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"Latar BelakangOveractive bladder (OAB) adalah kondisi medis yang menyebabkan keinginan untuk buang air kecil yang sering dan mendadak. Gangguan ini cukup umum ditemukan dan dapat menurunkan kualitas hidup, terutama pada populasi lansia. Meskipun terdapat berbagai pilihan terapi OAB, efek samping dari pengobatan farmakologis sering menyebabkan penghentian terapi. Asuhan mandiri akupresur dapat menjadi alternatif yang efektif. Namun, perlu diketahui bagaimana pengetahuan masyarakat mengenai terapi ini, masih belum banyak diketahui oleh masyarakat, termasuk di kalangan lansia. MetodePenelitian ini merupakan penelitian deskriptif dengan desain cross-sectional yang dilakukan di Panti Werdha Wisma Mulia, Jakarta, pada bulan September-Oktober 2024. Data dikumpulkan melalui wawancara dengan 42 lansia menggunakan kuesioner yang mencakup Overactive Bladder Symptom Score (OABSS) dan penilaian tingkat pengetahuan mengenai terapi akupresur.HasilSebanyak 61,9% lansia mengalami overactive bladder, dengan 33,3% di antaranya termasuk kategori OAB ringan dan 28,6% termasuk kategori OAB sedang. Tidak ditemukan kasus OAB berat. Selain itu, tingkat pengetahuan mengenai terapi akupresur di kalangan lansia cukup bervariasi, dengan mayoritas memiliki pengetahuan yang baik. KesimpulanProporsi OAB pada lansia di panti jompo wilayah Jakarta cukup tinggi. Tingkat pengetahuan lansia mengenai terapi akupresur sudah cukup baik. Namun, pengetahuan ini masih bisa ditingkatkan untuk memaksimalkan penggunaan terapi akupresur sebagai terapi alternatif yang potensial untuk mengelola gejala OAB secara sederhana dan tanpa efek samping yang signifikan.

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Introduction

Overactive bladder (OAB) is a medical condition characterized by frequent and sudden urges to urinate. This condition is relatively common and can significantly reduce the quality of life, particularly in the elderly population. Although there are various treatment options for OAB, the side effects of pharmacological treatments often lead to discontinuation. Self-care through acupressure may be an effective alternative. However, public knowledge of this therapy, especially among the elderly, needs to be assessed. Method

This descriptive study with a cross-sectional design was conducted at Panti Werdha Wisma Mulia, Jakarta, during September-October 2024. Data were collected through interviews with 42 elderly individuals using questionnaires that included the Overactive Bladder Symptom Score (OABSS) and an assessment of their knowledge about acupressure therapy.

Results

A total of 61.9% of the elderly had overactive bladder, with 33.3% categorized as having mild OAB and 28.6% as having moderate OAB. No severe OAB cases were found. In addition, the level of knowledge about acupressure therapy among the elderly varied, with the majority showing good knowledge.

Conclusion

The proportion of OAB among the elderly in a nursing home in Jakarta is relatively high. The elderly's knowledge of acupressure therapy is generally good but could be further improved to maximize the use of acupressure as a potential alternative therapy to manage OAB symptoms with minimum side effects."

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Peran pendamping dalam berjalannya program pendampingan dan perawatan lanjut usia di lingkungan keluarga (Home Care) sangatlah penting. Maka dari itu diharapkan pendamping memiliki perilaku prososial dalam menjalankan perannya. Skripsi ini membahas mengenai perilaku prososial pada pendamping lansia. Penelitian ini adalah penelitian kulitatif dengan jenis penelitian deskriptif. Hasil penelitian ini mendeskripsikan bahwa semua pendamping memiliki perilaku prososial, yang terbagi kedalam  beberapa pendamping yang memiliki perilaku altruis karena adanya motivasi altruism concern dan beberapa pendamping yang memiliki perilaku menolong karena adanya motivasi egoistic concern di dalam diri pendamping. Perbedaan perilaku prososial ini yang menyebabkan perbedaan pendampingan yang diberikan pendamping kepada lansianya.

