Elderly Participation in Non-Communicable Disease Posbindu Services in Rembang Regency
Keywords:
Utilization of posbindu; health belief model; elderly; Non-Communicable Disease
Abstract
Non-communicable diseases have increased from 39.8% in 1990 to 69.9% in 2017, and some are suffered by the elderly. The government guarantees the availability of elderly health services through posbindu, but the participation of the elderly in posbindu services has not met the 100% target. This study aimed to analyze what factors can affect the elderly in utilizing Posbindu PTM in Rembang Regency. The type of research used is quantitative research with a cross-sectional approach. The total population is 60,726 elderly in Rembang Regency. The sampling method is random sampling, and the sample size is determined using the Lemeshow formula; a number of 400 elderly people are obtained. The instrument was used as a questionnaire with the interview method. Data were analyzed using Chi-square and multiple logistic regression. The relationship test results showed a p-value <0.05 between the variables of health worker support, family support, perceived vulnerability, perceived severity, perceived benefits, and perceived obstacles to using Posbindu PTM. The results of this study obtained a lack of utilization of Posbindu PTM by 65.5%. The most influential factor in the multivariate analysis was perceived vulnerability p value = 0.0001, OR = 9.153, 95% CI = 4.595-18.230, while family support proved to have no significant effect (p-value = 0.259). The conclusion of this study is that the perceived vulnerability variable has the most influence on the utilization of Posbindu PTM. It is suggested that there should be efforts to increase the knowledge of the elderly so that the elderly have literacy about their illness so that they can increase the participation of the elderly in posbindu services
References
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1. Mahdur RR, Sulistiadi W. Evaluasi Program Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM). Jurnal Ilmiah Kesehatan Masyarakat. 2020;12(1):43–9. DOI: 10.52022/jikm.v12i1.55.
2. Ditjen Pencegahan dan Pengendalian Penyakit. Rencana Aksi Program (RAP) Tahun 2020 - 2024. Jakarta: Kemenkes RI; 2020. 1–33 p.
3. Mishra SR, et al. Mitigation Of Non-Communicable Diseases In Developing Countries With Community Health Workers. Journal Global Health. 2015;11(1):1–5. DOI: 10.1186/s12992-015-0129-5.
4. Zuccala E, Horton R. Reframing The Ncd Agenda: A Matter Of Justice And Equity. Journal Elsevier. 2020;396(10256):939–40. DOI: 10.1016/S0140-6736(20)31910-3.
5. Lima APM de, et al. NCD Behavioral Risk Factors And Mortality Among Older Adults In Brazil. Journal Elsevier. 2021;45(2021):462–8. DOI: 10.1016/j.clnesp.2021.06.032.
6. Ezzati M. NCD Countdown 2030 : Worldwide Trends In Non-Communicable Disease Mortality And Progress Towards Sustainable Development Goal target 3.4. Health Policy Journal. 2018;392:1072–88. DOI: 10.1016/S0140-6736(18)31992-5.
7. Rahaningmas EF, Mauwa G, Suripatty DEA. Skrining Penyakit Tidak Menular Pada Lansia di Kecamatan Baguala Desa Passo. In: Jurnal Pengabdian Kepada Masyarakat [Internet]. 2021. p. 43–8. Available from: https://ojs3.unpatti.ac.id/index.php/pattimuramengabdi/article/view/4775.
8. Vetrano DL, et al. Fostering Healthy Aging: The Interdependency Of Infections, Immunity And Frailty. Elseiver Journal [Internet]. 2021;69:101351. Available from: https://doi.org/10.1016/j.arr.2021.101351.
9. Kementrian Kesehatan RI. Gambaran Kesehatan Lanjut Usia Di Indonesia. Pusat Data dan Informasi Kementerian Kesehatan RI. Jakarta; 2013.
10. Ditjen P2P. Petunjuk Teknis Pos Pembinaan Terpadu Posbindu Bagi Kader. Jakarta: Kemenkes RI; 2019. 1–24 p.
11. Notoatmodjo S. Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta; 2014.
12. Priyoto. Teori sikap dan perilaku dalam kesehatan. Jakarta: Nuha medika; 2014.
13. Bupati Rembang. Peraturan Bupati Rembang Nomor 21 Tahun 2021 Tentang Rencana Kerja Pemerintah Daerah Kabupaten Rembang tahun2022. Rembang: Pemerintah Kabupaten Rembang; 2022.
