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Abstrak :
Peningkatan jumlah penduduk usia lanjut di Indonesia membawa konsekuensi munculnya permasalahan yang cukup kompleks baik dari aspek fisik, psikologis dan sosio ekonomi. Hal ini dapat mempengaruhi kemandirian usia lanjut dalam melakukan aktivitas kehidupan sehari-hari (ADL). Aktivitas kehidupan sehari-hari merupakan tingkat ldnerja seseorang dalam melakukan fungsi kehidupan sehari-hari, mencakup aktivitas kehidupan sehari-hari yang bersifat dasar (ADL Dasar) maupun aktivitas yang lebih kompleks (ADL Instrumental). Kemampuan usia lanjut dalam melakukan aktivitas kehidupan sehari-hari dapat dipengaruhi oleh berbagai faktor antara lain karakteristik demograii, masalah kesehatan kronis, tingkat fimgsi kognitif dan dukungan keluarga. Penelitian ini bertujuan untuk memperoleh informasi tentang laktor apa saja yang berhubungan secara bemtakna dengan kemampuan usia lanjut dalam melakukan aktivitas kehidupan sehari-hari di Kelurahan Palmeriam Kecamatan Matraman Jakarta Timur. Desain penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional dengan populasi usia lanjut di Kelurahan Palmeriam Kecamatan Matraman Jakarta Timur (100 RW). Sampel diambil dengan metoda proportional random sampling sebesar 166 responden usia lanjut bemsia 60 tahun ke atas. Pengumpulan data dengan cara kunjungan rumah pada keluarga yang mempunyai usia lanjut yang dilakukan pada bulan Juli sampai dengan Agustus 2002. Data diolah dan dianalisis menggunakan uji Chi-Square dan Regresi Logistik Ganda. Hasil penelitian pada analisis unjvariat rnenggambarkan bahwa dari karakterisrik usia Ianjut sebagian besar berumur antara 60-69 tahun (47,0 %), betjenis kelamin perempuan (75,3 %), status janda/duda (60,2 %), berpendidikan rendah (82,5 %), tidak bekerja (77,7 %) dan mempunyai masalah kesehatan kronis ringan (64,5 %). Sebanyak 53,0 % tidak mengalami gangguan kognitif dan 57,2 % memperoleh dukungan memadai dari keluarga. Secara umum usia lanjut mempunyai kemampuan mandiri dalam melakukan aktivitas kehidupan sehari-hari yaitu sebesar 53,6 % Berdasarkan uji Chi-Square didapatkan bahwa ada hubungan bermakna antara umur, pendidikan, pekerjaan, masalah kesehatan kronis, tingkat fungsi kognitif dan dukungan keluarga dengan kemampuan usia lanjut dalam melakukan aktivitas kehidupan sehari-hari. Hasil analisis multivariat dengan uji regresi logistik ganda didapa: adanya hubungan bemulma antara umur, tingkat timgsi kognitif dan dukungan keluarga dengan kemampuan usia lanjut dalam melakukan aktivitas kehidupan sehari-hari. Setelah dilakukan uji interaiksi, temyata ada interaksi antar variabel tingkat fumgsi kognitif dan dukungan keluarga terhadap kemampuan usia lanjut dalam melakukan aktivitas kehidupan. Berdasarkan hasil penelitian direkomendasikan kepada pihak Suku Dinas Kesehatan Wilayah Jakarta Timur dan Puskesmas Kecamatan Matraman agar mengembangkan berbagai program kegiatan yang terkait dengan aktivitas kehidupan sehari-hari usia lanjut dengan penekanan pada upaya promotif dan preventiil Disamping itu perlu dlkembangkan program home vis!! dalam rangka memberdayakan dukungan keluarga terhadap usia lanjut, juga pemberdayaan masyarakat unluk menggerakkan penduduk usia lanjut dalam mengikuti berbagai aktivitas kelompok di masyarakat.

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Increasing number of elderly in Indonesia has emerged complex problem : physically, psychologically and socio-economically. lt will affect their ability to do activities of daily living (ADL). Activities of daily living is a performance of doing daily function, includes basic activities of daily living (Basic ADL) and complex activities of daily living (Instrumental ADL). The performance of elderly in doing activities of daily living is influenced by several factors, those are demography characteristic, chronic health problem, cognitive iitnction level, and family support. This research aims to identity information on what are the dominant factors that are influence the elderly abilities in doing activities of daily living in Palmeriam Village, Matraman District, East Jakarta. The research design is analytical descriptive with cross sectional approach ofthe elderly population in Palmeriam Village, Matraman District, East Jakarta (10 RW). The sample of this study is 166, the subjects are older than 60. The sample was taken by proportional random sampling rncthod. Data was collected through home visit to family who have elderly &om July to August 2002. Collected data is analized with Chi-Square and Multiple Logistic Regression test. Univariate analysis described that most of the elderly population characteristics are aged between 60-69 year (47,0%), women (75,3%), widow/widower (6O,2%), low educated (82,5%), unemployed (?77,7%), light cronic health problem (64,5%). Almost 53,0% of the sample do not have cognitive disturbance and S7,2% have proper support fiom family. Generally, S3,6% of the elderly have self ability in doing their activities of daily living. Chi-Square test showed that there is a relationship between age, education, job, chronic health problem, cognitive function level and family support, and the elderly ability in doing their activities of daily living. Multiple Logistic Regression Analysis demonstrated that there is a relationship between age, cognitive function level and lamily support, with the elderly ability in doing their activities of daily living. Following interaction test, it showed that there is an interaction between the variable cognitive iitnction level and Family support to the elderly ability in doing their activities of daily livingb Based on this research, it is recommended to Health Authority at East Jakarta and Health Centre at Matraman District to develop programe that relates to the elderly activities of daily living with focus on promotive and preventive eH`ort. In addition, it is needed to develop a home visit programe in order to encourage support from the family to the elderly, also to empower society to motivate the elderly to follow several group activities in society.

Abstrak :
This article aims to solve the feelings of loneliness, worry,fear and being deserted faced by society members at their old age or senior citizen.

Abstrak :
[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.

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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. ]