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The role of companion in passage of mentoring programs and elderly care in a Home Care is very important. Thus it is expected that all companion had prosocial behavior in their role as an elderly companion. This thesis discusses the existing prosocial behavior in elderly companion. This study using qualitative approach with descriptive research method. The results of this study describe that all companion had prosocial behavior, which being divided into two type of motivation, there are some companion who has altruistic behavior because of the altruism concern and there are some who have a companion helping behavior because of the egoistic concern. This Prosocial behavior difference causing the difference type of mentoring given to the other elderly."

"Tingkat kemandirian lansia dipengaruhi oleh beberapa faktor. Dalam penelitian ini, peneliti ingin mengetahui perbandingan tingkat kemandirian lansia berdasarkan tempat tinggal panti wreda dan rumah serta faktor-faktor sosiodemografi yang mempengaruhinya. Penelitian ini merupakan cross sectional comparison dengan metode pengambilan sampel adalah total sampling untuk sampel yang tinggal di panti dan cluster random sampling untuk sampel yang tinggal di rumah.Hasil tingkat kemandirian didapatkan dari kuesioner Activity Daily Living ADL. Jumlah responden sebanyak 148 lansia. 92 orang lansia yang bertempat tinggal di rumah didapatkan 68,5 diantaranya mandiri, 30,4 diantaranya ketergantungan ringan, 1,1 diantaranya ketergantungan berat, dan tidak terdapat responden yang memiliki ketergantungan sedang dan total. Sementara itu, pada 46 lansia di panti, 21,7 diantaranya mandiri, 34,8 diantaranya ketergantungan ringan, 28,3 diantaranya ketergantungan sedang, 8,7 diantaranya ketergantungan berat, dan 6,5 ketergantungan total. Uji Mann Whitney dilakukan untuk menilai hubungan antara tingkat kemandirian lansia pada lansia yang bertempat tinggal di rumah dan yang bertempat tinggal di panti wreda, didapatkan hasil.

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The level of independence elderly influenced by several factors.In this research, researcher want to know the comparative degree of independence elderly based on residence in an nursing home and at home and sociodemography factors influenced it because the research that compare of independence elderly who lived in a house and in an nursing home is still rare. This study aimed to find out differences of elderly activity daily living between they who lived in their home with family and they who lived in nursing home and also the factors sociodemography influenced it. This research is cross sectional comparison with the taking sample used clusters random sampling and total sampling of the population affordable elderly in Kecamatan Bojonggede,Bogor, Jawa Barat. Data level of independence obtained from the questionnaire Activity Daily Living ADL. The number of respondents are 148 respondents.The results show that 92 respondents elderly who lived in house or 68.5 with independence category, 30.4 mild dependence, 1.1 heavy dependence , and there is no respondent have severe dependence and total dependence. Meanwhile, 46 respondents in nursing home, 21.7 independence , 34,8 mild dependence, 28,3 middle dependence, 8.7 severe dependence, and 6.5 total dependence. Analysis with mann whitney resulted p value 0,001. Thus, it conclude that there was a deference between the independency of the elderly people who living in their home and living in nursing home."

