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Asian Journal of Healthy and Science
p-ISSN: 2980-4302
e-ISSN: 2980-4310
Vol. 2 No. 10 October 2023
PRIORITY SEAT INTERVENTION REDUCES THE ANXIETY OF THE
ELDERLY WITH HYPERTENSION IN THE WAITING ROOM OF THE
NORTH KUTA HEALTH CENTER, TOURIST AREA IN BADUNG
Agus Sri Lestari, Komang Ayu Henny Achjar, Ketut Sudiantara
Poiteknik Kesehatan, Bali, Indonesia
Email: agussri789@gmail.com, dellaganda@yahoo.com,
Sudiantara19@yahoo.com
Abstract
People of more than sixty years of age known as elderlies or “Lansia” (bahasa
Indonesia). The number of elderlies in millennial era are increasing and they have
potential to live better and longer. The Covid-19 pandemic is fear haunted elderlies
of high blood pressure that make them anxiety to come to the Puskesmas of North
Kuta for having Health Control (Checking-up). Physically the elderlies are
decreasing progressively such as the strength of mussels, arm strength mussels
decrease for about 16-40%, and physical coordination is also decreasing, so they need
the tools to do the activities. New habit is implemented at Puskesmas North Kuta
such as social distancing when sitting to avoid physical contact and contagious
diseases. The chairs of the waiting room for elderlies are not suitable for
anthropometries of elderlies, so they are not comfortable when sitting, the chairs are
too low, leaning position are also too low, minimum arms rest so make them
difficulties when sitting or standing up. Currently priority chairs are not yet available
for elderlies at the waiting room of Puskesmas of North Kuta. The objective of this
research is to identify the ideal anthropometry chairs for elderlies and to design
prototype chairs for elderlies at the waiting room of Puskesmas North Kuta. The
method used is the basic measurement anthropometry and to measure the tiredness
of Nordic body map. This research used a pre-experimental oe grup pre-tes,post test
design a prototype of priority chairs for elderly people in the waiting room of the
Community Health Center. The priority chairs for elderlies are made based on the
measurement of elderlies when sitting: height of elbows when sitting; height of
popliteal; width of hip and height of shoulders when sitting. Conclusions: Every
elderly has the right to get the comfortable facilities when doing the activities and
comfortable when sitting in the waiting room of Puskesmas.
Keywords: Elderly, Anthropometry, Priority Seats, Hypertension
INTRODUCTION
Individuals are classified as elderly when they have reached the age of 60 (sixty)
years and over (PTM, 2019). The elderly in the millennial era have the ability to
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maintain their lives, and having a longer life expectancy is a matter of pride (Lestari,
et.al 2018). The elderly population in 2025 is estimated to be around 36 million
people, or 11.34 percent of the population. Riskesdas in 2018 reported an increase in
NCDs in the 2015-2019 RPJMN, World Health Organization (WHO) 2015 data, the
prevalence of hypertension in the world is around 1.13 billion, meaning that 1 in 3
people in the world are diagnosed with hypertension (Mills et al., 2020). People with
hypertension are expected to increase to 1.5 billion by 2025, with 9.4 million deaths,
the third leading cause of death in Indonesia, and the number one cause of death in
the world (Adrian, 2019). A total of 45% of deaths due to heart disease and 51% due
to stroke are caused by hypertension (Ministry of Health RI, 2018) in (Jenderal &
Yani, 2018) and (Latifin et al., 2020). According to JNC (hypertension is found as
much as 60-70% in the population aged over 65 years. The typical type of
hypertension often found in the elderly is Isolated Systolic Hypertension (ISH), in
which the systolic pressure alone is high (above 140 mmHg), but the diastolic
pressure remains normal (below 90 mmHg).
The elderly have physical limitations and susceptibility to disease (Glenn &
Massie, 2019), slower mobility, often having a feeling of stress due to physical
weakness. Accessibility makes it easier for the elderly in puskesmas by providing
access to special seats (Indonesia, 2004) and (Lestari et.al, 2016). Preliminary studies
from observations are known to access waiting room chairs made of four rows of
iron, when using chairs in the waiting room states that it is difficult to put the buttocks
when going to sit and difficulty when going to a standing position. The elderly
expressed anxiety because when they got up and stood up from sitting in a chair felt
back pain, hands hurt and head pain. Therefore, a chair is needed to sit in the waiting
room of the puskesmas in accordance with the body size of the elderly. Research by
Stuart about anxiety (anxiety) for health center treatment felt a sense of discomfort
when using a chair sitting in the waiting room (Annisa, 2016).
RESEARCH METHODS
This research is an experimental study using the same mix of subjects
(treatment by subject design) (Viglia & Dolnicar, 2020). Sample of elderly NCDs as
many as 20 people as a control group (Pre) and at the same time a treatment /
intervention group (Post) Data collection was carried out by measuring subjective
complaints using Nordic bodu map (NBM) questionnaires and anthropometric
measurements.
RESULTS AND DISCUSSION
General Overview North Kuta Health Center is located at Jl Raya Kesambi,
Kerobokan Kuta Utara Badung, serving three villages and three villages and 90
Banjar neighborhoods, namely Kerobokan Kelod Village, Kerobokan Village,
Kerobokan Kaja Village, Dalung Village, Canggu Village, and Tibubeneng Village.
North Kuta Health Center is also a buffer area for tourism centers in North Kuta
District.
