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"ABSTRAKLatar Belakang: Gangguan keseimbangan dan mobilitas merupakan penyebab terbesar disabilitas pada usia lanjut 60 tahun atau lebih. Keseimbangan dan mobilitas merupakan faktor penting dalam melakukan aktivitas fungsional. Masalah paling serius dari gangguan mobilitas adalah kecenderungan usia lanjut untuk jatuh dan menjadi cedera akibat jatuh. Faktor lainnya yang mempengaruhi jatuh adalah rasa takut jatuh. Latihan keseimbangan dapat menurunkan insiden jatuh pada usia lanjut, namun usia lanjut yang berisiko jatuh sering menolak untuk mengikuti program latihan di rumah sakit. Program latihan di rumah memungkinkan individu untuk latihan secara mandiri, dengan biaya yang murah, dan sesuai untuk usia lanjut dengan keterbatasan akses ke fasilitas latihan. Penelitian ini bertujuan untuk mengetahui pengaruh latihan keseimbangan yang dilakukan di rumah selama 8 minggu terhadap mobilitas fungsional dan rasa takut jatuh pada usia lanjut.Metode: Disain penelitian ini adalah Randomized Controlled Trial. Populasi terjangkau adalah usia lanjut ≥ 60 tahun yang ada di Poliklinik Geriatri Terpadu dan Poliklinik Rehabilitasi Medik rumah sakit Cipto Mangunkusumo Jakarta yang memenuhi kriteria penelitian. Pengambilan sampel dilakukan secara consecutive sampling, dan dibagi menjadi dua kelompok secara randomisasi permutasi blok. Kelompok keseimbangan diberi latihan keseimbangan dan kelompok kontrol diberi latihan penguatan ekstremitas atas selama 8 minggu. Untuk menilai mobilitas fungsional digunakan uji Time Up and Go (TUG), sedangkan rasa takut jatuh dinilai dengan instrumen Falls Efficacy Scale – International (FES-I).Hasil: 94 responden mengikuti program latihan sampai selesai, kelompok keseimbangan (46 orang) dengan rerata umur 69,7 ± 6,03 tahun, dan kelompok kontrol (48 orang) dengan rerata umur 70,35 ± 6,95 tahun. Nilai uji TUG kelompok keseimbangan pada minggu ke-1 adalah 10,11 (7,41-16,52) detik dan menurun menjadi 9,24 (7,11-17,00) detik setelah 8 minggu latihan, (p < 0,001), dibandingkan dengan kelompok kontrol terdapat penurunan yang signifikan pada uji TUG minggu ke-1 dan minggu ke-8, p = 0,001. Nilai FES-I minggu ke-1 adalah 23,0 (16-38), dan setelah 8 minggu latihan terdapat penurunan menjadi 18,5 (16-35), p < 0,001, namun dibandingkan dengan kelompok kontrol tidak menunjukkan perbedaan yang signifikan, p = 0,166 Kesimpulan: Terdapat peningkatan mobilitas fungsional yang bermakna secara statistik berdasarkan uji TUG pada kelompok keseimbangan dibandingkan dengan kelompok kontrol, setelah 8 minggu latihan. Dan terdapat penurunan rasa takut jatuh yang diukur menggunakan nilai FES-I pada kelompok keseimbangan setelah 8 minggu latihan, namun dibandingkan dengan kelompok kontrol tidak ada perbedaan bermakna.

