Non-Communicable Disease Early Detection Among Older Adults in Gorontalo: Baseline Findings for a Family-Centered Nursing Digital System
https://doi.org/10.33860/jik.v20i1.4309
Keywords:
Non-Communicable Diseases, Elderly, Family Centered Nursing, Early Detection, Digital TechnologyAbstract
Background: Non-Communicable Diseases are a major health concern among the elderly, especially in developing regions such as Gorontalo, Indonesia. Early detection and continuous monitoring are often limited due to low health literacy, inadequate family involvement, and limited access to healthcare services. To address these challenges, the development of a Family Centered Nursing based digital system is proposed as an innovative approach to empower families in managing elderly health. This system aims to integrate digital health monitoring, family education, and early warning features to support preventive care and reduce complications among the elderly.
Methods: A descriptive quantitative design was used, involving 125 elderly respondents and their families selected through purposive sampling. Data were collected using a structured questionnaire on non-communicable disease status and components of Family Centered Care, then analyzed using descriptive statistics.
Results: The study findings indicate a high proportion of participants who screened positive for NCD indicators based on the early-detection checklist, with 114 of 125 (91.2%) classified as NCD-positive. Regarding Family-Centered Nursing (FCN), most families demonstrated low involvement, with 101 (80.8%) categorized as low and 24 (19.2%) categorized as high. These results suggest that family participation in older adults’ health monitoring and early detection remains limited, highlighting the need to strengthen family engagement and awareness to support preventive health behaviors and improve well-being and quality of life.
Conclusion: This study highlights the importance of developing family-based digital systems to improve family involvement, health literacy, and disease prevention among older adults. The integration of digital tools such as health apps for early detection of NCDs can strengthen the role of families in supporting early detection, prevention, and management of noncommunicable diseases in older adults. By empowering families through accessible technology and tailored health information, this system can encourage continuous monitoring, timely intervention, and adherence to preventive practices.
References
Anggraini, K., & Setyaningrum, D. A. W. (2023). Deteksi Dini Faktor Risko Penyakit Tidak Menular (PTM) pada Lansia Duri Pulo Jakarta Pusat. Inovasi Jurnal Pengabdian Masyarakat, 1(2), 57–62. https://doi.org/10.54082/ijpm.119
Anisa, R., & Juliannisa, I. A. (2022). Pengaruh Faktor Sosial Ekonomi Terhadap Partisipasi Dalam Program Keluarga Berencana Di Kota Bekasi. Ikraith-Ekonomika, 5(3), 168–179. https://doi.org/10.37817/ikraith-ekonomika.v5i3.2452
Arifin, H., Chou, K. R., Ibrahim, K., Fitri, S. U. R., Pradipta, R. O., Rias, Y. A., Sitorus, N., Wiratama, B. S., Setiawan, A., Setyowati, S., Kuswanto, H., Mediarti, D., Rosnani, R., Sulistini, R., & Pahria, T. (2022). Analysis of Modifiable, Non-Modifiable, and Physiological Risk Factors of Non-Communicable Diseases in Indonesia: Evidence from the 2018 Indonesian Basic Health Research. Journal of Multidisciplinary Healthcare, 15(September), 2203–2221. https://doi.org/10.2147/JMDH.S382191
Ben Olina, Y., Ernawati, Aisah, S., Setyawati, D., Shofyan Baidhowy, A., Nurkharistna Al Jihad, M., & Arifianto, N. (2024). Meningkatkan kesadaran hidup sehat melalui skrining deteksi dini penyakit tidak menular di lingkungan Universitas Muhammadiyah Semarang. SALUTA: Jurnal Pengabdian Kepada Masyarakat, 4(1),26-32. https://doi.org/10.26714/sjpkm.v4i1.16404
Chairil, & Rambe, I. W. U. (2022). Tingkat Kepuasan Lansia Tentang Pelayanan Kesehatan di Panti Khusnul Khotimah Pekanbaru. Photon: Jurnal Sain Dan Kesehatan, 12(2), 76– 84. https://doi.org/10.37859/jp.v12i2.3446
