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Adek
Hubungan uji jalan 6 menit dengan kualitas hidup yang dinilai dengan SF-36 pada pasien gagal jantung kronis stabil = Correlation between six minute walk test and quality of life measured using the short form 36 on chronic stable heart failure patient
"[ABSTRAK
Latar Belakang : Pasien gagal jantung mengalami penurunan kapasitas fungsional akibat timbulnya sesak dan kelelahan saat aktifitas. Kondisi ini juga memberikan dampak psikologis berupa depresi dan kecemasan. Masalah fisik dan mental tersebut dapat menurunkan kualitas hidup. Short Form-36 merupakan instrumen yang dapat digunakan untuk menilai kualitas hidup dari aspek fisik dan mental dan bersifat generik.
Tujuan: Mengetahui hubungan kapasitas fungsional melalui uji jalan 6 menit dengan kualitas hidup yang dinilai dengan SF-36
Metode : Responden penelitian adalah pasien gagal jantung kronis stabil klasifikasi NYHA fungsional kelas II dan III. Setiap responden dianamnesis,dan dilakukan pemeriksaan fisik, kemudian mengisi kuesioner SF-36. Untuk menilai kapasitas fungsional, responden melakukan uji jalan 6 menit pada lintasan sepanjang 30 m.
Hasil : Responden pada penelitian ini berjumlah 36 orang. Nilai tengah jarak tempuh pasien gagal jantung klasifikasi NYHA fungsional kelas II dan III masing-masing 333.65m, dan 123.72 m. Jarak tempuh uji jalan 6 menit memiliki hubungan dengan kualitas hidup yang dinilai dengan SF-36 pada domain Fungsi Fisik (r=0.527), Peran Fisik (r=0.459) dan Peran Emosi (r = 0.35).
Kesimpulan : Terdapat korelasi sedang antara kapasitas fungsional pasien gagal jantung kronis stabil klasifikasi NYHA fungsional kelas II dan III dengan kualitas hidup pada domain Fungsi Fisik, Peran Fisik dan Peran Emosi.
ABSTRACT
Background : Heart failure patients experience reduced functional capicity due to dyspnea and fatigue during activity. The condition also cause psychological problems such as depression and anxiety. Both the mental and physical ailments results in decreased quality of life. The Short Form-36 (SF-36) is a generic assessment tool that can be utilized to measure quality of life from both the physical and mental aspect.
Objective : To measure the correlation between the functional capacity measured using the 6-minute walk test and the quality of life measured using the SF-36
Methods : The study subjects are chronic stable heart failure patients with New York Heart Association (NYHA) functional class II and III. Each subjects were interviewed, examined, and asked to fill the SF-36 questionnaire. The 6-minute walk test was performed on a 30m long track to measure the finctional capacity.
Results : A total of 36 subjects were included in the study. The median for the total distance walked of heart failure patient with NYHA functional class II and III are 333.65m and 123.72 m. The total distance walked in 6-minute walk test and the quality of life measured using the SF-36 have correlation in the domain of Physical Function (r = 0.527), Role-Physical (r = 0.459) and Role-Emotional (r = 0.35)
Conclusion : There is a moderate positive correlation between the functional capacity of chronic stable heart failure patient with NYHA functional class II and III with the quality of life in the domain of Physcial Function, Role-Physical and Role-Emotional.;Background : Heart failure patients experience reduced functional capicity due to dyspnea and fatigue during activity. The condition also cause psychological problems such as depression and anxiety. Both the mental and physical ailments results in decreased quality of life. The Short Form-36 (SF-36) is a generic assessment tool that can be utilized to measure quality of life from both the physical and mental aspect.
Objective : To measure the correlation between the functional capacity measured using the 6-minute walk test and the quality of life measured using the SF-36
Methods : The study subjects are chronic stable heart failure patients with New York Heart Association (NYHA) functional class II and III. Each subjects were interviewed, examined, and asked to fill the SF-36 questionnaire. The 6-minute walk test was performed on a 30m long track to measure the finctional capacity.
Results : A total of 36 subjects were included in the study. The median for the total distance walked of heart failure patient with NYHA functional class II and III are 333.65m and 123.72 m. The total distance walked in 6-minute walk test and the quality of life measured using the SF-36 have correlation in the domain of Physical Function (r = 0.527), Role-Physical (r = 0.459) and Role-Emotional (r = 0.35)
Conclusion : There is a moderate positive correlation between the functional capacity of chronic stable heart failure patient with NYHA functional class II and III with the quality of life in the domain of Physcial Function, Role-Physical and Role-Emotional., Background : Heart failure patients experience reduced functional capicity due to dyspnea and fatigue during activity. The condition also cause psychological problems such as depression and anxiety. Both the mental and physical ailments results in decreased quality of life. The Short Form-36 (SF-36) is a generic assessment tool that can be utilized to measure quality of life from both the physical and mental aspect.