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ABSTRACTBackground: Impaired balance and mobility are the biggest cause of disability in the elderly 60 years or more. Balance and mobility is an important factor in performing functional activities. The most serious problem is the tendency of the mobility-impaired elderly to fall and be injured by falling. Another factor affecting the fall is fear of falling. Balance training can reduce the incidence of falls in the elderly, however, older adults who are at risk usually refuse to participate in hospital-based exercise programs. Home-based exercises may allow individuals to practice independently, with low cost, and may be appropriate for the elderly with limited access to exercise facilities. The aim of this study is to determine the effect of balance exercises done at home for 8 weeks on functional mobility and the fear of falling in the elderly.Methods: The design of the study was randomized controlled trial. The population was the elderly ≥ 60 years old at Integrated Geriatric Polyclinic and Physical Medicine and Rehabilitation Polyclinic in Cipto Mangunkusumo Hospital Jakarta who fit the criteria. Sampling was done by consecutive sampling, and were divided into two groups by randomized block permutation. The balance group was given balance exercises and the control group was given upper extremity strengthening exercises for 8 weeks. Functional mobility was assessed by Time Up and Go test (TUG), and to assess fear of falling was used the Falls Efficacy Scale - International (FES-I) instrument.Results: 94 respondents were completed the exercise program, the balance group (46 people) mean age 69.7 ± 6.03 years old, and the control group (48 people) mean age 70.35 ± 6.95 years old. TUG test in balance group was 10.11 (7.41-16.52) seconds at week-1 and improved to 9.24 (7.11-17.00) seconds after 8 weeks training, (p < 0.001). Compared to the control, the balance group had significantly improvement between TUG test week-1 and week-8, p = 0.001. FES-I test in balance group was 23.0 (16-38) at week-1 and after 8 weeks there is a decline to 18.5 (16-35), p < 0.001, but compared to the control group showed no significant difference, p = 0.166 .Conclusion: There is statistically significant increasing of functional mobility based on the TUG test in the balance group compared to the control group, after 8 weeks of training program, and there is a statistically significant reduction in fear of falling were measured using FES-I instrument in the balance group after 8 weeks of training program, but compared to the control group there is no significant difference."

"ABSTRAKMagnesium merupakan salah satu komponen mikronutrien dan dilaporkanmempunyai peran dalam proses metabolisme dan kekuatan otot namun belummendapat cukup perhatian yang luas sehingga jarang dilakukan pemeriksaan rutin. Penelitian ini merupakan penelitian potong lintang yang bertujuan untukmengetahui korelasi asupan magnesium dan kadar magnesium eritrosit denganmobilitas fungsional. Penelitian ini dilakukan di 3 panti jompo di Jakarta Timurpada bulan April-Mei 2016. Pengumpulan subjek dilakukan dengan metodeconsecutive sampling dan didapatkan 52 lanjut usia. Sebagian besar berjeniskelamin perempuan dengan rerata usia 74,5 ± 8,6 tahun dan terbanyak padakelompok usia 70-79 tahun. Rerata asupan magnesium subjek adalah 188 mg/ hari dan sebagian besar (84,6%) memiliki asupan magnesium yang rendah. Rerata kadar magnesium eritrosit adalah 3,69 ± 0,63 mEq/ L dan didapatkan 96,2 % memiliki kadar magnesium eritrosit yang rendah. Median nilai tes Timed Up and Go adalah 11,5 detik. Pada penelitian ini terdapat korelasi bermakna dengan arah negatif antara asupan magnesium dengan mobilitas fungsional yang ditunjukkan dengan tes Timed Up and Go (p = 0,031, r = -0,3) sedangkan kadar magnesium eritrosit dengan mobilitas fungsional yang ditunjukkan dengan tes Timed Up and Go tidak didapatkan korelasi bermakna (p = 0,113, r = 0,223).

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ABSTRACTMagnesium is one component of micronutrients and is reported to have a role in the metabolism proccess and muscle strength, but this still didn?t get muchattention, so that a routine examination is rarely done.This cross-sectional study aimed to evaluate the correlation of magnesium intake and erythrocytemagnesium levels with functional mobility. This study was done in 3 nursinghome in East Jakarta, from April to May 2016. Data were collected from 52subjects with methods consecutive samping. The subjects of this study are women with mean age of 74,5 ± 8,6 years old and mostly in 70-79 years old group age. The mean magnesium intake are 188 mg/day, with 84,6 % of the subjects with a low magnesium intake, at the same time, the mean erytrocyte magnesium levels was 3,69 ± 0,63 mEq/ L and 96,2 % of the subjects experienced magnesium deficiency. The median score for TUG test is 11,5 seconds. There was a significant negative correlation between magnesium intake and functional mobility shown by Timed Up and Go test in elderly (p = 0,031, r = -0,3) and erythrocyte magnesium levels did not correlated significantly with functional mobility shown by Timed Up and Go test in elderly (p = 0,113, r = 0,223)."

