scholarly journals Application of Precede Proceed Model on Factors Affecting Depression Symptom in the Elderly: Evidence from Surakarta, Central Java

Author(s):  
Zela Tunurrohmin ◽  

ABSTRACT Background: Geriatric depression is a mental and emotional disorder affecting older adults. Social support is an important factor known to moderate the deleterious effects of stress in elderly. This study aimed to determine factors affecting depression symptom in the elderly using PRECEDE PROCEED model. Subjects and Method: A cross sectional study was conducted in Surakarta, Central Java. A sample of 200 elderly was selected for this study by cluster random sampling. The dependent variable was depression. The independent variables were gender, marital status, residence, education, family support, and peer support. The data were collected by questionnaire and analyzed by a multiple linear regression run on Stata 13. Results: The risk of depression in elderly increased with female (b= 5.53; 95% CI= 3.38 to 7.70; p<0.001), unmarried (b= 4.15; 95% CI=1.36 to 6.95; p= 0.004), and living at nursing home (b= 8.16; 95% CI= 5.26 to 11.06; p<0.001). The risk of depression decreased with high education (b= -5.51; 95% CI= -7.49 to -3.51; p<0.001), strong peer support (b= -2.75; 95% CI= -4.92 to -0.58; p= 0.013), and strong family support (b= -5.02; 95% CI= -7.96 to -2.09; p<0.001). Conclusion: The risk of depression in elderly increases with female, unmarried, and living at nursing home. The risk of depression decreases with high education, strong peer support, and strong family support. Keywords: depression, elderly Correspondence: Zela Tunurrohmin. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 082225442002. DOI: https://doi.org/10.26911/the7thicph.01.44

Salmand ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 112-127
Author(s):  
Narjes Heshmatifar ◽  
◽  
Arezoo Davarinia Motlagh Quchan ◽  
Zohreh Mohammadzadeh Tabrizi ◽  
Leila Moayed ◽  
...  

Objectives: The Coronavirus Disease 2019 (COVID-19) crisis and health outcomes are among the major human social events of the 21st century. The unknown nature of the disease and the fear of contagion have caused emotional reactions, including the self-consumption of drugs in the elderly. Therefore, this study investigated factors affecting the self-consumption of drugs for COVID-19 prevention in the elderly. Methods & Materials: This descriptive and cross-sectional study was performed on 342 elderly in Sabzevar City, Iran, in 2020. The research units were selected as clusters from 16 health centers. The necessary data were collected by an online self-medication questionnaire. Data analysis was performed in SPSS. Results: The Mean±SD age of the study participants was 66.2±5.67 years. The frequency of self-medication to prevent COVID-19 was 190(55.5%); analgesics, vitamins, anti-cold, and antibiotics were the most common drugs used. The major factors associated with self-medication in the COVID-19 pandemic were disease prevention, home quarantine, financial problems, experiencing previous self-medication, and others’ advice. There was a significant relationship between self-medication and education and insurance coverage. No significant relationship was observed between gender, occupation, and marital status, and self-medication. Conclusion: Self-Medication in the COVID-19 epidemic is notable as a crisis threatening the elderly’s health. Controlling and monitoring how the drug is used is among the requirements for protection and health promotion in the elderly.


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Alicia Benaya Wasti Baris ◽  
Hendro Bidjuni ◽  
Sefti Rompas