14. DKK Rembang. Profil Kesehatan Kabupaten Rembang Tahun 2021. Rembang: Dinkes Rembang; 2022.
15. Mardhiyati I, Suryoputro A, Fatmasari EY. Faktor-faktor yang Berhubungan dengan Pemanfaatan Posbindu PTM Di Puskesmas Rowosari Kota Semarang. Jurnal Kesehatan Masyarakat [Internet]. 2019;7(3):66–74. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/25792. DOI: 10.14710/jkm.v7i3.25792.
16. Priyatno D. SPSS 22 Pengolah Data Terpraktis. Yogyakarta: CV. Andi Offset; 2014.
17. Hastono SP. Analisis Data Pada Bidang Kesehatan. Depok: Rajawali Pers; 2017.
18. Sopiyudin Dahlan. Analisis Multivariat Regresi Logistik Edisi 2. Jakarta: PT. Epidemiologi Indonesia; 2019.
19. Supriyatna E, Pertiwiwati E, Setiawan H. Program Pos Pembinaan Terpadu Penyakit Tidak Menular di Puskesmas Martapura 2. Jurnal Publikasi Kesehatan Masyarakat Indonesia [Internet]. 2020;7(1):1–8. Available from: https://ppjp.ulm.ac.id/journal/index.php/JPKMI/article/view/8786. DOI: 10.20527/jpkmi.v7i1.8786.
20. Rusmiati, Hidayat W, Silitongga E. Faktor-faktor yang Berhubungan dengan Pemanfaatan Pos Pelayanna Terpadu (Posbindu) Penyakit Tidak Menular di Wilayah Kerja puskesmas Simpang Tiga Kecamatan Bukit Kabupaten Meriah. Journal of Healthcare Technology and Medicine [Internet]. 2021;7(2). Available from: https://jurnal.uui.ac.id/index.php/JHTM/article/view/1724. DOI: 10.33143/jhtm.v7i2.1724.
21. Anggraeni S, Fauziah E. Determinan Pemanfaatan Posbindu PTM di Desa Uwie Wilayah Kerja Puskesmas Muara Uya Kabupaten Tabalong. Jurnal Kesehatan Masyarakat [Internet]. 2020;10(2):138–44. Available from: https://jurnal.unismuhpalu.ac.id/index.php/PJKM/article/view/1368. DOI: 10.56338/pjkm.v10i2.1368.
22. Astriani A, Syafar M, Azis R. Hubungan Faktor Perilaku Dengan Kunjungan Lansia di Posbindu Lansia. Jurnal Ilmiah Kesehatan Sandi Husada. 2021;10(2):452–61. DOI : 10.35816/jiskh.v10i2.630.
23. Nauli FA, Yuliatri E, Savita R. Hubungan Tingkat Depresi dengan Tingkat Kemandirian dalam Aktifitas Sehari-hari Pada Lansia Di Wilayah Kerja Puskesmas Tembilahan Hulu. Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing). [Internet]. 2014;9(2):103–10. Available from: https://jks.fikes.unsoed.ac.id/index.php/jks/article/view/576. DOI: 10.20884/1.jks.2014.9.2.576.
24. Seran R, Bidjuni H, Onibala F. Hubungan Antara Nyeri Gout Arthritis dengan Kemandirian Lansia Di Puskesmas Towuntu Timur Kecamatan Pasan Kabupaten Minahasa Tenggara. ejournal Keperawatan (e-Kp). [Internet]. 2016;4(1):1–7. Available from: https://ejournal.unsrat.ac.id/index.php/jkp/article/view/10801. DOI: 10.35790/jkp.v4i1.10801.
25. Oktaviani Y, Wahyono B. Partisipasi Lansia pada Program Posbindu PTM dalam Masa Pandemi COVID-19. HIGEIA (Journal Of Public Health Research And Development). [Internet]. 2022;6(1):72–83. Available from: https://journal.unnes.ac.id/sju/index.php/higeia/article/view/53140.
26. Sumendap J, Rompas S, Simak V. Hubungan Dukungan Keluarga dan Motivasi denagn Minat Lansia Terhadap Posbindu. Journal Keperawatan [Internet]. 2020;1(2):88–93. Available from: https://ejournal.unsrat.ac.id/index.php/jkp/article/view/28417. DOI : 10.35790/jkp.v8i1.28417.
27. Ginting SN, Asriwati, Anto. Faktor Yang Memengaruhi Pemanfaatan Posbindu PTM Pada Lansia Di Wilayah Kerja Puskesmas Rantang Medan Kecamatan Medan Petisah Tahun 2018. Jurnal Kesehatan Komunitas. 2020;6(1):121–8. DOI: 10.25311/keskom.Vol6.Iss1.523 Copyright.
