scholarly journals Gangguan depresi berhubungan dengan status gizi pasien psikogeriatri di RSJ DR. Radjiman Wediodiningrat, Malang

Author(s):  
Wawan Agung Prasetyo ◽  
Probosuseno Probosuseno ◽  
Sumarni Sumarni

<p>ABSTRACT</p><p>Background: Nutritional problem in psychogeriatric patients has not got much attention in geriatric psychiatry. However, malnutrition is likely to have a major impact on mental and physical condition of the elderly. In patients with depression, nutritional problems have a major contribution in determining food intake and nutrient of elderly, because depression can cause loss of appetite which impact on the nutritional status of elderly.</p><p>Objectives: To determine the association between depression with nutritional status of geriatric psychiatry patients at DR. Radjiman Wedioningrat Mental Hospital, Lawang District of Malang.</p><p>Methods: This was an observational study with cross sectional design. Subjects were geriatric psychiatry inpatients at Radjiman Wediodiningrat Mental Hospital Lawang Distric of Malang. Depression status was assessed using the short form of the geriatric depression scale (GDS-15). Food intake were collected using plate waste (visual comstock methods) and 24 hours food recall methods. Nutritional status was assessed using the mini nutritional assessment-Taiwan version-1 (MNA-T1). The data was analysed by univariat, bivariat, and multivariat.</p><p>Results: Out of total subject of the study (52 people), 53.9% were depressed and 50% were malnourished. Dominant factor that affect nutritional status was moderate depression (OR=11.14). Bivariat analysis showed that there was a significant association between functional status, energy intake, and protein intake with nutritional status. There was not significantly association between energy intake and protein intake with depression status. There was a significant association between depression status and nutritional status of geriatric psychiatry patients (OR=11.14, 95% CI:1.7-73.14).</p><p>Conclusions: There was a significant association between depression status and nutritional status.</p><p>KEYWORDS: depression status, geriatric psychiatric, nutritional status</p><p>ABSTRAK</p><p>Latar belakang: Masalah gizi pada pasien psikogeriatri kurang mendapat perhatian dalam penelitian psikiatri geriatri, padahal malnutrisi cenderung memiliki dampak yang besar terhadap kondisi mental dan fisik pada lansia. Pada pasien depresi, masalah gizi mempunyai kontribusi yang besar dalam menentukan asupan makanan dan zat gizi lansia karena depresi dapat menyebabkan kehilangan nafsu makan yang berdampak pada penurunan status gizi lansia.</p><p>Tujuan: Mengetahui hubungan antara gangguan depresi dengan status gizi pasien psikogeriatri di RSJ Dr. Radjiman Wediodiningrat, Lawang, Malang.</p><p>Metode: Penelitian ini bersifat observasional dengan rancangan cross sectional. Subjek penelitian ini adalah pasien psikogeriatri di ruang rawat inap psikogeriatri RSJ Dr. Radjiman Wediodiningrat Lawang. Data status depresi diukur dengan geriatric depression scale-15 (GDS-15). Data asupan zat gizi menggunakan metode visual Comstock dan recall 24 jam. Data status gizi ditentukan berdasarkan (MNA-T1). Data dianalisis secara univariat, bivariat, dan multivariat.</p><p>Hasil: Dari total subjek penelitian (52 orang), sebesar 53,9% mengalami depresi dan sebesar 50% mengalami malnutrisi. Faktor yang paling dominan mempengaruhi status gizi adalah status depresi sedang (OR=11,14). Hasil uji bivariat menunjukkan ada hubungan yang bermakna antara status fungsional,<br />asupan energi, asupan protein, dan status depresi dengan status gizi. Hasil uji multivariat menunjukkan ada hubungan yang signifikan antara status depresi dengan status gizi (OR=11,14, 95% CI:1,7-73,14).</p><p>Kesimpulan: Ada hubungan signifikan antara status depresi dengan status gizi pada pasien psikogeriatri.</p><p>KATA KUNCI: status depresi, pasien psikogeriatri, status gizi</p>

