Hubungan Tingkat Kemandirian (Basic dan Instrumental Activities of Daily Living) dengan Pendidikan, Status Marital, dan Demensia pada Lansia di Panti Wredha

Lisna Anisa Fitriana, Nazhifa Ufamy, Kusnandar Anggadiredja, Setiawan Setiawan, I Ketut Adnyana

Abstract


ABSTRAK

Penurunan daya ingat dan ketidakmampuan dalam melakukan aktivitas sehari-hari menjadi salah satu alasan lansia dikirim ke panti wredha. Adapun tujuan penelitian ini untuk mengetahui hubungan faktor demografi dan demensia dengan kemandirian lansia dalam memenuhi aktivitas dasar dan instrumental di panti wredha. Desain penelitian ini adalah cross sectional. Alat pengumpulan data menggunakan kuisioner BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living), dan MMSE (Mini Mental State Examination). Sampel penelitian berjumlah 166 lansia berusia > 60 tahun yang tinggal di 3 panti wredha Bandung dan Garut. Analisa data menggunakan uji independent sample t-test. Hasil penelitian menunjukkan lansia yang ada di panti wredha 65,1% mandiri dalam BADL dan 51,8% mandiri dalam IADL, 109 orang (65,7%) mengalami demensia, 118 orang (71,1%) adalah wanita, 142 orang (85,5%) berpendidikan rendah, dan 153 orang (92,2%) tidak menikah. Analisis menunjukkan terdapat hubungan yang signifikan antara kemandirian (BADL dan IADL) dengan pendidikan, status marital, dan demensia pada lansia di panti wredha (p<0,05). Upaya yang komprehensif perlu dilakukan untuk meningkatkan kemandirian lansia khususnya yang ada di panti wredha.

 

ABSTRACT 

Cognitive impairment and inability to do activities of daily living being the reasons for elderly to transferring in the nursing homes. The purpose of this study was to determine association of demographic factors and dementia with the independence of the elderly to fulfill basic and instrumental activities in nursing homes. The design of this study was cross-sectional. Data collection tools using BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living), and MMSE (Mini Mental State Examination) questionnaires. The research sample of 166 elderly aged > 60 years who live in 3 nursing homes in Bandung and Garut. Data analysis uses an independent sample t-test. The results showed that the elderly in nursing homes 65.1% were independent in BADL and 51.8% were independent in IADL, 109 people (65.7%) suffered dementia, 118 people (71.1%) were women, 142 people (85.5% ) have low education, and 153 people (92.2%) are not married. The analysis showed that there was a significant relationship between BADL and IADL with education, marital status, and dementia in the elderly in nursing homes (p <0.05). Comprehensive treatment needs to improve the independence of the elderly especially in nursing homes.


Keywords


demensia; lansia; pendidikan; status marital; tingkat kemandirian

Full Text:

PDF

References


Arnau, A., Ferrer, M., Espaulella, J., Serrarols, M., Canudas, J., & Formiga, F. (2012). Factors associated with functional status in a population aged ≥75 years without total dependence. Gaceta Sanitaria. https://doi.org/10.1016/j.gaceta.2011.09.035

D’Onofrio, G., Sancarlo, D., Panza, F., Copetti, M., Cascavilla, L., Paris, F., … Pilotto, A. (2013). Neuropsychiatric Symptoms and Functional Status in Alzheimer’s Disease and Vascular Dementia Patients. Current Alzheimer Research. https://doi.org/10.2174/156720512801322582

Databoks. (2019). Jumlah Penduduk Indonesia 2019 Mencapai 267 Juta Jiwa |. Dkatadata.Co.Id.

Graf, C. (2008). The lawton instrumental activities of daily living scale. American Journal of Nursing. https://doi.org/10.1097/01.NAJ.0000314810.46029.74

Inocian, E. P., Inocian, E. P., & Ysatam, E. I. (2014). The dependency needs in the activities of daily living performance among Filipino elderly. International Research Journal of Medicine and Medical Sciences.

Ismail, S. O. (2015). Faktor-faktor yang Mempengaruhi Kemandirian Lansia. Fakultas Ilmu-Ilmu Kesehatan. https://doi.org/10.1017/CBO9781107415324.004

Jekel, K., Damian, M., Wattmo, C., Hausner, L., Bullock, R., Connelly, P. J., … Frölich, L. (2015). Mild cognitive impairment and deficits in instrumental activities of daily living: A systematic review. Alzheimer’s Research and Therapy. https://doi.org/10.1186/s13195-015-0099-0

Jumita, R., Azrimaidaliza, A., & Machmud, R. (2012). Kemandirian Lansia di Wilayah Kerja Puskesmas Lampasi Kota Payakumbuh. Jurnal Kesehatan Masyarakat Andalas. https://doi.org/10.24893/JKMA.6.2.86-94.2012

Kemenkes RI. (2017). Analisis Lansia di Indonesia. Pusat Data Dan Informasi Kementerian Kesehatan RI.

Kodri, K., & Rahmayati, E. (2017). Faktor yang Berhubungan dengan Kemandirian Lansia dalam Melakukan Aktivitas Sehari-hari. Jurnal Ilmiah Keperawatan Sai Betik. https://doi.org/10.26630/JKEP.V12I1.355

Koskas, P., Henry-Feugeas, M. C., Feugeas, J. P., Poissonnet, A., Pons-Peyneau, C., Wolmark, Y., & Drunat, O. (2014). The lawton instrumental activities daily living/activities daily living scales: A sensitive test to Alzheimer disease in community-dwelling elderly people? Journal of Geriatric Psychiatry and Neurology. https://doi.org/10.1177/0891988714522694

Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., … Mukadam, N. (2017). Dementia prevention, intervention, and care. The Lancet. https://doi.org/10.1016/S0140-6736(17)31363-6

Morais, A., Santos, S., & Lebre, P. (2019). Psychomotor, Functional, and Cognitive Profiles in Older People with and without Dementia:What Connections? Dementia. https://doi.org/10.1177/1471301217719624

Perdossi. (2015). Panduan Praktik Klinik Diagnosis dan Penatalaksanaan Demensia. Jakarta Pusat.

Tomioka, K., Kurumatani, N., & Hosoi, H. (2016). Association between social participation and instrumental activities of daily living among community-dwelling older adults. Journal of Epidemiology. https://doi.org/10.2188/jea.JE20150253

Villarreal, A. E., Grajales, S., López, L., Oviedo, D. C., Carreira, M. B., Gómez, L. A., … Britton, G. B. (2018). Limitations in Activities of Daily Living among Dementia-Free Older Adults in Panama. Ageing International. https://doi.org/10.1007/s12126-018-9321-2

Wang, H., Chen, K., Pan, Y., Jing, F., & Liu, H. (2013). Associations and Impact Factors between Living Arrangements and Functional Disability among Older Chinese Adults. PLoS ONE. https://doi.org/10.1371/journal.pone.0053879




DOI: https://doi.org/10.17509/jpki.v5i2.21528

Refbacks

  • There are currently no refbacks.




Jurnal Pendidikan Keperawatan Indonesia(JPKI) published by Indonesia University of Education. JPKI is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License

StatCounter - Free Web Tracker and Counter
View My Stats

Office :
Nursing Department. FPOK UPI.
229, Dr. Setiabudhi Street. Bandung 40154
West Java , Indonesia
E-mail : jpki@upi.edu