GERONTIC NURSING CARE MANAGEMENT EXCELLENT SERVICE  ON NY. S WITH URINARY INCONTINENCE IN UPTD SOCIAL SERVICES  ELDERLY BINJAI PROVINCIAL SOCIAL SERVICE  NORTH SUMATRA IN 2025

Weny Sasmita Br Sipahutar; Herna Rinayani Manurung; Erika; Isyos Sari Sembiring; Febrianti Sihombing; Solida Ericca Yuliana Hutabarat; Abdul Mazid Bancin

Authors

Weny Sasmita Br Sipahutar Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Herna Rinayani Manurung Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Erika Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Isyos Sari Sembiring Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Febrianti Sihombing Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Solida Ericca Yuliana Hutabarat Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Abdul Mazid Bancin Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

geriatric nursing, urinary incontinence, Kegel exercises, elderly, excellent service

Abstract

ABSTRACT

The Decree of the Minister of National Development Planning Number Kep.136/M.PPN/HK/12/2021 is a strategic step in supporting the achievement of the Sustainable Development Goals (SDGs), particularly Goal 3 (health and well-being) and Goal 17 (partnerships to achieve the goals). One relevant area is geriatric nursing, particularly in the management of non-communicable diseases such as urinary incontinence in the elderly. This study aims to evaluate service-excellent geriatric nursing care management in the case of Mrs. S, an elderly resident of the UPTD for Elderly Social Services in Binjai, North Sumatra, who experienced urinary incontinence. The assessment method was carried out through interviews, observation, and documentation of nursing care. The results showed that Mrs. S had experienced urinary incontinence for the past two years, accompanied by sleep disturbances and decreased bladder control. The main interventions provided were health education and Kegel exercises twice daily. These exercises have been proven effective in improving urinary control and the physical and emotional comfort of the elderly. The intervention was implemented collaboratively between nurses, families, and institutions. This study emphasizes the importance of a multidisciplinary approach, psychological support, and integrated care that refers to the SDGs principles to improve the quality of life of the elderly in social institutions

References

Dinkes Provsu (2021) Profil Kesehatan Provinsi Sumatera Utara Tahun 2021.

Kemenkes (2024) RENCANA AKSI NASIONAL KESEHATAN LANJUT USIA TAHUN 2020 - 2024.

Kementerian PPN/Bappenas (2020) Pedoman Teknis Penyusunan Rencana Aksi Tujuan Pembangunan Berkelanjutan (TPB)/Sustainable Development Goals (SDGs). Jakarta.

Miller, C.A. (2019) Nursing Care of Older Adults Theory and Practice.

Rosmega Pakpahan, Z.B.D.S.Z.N. (2022) “The Effect of Health Belief Model on Prevention Chronic Desease DM in Elderly at Bangun Rejo Village Tanjung Morawa District in 2022 _ Science Midwifery.”

Sari, N. M., Ratnawati, R. (2020) “Pengaruh Latihan Kegel terhadap Frekuensi Inkontinensia Urine pada Lansia,” Jurnal Ilmiah Keperawatan, 6(1), pp. 15–22.

Simanjuntak, Sitanggang, R. (2020) “Faktor-Faktor yang Mempengaruhi Kejadian Inkontinensia Urine pada Lansia di UPTD Pelayanan Sosial Lanjut Usia Binjai,” Jurnal Keperawatan dan Fisioterapi (JKF), 3(1), pp. 45–52.

Sipahutar, W. S. B., et al (2025) “Manajemen Asuhan Keperawatan Gerontik yang Service Excellent pada Ny. S dengan Inkontinensia Urine di UPTD Pelayanan Sosial Lanjut Usia Binjai. Medan: STIKes Mitra Husada Medan.”

Siregar, N.P. (2022) “Characteristics of Urinary Incontinence Patients in the Elderly at the Karya Kasih Senior Resident Hospital in Medan in 2017,” STM (Science and Technology of Medicine), 5(1), pp. 55–59.

WHO (2015) World report on ageing and health. World Health Organization. (Menekankan pentingnya sistem kesehatan yang responsif terhadap kebutuhan fungsional lansia).

WHO (2017) Integrated care for older people: Guidelines on community-level interventions to manage declines in intrinsic capacity. World Health Organization.