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 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence


2018 ◽  
Vol 7 (3) ◽  
pp. 417
Author(s):  
Ayu Wulandari Utami ◽  
Rini Gusyaliza ◽  
Taufik Ashal

Lanjut usia adalah individu yang telah berusia lebih dari 60 tahun. Depresi merupakan masalah psikologis yang sering terjadi pada lanjut usia yang ditandai dengan perasaan sedih, sehingga dapat mempengaruhi aktivitas fisik seseorang. Kualitas hidup adalah penilaian individu terhadap posisinya di dalam kehidupan dalam konteks untuk melaksanakan fungsinya pada kehidupan sehari-hari. Tujuan penelitian ini adalah menentukan hubungan kemungkinan depresi dengan kualitas hidup pada lanjut usia di Kelurahan Surau Gadang wilayah kerja Puskesmas Nanggalo Padang. Penelitian ini merupakan studi analitik dengan desain cross sectional yang dilaksanakan dari Desember 2017 sampai Mei 2018 di Kelurahan Surau Gadang wilayah kerja Puskesmas Nanggalo Padang. Sampel berjumlah 100 orang yang terdiri dari 50 orang lansia berkemungkinan depresi dan 50 orang lansia berkemungkinan tidak depresi. Pengumpulan data dilakukan dengan mewawancarai subjek menggunakan instrumen Geriatric Depression Scale dan WHOQOL- BREF. Penentuan sampel menggunakan teknik stratified proportionate random sampling dan pengambilan sampel menggunakan consecutive sampling. Analisis data menggunakan analisis univariat dan analisis bivariat dengan uji Chi-Square. Hasil analisis univariat didapatkan distribusi frekuensi kualitas hidup lanjut usia yaitu 86% memiliki kualitas hidup baik dan 14% memiliki kualitas hidup buruk. Hasil analisis bivariat menunjukkan terdapat hubungan bermakna antara kemungkinan depresi dengan kualitas hidup (p = 0,004). Simpulan penelitian ini adalah terdapat hubungan bermakna antara kemungkinan depresi dengan kualitas hidup pada lanjut usia di Kelurahan Surau Gadang.


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 47 (2) ◽  
pp. 1-9
Author(s):  
Jingjing Zhou ◽  
Linlin Xiao ◽  
Yicheng Zhou ◽  
Guoqiang Rui ◽  
Xianlin Ni

We used the Geriatric Depression Scale to investigate the depression status of empty nesters living in eastern rural China (N = 967). The results showed that more than half of the participants suffered relatively severe depression and that their mental health was not favorable. Gender, age, level of education, and marital status had a significant influence on depression status. The degree of depression of men was lower than that of women. As participants’ age increased, the degree of depression first rose until the age of 84 and then fell thereafter. The depression of unmarried empty nesters was relatively severe compared to that of married ones. Finally, a higher level of education corresponded with a lower degree of depression. There are varied factors affecting the psychological status of empty nesters in China. To improve their mental state, the government, society, and family need to collaborate and take comprehensive measures.


