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Albertus Rivelino Bouw
Hubungan komponen European Quality of Life-5 Dimensions (EQ-5D) dalam penilaian kualitas hidup pada pasien rawat inap akut usia lanjut di RSUPNCM = Component relations European Quality of Life-5 Dimensions (EQ-5D) in the quality of life assessment on inpatient acute elderly in RSUPNCM
"[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.
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. ]"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T58763
UI - Tesis Membership  Universitas Indonesia Library
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Widyastuti Retno Annisa
Penilaian kualitas hidup pada usia lanjut dengan EQ-5D di klub Jantung Sehat Kelurahan Pondok Kelapa dan faktor-faktor yang mempengaruhi = Quality of life using EQ- 5D in elderly joining klub Jantung Sehat Kelurahan Pondok Kelapa and influence factors
"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.
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."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Lia Juniarni
Studi fenomenologi makna hidup pada lansia yang tidak menikah = Fenomenology study the meaning of life for unmarried elderly / Lia Juniarni
"ABSTRAK
Pernikahan suatu kebutuhan semua individu baik pria maupun wanita
dewasa, pernikahan termasuk rangkaian hirarki kebutuhan dasar, kemampuan
lansia yang tidak menikah dalam menemukan makna hidup sangat dibutuhkan
Tujuan penelitian mendapatkan pemahaman yang mendalam tentang makna hidup
lansia tidak menikah. Penelitian ini menggunakan pendekatan kualitatif dengan
desain fenomenologi, jumlah partisipan sebanyak tujuh orang, tempat penelitian
panti wreda di Kota Bandung. Hasil penelitian menemukan dua puluh satu
kategori dan enam tema yaitu memaknai sebuah pernikahan, alasan tidak
menikah, perhatian keluarga tentang pernikahan, konsekuensi psikologis tidak
menikah, menerima tidak menikah sebagai ketetapan Tuhan dan hikmah positif
tidak menikah. Penelitian ini direkomendasikan bagi peneliti selanjutnya untuk
melakukan penelitian sejenis dikomunitas.
ABSTRACT
Being married is a need for adult women and man. Marriage is a part of
human needs hierarchy. The ability of unmarried elderly in finding the meaning of
life is needed. The purpose of this study was to have a depth understanding of the
meaning of life for unmarried elderly. This study used the qualitative research
method with fenomenological approach, number of participants as many as seven
people, place of this study in Nursing Home Bandung City. The finding of this
research revealed twenty one categorics and six main themes. The themes were
meaning of a marriage, the reasons of unmarried, family concern about marriage,
psychological consequences of being unmarried, accepting of not being married
as the GOD?s wish and a positive meaning for not being married. This research
was recommended for further research to conduct similar research the community."
2013
T35392
UI - Tesis Membership  Universitas Indonesia Library
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Deviera Minelly Noor
Pengaruh latihan keseimbangan terhadap mobilitas fungsional dan rasa takut jatuh pada usia lanjut = Effect of balance exercise on functional mobility and fear of falling in the elderly / Deviera Minelly Noor
"ABSTRAK
Latar 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.
ABSTRACT
Background: 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."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Agustina Sukmasari Ngadino
Penggunaan World Health Organization Quality Of Life-BREF untuk mengukur kualitas hidup lanjut usia di Wilayah Puskesmas Kabupaten Bogor tahun 2019 = Utilization of World Health Organization Quality Of Life-BREF for measuring eldery quality of life in Health Community Center Bogor Region 2019
"Tesis ini membahas Penggunaan World Health Organization Quality Of Life-BREF Untuk Mengukur Kualitas Hidup Lanjut Usia Di Wilayah Puskesmas Kabupaten Bogor Tahun 2019. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana penggunaan World Health Organization Quality Of Life-BREF untuk mengukur kualitas hidup lanjut usia di wilayah puskesmas Kabupaten Bogor .Penelitian ini adalah penelitian kuantitatif dengan desain Cross Sectional. Karakteristik responden, kualitas hidup secara umum, kesehatan secara umum dan distribusi skor ke empat domain kualitas hidup di wilayah Puskesmas Kabupaten Bogor didapatkan melalui analisis univariat. Cronbachs α, inter-item correlation digunakan untuk mengukur konsistensi internal. Uji Anova yang dilanjutkan dengan korelasi Kendall dan Spearman dilakukan untuk mengetahui keeratan korelasi antara domain WHOQOL-BREF dengan kualitas hidup secara umum. Keeratan korelasi antar domain didapatkan melalui uji parsial korelasi.
