scholarly journals Thesis of effects of modified core exercise studies in alzheimer’s patients over 55 years of age on depression, daily life activities and some physical fitness values55 yaş üstü alzheimer hastalarında modifiye core egzersiz çalışmalarının; depresyon, günlük yaşam aktiviteleri ve bazı fiziksel uygunluk değerlerine etkisinin incelenmesi

2019 ◽  
Vol 16 (1) ◽  
pp. 301
Author(s):  
Müjde Atıcı ◽  
Ulviye Bilgin

The aim of this research is examination of effects of modified core exercise studies in Alzheimer’s patients over 55 years of age on depression, daily life activities and some physical fitness values. For the study, the consent form was signed by people who have Alzheimer's 1st and 2nd stage report and their relatives and then modified core exercise studies were applied to Alzheimer’s patients over 55 years of age.  There are totally 42 Alzheimer’s patients including experimental (n=21) and control groups (n=21). Control group was only marched and their continuity of daily life activities was observed. Subject group was only made modified core exercises for 1 hour four days a week during a total of 12 weeks. The study was conducted in Gaziantep Moral Home Alzheimer’s Center. The study model consists of pre-test and post-test methods. Weight, height, body mass index and age parameters of the Alzheimer’s patients were determined. Measurements of patients’ reactions, Mini Mental Test Yesavage Geriatric Depression Scale, Katz Daily Life Activities Scale, Mini Nutritional Assessment Form and measurements of functional reach flexibility were taken. After 12 weeks at the end of these modified core exercises, the same measurements were taken from both groups. Statistically, there were no significant difference in height, weight and body mass index data of experimental and control groups. According to the study findings, groups created before the research were homogeneous in terms of all measurements apart from functional reach value when pre-test and post-test values of control groups were compared. Before the study, the differentiation (p<.05) in the functional reach test in favor of the control group was eliminated at the end of the experiment (p>.05). As a result of experiment, there were significant differences (p<.001) in favor of the experimental group in the scores of Katz Daily Life Activities Scale, Yesavage Geriatric Depression Scale (Short Form) and Mini Nutritional Assessment Form. As a result of the pre- and post-test measurement of the experimental group, progresses in right-hand reaction (sound) and left-hand reaction (mixed) values (p<.01) and right-hand reaction (mixed) were made (p<.05).As a result of the pre- and post-test measurement of the experimental group, progresses were identified (p<.001) in the scores of Katz Daily Life Activities Scale, Yesavage Geriatric Depression Scale (Short Form) and Mini Nutrition Evaluation Form. As a result of the pre- and post-test measurement of the control group, regressions were identified (p<.05) in the values of right-hand reaction (light) (p<.01) and left-hand reaction (light) values and right-hand reaction (sound).As a result of the pre- and post-test measurement of the control group, significant decreases were detected (p<.05) in the values of functional reach and Yesavage Geriatric Depression Scale (Short Form) (p<.01) and in the scores of Standardized Mini--Mental Test for Uneducated People and Mini Nutritional Assessment Form.Extended English summary is in the end of Full Text PDF (TURKISH) file. ÖzetBu araştırmanın amacı 55 yaş üstü alzheimer hastalarında modifiye core egzersiz çalışmalarının; depresyon, günlük yaşam aktiviteleri ve bazı fiziksel uygunluk değerlerine etkisinin incelenmesidir. Çalışmaya alzheimer 1. ve 2. evre raporuna sahip ve sorumlu yakınları ile kendilerine izin formu imzalatılarak; yaşları 55 yaş üstü olan alzheimer hastalarına modifiye core egzersiz çalışmaları uygulanmıştır. Deney (n=21), kontrol (n=21) olan toplamda 42 alzheimer hastası bulunmaktadır. Kontrol grubuna sadece yürüyüşler yaptırılarak günlük yaşam aktivitelerine devamlılığı gözlemlenmiştir. Denek grubuna ise; günde 1 saat haftada 4 gün toplam 12 hafta modifiye core egzersiz çalışmaları yaptırılmıştır. Çalışma Gaziantep Moral Evi Alzheimer Merkezinde uygulanmıştır. Çalışmanın modeli ön test ve son test yöntemlerinden oluşmuştur. Alzheimer hastalarının vücut ağırlığı, Boy, beden kitle indeksi ve yaş parametreleri belirlenmiştir. Hastaların reaksiyon ölçümleri, Mini Mental Test Yesavage Geriatrik Depresyon Ölçeği, Katz Günlük Yaşam Aktiviteleri Ölçeği, Mini Nutrisyonel Değerlendirme Formu ve fonksiyonel uzanma esneklik ölçümleri alınmıştır. 12 haftalık bu gruba uygulanan modifiye core egzersizlerinin sonunda her iki gruptan da aynı ölçümler alınmıştır. Deney ve Kontrol grubunun Boy, Kilo ve Beden Kitle İndeksi verilerinde istatistiki olarak anlamlı bir farka rastlanmamıştır. (p>0,05). Çalışma bulgularına göre kontrol grubunun ön test ve son test değerleri karşılaştırıldığında, araştırma öncesinde oluşturulan gruplar fonksiyonel uzanma değeri dışında tüm ölçümler açısından homojendir. Araştırma öncesinde fonksiyonel uzanma testinde kontrol grubu lehine tespit edilen farklılaşma (p<.05) deney sonunda ortadan kalkmıştır (p>.05). Deney sonucunda Katz Günlük Yaşam Aktiviteleri Ölçeği, Yesavage Geriatrik Depresyon Skalası (Kısa Formu) ve Mini Nutrisyonel Değerlendirme Formu skorlarında deney grubu lehine anlamlı farklar ortaya çıkmıştır (p<.001). Deney grubunun ön ve son test ölçümü sonucunda grubun sağ el reaksiyon (ses) ve sol el reaksiyon (karışık) değerleri (p<.01) ile sağ el reaksiyon (karışık) değerlerinde ilerlemeler kaydedilmiştir (p<.05). Deney grubunun ön ve son test ölçümü sonucunda fonksiyonel uzanma, Katz Günlük Yaşam Aktiviteleri Ölçeği, Yesavage Geriatrik Depresyon Skalası (Kısa Formu) ve Mini Nutrisyonel Değerlendirme Formu skorlarında gelişimler tespit edilmiştir (p<.001).Kontrol grubunun ön ve son test ölçümü sonucunda sağ el reaksiyon (ışık) değeri (p<.01) ile sol el reaksiyon (ışık) ve sağ el reaksiyon (ses) değerlerinde gerilemeler tespit edilmiştir (p<.05).Kontrol grubunun ön ve son test ölçümü sonucunda fonksiyonel uzanma ve Yesavage Geriatrik Depresyon Skalası (Kısa Formu) değerleri (p<.01) ile Eğitimsizler için Standardize Minimental Test ve Mini Nutrisyonel Değerlendirme Formu skorlarında anlamlı düşüşler kaydedilmiştir (p<.05).

