Penanggulangan depresi lansia pascaerupsi Gunung Merapi melalui permainan humor berbasis kearifan budaya lokal pada kader yandu lansia

https://doi.org/10.22146/jcoemph.41290

Sumarni Sumarni(1*), Triwirasto Triwirasto(2), Andrian Fajar Kusumadewi(3), Santi Yuliani(4), Dwi Dwi(5), Nanda Kusumaningrum(6)

(1) Departemen Ilmu Kedokteran Jiwa, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Departemen Ilmu Kedokteran Jiwa, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Departemen Ilmu Kedokteran Jiwa, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Rumah Sakit Jiwa Prof. Dr. Soerojo Magelang, Magelang, Indonesia
(5) Departemen Ilmu Kedokteran Jiwa, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(6) Program Ners Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Mental health of elderly is a main priority which should be concerned of, in order to provide strength to obtain welfare in old age. Merapi eruption was a natural disaster that provided long-term psychological effects on elderly survivors. It is necessary to be handled with continuous support related to depression and life quality of elderly after Merapi eruption by providing training on humor games based on local cultural wisdom and management of depression in elderly in the manner of social spiritual to the cadres of integrated services for elderly in Hunian Tetap (Huntap) Kuwang, Cangkringa, Sleman, Daerah Istimewa Yogyakarta (DIY).  Data used in this research was secondary data taken from community service that conducted in May - September 2014. The community service involved 30 cadres of integrated services for elderly and 45 elderly in Huntap Kuwang. Tools used in this research were module of local wisdom games completed with its equipment and module of early detection and coping with depression. The data were presented in descriptive quantitative and qualitative. After being given training on humor games based on local wisdom, there were increased average score on cadres’ knowledge of humor games based on local wisdom (from 66.4 to 93.2.) and skill (from 64.1 to 87.6,) as well as knowledge of early detection of depression (from 47.6 to 84.4) and skill of social support providing (from 35.3 to 80.8). There were declining trend of depression in elderly from 36 people before training to 17 people after the training of humor games based on local wisdom and spiritual social support. Training on humor games based on local wisdom and early detection of depressive tendencies along with the coping to the cadres of integrated services can reduce depressive tendencies and improve life quality of elderly in Huntap Kuwang, Cangkringan, Sleman, DIY.

Keywords


culture; depression; social support; elderly; humor games

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References

  1. Arai H, Yamamoto A, Matsuzawa Y, Saito Y, Yamada N, Oikawa S, et al. Prevalence of the metabolic syndrome in elderly and middle-aged Japanese. J Clin Gerontol Geriatr. 2010;1(2):42-7.
  2. Sinclair A, Viljoen A. The metabolic syndrome in older persons. Clin Geriatr Med. 2010;26(2):261-74.
  3. Maslim R. Prevalensi dan distribusi masalah kesehatan jiwa di Indonesia: Suatu kajian epidemiologi psikiatri. Universitas Gadjah Mada; 2012.
  4. Akbaraly TN, Ancelin M-L, Jaussent I, Ritchie C, Barberger-Gateau P, Dufouil C, et al. Metabolic syndrome and onset of depressive symptoms in the elderly: Findings from the three-city study. Diabetes Care. 2011;34(4):904-9.
  5. Sekita A, Arima H, Ninomiya T, Ohara T, Doi Y, Hirakawa Y, et al. Elevated depressive symptoms in metabolic syndrome in a general population of Japanese men: A cross-sectional study. BMC Public Health. 2013;13:862.
  6. Vanhala M, Jokelainen J, Keinänen-Kiukaanniemi S, Kumpusalo E, Koponen H. Depressive symptoms predispose females to metabolic syndrome: A 7-year follow-up study. Acta Psychiatr Scand. 2009;119(2):137-42.
  7. Viinamäki H, Heiskanen T, Lehto SM, Niskanen L, Koivumaa-Honkanen H, Tolmunen T, et al. Association of depressive symptoms and metabolic syndrome in men. Acta Psychiatr Scand. 2009;120(1):23-9.
  8. Nurhasanah, Kushadiwijaya H, Marchira C. Hubungan tingkat depresi dengan kualitas hidup pada masyarakat daerah bencana pasca gempa bumi di Kabupaten Sleman tahun 2008. Berita Kedokteran Masyarakat. 2012;25(1):1.
  9. Kaplan HL, Friedman AM, Sadock BJ. Comprehensive textbook of psychiatry. Baltimore: William Wilkins; 1995.
  10. Fullerton CS, Ursano RJ. Psycological and psychopathological consequences of disaster. In: Lopez-Ibor JJ, Christodouou G, Maj M, Satorius N, Okhasa A, editor. Disaster and Mental Health. England: John Wiley & sons Ltd; 2005. p. 13-36.
  11. Jia Z, Tian W, Liu W, Cao Y, Yan J, Shun Z. Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health. 2010;10(1):172.
  12. Sumarni DW. Laporan Penelitian Damas Fakultas Kedokteran: Pengaruh permainan kearifan lokal terhadap depresi, kualitas tidur, gangguan kognitif, gangguan interaksi sosial pada lansia di Huntap Gondang Cangkringan Sleman. Yogyakarta: Universitas Gadjah Mada; 2012.
  13. World Health Organization. The world health report 2001 mental health: New understanding, new hope [Internet]. Geneva; 2001. [cited 2018 October 23]. Available from: http://www.who.int/iris/handle/10665/42390
  14. Hartoto. Pendidikan rekreasi. Yogyakarta: FPOK IKIP; 1995.
  15. Stahl SM. Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications. 3rd ed. New York: Cambridge University Press; 2008.
  16. Fry WF. The biology of humor. Int J Humor Res. 1994;7(2):111-26.
  17. Hubert W, de Jong-Meyer R. Autonomic, neuroendocrine, and subjective responses to emotion-inducing film stimuli. Int J Psychophysiol. 1991;11(2):131-40.
  18. McDaniel ND. Touching makes you healthier [Internet]. Health Magazine; 2011 [cited 2014 March 5]. Available from: http://edition.ccn.com/2011/HEALTH/0105/touching.makes.you.healthier.health/index.htm
  19. Dezecache G, Dunbar RIM. Sharing the joke: The size of natural laughter groups. Evol Hum Behav. 2012;33(6):775-9.
  20. Carlson NR. Physiology of behavior. 8th ed. Boston: Pearson Education, Inc; 2004.
  21. Camara E, Rodriguez-Fornells A, Ye Z, Münte TF. Reward networks in the brain as captured by connectivity measures. Front Neurosci. 2009;3(3):350-62.
  22. Rasheed N, Alghasham A. Central dopaminergic system and its implications in stress-mediated neurological disorders and gastric ulcers: Short review. Adv Pharmacol Sci. 2012;2012:1-11.
  23. Miyazaki T, Takase K, Nakajima W, Tada H, Ohya D, Sano A, et al. Disrupted cortical function underlies behavior dysfunction due to social isolation. J Clin Invest. 2012;122(7):2690-701.
  24. McEwen BS. Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiol Rev. 2007;87(3):873-904.



DOI: https://doi.org/10.22146/jcoemph.41290

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