"Tujuan: Mengetahui tingkat kualitas hidup pada usia lanjut di Klub Jantung Sehat (KJS) Kelurahan Pondok Kelapa serta faktor-faktor yang mempengaruhinya, dipandang dari faktor sosiodemografi, status fungsional serta kesehatan mental. Metode: Desain observasional potong lintang deskriptif. Penelitian dilakukan pada 69 subjek yang didapat secara konsekutif, berusia ≥ 60 tahun dan memenuhi kriteria penelitian. Penilaian kualitas hidup dengan kuesioner European Quality of Life-5 Dimensions (EQ-5D), tingkat kesehatan mental menggunakan Geriatric Depression Scale (GDS) serta dilakukan penilaian status fungsional dengan uji performa 6 Minutes Walking Test (6MWT). Hasil: Kualitas hidup pada 62,3% subjek memiliki hasil baik dengan nilai EQ5D Indeks tertinggi yaitu 1.000. Status fungsional didapatkan jarak tempuh 6MWT 401,73 ± 49,75 meter. Kesehatan mental 98,5% subjek memiliki nilai normal. Faktor yang paling berpengaruh adalah faktor usia (p = 0,009), dengan subjek berusia rerata 66 tahun (berkisar 60 ? 79 tahun) memiliki kualitas hidup yang lebih baik dibandingkan subjek berusia rerata 61,5 tahun (berkisar 60 - 82 tahun). Faktor sosiodemografi lain, status fungsional serta tingkat depresi tidak memiliki hubungan yang bermakna (p > 0,05). Kesimpulan: Kualitas hidup usia lanjut dalam penelitian ini mayoritas baik, dengan faktor yang paling berpengaruh adalah faktor usia. Subjek lebih tua memiliki kualitas hidup lebih baik, dapat disebabkan karena pada usia lebih muda terdapat penambahan angka individu yang tidak bekerja dan pensiunan yang cukup signifikan, sehingga mereka harus beradaptasi berkaitan dengan hal tersebut.

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Objective:To know the quality of life in elderly joining "Klub Jantung Sehat" (KJS) Pondok Kelapa and the factors that influence it, in terms of sociodemographic factors, functional status, and mental health.

Methods: Descriptive cross-sectional observational study in 69 subjects taken consecutively, elderly ≥ 60 years old who met the study criteria. Quality of life were assessed with European Quality of Life-5 Dimensions (EQ-5D), mental health with Geriatric Depression Scale (GDS), and functional status by 6 Minutes Walking Test (6MWT) performance test.

Results: Quality of life in 62.3% subjects had good results with the highest value of EQ5D index 1,000. Functional status with the 6MWT distance 401.73 ± 49.75 meters. Mental health in 98.5% subjects were normal. The most influence factorwas age (p = 0.009), with the mean of 66 years old (range 60-79 years) had a better quality of life than mean 61.5 years old (range 60 - 82 years). Other sociodemographic factors, functional status, and depression levels did not have a significant association (p > 0.05).

Conclusion: Quality of life majority ofsubjectswere good, with the most influence factor was age. Older subjects had a better quality of life, this might be caused by at younger age there was a significant increased inelderly individuals who did not work and retired, so they had to adapt more to this condition."

"Perubahan pada sistem muskuloskeletal lansia dapat menyebabkan masalah hambatan mobilitas fisik yang cukup tinggi pada lansia. Penulisan karya ilmiah ini bertujuan untuk memberikan gambaran asuhan keperawatan pada lansia yang memiliki hambatan mobilitas fisik. Intervensi keperawatan yang dilakukan untuk mengurangi hambatan mobilitas fisik pada lansia adalah program latihan keseimbangan Ba Duan Jin Exercise. Ba Duan Jin Exercise merupakan intervensi keperawatan berupa latihan keseimbangan yang mudah, santai, dan bermanfaat untuk meningkatkan keseimbangan tubuh. Hasil intervensi yang dilakukan sebanyak 2 kali seminggu selama 5 minggu dengan Ba Duan Jin Exercise didapatkan adanya peningkatan yang signifikan ditunjukkan dengan hasil pemeriksaan MFES (Modified Falls Efficacy Scale) dari skor 5,71 menjadi 10, pemeriksaan BBT (Berg Balance Test) dari skor 26 menjadi 33, pemeriksaan TUGT (Time Up and Go Test) dari 13,7 detik menjadi 10,5 detik dan OLST (One Leg Stance Test) dari 0,6 detik menjadi 2,2 detik. Program latihan keseimbangan ini dapat dilakukan oleh perawat untuk melatih keseimbangan lansia agar dapat meminimalisasi hambatan mobilitas fisik yang terjadi pada lansia.

