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"Tesis ini disusun untuk mengetahui efektifitas alat ukur Modified Mobility Interaction Fall Chart (Modified MIF Chart), sebagai alat ukur untuk menapis risiko jatuh, khususnya pada populasi lansia di panti wreda. Desain penelitian adalah cohort prospective dengan menilai komponen performa fisik menggunakan Stop walking when talking (SWWT) dan Difference Time Up and Go (DiffTUG), komponen fungsi visual yang menilai ketajaman penglihatan dengan Snellen chart, dan komponen kognisi yang dinilai menggunakan Montreal Cognitive Assesment versi Bahasa Indonesia (MoCA-INA) pada awal studi dan ditentukan tingkat risiko jatuh. Didapatkan subjek penelitian (n=111) yang menyelesaikan Modified MIF Chart kemudian dilakukan observasi kejadian jatuh selama tiga bulan. Terdapat 12 (10,8%) kejadian jatuh dari seluruh subjek. Terdapat perbedaan bermakna (p=0,038) antara kelompok risiko jatuh tinggi yang mengalami kejadian jatuh sebanyak 8 (18,6%) dibandingkan 4 kejadian jatuh (5,9%) pada kelompok risiko jatuh rendah dengan AUC 0,657 (95% CI: 0,49-0,82). Didapatkan sensitifitas dan spesifisitas Modified MIF chart secara berurutan adalah 64,6% dan 66,7%. Kesimpulan penelitian ini adalah Modified MIF Chart dapat digunakan sebagai alat penapis risiko jatuh pada lansia di panti wreda, tetapi tetap perlu memperhatikan faktor-faktor risiko jatuh internal dan eksternal lain yang belum dinilai oleh Modified MIF Chart.

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This thesis is designed to determine the effectiveness of the Modified Mobility Interaction Fall Chart (Modified MIF Chart) as a tool to screen the risk of falls, especially in the elderly population in nursing homes. The research design was a prospective cohort by assessing the physical performance components using Stop walking when talking (SWWT) and Difference Time Up and Go (DiffTUG), a visual function component that assessed visual acuity using a Snellen chart, and a cognitive component assessed using the Montreal Cognitive Assessment. Indonesian language version (MoCA-INA) at the start of the study and the level of risk of falling was determined. Obtained research subjects (n = 111) who completed the Modified MIF Chart then observed the fall for three months. There were 12 (10.8%) incidence of falls for all subjects. There was a significant difference (p = 0.038) between the high risk group who experienced falls as much as 8 (18.6%) compared to 4 falls (5.9%) in the low risk group with AUC 0.657 (95% CI: 0, 49- 0.82). The sensitivity and specificity of the Modified MIF chart are 64.6% and 66.7%, respectively. The conclusion of this study is that the Modified MIF Chart can be used as a means of screening for the risk of falls in the elderly in nursing homes, but still needs to consider other internal and external risk factors that have not been assessed by the Modified MIF Chart."

