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Abstrak :
Prevalensi depresi pada lansia di Indonesia sebasar 30% (Komnas Lansia, 2011). Salah satu upaya untuk mengatasi depresi adalah dengan TAK Stimulasi Persepsi HDR dan Terapi Kognitif Perilaku. Penelitian ini bertujuan untuk mengidentifikasi pengaruh TAK stimulasi persepsi HDR dan CBT terhadap depresi pada lansia harga diri rendah. Desain penelitian ini menggunakan quasi experiment with pre post test control group. Sampel berjumlah 56 orang, 28 kelompok intervensi dan 28 kelompok kontrol. Alat pengumpul data adalah Geriatric Depression Scale (GDS). Data dianalisis menggunakan uji T-Test. Hasil penelitian menunjukkan ada penuruan bermakna kondisi depresi lansia harga diri rendah pada kedua kelompok dengan penurunan sebesar 67,4% kelompok intervensi dan 31,9% kelompok kontrol (p value < 0,05) dan ada terdapat hubungan bermakna antara karakteristik lansia (jenis kelamin, pendidikan, status perkawinan, pekerjaan dan penyakit fisik penyerta) dengan depresi pada lansia harga diri rendah (p value < 0,05). TAK Stimulasi persepsi harga diri rendah dan terapi kognitif perilaku direkomendasikan untuk depresi pada lansia harga diri rendah. ...... Depression is a major problem for elderly, and the prevalence rate of depression among elderly in Indonesia is around 30%. One of to effort overcome depression is TGA Stimulation low self esteem perception and Cognitive Behavioural Therapy. The aim of this study was to determine the influence of TGA Stimulation low self esteem perception and CBT for depression in elderly low self esteem. The research design was quasi experiment with pre-post test control group. The sample of this research are 56 respondents, 28 respondents in the intervention group and 56 respondents in control group. Data collection with Geriatric Depression Scale (GDS) and were analyzed using T-test. The results showed significant decrease of elderly depression low self-esteem in both groups with a decrease of 67.4% intervention group and 31.9% of controls (pvalue <0.05) and significant relationship exists between elderly characteristics (gender, education, marital status, employment and comorbid physical illness) with depression in elderly low self-esteem (pvalue <0,05). Therefore, TGA Stimulation low self-esteem and perception of cognitive behavioral therapy are recommended for depression in the elderly low self esteem.

Abstrak :
Perawatan lansia dengan demensia dapat menimbulkan dampak bagi keluarga atau caregiver yang dirasakan sebagai beban keluarga karena membutuhkan waktu yang lama dan pendampingan secara terus menerus.Tujuan penelitian mengetahui hubungan antara beban keluarga dalam merawat lansia dengan demensia di Kecamatan Leihitu Kabupaten Maluku tengah. Desain penelitan ini menggunakan cross sectional, Populasi dalam penelitian adalah keluarga yang memiliki lansia demensia dengan jumlah 247 keluarga. Alat ukur yang digunakan MMSE (Mini Mental State Examination) dan ZBI (Zarit Burden Interview). Data dianalisis menggunakan Chi Square, analisa multivariate (regresi logistik berganda). Hasil menunjukan ada hubungan antara beban keluarga baik secara psikologi, sosial, fisik dan finansial (p value= 0,000). Variabel beban keluarga yang paling berhubungan dalam perawatan lansia dengan demensia dalah beban psikologi (OR = 8,711). Penelitian ini diharapkan dapat menjadi sumber untuk menentukan program pelayanan keperawatan jiwa yang sesuai dengan kebutuhan keluarga dalam merawat lansia dengan demensia.

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The caring of elderly with dementia might had an impact for the family or caregiver, was perceived as family burden because this needed for along times and they provided caring and assisting to the elderly continuously in a life time. The purpose of this research was to determined the relationship between of burden of caring for elderly relatives with dementia in District Leihitu, Central Maluku. The design of this research was using cross sectional. The population were families who have elderly with dementia as much as 247 families. Instruments were measured by MMSE (Mini Mental State Examination) and ZBI (Zarit Burden Interview). Data were analyzed using Chi square and multiple logistic regression. The results of this research depicted that there were relationship between burden family psychologically, socially, physically and financially (p value = 0.000). The most pertinent factor was the psychological burden (OR = 8.711). The findings of research was expected as a source to determined the suitable programme of mental health nursing care according with the family needed in caring elderly with dementia.

Abstrak :
Diabetes Melitus adalah salah satu penyakit kronis yang sering dialami oleh lanjut usia. Berbagai intervensi keperawatan yang dapat diberikan pada lansia dengan diabetes melitus salah satunya adalah terapi kelompok suportif dan pendidikan kesehatan. Tujuan penelitian mengetahui pengaruh terapi kelompok suportif dan pendidikan kesehatan terhadap kualitas hidup lansia yang mengalami diabetes melitus. Desain penelitian yang digunakan adalah quasi experimental. Responden penelitian terdiri 39 lansia mendapat terapi kelompok suportif dan pendidikan kesehatan dan 39 mendapat pendidikan kesehatan. Alat ukur yang digunakan kuesioner WHOQOL-Bref. Analisis menggunakan uji Paired t-test dan Independent t-test. Hasil penelitian menunjukkan ada perbedaan signifikan kualitas hidup dimensi fisik, psikologis, hubungan sosial dan lingkungan sebelum dan setelah mendapat terapi kelompok suportif dan pendidikan kesehatan (p value <0,05). Penelitian ini diharapkan menggunakan terapi kelompok suportif sebagai terapi lanjutan dalam praktik keperawatan jiwa sebagai upaya meningkatkan kualitas hidup lansia yang mengalami diabetes melitus. ......Diabetes mellitus was one of the chronic diseases that are often experienced by the elderly. One of the nursing interventions that can be given to elderly with diabetes mellitus was supportive group therapy and health education. The purpose of this research was to determined the influence of supportive group therapy and health education to the quality of life of elderly with diabetes mellitus. The design of this research was using quasi experimental. The subjects of this research was consisted 39 elderly group who received both of the supportive therapy and the health education and 39 elderly who received only health education. Instruments were measured by WHOQOL-Bref. Data were analyzed using paired t-test and independent t-test. The results of this research depicted that there were differences significantly in quality of life both physical, psychological, social relationships and environment before and after the group received supportive therapy and health education (p value <0,05). The findings of research was expected to used group therapy as a continued therapy in advanced practice psychiatric nursing as an effort to improve the quality of life on the elderly with diabetes mellitus.