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Change in the musculoskeletal system on older people can causes quite high impaired physical mobility problem. The purpose of this scientific article is to explain nursing care of older people with impaired physical mobility. One of the nursing cares that can be implemented to reduce risk of falls on older people is balance training program called Ba Duan Jin Exercise. Ba Duan Jin Exercise is nursing intervention that has a low-intensity aaerobic exercise which is suitable for practice among older people and can improving the balance ability of older people. After the interventions twice a week during 5 weeks, the obtained result shows quite significant increase in Modified Falls Efficacy Scale (MFES) score, which enhanced from 5,71 to 10. Berg Balance Test (BBT) score increases from 26 to 33, Time Up and Go Test (TUGT) score increases from 13,7 seconds to 10,5 seconds, and One Leg Stance Test (OLST) score increases from 0,6 seconds to 2,2 seconds. This balance exercise program can be implemented by nurse to train balance on older people in order to minimize impaired physical mobility among older people."

"Lansia erat kaitannya dengan proses menua yang berpengaruh pada penurunan fungsi sistem tubuh salah satunya terjadi pada sistem muskuloskeletal. Kondisi ini dapat bersiko pada kejadian jatuh sehingga mempengaruhi kualitas hidup lansia. Penulisan karya ilmiah ini bertujuan untuk memaparkan hasil asuhan keperawatan pada lanjut usia dengan masalah risiko jatuh dengan penerapan program latihan keseimbangan. Latihan ini di dilakukan 4 kali dalam seminggu dengan dasi 16 menit dan di evaluasi dengan menggunakan instrumen Berg Balance Scale (BBS), Time Up and Go (TUG)dan One Leg Standing Time (OLST). Hasil evaluasi akhir dari penerapan intervensi terlihat adanya perubahan yang signifikan. Pemeriksaan BBS meningkat dari skor 39 menjadi 45, pemeriksaan TUG mengalami percepatan dari 18.64 menjadi 14.60 detik. Sementara evaluasi dengan OLST didapatkan adanya peningkatan kemampuan klien untuk mengangkat salah satu kaki dengan mata terbuka dari 1.06 menjadi 4.32 detik dan dengan mata tertutup dari hasil 0.56 menjadi 4.21 detik. Dapat disimpulkan bahwa penerapan program keseimbangan ini dapat meningkatkan rasa percaya diri, stabilitas dan keseimbangan yang dapat mencegah kejadian jatuh pada lanjut usia. 

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Elderly people are closely related to aging processes which can affect the decline in bodily system functions. This condition can be risk of a fall that will affect the elderly quality of life. This scientific paper aims to describe the results of nursing care for the elderly with the risk of falling using balance exercise program. This exercise was conduct 4 times a weeks with 16 minutes in every session was evaluated using Berg Balance Scale (BBS), Time Up and Go (TUG) instruments and One Leg Standing Time (OLST).

The results of the final evaluation after implementation showed a significant change. BBS examination increased from a score of 39 to 45, the TUG examination. accelerated from 18.64 to 14.60 seconds. While evaluation with OLST found an increase in the clients ability to lift one leg with eyes open from 1.06 to 4.32 seconds and with eyes closed from the results of 0.56 to 4.21 seconds. The conclution from this balance training program can increase self-confidence, stability and balance that can decrease risk of falls  in the elderly."