"[Jatuh merupakan salah satu masalah yang serius pada lansia. Gangguankeseimbangan tubuh merupakan salah satu penyebab jatuh yang cukup penting. Penelitian ini bertujuan mengetahui pengaruh latihan keseimbangan lansia selama 8 minggu terhadap keseimbangan tubuh, risiko jatuh, status kesehatan dan kualitas hidup lansia. Penelitian quasi experimental ini terdiri dari dua kelompok; 30 lansia sebagai kelompok kontrol dan 30 perlakuan. Tekhnik pengambilan sampel yang digunakan adalah multistage random sampling. Hasil penelitianmenunjukkan latihan keseimbangan lansia berpengaruh signifikan meningkatkan keseimbangan tubuh (p=0,0005), status kesehatan (p=0,0005), kualitas hidup (p=0,0001) dan menurunkan risiko jatuh (p=0,0005). Hasil uji mancova menunjukkan pengaruh LKS lansia diperkuat oleh usia (p=0,0005). Latihan keseimbangan lansia dapat digunakan sebagai salah satu upaya pencegahan gangguan keseimbangan tubuh, risiko jatuh dan upaya meningkatkan statuskesehatan dan kualitas hidup pada lansia di komunitas. Penelitian selanjutnya dapat melakukan penelitian pada kelompok usia yang berbeda untuk mengetahui keefektifan latihan keseimbangan lansia;Falls are the one of serious problem among elderly. Balance impairment is one of important cause of fall. The aim of this study was to investigate the effect of elderly balance exercise on postural balance, risk of fall, health status and quality of life among elderly. This quasi experimental design included two groups; 30 subjects as intervention groups and 30 subjects as control groups. Sample was taken by multistage random sampling. There were significant improvements inpostural balance (p=0,0005), health status (p=0,0005) and quality of life (p=0,0001). However, there was a significant reducing in risk of fall (p=0,0005). The result of mancova showed that elderly balance exercise strengthened by age (p=0,0005). Balance exercise can be utilized as one of the preventive effort to maintain postural balance, reduce risk of fall, increase health status and quality of life among elderly in the community. Future research may consider variation ofage to know effectiveness of balance exercise, Falls are the one of serious problem among elderly. Balance impairment is one ofimportant cause of fall. The aim of this study was to investigate the effect ofelderly balance exercise on postural balance, risk of fall, health status and qualityof life among elderly. This quasi experimental design included two groups; 30subjects as intervention groups and 30 subjects as control groups. Sample wastaken by multistage random sampling. There were significant improvements inpostural balance (p=0,0005), health status (p=0,0005) and quality of life(p=0,0001). However, there was a significant reducing in risk of fall (p=0,0005).The result of mancova showed that elderly balance exercise strengthened by age(p=0,0005). Balance exercise can be utilized as one of the preventive effort tomaintain postural balance, reduce risk of fall, increase health status and qualityof life among elderly in the community. Future research may consider variation ofage to know effectiveness of balance exercise]"

"ABSTRAKPeningkatan populasi lansia di perkotaan berkaitan erat dengan munculnya berbagai masalah kesehatan termasuk risiko jatuh. Panti Sosial Tresna Werdha PSTW Budi Mulia 03 Ciracas merupakan salah satu instansi pelayanan bagi lansia yang berada di area perkotaan dan mempunyai peran dalam memberikan kesejahteraan bagi kehidupan lansia. Karya ilmiah akhir Ners ini bertujuan untuk menganalisis asuhan keperawatan lansia dengan risiko jatuh menggunakan intervensi unggulan terapi latihan keseimbangan yaitu simple balance exercise untuk meningkatkan keseimbangan, mengurangi perasaan takut jatuh dan menurunkan risiko jatuh. Intervensi ini dilakukan minimal 3 kali dalam seminggu selama 30 menit setiap sesi latihan. Hasilnya adalah skor Berg Balance Test mengalami peningkatan 8 skor dari skor awal 26 menjadi 34, skor Falls Efficacy Scale-International menurun 7 skor dari skor awal 33 menjadi 26, sedangkan skor Morse Falls Scale tidak mengalami penurunan.

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ABSTRACTThe increasing number of elderly in urban areas is closely related to the emergence of various health problem including risk of falling. Panti Sosial Tresna Werdha PSTW Budi Mulia 03 Ciracas is one of the elderly service institutions located in urban areas with the role of providing welfare for the elderly. The final case study aims to analyze the nursing care in elderly with the risk of falling through exercise therapy that is simple balance exercise to improve balance, reduce fear of falling and reduce the risk of falling. This intervention was done at least three times a week for thirty minutes of each training session. The result was that The Berg Balance Test increase 8 initial scores from 26 to 34, Falls Efficacy Scale International score decreased 7 initial scores from 33 to 26, while Morse Falls Scale score did not significant. "