Hasil penelitian didapatkan bahwa secara umum persepsi kualitas hidup lansia dan kepuasan lansia akan kesehatan dirinya di wilayah puskesmas Kabupaten Bogor adalah biasa-biasa saja. Instrumen WHOQOL-BREF yang telah dimodifikasi valid dan reliabel untuk mengukur kualitas hidup lansia. Domain psikologis merupakan prediktor terbaik untuk kualitas hidup secara umum. Diantara ke empat domain WHOQOL-BREF yang memiliki keeratan korelasi antar domain adalah hubungan sosial dan lingkungan. Peneliti menyarankan agar mempertimbangkan kualitas hidup dalam melakukan evaluasi kebijakan maupun program.
This thesis discusses utilization WHOQOL-BREF for measuring eldery quality of life in health community center Bogor Region 2019. Aim of this study is to find out how WHOQOL-BREF measure eldery quality of life in Health Community Center Bogor Region. This study is a quantitative research with Cross Sectional design. Respondent characteristics, general quality of life, general health and distribution of scores to four quality of life domains were obtained through univariate analysis. Cronbachs α, the inter-item correlation is used to measure internal consistency. Anova test followed by Kendall and Spearman correlation was conducted to determine the correlation between domains and quality of life in general. The correlation between domains was obtained through partial correlation test.
The results of the study found that perception of eldery quality of life and satisfaction regarding their health in Health Community Center Bogor Region was sufficient. The modified WHOQOL-BREF instrument is valid and reliable to measure eldery quality of life. The psychological domain is the best predictor of quality of life in general. Among the four WHOQOL-BREF domains that have strong correlation between domains are social and environmental relations. Researchers suggest that quality of life have to be a part of evaluating policies and programs."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2019
T53864
UI - Tesis Membership  Universitas Indonesia Library
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Dhining Ayu Oktavia
Hubungan fungsi pendengaran dengan kualitas hidup lansia di uptd pelayanan sosial lanjut usia tresna werdha provinsi Lampung = Relationship between hearing function and quality of life of elderly in nursing home Lampung
"Lansia memiliki berbagai kerentanan terkait dengan penurunan fungsi fisik, psikologis dan perubahan perkembangan yang dapat berdampak pada kualitas hidup. Penurunan pada fungsi pendengaran lansia dapat menyebabkan kesulitan dalam berkomunikasi, depresi, gangguan harga diri rendah, safety risk, dan gangguan fungsi kognitif yang berdampak pada penurunan kualitas hidup lansia. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara fungsi pendengaran dengan kualitas hidup lansia.
Desain penelitian ini korelatif cross-sectional dengan jumlah sampel 71 lansia di UPTD Pelayanan Sosial Lanjut Usia Tresna Werdha Provinsi Lampung yang dipilih menggunakan teknik total sampling yang memenuhi kriteria inklusi yang telah ditetapkan. Analisis data menggunakan uji korelasi Pearson. Fungsi pendengaran dinilai dengan menggunakan kuesioner HHIE-S dan kualitas hidup dinilai menggunakan kuesioner WHOQOL-BREF. Hasil penelitian mendapatkan data rerata usia responden adalah 75 tahun, sebagian besar berjenis kelamin perempuan (59,20%), tidak sekolah (49,50%), dan 97,20% lansia tidak bekerja.
