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Ruby Valentine
Hubungan antara waktu tempuh uji jalan 400 meter dengan kemandirian fungsional pada usia lanjut = The correlation between timed to finish 400 meter walk test and functional independence level in elderly
"Tujuan : Mengetahui rerata waktu tempuh uji jalan 400 meter pada usia lanjut, mengetahui tingkat kemandirian fungsional berdasarkan instrumen FIM (Functional Independence Measure) pada usia lanjut, dan mengetahui hubungan antara waktu tempuh uji jalan 400 meter dengan tingkat kemandirian fungsional pada usia lanjut.
Metode: Disain penelitian ini adalah potong lintang. Populasi terjangkau adalah usia lanjut di Panti Sosial Tresna Werdha DKI Jakarta yang memenuhi kriteria dan mau berpartisipasi dalam penelitian selama kurun waktu April s.d. Agustus 2012. Sampel didapatkan berdasarkan cluster random sampling dari 5 panti di DKI Jakarta, yang memenuhi kriteria penerimaan dan pengeluaran. Utuk menilai kemampuan mobilitas digunakan waktu tempuh uji jalan 400 meter, sedangkan tingkat kemandirian dinilai menggunakan instrumen FIM.
Hasil : 58 subyek penelitian usia 60 tahun ke atas dianalisa pada penelitian ini. Nilai waktu tempuh uji jalan 400 meter pada usia lanjut di PSTW adalah median 413 detik (6:53 menit) dengan minimum 281 detik (4:41 menit) dan maksimum 901 detik (15:01 menit). Tingkat kemandirian fungsional berdasarkan instrumen FIM pada usia lanjut adalah sebesar rerata 120 ± 5, dengan 13,8% subyek mempunyai tingkat mandiri penuh. Terdapat hubungan kuat antara waktu tempuh uji jalan 400 meter dengan tingkat kemandirian fungsional (r = - 0,941, Spearman p < 0,001), dengan nilai 7 menit sebagai batas waktu yang membedakan kemampuan kemandirian secara signifikan.
Kesimpulan : Terdapat hubungan yang kuat antara waktu tempuh uji jalan 400 meter dengan kemandirian fungsional pada usia lanjut. Kemampuan kemandirian terendah yang harus diperhatikan pada usia lanjut adalah pada domain locomotion (stairs, walk), transfer (toilet dan shower), dan social cognition (problem solving dan social interaction). Waktu tempuh cukup baik untuk memprediksi kemampuan kemandirian usia lanjut di aspek locomotion, transfer dan selfcare (dressing lower body, bathing, dan toileting), tapi tidak akurat untuk memprediksi sphingter control dan kognitif. Batas waktu tempuh uji jalan 400 meter sebesar 7 menit, dapat menjadi cut-off point yang membedakan kemampuan kemandirian pada usia lanjut.
The aim: To know the avarage of timed to finish 400 meter walk test in elderly, to know the functional independency level in elderly, and to know the correlation between timed to finish 400 meter walk test and functional independency in elderly.
Methods: The design of the study was cross sectional. The population was the elderly at Panti Sosial Tresna Werdha (PSTW) DKI Jakarta who fit the criteria and want to partcipate in April-August 2012. Sampling method was cluster random sampling from 5 PSTW in DKI Jakarta. The mobility capacity was assessed by measure the timed to finish 400 meter walk test, and to asses the functional independence was used the Functional Independence Measure (FIM) instrument.
Results: 58 subjects aged 60 years old and above were analyzed in this study. The median value of 400 meter walk test timed was 413 seconds (6:53 minutes) with minimum 281 seconds (4:41 minutes) and maximum 901 seconds (15:01minutes). The mean of functional independence level according to FIM tools was 120 ± 5, with 13,8% subjects were complete independence. There were strong correlation between timed to finish 400 meter walk test and functional independency in elderly (r = - 0,941, Spearman p < 0,001), with the boundary seven minute as the cut-off point that differentiate independence level significantly.
Conclusions: There was strong correlation between timed to finish 400 meter walk test and functional independency in elderly.The lowest functional independence level in elderly that must be concerned of were on locomotion (stairs, walk), transfer (toilet and shower), and social cognition (problem solvingand social interaction) domain. Timed to walk 400 meter was good enough to predict functional indenpendence in elderly, at locomotion, transfer, and selfcare (dressing lower body, bathing, and toileting) domain, but can’t predict sphincter control and cognitif level accurately. Seven minutes is a cut-off point time to differentiate independence level among elderly."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Deviera Minelly Noor
Pengaruh latihan keseimbangan terhadap mobilitas fungsional dan rasa takut jatuh pada usia lanjut = Effect of balance exercise on functional mobility and fear of falling in the elderly / Deviera Minelly Noor
"ABSTRAK
Latar Belakang: Gangguan keseimbangan dan mobilitas merupakan penyebab terbesar disabilitas pada usia lanjut 60 tahun atau lebih. Keseimbangan dan mobilitas merupakan faktor penting dalam melakukan aktivitas fungsional. Masalah paling serius dari gangguan mobilitas adalah kecenderungan usia lanjut untuk jatuh dan menjadi cedera akibat jatuh. Faktor lainnya yang mempengaruhi jatuh adalah rasa takut jatuh. Latihan keseimbangan dapat menurunkan insiden jatuh pada usia lanjut, namun usia lanjut yang berisiko jatuh sering menolak untuk mengikuti program latihan di rumah sakit. Program latihan di rumah memungkinkan individu untuk latihan secara mandiri, dengan biaya yang murah, dan sesuai untuk usia lanjut dengan keterbatasan akses ke fasilitas latihan. Penelitian ini bertujuan untuk mengetahui pengaruh latihan keseimbangan yang dilakukan di rumah selama 8 minggu terhadap mobilitas fungsional dan rasa takut jatuh pada usia lanjut.