2010 ◽  
Vol 13 (1) ◽  
pp. 42-48
Author(s):  
Anton Surya Prasetya ◽  
Achir Yani S. Hamid ◽  
Herni Susanti

AbstrakSalah satu manfaat terapi kognitif dan senam otak pada lansia adalah menurunkan tingkat depresi. Tujuan penelitian ini untuk mengetahui pengaruh terapi kognitif dan senam otak terhadap tingkat depresi lansia di Panti Wredha. Metode penelitian quasi experiment, desain pre-post test design with control group. Sampel penelitian secara purposive sampling berjumlah 56 responden, terdiri 28 responden kelompok intervensi dan 28 responden kelompok kontrol. Instrumen penelitian untuk mengetahui tingkat depresi menggunakan kuesioner Geriatric Depression Scale yang berjumlah 15 pertanyaan. Hasil penelitian didapatkan tingkat depresi menurun lebih bermakna pada kelompok intervensi yang mendapatkan terapi kognitif dan senam otak dibanding kelompok kontrol yang hanya mendapat terapi kognitif yaitu selisih 1,18 poin (p< 0,005, α= 0,05 ). Rekomendasi terapi kognitif dan senam latih otak menjadi bagian program kerja lansia di puskesmas dan panti. AbstractOne of the effects of cognitive therapy and brain exercising is lower levels of depression. The purpose of this study to determine the effect of cognitive therapy and brain exercising for the level or condition of depression of the elderly people in Tresna Wredha Nursing Home. The research method was quasi experiment by using pre-post test design with control group. The research sample was obtained by purposive sampling of 56 respondents, consist of 28 respondents to the intervention group and 28 respondents to the control group. The Research instrument that used to determine the level of depression was Geriatric Depression Scale questionnaire that included 15 questions. The result of the research showed that the level of depression was decreased, and it happened significantly in the intervention group who received cognitive therapy and brain exercising than the control group who only got cognitive therapy, with 1.18 points as the differences (p< 0,005, α= 0,05). This study recommended to be part elderly work plan in public health and nursing home.