"ABSTRAKKejadian jatuh pada lansia dapat dicegah dengan cara meningkatkan home safety. Penelitian ini bertujuan untuk mengetahui hubungan home safety dengan risiko jatuh pada lansia di Jakarta. Desain penelitian menggunakan desain cross-sectional dengan teknik probability cluster sampling dengan jumlah sampel sebesar 111 lansia (rerata = 67 tahun) menggunakan instrumen Home Falls and Accident Screening Tool (HOME-FAST) dan Morse Falls Scale (MFS). Pengambilan data menggunakan teknik pengisian kuesioner. Uji statistik yang digunakan adalah Uji Chi-Square. Hasil penelitian menunjukkan bahwa secara statistik tidak ada hubungan bermakna antara home safety dengan risiko jatuh pada lansia (p=0,935, ±=0,05). Hal ini terjadi karena lansia tinggal di rumah dalam jangka waktu yang lama sehingga lansia memiliki kemampuan adaptasi terhadap lingkungan. Perawat komunitas perlu mengedukasi keluarga untuk meningkatkan keamanan lingkungan rumah bagi lansia.

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ABSTRACTFall among older adults can be prevented by improving home safety. The purpose of this study is to determine relationship between home safety with the risk of fall among the community-dwelling older adults in Jakarta. This study used a cross-sectional design and probability cluster sampling technique, with a total sample of 111 older adults (mean = 67 years old) using the Home Falls instrument and Accident Screening Tool (HOME-FAST) and Morse Falls Scale (MFS). Respondents filled out the questionnaire for data collection. The statistical test used is Chi-Square Test. The results showed that there was no significant relationship between home safety and the risk of fall among the community-dwelling older adults statistically (p = 0.935, ± = 0.05). This is occured because the older adults stay at home for long periods of time so that the older adults have the ability to adapt to the environment. Community nurses have to educate families of the older adults about the importance to improve the safety of home environment for the older adults."

"Lansia dapat mengalami penurunan fungsi kognitf akibat dari proses penuaan. Penurunan fungsi kognitif membuat lansia kurang sensitif terhadap lingkungan sehingga dapat menyebabkan jatuh. Penelitian ini bertujuan untuk mengetahui hubungan fungsi kognitif dengan risiko jatuh pada lansia. Desain penelitian ini adalah cross-sectional dengan teknik pengambilan sampel adalah proposional random sampling. Hasil penelitian menunjukan bahwa fungsi kognitif berhubungan signifikan dengan risiko jatuh dengan nilai p = 0,000. Pihak panti werdha sebaiknya meningkatkan intervensi untuk memperbaiki fungsi kognitif lansia sebagai upaya menurunkan risiko jatuh.

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Elderly may experience decreased cognitive function due to aging process. Decreased cognitive function makes elderly less sensitive to the environment that can cause the incident of fall. This study aims to determine the relationship of cognitive function with the risk for fall in the elderly. The design of this study is cross sectional with sampling technique is proportional random sampling.

The results showed that cognitive function was significantly correlated with risk for fall with p 0,000. Nursing home parties should increase interventions to improve elderly cognitive functioning as an effort to reduce the risk of fall."