"[Tujuan : Mengetahui komponen manakah dari EQ-5D yang paling berhubunganterhadap kualitas hidup pasien rawat inap usia lanjut, menilai hubungankomponen EQ-5D terhadap kualitas hidup pasien rawat inap usia lanjut diRSUPNCM serta menilai hubungan antara usia lanjut yang bekerja maupun tidakbekerja terhadap penyakit seperti penyakit infeksi, kardiovaskular maupunpenyakit lainnya. ABSTRAKMetode : 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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ABSTRACTObjective : 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 ofrespondents day by showing it to the Visual Analogue Scale (VAS). Results : Assessment of quality of life using the EQ-5D shows that mostrespondents 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 amaximum 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 relatedto the quality of life of elderly hospitalized patients, assessing the EQ-5D relationscomponent of the quality of life of elderly inpatients in RSUPNCM and to assessthe relationship between the elderly who work or do not work against the diseasesuch as infectious diseases, cardiovascular and other diseases. Methods : A cross-sectional descriptive observational design. The study wasconducted on 150 respondents who obtained consecutively, aged ≥ 60 years andmet the study criteria. Assessment of quality of life questionnaires EuropeanQuality of Life-5 Dimensions (EQ-5D), examination of cognitive function usingthe Mini Mental State Examination form (MMSE), assessment of activities ofdaily life with the Barthel Index, the examination form of depression using theGeriatric Depression Scale (GDS), as well as evaluating the health condition ofrespondents day by showing it to the Visual Analogue Scale (VAS). Results : Assessment of quality of life using the EQ-5D shows that mostrespondents do not have a problem or a value of 1, except for the components of asense 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 normalwith mean 27 where in the minimum value of 25 and a maximum of 30. In theBarthel Index assessment middle values 17 obtained with a minimum of 5 and amaximum value of 20 as well as the mode of 19 (32%). On examination usingGDS obtained mean of 3 with a minimum value of 0 and a maximum of 9 andmode 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 asthe 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 elderlyinpatients in RSUPNCM is a flavor component of pain / discomfort. There is asignificant relationship with the negative correlation between all the componentsof 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 relatedto the quality of life of elderly hospitalized patients, assessing the EQ-5D relationscomponent of the quality of life of elderly inpatients in RSUPNCM and to assessthe relationship between the elderly who work or do not work against the diseasesuch as infectious diseases, cardiovascular and other diseases. Methods : A cross-sectional descriptive observational design. The study wasconducted on 150 respondents who obtained consecutively, aged ≥ 60 years andmet the study criteria. Assessment of quality of life questionnaires EuropeanQuality of Life-5 Dimensions (EQ-5D), examination of cognitive function usingthe Mini Mental State Examination form (MMSE), assessment of activities ofdaily life with the Barthel Index, the examination form of depression using theGeriatric Depression Scale (GDS), as well as evaluating the health condition ofrespondents day by showing it to the Visual Analogue Scale (VAS). Results : Assessment of quality of life using the EQ-5D shows that mostrespondents do not have a problem or a value of 1, except for the components of asense 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 normalwith mean 27 where in the minimum value of 25 and a maximum of 30. In theBarthel Index assessment middle values 17 obtained with a minimum of 5 and amaximum value of 20 as well as the mode of 19 (32%). On examination usingGDS obtained mean of 3 with a minimum value of 0 and a maximum of 9 andmode 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 asthe 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 elderlyinpatients in RSUPNCM is a flavor component of pain / discomfort. There is asignificant relationship with the negative correlation between all the componentsof 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 relatedto the quality of life of elderly hospitalized patients, assessing the EQ-5D relationscomponent of the quality of life of elderly inpatients in RSUPNCM and to assessthe relationship between the elderly who work or do not work against the diseasesuch as infectious diseases, cardiovascular and other diseases. Methods : A cross-sectional descriptive observational design. The study wasconducted on 150 respondents who obtained consecutively, aged ≥ 60 years andmet the study criteria. Assessment of quality of life questionnaires EuropeanQuality of Life-5 Dimensions (EQ-5D), examination of cognitive function usingthe Mini Mental State Examination form (MMSE), assessment of activities ofdaily life with the Barthel Index, the examination form of depression using theGeriatric Depression Scale (GDS), as well as evaluating the health condition ofrespondents day by showing it to the Visual Analogue Scale (VAS). Results : Assessment of quality of life using the EQ-5D shows that mostrespondents do not have a problem or a value of 1, except for the components of asense 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 normalwith mean 27 where in the minimum value of 25 and a maximum of 30. In theBarthel Index assessment middle values 17 obtained with a minimum of 5 and amaximum value of 20 as well as the mode of 19 (32%). On examination usingGDS obtained mean of 3 with a minimum value of 0 and a maximum of 9 andmode 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 asthe 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 elderlyinpatients in RSUPNCM is a flavor component of pain / discomfort. There is asignificant relationship with the negative correlation between all the componentsof 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. ]"

"Jatuh merupakan hal yang sering terjadi pada lansia. Penelitian ini bertujuan untuk mengetahui pengetahuan, sikap, dan perilaku keluarga tentang kejadian jatuh pada lansia di RW 05 Kelurahan Cisalak. Penelitian ini menggunakan desain deskriptif.Hasil penelitian menunjukan keluarga memiliki pengetahuan yang dapat dikategorikan baik (51,9%), sebagian besar keluarga memiliki sikap baik (73,6%) serta tidak terdapat perbedaan antara perilaku baik dan kurang (50%) tentang kejadian jatuh pada lansia.Peneliti menyarankan agar penelitian ini dapat digunakan untuk memotivasi keluarga dan pemberi layanan kesehatan dalam mempromosikan pentingnya pencegahan jatuh dalam rangka mengurangi kejadian jatuh pada lansia.