Metode: Disain penelitian ini adalah Randomized Controlled Trial. Populasi terjangkau adalah usia lanjut ≥ 60 tahun yang ada di Poliklinik Geriatri Terpadu dan Poliklinik Rehabilitasi Medik rumah sakit Cipto Mangunkusumo Jakarta yang memenuhi kriteria penelitian. Pengambilan sampel dilakukan secara consecutive sampling, dan dibagi menjadi dua kelompok secara randomisasi permutasi blok. Kelompok keseimbangan diberi latihan keseimbangan dan kelompok kontrol diberi latihan penguatan ekstremitas atas selama 8 minggu. Untuk menilai mobilitas fungsional digunakan uji Time Up and Go (TUG), sedangkan rasa takut jatuh dinilai dengan instrumen Falls Efficacy Scale – International (FES-I).
Hasil: 94 responden mengikuti program latihan sampai selesai, kelompok keseimbangan (46 orang) dengan rerata umur 69,7 ± 6,03 tahun, dan kelompok kontrol (48 orang) dengan rerata umur 70,35 ± 6,95 tahun. Nilai uji TUG kelompok keseimbangan pada minggu ke-1 adalah 10,11 (7,41-16,52) detik dan menurun menjadi 9,24 (7,11-17,00) detik setelah 8 minggu latihan, (p < 0,001), dibandingkan dengan kelompok kontrol terdapat penurunan yang signifikan pada uji TUG minggu ke-1 dan minggu ke-8, p = 0,001. Nilai FES-I minggu ke-1 adalah 23,0 (16-38), dan setelah 8 minggu latihan terdapat penurunan menjadi 18,5 (16-35), p < 0,001, namun dibandingkan dengan kelompok kontrol tidak menunjukkan perbedaan yang signifikan, p = 0,166 Kesimpulan: Terdapat peningkatan mobilitas fungsional yang bermakna secara statistik berdasarkan uji TUG pada kelompok keseimbangan dibandingkan dengan kelompok kontrol, setelah 8 minggu latihan. Dan terdapat penurunan rasa takut jatuh yang diukur menggunakan nilai FES-I pada kelompok keseimbangan setelah 8 minggu latihan, namun dibandingkan dengan kelompok kontrol tidak ada perbedaan bermakna.
ABSTRACT
Background: Impaired balance and mobility are the biggest cause of disability in the elderly 60 years or more. Balance and mobility is an important factor in performing functional activities. The most serious problem is the tendency of the mobility-impaired elderly to fall and be injured by falling. Another factor affecting the fall is fear of falling. Balance training can reduce the incidence of falls in the elderly, however, older adults who are at risk usually refuse to participate in hospital-based exercise programs. Home-based exercises may allow individuals to practice independently, with low cost, and may be appropriate for the elderly with limited access to exercise facilities. The aim of this study is to determine the effect of balance exercises done at home for 8 weeks on functional mobility and the fear of falling in the elderly.
Methods: The design of the study was randomized controlled trial. The population was the elderly ≥ 60 years old at Integrated Geriatric Polyclinic and Physical Medicine and Rehabilitation Polyclinic in Cipto Mangunkusumo Hospital Jakarta who fit the criteria. Sampling was done by consecutive sampling, and were divided into two groups by randomized block permutation. The balance group was given balance exercises and the control group was given upper extremity strengthening exercises for 8 weeks. Functional mobility was assessed by Time Up and Go test (TUG), and to assess fear of falling was used the Falls Efficacy Scale - International (FES-I) instrument.
Results: 94 respondents were completed the exercise program, the balance group (46 people) mean age 69.7 ± 6.03 years old, and the control group (48 people) mean age 70.35 ± 6.95 years old. TUG test in balance group was 10.11 (7.41-16.52) seconds at week-1 and improved to 9.24 (7.11-17.00) seconds after 8 weeks training, (p < 0.001). Compared to the control, the balance group had significantly improvement between TUG test week-1 and week-8, p = 0.001. FES-I test in balance group was 23.0 (16-38) at week-1 and after 8 weeks there is a decline to 18.5 (16-35), p < 0.001, but compared to the control group showed no significant difference, p = 0.166 .