28. Attamimy HB, Qomaruddin MB. Aplikasi Health Belief Model Pada Perilaku Pencegahan Demam Berdarah Dengue. Jurnal Promkes [Internet]. 2017;5(2):245–55. Available from: https://doi.org/10.20473/jpk.V5.I2.2017.245-255. DOI: 10.20473/jpk.v5.i2.2017.245-255.
29. Sakinah ZV. Aplikasi Health Belief Model Dalam Menganalisis Perilaku Penggunaan Kacamata Pelindung. Jurnal Promkes [Internet]. 2017;5(1):105–16. Available from: https://e-journal.unair.ac.id/PROMKES/article/view/7699. DOI: 10.20473/jpk.V5.I1.2017.115-128.
30. Juliati L, Makhfudli M, Wahyudi AS. Analisis Faktor Yang Memengaruhi Kepatuhan Perilaku Pencegahan Penularan Dan Kepatuhan Minum Obat Pada Pasien Tuberkulosis Paru Berbasis Teori Health Belief Model. Indonesian Journal Of Community Health Nursing. 2020;5(2):62. DOI: 10.20473/ijchn.v5i2.17694.
31. Fitriani Y, Pristianty L, Hermansyah A. Pendekatan Health Belief Model (HBM) Untuk Menganalisis Kepatuhan Pasien Diabetes Melitus Tipe 2 Dalam Menggunakan Insulin. Pharmacy Jurnal Farmasi Indonesia (Pharmaceutical Jounal Of Indonesia. 2019;16(2):167. DOI: 10.30595/pharmacy.v16i2.5427.
32. Soesanto E, Marzeli R. Persepsi Lansia Hipertensi Dan Perilaku Kesehatannya. Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama [Internet]. 2020;9(3):244–51. Available from: https://jurnal.stikescendekiautamakudus.ac.id/index.php/stikes/article/view/627. DOI: 10.31596/jcu.v9i3.627.
33. Susanti. Penerapan Health Belief Model Terhadap Keputusan Keluarga Untuk Melakukan Kunjungan Ke Puskesmas Dalam Penanganan Dini Dengue Haemorhagic Fever (DHF). Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama. 2016;4(2):124–41. DOI: 10.31596/jcu.v9i3.627.
34. Gunarni S, Aziz A. Hubungan Persepsi Health Belief Model dengan Perilaku Hand Hygiene dalam Mencegah Transmisi Covid-19 pada Keluarga Pasien di Instalasi Rawat Inap Rumah Sakit Dustira Tk.II 03.05.01 Cimahi. Syntax Literate ; Jurnal Ilmiah Indonesia [Internet]. 2022 Feb 11;7(2):2403. Available from: https://www.jurnal.syntaxliterate.co.id/index.php/syntax-literate/article/view/6240 10.36418/syntax-literate.v7i2.6240. DOI: 10.36418/syntax-literate.v7i2.6240.
35. Soesanto E. Persepsi Lanjut Usia Dalam Upaya Perawatan Penyakit Hipertensi. The Indonesian Journal of Health Science. [Internet]. 2022;14(1):92–102. Available from: http://jurnal.unmuhjember.ac.id/index.php/TIJHS/article/view/7939. DOI: 10.32528/ijhs.v14i1.7939.
36. Afro RC, Isfiya A, Rochmah TN. Analisis Faktor Yang Mempengaruhi Kepatuhan Terhadap Protokol Kesehatan Saat Pandemi Covid-19 pada masyarakat Jawa Timur: Health belief model approach. Journal of Community Mental Health And Public Policy. 2020;3(1):1–10. DOI: 10.51602/cmhp.v3i1.43
37. Nugrahani RR, Budihastuti UR, Pamungakasari EP. Health Belief Model On The Factors Associated With The Use Of Hpv Vaccine For The Prevention Of Cervical Cancer Among Women In Kediri , East Java. Jornal Of Epidemiology And Public Health [Internet]. 2017;2(1):70–81. Available from: https://doi.org/10.26911/jepublichealth.2017.02.01.07%0AHealth. DOI: 10.26911/jepublichealth.2017.02.01.07.
Published
2023-04-25
How to Cite
1.
Siti Rochmah, Cahya Tri Purnami, Farid Agushybana. Elderly Participation in Non-Communicable Disease Posbindu Services in Rembang Regency. woh [Internet]. 2023Apr.25 [cited 2024Nov.23];6(2):167-78. Available from: http://103.133.36.92/index.php/woh/article/view/741
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