Objective : To measure the correlation between the functional capacity measured using the 6-minute walk test and the quality of life measured using the SF-36
Methods : The study subjects are chronic stable heart failure patients with New York Heart Association (NYHA) functional class II and III. Each subjects were interviewed, examined, and asked to fill the SF-36 questionnaire. The 6-minute walk test was performed on a 30m long track to measure the finctional capacity.
Results : A total of 36 subjects were included in the study. The median for the total distance walked of heart failure patient with NYHA functional class II and III are 333.65m and 123.72 m. The total distance walked in 6-minute walk test and the quality of life measured using the SF-36 have correlation in the domain of Physical Function (r = 0.527), Role-Physical (r = 0.459) and Role-Emotional (r = 0.35)
Conclusion : There is a moderate positive correlation between the functional capacity of chronic stable heart failure patient with NYHA functional class II and III with the quality of life in the domain of Physcial Function, Role-Physical and Role-Emotional.]"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Simanjuntak, Theresia Caroline
Pengaruh latihan koordinasi terhadap peningkatan fungsi kognitif pada usia lanjut dengan gangguan kognitif ringan = The influence of coordination exercise on the increase of cognitive function in elderly with mild cognitive impairment / Simanjuntak, Theresia Caroline
"ABSTRAK
Latar belakang : Usia lanjut berhubungan dengan terjadinya gangguan kognitif ringan. Pada umumnya usia lanjut memiliki keterbatasan mobilitas. Sebuah metode latihan yang dapat meningkatkan fungsi kognitif pada usia lanjut dengan keterbatasan mobilitas sangat dibutuhkan. Penelitian ini bertujuan untuk menilai pengaruh latihan koordinasi terhadap peningkatan fungsi kognitif pada usia lanjut dengan gangguan kognitif ringan
Metode : Metode penelitian pra-eksperimental dengan jumlah sampel 35 orang usia lanjut dengan gangguan kognitif ringan pada sebuah pusat kesehatan, Rumah sakit Cipto Mangunkusumo (RSCM). Program latihan koordinasi metode Jockey Club for Positive Aging (JCCPA) diberikan 3x seminggu selama 8 minggu. Penilaian fungsi kognitif menggunakan MoCA-Ina pada sebelum dan sesudah perlakuan.
Hasil : Latihan koordinasi selama 8 minggu menghasilkan nilai fungsi kognitif MoCA Ina yang meningkat secara statistik dengan uji T-test berpasangan ( mean 21,23 sebelum perlakuan menjadi 26,00 sesudah perlakuan; p<0,001). Uji Wilcoxon menunjukkan peningkatan yang signifikan pada ranah-ranah fungsi kognitif yaitu visuospatial/ fungsi eksekutif (p<0,001), atensi (p=0,005), bahasa (p=0,004), abstraksi (p=0,002), memori tunda (p<0,001), orientasi (p=0,0025) kecuali pada ranah penamaan (p=0,157) .
Kesimpulan: Latihan koordinasi bermanfaat untuk meningkatkan fungsi kognitif pada usia lanjut dengan gangguan kognitif ringan.
ABSTRACT
Background: Elderly is associated with the occurrence of mild cognitive impairment and limited mobility. An exercise method that can increase the cognitive function in elderly with limited mobility is therefore needed. This study aimed to measure the effect of coordination exercise in increasing the cognitive function in elderly with mild cognitive impairment..
Methods: A pre-experimental study with 35 participants from one health center (RSCM) were given 3 session per week for 8 weeks of JCCPA coordination exercise method. MOCA-Ina was used to measure the cognitive function of the subjects. This assessment is performed before and after the program.
Results: Paired-t test using MoCA-Ina score increases significantly from mean score of 21.23 before intervention to mean score of 26.00 after intervention (p< 0.005). Wilcoxon test showed improved scores in the cognitive domains of visuospatial / executive function (p <0.001), attention (p = 0.005), language (p = 0.004), abstraction (p = 0.002), delayed memory (p <0.001), orientation (p = 0.0025) except naming (p = 0.157).