"Pendahuluan dan tujuan: Overactive bladder (OAB) terjadi pada sekitar 17-41% pada lansia di lingkungan tempat tinggal komunitas. Selama beberapa tahun, antimuskarinik telah divalidasi sebagai pilihan pertama untuk tata laksana OAB. Meskipun banyak data yang diperoleh dari uji klinis terkait penggunaan antimuskarinik. Penelitian terkait efek samping dari obat antimuskarinik terhadap fungsi kognitif pada lansia masih jarang dilakukan. Tujuan dari penelitian ini adalah untuk mengetahui efek dari terapi antimuskarinik terhadap fungsi kognitif pada pasien lanjut usia dengan OAB. Metode: Desain penelitian ini adalah tinjauan sistematis dan meta-analisis. Studi dikumpulkan menggunakan beberapa mesin pencari; diantaranya adalah PubMed, Science Direct, Cochrane, and EBSCOhost menggunakan kata kunci MeSH yang sudah ditentukan sebelumnya dengan operator Boolean. Pemilihan studi dilakukan oleh 3 pengulas. Seluruh studi yang memenuhi kriteria inklusi selanjutnya melalui proses review full-text. Untuk setiap artikel full-text yang terpilih, ekstraksi data dilakukan pada data: demografis pasien, tipe antimuskarinik yang digunakan, placebo, dosis, follow-up, dan skor total Mini Mental State Examination(MMSE). Hasil: Total sebanyak 8 studi yang terpilih dari 146 publikasi yang ada sebelumnya. Terdapat 8 jenis antimuskarinik yang dievaluasi dari studi-studi yang ada, yaitu: Oksibutinin, Darifenacin, Tolterodin, Trospium, Imidafenacin, Propiverin hidroklorida, Fesoterodin, dan Solifenacin. Oksibutinin menunjukkan efek yang paling besar pada penurunan skor MMSE [Perbedaan rerata: -2,90; 95% CI: -4,07, -1,73]. Darifenacin dan Tolterodin juga menunjukkan penurunan yang signifikan pada skor total MMSE, namun lebih inferior daripada Oksibutinin Kesimpulan: Penggunaan obat-obatan antimuskarinik hanya memiliki efek yang minimal terhadap fungsi kognitif dalam penanganan OAB pada pasien usia lanjut. Akan tetapi, Oksibutinin, Darifenacin, dan Tolterodin menunjukkan penurunan yang signifikan terhadap fungsi kognitif, ditunjukkan dari penurunan total skor MMSE.

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Introduction: Overactive bladder (OAB) affects 17-41% older adults in community dwelled setting. For several years, antimuscarinics have been validated as the first-line medical treatment for OAB. Despite abundant data obtained from clinical trials provisions the use of antimuscarinics, investigation about the effect of this drug on cognitive function in elderly remains scarce. The objective of this study is to investigate the effect of antimuscarinics therapy on cognitive functions in OAB geriatric patients.

Methods: This study design is a systematic review and meta-analysis. Studies were collected using several search engines; those were PubMed, Science Direct, Cochrane, and EBSCOhost using predetermined MeSH keywords with Boolean operators. Selection of studies was done by three reviewers. Studies which fulfilled the inclusion and exclusion criteria underwent full-text review. For every selected full text, we extracted the following data if available: patients demographics, types of antimuscarinics used, placebo, dose, follow-up period, and Mini-Mental State Examination (MMSE) total score.

Results: A total of 8 studies from an initial 146 publications were selected. There were 8 antimuscarinic agents evaluated in the studies, including Oxybutynin, Darifenacin, Tolterodine, Trospium, Imidafenacin, Propiverine hydrochloride, Fesoterodine, and Solifenacin. Oxybutynin was shown to have largest effect towards the decline of MMSE score [Mean difference: -2.90; 95% CI: -4.07, -1.73]. Darifenacin and Tolterodine were also shown to be significant in the decline of total MMSE score, although still inferior to Oxybutynin.

Conclusion: The use of most antimuscarinics medication has little to no effect towards the cognitive function in the management of overactive bladder in elderly patients. However, Oxybutynin, Darifenacin, and Tolterodine was shown to have significant decrease in cognitive functions, as shown in the decline of total MMSE score."

