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Fragma Ady Sukma

Performa diagnostik bioelectrical impedancy analysis(BIA) dibandingkan dual energy X-Ray absortimetry (DXA) untuk mengukur indeks massa otot sebagai komponen Sarkopenia pada pasien lansia di rawat jalan = The Need for new cut-off value to increase diagnostic performance of bioelectrical impedance analysis (BIA) compared to dual energy X-Ray Absorptiometry (DXA) to measure muscle mass in Indonesian Elderly

SP-Pdf

UI - Tugas Akhir Universitas Indonesia Library

Purwita W Laksmi

The need for a new cut-off value to increase diagnostic performance of bioelectrical impedance analysis compared with dual-energy x-ray absorptiometry to measure muscle mass in Indonesian elderly

"ABSTRACT

Background: the use of bioelectrical impedance analysis (BIA) is affected by the population setting, the type of BIA, and the cut-off point being used. The aim of this study was to determine the diagnostic performance of BIA to measure muscle mass in Indonesian elderly outpatients aged 60 years or more. Methods: a cross-sectional study was conducted at the Geriatric Clinic of Cipto Mangunkusumo Hospital from April to June 2018. The muscle mass was measured using BIA Tanita MC-780MA (Tokyo, Japan) with dual-energy x-ray absorptiometry (DXA) as the reference test. Analysis on the cut-off point was performed based on the Asian Working Group of Sarcopenia (AWGS) criteria and the new cut-off point. Results: from 120 subjects, 74 were female (61.7%). The diagnostic performance of BIA based on AWGS criteria only showed sensitivity and specificity of 79.2% and 66.7%. The diagnostic performance of BIA based on the new cut-off point showed sensitivity and specificity of 75% and 92.7%. The new cut-off point using BIA was found to be <6.9 kg/m2 in males (sensitivity 70.6%; specificity 82.8%) and <5 kg/m2 in females (sensitivity 85.7%; specificity 97%). Conclusion: the diagnostic performance of BIA Tanita MC-780MA (Tokyo, Japan) was good to measure muscle mass in Indonesian elderly outpatients using a new cut-off point of <6.9 kg/m2 for males and <5 kg/m2 for females."

Jakarta: University of Indonesia. Faculty of Medicine, 2019

610 UI-IJIM 51:2 (2019)

Artikel Jurnal Universitas Indonesia Library

Fathia Azzahra

Korelasi antara indeks massa tubuh (IMT) dan total lemak tubuh metode impedansi dengan profil lipid serum = Correlation of body mass index (BMI) and bioelectric impedance analysis of total body fat with serum lipid profile

"Indeks Massa Tubuh IMT dan total lemak tubuh metode impedansi merupakan salah satu cara untuk memprediksi lemak tubuh yang mudah dan tidak invasif. Korelasinya dengan profil lipid serum belum banyak diteliti, terutama di Indonesia. Penelitian ini bertujuan untuk mencari korelasi keduanya dengan profil lipid serum. Penelitian ini menggunakan desain penelitian cross-sectional pada 128 subjek yang memeriksakan profil lipidnya ke Laboratorium Departemen Patologi Klinik RSCM. Dilakukan pengukuran berat badan, tinggi badan, dan total lemak tubuh dengan metode impedansi secara langsung. Data profil lipid didapatkan melalui Laboratory Information System Departemen Patologi Klinik. Kemudian, data diolah dengan menggunakan uji Pearson untuk mengetahui korelasi antara IMT dan total lemak tubuh metode impedansi dengan profil lipid serum. Pada penelitian ini, tidak didapatkan korelasi IMT dan total lemak tubuh dengan setiap parameter profil lipid, yang meliputi trigliserida, kolesterol total, kolesterol-HDL, dan kolestrol-LDL p>0,05 . Dengan demikian, disimpulkan bahwa kedua pemeriksaan tersebut tidak dapat menggantikan pemeriksaan profil lipid serum.

Body Mass Index BMI and bioelectric impedance analysis of total body fat are an easy and non invasive methods to predict fat level in the body. Since the correlation between BMI and bioelectric impedance analysis of total body fat with serum lipid profile is limitedly known, especially in Indonesia's population, the purpose of this study is to investigate the correlation of BMI and bioelectric impedance analysis of total body fat with serum lipid profile. This is an analytical cross sectional study on 128 patients from Cipto Mangunkusumo hospital laboratory. The subjects were examined to measure weight, height, and total body fat with impedance method, and serum lipid profile. The data were analyzed with Pearson test to find the correlation between variables. There were no correlation between BMI and TBF with serum lipid profile, including triglyceride, cholesterol total, HDL C, and LDL C p 0,05 . To conclude, serum lipid profile cannot be replaced by BMI and bioelectric impedance analysis of total body fat examination."

Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016

S-Pdf

UI - Skripsi Membership Universitas Indonesia Library

Niken Fitri Astuti

Pengaruh relaksasi otot progresif dan terapi musik (RESIK) terhadap tekanan darah pada lansia dengan hipertensi di Kota Depok = The influence of progressive muscle relaxation and music therapy (RESIK) toward blood pressure in older people with hypertension in Depok

"Hipertensi merupakan faktor utama penyebab kematian lansia secara global. Berbagai upaya telah dilakukan namun belum optimal. Kondisi tersebut mendorong para ilmuwan untuk mengembangkan terapi non farmakologis guna melengkapi terapi farmakologis salah satunya dengan relaksasi otot progresif dan terapi musik. Tujuan penelitian ini adalah untuk mengetahui pengaruh RESIK terhadap tekanan darah pada lansia dengan hipertensi di Kota Depok. Penelitian ini menggunakan desain quasi eksperiment dengan pendekatan pre-post test with control group. Seratus lansia dengan hipertensi dibagi menjadi dua kelompok menggunakan stratified random sampling dan purposive sampling. Setelah dilakukan 11 sesi terapi RESIK dalam 6 hari, analisis t-test menunjukkan adanya penurunan tekanan darah sebesar 29,2 mmHg pada tekanan darah sistolik dan 16,2 mmHg pada tekanan darah diastolik. Kesimpulannya, RESIK dapat menurunkan tekanan darah sistolik (p value = 0,000; α = 0,05) namun tidak signifikan menurunkan tekanan darah diastolik (p value = 0.167; α = 0,05). Terapi ini disarankan untuk diterapkan sesuai dengan prosedur dan dilakukan secara rutin untuk mendapatkan pengaruh yang maksimal.

Hypertension is a major factor causes the death of older people globally. Various efforts have been made but are not optimal. These conditions encouraged scientists to develop nonpharmacological therapies to complement pharmacological therapy, one of them was progressive muscle relaxation and music therapy. The purpose of this study was to determine the influence of RESIK toward blood pressure in older people with hypertension in Depok. This study used quasi experimental design with pre-post test with control group approach. One hundred older people with hypertension divided into two groups using stratified random sampling and purposive sampling. After 11 RESIK therapy sessions in 6 days, t-test analysis showed the decrease of blood pressure in 29.2 mmHg at systolic blood pressure and in 16.2 mmHg at diastolic blood pressure. In conclusion, RESIK could decrease systolic blood pressure (P value = 0,000; α = 0,05) but it could not significantly decrease diastolic blood pressure (P value = 0.167; α = 0,05). This therapy was recommended to be applied in accordance with the procedure and done regularly to get the maximum influence."

Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017

T47987

UI - Tesis Membership Universitas Indonesia Library

Aryan Nugroho

Asuhan keperawatan risiko jatuh melalui intervensi floor-seated exercise program pada lanjut usia di Panti Sosial Tresna Werdha Jakarta Timur = Nursing care with fall risk through intervention floor-seated exercise program for elderly people at the Panti Sosial Tresna Werdha, East Jakarta

"Penurunan fungsi fisiologis akibat penuaan pada lansia berdampak pada risiko jatuh. Berdasarkan hasil observasi selama praktik tujuh minggu, kejadian jatuh yang sering ditemukan di panti sebanyak sebelas kejadian jatuh, dan lima diantaranya mengalami jatuh berulang. Selain itu dari sebelas kejadian jatuh tersebut, satu diantaranya harus dirujuk ke rumah sakit karena mengalami penurunan kesadaran. Risiko jatuh merupakan peningkatan potensial jatuh, sehingga menyebabkan cedera fisik dan dapat diatasi dengan latihan kekuatan otot berupa intervensi floor-seated exercise program. Asuhan keperawatan untuk mengurangi risiko jatuh dengan floor-seated exercise program dilakukan selama 5 minggu dalam frekuensi 4 kali seminggu pada 3 klien kelolaan. Hasil menunjukkan terjadi peningkatan fungsional kekuatan otot menggunakan manual muscle test pada kedua ektremitas pada klien keloaan utama yaitu semula 4444 4444 menjadi 5554 5544. Pihak panti diharapkan dapat memberikan dapat memberikan perhatian lebih pada masalah kesehatan lansia dengan memberikan sarana prasarana maupun peningkatan motivasi dalam aktivitas fisik yang dapat menurunkan kejadian jatuh pada lansia. Intervensi berupa floor-seated exercise program juga dapat dilakukan oleh perawat maupun mahasiswa praktikan dalam mengatasi lansia dengan masalah keperawatan risiko jatuh secara optimal.

