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Abstrak :
ABSTRAK
Depresi merupakan permasalahan mental yang sering terjadi pada lansia. Tujuan penelitian ini adalah untuk mengetahui tingkat depresi pada lansia di Panti Sosial Tresna Werdha (PSTW) Budi Mulia 4 Jakarta Selatan serta faktor-faktor yang mempengaruhinya. Desain penelitian ini adalah deskriptif korelatif. Sampel berjumlah 63 lansia yang tinggal di PSTW Budi Mulia 4 Jakarta Selatan yang diambil secara purposive sampling. Analisa univariat menggunakan uji proporsi dan analisa bivariat menggunakan uji Chi-Square untuk mengetahui hubungan antara faktor internal dan eksternal dengan tingkat depresi. Hasil penelitian menunjukkan lansia yang mengalami depresi sebesar 41,3% dan yang tidak mengalami depresi sebesar 58,7%. Analisa bivariat ditemukan tidak ada hubungan yang signifikan antara tingkat depresi dengan usia, jenis kelamin, riwayat penyakit, status perkawinan, pekerjaan sebelum tinggal di panti, dan dukungan keluarga (pvalue ≥ 0,05). Penelitian selanjutnya disarankan untuk meneliti faktor-faktor lainnya yang mempengaruhi tingkat depresi pada lansia seperti faktor dukungan sosial.

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Abstract
Depression is a mental disorder that happens in elderly. This study purposed to know elderly depression level and examine what factors that affecting depression. This research used descriptive correlative design. Samples were 63 elderly in Panti Sosial Tresna Werdha Budi Mulia 4 Jakarta Selatan by purposive sampling technique. Proportion test was used to univariate analysis and Chi-Square test was used to know relationship between internal and external factors with depression. The results showed elder people who got depression were 41,3% and who did not get depression were 58,7%. Bivariate analysis showed that there was no significant relationship between depression and age, gender, illness history, marital status, occupation, and family support (pvalue ≥ 0.05). The researcher suggest for next research to observe another factors that affecting depression in elderly.

Abstrak :
Depresi pada lansia dapat disebabkan oleh perubahan pada peristiwa kehidupannya. Salah satu faktor yang dapat melindungi lansia dari depresi yaitu kesejahteraan spiritual. Tujuan penelitian ini adalah untuk mengetahui hubungan kesejahteraan spiritual dengan tingkat depresi pada lansia di Sasana Tresna Werdha Ciracas. Desain penelitian menggunakan analitik korelasi dengan metode pendekatan cross-sectional. Sampel berjumlah 68 lansia dengan secara systematic random sampling. Kesejahteraan spiritual dinilai dengan kuesioner Spiritual Well-Being Scale (SWBS) dan tingkat depresi lansia dinilai dengan kuesioner Geriatric Depression Scale-15 (GDS-15). Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara kesejahteraan spiritual dan tingkat depresi pada lansia dengan nilai p value (0,000) (r= -0,642). Perawat harus mampu meningkatkan kesejahteraan spiritual lansia sehingga lansia mampu menghadapi gejala depresi yang timbul. ......Depression in the elderly can be caused by changes in the events of their life. One factor that may protect the elderly from depression is spiritual well-being. This study aims to determine the relationship of spiritual well-being with depression levels of the elderly in Sasana Tresna Werdha Ciracas. The study design was analytic correlation with cross-sectional approach. Samples consisted of 68 elders with systematic random sampling. Spiritual well-being was assessed by questionnaire Spiritual Well-Being Scale (SWBS) and depression levels of the elderly assessed by questionnaire Geriatric Depression Scale-15 (GDS-15). The results showed that there is a significant relationship between spiritual well-being and depression levels of the elderly with p value (0,000) (r = -0.642). Nurses should be able to enhance the spiritual well-being of the elderly as a coping elderly to deal with depression.

