Kadar K S, McKenna L, Francis K
School of Nursing, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Int Nurs Rev. 2014 Sep;61(3):310-7. doi: 10.1111/inr.12105. Epub 2014 Jun 26.
Ageing and problems concerning the aged are an increasing and concerning reality in developing and underdeveloped countries such as Indonesia. Improving service quality is important to promote and maintain wellness of older persons, especially in rural areas.
To explore programs and services offered to the elderly in a rural area of Indonesia to support them in promoting and maintaining their wellness. To describe roles and practices of health professionals and teams responsible for delivering services to older people.
Action research was used with mixed method data collection (interview and survey).
Results demonstrated that activities related to the elderly health programs were limited due to budget and facilities. Practices of health staff for elderly in the community focused on intervention tasks, rather than prevention.
Lack of available information on the range of programs and services implemented in Indonesia for the elderly in community settings was a limitation of this study.
Programs and services for older people have been implemented in Indonesia. However, these do not yet meet their needs, especially in rural areas. There is a need for greater focus on health promotion and illness prevention.
Findings contribute to development of international knowledge in community health nursing, as these issues may not be only relevant to Indonesia. It is timely for governments, including in Indonesia, to evaluate health workforce needs in the community and appropriate educational qualifications for delivering optimal health services for older people.
在印度尼西亚等发展中国家和不发达国家,老龄化及老龄问题日益凸显且令人担忧。提高服务质量对于促进和维持老年人的健康至关重要,尤其是在农村地区。
探索印度尼西亚农村地区为老年人提供的项目和服务,以支持他们促进和维持健康。描述负责为老年人提供服务的卫生专业人员和团队的角色及做法。
采用行动研究法,通过混合方法收集数据(访谈和调查)。
结果表明,由于预算和设施问题,与老年健康项目相关的活动有限。社区中卫生工作人员针对老年人的做法侧重于干预任务,而非预防。
本研究的一个局限性是缺乏关于印度尼西亚社区环境中为老年人实施的项目和服务范围的可用信息。
印度尼西亚已实施了针对老年人的项目和服务。然而,这些尚未满足他们的需求,尤其是在农村地区。需要更加关注健康促进和疾病预防。
这些发现有助于发展社区卫生护理方面的国际知识,因为这些问题可能不仅与印度尼西亚相关。包括印度尼西亚在内的各国政府应及时评估社区卫生人力需求以及为老年人提供最佳卫生服务所需的适当教育资质。