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"[ABSTRAKLATAR BELAKANG. Rasa takut jatuh merupakan gejala psikologis yang umum terjadi pada usia lanjut. Faktor-faktor yang berkontribusi terhadap rasa takut jatuh merupakan multifaktorial antara lain kecemasan, depresi, aktivitas dasar sehari-hari dan penyakit kronis yang dimiliki. Rasa takut jatuh yang menimbulkan efek negatif akan menyebabkan menurunnya mobilitas fungsional dan kualitas hidup. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan mobilitas fungsional dan kualitas hidup pada populasi usia lanjut dengan rasa takut jatuh serta faktor mana yang paling mempengaruhi.METODE. Disain observasional potong lintang. Penelitian dilakukan terhadap 108 usia lanjut yang didapat secara konsekutif. Analisis bivariat dengan uji Chi-Square dan analisis multivariat dengan regresi logistik. Penilaian rasa takut jatuh dengan kuesioner Falls Efficacy Scale-International (FES-I), tingkat kognisi dengan kuesioner Mini Mental State Examination (MMSE), rasa depresi dengan kuesioner Geriatric Depression Scale (GDS), rasa cemas dengan kuesioner Hamilton Rating Scale for Anxiety (HAM-A), aktivitas dasar dengan kuesioner Barthel Index, mobilitas fungsional dengan uji Timed Up and Go (TUG) dan kualitas hidup dengan European Quality of Life ? 5 Dimensions (EQ-5D).HASIL. Subyek penelitian memiliki median Barthel Index 20 (15-20), median GDS 2 (0-13), dan median HAM-A 2 (0-22). Berdasarkan analisis bivariat, didapatkan hubungan yang bermakna secara signifikan antara variabel aktivitas dasar dengan mobilitas fungsional (OR 3.421; IK95% 1.324-8.841). Juga didapatkan hubungan yang bermakna secara signifikan antara variabel aktivitas dasar dan depresi dengan kualitas hidup (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682) . Hasil analisis multivariat dengan regresi logistik menunjukan variabel aktivitas dasar merupakan variabel yang paling berpengaruh terhadap mobilitas fungsional (OR 3,421; IK95% 1,324-8,841) dan kualitas hidup (OR 4,789; IK95% 1,836-12,497).KESIMPULAN. Faktor aktivitas dasar merupakan faktor yang paling berpengaruh terhadap mobilitas fungsional dan kualitas hidup pada usia lanjut dengan rasa takut jatuh.

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ABSTRACTBACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS. Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS. Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.;BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.;BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life., BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life – 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.]"

"Latar belakang: SARS-CoV-2 dengan infeksinya yaitu COVID-19 dinyatakan sebagai pandemi global. Kondisi ini membuat pemerintah Indonesia membuat kebijakan untuk membatasi segala bentuk kegiatan social yang mengubah banyak aspek kehidupan, salah satunya adalah perubahan metode kegiatan bersekolah. Kondisi ini menimbulkan pertanyaan terkait pola aktivitas fisik pada anak usia 10-14 tahun selama pandemi COVID-19 terjadi di Indonesia.Metode: Pengumpulan data dilakukan dengan pengisian kuesioner dalam jaringan untuk menghindari kontak fisik secara langsung. Jenis penelitian observasional dengan desain studi Cross-Sectional. Pengolahan data dengan analisis deskriptif, dilanjutkan analisis analitik bivariat dengan uji statistik chi-square dan analisis multivariat dengan uji regresi logistik.Hasil: Diperoleh sebaran subjek berdasarkan usia yaitu usia 10-12 tahun 71.2% dan >12- 14 tahun 28.8%. Jenis kelamin perempuan 62.7% dan laki-laki 37.3%. Tingkat ketaatan protokol kesehatan yaitu 75.7% tidak taat dan taat 24.3%, Durasi kegiatan pembelajaran jarak jauh 0-3jam/hari 63.8%, >3-6jam/hari 32.8%, dan >6jam/hari 3.4%. Klasifikasi daerah, rural 36.2% dan urban 63.8%. Tingkat aktivitas fisik tinggi 51.4% dan tingkat aktivitas fisik rendah 48.6%. Tingkat aktivitas fisik berhubungan bermakna dengan usia (p=0.017), durasi PJJ (p=0.005), tingkat ketaatan terhadap protokol kesehatan (p=0.013), tidak berhubungan bermakna dengan jenis kelamin (p=0.059), dan daerah tempat tinggal (p=0.363). Uji multivariat didapatkan hubungan dengan tingkat ketaatan anak (p=0,005;OR=2,870) dan durasi PJJ (p=0,002; OR=2,768)Kesimpulan: Prevalensi tingkat aktivitas fisik tinggi 51.4%. Faktor yang berhubungan dengan aktivitas fisik anak selama pandemi adalah usia dan faktor yang berhubungan kuat adalah durasi pembelajaran jarak jauh dalam sehari serta tingkat ketaatan anak terhadap protokol kesehatan

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Introduction: SARS-CoV-2 with its infection, COVID- is declared as a global pandemic. It makes the Indonesian government limit all social activities such as learning remotely method. Changes in many aspects raise questions regarding the pattern of physical activity in children aged 10-14 years.