2018 ◽  
Vol 3 (1) ◽  
pp. 31-38
Author(s):  
W Ibowo

Proses penuaan yang dialami lansia tidak hanya berhubungan pada segi kehidupan tetapi juga akan diikuti dengan kemunduran fisik dan mental. Gangguan mental yang sering dijumpai pada lansia adalah kecemasan dan depresi serta gangguan faal tubuh. Tingkat depresi itu sendiri berbeda-beda pada setiap lansia. Saat memasuki usia tua, para lansia memiliki perubahan struktur otak yang menyebabkan kemunduran kualitas hidup yang berimplikasi pada kemandirian dalam melakukan aktivitas sehari-hari atau ADL (Activities of Daily Living). Metode penelitian menggunakan penelitian deskriptif korelasi dengan desain penelitian cross sectional yang bertujuan untuk melihat  hubungantingkat depresi  lansia terhadap tingkat kemandirian lansia dalam pemenuhan kebutuhan Activity Daily Living (ADL). Populasi dalam penelitian ini adalah para lansia yang datang ke posyandu,tehnik sampling yang digunakan adalah total sampling dengan jumlah sampel sebanyak 76 responden  dengan menggunakan alat ukur Geriatric Depression Scale (GDS) dan KATZ Index. Uji statistik yang digunakan adalah uji statistik non parametrik, yaitu uji Korelasi Rank Spearmen menggunakan aplikasi SPSS 20 for nilai signifikansi atau Sig. (2-tailed) sebesar 0,413. Karena nilai Sig. (2-tailed) 0,413 > 0,05 level (2-tailed) maka artinya tidak ada hubungan yang signifikan antara tingkat depresi dengan tingkat kemandirian pada lansia.   Kata Kunci: Depresi, Activities of Daily Living, Lansia


2009 ◽  
Vol 8 (3) ◽  
pp. 7-18
Author(s):  
Christina Harper

Therapeutic dining programs are part of the community reintegration process for clients recovering from a stroke. It is a supervised program performed in social settings that consists of a combination of techniques to improve the eating situation. Therapeutic dining programs are a beneficial form of therapy for many rehabilitative groups. This specific program has been tailored to older adults who are recovering from a stroke. Its main goals, aside from improving the eating situation, are to prevent another stroke from happening and decrease depression symptoms and increase self-esteem by reintegrating clients back into the community. I looked into several different community reintegration program and nutrition and eating after stroke studies in which positive outcomes were found for post-stroke clients. All studies and research used has provided a strong support for the specific proposed intervention program for my client Kelly, who is an older adult female recovering from a stroke. Assessments selected: The Barthel Index, Nutritional Status, and Geriatric Depression Scale (GDS). Plan: Small group therapeutic dining program with other older adults in the afternoon. Intervention: Therapeutic Dining Program three times a week for eight weeks to improve eating situation, promote healthy eating, decrease symptoms of depression, and increase self esteem and social activity. Evaluation: The Barthel Index, Nutritional Status, Geriatric Depression Scale plus a Stroke Recovery Scorecard. Clients Goals: 1) Client will lower the risks of having another stroke. 2) Client will increase their eating situation experience and self-esteem while decreasing their depression symptoms. 3) Client will get involved in one support group or leisure activity outside of recreational therapy (RT) dining program for community reintegrated leisure pursuits.


2018 ◽  
Vol 1 (2) ◽  
pp. 342-347
Author(s):  
Rina Amelia ◽  
Arlinda Sari Wahyuni ◽  
Juliandi Harahap

Gangguan mental biasa terjadi di usia tua tetapi keadaan ini sering tidak terdeteksi dan tidak diobati. Gangguan mental memicu terjadinya cacat fungsional, gangguan rehabilitasi, dapat membebani sistem kesehatan dan merusak kualitas hidup pasien tua serta keluarga mereka. Tujuan penelitian ini adalah untuk menganalisisi hubungan gangguan emosional (depresi) terhadap kualitas hidup lansia di Kota Medan.  Disain penelitian analitik dengan pendekataan cross sectional.  Populasi penelitian adalah seluruh lansia (>60 tahun) yang berada di wilayah kerja Puskesmas Tuntungan Medan.  Pengambilan sampel penelitian sebanyak 100 orang (rumus proporsi) dilakukan secara consecutive sampling (kriteria inklusi dan ekslusi).  Penilaian gangguan emosional menggunakan kuesioner Geriatric Depression Scale (GDS) yang terdiri dari 30 pertanyaan merupakan instrumen yang valid untuk  menilai depresi yang terjadi pada lanjut usia, sedangkan penilaian kualitas hidup menggunakan kuesioner WHOQOL-BREF yang terdiri dari 26 pertanyaan dengan jawaban mengunakan Skala Likert (1-5).  Analisis data menggunakan uji chi squaredengan menggunakan program komputer SPSS.   Hasil penelitian menunjukkan sebanyak 84 orang (84%) lansia tidak mengalami depresi, 15 orang (15%) lansia yang mengalami depresi ringan dan 1 orang (1%) yang mengalami depresi berat.  Kualitas hidup lansia mayoritas berada pada kategori yang cukup sebanyak 87 orang (87%).  Hasil analisis menunjukkan terdapat hubungan antara gangguan emosional (depresi) dengan kualitas hidup lansia di kota Medan (p<0.05).