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Falls are common among elderly. The aim of this study was to explore family's knowledge, attitude, and behavior about falls incident among elderly at RW 05 Kelurahan Cisalak. This study used a descriptive method for its design.

The result showed that the knowledge of the families were classified as good (51,9%), most of families had good attitudes (73,6%), and the behavior of the families did not have any difference between good and less (50%) about falls incident among elderly at RW 05 Kelurahan Cisalak.

Researcher suggest that this research could be used to encourage family and other health care provider to promote the importance of having falls prevention in order to reduce falls incident rate in elderly."

"Penelitian-penelitian terdahulu menunjukkan bahwa perawatan anggota rumah tangga lansia yang mengalami disabilitas dan membutuhkan long-term care lebih banyak dilakukan oleh perempuan dan berpotensi mempengaruhi alokasi waktu yang dimiliki perempuan tersebut antara untuk perawatan anggota keluarga termasuk lansia, dan berperan aktif dalam angkatan kerja. Perempuan, terutama perempuan kawin, biasanya akan keluar dari pasar kerja atau mengurangi jam kerja mereka apabila terdapat lansia yang membutuhkan perawatan di dalam rumah tangganya. Menggunakan data SUSENAS Kor 2018 dan regresi multinomial dan regresi tobit, penelitian ini bertujuan untuk mengetahui hubungan antara skor gangguan fungsional lansia, yang merupakan pendekatan kebutuhan long-term care, dengan status bekerja (formal dan informal) dan jam kerja perempuan kawin yang ada di Indonesia.Penelitian ini menemukan bahwa lansia yang tinggal bersama dengan perempuan kawin di Indonesia secara rata-rata masih berada pada kelompok lansia "muda" dan dalam taraf belum membutuhkan long-term care. Dengan kondisi demikian, penelitian ini belum dapat menunjukkan hubungan yang negatif dan signifikan antara peningkatan skor gangguan fungsional lansia dan status bekerja (formal dan informal) serta jam kerja perempuan kawin yang tinggal bersama dengan lansia tersebut.

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Previous studies showed that the caregiving to disabled and requiring long-term care elderly is mostly performed by women. The caregiving women, especially the married ones, often facing the problem of time allocations, between work and caring for family members and disabled elderly. Using SUSENAS Kor 2018 data, this study investigates the relationship between the score of functional impairment of the elderly, which is an approach to long-term care needs, with working status (formal and informal) and working hours of married women co-residing with the elderly in Indonesia.This study found that the elderly who co-reside with married women in Indonesia are, on average, still in the "young old" age group and at the stage where they do not need long-term care yet. Consequently, this study provides no evidence of the negative and significant relationship between the increasing scores of functional impairment of the elderly and working status (formal and informal) and the working hours of married women living in the same household with the elderly."

"Keseimbangan tubuh pada lansia dapat ditingkatkan dengan melakukan latihan keseimbangan fisik secara teratur untuk meningkatkan kekuatan otot ekstremitas bawah, daya tahan dan kelenturan sendi sehingga secara tidak langsung dapat mencegah terjadinya jatuh. Penelitian ini bertujuan untuk mengetahui pengaruh latihan keseimbangan fisik terhadap keseimbangan tubuh lansia di Panti Sosial Tresna Werdha Wilayah Pemda DKI Jakarta. Penelitian ini merupakan penelitian eksperimen semu dengan desain nonequivalent pretest-postest with control group. Pengambilan sampel dilakukan secara acak dan didapatkan 73 lansia sebagai responden dimana 36 lansia pada kelompok intervensi dan 37 lansia pada kelompok kontrol. Instrumen penilaian keseimbangan menggunakan skala keseimbangan Berg. Latihan keseimbangan fisik dilaksanakan 3 kali seminggu selama 6 minggu. Analisis data menggunakan uji-t dan regresi linear berganda. Hasil penelitian menunjukkan bahwa keseimbangan tubuh lebih baik pada lansia sesudah diberikan latihan keseimbangan pada kelompok intervensi (p<0,05). Keseimbangan tubuh lebih baik pada lansia sesudah diberikan latihan keseimbangan fisik pada kelompok intervensi dibandingkan dengan kelompok kontrol (p<0,05). Gangguan keseimbangan terjadi pada kelompok kontrol dengan usia lebih dari 80 tahun, berjenis kelamin perempuan, dan kurang melakukan aktivitas fisik. Ada pengaruh latihan keseimbangan fisik terhadap keseimbangan tubuh lansia (p<0,05) dimana pada kelompok intervensi terjadi peningkatan yang bermakna 7 item dari 14 item penilaian keseimbangan. Kebijakan panti terkait penerapan bentuk intervensi latihan keseimbangan tanpa mengabaikan aktivitas fisik yang telah ada dan memaksimalkan peran perawat dan petugas sosial diperlukan untuk meningkatkan keseimbangan dan mencegah risiko jatuh pada lansia.

