Pengaruh Pengetahuan, Sikap, Dukungan Keluarga Dan Kader Terhadap Pemanfaatan Posyandu Lanjut Usia Di Wilayah Kerja Puskesmas Bandar Dolok Kecamatan Pagar Merbau Kabupaten Deli Serdang

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ABSTRAK

Persentase lansia yang melakukan kunjungan ke posyandu lansia. di wilayah
kerja Puskesmas Bandar Dolok Kecamatan Merbau hanya mencapai 44,0% pada
2011. Rendahnya persentase kunjungan lansia kemungkinan karena pengetahuan
lansia yang rendah tentang manfaat posyandu, jarak rumah dengan posyandu yang
jauh dan sulit dijangkau, dukungan keluarga, dan sikap kader posyandu yang kurang
baik, atau kurangnya dukungan kepala desa.
Tujuan penelitian ini untuk untuk menganalisis pengaruh pengetahuan, sikap,
dukungan keluarga, dukungan kader, dukungan kepala desa, dan jarak terhadap
pemanfaatan posyandu lanjut usia di wilayah kerja Puskesmas Bandar Dolok
Kecamatan Pagar Merbau Kabupaten Deli Serdang. Jenis penelitian analitik
observasional dengan rancangan penelitian cross sectional. Populasi penelitian ini
adalah seluruh lansia yang tinggal di wilayah kerja Puskesmas Bandar Dolok
Kecamatan Pagar Merbau, yaitu sebanyak 5.082 orang, dan dijadikan sampel
sebanyak 371 orang. Data pengetahuan lansia, sikap lansia, dukungan keluarga,
dukungan kader, dukungan kepala desa, jarak ke posyandu lansia, dan pemanfaatan
posyandu lansia dikumpulkan melalui wawancara langsung dengan menggunakan
kuesioner. Data yang sudah dikumpulkan dianalisis dengan uji regresi logistik.

Hasil penelitian menunjukkan bahwa pengetahuan, sikap, dukungan keluarga,
dukungan kader, dan jarak berpengaruh secara signifikan terhadap pemanfaatan
posyandu lansia. Artinya bahwa lansia yang memanfaatkan pelayanan posyandu yaitu
lansia yang memiliki pengetahuan dan sikap yang baik tentang posyandu lansia,
dukungan keluarga dan dukungan kader yang baik untuk mengikuti kegiatan
posyandu lansia, dan memiliki akses yang terjangkau ke posyandu lansia. Sementara
variabel dukungan kepala desa tidak berpengaruh secara signifikan terhadap
pemanfaatan posyandu lansia.
Untuk meningkatkan pemanfaatan posyandu lansia, maka disarankan bagi
Dinas Kesehatan agar memberikan insentif bagi kader yang aktif dalam melakukan
kegiatan posyandu lansia supaya tetap menjaga kesinambungan kegiatan posyandu
lansia. Selain itu, keluarga diharapkan lebih meningkatkan kepedulian atau perhatian
yang diberikan kepada lansia dengan ikut serta menemani lansia ke posyandu lansia

Kata Kunci: Pengetahuan, Sikap, Dukungan Keluarga, Kader, Kepala Desa,
Jarak, Posyandu Lanjut Usia

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ABSTRACT

The percentage of old people who visited posyandu (integrated service post)
for old people in the working area of Bandar Dolok Puskesmas (public health
center), Pagar Merbau Subdistrict, was only 44.0% in 2011. The low percentage of
the old people’s visit probably due by their lack of knowledge in the advantages of
posyandu, by the long distance between their houses and posyandu so that it was
difficult for them to reach it, by the lack of family support, and by the bad attitude of
posyandu’s cadres.
The aim of the research was to analyze the influences of knowledge, attitude,
family support, cadres’ support, village head’s support, and distance on the use of
posyandu for old people in the working area of Bandar Dolok Puskesmas, Pagar
Merbau Subdistrict, Deli Serdang District. The type of the research was analytic
observational with cross sectional design. The population was 5,082 old people who
lived in the working area of Bandar Dolok Puskesmas, Pagar Merbau Subdistrict,
and 371 of them were used as the samples. The data of the old people’s knowledge,
their attitude, family support, cadres’ support, village head’s support, the distance of
poyandu from their houses, and the advantages of posyandu for old people were
gathered through in depth interviews by using questionnaires and analyzed by using
logistic regression test.
The result of the research showed that the variables of distance, knowledge,

attitude, family support, and cadres’ support had significant influence on the use of
posyandu for old people. This means that old people who utilize posyandu for old
people who have a good knowledge and attitudes about the old people neighborhood
health center, family support and cadres’ support to follow the activities of posyandu
for old people, and have affordable access to posyandu old people. While the
variable of village head’s support did not have any significant influence on the use of
posyandu for old people.
In order to increase the use of posyandu for old people, it is recommended
that health workers at the health department should provide incentives for volunteers
who are active in neighborhood health center activities that seniors maintain
continuity of activities posyandu for old people. In addition, families are expected to
further increase awareness or attention given to the elderly by participating
accompany the old people to posyandu for old people
.
Keywords: Knowledge, Attitude, Family Support, Cadres, Village Head, Distance,
Posyandu for Old People