Conclusion: Coordination exercise is beneficial to increase the cognitive function elderly with mild cognitive impairment."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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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
cover
Helda Aprilia
Pengaruh sudoku terhadap fungsi memori kerja dan fungsi kognisi global pada usia lanjut sehat di panti wreda = Effects of sudoku training on working memory and cognitive function among nursing-home residents
"ABSTRAK
LATAR BELAKANG. Memori kerja merupakan ranah kognisi yang bertanggungjawab
terhadap sebagian besar masalah kognisi yang dialami seorang
usia lanjut.Tujuan penelitian ini adalah untuk mengetahui manfaat mengisi
Sudoku terhadap fungsi memori kerja dan fungsi kognisi global usia lanjut.
METODE. Desain studi adalah uji klinis tidak tersamar. Subjek merupakan
warga Panti Sosial TresnaWerda I dan III DKI Jakarta yang diambil secara
konsekutif kemudian dibagi acak menjadi dua kelompok, perlakuan dan kontrol.
Kelompok perlakuan melakukan latihan Sudoku 3x/minggu selama 12 minggu.
Memori kerja dinilai dengan Trail Making Test part B (TMT-B), fungsi kognisi
global dinilai dengan Montreal Cognitive Assesment versi bahasa Indonesia
(MoCA-Ina).
HASIL. Terdapat 24 subjek pada kelompok perlakuan dan 27 subjek pada
kelompok kontrol. Terdapat 13 subjek yang memberikan kesan positif terhadap
latihan Sudoku. Penurunan waktu penyelesaian TMT-B sebesar 11,1 detik pada
kelompok perlakuan dan 18,8 detik pada kelompok kontrol, meskipun tidak
didapatkan perbedaan bermakna antar kedua kelompok (p = 0,816). Terdapat 8
subjek (33,3%) dari kelompok perlakuan dan 11 subjek (40,7%) dari kelompok
kontrol yang mengalami peningkatan nilaiMoCA-Ina (p = 0,530).
KESIMPULAN. Sudoku belum terbukti dapat meningkatkan fungsi memori
kerja dan fungsi kognisi global pada usia lanjut sehat, namun peningkatan fungsi
memori kerja yang terlihat pada kedua kelompok menandakan adanya plastisitas
neural pada usia lanjut yang bermanfaat untuk pemeliharaan fungsi kognitif.
ABSTRACT
BACKGROUND. Working memory deficit is responsible for most of the
cognitive problem experienced by older adults.The aim of the present study was to
determine whether Sudoku training might improves these deficits and if so,
whether such changes might be transferred to other cognitive domains.
METHODS. This was non-blinding randomized controlled trial. Subjects were
consecutively taken from Panti Sosial TresnaWerda I dan III DKI Jakarta after
series of screening. All subjects were assessed with Indonesian version of
Montreal Cognitive Assessment (MoCA-Ina) for cognitive function and Trail
Making Test part B (TMT-B) for working memory. The experimental group was
given 12 weeks of cognitive alternate-day training based on Sudoku exercises.
RESULTS. There are 24 subjects in experimental group and 27 subjects in
control group. Nine subjects from each group showed improvement in the TMT-B
completion time, although this difference were not statistically significant
(experimental group 11.1s Vs control group 18.8s; p = 0.816). There were 8
subjects (33.3 %) on experimental group and 11 subjects (40.7 %) on control
group had increment in MoCA-Ina scores (p = 0.530). Thirteen subjects reported
improvements in memory, attention and concentration span.
CONCLUSIONS. The use of Sudoku as one of the cognitive training tools on
elderly still need further study and discussion regarding limitation of this present
study. But the improvement of working memory function as seen in result
provides potential brain plasticity for maintaining cognitive function in elderly. ;BACKGROUND. Working memory deficit is responsible for most of the
cognitive problem experienced by older adults.The aim of the present study was to
determine whether Sudoku training might improves these deficits and if so,
whether such changes might be transferred to other cognitive domains.
METHODS. This was non-blinding randomized controlled trial. Subjects were
consecutively taken from Panti Sosial TresnaWerda I dan III DKI Jakarta after
series of screening. All subjects were assessed with Indonesian version of
Montreal Cognitive Assessment (MoCA-Ina) for cognitive function and Trail
Making Test part B (TMT-B) for working memory. The experimental group was
given 12 weeks of cognitive alternate-day training based on Sudoku exercises.
RESULTS. There are 24 subjects in experimental group and 27 subjects in
control group. Nine subjects from each group showed improvement in the TMT-B
completion time, although this difference were not statistically significant
(experimental group 11.1s Vs control group 18.8s; p = 0.816). There were 8
subjects (33.3 %) on experimental group and 11 subjects (40.7 %) on control
group had increment in MoCA-Ina scores (p = 0.530). Thirteen subjects reported
improvements in memory, attention and concentration span.