2017 ◽  
Vol 6 (1) ◽  
pp. 01
Author(s):  
Emy Sutiyarsih ◽  
Sr. Felisitas A Sri S

Depression in eldery couldn’t be easily detected because physical complaint was more often than emotional complaint. In severe case, depression could cause suicidal behaviour (Irawan, 2013). Therefore, elderly need assistance to deal with depression, and Emotional Freedom Technique (EFT) is one of the solution. Research design is pre-experimental design, using pre-test and post-test design. Before intervention, Geriatric Depression Scale test were given to one group of elder people. EFT intervention were given two times for four weeks, and Geriatric Depression Scale test were tested after intervention. Population was elder people who fulfill inclusion criterias, and 30 elderly were obatained. The significancy result was 0,000 (α = 0,05), it could be inferred that EFT has a strong relationship to depression scale. EFT could significantly reduce depression scale in elderly, so it can bes used effectively.


Sebatik ◽  
2022 ◽  
Vol 26 (1) ◽  
Author(s):  
Yuldensia Avelina ◽  
Wilhelmus Nong Baba ◽  
Yosefina Dhale Pora

Lansia merupakan tahap lanjut dari suatu proses kehidupan yang terjadi secara alamiah. Tingginya stresor dan peristiwa kehidupan yang  tidak menyenangkan dapat menimbulkan masalah psikologis, salah satu diantaranya adalah depresi. Depresi pada lansia lebih tinggi terjadi pada lansia yang hidup di panti jompo dibandingkan dengan lansia yang hidup di komunitas dan masih rendahnya intervensi psikologis untuk mengatasi depresi. Penelitian ini bertujuan untuk mengetahui pengaruh terapi life review terhadap penurunan depresi pada lansia di Seksi Kesejahteraan Penyantunan Sosial Lanjut Usia Padu Wau Maumere. Jenis penelitian yang digunakan adalah Quasi experiment dengan rancangan penelitian one group pre post test. Jumlah sampel sebanyak 36 orang, dengan menggunakan consecutive sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner pendek Geriatric Depression Scale (GDS) dengan 15 pertanyaan dalam versi Indonesia untuk mengukur depresi pada lansia. Intervensi terapi life review diberikan sebanyak 4 sesi yakni pengalaman masa anak-anak, masa remaja, masa dewasa dan masa lansia.  Analisis data menggunakan uji wilcoxon. Hasil uji wilcoxon menunjukkan bahwa terdapat pengaruh terapi life review terhadap penurunan depresi lansia dibuktikan dengan nilai p value (0.000) < α (0.05). Terapi life review berhasil dalam menurunkan depresi pada lansia.


Retos ◽  
2017 ◽  
pp. 14-19
Author(s):  
Lisbet Guillen Pereira ◽  
Egar Bueno Fernandez ◽  
Manuel Gutierrez Cruz ◽  
José Ramón Guerra Santiesteban

El artículo se enfoca en el análisis de un programa de actividades físicas y su efecto en la mejora de los niveles de depresión y bienestar subjetivo de adultos mayores. Se utiliza un diseño experimental con pre y pos tratamiento en una muestra de 111 adultos mayores seleccionado mediante criterios de inclusión, a la que se le aplicó un procedimiento de proporción de uno a tres para crear el grupo experimental y de control (n=74 grupo experimental y n=37 el grupo de control). La depresión fue medida aplicando la Escala de Depresión Geriátrica de Yesavage y el bienestar subjetivo a partir de la Philadelphia Geriatric Center Morale Scale. Para el análisis del pre con el post tratamiento se utilizó un modelo de análisis de varianza (ANOVA) con medidas repetidas (MR). Los resultados revelaron diferencias significativas en la Depresión Geriátrica (p=.000) y del Bienestar subjetivo en cada dimensión estudiada: afectos positivos (p=.000), afectos negativos (p=.000) y agitación (p=.000), lo que se concluye que las dos variables dependientes mejoraron de manera significativa al aplicar la propuesta.Abstract: This article focuses on the analysis of a program of physical activities and its effect on reducing depression levels and on increasing subjective well-being of older adults. An experimental design with pre- and post-treatment was applied to a sample of 111 older adults selected in accordance with inclusion criteria, using a one-to-three ratio procedure to create experimental and control groups (Experimental group, n = 74; control group, n = 37). Depression was measured by means of the Yesavage Geriatric Depression Scale, whereas subjective well-being with the Philadelphia Geriatric Center Morale Scale. For the pre-post analysis, a variance analysis model (ANOVA) with repeated measures (MR) was used. Results revealed significant differences in Geriatric Depression (p = .001) and subjective well-being in each dimension studied: positive affects (p = .001), negative affects (p = .001) and agitation (p = .001), We can conclude that the two dependent variables improved significantly after applying the program proposed.