Abstrak :
Demensia merupakan kondisi kemunduran fungsi neuron secara perlahan dan terus menerus sehingga kemampuan kognitif, emosional, dan psikomotorik semakin berkurang seiring bertambahnya usia dan keparahan fisiologis tubuh. Tujuan penelitian ini untuk menilai hubungan asupan vitamin A dan faktor lainnya dengan demensia pada lansia binaan CAS UI tahun 2014. Desain penelitian cross sectional melibatkan 146 lansia berusia ≥ 60 tahun dari seluruh Depok. Penelitian dilaksanakan selama bulan April sampai Mei 2014. Metode pengambilan data dengan cara mengukur berat badan dan tinggi badan menggunakan timbangan digital merk Kris dan mikrotoa, serta wawancara menggunakan kuesioner SMMSE, PASE, GDS, dan SFFQ. Hasil penelitian menunjukkan bahwa prevalensi demensia (SMMSE ≤ 24) sebesar 46,6%. Analisis bivariat menyatakan bahwa ada hubungan yang bermakna antara tingkat pendidikan, tingkat depresi, dan asupan asam folat dengan demensia. Faktor paling dominan yang berhubungan dengan demensia adalah asupan vitamin A (OR = 8,4) setelah dikontrol dengan usia, jenis kelamin, tingkat pendidikan, tingkat depresi, riwayat stroke, status gizi, asupan vitamin C, E, Fe, dan asam folat. Membiasakan diri dengan pola hidup sehat, seperti memperbanyak makanan sumber vitamin dan mineral, olahraga teratur, dan menghindari stres dapat menjadi langkah protektif demensia pada lansia ......Dementia is a condition related to neurodegenerative caused cognitive, emotional, and psychomotor decline increasingly with aged and bodies functional illness. The objective of this study is to investigate association between vitamin A intake and the others factors related to dementia in elderly. A cross sectional study was performed on 146 participants aged ≥ 60 years in Depok during April – May 2014. Data collected by measurement of weight using Kris digital scale, height using microtoise, and SMMSE, PASE, GDS, and SFFQ questionnaires. The result of this study showed that prevalence of dementia (SMMSE ≤ 24) was 46,6%. Dementia was significantly associated with level of education, depression, and folate acid intake. In multivariate model, vitamin A intake (OR = 8.4) was the dominant factor adjusted by age, sex, level of education, depression, history of stroke, nutritional status, and intake of micronutrients (vitamin C, E, Fe, and folate acid). Improving quality of live through healthy life style (consuming source of vitamins and minerals, doing exercise regulary, no stress) is alternative way to prevent dementia in elderly.

Abstrak :
ABSTRAK
Peningkatan kualitas hidup lansia dengan pendekatan bio-psiko-sosiokultural dan spiritual dibutuhkan untuk mencegah terjadinya late life depression. Tujuan penelitian untuk mengidentifikasi perbedaan pengaruh intervensi spiritual care terhadap status depresi lansia. Penelitian ini menggunakan pre test and post test design with two comparison treatment pada 48 lansia di panti sosial yang dibagi dalam dua kelompok. Hasil penelitian menginterpretasikan perbedaan status depresi pada lansia sebelum dan setelah diberikan terapi murattal (pvalue= 0,000) dan musik (pvalue= 0,010). Ada perbedaan selisih tingkat depresi sebelum dan setelah pemberian terapi musik dan murattal (pvalue=0,017). Hasil penelitian menjadi acuan pembuatan program peningkatan kualitas hidup lansia dengan depresi pada lansia.

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ABSTRACT
Improving the elderly quality of life with bio-psycho-socio-cultural and spiritual approach is needed to prevent the occurrence of late life depression. The aim of study is identify difference influence between murattal and music on elderly depression status. A pretest and post test design with two comparison treatment was applied in this study for 48 elderly in social institutions. The results of this study showed that are significant differences in depression status at the elderly before and after the therapy given murattal (pvalue = 0.000) and music (pvalue = 0.010). There are differences in the level of depression at the elderly before and after music therapy and murattal (p value = 0.017). The study results can be a basic reference for program development in enhancing the quality of life of elderly with depression.