CONCLUSIONS. The use of Sudoku as one of the cognitive training tools on
elderly still need further study and discussion regarding limitation of this present
study. But the improvement of working memory function as seen in result
provides potential brain plasticity for maintaining cognitive function in elderly. ;BACKGROUND. Working memory deficit is responsible for most of the
cognitive problem experienced by older adults.The aim of the present study was to
determine whether Sudoku training might improves these deficits and if so,
whether such changes might be transferred to other cognitive domains.
METHODS. This was non-blinding randomized controlled trial. Subjects were
consecutively taken from Panti Sosial TresnaWerda I dan III DKI Jakarta after
series of screening. All subjects were assessed with Indonesian version of
Montreal Cognitive Assessment (MoCA-Ina) for cognitive function and Trail
Making Test part B (TMT-B) for working memory. The experimental group was
given 12 weeks of cognitive alternate-day training based on Sudoku exercises.
RESULTS. There are 24 subjects in experimental group and 27 subjects in
control group. Nine subjects from each group showed improvement in the TMT-B
completion time, although this difference were not statistically significant
(experimental group 11.1s Vs control group 18.8s; p = 0.816). There were 8
subjects (33.3 %) on experimental group and 11 subjects (40.7 %) on control
group had increment in MoCA-Ina scores (p = 0.530). Thirteen subjects reported
improvements in memory, attention and concentration span.
CONCLUSIONS. The use of Sudoku as one of the cognitive training tools on
elderly still need further study and discussion regarding limitation of this present
study. But the improvement of working memory function as seen in result
provides potential brain plasticity for maintaining cognitive function in elderly. ;BACKGROUND. Working memory deficit is responsible for most of the
cognitive problem experienced by older adults.The aim of the present study was to
determine whether Sudoku training might improves these deficits and if so,
whether such changes might be transferred to other cognitive domains.
METHODS. This was non-blinding randomized controlled trial. Subjects were
consecutively taken from Panti Sosial TresnaWerda I dan III DKI Jakarta after
series of screening. All subjects were assessed with Indonesian version of
Montreal Cognitive Assessment (MoCA-Ina) for cognitive function and Trail
Making Test part B (TMT-B) for working memory. The experimental group was
given 12 weeks of cognitive alternate-day training based on Sudoku exercises.
RESULTS. There are 24 subjects in experimental group and 27 subjects in
control group. Nine subjects from each group showed improvement in the TMT-B
completion time, although this difference were not statistically significant
(experimental group 11.1s Vs control group 18.8s; p = 0.816). There were 8
subjects (33.3 %) on experimental group and 11 subjects (40.7 %) on control
group had increment in MoCA-Ina scores (p = 0.530). Thirteen subjects reported
improvements in memory, attention and concentration span.
CONCLUSIONS. The use of Sudoku as one of the cognitive training tools on
elderly still need further study and discussion regarding limitation of this present
study. But the improvement of working memory function as seen in result
provides potential brain plasticity for maintaining cognitive function in elderly. "
2015
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Siregar, Dahniel Rizki
Hubungan rasa takut jatuh dengan lama rawat pada usia lanjut menggunakan Falls Efficacy Scale international (FES-i) = Fear of falling and length of stay correlation in elderly using Falls Efficacy Scale international (FES-i)
"ABSTRAK
Latar Belakang: Lama rawat pada usia lanjut dipengaruhi oleh rasa takut jatuh.
Rasa takut jatuh dapat mempengaruhi kehidupan usia lanjut, yang akan
berdampak pada menurunnya aktivitas kehidupan sehari-hari, status kesehatan
fisik, dan kualitas hidup. Penelitian ini bertujuan untuk menilai hubungan rasa
takut jatuh dengan lama rawat pada usia lanjut.
Metode: Desain studi potong lintang. Penelitian dilakukan terhadap 50 pasien
usia lanjut di ruang rawat akut geriatri yang didapat secara konsekutif. Rasa takut
jatuh dinilai dengan kuesioner Falls Efficacy Scale International (FES-I). Lama
rawat dihitung dalam hari. Penilaian hubungan rasa takut jatuh dan lama rawat
menggunakan korelasi Pearson.
