Factors related to the Perception of Acupressure as Prevention of Anemia in the Elderly at the Nursing Home


  • Imrok Atus Sholihah Public Health Study Program, Faculty of Public Health and Health Sciences, Universitas Veteran Bangun Nusantara Sukoharjo
  • Titik Haryanti Public Health Study Program, Faculty of Public Health and Health Sciences, Universitas Veteran Bangun Nusantara Sukoharjo
  • Nur Ani Public Health Study Program, Faculty of Public Health and Health Sciences, Universitas Veteran Bangun Nusantara Sukoharjo




Background: Anemia or known by the public as anemia in the elderly often occurs unknowingly. The prevalence of anemia in Indonesia in the elderly is 42.3%. Acupressure utilizes stimulation on the body's acupuncture points, ears and scalp to affect the flow of the body's bioenergy called qi as one of traditional medicine. Perceptions of the use of traditional medicine are of three types: holding belief in conventional medicine, doubting conventional medicine, and holding belief in both traditional medicine and conventional medicine. The purpose of this study was to determine the factors associated with the perception of acupressure as a prevention of anemia in the elderly at nursing homes.
Subjects dan Method: This study was a cross-sectional study in January 2023. The sample used was 110 elderly people in nursing homes in the Surakarta area, selected using a purposive random sampling technique. The dependent variable of this research is the perception of acupressure as prevention of anemia. The independent variables in this study were education of the elderly, knowledge of acupressure, history of anemia, safety of acupressure and willingness to do acupressure. Data collected by questionnaire. Data analysis used multiple logistic regression with Stata 13.
Results: Factors related to positive perceptions of acupressure as prevention of anemia in the elderly were higher education in the elderly (OR= 12.77; 95% CI= 1.842 to 88.74; p=0.010), high knowledge about acupressure (OR= 13.05; 95% CI= 2.22 to 76.78; p=0.004), had a history of anemia (OR= 13.50; 95% CI= 2.15 to 84.59; p=0.005), safety of acupressure (OR= 32.85; 95% CI= 4.96 to 217.55; p<0.001), and willingness performed acupressure (OR= 11.03; 95% CI= 1.97 to 61.71; p=0.006).
Conclusion: Factors related to the perception of acupressure as prevention of anemia in the elderly are the elderly's higher education, high knowledge of acupressure, history of anemia, safety of acupressure, and willingness to do acupressure.

Keywords: perception of acupressure, prevention of anemia, the elderly.

Correspondence: Imrok Atus Sholihah. Public Health, Universitas Veteran Bangun Nusantara Sukoharjo. Jl. Letjend Sujono Humardani No. 1, Sukoharjo, Central Java, Indonesia. Email: imrokatussholihah6@gmail.com. Mobile: +6281225210252.


Ani L (2016). Buku Saku Anemia Defisiensi Besi. Jakarta: EGC.

Chen M, Yang L, Chen K, Hsu H (2019). Systematic Review and Meta-Analysis on Using Acupressure to Promote the Health of Older Adults. J Appl Gerontol. doi: 10.1177/0733464819870027.

Dang Z, Liu X, Wang X, Li M, Jiang Y, Wang X, Yang Z (2019). Comparative effectiveness and safety of traditional Chinese medicine supporting Qi and enriching blood for cancer related anemia in patients not receiving chemoradiotherapy: a meta-analysis and systematic review. Drug Des Devel. 13: 221–230. doi: 10.2147/DDDT.S181182.

Dermawan A, Setiawati S, Maryam R (2019). Self-Acupressure to Lower Blood Pressure on Older Adults with Hypertension. J Ris Kesehat. 8(2): 1–4. doi: 10.31983/jrk.v8i2.3879.

Endrikinikapoulos A, Candra A, Wijayanti H, Noer E (2020). Pengaruh suplementasi zat besi terhadap fungsi kognitif lansia. J Nutr Coll. 9: 134–146. doi: 10.14710/jnc.v9i2.27501.

Fan X, Meng F, Wang D, Guo Q, Ji Z, Yang L, Ogihara A (2018). Perceptions of traditional Chinese medicine for chronic disease care and prevention: A cross-sectional study of Chinese hospital-based health care professionals. BMC Complement Altern Med. 18(1): 1–10. doi: 10.1186/s12906-018-2273-y.

Greenblum G, DeLouize A, Kowal P, Snod-grass J (2022). Anemia and socioeconomic status among older adults in the Study on global AGEing and adult health (SAGE). J Public Health Emergency. 6: 28–28. doi: 10.21037/jphe-22-29.

Ha S, Jung H, Song S, Ko M, Park J, Yoo H, Park S (2020). Effect of Nokyongdaebotang on chronic anemia in Taeumin Wiwansuhan-pyohan disease (胃脘受寒表寒病) patient: a case report. J Korean Med. 41(4): 112–119. doi: 10.13048/jkm.20050.