Abstrak :
Status nutrisi merupakan kondisi status kesehatan individu yang banyak menjadi masalah pada lanjut usia. Masalah status nutrisi menyebabkan dampak buruk seperti kejadian jatuh yang berdampak pada kematian. Tujuan penelitian ini untuk mengetahui hubungan status nutrisi dengan risiko jatuh pada lansia di Kota Depok. Penelitian ini menggunakan pendekatan desain cross sectional dengan jumlah sampel sebanyak 111 responden. Instrumen yang digunakan untuk mengukur status nutrisi berupa Mini Nutrition Assasment MNA dan risiko jatuh berupa Morse Fall Scale MFS . Hasil penelitian didapat ada hubungan bermakna antara status nutrisi dengan risiko jatuh p = 0,000 dengan OR= 3,8 2,6-5,8 . Penelitian selanjutnya diharapkan mampu mengembangkan intervensi peningkatan status nutrisi untuk mencegah risiko jatuh pada lansia. ...... Nutritional status is a condition of the health status of individuals who are a lot of problems in the elderly. Problems of nutritional status cause adverse effects such as fall events that can cause death. The purpose of this study to determine the relationship of nutritional status with the risk of falling in the elderly in Depok City. This research uses cross sectional design approach with the number of samples is 111 respondents. Instruments used to measure the nutritional status of the Mini Nutrition Assassment MNA and the risk of falling Morse Fall Scale MFS . The result showed that there was significant correlation between nutritional status and risk of fall p 0,000 with OR 3,8 2,6 5,8 . Subsequent research is expected to develop improved interventions of nutritional status to prevent the risk of falling in the elderly.

Abstrak :
Background: Depression is a significant geriatric problem. It will be a major health problem in developing nations by the year 2020. Signs and symptoms of depression among elderly people are usually so unspecific that they are often considered as a part of getting old. No wonder so many elderly depression cases remain uncured. When depression is under-diagnosed, the various problems accompanied with it will make the bio-psychosocial condition of the patient worsen. There is no primary data on the prevalence of depression in the Indonesian elderly population, especially in Eastern Indonesian conflict areas. Objective: The objective was to determine the prevalence and the severity of depression, as well as cognitive function in elderly subjects living in the conflict area in Buru Island, Maluku. Design: This study was designed as a survey, conducted in the Northeast Buru Region, Maluku, from March to May 2003. Questionnaires on the validated Geriatric Depression Scale and Mini Mental State Evaluation were performed by trained native speaker paramedics for the identification of depression, the severity of depression, and cognitive function. The 401 elderly people that participated in this survey ranged in age from 60 to 120 years. As many as 215 (53.6%) were women, and 223 (55.6%) were uneducated. Results: The prevalence of depression was 52.4%. A hundred and eighty seven subjects (94 females and 93 males) aged 60-120 years were in the mild depression category, and 23 subjects (14 females and 9 males) aged 60-85 years were severely depressed. While 82.6% elderly in severe depression category had an MMSE Score of less than 24 (dementia), 74.7% had mild depression, and only 57.1% of the elderly had no depression and received MMSE score less than 24. The majority of complaints among depression subjects were that they were bothered by thoughts they cannot get out of their head, they frequently worry about the future, they often became restless and fidgety, got bored, felt helpless, downhearted and blue, felt like crying, and that their life was empty. Seventy eight percents mild depressive elderly still enjoy getting up in the morning and 68% were hopeful about the future, which was on the contrary to the subjects with severe depression, where only 35% had these two positive outlooks. Conclusions: The prevalence of depression in Buru Island community was high, even though most of them were in the mild depression category. The worse the depression, the higher the percentage of cognitive impairment. There was still enough willingness to get better among subjects with mild depression. We need to think about the possibility of Post Traumatic Stress Disorder in the elderly population of this conflict area. Suggestions: Medical practitioners in conflict areas need to increase their awareness of depression and cognitive impairment among elderly people. Geriatrician and psychogeriatric experts are needed to ensure that the problem of depression in the elderly does not worsen in conflict areas. Further studies are needed to detect Post Traumatic Stress Disorder.

Abstrak :
ABSTRAK
Lansia merupakan populasi yang rentan mengalami depresi seiring dengan berlangsungnya proses penuaan. Kejadian depresi lansia ini seringkali tidak terdeteksi sehingga membutuhkan perhatian lebih dari keluarga, masyarakat, dan tenaga kesehatan. Partisipasi sosial direkomendasikan menjadi salah satu upaya untuk mencegah terjadinya depresi lansia.Penelitian ini bertujuan untuk mengidentifikasi hubungan partisipasi sosial dengan kejadian depresi lansia di Kecamatan Sukmajaya Kota Depok. Desain penelitian yang digunakan adalahcross-sectional dengan107 responden, diambil dengan metode cluster sampling dari tiga kelurahan terpilih yang berada di kecamatan Sukmajaya, Depok. Hasil penelitian menunjukkan nilai rata-rata partisipasi sosial yaitu 99,76 dalam interval nilai kepercayaan CI 95 sebesar 97,04 ndash; 102,47 dan nilai tengah depresi lansia sebesar 2 dalam interval nilai kepercayaan CI sebesar 95. Uji korelasi Spearman menunjukan terdapat hubungan signifikan antara partisipasi sosial dengan depresi lansia pvalue = 0,001, dengan kekuatan hubungan sedang r = 0,313. Berdasarkan hasil penelitian, dapat disimpulkan bahwa semakin rendah partisipasi sosial, maka semakin tinggi tingkat depresi lansia dan semakin tinggi partisipasi sosial, maka semakin rendah tingkat depresi lansia. Kegiatan sosial yang melibatkan kontribusi lansia perlu dilaksanakan di setiap posbindu untuk meningkatkan kesehatan psikososial di hari tua.