Coughlin, S. S., Vernon, M., Hatzigeorgiou, C., & George, V. (2020). Health Literacy, Social Determinants of Health, and Disease Prevention and Control. Journal of Environment and Health Sciences, 6(1). https://pmc.ncbi.nlm.nih.gov/articles/PMC7889072/
Ento, M. N. H., Djamaluddin, N., Antu, M. S., & Dumar, B. (2025). Hubungan Tingkat Kecemasan Dengan Tekanan Darah Pada Penderita Hipertensi Di Puskesmas Kabila The Relationship Between Anxiety Levels and Blood Pressure in Hypertension Patients at the Kabila Community Health Center. 8(8), 5239–5249. https://doi.org/10.56338/jks.v8i8.8452
Lusi, B., Musa, D. T., Apriyani, E., Reza, L., & Vera, J. (2024). Efektivitas Program Posyandu Lansia dalam Meningkatkan Kesejahteraan Lansia di Desa Pak Laheng Kecamatan Toho. Jurnal Intervensi Sosial Dan Pembangunan (JISP), 5(2), 162–178. https://doi.org/10.30596/jisp.v5i2.19519
Mendis, S., Graham, I., Hammerich, A., Mikkelsen, B., Kavousi, M., Pathirana, R., Zheleznyakov, E., & Narula, J. (2024). Promoting Global Cardiovascular Health to Advance the Sustainable Development Agenda. JACC: Advances, 3(12, Part 2), 101388. https://doi.org/10.1016/j.jacadv.2024.101388
Mohi, N. Y., Irwan, I., & Ahmad, Z. F. (2023). Faktor - Faktor Yang Berhubungan Dengan Kejadian Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Wonggarasi I. Journal Health & Science : Gorontalo Journal Health and Science Community, 8(1), 1–13. https://doi.org/10.35971/gojhes.v8i1.21060
Morimoto, A., Koh, C., Yasumoto, R., Furuki, H., Watanabe, K., Tsuzuki, C., & Sonoda, N. (2022). Relationship between communicative and critical health literacy, health information sources, and participation in health checkups among middle-aged Japanese community residents. Preventive Medicine, 161, 107112. https://doi.org/10.1016/j.ypmed.2022.107112
Mullins, S., Hosseini, F., Gibson, W., & Thake, M. (2022). Physiological changes from ageing regarding pain perception and its impact on pain management for older adults. Clinical Medicine (London, England), 22(4), 307–310. https://doi.org/10.7861/clinmed.22.4.phys
Nurwati, R. N., & Listari, Z. P. (2021). Pengaruh Status Sosial Ekonomi Keluarga Terhadap Pemenuhan Kebutuhan Pendidikan Anak. Share : Social Work Journal, 11(1), 74. https://doi.org/10.24198/share.v11i1.33642
Preston, J., & Biddell, B. (2021). The physiology of ageing and how these changes affect older people. Medicine, 49(1), 1–5. https://doi.org/10.1016/j.mpmed.2020.10.011
Rohalia, A, & Sukmana, H. (2024). Efektivitas Program Posyandu Cempaka Dalam Penurunan Stunting di Desa Tambak Kalisogo. Journal Publicuho, 7(3), 1427–1442. https://doi.org/10.21070/ups.4112
Seniwati, T., Wanda, D., & Nurhaeni, N. (2023). Effects of Patient and Family-Centered Care on Quality of Care in Pediatric Patients: A Systematic Review. Nurse Media Journal of Nursing, 13(1), 68–84. https://doi.org/10.14710/nmjn.v13i1.48114
Shahid, R., Shoker, M., Chu, L. M., Frehlick, R., Ward, H., & Pahwa, P. (2022). Impact of low health literacy on patients’ health outcomes: a multicenter cohort study. BMC Health Services Research, 22(1), 1148. https://doi.org/10.1186/s12913-022-08527-9
Sharma, M., Akhter, M. S., Roy, S., & Srejon, R. (2025). Future Issues in Global Health: Challenges and Conundrums. International Journal of Environmental Research and Public Health, 22(3), 1–19. https://doi.org/10.3390/ijerph22030325
Siahaan, J. M., Manurung, K., & Turisna, Y. O. (2023). Hubungan Karakteristik Lanjut Usia Dengan Activity of Daily Living Di Desa Silantomjulu. Jurnal Online Keperawatan Indonesia, 6(1), 53–65. https://doi.org/10.51544/keperawatan.v6i1.4314.
Yusuf, A., Purba, J. M., Putri, D. E., Aditya, R. S., Alruwaili, A. S., & AlRazeeni, D. M. (2024). Family-Centered Care Experiences in Elderly with Chronic Diseases in Communities: Qualitative Study of Patients, Families, Nurses, and Volunteers. Health Equity, 8(1), 338–350. https://doi.org/10.1089/heq.2024.0009
Yuyun Rahayu Fitri, S., Ulfah Rifa, S., Fitri, atul, & Nurhamsyah. (2025). Pendidikan Kesehatan tentang Pencegahan Penyakit Tidak Menular pada Lansia. Media Karya Kesehatan, 8(1), 136–147. https://jurnal.unpad.ac.id/mkk/article/download/59663/25484.
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