Method: Data collected by online questionnaires, conducted by observational study with a cross-sectional design, processed with descriptive analysis, bivariate analytical analysis with chi-square test, and multivariate analysis with logistic regression test.

Result: The distribution of subjects based on age is 71.2% aged 10-12 years and >12-14 years 28.8%. Gender is 62.7% female and 37.3% male. The level of adherence is 75.7% obey and 24.3% disobey, the duration of learning is 0-3 hours/day 63.8%, >3-6 hours/day 32.8%, and >6 hours/day 3.4%. Regional classification, rural 36.2% and urban 63.8%. The level of physical activity is 51.4% high and 48.6% low. The level of physical activity significantly related with age (p=0.017), with learning duration (p = 0.005), and with the level of adherence (p=0.013). Not significantly related with gender(p=0.059) and with regional classification (p=0.363). The multivariate analysis found a strong relation with the level of adherence (p =0.005;OR=2.870) and learning duration (p=0.002;OR = 2.768) with physical activity.

Conclusion: The prevalence of high physical activity is 51.4%. Factors related to children's physical activity during the COVID-19 pandemic is children’s age and strongly related factors is the duration of learning and the level of children's adherence to health protocols"

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"Tesis ini bertujuan untuk memahami faktor internal dan faktor eksternal yang menyebabkan residen premature discharge dalam program rehabilitasi di Balai Besar Rehabilitasi BNN. Premature discharge adalah residen yang pulang dari rehabilitasi sebelum waktu yang ditentukan baik dengan melarikan diri atau diambil keluarga di tengah program. Penelitian ini dilakukan melalui pendekatan kualitatif dengan karakteristik penelitian deskriptif analisis. Data yang digunakan dalam penelitian terdiri atas data primer dan sekunder. Data primer didapatkan melalui wawancara kepada informan sebanyak 5 (lima) orang yang terdiri dari 2 (dua) residen, 1 (satu) komandan jaga, 1 (satu) perawat, dan 1 (satu) konselor. Sedangkan data sekunder didapatkan melalui penelusuran data-data di Balai Besar Rehabilitasi BNN seperti rekam medis, data kepegawaian, dan lain-lain. Teori yang dipergunakan meliputi teori tentang premature discharge/ discharge against medical advice, demografi, narkoba, sikap terhadap pengobatan, staf, dan struktur organisasi. Kejadian premature discharge secara teori dipengaruhi oleh dua faktor yaitu faktor internal dan faktor eksternal.Namun hasil penelitian di Balai Besar Rehabilitasi BNN menunjukkan faktor yang signifikan berpengaruh pada kejadian premature discharge dari sisi internal meliputi residen usia dewasa muda, residen yang tidak bekerja, pengguna ATS, residen yang memiliki keyakinan rendah selama menjalani rehabilitasi. Sedangkan dari faktor eksternal tidak memberikan dampak yang signifikan pada kejadian premature discharge residen di Balai Besar Rehabillitasi BNN. Pembagian kerja di Balai Besar Rehabilitasi BNN telah berjalan dengan baik, staf mampu menjadi role model yang baik, dan fasilitas bagi residen sudah mencukupi. Adanya temuan teori ini berguna bagi lembaga rehabilitasi dalam menentukan arah kebijakan layanan agar lebih menekankan keunikan residen dan memandang mereka secara holistik. Beberapa saran yang diberikan untuk mencegah munculnya premature disharge antara lain peningkatan kegiatan residen, optimalisasi sarana dan prasarana, peningkatan wawasan residen, peningkatan konseling individu bagi residen, serta peningkatan wawasan untuk staf.

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This thesis aimed to understand the internal and external factors which cause premature discharge of residents in treatment programs of Rehabilitation Center of National Narcotics Board. Premature discharge is a process when resident don`t finish his/her moment of rehabilitation or in other way her/she finish before regular moment because of escape from facility or being terminated by her/his family. This research was conducted through qualitative approach with descriptive characteristics analysis. The data used in the research consisted of primary and secondary data. The primary data obtained through interviews to the informant as much as five (5) persons consisting of two (2) resident, 1 (one) guard commander, 1 (one) nurses, and 1 (one) counselor. While secondary data was taken by investigating and managing data from medical record, human resources, etc. Research was using theory about premature discharge/ discharge against medical advice, demography, substance abuse, attitude toward medical treatment, human research and organizational structure. The incidence of premature discharge theoretically influenced by two factors: internal factors and external factors.However, the results of research at Rehabilitation Center of National Narcotics Board showed significant factors affect the incidence of premature discharge from the internal side covers early adult resident, resident who does not work, ATS users, residents who have low confidence while undergoing rehabilitation. While external factors do not have a significant impact on the incidence of premature discharge resident in the Rehabilitation Center of National Narcotics Board. The division of labor in Rehabilitation Center of National Narcotics Board has gone well, the staff is able to be a good role model, and facilities for the resident to be sufficient. The findings of this theory is useful for rehabilitation institutions in determining the policy direction of the service in order to further emphasize the uniqueness of the resident and looking at them holistically Some recommendation will be given for next improvement such as an increase resident activities, optimize the facilities, increase resident insight, and educate the knowledge of staff."