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ABSTRACT
Elderly people are vulnerable to depression as they undergone aging process. In regard to this issue, social participation is recommended as one way to prevent geriatric depression. This study aims to identify the relation between social participation and cases geriatric depression in Sukmajaya district, Depok city. Using the cross sectional design, 107 respondents from three sub districts in the Sukmajaya district are chosen using the cluster sampling method. The result of this study reveals that the mean score of social participation is still low at 99,76 with a 95 confidence interval CI around 97,04 ndash 102,47, whereas the median score for depression among elderly people is low at 2 with a 95 CI. Moreover, the Spearman rsquo s Correlation shows that there exists significant relation between social participation and geriatric depression pvalue 0,001 with a moderate correlation r 0,313. Based on these results, it can be concluded that the lower social participation, the higher the geriatric depression and vice versa. Therefore, social activity that involves the participation and contribution from the elderly needs to be done in every integrated care post in order to increase their psychosocial health during the old age.

Abstrak :
Proses penuaan pada lansia akan mempengaruhi kondisi fisik maupun psikososial dari diri individu lansia. Penurunan fungsi tubuh cenderung merasa dirinya tidak dapat produktif seperti sebelum lanjut usia. Hal ini dapat memicu seorang lansia depresi. Depresi merupakan masalah kesehatan mental yang serius pada lansia. Diagnosa yang dapat diangkat untuk masalah depresi adalah ketidakberdayaan. Karya ilmiah ini memaparkan tentang asuhan keperawatan yang diberikan pada salah satu lansia dengan masalah ketidakberdayaan: depresi. Salah satu intervensi untuk menurunkan gejala depresi yang dialami lansia melalui terapi spiritual. Salah satu bentuk terapi spiritual adalah dengan mendengarkan alunan ayat-ayat Al-Qur rsquo;an atau disebut murattal dan mendengarkan ceramah dari ahli agama. Intervensi murattal ini dilakukan selama 6 kali dalam satu minggu selama lima minggu dengan durasi 20-25 menit dan untuk ceramah oleh ahli agama dilakukan satu kali dalam seminggu. Evaluasi keperawatan didapatkan dengan menggunakan instrumen Geriatric Depression Scale GDS . Hasil yang didapatkan menunjukkan adanya penurunan tingkat depresi. ...... The aging process in the elderly will affect the physical and psychosocial condition of the elderly individual self. Decreased body function tends to feel itself unable to be as productive as before the elderly. This can trigger an elderly depression. Depression is a serious mental health problem in the elderly. The diagnosis that can be raised for the problem of depression is powerlessness. This scientific work describes about nursing care given to one elderly with the problem of powerlessness: depression. One of the interventions to reduce symptoms of depression experienced by the elderly through spiritual therapy. One form of spiritual therapy is by listening to the strains of Qur 39;anic verses or called murattal and listening to lectures from religious experts. This murattal intervention is conducted six times a week for five weeks with a duration of 20-25 minutes and for lectures by religious experts done once a week. Nursing evaluation was obtained using the Geriatric Depression Scale GDS instrument. The results showed a decrease in depression levels.