2021 ◽  
Author(s):  
José de Paula Barbosa Neto ◽  
Luiz Eduardo Fernandes Lima ◽  
Matheus Carvalho Vasconcelos ◽  
Luis Eduardo Reis Amaral ◽  
Lise Queiroz Lima Verde ◽  
...  

Abstract Purpose: The aim of this study was to assess the presence of depressive symptoms in elderly people with glaucoma and other clinical and epidemiological factors that were associated to the presence depression.Methods: A cross-sectional study was carried out at the Hospital de Olhos Leiria de Andrade, including volunteers aged 60 years or over. Individuals were separated into patients with glaucoma and patients without glaucoma. Volunteers responded a questionnaire, containing data from clinical history and the Geriatric Depression Scale – 15, and were submitted to a complete ophthalmological evaluation.Results: Overall, 42 patients in the glaucoma group and 40 patients in the non-glaucoma group were evaluated. The mean age among cases was 70.2 years, while in the control group it was 65.7 years. The evaluation of the Geriatric Depression Scale – 15 showed an average score of 4.21 and 3.82 in the case and control groups, respectively, with no statistical difference. However, the worsening of visual acuity was related to a greater number of depressive symptoms when comparing individuals with glaucoma. When analyzing the correlation between age, in both groups, and the number of depressive symptoms, there was no statistical significance.Conclusion: The presence of glaucoma was not associated with an increase in the Geriatric Depression Scale-15 score. However, the worsening in visual acuity was correlated to a greater number of depressive symptoms.


2019 ◽  
Vol 92 (1) ◽  
pp. 115-133 ◽  
Author(s):  
Michele Biasutti ◽  
Anthony Mangiacotti

The effectiveness of music training on depressed mood and general cognitive function in elderly participants is verified in this study. Music activities consisted of improvisation exercises for stimulating interpersonal skills, mood, and cognitive functions. A mixed research method was adopted, including standardized measures (Mini-Mental State Examination and Geriatric Depression Scale) and follow-up semistructured interviews. The research design included pre- and postevaluation with randomized experimental and control groups. Participants were 45 care residents aged 62 to 95, healthy and with cognitive impairment. Results revealed a significant improvement in depression index (Geriatric Depression Scale) for the experimental period ( t = 1.450; p < .005; d = 0.453) while the control group had no improvement ( t = 0.080; p > .1; d = 0.025). In addition, a significant improvement was found in the cognitive level (Mini-Mental State Examination) for the experimental ( t = 2.300; p < .005; d =  0.668) than the control group that had a significant reduction ( t = 1.240; p < .05; d = 0.273). This study provides evidence that music training has a positive impact on depressed mood and general cognitive function in elderly participants. These types of music training sessions could provide aid to control the symptoms of depression, delay the deterioration of cognitive function, and enhance social–cognitive function, especially in individuals presenting with cognitive impairment.


2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Jonathan Arnold ◽  
Jianliang Dai ◽  
Lusine Nahapetyan ◽  
Ankit Arte ◽  
Mary Ann Johnson ◽  
...  

Used a population-based sample (Georgia Centenarian Study, GCS), to determine proportions of centenarians reaching 100 years as (1) survivors (43%) of chronic diseases first experienced between 0–80 years of age, (2) delayers (36%) with chronic diseases first experienced between 80–98 years of age, or (3) escapers (17%) with chronic diseases only at 98 years of age or older. Diseases fall into two morbidity profiles of 11 chronic diseases; one including cardiovascular disease, cancer, anemia, and osteoporosis, and another including dementia. Centenarians at risk for cancer in their lifetime tended to be escapers (73%), while those at risk for cardiovascular disease tended to be survivors (24%), delayers (39%), or escapers (32%). Approximately half (43%) of the centenarians did not experience dementia. Psychiatric disorders were positively associated with dementia, but prevalence of depression, anxiety, and psychoses did not differ significantly between centenarians and an octogenarian control group. However, centenarians were higher on the Geriatric Depression Scale (GDS) than octogenarians. Consistent with our model of developmental adaptation in aging, distal life events contribute to predicting survivorship outcome in which health status as survivor, delayer, or escaper appears as adaptation variables late in life.