Abstrack: The meaning of life is something that is considered very important and valuable, and provides special value for someone and deserves to be a goal in life. Being someone who means and feels valuable in life seems very important when entering the elderly period. At this time, the elderly must be able to accept, be positive and be able to live their old age in peace. The aim is to find out the difference in the meaningoflife of the lives of the elderly who live in nursing home senja cerah and Who Live with Family in Sea Satu Village Pineleng District. The research design used is Observational Analytic with Cross Sectional Study approach. A sample of 30 respondents was obtained using the Purposive Sampling technique. The results of statistical test studies using the T-test at a significance level of 95%, obtained a significant value ρ = 0.008 <α (0.05). The conclusion is that there is a difference in the meaningoflife of the lives of the elderly who live in nursing home senja cerah and who live with their families.Keywords : Elderly, Meaning of LifeAbstrak : Makna hidup adalah sesuatu yang dianggap sangat penting dan berharga, serta memberikan nilai khusus bagi seseorang dan layak dijadikan tujuan dalam kehidupan. Menjadi seseorang yang berarti dan merasa berharga dalam hidup tampaknya sangat penting saat memasuki periode lansia. Pada masa ini, lansia harus dapat menerima, bersikap positif serta dapat menjalani masa tuanya dengan tenang Tujuan untuk mengetahui perbedaan makna hidup lansia yang tinggal di panti werdha senja cerah dan yang tinggal bersama keluarga di desa sea satu kecamatan pineleng. Desain penelitian yang digunakan yaitu Observasional Analitik dengan pendekatan Cross Sectional Study. Sampel berjumlah 30 responden yang didapat dengan menggunakan tehnik Purposive Sampling. Hasil penelitian uji statistik menggunakan uji T-test pada tingkat kemaknaan 95%, didapatkan nilai signifikan ρ = 0,008 < α (0,05). Kesimpulan ada perbedaan makna hidup lansia yang tinggal di panti werdha senja cerah dan yang tinggal bersama keluarga.Kata kunci : Lansia, Makna Hidup


2020 ◽  
Author(s):  
Xinfeng Cheng ◽  
He Bu ◽  
Wenjie Duan

Abstract Background High suicide risk among the aged population is a growing concern. Research has linked depression symptoms to suicidal ideation in the general population. The present study examines whether negative self-beliefs mediate the cross-sectional association between depression symptoms and suicide ideation. Methods A sample of 67 elderly participants from nursing homes, ranging in age from 62 to 91 years ( M = 80.00, SD = 6.67 years; three participants did not indicate the age), completed the Negative Self Belief Inventory, the Geriatric Suicide Ideation Scale, and the 7-item depression subscale of the Depression Anxiety Stress Scale. Results The results show that the associations between depression symptom, negative self-beliefs and suicide ideation were positive ( r = .44 - .52, p < .001). Depression symptoms contributed another 13.70% explained variances. It independently explained another 5.7% variances beyond other variables to suicide ideation after the entering of negative self-belief ( B = 0.126, t = 2.183, p < .05). The indirect effect of depression symptoms on suicide ideation through negative self-belief was significant (Effect = 0.223, 95% BCa CI = [0.034, 0.468]). Conclusion Depression predicts suicide ideation via negative self -beliefs. The current study, incorporated theoretical assumptions and empirical findings in the context of Chinese culture into western prevalent suicide theories. Treatments focusing on restructuring negative self-beliefs are promising to reduce suicide in older adults in China. Future studies should test whether the mechanism in our study can transcend national and cultural boundaries.


2021 ◽  
Vol 913 (1) ◽  
pp. 012094
Author(s):  
A Triyono ◽  
Z Zulkarnain ◽  
W Astana ◽  
D Ardiyanto ◽  
F Novianto ◽  
...  

Abstract The use of herbs for chronic diseases, including diabetes mellitus (DM), has increased. Many factors are associated with the positive attitude of DM patients to the use of herbs, including demographic factors, knowledge of herbs, family support and characteristics of DM disease. The research used a cross sectional study, conducted in Tawangmangu Karanganyar Central Java Indonesia from March to May 2020. Subjects were 170 diabetes mellitus patients, aged 15-60 years who were examined at the Hortus Medicus Clinic or Community Health Center Tawangmangu Karanganyar Central Java Indonesia. The sample used purposive sampling. Data collection using questionnaires distributed to respondents. Data were analyzed univariate, bivariate, and multivariate using SPSS 25. Attitudes towards the use of herbs were associated with high knowledge of herbs (OR=3.78; 95% CI=1.6 - 8.87; p= 0.002), duration of DM disease ≥ 5 years (OR=3.41; 95% CI=1.70 - 8.99; p= 0.001 ), high education (OR=1.26; 95% CI=0.51 - 3.10; p=0.617) and employment status (OR=0.54; 95% CI=0.21 - 1.38; p=0.200). Knowledge of herbs and duration of DM disease were significantly related to the attitudes towards herbalism.