Abstrak :
Lansia akan mengalami penurunan dan perubahan pada berbagai aspek, dan ketika lansia mampu menyesuaikan diri terhadap perubahan akan mencapai integritas diri namun bila tidak mampu menyesuaikan dapat menyebabkan keputusasaan hingga depresi. Terapi kelompok terapeutik (TKT) merupakan tindakan yang dilakukan untuk mempersiapkan tahap dan tugas perkembangan psikososial pada lansia dan psikoedukasi keluarga (FPE) merupakan terapi kepada keluarga untuk membantu dalam perawatan lansia. Tujuan karya ilmiah ini untuk mengetahui pengaruh terapi kelompok terapeutik dan psikoedukasi keluarga terhadap integritas diri dan depresi pada lansia. Desain penelitian yang digunakan yaitu operational research dengan menggunakan TKT dan FPE untuk mencapai integritas dan mencegah depresi bagi lansia. Responden dari kegiatan ini ditentukan secara purpose sampling dan sampel kegiatan ini sejumlah 34 lansia dimana 19 mendapatkan TKT dan FPE kemudian 15 lansia mendapatkan TKT. Hasilnya setelah diberikan terapi TKT dan FPE terdapat peningkatan integritas diri tidak signifikan (p value >0,05) dan penurunan tingkat depresi lansia secara signifikan (p value <0,05). Pada kelompok dengan TKT terdapat penurunan tingkat depresi secara signifikan (p value <0,05) dan peningkatan integritas diri tidak signifikan (p value >0,05). Terdapat perbedaan tidak signifikan (p value >0,05) antara kelompok yang diberikan terapi TKT dan FPE dengan kelompok yang diberikan TKT. ......The elderly will experience a decline and change in various aspects, and when the elderly are able to adapt to changes they will achieve self-integrity, but if they are not able to adjust, they can lead to despair and depression. Therapeutic group therapy (TKT) is a therapy taken to prepare for the stages and tasks of psychosocial development in the elderly and family psychoeducation (FPE) is a therapy for families to assist in the care of the elderly. The purpose of this scientific work is to determine the effect of therapeutic group therapy and family psychoeducation on self-integrity and depression in the elderly. The research design used is operational research using TKT and FPE to achieve integrity and prevent depression for the elderly. Respondents from this activity were determined by purpose sampling and the sample of this activity was 34 elderly, of which 19 received TKT and FPE, then 15 elderly received TKT. The result, after being given TKT and FPE therapy, there was an insignificant increase in self-integrity (p value > 0.05) and a significant decrease in the level of depression in the elderly (p value < 0.05). In the group with TKT there was a significant decrease in the level of depression (p value <0.05) and an insignificant increase in self-integrity (p value> 0.05). There was no significant difference (p value > 0.05) between the group given TKT and FPE therapy and the group given TKT

Abstrak :
Kejadian depresi dan bunuh diri pada lansia di Karangasem cukup tinggi. Penanganan depresi pada lansia cukup sulit karena kurangnya informasi dari hasil studi yang berhubungan dengan depresi pada lansia. Penelitian ini bertujuan untuk mengetahui hubungan faktor sosiodemografi, dukungan sosial dan status kesehatan dengan kejadian depresi pada Lansia di Kecamatan Karangasem, Kabupaten Karangasem Bali. Penelitian ini merupakan studi crossectional dengan sampel 163 orang. Hasil penelitian menemukan variabel yang sangat berhubungan dengan kejadian depresi pada lansia adalah riwayat depresi (p=0,00;OR=32,49), penyakit kronis (p=0,000, OR= 28,17), dukungan sosial (p=0,000, OR= 28,04) dan pendidikan lansia (0,005, OR= 5,85). Penanganan perlu dilakukan secara komprehensif dengan menciptakan regulasi, peningkatan kemampuan perawat, meningkatkan peran serta keluarga dan masyarakat maupun melakukan therapi komunitas, sehingga depresi pada lansia bisa dicegah dan dikurangi. ......Incidence of depression and suicide in the elderly people in Karangasem is quite high. Treatment for depression in the elderly is quite difficult due to lack of information from the study associated with depression in the elderly. This study aims to determine the sociodemographic factors, social support and health status with the incidence of depression in the elderly people at the district of Karangasem, Bali's Karangasem Regency. This design of this study crossectional with 163 sample . The study found that variables highly correlated with a histories of depression (p=0,00,OR=32,49), incidence of chronic disease (p = 0.000, OR = 28,17), social support (p = 0.000, OR = 28,04) and level of education p=(0.005, OR = 5,85). Handling should be done comprehensively by creating regulations, increased ability nurses, increasing the participation of families and communities as well as doing therapy community, so that the depression in the elderly can be prevented and reduced.