2019 ◽  
Vol 14 (1) ◽  
pp. 87
Author(s):  
Hasna Rosida Putri ◽  
Triska Susila Nindya

Malnutrition is one of the causes of health problems in the elderly. Nutritional status of the elderly can be affected by many factors, such as food intake, comorbidities, drugs consumption, physical activity, and depression. Depression status has a relationship with the nutritional status of the elderly by influencing the intake of the elderly. The purpose of this study was analyze the correlation and the risk of depression tendency with elderly nutritional status at UPTD Griya Werdha Surabaya. This study was a case-control design. The number of respondents were 30 elderly consist of 15 elderly in each case and control groups. The case group was elderly who had MNA score <24 points, while the control group was elderly who had MNA score of ≥24 points. Depression were measured by Short Geriatric Depression Scale (GDS). Spearman correlation test was used to analyze the data. Most of the elderly do not experience depression (GDS<5). There was a correlation between depression with nutritional status of the elderly (p=0.007). Depression elderly were 9.75 times more likely to malnourished than nutritional status [OR=9.75, 95% CI =`1.63 (1.45-1.81)]. Nutritional status was correlated with the tendency of depression in the elderly. It is necessary to increase more activities at the UPTD Griya Werdha Surabaya to reduce the risk of depression among elderly.


2019 ◽  
Vol 5 (2) ◽  
pp. 128-146
Author(s):  
Andria Pragholapati

Pendahuluan: Data World Health Organization (2010) menunjukkan lansia di dunia yang terkena depresi sebanyak 7 juta orang. Meningkat pada lansia yang tinggal di institusi sekitar 50-75%. Tujuan: penelitian ini untuk mengetahui pengaruh Brain Gym terhadap tingkat depresi pada lansia di Balai Perlindungan Sosial Tresna Werdha Ciparay Bandung Tahun 2016. Metode: Penelitian ini menggunakan Quasy eksperiment pre-post test dengan kelompok kontrol. Sampel dalam penelitian ini sebanyak 34 orang yang dibagi menjadi dua kelompok masing-masing 17 orang. Sampel yang digunakan adalah purposive sampling yang memenuhi kriteria inklusi dan eksklusi. Brain gym diberikan pada kelompok perlakuan sebanyak 9 kali dalam 5 hari. Kuesioner menggunakan Geriatric Depression Scale Short form yang memiliki nilai Alfa Cronbach 0.960 ≥ 0.632 menyatakan kuesioner valid dan reliabel. Data dianalisis menggunakan uji wilcoxon dan uji Mann Whitney. Hasil Penelitian : Wilcoxon menunjukkan hanya pada kelompok intervensi ada perbedaan tingkat depresi dengan p value pada kelompok kontrol 0.109 (α>0.05) dan p value pada kelompok intervensi 0.000 (α<0.05). Hasil Mann Whitney pada kedua kelompok didapatkan p value 0.000 (α ≤ 0,05), maka Ho ditolak hal ini menunjukan ada pengaruh Brain Gym terhadap tingkat depresi. Diskusi: berdasarkan hasil penelitian menyatakan bahwa Brain Gym dapat menurunkan tingkat depresi pada lansia sehingga pada lansia penting dilakukan pemeriksaan tingkat depresi secara berkala dan diterapkan gerakan Brain Gym untuk mengurangi tingkat depresi pada lansia.


2017 ◽  
Vol 4 (1) ◽  
pp. 62
Author(s):  
Trifonia Sri Nurwela ◽  
Marlina S Mahajudin ◽  
Sri Adiningsih

The aging process is a natural process where an elderly experiences the changing biological, cognitive, psychological, and spiritual. Those chances influence the elderly health in both biological and psychological including the chance or mental health disorders towards an elderly which influences the quality of life such as mood disorder and depression. The managing of depression in the elderly could be done by laugh therapy.  Laugh therapy is a therapy method by utilizing laugh in order to assist each person to reduce a problem in both physical disorder and mental disorder. This study aimed to determine the effectiveness of laugh therapy on the decreasing of depression level for elderly. It included quasi- experimental study was condected at Griya Usila St. Yosef and in Werdha Bhakti Luhur House in  Sidoarjo by utilizing non randomized control pretest posttest design. The sample used in this research the inclusion criteria was 35 people which were divided into treatment group and control group. The treatment group was 19 people and control group was 16 people. The elderly in Griya Usila St. Yosef was as treatment group and the elderly in Panti Wedha Bhakti Luhur was as control group. Both groups performed pretest and postet at the same time to determine the level depression using by Geriatric Depression Scale/GDS. Mann Whitney Test results z = -5.105  and p = 0.000 There are significant differences in changes in the level of depression in the treated.Mann Whitney Test to test the difference in value of the Geriatric Depression Scale(GDS) z = -4.368 and p = 0.000 that was significant differences in the difference in the value of the GDS between the treated group and control group. Laughter therapy is effective in lowering the rate of depression in the elderly. The conclusion is the laugh therapy is effective in reducing the depression level in the elderly at Griya Usila St. Yosef Surabaya and Panti Werdha Luhur Sidoarjo


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