Conclusion: There is statistically significant increasing of functional mobility based on the TUG test in the balance group compared to the control group, after 8 weeks of training program, and there is a statistically significant reduction in fear of falling were measured using FES-I instrument in the balance group after 8 weeks of training program, but compared to the control group there is no significant difference."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Tarigan, Silvia Pagitta
Korelasi asupan magnesium dan kadar magnesium eritrosit dengan mobilitas fungsional pada lanjut usia = Correlation of magnesium intake and erythrocyte magnesium level with functional mobility in elderly / Silvia Pagitta Tarigan
"ABSTRAK
Magnesium merupakan salah satu komponen mikronutrien dan dilaporkan
mempunyai peran dalam proses metabolisme dan kekuatan otot namun belum
mendapat cukup perhatian yang luas sehingga jarang dilakukan pemeriksaan rutin. Penelitian ini merupakan penelitian potong lintang yang bertujuan untuk
mengetahui korelasi asupan magnesium dan kadar magnesium eritrosit dengan
mobilitas fungsional. Penelitian ini dilakukan di 3 panti jompo di Jakarta Timur
pada bulan April-Mei 2016. Pengumpulan subjek dilakukan dengan metode
consecutive sampling dan didapatkan 52 lanjut usia. Sebagian besar berjenis
kelamin perempuan dengan rerata usia 74,5 ± 8,6 tahun dan terbanyak pada
kelompok usia 70-79 tahun. Rerata asupan magnesium subjek adalah 188 mg/ hari dan sebagian besar (84,6%) memiliki asupan magnesium yang rendah. Rerata kadar magnesium eritrosit adalah 3,69 ± 0,63 mEq/ L dan didapatkan 96,2 % memiliki kadar magnesium eritrosit yang rendah. Median nilai tes Timed Up and Go adalah 11,5 detik. Pada penelitian ini terdapat korelasi bermakna dengan arah negatif antara asupan magnesium dengan mobilitas fungsional yang ditunjukkan dengan tes Timed Up and Go (p = 0,031, r = -0,3) sedangkan kadar magnesium eritrosit dengan mobilitas fungsional yang ditunjukkan dengan tes Timed Up and Go tidak didapatkan korelasi bermakna (p = 0,113, r = 0,223).
ABSTRACT
Magnesium is one component of micronutrients and is reported to have a role in the metabolism proccess and muscle strength, but this still didn?t get much
attention, so that a routine examination is rarely done.This cross-sectional study aimed to evaluate the correlation of magnesium intake and erythrocyte
magnesium levels with functional mobility. This study was done in 3 nursing
home in East Jakarta, from April to May 2016. Data were collected from 52
subjects with methods consecutive samping. The subjects of this study are women with mean age of 74,5 ± 8,6 years old and mostly in 70-79 years old group age. The mean magnesium intake are 188 mg/day, with 84,6 % of the subjects with a low magnesium intake, at the same time, the mean erytrocyte magnesium levels was 3,69 ± 0,63 mEq/ L and 96,2 % of the subjects experienced magnesium deficiency. The median score for TUG test is 11,5 seconds. There was a significant negative correlation between magnesium intake and functional mobility shown by Timed Up and Go test in elderly (p = 0,031, r = -0,3) and erythrocyte magnesium levels did not correlated significantly with functional mobility shown by Timed Up and Go test in elderly (p = 0,113, r = 0,223)."
2016
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Albertus Rivelino Bouw
Hubungan komponen European Quality of Life-5 Dimensions (EQ-5D) dalam penilaian kualitas hidup pada pasien rawat inap akut usia lanjut di RSUPNCM = Component relations European Quality of Life-5 Dimensions (EQ-5D) in the quality of life assessment on inpatient acute elderly in RSUPNCM
"[Tujuan : Mengetahui komponen manakah dari EQ-5D yang paling berhubungan
terhadap kualitas hidup pasien rawat inap usia lanjut, menilai hubungan
komponen EQ-5D terhadap kualitas hidup pasien rawat inap usia lanjut di
RSUPNCM serta menilai hubungan antara usia lanjut yang bekerja maupun tidak
bekerja terhadap penyakit seperti penyakit infeksi, kardiovaskular maupun
penyakit lainnya.
ABSTRAK
Metode : Desain observasional potong lintang deskriptif. Penelitian dilakukan pada 150 responden yang didapat secara konsekutif, berusia ≥ 60 tahun dan memenuhi kriteria penelitian. Penilaian kualitas hidup dengan kuesioner European Quality of Life-5 Dimensions (EQ-5D), pemeriksaan fungsi kognitif menggunakan formulir Mini Mental State Examination (MMSE), penilaian aktivitas kehidupan sehari-hari dengan Barthel Index, pemeriksaan depresi menggunakan formulir Geriatric Depression Scale (GDS), serta penilaian kondisi kesehatan responden hari itu dengan menunjukkannya pada Visual Analog Scale (VAS).
Hasil : Penilaian kualitas hidup menggunakan EQ-5D menunjukkan bahwa sebagian besar responden tidak ada masalah atau nilai 1, kecuali pada komponen rasa kesakitan / tidak nyaman sebagian besar responden yaitu sebanyak 97 responden (64.7%) memperlihatkan beberapa masalah atau nilai 2. Semua responden memiliki nilai MMSE yang normal dengan nilai tengah 27 dimana nilai minimumnya 25 dan maksimum 30. Pada penilaian Barthel Index didapatkan nilai tengah 17 dengan nilai minimum 5 dan maksimum 20 serta modus 19 (32%).
Pada pemeriksaan menggunakan GDS didapatkan nilai tengah 3 dengan nilai minimum 0 dan maksimum 9 serta modus 2 (37,3%). Penilaian kualitas hidup menggunakan EQ VAS didapatkan nilai tengah 70 dengan nilai minimum 50 dan maksimum 100 serta modus 70 (30,7%). Nilai tengah usia 68 tahun (berkisar 60-88 tahun).