Table 1. Distribution of Respondents at North Kuta Health Center
No
Respondent
N
Average
Stretch
SB
1
Man
13
68,92
60 -75
66,5
2
Woman
7
65,79
60 -73
64
Total
20
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From table 1, it shows that the average age of the elderly at the North Kuta
Health Center is 68.932 for men and 65.79 for women, with an age range of 60 75
years. It has entered an advanced age. In accordance with the elderly age limit set in
accordance with the Government Regulation of the Republic of Indonesia Number
43 of 2004 concerning the Implementation of Improvement Efforts. Elderly Social
Welfare, a person is said to be Elderly is someone who has reached the age of 60
(sixty) years and over (Hakim, 2020)
Anthropometers
The subject's body anthropometric measurement data to obtain body
dimension measurement data was used to design a special elderly Priority Chair for
the Elderly at the North Kuta Health Center. Measurement with static
anthropometry position sitting position as in Table 3 below.
Table 3 Results of anthropometric analysis of Subjects at North Kuta Health
Center
Seated anthropometry
Min
Maks
Averaget
SB
Percentile (%)
5
50
95
Sitting height
65
87
71,79
5,79
65
71
87
Shoulder height sitting
45
64
50,50
5,43
45
49
74
Sitting elbow height
15
26
20,43
2,74
15
21
26
Knee height sitting
43
51
46,93
2,37
43
47
51
Popliteal height seated
40
46
43,21
2,19
40
42
46
Hand grab distance
54
69
58,93
5,46
54
57
65
Pengukuran antrpometri dengan posisi statis pada lansia dilakukan untuk
obtained anthropometric data of subjects to obtain body dimension measurements,
used to design intervention chairs as priority seats for the elderly in the waiting room
of the North Kuta Health Center. Anthropometry is very important in determining
the tool, namely the design of priority chairs. Human body measurements can be
grouped into two groups, namely body dimension measurements carried out on the
body in static conditions, and functional dimension measurements carried out when
the body is in a moving condition (Winata & Suryadi, 2020).
Design of Intervention Chair / Priority Seat.
Based on the size of atropometry, and musculoskeletal complaints obtained,
the design of priority chairs for the elderly at the North Kuta Health Center is as
follows
Figure 1. Cut Chair Design
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Prototype Priority Chair as Intervention
Figure 2. Priority Seat Prototype with Right and Left Side Springs
After determining the design of the final sketch, proceed with a workshop /
workshop to make a real product or prototype.
Priority Seat Intervention in the Lounge
Priority seat intervention on treatment (Post) for the elderly at the North Kuta
Health Center.
Figure 3 Priority Seat Intervention at North Kuta Health Center
Priority Seat with spring
Special priority seats for the elderly in the waiting room are in accordance with
anthropometry of the elderly in a static or sitting position. Facilities in accordance
with anthropometry make it easy to use when going to sit or stand from a chair while
waiting for a doctor's examination queue or waiting for medicine in the waiting room
of the North Kuta Health Center as well as a form of respect and respect for the
elderly at the puskesmas.
In line with research. Research on elderly chairs conducted by Mardiyantoro
et al., (2019) In the terminal waiting room, the design problems for elderly seating
include adequate comfort when sitting for more than 5 minutes (Stasiun, 2019).
Priority seat intervention with springs on the left and right sides, provides automatic
ease on the back, because the back can rest naturally with a slope of 15-20 degrees.
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Blue
The choice of blue color is very suitable for the puskesmas waiting room,
because it gives the impression of communicative, protection, spiritual, gentleness,
tranquility, love, peace, stability, friendship and harmony. The blue color on the chair
can basically create a feeling of calm, peace, clean air.
Table 4. Musculoskeletal Complaint Data of Subjects at North Kuta Health
Center
No
Variabel
PI
Conventional
P II
Senior seats
Min
Mak
Average
SB
Min
Maks
Average
SB
1
Muskulo Complaints
Skeletal
with conventional seats
39,58
50,56
47,89
5,23
40,24
50,62
46,92
5,12
2
Muskulo Complaints
Skeletal after physical
examination
58,40
75,45
65,34
7,56
23,25
30,15
25,64
3,24
3
Difference
18,82
24,89
17,45
2,33
16,99
20,47
21,28
1,88
Table 5. Different Test Results of Musculoskeletal Complaints
No
Variable
Pre Periode
Intervensi/Post
Periode
Value
t
Value
p
Rerata
SB
Rerata
SB
1
Musculoskeletal complaints
before using a chair in the
waiting room
47,89
5,31
46,92
5,05
0,419
0,682
2
Musculoskeletal complaints
after using a waiting chair
55,34
6,52
25,64
3,28
12,232
0,001
3
Difference
7,45
7,94
21,28
5,80
12,525
0,001
Significance analysis with the t-paired test showed that in the conventional seat
period and the intervention seat period the value of t = 0.419 and the value of p =
0.682. The difference test in conditions using the intervention chair (post) obtained
significant results (p * <0.05), this means that there was a significant difference
between the Pre / conventional seat period and the priority seat period (Post) in
musculoskeletal complaints or a decrease of 39.7%.
CONCLUSION
Respondents with age characteristics 60-75 years. Specific priority seats with
automatic backrest tilt 140-200, percentile seat width 95, percentile seat base depth 5,
percentile backrest width 95. There are significant differences in the use of
intervention chairs. This means that there is a significant difference between the Pre
/ conventional seat period and the priority seat period (Post) in musculoskeletal
complaints or a decrease of 39.7%. Every elderly person has the right to get facilities
that are in accordance with elderly anthropometry, make it easier to do activities, sit
comfortably in the waiting room of the puskesmas.
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Copyright holders:
Agus Sri Lestari, Komang Ayu Henny Achjar, Ketut Sudiantara (2023)
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AJHS - Asian Journal of Healthy and Science
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