"Buku yang berjudul "Krusen's handbook of physical medicine and rehabilitation" ini ditulis oleh Frederic J. Kottke dan Justus F. Lehmann. Buku ini merupakan sebuah buku panduan tentang pengobatan dan rehabilitasi."

"Hubungan antara disabilitas dengan kondisi psikik pasien nyeri punggung ba~ah kronik perlu diperhatikan pada dalam melakukan penatalaksanaan / program rehabilitasi, oleh permasalahan nyeri kronik erat kaitannya dengan hal - hal emosional. Pendekatan yang bersifat biopsikososial mengikutsertakan berbagai disiplin sangat bermanfaat mengatasi disabilitas.Penelitian ini bertujuan melihat sejauh mana korelasi kondisi psikik dengan derajat disabilitas, khususnya keadaan ansietas dan depresi pada pasien nyeri punggung bawah kronik. Disamping itu juga meninjau hubungan kondisi fisik serta intensitas nyeri terhadap disabilitas.Penelitian dilakukan terhadap 65 orang pasien NPBK yang berobat jalan di poliklinik Unit Rehabilitasi Medik RSCM selama bulan Agustus - Oktober 1994. Instrumen yang dipergunakan adalah DAS , PPDGJ II, HDRS, HARS, VAS dan tes Schober. Analisa hubungan antara variabel variabel tersebut dilakukan dengan tehnik korelasi matriks dan regresi bertahap.Hasil penelitian menunjukkan adanya korelasi yang bernakna secara statistik antara disabilitas dengan kondisi psikik, dan tidak ada korelasi bermakna dengan intensitas nyeri maupun kondisi fisik Diperoleh hasil korelasi yang bermakna secara statistik antara derajat depresi dengan tingkat kinerja peran sosial ( r = 0,46 ) dan dengan tingkat disabilitas perilaku keseluruhan (r = 0,43). Kondisi psikik dspresi memberikan sumbangan sebanyak 21 % varians kinerja peran sosial. Penilaian psikopatologi dengan PPDGJ II mendapatkan 58,4 % pasien NPBK mengalami gangguan yang termasuk dalam kelompok Depresi.Keterbatasan fungsi pasien NPBK yang tampak menonjol disfungsinya adalah underactivity, slowness, marital afective, marital sexual, sexual relation, work'performance dan interest injob."

"Stroke merupakan penyakit yang mulai menyerang usia produktif. Dampak yang ditimbulkan adalah kecacatan, sehingga mengakibatkan ketergantungan klien kepada keluarganya. Upaya yang dilakukan adalah memberikan pelaayanan rehabilitasi fisik melalui pemberdayaan klien dan keluarga dengan harapan ketergantungan klien kepada orang lain menjadi minimal dan klien mampu mandiri.Penelitian ini bertujuan untuk mengetahui pengaruh pemberdayaan klien dan keluarga dalam melakukan rehabilitasi fisik di rumah terhadap kemandirian aktivitas sehari-hari klien pasta stroke. Desain penclitian adalah kuasi eksperimen pre tes - pas tes dengan kelompok kontrol. Besar sampel adalah 54 responden, dengan rincian 27 responden kelompok kontrol dan 27 responden kelompok intervensi. Cara pemilihan sampel adalah non probability sampling jenis consecutive sampling.Uji statistik yang digunakan adalah uji beda dua mean dependent samples test paired t test dan uji beda dua mean independent sample t test. Uji regresi Iinier ganda digunakan untuk menganalisis pengaruh karakteristik klien dan keluarga terhadap kemandirian aktivitas klien.Hasil penelitian menunjukkan bahwa kelompok intervensi yang dilakukan pendampingan 8 kali, peningkatan kemandirian lebih tinggi dibandingkan dengan kelompok yang dilakukan pendampingan 4 kali (p=0,000). Peningkatan kemandirian klien pasca stroke dipengaruhi oleh pendidikan klien dan pendidikan keluarga yang merawat klien (p),000).Saran untuk perawat komunitas adalah pemberdayaan klien dan keluarga perlu dikembangkan lebih lanjut sehingga potensi yang dimiliki oleh klien dan keluarga dapat digali dan ditingkatkan. Perawatan berkelanjutan perlu dibentuk oleh perawat komunitas dengan meningkatkan kemitraan antar pclayanan keperawatan dan antar profesi kesehatan yaitu antara perawat di rumah sakit dengan perawat yang berada di Puskesmas."