Penerapan Program Home Care Melalui Senam Lansia Untuk Mengurangi Nyeri Sendi Dan Meningkatkan Fungsi Gerak Implementation of a Home Care Program through Elderly Exercise to Reduce Joint Pain and Improve Motor Function
Article Sidebar
Main Article Content
Abstract
Aging is a natural biological process that leads to a decline in physiological functions, particularly in the musculoskeletal system, making older adults more susceptible to joint pain and limitations in functional mobility. A home care approach through non-pharmacological interventions such as elderly exercise is needed as a promotive and preventive effort to maintain independence and quality of life among older adults. This study aimed to implement a home care program through education and practice of elderly exercise to reduce joint pain and improve functional mobility in older adults.
The method used was a pre-experimental design with a one-group pretest–posttest approach, conducted through educational, participatory, and applicative strategies that included the stages of preparation, implementation, and evaluation.
The participants consisted of 35 older adults aged 60–75 years in Hamlet I, Tanjung Anom Village, Deli Serdang Regency. The intervention involved health education and elderly exercise practice for 15–20 minutes, consisting of warm-up, core movements, and cool-down sessions. Evaluation was carried out by measuring joint pain levels using the Numeric Rating Scale (NRS) and functional mobility using activities of daily living (ADL/IADL) assessments.
The results showed a reduction in joint pain levels from moderate to mild and an improvement in functional mobility, as indicated by increased independence of older adults in performing daily activities. It was concluded that the implementation of a home care program through elderly exercise was effective in reducing joint pain and improving functional mobility, and it is recommended to be applied sustainably at the community level with the support of families and health cadres.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Badan Pusat Statistik. (2021). Statistik Penduduk Lanjut Usia 2021. Jakarta: BPS RI.
Dalimunthe, F. N., & Sitorus, R. (2022). Efektivitas senam lansia terhadap penurunan tekanan darah dan peningkatan kualitas tidur pada hipertensi usia lanjut. Jurnal Keperawatan Jiwa, 10(1), 45-56.
Donsu, J. D. T. (2015). Perawatan Lansia Berbasis Keluarga (Home Care). Yogyakarta: Pustaka Baru Press.
Fadlilah, N., Septianingrum, Y., Wijayanti, L., & Soleha, U. (2025). Range of Motion Therapy to Improve Physical Mobility in an Ischemic Stroke Patient: A Case Study. International Journal of Health Concord, 1(2), 57–65. https://doi.org/10.55018/ihc.v12.14
Fatmah. (2018). Senam lansia untuk meningkatkan kesehatan dan kualitas hidup. Jurnal Kesehatan Masyarakat, 12(1), 45–53.
Fatmah. (2019). Senam dan Aktivitas Fisik pada Lansia. Jakarta: Rajawali Pers.
Haryanto, S., & Prasetyo, Y. B. (2023). Analisis faktor yang mempengaruhi kemandirian lansia dalam aktivitas sehari-hari di komunitas. Journal of Community Health Nursing, 7(2), 89-100.
Kemenkes RI. (2021). Pedoman Pelayanan Kesehatan Lansia di Fasilitas Kesehatan Tingkat Pertama. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan RI. (2020). Profil Kesehatan Indonesia 2019. Jakarta: Kementerian Kesehatan RI.
Nugraha, R., & Widjaja, A. (2019). Perubahan muskuloskeletal pada lanjut usia dan implikasinya terhadap aktivitas sehari-hari. Jurnal Geriatri Indonesia, 7(2), 85-94.
Nugroho, W. (2019). Keperawatan Gerontik dan Geriatrik (Edisi 4). Jakarta: EGC.
Permatasari, D., & Kurniawati, Y. (2023). Dukungan keluarga sebagai faktor keberhasilan program home care untuk lansia dengan nyeri sendi. Jurnal Ners Community, 14(1), 22-31.
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2021). Fundamentals of Nursing (10th ed.). St. Louis: Elsevier Mosby.
Puspitasari, I., Handayani, T., & Santoso, H. (2020). Pengaruh senam lansia terhadap nyeri dan fungsi sendi pada penderita osteoartritis. Jurnal Keperawatan Indonesia, 23(2), 89–96.
Sari, D. P., Rahayu, W., & Lestari, F. (2020). Efektivitas senam lansia terhadap penurunan nyeri sendi. Jurnal Keperawatan Komunitas, 5(1), 12–20.
Saro, A., & Henny, R. (2024). Efektivitas senam lansia dalam meningkatkan fleksibilitas dan mengurangi nyeri sendi. Jurnal Keperawatan Kesehatan Komunitas, 6(1), 15–22.
Setiawan, H. (2021). Home Care dan Perawatan Kesehatan Lansia. Bandung: Refika Aditama.
Sharmila, R., & Wahyuni, S. (2018). Hubungan tingkat nyeri dengan kualitas hidup lansia. Jurnal Keperawatan Muhammadiyah, 3(2), 89–97. https://doi.org/10.30651/jkm.v3i2.1731
Utami, S. (2018). Hubungan aktivitas fisik dengan kesehatan mental pada lansia. Jurnal Psikologi Klinis dan Kesehatan Mental, 7(3), 45–53.
Wahyuni, R., Sari, D. N., & Fitriani, A. (2022). Pengaruh aktivitas fisik terhadap kualitas hidup lansia di komunitas. Jurnal Kesehatan Masyarakat, 10(1), 22–30.
World Health Organization. (2015). World report on ageing and health. Geneva: WHO. https://apps.who.int/iris/handle/10665/186463
World Health Organization. (2020). Guidelines on physical activity and sedentary behaviour. Geneva: WHO.
Yuliastuti, E., & Mardiyono. (2023). Senam ergonomik lansia berbasis komunitas: intervensi untuk meningkatkan mobilitas dan mencegah jatuh. Jurnal Ilmu Keperawatan Komunitas, 8(2), 112-123.
Yuwono, T., Ellina, A. D., Prasetyo, J., Wahyuningsih, A. S., & Widyowati, A. (2025). Effect of Mindfulness-Based Breathing Exercise Combined with Lavender Aromatherapy on Anxiety and Sleep Quality among Hemodialysis Patients: A Quasi-Experimental Study. International Journal of Health Concord, 1(2), 42–56. https://doi.org/10.55018/ihc.v12.12