Kesimpulan : Komponen EQ-5D yang paling berhubungan terhadap kualitas hidup pasien rawat inap usia lanjut di RSUPNCM adalah komponen rasa kesakitan / tidak nyaman. Terdapat hubungan yang bermakna dengan korelasi negatif antara semua komponen EQ-5D terhadap kualitas hidup pasien rawat inap usia lanjut di RSUPNCM. Terdapat hubungan yang bermakna antara usia lanjut yang bekerja maupun tidak bekerja terhadap penyakit seperti penyakit infeksi, kardiovaskular maupun penyakit lainnya.
ABSTRACT
Objective : To determine which of the components of the EQ-5D are most related to the quality of life of elderly hospitalized patients, assessing the EQ-5D relations component of the quality of life of elderly inpatients in RSUPNCM and to assess the relationship between the elderly who work or do not work against the disease such as infectious diseases, cardiovascular and other diseases.
Methods : A cross-sectional descriptive observational design. The study was conducted on 150 respondents who obtained consecutively, aged ≥ 60 years and met the study criteria. Assessment of quality of life questionnaires European Quality of Life-5 Dimensions (EQ-5D), examination of cognitive function using the Mini Mental State Examination form (MMSE), assessment of activities of daily life with the Barthel Index, the examination form of depression using the Geriatric Depression Scale (GDS), as well as evaluating the health condition of
respondents day by showing it to the Visual Analogue Scale (VAS).
Results : Assessment of quality of life using the EQ-5D shows that most
respondents do not have a problem or a value of 1, except for the components of a sense of pain / discomfort most respondents as many as 97 respondents (64.7%) showed some problem or the value 2. All respondents had a MMSE score normal with mean 27 where in the minimum value of 25 and a maximum of 30. In the Barthel Index assessment middle values 17 obtained with a minimum of 5 and a
maximum value of 20 as well as the mode of 19 (32%). On examination using GDS obtained mean of 3 with a minimum value of 0 and a maximum of 9 and mode 2 (37.3%). Assessment of quality of life using the EQ VAS score is the middle values 70 with a minimum of 50 and a maximum value of 100 as well as the mode of 70 (30.7%). The median age of 68 years (range 60-88 years).
Conclusion : EQ-5D component that is most related to the quality of life of elderly inpatients in RSUPNCM is a flavor component of pain / discomfort. There is a significant relationship with the negative correlation between all the components of the EQ-5D of the quality of life of elderly inpatients in RSUPNCM. There is a significant association between advanced age who work or do not work against diseases such as infectious diseases, cardiovascular and other diseases.;Objective : To determine which of the components of the EQ-5D are most related
to the quality of life of elderly hospitalized patients, assessing the EQ-5D relations
component of the quality of life of elderly inpatients in RSUPNCM and to assess
the relationship between the elderly who work or do not work against the disease
such as infectious diseases, cardiovascular and other diseases.
Methods : A cross-sectional descriptive observational design. The study was
conducted on 150 respondents who obtained consecutively, aged ≥ 60 years and
met the study criteria. Assessment of quality of life questionnaires European
Quality of Life-5 Dimensions (EQ-5D), examination of cognitive function using
the Mini Mental State Examination form (MMSE), assessment of activities of
daily life with the Barthel Index, the examination form of depression using the
Geriatric Depression Scale (GDS), as well as evaluating the health condition of
respondents day by showing it to the Visual Analogue Scale (VAS).
Results : Assessment of quality of life using the EQ-5D shows that most
respondents do not have a problem or a value of 1, except for the components of a
sense of pain / discomfort most respondents as many as 97 respondents (64.7%)
showed some problem or the value 2. All respondents had a MMSE score normal
with mean 27 where in the minimum value of 25 and a maximum of 30. In the
Barthel Index assessment middle values 17 obtained with a minimum of 5 and a
maximum value of 20 as well as the mode of 19 (32%). On examination using
GDS obtained mean of 3 with a minimum value of 0 and a maximum of 9 and
mode 2 (37.3%). Assessment of quality of life using the EQ VAS score is the
middle values 70 with a minimum of 50 and a maximum value of 100 as well as
the mode of 70 (30.7%). The median age of 68 years (range 60-88 years).
Conclusion : EQ-5D component that is most related to the quality of life of elderly
inpatients in RSUPNCM is a flavor component of pain / discomfort. There is a
significant relationship with the negative correlation between all the components
of the EQ-5D of the quality of life of elderly inpatients in RSUPNCM. There is a significant association between advanced age who work or do not work against diseases such as infectious diseases, cardiovascular and other diseases. ;Objective : To determine which of the components of the EQ-5D are most related
to the quality of life of elderly hospitalized patients, assessing the EQ-5D relations
component of the quality of life of elderly inpatients in RSUPNCM and to assess
the relationship between the elderly who work or do not work against the disease
such as infectious diseases, cardiovascular and other diseases.
Methods : A cross-sectional descriptive observational design. The study was
conducted on 150 respondents who obtained consecutively, aged ≥ 60 years and
met the study criteria. Assessment of quality of life questionnaires European
Quality of Life-5 Dimensions (EQ-5D), examination of cognitive function using
the Mini Mental State Examination form (MMSE), assessment of activities of
daily life with the Barthel Index, the examination form of depression using the
Geriatric Depression Scale (GDS), as well as evaluating the health condition of
respondents day by showing it to the Visual Analogue Scale (VAS).