Hasil analisa biavariat mendapatkan data bahwa terdapat hubungan antara fungsi pendengaran dengan kualitas hidup lansia (p value = 0,005; α=0,05). Penelitian ini diharapkan dapat berguna bagi pengembangan ilmu keperawatan ke depannya dimana perawat harus dapat meningkatkan keterampilan dalam berkomunikasi dengan lansia yang mengalami penurunan fungsi pendengaran dan meningkatkan intervensi untuk meningkatkan kualitas hidup lansia maupun intervensi untuk mencegah penurunan fungsi pendengaran yang terjadi pada lansia.
The elderly have many vulnerability because of physiology function?s decrease, physiologi and change of their growth that can impact in their quality of life. The decrease of hearing function in elderly, can caused difficult communication between elderly, depresion, impaired cognitive function that can affect in their quality of life. The purpose of this research was to identificated relationship between hearing function and quality of life in elderly.
This research used correlative cross-sectional study design, with total sampling method which was involves 71 elderly in nursing home in Lampung. The data was analysis by Pearson correlation. Hearing function was assessed by Hearing Handicap Inventory for Elderly Screening (HHIE-S), and quality of life was assessed by instrument WHOQOL-BREF.
Result of this research show that respondens?s characteristic is elderly aged 75 years old, mostly woman (59,20), largely school (49,50%), and did not work (97,20%).the result of bivariate analysis is significant relation (p value = 0,005; α=0,05) between hearing function and quality of life elderly in institutional for elderly in Lampung. This research is expected to be useful for nursing science development in the future, spesificly, nurse should be improve their skill to communicatin with elderly who have hearing loss and to improve quality of live and intervention to hearing loss prevention in elderly."
Depok: Universitas Indonesia, 2016
S64193
UI - Skripsi Membership  Universitas Indonesia Library
cover
Irnawati
Hubungan aktivitas fisik dengan kualitas hidup pada lansia di wilayah Kecamatan Kejaksan Kota Cirebon tahun 2017 = Physical activity related to quality of life among elderly in kejaksan sub District Cirebon in 2017
"Di berbagai negara, proporsi penduduk mencapai lanjut usia lansia meningkat dan menjadi perhatian seluruh dunia. Tahun 2010-2035 diproyeksikan Indonesia memasuki periode lanjut usia ageing population . Sehingga upaya perbaikan dan peningkatan kualitas hidup pada lansia memerlukan perhatian khusus. Populasi lansia yang potensial di Kota Cirebon adalah di Kecamatan Kejaksan, tahun 2013-2015 mencapai 3.785 sampai 3.831 orang. Diketahui jumlah kasus pada urutan pertama untuk ganguan status mental emosional ada di wilayah Kecamatan Kejaksan. Penelitian ini bertujuan mengetahui hubungan aktivitas fisik dengan kualitas hidup pada lanjut usia setelah dikontrol dengan variabel konfounding jenis kelamin, tingkat pendidikan, status perkawinan, pekerjaan, merokok dan status gizi. Penelitian ini dilakukan di wilayah Kecamatan Kejaksan Kota Cirebon bulan Mei 2017. Penelitian menggunakan desain studi cross sectional, pengambilan sampel stratified random sampling, pengumpulan data dilakukan dengan melalui wawancara dengan kuesioner pada 110 responden. Hasil penelitian ini menemukan pada responden dengan kualitas hidup baik, 93,4 memiliki aktivitas fisik yang cukup. Hasil regresi logistik menunjukkan hubungan bermakna antara aktivitas fisik dengan kualitas hidup setelah dikontroldengan variabel status pernikahan p value = 0,0005, CI= 3,512 - 38,709 .Aktivitas fisik yang cukup merupakan faktor meningkatnya kualitas hidup,peningkatan kualitas hidup ini meningkat pada lansia yang memiliki pasangan hidup atau dengan status menikah.