2018 ◽  
Vol 2 (1) ◽  
pp. 17
Author(s):  
Eliyana

ABSTRAKTujuan penelitian: Penelitian ini dilakukan untuk dapat mengetahui hubungan antara tingkat kesepian dan tingkat depresi pada lansia di Dukuh Trayeman, Pleret, Bantul, Yogyakarta. Metode: Desain penelitian deskriptf korelasi dengan menggunakan pendekatan cross sectional digunakan dalam penelitian ini. Pemilihan responden dilakukan menggunakan non-probability sampling dengan teknik purposive sampling sehingga didapatkan 50 responden dengan usia di atas 60 tahun dan tinggal di komunitas. Pengambilan data dilakukan secara langsung sejak tanggal 2-16Agustus 2016 dengan menggunakan kuesioner University California of Los Angeles Loneliness Scale dan Geriatric Depression Scale. Analisis data menggunakan uji korelasi Kendal Tau. Hasil: Penelitian ini menunjukkan ada hubungan yang signifikan antara tingkat kesepian dan tingkat depresi pada lansia di Dukuh Trayeman, Pleret, Bantul, Yogyakarta dengan p=0,001 di mana nilai korelasi mencapai 0,892. Hal ini bermakna terdapat hubungan yang sangat kuat dengan arah positif di antara kedua variabel. Diskusi: Pada masa lanjut usia akan terjadi banyak kemunduran, baik fisik maupun psikologis. Beberapa kemunduran psikologis yang terjadi seperti kesepian dan depresi yang dapat memicu terjadinya penyakit yang kompleks apabila tidak segera diatasi. Kesimpulan: Tingkat kesepian pada lansia merupakan hal yang sangat berkaitan dengan kejadian depresi pada lansia. Maka dari itu, sedini mungkin tingkat kesepian yang terjadi pada lansia harus segera diatasi karena semakin tinggi tingkat kesepian yang dialami oleh lansia, semakin tinggi juga tingkat depresi yang akan terjadi.Kata Kunci: kesepian, depresi, lansia, komunitas.CORRELATION BETWEEN LONELINESS LEVEL AND DEPRESI IN THE ELDERLY ATTRAYEMAN HAMLET, BANTUL, YOGYAKARTAABSTRACTObjective: This research was conducted to identify the correlation between loneliness level and depression level in the elderly at Trayeman Hamlet, Pleret, Bantul, Yogyakarta. Methods: This study is descriptive correlational by using cross sectional approach. Samples were taken using non-probability sampling with purposive sampling technique with a sample size of 50 respondents aged above 60 years and living in the community. Data were collected directly from 2 August 2016 until 16 August 2016 using University California of Los Angeles Loneliness Scale and Geriatric Depression Scale. The data were analyzed using Kendal’s Tau correlation test. Results: This study showed that there was a significant correlation between loneliness level and depression level in the elderly at Trayeman Hamlet, Pleret, Bantul, Yogyakarta with p = <0.001 where the correlation value was 0.892. This means there was a very strong correlation with positive direction between the two variables. Discussion: The elderly will experience significant setbacks, either physical and psychological. The psychological setbacks include loneliness and depression which can lead to complex diseases, unless they are addressed immediately. Conclusion: Loneliness level in the elderly is strongly correlated with depression in elderly. Therefore, the loneliness level in the elderly should be addressed as early as possible because the higher the loneliness level experienced by the elderly, the higher the of depression level will occur. Keywords: loneliness, depression, elderly, community.


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