Results : Assessment of quality of life using the EQ-5D shows that most
respondents do not have a problem or a value of 1, except for the components of a
sense of pain / discomfort most respondents as many as 97 respondents (64.7%)
showed some problem or the value 2. All respondents had a MMSE score normal
with mean 27 where in the minimum value of 25 and a maximum of 30. In the
Barthel Index assessment middle values 17 obtained with a minimum of 5 and a
maximum value of 20 as well as the mode of 19 (32%). On examination using
GDS obtained mean of 3 with a minimum value of 0 and a maximum of 9 and
mode 2 (37.3%). Assessment of quality of life using the EQ VAS score is the
middle values 70 with a minimum of 50 and a maximum value of 100 as well as
the mode of 70 (30.7%). The median age of 68 years (range 60-88 years).
Conclusion : EQ-5D component that is most related to the quality of life of elderly
inpatients in RSUPNCM is a flavor component of pain / discomfort. There is a
significant relationship with the negative correlation between all the components
of the EQ-5D of the quality of life of elderly inpatients in RSUPNCM. There is a significant association between advanced age who work or do not work against diseases such as infectious diseases, cardiovascular and other diseases. , Objective : To determine which of the components of the EQ-5D are most related
to the quality of life of elderly hospitalized patients, assessing the EQ-5D relations
component of the quality of life of elderly inpatients in RSUPNCM and to assess
the relationship between the elderly who work or do not work against the disease
such as infectious diseases, cardiovascular and other diseases.
Methods : A cross-sectional descriptive observational design. The study was
conducted on 150 respondents who obtained consecutively, aged ≥ 60 years and
met the study criteria. Assessment of quality of life questionnaires European
Quality of Life-5 Dimensions (EQ-5D), examination of cognitive function using
the Mini Mental State Examination form (MMSE), assessment of activities of
daily life with the Barthel Index, the examination form of depression using the
Geriatric Depression Scale (GDS), as well as evaluating the health condition of
respondents day by showing it to the Visual Analogue Scale (VAS).
Results : Assessment of quality of life using the EQ-5D shows that most
respondents do not have a problem or a value of 1, except for the components of a
sense of pain / discomfort most respondents as many as 97 respondents (64.7%)
showed some problem or the value 2. All respondents had a MMSE score normal
with mean 27 where in the minimum value of 25 and a maximum of 30. In the
Barthel Index assessment middle values 17 obtained with a minimum of 5 and a
maximum value of 20 as well as the mode of 19 (32%). On examination using
GDS obtained mean of 3 with a minimum value of 0 and a maximum of 9 and
mode 2 (37.3%). Assessment of quality of life using the EQ VAS score is the
middle values 70 with a minimum of 50 and a maximum value of 100 as well as
the mode of 70 (30.7%). The median age of 68 years (range 60-88 years).
Conclusion : EQ-5D component that is most related to the quality of life of elderly
inpatients in RSUPNCM is a flavor component of pain / discomfort. There is a
significant relationship with the negative correlation between all the components
of the EQ-5D of the quality of life of elderly inpatients in RSUPNCM. There is a significant association between advanced age who work or do not work against diseases such as infectious diseases, cardiovascular and other diseases. ]"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T58763
UI - Tesis Membership  Universitas Indonesia Library
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Widyastuti Retno Annisa
Penilaian kualitas hidup pada usia lanjut dengan EQ-5D di klub Jantung Sehat Kelurahan Pondok Kelapa dan faktor-faktor yang mempengaruhi = Quality of life using EQ- 5D in elderly joining klub Jantung Sehat Kelurahan Pondok Kelapa and influence factors
"Tujuan: Mengetahui tingkat kualitas hidup pada usia lanjut di Klub Jantung Sehat (KJS) Kelurahan Pondok Kelapa serta faktor-faktor yang mempengaruhinya, dipandang dari faktor sosiodemografi, status fungsional serta kesehatan mental.
Metode: Desain observasional potong lintang deskriptif. Penelitian dilakukan pada 69 subjek yang didapat secara konsekutif, berusia ≥ 60 tahun dan memenuhi kriteria penelitian. Penilaian kualitas hidup dengan kuesioner European Quality of Life-5 Dimensions (EQ-5D), tingkat kesehatan mental menggunakan Geriatric Depression Scale (GDS) serta dilakukan penilaian status fungsional dengan uji performa 6 Minutes Walking Test (6MWT).
Hasil: Kualitas hidup pada 62,3% subjek memiliki hasil baik dengan nilai EQ5D Indeks tertinggi yaitu 1.000. Status fungsional didapatkan jarak tempuh 6MWT 401,73 ± 49,75 meter. Kesehatan mental 98,5% subjek memiliki nilai normal. Faktor yang paling berpengaruh adalah faktor usia (p = 0,009), dengan subjek berusia rerata 66 tahun (berkisar 60 ? 79 tahun) memiliki kualitas hidup yang lebih baik dibandingkan subjek berusia rerata 61,5 tahun (berkisar 60 - 82 tahun). Faktor sosiodemografi lain, status fungsional serta tingkat depresi tidak memiliki hubungan yang bermakna (p > 0,05).