Hasil: Didapatkan rasa takut jatuh sedang sebanyak 16% dan rasa takut jatuh
berat sebanyak 84%. Tidak terdapat rasa takut jatuh ringan. Didapatkan korelasi
positif bermakna antara rasa takut jatuh dengan lama rawat pada usia lanjut (r=
0,58, p=0,000).
Simpulan: Terdapat hubungan yang bermakna antara rasa takut jatuh dengan
lama rawat pada usia lanjut.
ABSTRACT
Background: Length of stay in elderly is affected by fear of fall. Fear of fall
could influence elderly life, which further can cause in decreasing activity of daily
living, physical health, and quality of life. The aim of this study was to look the
correlation between fear of fall and length of stay in elderly.
Methods: The study was a cross sectional study which looked at 50 consecutive
elderly patients in geriatric acute ward. Fear of fall was evaluate using Falls
Efficacy Scale International (FES-I). The length of stay was measured by days.
The correlation between fear of fall and length of stay was evaluated using
Pearson Correlation.
Results: 16% fear of fall was moderate and 84 % was severe. None of them was
mild fear of fall. There was a significant positive correlation between fear of fall
and length of stay in elderly (r=0,58, p=0,000)
Conclusions: There was a significant correlation between fear of fall and length
of stay in elderly."
2016
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Christa Adriane Tenges
Pengaruh pengaturan nutrisi disertai latihan ergocycle dibandingkan pengaturan nutrisi tanpa latihan ergocycle pada penderita obesitas terhadap kualitas hidup = Effect of nutrition management combined with ergocycle training compare to nutrition management without ergocycle training in quality of life of obese patients
" ABSTRAK
ABSTRAK Nama : Christa Adriane TengesNPM : 1206326251Program Studi : Ilmu Kedokteran Fisik dan RehabilitasiJudul Tesis : Pengaruh Pengaturan Nutrisi Disertai Latihan Ergocycle Dibandingkan Pengaturan Nutrisi Tanpa Latihan Ergocycle Pada Penderita Obesitas Terhadap Kualitas Hidup LATAR BELAKANG. Keadaan obesitas diketahui terkait dengan berbagai gangguan kesehatan yang berakibat pada meningkatnya keadaan disabilitas sehingga terjadi penurunan aktivitas dan intregasi sosial yang akhirnya berdampak pada penurunan kualitas hidup. Lini pertama dalam penatalaksanaan obesitas adalah modifikasi gaya hidup, diet dan aktivitas fisik. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian latihan ergocycle dengan pengaturan nutrisi dibandingkan dengan pengaturan nutrisi tanpa latihan ergocycle terhadap kualitas hidup penderita obesitas. METODE. Quasi experimental terhadap subjek obesitas sesuai kriteria Asia Pasifik usia 30 ndash; 60 tahun dengan sedentary lifestyle PAL
ABSTRACT
Name Christa Adriane TengesNPM 1206326251Study Program Physical Medicine and RehabilitationTitle Effect of Nutrition management combined with ergocycle training compare to nutrition management without ergocycle training in quality of life of obese patients BACKGROUND. Obesity is known to be associated with various health problems that result in increased of disability resulting in decreased activity and social integration which ultimately impact quality of life. Life modification, diet and physical activity are the first line treatment of obesity. This study aims to compare the effect of nutrition management combine with ergocycle training with nutrition management without ergocycle training in quality of life in obese patients. METHODS. Quasi experiment on obesity patient according to criteria of Asia Pacific aged 30 60 years with sedentary lifestyle PAL "
Fakultas Kedokteran Universitas Indonesia, 2016
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Mathilda Albertina
Efek senam osteoporosis terhadap keseimbangan pada usia lanjut: Studi pra-pasca di Panti Wreda Jakarta = The effect of senam osteoporosis to balance in elderly: Pre-post Study in Nursing Home in Jakarta.
"ABSTRAK
Pada usia lanjut terjadi gangguan keseimbangan yang dapat menyebabkan jatuh. Oleh karena itu, diperlukan intervensi latihan. Latihan berbasis kelompok lebih disukai oleh usia lanjut namun sayangnya latihan keseimbangan berbasis kelompok belum tersedia di Indonesia. Senam osteoporosis yang dibentuk oleh PEROSI mungkin dapat memperbaiki keseimbangan oleh karena memiliki komponen latihan keseimbangan dan penguatan. Penelitian ini bertujuan menilai efek senam osteoporosis terhadap keseimbangan pada usia lanjut. Performa keseimbangan dinilai dengan pemeriksaan Timed Up and Go(TUG) dan Berg Balance Scale (BBS). Senam osteoporosis dilakukan 3 kali dalam seminggu selama 8 minggu. Terdapat 22 subjek yang menyelesaikan penelitian. Nilai TUG sebelum intervensi adalah 14,25 (9,82-31,25) detik, sesudah intervensi adalah 15,11±2,76 detik (p=0,380). Nilai BBS sebelum intervensi adalah 51,5 (18-56) dan sesudah intervensi adalah 50,77±3,3 (p=0,174). Secara statistik, tidak didapatkan perbedaan bermakna baik pada TUG maupun BBS sebelum dan setelah senam osteoporosis selama 8 minggu. Oleh karena itu, diperlukan suatu intervensi latihan lain yang berfokus pada keseimbangan untuk mengurangi risiko jatuh pada usia lanjut.
