. Diharapkan kader dapat memberikan dukungan psikosial pada lansia sehingga lansia mampu beradaptasi dengan berbagai perubahan di era new normal.

Abstract: RW 01 Rancanumpang is a community area with the second-highest number of elderly (24.2%) after adulthood (41.8%). Posbindu as a place of health services that are easily accessible to the elderly has been deactivated since March 2020 as an effort to minimize the spread of COVID-19. This situation causes concern and the emergence of psychosocial problems for the elderly because they do not have access to periodic medical examinations. Therefore, the objective of implementing activities in the form of reactivating Posbindu and providing psychosocial support is expected to help optimize the health status of the elderly in RW 01 Rancanumpang. The implementation of this activity uses several methods, namely counseling on New Habit Adaptation (AKB); explanation and simulation of the implementation of Posbindu using a protocol for preventing transmission of COVID-19, and; demonstration of psychosocial problem management techniques in the elderly. This activity involves the elderly community and cadres as the target of the activity and the EFT team as trainers and facilitators during demonstrations of handling psychosocial problems. The result of this activity is the implementation of a series of activities attended by the elderly and cadres according to the plan. There is an increase in the knowledge of the elderly about IMR, an increase in the ability of cadres in implementing Posbindu using health protocols, and an increase in the ability of the elderly to practice Emotional Freedom Technique (EFT) in handling psychosocial problems and a decrease in psychosocial problems after EFT is given to the elderly. The conclusion is that there is an increase in the knowledge of the elderly after being given counseling on AKB, cadres can apply health protocols in the implementation of posbindu and the elderly experience a decrease in psychosocial problems after being given EFT. It is hoped that cadres can provide psychosocial support to the elderly so that the elderly can adapt to various changes in the new normal era.

Keywords

Psychosocial Support; Elderly; Posbindu.

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References

Almira, N., Arifin, S., & Rosida, L. (2019). Faktor-Faktor yang Berhubungan dengan Perilaku Ibu dalam Praktek Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Kecamatan Koba Kabupaten Bangka Tengah Tahun 2012. Homeostasis, 2(1), 1–12.

Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5(5), e256. https://doi.org/10.1016/S2468-2667(20)30061-X

Asri, Sigit Mulyono, & Uswatul Khasanah. (2020). Pengaruh Pelatihan Kader Posbindu Terhadap Perilaku Deteksi Dini Hipertensi Pada Usia Dewasa. Jurnal Kesehatan Panrita Husada, 5(1), 43–52. https://doi.org/10.37362/jkph.v5i1.315

Banerjee, D. (2020). The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian Journal of Psychiatry, 50, 102014. https://doi.org/10.1016/j.ajp.2020.102014

Beigi, M. A. B., Zibaeenezhad, M. J., Aghasadeghi, K., Jokar, A., Shekarforoush, S., & Khazraei, H. (2014). The effect of educational programs on hypertension management. International Cardiovascular Research Journal, 8(3), 94–98.

Clond, M. (2016). Emotional freedom techniques for anxiety a systematic review with meta-analysis. Journal of Nervous and Mental Disease, 204(5), 388–395. https://doi.org/10.1097/NMD.0000000000000483

Isworo, A., Anam, A., & Indrawati, N. (2019). Pengaruh Terapi Emotional Freedom Technique (EFT) dalam Menurunkan Tekanan Darah pada Lansia Hipertensi. Gaster, 17(2), 154. https://doi.org/10.30787/gaster.v17i2.438

Kemenkes RI. (2012). Petunjuk Teknis Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM). Ditjen Pengendalian Penyakit Dan Penyehatan Lingkungan, Kementerian Kesehatan RI, 1–39.

Lai, C. C., Shih, T. P., Ko, W. C., Tang, H. J., & Hsueh, P. R. (2020). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. International Journal of Antimicrobial Agents, 55(3), 105924. https://doi.org/10.1016/j.ijantimicag.2020.105924

Mamahit, M., Mulyadi, N., & Onibala, F. (2017). Hubungan Pengetahuan Tentang Diet Garam Dengan Tekanan Darah Pada Lansia Di Puskesmas Bahu Kota Manado. Jurnal Keperawatan UNSRAT, 5(1), 105373.

Mardhiah, A., Abdullah, A., & Hermansyah. (2015). Pendidikan Kesehatan Dalam Peningkatan Pengetahuan, Sikap Dan Keterampilan Keluarga Dengan Hipertensi - Pilot Study. Jurnal Ilmu Keperawatan, 3(2), 111–121.

Peraturan Menteri Kesehatan Republik Indonesia. (2020). Permenkes 9 2020 Pedoman PSBB Dalam Rangka Percepatan Penanganan Covid-19. Parallax, pp. 9–19.

Purwaningsih, P. (2020). Pengaruh Pendidikan Kesehatan tentang Posyandu Lansia terhadap Pengetahuan dan Tindakan Pemanfaatan di Desa Ujung Rambung Kecamatan Pantai Cermin Kabupaten Serdang Bedagi. Akademi Keperawatan,Bukit Barisan Medan, 2(1), 29–39.

Santini, Z. I., Jose, P. E., York Cornwell, E., Koyanagi, A., Nielsen, L., Hinrichsen, C., … Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. The Lancet Public Health, 5(1), e62–e70. https://doi.org/10.1016/S2468-2667(19)30230-0

Wirawati, M. K., & Prasetyorini, H. (2016). Cadre skill improvement efforts in the measurement of blood pressure. Jurnal Ilmu Dan Teknologi Kesehatan, 7(2), 27–30.

Yang, X., Yu, Y., Xu, J., Shu, H., Xia, J., Liu, H., … Shang, Y. (2020). Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet Respiratory Medicine, 8(5), 475–481. https://doi.org/10.1016/S2213-2600(20)30079-5

Yuliana. (2020). Menjaga Kesehatan Mental Lansia Selama Pandemi COVID-19. Prosiding Seminar Nasional Biologi Di Era Pandemi COVID-19, 6(1), 6–10.

DOI: https://doi.org/10.31764/jces.v4i1.3445