Kesimpulan: Kualitas hidup usia lanjut dalam penelitian ini mayoritas baik, dengan faktor yang paling berpengaruh adalah faktor usia. Subjek lebih tua memiliki kualitas hidup lebih baik, dapat disebabkan karena pada usia lebih muda terdapat penambahan angka individu yang tidak bekerja dan pensiunan yang cukup signifikan, sehingga mereka harus beradaptasi berkaitan dengan hal tersebut.
Objective:To know the quality of life in elderly joining "Klub Jantung Sehat" (KJS) Pondok Kelapa and the factors that influence it, in terms of sociodemographic factors, functional status, and mental health.
Methods: Descriptive cross-sectional observational study in 69 subjects taken consecutively, elderly ≥ 60 years old who met the study criteria. Quality of life were assessed with European Quality of Life-5 Dimensions (EQ-5D), mental health with Geriatric Depression Scale (GDS), and functional status by 6 Minutes Walking Test (6MWT) performance test.
Results: Quality of life in 62.3% subjects had good results with the highest value of EQ5D index 1,000. Functional status with the 6MWT distance 401.73 ± 49.75 meters. Mental health in 98.5% subjects were normal. The most influence factorwas age (p = 0.009), with the mean of 66 years old (range 60-79 years) had a better quality of life than mean 61.5 years old (range 60 - 82 years). Other sociodemographic factors, functional status, and depression levels did not have a significant association (p > 0.05).
Conclusion: Quality of life majority ofsubjectswere good, with the most influence factor was age. Older subjects had a better quality of life, this might be caused by at younger age there was a significant increased inelderly individuals who did not work and retired, so they had to adapt more to this condition."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Vergie Ryoto
Hubungan antara kekuatan otot genggam dengan umur, tingkat kemandirian, dan aktivitas fisik pada lansia wanita klub geriatri terpilih Jakarta Utara = Relationship between muscle grip strength by age, level of independence, and physical activity in elderly women?s selected geriatric club of North Jakarta
"Skripsi ini meneliti hubungan karakteristik individu, status gizi, dan gaya hidup dengan tingkat kekuatan otot. Penelitian dilakukan dengan tes hand-grip dynamometer yang melibatkan 100 lansia wanita peserta klub geriatri RS Pantai Indah Kapuk dan Pluit Village. Hasil penelitian menunjukkan rata-rata nilai kekuatan otot pada tangan yang dominan ialah 24.017 kg. Pada analisis bivariat, variabel yang memiliki hubungan bermakna dengan tingkat kekuatan otot pada penelitian ini adalah umur, tingkat kemandirian (BADL dan IADL), asupan energi dan lemak, serta aktivitas fisik. Disarankan kepada lansia untuk selalu melakukan aktivitas fisik sesuai dengan kemampuan guna menunda disabiliti.
The primary purpose of this study was to examine the relationship of individual characteristics, nutritional status,and life style to the level of muscle grip strength. The study was conducted with hand-grip dynamometer test which is involving 100 elderly women participants of geriatric club at Pantai Indah Kapuk Hospital and Pluit Village. The results showed average value of muscle strength in the dominant hand was 24.017 kg. By bivariate analysis, variables that have a significant relationship with the level of muscle strength in this study were age, level of independence (BADL and IADL), intake of energy and fat, and physical activity. The elderly are advised to always perform activity according to ability in order to suspend disability."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2012
S-Pdf
UI - Skripsi Open  Universitas Indonesia Library
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Financy Ramadhani
Keberadaan lansia dengan gangguan fungsional di dalam rumah tangga dan partisipasi kerja perempuan kawin = Coresidence with functionally impaired elderly and labor participation of married women.
"Penelitian-penelitian terdahulu menunjukkan bahwa perawatan anggota rumah tangga lansia yang mengalami disabilitas dan membutuhkan long-term care lebih banyak dilakukan oleh perempuan dan berpotensi mempengaruhi alokasi waktu yang dimiliki perempuan tersebut antara untuk perawatan anggota keluarga termasuk lansia, dan berperan aktif dalam angkatan kerja. Perempuan, terutama perempuan kawin, biasanya akan keluar dari pasar kerja atau mengurangi jam kerja mereka apabila terdapat lansia yang membutuhkan perawatan di dalam rumah tangganya. Menggunakan data SUSENAS Kor 2018 dan regresi multinomial dan regresi tobit, penelitian ini bertujuan untuk mengetahui hubungan antara skor gangguan fungsional lansia, yang merupakan pendekatan kebutuhan long-term care, dengan status bekerja (formal dan informal) dan jam kerja perempuan kawin yang ada di Indonesia.
Penelitian ini menemukan bahwa lansia yang tinggal bersama dengan perempuan kawin di Indonesia secara rata-rata masih berada pada kelompok lansia "muda" dan dalam taraf belum membutuhkan long-term care. Dengan kondisi demikian, penelitian ini belum dapat menunjukkan hubungan yang negatif dan signifikan antara peningkatan skor gangguan fungsional lansia dan status bekerja (formal dan informal) serta jam kerja perempuan kawin yang tinggal bersama dengan lansia tersebut.
Previous studies showed that the caregiving to disabled and requiring long-term care elderly is mostly performed by women. The caregiving women, especially the married ones, often facing the problem of time allocations, between work and caring for family members and disabled elderly. Using SUSENAS Kor 2018 data, this study investigates the relationship between the score of functional impairment of the elderly, which is an approach to long-term care needs, with working status (formal and informal) and working hours of married women co-residing with the elderly in Indonesia.