Decreasing physiological function due to aging in the elderly has an impact on the fall risk. Based on the results of observations during the seven-week practice, the fall events that are often found in the orphanage were eleven falls, and five of them experienced repeated falls. In addition, of the eleven falls, one of them had to be referred to the hospital because of a decrease in consciousness. The fall risk is an increase in the potential for falls, causing physical injury and can be overcome by muscle strength training in the form of floor-seated exercise program interventions. Nursing care to reduce the fall risk with a floor-seated exercise program is carried out for 5 weeks in a frequency of 4 times a week in 3 managed clients. The results showed that there was an increase in functional muscle strength using the manual muscle test on both extremes on the main client client, namely 4444 4444 to 5554 5544. PSTW is expected to be able to give more attention to elderly health problems by providing infrastructure and increasing motivation in physical activities that could reduce fall in the elderly. Interventions in the form of floor-seated exercise programs can also be carried out by nurses and nursing students to elderly with fall risk nursing problems optimally."

Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019

PR-pdf

UI - Tugas Akhir Universitas Indonesia Library

Fadhian Akbar

Korelasi kekuatan genggam tangan dengan status nutrisi pada pasien usia lanjut = Correlation between hand grip strength and nutritional status in eldery patients

"ABSTRAK

Proses penuaan memberi dampak pada fungsi tubuh manusia, salah satunya adalah sarcopenia. Sarcopenia adalah pengurangan keseluruhan massa otot skeletal dan kekuatan secara progresif. Kondisi ini bisa berkembang menjadi lemah. Frailty akan menyebabkan perubahan keseimbangan energi yang malnutrisi. Pengurangan status Gizi biasanya ditemukan pada pasien usia lanjut. Jika tidak dirawat dengan benar, negara bisa progresif. Selain itu, kekuatan genggaman tangan yang dikenal memiliki beberapa kaitan dengan beberapa kondisi pada lansia seperti sarkopenia dan kerapuhan. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kekuatan genggaman tangan dan status gizi. Penelitian ini menggunakan rancangan cross sectional yang dilakukan di Poliklinik Geriatrik Rumah Sakit Cipto Mangunkusumo untuk pasien geriatri antara Januari September 2016. Kekuatan genggaman tangan dan status gizi diukur menggunakan Jamar Dynamometer dan Mini Nutritional Assessment. Dari 98 pasien, median kekuatan genggaman tangan adalah 18. Ada 6 pasien 6,1 dengan malnutrisi dan 59 pasien 60,2 dengan risiko kekurangan gizi dan 33 pasien 33,7 dengan status gizi normal. Berdasarkan uji korelasi Pearson, kekuatan genggaman tangan berhubungan dengan status gizi p 0,008 dan r 0,268. Kesimpulan dari penelitian ini adalah kekuatan genggaman tangan berhubungan dengan status gizi.

ABSTRAK

Process of aging give some impact to function of human body, one of them is sarcopenia. Sarcopenia is overall reduction of skeletal muscle mass and power progressively. This condition can develop become frailty. Frailty will lead to change of energy balance which is malnutrition. Reduction of Nutritional status is commonly found in elderly patient. If it is not treated properly, the state can be progressive. Besides, hand grip strength well known has some association to several condition in elderly such as sarcopenia and frailty. The aim of this research is to find the correlation between hand grip strength and nutritional status. This research using cross sectional design was conducted in Geriatric Policlinic of Cipto Mangunkusumo Hospital to geriatric patients between January September 2016. Hand grip strength and nutritional status was measured using Jamar Dynamometer and Mini Nutritional Assessment. From 98 patients, the median of hand grip strength was 18. There were 6 patients 6,1 with malnutrition and 59 patients 60,2 with risk of malnutrition and 33 patients 33,7 with normal nutritional status. Based on Pearson correlation test, hand grip strength has correlation with nutritional status p 0,008 and r 0,268 . The conclusion of this research is hand grip strength has correlation with nutritional status."

2016

S-Pdf

UI - Skripsi Membership Universitas Indonesia Library

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