In many countries, the proportion of the population reaches the elderly elderly increases and is a worldwide concern. In 2010 2035, Indonesia is projected to enter a period of aging ageing population . So that efforts to improve and improve the quality of life in the elderly require special attention. The potential elderly population in Cirebon City is in the District of Kejaksan, 2013 2015 years reaching 3,785 to 3,831 people. It is known that the number of cases in the firs sequence for emotional mental status disorder is in the Kejaksan sub District. This study aims to determine physical activity related to quality of life among elderly after controlled by variables confounding sex, education level, marital status, occupation, smoking and nutritional status. This research was conducted in Kejaksan sub District, Cirebon in May 2017. The study used cross sectional study design, stratified random sampling, data collection was done through interview with questioner on 110 respondents. The results of this study found in respondents with good quality of life, 93.4 have adequate physical activity. Logistic regression results showed significant relationship between physical activity and quality of life after controlled with marital status variables p value 0,0005, CI 3,512 38,709 . Sufficient physical activity is a factor of increasing quality of life, improved quality of life is increased in elderly people who have a spouse or married status."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2017
T47811
UI - Tesis Membership  Universitas Indonesia Library
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Yeni Mahwati
Model prediksi penuaan sukses successful aging pada lansia di Indonesia = Predictive model of successful aging among elderly in Indonesia
"ABSTRAK
Indonesia mengalami penuaan penduduk yang sangat cepat. Diperkirakan populasi
penduduk lansia di Indonesia akan mencapai 28,8 juta (11,3%) pada tahun 2020
dan mencapai 100 juta (28,68%) pada tahun 2050. Perhatian mengenai bagaimana
penuaan sukses dan determinanya menjadi sebuah isu penting yang harus
dieksplorasi sebagai dukungan informasi bagi penentu kebijakan dalam
merancang kebijakan dan intervensi efektif untuk meningkatkan kualitas hidup
lansia di Indonesia. Tujuan penelitian ini adalah untuk mengeksplorasi aspek
multidimensional penuaan sukses dan memperoleh model prediksi penuaan sukses
pada lansia di Indonesia.
Penelitian ini menggunakan desain studi kohort retrospektif menggunakan data
IFLS (Indonesian Family Life Survey) dengan mengikuti individu selama tujuh
tahun yaitu pada titik waktu pengukuran survei IFLS 2000 dan IFLS 2007. Jumlah
sampel penelitian ini adalah 2.344 lansia (≥ 53 tahun). Model pengukuran penuaan
sukses diuji dan dianalisis menggunakan comfirmatory factor analysis (CFA).
Analisis regresi logistik ganda digunakan untuk memperoleh model prediksi
penuaan sukses.
Penelitian ini menghasilkan konsep model penuaan sukses multidimensional yang
memiliki kriteria kecocokan model yang baik serta validitas dan reliabilitas yang
cukup baik dengan kontribusi masing-masing yaitu keberfungsian mental (78%),
keterlibatan aktif (64%), keberfungsian fisik (62%), spiritualitas (2,7%) dan bebas
dari penyakit (0,1%). Hasil model prediksi penuaan sukses terdiri dari tujuh
variabel meliputi faktor individu (usia, jenis kelamin, pendidikan, aktivitas fisik
dan waist circumference) dan faktor lingkungan (tingkat pengeluaran nabati dan
partisipasi program dana sehat). Kelompok usia 60-69 tahun memiliki peluang
sukses 2,211 (95% CI=1,077-4,539), kelompok usia 53-59 tahun sebesar 3,568
(95%CI=1,765-7,216). Lansia laki-laki memiliki peluang 1,595 (95%CI=1,133-
2,247), lansia dengan pendidikan rendah memiliki peluang 2,805 (95%CI=1,776-
4,429), pendidikan menengah/tinggi 4,128 (95%CI=2,272-7,500). Lansia dengan
aktivitas fisik sedang memiliki peluang sukses 4,258 (95%CI=2,352-7,709),
aktivitas ringan 3,964 (95%CI=2,228-7,052) dan aktivitas berat 3,675
(95%CI=2,054-6,576). Lansia dengan Waist Circumference tidak berisiko
memiliki peluang sukses 1,688 (95%CI=1,092-2,610). Lansia dengan tingkat
pengeluaran nabati tinggi memiliki peluang sukses 1,384 (95%CI=1,010-1,898),
lansia yang berpastisipasi dalam program dana sehat berpeluang sukses 1,779
(95%CI=1,181-2,680). Implikasi hasil penelitian terhadap kebijakan berupa tiga
pilar utama yang menentukan penuaan sukses yaitu partisipasi, kesehatan dan
jaminan sosial. Selain ketiga pilar tersebut, gender juga merupakan determinana
penting penuaan sukses. Oleh karena itu kesetaraan gender perlu dipertimbangkan
dalam setiap pilar kebijakan
ABSTRACT
Indonesia experienced rapid population aging. It is estimated that the elderly
population in Indonesia will reach 28.8 million (11.3%) in 2020 and 100 million
(28.68%) in 2050. Caution regarding how successful aging and its determinant
become an important issue that should be explored as support information for
policy makers in designing effective policies and interventions to improve the
quality of life of the elderly in Indonesia. The objective of this study was to
explore the multidimensional aspects of successful aging and obtain predictive
models successful aging in the elderly in Indonesia.