This study found that the elderly who co-reside with married women in Indonesia are, on average, still in the "young old" age group and at the stage where they do not need long-term care yet. Consequently, this study provides no evidence of the negative and significant relationship between the increasing scores of functional impairment of the elderly and working status (formal and informal) and the working hours of married women living in the same household with the elderly."
Depok: Fakultas Ekonomi dan Bisnis Universitas Indonesia, 2020
T54802
UI - Tesis Membership  Universitas Indonesia Library
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Fatma L. Sahal
Hubungan pengetahuan gizi seimbang dengan status gizi lanjut usia di wilayah kota Depok = The Correlation between the level of nutritional knowledge and nutritional status towards elderly in Depok
"Pengetahuan yang kurang tentang gizi merupakan salah satu penyebab kondisi risiko terjadinya malnutrisi sampai dengan terjadinya malnutrisi pada lansia. Penelitian deskriptif korelasi dengan pendekatan cross-sectional bertujuan untuk mengetahui hubungan antara tingkat pengetahuan dengan status gizi lanjut usia. Teknik pengambilan sampel yang digunakan adalah cluster sampling pada lanjut usia di wilayah Kelurahan Abadi Jaya Kecamatan Sukmajaya Kota Depok dengan jumlah sampel 97 orang dari bulan April sampai dengan Juni 2016. Hasil penelitian menunjukkan bahwa ada hubungan yang bermakna antara tingkat pengetahuan gizi seimbang dengan status gizi pada lanjut usia (p=0,03). Pemantauan status gizi lanjut usia di posbindu perlu lebih dimaksimalkan.
The lack of knowledge about nutrition is one of conditions that leads to the risk of malnutrition in the elderly. The correlation-descriptive study through cross-sectional approach aims to determine the correlation between level of nutritional knowledge and the nutrition status of the elderly. Data collection retrieve from cluster sampling at Abadi Jaya administrative village of Depok City with a sample of 97 people from April to June 2016. The number of results indicated that there was significant correlation between the level of nutritional knowledge and nutritional status in the elderly (p=0,03). The nutritional assessment towards elderly population in community needs to be more maximized."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
S64002
UI - Skripsi Membership  Universitas Indonesia Library
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Lia Juniarni
Studi fenomenologi makna hidup pada lansia yang tidak menikah = Fenomenology study the meaning of life for unmarried elderly / Lia Juniarni
"ABSTRAK
Pernikahan suatu kebutuhan semua individu baik pria maupun wanita
dewasa, pernikahan termasuk rangkaian hirarki kebutuhan dasar, kemampuan
lansia yang tidak menikah dalam menemukan makna hidup sangat dibutuhkan
Tujuan penelitian mendapatkan pemahaman yang mendalam tentang makna hidup
lansia tidak menikah. Penelitian ini menggunakan pendekatan kualitatif dengan
desain fenomenologi, jumlah partisipan sebanyak tujuh orang, tempat penelitian
panti wreda di Kota Bandung. Hasil penelitian menemukan dua puluh satu
kategori dan enam tema yaitu memaknai sebuah pernikahan, alasan tidak
menikah, perhatian keluarga tentang pernikahan, konsekuensi psikologis tidak
menikah, menerima tidak menikah sebagai ketetapan Tuhan dan hikmah positif
tidak menikah. Penelitian ini direkomendasikan bagi peneliti selanjutnya untuk
melakukan penelitian sejenis dikomunitas.
ABSTRACT
Being married is a need for adult women and man. Marriage is a part of
human needs hierarchy. The ability of unmarried elderly in finding the meaning of
life is needed. The purpose of this study was to have a depth understanding of the
meaning of life for unmarried elderly. This study used the qualitative research
method with fenomenological approach, number of participants as many as seven
people, place of this study in Nursing Home Bandung City. The finding of this
research revealed twenty one categorics and six main themes. The themes were
meaning of a marriage, the reasons of unmarried, family concern about marriage,
psychological consequences of being unmarried, accepting of not being married
as the GOD?s wish and a positive meaning for not being married. This research
was recommended for further research to conduct similar research the community."
2013
T35392
UI - Tesis Membership  Universitas Indonesia Library
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Yeni Mahwati
Model prediksi penuaan sukses successful aging pada lansia di Indonesia = Predictive model of successful aging among elderly in Indonesia
"ABSTRAK
Indonesia mengalami penuaan penduduk yang sangat cepat. Diperkirakan populasi
penduduk lansia di Indonesia akan mencapai 28,8 juta (11,3%) pada tahun 2020
dan mencapai 100 juta (28,68%) pada tahun 2050. Perhatian mengenai bagaimana
penuaan sukses dan determinanya menjadi sebuah isu penting yang harus
dieksplorasi sebagai dukungan informasi bagi penentu kebijakan dalam
merancang kebijakan dan intervensi efektif untuk meningkatkan kualitas hidup
lansia di Indonesia. Tujuan penelitian ini adalah untuk mengeksplorasi aspek
multidimensional penuaan sukses dan memperoleh model prediksi penuaan sukses
pada lansia di Indonesia.