ABSTRACT
lderly usually have balance problem that can cause fall. Therefore, exercise intervention is needed. Community-based exercise is preferred by the elder. Unfortunately, there is no community-based balance exercise in Indonesia. Senam Osteoporosis by PEROSI probably can improve balance since it have balance exercise and strengthening component. This study aimed to know the effects Senam Osteoporosis to balance in elderly. Balance performance was evaluated with Timed Up and Go (TUG) and Berg Balance Scale (BBS). Senam Osteoporosis was done 3 times/week for 8 weeks. There were 22 subject that finish this study. TUG before was 14,25 (9,82-31,25) seconds, after intervention was 15,11±2,76 seconds (p=0,380). BBS score before was 51,5 (18-56), after intervention was 50,77±3,3 (p=0,174). Statistically, there were no difference of TUG and BBS before and after Senam Osteoporosis for 8 weeks. Therefore, other exercise intervention that focused on balance is needed to reduce risk of fall in elderly."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
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Fathia Arsyiana
Pengaruh latihan berjalan terhadap nilai skala borg dan jarak tempuh uji jalan enam menit pada pasien lupus eritematosus sistemik = Effect of walking exercise to Borg scale value and six minutes walking test distance in systemic lupus erythematosus patients / Fathia Arsyiana
"ABSTRAK
Tujuan : Mengetahui efektivitas terapi latihan berjalan pada pasien Lupus Eritematosus Sistemik (LES) terhadap nilai skala borg dan jarak tempuh uji jalan enam menit
Metode: Disain penelitian ini adalah studi kuasi eksperimen (pre and post). Nilai skala borg diukur dengan skala numerik 6-20 untuk skala borg kelelahan dan 0-10 untuk skala borg sesak dan kaki lelah. Aktivitas penyakit LES diukur dengan Mex-SLEDAI. Latihan berjalan dilakukan secara bertahap 15, 20, 25, dan 30 menit, tiga kali perminggu selama delapan minggu. Nilai skala borg diukur setelah uji jalan enam menit pertama, setiap akhir minggu latihan, dan setelah uji jalan enam menit kedua. Jarak tempuh uji jalan enam menit dan Mex-SLEDAI diukur pada awal dan akhir penelitian.
Hasil : Dua puluh enam subyek penelitian usia 22 - 57 tahun dianalisa dalam penelitian ini. Rerata nilai jarak tempuh uji jalan enam menit awal adalah 364,35 + 64,45 meter, setelah dilakukan intervensi berjalan terdapat peningkatan rerata menjadi 374,04 + 68,62 meter (p=0,08, CI 95%). Secara statistik dengan uji berpasangan terdapat perbedaan bermakna pada minggu ke-6 dan ke-7 pada skala borg usaha dan kaki lelah, sedangkan pada skala borg sesak pada minggu ke-4 dan ke-5 (p<0,05). Nilai skala Borg uji jalan enam menit pada awal dan akhir latihan secara statistik tidak bermakna (p>0,05). Nilai Mex-SLEDAI awal dan akhir latihan berjalan 84% tidak berubah.
Kesimpulan : Latihan berjalan secara bertahap aman diberikan pada pasien LES tanpa meningkatkan aktivitas penyakit.
ABSTRACT
The aim: To assess the effectiveness of walking exercise therapy in Systemic Lupus Erythematosus (SLE) patients in borg scale value and six minutes walking test (6MWT) distance.
Methods: The design of the study was quasi-experimental study (pre and post). Borg scale values were measured with 6-20 numerical scale for borg scale exertion and 0-10 for borg scale dyspneu and leg fatigue. SLE disease activity measured by Mex-SLEDAI. Walking exercises were given gradually for 15, 20, 25, and 30 minutes, three times per week for eight weeks. Borg scale values were measured after the first 6MWT, every end of the exercise week, and after the second 6MWT. The 6MWT distance and Mex-SLEDAI were measured at beginning and end of the study.