"Overactive Bladder OAB masih menjadi masalah dan mengurangi kualitas hidup pada penderitanya. Terapi akupunktur dapat dipakai sebagai terapi OAB. Penelitian ini menggunakan metode uji klinis quasi experimental, terdiri atas 23 orang diterapi dengan akupunktur, 23 orang lainnya diterapi dengan obat Tolterodine. Penilaian keberhasilan dilihat dari penurunan skor OABSS. Setelah 18 hari terapi, terjadi penuruan rerata skor OABSS pada kelompok akupunktur dari 8,045 1,863 menjadi 1.909 0.867 dan pada kelompok tolterodine dari 8,000 0,617 menjadi 2,272 0,631 p = 0,357 . Dua minggu pasca terapi pada kelompok akupunktur masih terjadi penurunan skor OABSS dari 1.909 0.867 menjadi 1.272 0.702 dan pada kelompok tolterodine terjadi peningkatan skor OABSS dari 2,272 0,631 menjadi 2,590 0,503 p = 0,003 . Akupunktur mempunyai efek terapi yang sama baiknya dengan tolterodine dalam menurunkan OABSS tanpa efek samping. Efek terapi akupunktur masih bekerja walau terapi telah dihentikan 2 minggu.

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Overactive Bladder still gives problems and reducing their quality of life. Acupunture can be used for treatment of OAB. This research using clinical trial quasi experimental, consisted of 23 participant were treated with acupuncture and 23 others were treated with Tolterodine. Assessment of therapeutic success seen from the decrease in OABSS. After 18 days therapy in Acupuncture Group from 8,045 1,863 to 1,909 0,867 and Tolterodine Group from 8,000 0,617 to 2,272 0,631 p 0,357 . After 2 weeks post therapy in Acupuncture Group OABSS was still a decline from 1.909 0.867 to 1.272 0.702 and in Tolterodine Group OABSS was still a increase from 2,272 0,631 to 2,590 0,503 p 0,003 . Acupuncture has the same therapeutic effect with tolterodine in reducing OABSS without side effect. Therapeutic effect of acupuncture was still working even though therapy had been 2 weeks discontinued."

"Background: overactive bladder (OAB) affects 17-41% older adults in community dwelled setting. For several years, antimuscarinics have been validated as the first-line medical treatment for OAB. Despite abundant data obtained from clinical trials provisions the use of antimuscarinics, investigation about the effect of this drug on cognitive function in elderly remains scarce. The objective of this study is to investigate the effect of antimuscarinics therapy on cognitive functions in OAB geriatric patients. Methods: this study design is a systematic review and meta-analysis. Studies were collected using several search engines; those were PubMed, Science Direct, Cochrane, and EBSCOhost using predetermined MeSH keywords with Boolean operators. Selection of studies was done by three reviewers. Studies which fulfilled the inclusion and exclusion criteria underwent full-text review. For every selected full text, we extracted the following data if available: patients demographics, types of antimuscarinics used, placebo, dose, follow-up period, and Mini-Mental State Examination (MMSE) total score. Results: a total of 8 studies from an initial 146 publications were selected. There were 8 antimuscarinic agents evaluated in the studies, including Oxybutynin, Darifenacin, Tolterodine, Trospium, Imidafenacin, Propiverine hydrochloride, Fesoterodine, and Solifenacin. Oxybutynin was shown to have largest effect towards the decline of MMSE score [Mean difference: -2.90; 95% CI: -4.07, -1.73]. Darifenacin and Tolterodine were also shown to be significant in the decline of total MMSE score, although still inferior to Oxybutynin. Conclusion: the use of most antimuscarinics medication has little to no effect towards the cognitive function in the management of overactive bladder in elderly patients. However, Oxybutynin, Darifenacin, and Tolterodine was shown to have significant decrease in cognitive functions, as shown in the decline of total MMSE score."

"Overactive bladder in clinical practice provides a timely and comprehensive update on the overactive bladder (OAB) syndrome. The symptoms of urgency, with or without urge incontinence, usually with frequency or nocturia, now defined as the overactive bladder syndrome, have become a hot topic in urology, gynecology and urogynecology. Epidemiological data show very high disease prevalence (19%), particularly when compared with other chronic conditions such as diabetes (2%) and asthma (7%). OAB symptoms impact severely on patient’s quality of life, causing significant impairment of patient vitality and limiting their physical role, similar to diabetes. The OAB syndrome involves all age groups, both sexes and is frequently found in neurogenic patients. This book will cover all aspects of OAB epidemiology, economics, pathophysiology, conservative, pharmaceutical and surgical."