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Postural balance in older people can be improved by physical balance exercise regularly to improve muscle leg strength, endurance and joint flexibility, so the risk of fall can be prevented.This Research aimed to know influence of physical balance exercise at Panti Sosial Tresna Werdha in Pemda Region DKI Jakarta. A quasi experimental with nonequivalent pretest-postest with control group design were used in this study. Seventy three sample was taken by randomization, consist of thirtysix older people of interventions group and thirtyseven older people of control group. Instrument of balance assessment uses Berg Balance Scale. Postural stability exercise is executed 3 times a week for 6 week. Data analysis uses independent and dependent t-test and multiple linear regression.

The result of the study showed that postural balance much better in older people after given balance exercise at intervention group (p<0,05). Postural balance much better in older people after given balance exercise at intervention group compared to control group (p<0,05). Balance disorder happens at control group with age more than 80 year, woman, and less conduct physical activity. There is influence of physical balance exercise to postural balance in older people (p<0,05) where at intervention group showed significant improvement on 7 of 14 items in the Berg Balance Scale. Panti policy caught in applying of intervention form balance exercise without disregard physical activity that already there is and maximize nurse role and social worker are needed to improve balance and prevent risk falls in older people."

"Living arrangement atau pengaturan tempat tinggal pada lanjut usia (lansia) menunjukkan ketersediaan sumber dukungan sosial. Pada lansia yang tinggal bersama keluarga kemungkinan memiliki kesehatan yang baik karena ada anggota keluarga yang merawat, mendapat perhatian, serta dukungan sosial lainnya. Sementara lansia yang tidak memiliki ketersediaan dukungan keluarga akan mengalami kesepian yang berdampak pada kesehatannya. Penelitian ini bertujuan untuk mendapatkan gambaran tingkat kesulitan fungsional pada lansia, serta untuk mempelajari hubungan living arrangement terhadap gangguan fungsional. Sumber data yang digunakan adalah Susenas September 2018 dengan menggunakan analisis deskriptif dan inferensial (Regresi Logistik Ordinal). Hasil skor gangguan fungsional menunjukkan secara rata-rata lansia di Indonesia berada pada kelompok lansia muda yang masih memiliki kemampuan fungsional yang baik. Selain itu, penelitian ini menemukan bahwa lansia yang tinggal sendiri cenderung mengalami gangguan fungsional dalam berjalan/naik tangga, mengingat/berkonsentrasi, maupun perilaku/emosional lebih buruk dibandingkan lansia yang tinggal bersama keluarga. Begitu juga, lansia yang tinggal berdua pasangan cenderung mengalami gangguan fungsional dalam berjalan/naik tangga, mengingat/berkonsentrasi, maupun perilaku/emosional lebih buruk dibandingkan lansia yang tinggal bersama keluarga.

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Living arrangements of the elderly indicates the availability social support sources. The elderly who live with family are more likely to be healthier due to the availability of familial care, attention, and other social supports. On the other hand, the elderly who do not have the availability of family support will experience loneliness which will in turn affect their health. This study aims to obtain an overview of the level of functional impairment in the elderly, as well as to study the relationship between living arrangements and functional impairment. The September 2018 National Socio-Economic Survey (Susenas) was used as the data source by using descriptive and inferential analysis (Ordinal Logistic Regression). The functional impairment score results indicated that, on average, the elderly in Indonesia were in young elderly age group who still have the ability to function well. This study also found that the elderly who live alone tend to experience functional impairment in walking/climbing the stairs, remembering/concentrating, and worse behaviours/emotions than the elderly who live with family. Similar tendency was also found in elderly who only live with spouse. They were likely to experience functional impairment in walking/climbing the stairs, remembering/concentrating, and worse behaviours/emotions than the elderly who live with family."