"ABSTRAKHambatan mobilitas fisik merupakan terbatasnya pergerakan pada satu atau lebih anggota tubuh. Hambatan mobilitas fisik berdampak pada penurunan status fungsional, sehingga lansia menjadi ketergantungan. Model intervensi Lentera Yoga Aktif merupakan bentuk intervensi keperawatan yang dapat mencegah dan mengatasi masalah hambatan mobilitas fisik pada lansia. Penulisan bertujuan memberikan gambaran pelaksanaan model intervensi Lentera Yoga Aktif yang terintegrasi dalam pelayanan dan asuhan keperawatan komunitas melalui integrasi teori dan model community as partner, family centered nursing, konsekuensi fungsional, dan fungsi manajemen pada lansia dengan masalah hambatan mobilitas fisik di Kelurahan Curug, Kecamatan Cimanggis, Kota Depok. Metode yang digunakan adalah studi kasus dan evidence based practice. Hasil intervensi menunjukkan model intervensi Lentera Yoga Aktif berpengaruh signifikan dalam meningkatkan status fungsional dan kekuatan otot p=0,000 , menurunkan risiko jatuh dan skala nyeri p=0,000 , meningkatkan pengetahuan, sikap, dan tindakan p=0,000 . Model ini merupakan peluang bagi perawat komunitas untuk mengembangkan upaya promotif dan preventif. Model intervensi ini direkomendasikan untuk lansia karena gerakan telah dimodifikasi sesuai dengan kondisi dan keadaan lansia, bisa dilakukan secara mandiri ataupun berkelompok. Kata Kunci: hambatan mobilitas fisik, status fungsional, kekuatan otot, risiko jatuh, skala nyeri, lansia

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ABSTRACTImpaired physical mobility is the limited physical movement of the body or of one or more extremities. Constraints of physical mobility have an impact on the decline in functional status, so the older people become dependent. The intervention model of ldquo Lentera Yoga Aktif rdquo is a form of nursing intervention that can prevent and overcome the problem of physical mobility barriers in the older people. The aims of this report to provide an overview of the implementation of Lentera Yoga Aktif model integrated in community care and nursing care through integration of theories and models of community as partners, family centered nursing, functional consequences, and management functions in the elderly with problems of impaired physical mobility in Curug, Cimanggis, Depok City. The case study and evidence based practice was used. The results of the intervention showed that the Lentera Yoga Aktif model significantly improving functional status and muscle strength p 0,000 , decreased risk of fall and pain scale p 0,000 , increased knowledge, attitude, and skill p 0,000 . This model an opportunity for community health nurses to develop promotive and preventive interventions. This intervention model is recommended for the older people because the sequences has been modified suitable and fit with the conditions of the older people, can be done independently or in groups. Keywords impaired physical mobility, functional status, muscle strength, risk of fall, pain scale, older people"

"Proses penuaan dan masalah kesehatan perkotaan dapat menyebabkan penurunan fungsi pada sistem muskuloskeletal. Karya ilmiah ini bertujuan untuk menganalisis asuhan keperawatan pada lansia dengan masalah resiko jatuh pada lansia melalui Gait Speed and Energy Expendicture di Panti Sosial Tresna Werdha Budi Mulia 1 Cipayung. Intervensi resiko jatuh dilakukan lima hari selama enam minggu. Hasil karya ilmiah ini menunjukkan bahwa skor Morse Fall Scale (MFS)danBerg Balance Test (BBT)meningkat setelah intervensi salain itu gait speed klien meningkat sebelum intervensi 6,4 meter/detik setelah intrvensi 11,4 meter/detik. Nilai PCIklien menurun sebelum intervesi 77,2denyut/meter setelah intervensi 74,9 denyut/meter, pemberi pelayanan di panti dapat menerapkan intervensi latihan fisik Gait speed and Energy Expendicturedalam kegiatan senam pagi sebagai upaya dalam mengatasi resiko jatuh pada lansia.

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The aging process and urban health problems can lead to decreased function in the musculoskeletal system. This scientific work aims to analyze the nursing care of the elderly with the risk of falling problems in the elderly through Gait speed and Energy Expendicture in Social Institution Tresna Werdha Budi Mulia 1 Cipayung. The risk fall intervention is done five days for six weeks. The results of this paper show that the Morse Fall Scale (MFS) and Berg Balance Test (BBT) scores increased after the salt intervention that the client's gait speed increased before the 6.4 meter / second intervention after the 11.4 meter / second intrusion. The value of PCI client decreased before the intervention of 77.2 pulse / meter after intervention of 74.9 beats / meter, Service providers in the institution can apply physical exercise Gait speed and Energy Expendicture in morning gymnastic activities as an effort to overcome the risk of falling in the elderly."