Results: Twenty-six subjects aged 22-57 were analyzed in this study. The mean value of 6MWT distance was 364.35 + 64.45 meters, after the intervention there was an increase in mean distance value into 374.04 + 68.62 meters (p = 0.08, CI 95%). Paired t test found statistically significant differences for borg scale of effort and leg fatigue at week 6 and 7, also borg scale dyspneu in week 4 and 5 (p <0.05). Borg scale score at 6MWT in the beginning and end of exercise was not statistically significant (p> 0.05). The Mex-SLEDAI values at beginning and end of exercise were 84% amd remain unchanged.
Conclussion: Gradually walking exercise in SLE was safely administered to patients without increasing the disease activity."
[Fakultas Kedokteran Universitas Indonesia, ], 2012
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Andi Dala Intan Sapta Nanda
Efek low level laser therapy (LLLT) terhadap nyeri trismus dan kualitas hidup pada pasien pasca operasi impaksi molar tiga bawah = Effect of low level laser therapy (LLLT) for pain trismus and quality of life qol in patient pasca lower third molar removal / Andi Dala Intan Sapta Nanda
"ABSTRAK
Latar Belakang : Low-level Laser Therapy (LLLT) merupakan suatu modalitas fisik yang digunakan dalam menunjang rehabilitasi. Pada pasca operasi impaksi molar tiga, dapat terjadi penurunan kualitas hidup karena beberapa respon fisiologis yaitu perdarahan ringan, bengkak, kekakuan dan nyeri. Yang menyebabkan disabilitas dalam aktivitas sehari-hari seperti makan dan minum. Dan mempengaruhi kualitas hidup pasien selama hari-hari pertama pasca operasi.
Metode :Desain penelitian studi Randomized Control Trial (RCT), single blind, terdiri dari 21 subjek grup intervensi LLLT dan 21 subjek grup kontrol (sham-LLLT) dengan rentang usia 18-30 tahun. Subjek grup intervensi diberikan dosis 54 J, densitas energi 18J/cm2 di hari 0, 3 & 7 pasca operasi impaksi molar tiga bawah. Kualitas hidup dinilai dengan memakai Short Form 36 (SF-36) sebelum dan sesudah terapi Laser.
Hasil : Terdapat perbedaan signifikan menurunkan nyeri (VAS) pasca operasi di hari ke 3 & 7 (p<0,05) antara kedua grup. Terdapat pengurangan trismus secara statistik bermakna pasca operasi di hari ke 3 dan 7 (p<0,05) antara kedua grup. Terdapat perbedaan statistik yang bermakna (p<0,05) terhadap kualitas hidup SF-36 domain Peran Fisik (PF), Rasa Nyeri (RN), Kesehatan Umum (KU) antara kedua grup. Perbaikan kualitas hidup SF-36 juga terlihat bermakna secara statistik (p<0,05) pada komponen fisik (KF) setelah pemberian LLLT.
Kesimpulan : LLLT dapat menurunkan nyeri pasien pasca operasi impaksi molar 3 bawah dari hari 0 hingga 3 dan nyeri menghilang di hari ke 7 pasca-operasi. LLLT mengurangi trismus pasien terutama di hari ke 3 pasca operasi, trismus menghilangkan di hari ke 7 pasca operasi. Gambaran kualitas hidup melalui SF-36 pasien pasca operasi impaksi pada penelitian ini menunjukkan hasil lebih rendah pada komponen fisik dibandingkan komponen mental. Dan terdapat peningkatan kualitas hidup pada pasien pasca operasi impaksi molar tiga bawah post-LLLT.
ABSTRACT
Background: Low-level Laser Therapy (LLLT) is a physical modality used in rehabilitation support. In lower third molar impacted patients, a decline in QOL due to some physiological response such as mild bleeding, swelling, stiffness and pain. This leads to disability in daily activities such as eating and drinking. And also can affect QOL of patients during the first days after surgery.
Methods: Study design Randomized Control Trial (RCT), single blind, consisting of 21 subjects in intervention group & 21 subjects LLLT sham-LLLT with an age range of 18-30 years. Subjects in the intervention group was given a dose 54 J, energy density 18J/cm2 at day 0, 3 & 7 pasca lower third molar removal. Both groups were assessed QOL using the Short Form 36 (SF-36) before and after LLLT.