This study used a retrospective cohort study design using the data IFLS
(Indonesian Family Life Survey) by following people for seven years, namely at
the point of measurement time survey IFLS IFLS 2000 and 2007. The amount of
the sample is 2,344 elderly (≥ 53 years). Successful aging measurement model
was tested and analyzed using Comfirmatory Factor Analysis (CFA). Multiple
logistic regression analysis is used to derive predictive model of successful aging.
This research resulted in the concept of multidimensional models of successful
aging that has good validity and reliability. Each contribution were mental
functioning (78%), active involvement (64%), physical functioning (62%),
spirituality (2.7%) and free of the disease (0.1%). Successful aging prediction
models resulting from this study consisted of seven variables include individual
factors (age, gender, education, physical activity and waist circumference) and
environmental factors (level of expenditure vegetable and healthy fund program
participation). Age group 60-69 years had a chance of success 2.211 (95% CI =
1.077 to 4.539), age group 53-59 years amounted to 3.568 (95% CI = 1.765 to
7.216). Elderly men had chances 1.595 (95% CI = 1.133 to 2.247), elderly people
with low education had a chance 2.805 (95% CI = 1.776 to 4.429), secondary
education / high 4.128 (95% CI = 2.272 to 7.500). Elderly with moderate physical
activity had a chance of success 4.258 (95% CI = 2.352 to 7.709), light activities
3.964 (95% CI = 2.228 to 7.052) and strenuous activities 3,675 (95% CI = 2.054
to 6.576). Elderly with no risk of waist circumference had a chance of success
1.688 (95% CI = 1.092 to 2.610). Elderly with a high level of expenditure
vegetable has a chance of success 1.384 (95% CI = 1.010 to 1.898), elderly who
participates in the healthy fund program likely to succeed 1.779 (95% CI = 1.181
to 2.680). Implications of the results of research on policy in the form of the three
main pillars that determine successful aging, namely participation, health and
social security. In addition to the three pillars, gender is also an important
determinana successful aging. Therefore, gender equality need to be considered in
any policy pillars"
2016
D2664
UI - Disertasi Membership  Universitas Indonesia Library
cover
Financy Ramadhani
Keberadaan lansia dengan gangguan fungsional di dalam rumah tangga dan partisipasi kerja perempuan kawin = Coresidence with functionally impaired elderly and labor participation of married women.
"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.
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."
Depok: Fakultas Ekonomi dan Bisnis Universitas Indonesia, 2020
T54802
UI - Tesis Membership  Universitas Indonesia Library
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Helena Winata
Gambaran pengetahuan, sikap, dan perilaku keluarga tentang kejadian jatuh pada lansia di RW 05 Kelurahan Cisalak Depok = Descriptive study about family's knowledge, attitude, and behavior about falls among elderly people at RW 05 Kelurahan Cisalak Depok
"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.
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."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
S46442
UI - Skripsi Membership  Universitas Indonesia Library
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