Hawley S, Li Y, An L, Resnicow K, Janz N, Sabel M, Ward K, et al. (2018). Improving breast cancer surgical treatment decision making: The I Can Decide randomized clinical trial. J Clin Oncol. 36(7): 659–666. doi: 10.1200/JCO.2017.74.8442.

Hmwe N, Browne G, Mollart L, Allanson V, Chan S (2020). Older people’s perspectives on use of complementary and alternative medicine and acupressure: A qualitative study. Complement Ther Clin Pract. 39. doi: 10.1016/j.ctcp.2020.101163.

Katsumi A, Abe A, Tamura S, Matsushita T (2021). Anemia in older adults as a geriatric syndrome: A review. Geriatr Gerontol Int. 21(7): 549–554. doi: 10.1111/ggi.14183.

Kemenkes RI (2019). Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Le T, Felix M, Ratanawijitrasin S, Paek S (2022). Beliefs and Traditional Medicine Use Among Vietnamese Older Adults: The Case Study in Hoc Mon District. J Popul Soc Stud. 31: 381–402. doi: 10.25133/jpssv312023.022.

Meng F, Ji Z, Song F, Bai T, Fan X, Wang D (2020). Patients’ familiarity with, trust in and willingness to pay for traditional Chinese medicine in Chinese community health care centres. Eur J Integr Med. 101118. doi: 10.1016/j.eujim.2020.101118.

Morowatisharifabad M, Salehi-Abargouei A, Mirzaei M, Rahimdel T (2019). Behavioral beliefs of reducing salt intake from the perspective of people at risk of hypertension: An exploratory study. ARYA Atheroscler. 15(2): 59–66. doi: 10.22122/arya.v15i2.1900.

Notoatmodjo S (2014). Health Promotion and Behavioral Sciences. Jakarta: Rineka Cipta.

Nurhidayati I, Aniswari A, Sulistyowati A, Sutaryono S (2018). Penderita Hipertensi Dewasa lebih Patuh daripada Lansia dalam Minum Obat Penurun Tekanan Darah (Adult Hypertension Sufferers are more Compliant than the Elderly in Taking Blood Pressure Lower-ing Medications). J Kesehatan Masyarakat, 13(2).

Resano-Zuazu M (2020). Acupuncture for Anaemia and Large Intestine Impaction Associated with Hind Limb Weakness in a Horse: A Case Report. J Acupunct Meridian Stud. 13: 187–190. doi: 10.1016/j.jams.2020.11.002.

Rosyidah D, Anam Z, Maulana I (2021). Health Examination, Detection of Ane-mia, and Treatment of Elderly Posyandu Participants in Gondangrejo District, Karanganyar Regency. JPM Medika. 1(2): 41–48. doi: 10.23917/jpmmedika.v1i2.363.

Setyowati H (2018). Acupressure for Women-Based Health. Jakarta: Unimma Press.

Shorofi S, Bagheri-Nesami M, Shafipour V (2019). Knowledge and Attitudes of Hypertensive Patients on the Use of Traditional and Complementary Medicine. J Mazandaran Univ Med Sci. 29(171): 58–66.

Stahl-Gugger A, Godoi Rezende Costa Molino C, Wieczorek M, Chocano-Bedoya P, Abderhalden L, Schaer D, Spahn D, Orav E, et al. (2022). Prevalence and incidence of iron deficiency in European community-dwelling older adults: an observational analysis of the DO-HEALTH trial. Aging Clin Exp Res. 34(9): 2205–2215. doi: 10.1007/s40520-022-02093-0.

Suherlim D, Lubis L, Permana H (2018). Correlation of hemoglobin levels with oxygen saturation in professors at Padjadjaran University. Bali Anat J. 1(2): 26–29.

Tamalonggehe Y, Deeng D, Mamosey W (2021). Acupressure Traditional Medicine in the Modern Era in the Abepura Community, Jayapura City, Papua. J Holistik. 14(4): 1–17.

Utami T, Nanda M (2019). The Effect of Disaster and Occupational Safety Training on Perceptual Responses of Public Health Study Program Students. J JUMANTIK. 4(1).

WHO (2015). The global prevalence of anaemia in 2011. Geneva: World Health Organization.

Xin B, Mu S, Tan T, Yeung A, Gu D, Feng, Q (2020). Belief in and use of traditional chinese medicine in shanghai older adults: A cross-sectional study. BMC Complement Altern Med. 20(1): 1–10. doi: 10.1186/s12906-020-02910-x.




How to Cite

Sholihah, I. A., Haryanti, T., & Ani, N. (2023). Factors related to the Perception of Acupressure as Prevention of Anemia in the Elderly at the Nursing Home. Journal of Epidemiology and Public Health, 8(2), 265–274. https://doi.org/10.26911/jepublichealth.2023.08.02.11