Results: There was a statistically significant reduction in pain (VAS) post-operative on day 3 and 7 (p <0.05) between both groups. There is a statistically significant reduction of post-operative trismus at day 3 and 7 (p <0.05) between both groups. There is QOL improvement on the SF-36 domains Role Physical (RP), Bodily Pain (BP), General Health (GH), which was statistically significant (p <0.05) in both groups. Improvement of QOL SF-36 was also statistically significant (p <0.05) on the Physical Component (PCS) between both groups.
Conclusion: LLLT can reduce post-operative pain of lower third molar impacted patients from day 0 to 3 and disappeared at day 7 post-surgery. LLLT therapy reduces trismus under particularly at day 3 post-surgery and eliminate trismus on post-surgery day 7. Profile of the QOL through the SF-36 after lower third molar removal showed lower results on the Physical Component than the Mental Component. And increase QOL of lower third molar removal patients after post-LLLT."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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Nurul Paramita
Uji kesahihan dan keandalan Brief Fatigue Inventory (BFI) versi bahasa Indonesia pada pasien kanker = Validity and reliability of Brief Fatigue Inventory (BFI) Indonesian version in cancer patients
"ABSTRAK
LATAR BELAKANG. Kelelahan terkait kanker merupakan salah satu keluhan yang paling banyak dilaporkan oleh pasien kanker. Tata laksana yang baik membutuhkan alat ukur kelelahan terkait kanker yang baik. Brief Fatigue Inventory (BFI) merupakan instrumen singkat yang sahih dan andal yang disusun untuk menilai kelelahan terkait kanker. Tujuan penelitian ini adalah menguji kesahihan dan keandalan BFI versi Bahasa Indonesia.
METODE. Dilakukan penerjemahan BFI ke dalam Bahasa Indonesia melalui prosedur forward-backward dan cognitive debriefing. Pada 121 pasien kanker rawat jalan yang memenuhi kriteria dan bersedia menjadi responden dilakukan pengisian BFI dan Medical Outcome Study Quality of Life Short Form 36 (MOS SF-36). Data demografis dan klinis pasien dikumpulkan dan dicatat.
HASIL. Nilai keseluruhan koefisien Cronbach alpha untuk kesembilan butir BFI versi Bahasa Indonesia adalah 0.956. Hasil analisis faktor menunjukkan solusi 1 faktor, menguatkan hipotesis bahwa BFI merupakan instrumen unidimensional. Skor BFI versi Bahasa Indonesia dibandingkan dengan subskala MOS SF-36 untuk menilai kesahihan konvergen. Sesuai dugaan, diperoleh korelasi negatif dengan seluruh subskala MOS SF-36 (r= -0.388 hingga -0.676; p<0.0000). Analisa kesahihan diskriminatif menunjukkan bahwa rerata skor BFI versi Bahasa Indonesia meningkat secara bermakna dengan meningkatnya skor Eastern Cooperative Oncology Group Performance Status (ECOG-PS) (p=0.000).
KESIMPULAN. BFI versi Bahasa Indonesia merupakan instrumen pengukur kelelahan terkait kanker yang sahih dan andal untuk digunakan pada populasi kanker di Indonesia.
ABSTRACT
BACKGROUND. Cancer-related fatigue is one of the most commonly reported symptoms in cancer patients. Concise assessment is essential to manage this symptom. Brief Fatigue Inventory (BFI) is a valid and reliable short instrument to assess cancer-related fatigue. The purpose of this study was to examine the validity and reliability of the Indonesian version of this instrument.
METHODS. Forward and backward translation approach, followed by cognitive debriefing process was done to develop Indonesian version of BFI. One hundred and twenty one consecutive adult outpatients with cancer who are willing to participate in this study filled in BFI Indonesian version along with the Medical Outcome Study Quality of Life Short Form 36 (MOS SF-36). Demographic and health data were collected.
RESULTS. The BFI Indonesian version had an overall Cronbach alpha for the nine items of 0.956. The results of the factor analysis suggested a 1-factor solution, supporting the hypothesis of unidimentionality of the BFI Indonesian version. The BFI Indonesian version score was compared to MOS SF-36 subscale to evaluate convergent validity. An expected inverse correlation between BFI Indonesia version and all domains of MOS SF-36 was observed (r= -0.388 to -0.676; p<0.0000). Discriminant validity analysis showed the BFI Indonesian version mean score significantly increased with increasing Eastern Cooperative Oncology Group Performace Status (ECOG-PS) values (p=0.000).
CONCLUSIONS. BFI Indonesian version is a reliable, valid instrument for Indonesian cancer patients."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2015
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