Penelitian ini menggunakan desain studi kohort retrospektif menggunakan data
IFLS (Indonesian Family Life Survey) dengan mengikuti individu selama tujuh
tahun yaitu pada titik waktu pengukuran survei IFLS 2000 dan IFLS 2007. Jumlah
sampel penelitian ini adalah 2.344 lansia (≥ 53 tahun). Model pengukuran penuaan
sukses diuji dan dianalisis menggunakan comfirmatory factor analysis (CFA).
Analisis regresi logistik ganda digunakan untuk memperoleh model prediksi
penuaan sukses.
Penelitian ini menghasilkan konsep model penuaan sukses multidimensional yang
memiliki kriteria kecocokan model yang baik serta validitas dan reliabilitas yang
cukup baik dengan kontribusi masing-masing yaitu keberfungsian mental (78%),
keterlibatan aktif (64%), keberfungsian fisik (62%), spiritualitas (2,7%) dan bebas
dari penyakit (0,1%). Hasil model prediksi penuaan sukses terdiri dari tujuh
variabel meliputi faktor individu (usia, jenis kelamin, pendidikan, aktivitas fisik
dan waist circumference) dan faktor lingkungan (tingkat pengeluaran nabati dan
partisipasi program dana sehat). Kelompok usia 60-69 tahun memiliki peluang
sukses 2,211 (95% CI=1,077-4,539), kelompok usia 53-59 tahun sebesar 3,568
(95%CI=1,765-7,216). Lansia laki-laki memiliki peluang 1,595 (95%CI=1,133-
2,247), lansia dengan pendidikan rendah memiliki peluang 2,805 (95%CI=1,776-
4,429), pendidikan menengah/tinggi 4,128 (95%CI=2,272-7,500). Lansia dengan
aktivitas fisik sedang memiliki peluang sukses 4,258 (95%CI=2,352-7,709),
aktivitas ringan 3,964 (95%CI=2,228-7,052) dan aktivitas berat 3,675
(95%CI=2,054-6,576). Lansia dengan Waist Circumference tidak berisiko
memiliki peluang sukses 1,688 (95%CI=1,092-2,610). Lansia dengan tingkat
pengeluaran nabati tinggi memiliki peluang sukses 1,384 (95%CI=1,010-1,898),
lansia yang berpastisipasi dalam program dana sehat berpeluang sukses 1,779
(95%CI=1,181-2,680). Implikasi hasil penelitian terhadap kebijakan berupa tiga
pilar utama yang menentukan penuaan sukses yaitu partisipasi, kesehatan dan
jaminan sosial. Selain ketiga pilar tersebut, gender juga merupakan determinana
penting penuaan sukses. Oleh karena itu kesetaraan gender perlu dipertimbangkan
dalam setiap pilar kebijakan
ABSTRACT
Indonesia experienced rapid population aging. It is estimated that the elderly
population in Indonesia will reach 28.8 million (11.3%) in 2020 and 100 million
(28.68%) in 2050. Caution regarding how successful aging and its determinant
become an important issue that should be explored as support information for
policy makers in designing effective policies and interventions to improve the
quality of life of the elderly in Indonesia. The objective of this study was to
explore the multidimensional aspects of successful aging and obtain predictive
models successful aging in the elderly in Indonesia.
This study used a retrospective cohort study design using the data IFLS
(Indonesian Family Life Survey) by following people for seven years, namely at
the point of measurement time survey IFLS IFLS 2000 and 2007. The amount of
the sample is 2,344 elderly (≥ 53 years). Successful aging measurement model
was tested and analyzed using Comfirmatory Factor Analysis (CFA). Multiple
logistic regression analysis is used to derive predictive model of successful aging.
This research resulted in the concept of multidimensional models of successful
aging that has good validity and reliability. Each contribution were mental
functioning (78%), active involvement (64%), physical functioning (62%),
spirituality (2.7%) and free of the disease (0.1%). Successful aging prediction
models resulting from this study consisted of seven variables include individual
factors (age, gender, education, physical activity and waist circumference) and
environmental factors (level of expenditure vegetable and healthy fund program
participation). Age group 60-69 years had a chance of success 2.211 (95% CI =
1.077 to 4.539), age group 53-59 years amounted to 3.568 (95% CI = 1.765 to
7.216). Elderly men had chances 1.595 (95% CI = 1.133 to 2.247), elderly people
with low education had a chance 2.805 (95% CI = 1.776 to 4.429), secondary
education / high 4.128 (95% CI = 2.272 to 7.500). Elderly with moderate physical
activity had a chance of success 4.258 (95% CI = 2.352 to 7.709), light activities
3.964 (95% CI = 2.228 to 7.052) and strenuous activities 3,675 (95% CI = 2.054
to 6.576). Elderly with no risk of waist circumference had a chance of success
1.688 (95% CI = 1.092 to 2.610). Elderly with a high level of expenditure
vegetable has a chance of success 1.384 (95% CI = 1.010 to 1.898), elderly who
participates in the healthy fund program likely to succeed 1.779 (95% CI = 1.181
to 2.680). Implications of the results of research on policy in the form of the three
main pillars that determine successful aging, namely participation, health and
social security. In addition to the three pillars, gender is also an important
determinana successful aging. Therefore, gender equality need to be considered in
any policy pillars"
2016
D2664
UI - Disertasi Membership  Universitas Indonesia Library
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