2021 ◽  
Author(s):  
Longyan Cui ◽  
ding Ding ◽  
Junfeng Chen ◽  
Minghui Wang ◽  
Fanrong He ◽  
...  

Abstract Background: In the past decades, China's rapid economic growth has been accompanied by rapid changes in lifestyle and an increasing prevalence of mental disorders. This study explored the changes and factors associated with depression among the elderly population of China from 2011-2018.Method: Data were obtained from the China Health and Retirement Longitudinal Study. The total sample size consists of 21,034 individuals aged ≥ 60 years, and the sample sizes in 2011, 2013, 2015 and 2018 were 5081, 4853, 5027, 6343, respectively. Depressive symptoms were measured by the 10-item Short-Form developed by the Center for Epidemiological Studies Depression.Result: We found that the tendency in depression rate of the Chinese elderly from 2011 (36.8%) to 2018 (44.5%). The results showed poor health (OR=3.553), respondents in 2018 (OR=2.213), ADL damage (OR=2.010), multiple chronic diseases (OR=1.287), and western (OR=1.777) are risk factors for depression.Conclusion: The rate of depression of the elderly people in China has risen dramatically. Therefore, additional steps to prevent, treat and care for the affected population are needed, Mental health prevention and treatment strategies should be incorporated into China’s public health policies in a timely manner to mitigate the serious economic burden caused by the increase of depression.


2019 ◽  
Vol 8 (4) ◽  
pp. 419
Author(s):  
Ni Putu Wulan Purnama Sari ◽  
Maria Manungkalit

Anxiety, stress, and depression are the three most common negative emotional constructs found in the elderly. Evidences available worldwide about how psychological problem could be resulted in mental disorder, and there is significant difference in the context of living in the nursing home and in community setting. This study aimed to determine the best predictor of anxiety, stress, and depression in elderly living in the nursing home, useful for future modification and intervention development. This cross-sectional study involved 145 elderly in a private nursing home in Surabaya, Indonesia. HARS, SPST-20, and GDS were used in data collection. Linear regression and one way ANOVA tests were used in data analysis (α&lt;0.05). Results showed that mostly in old individuals, mild anxiety and stress, and undepressed state were found. Sensory problems and concentration difficulties were the best predictor of anxiety and stress respectively, which were accounted for 61.2% and 65.6% variances of anxiety and stress in nursing home residents respectively. Spirits, life energy, happiness, and feeling wonderful to be alive could not predict depression significantly. Feeling inferior to others is the best predictor of depression, which was accounted for 25.9% variance of depression in this population. Low self-esteem leads to depression in nursing home residents.


2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Novita Sarah M Umanailo ◽  
B.H. Ralph Kairupan ◽  
Hendro J. Bidjuni

Abstract:  The cause of stress for elderly more often happen because they were at the nursing home while they still have a family, they feel abandoned, unneeded anymore, isolated, and lost contact with loved ones. To reduce the impact of stress they feel, the elderly should have some means to enhance stress immunity the right way. The elderly that had stress usually used coping strategy to face the problem they’d cause or feel. Objective : the purpose of this study is to find out the connection between the stress immunity level with the coping mechanism on the elderly that lived in Senja Cerah nursing home and Sehati nursing home in Manado City. The method : this study used quantitative research design with cross sectional study for the layout, it used Brieff COPE and Smith & Miller questionnaire. The study process was carried for 2 weeks and assisted by the nursing home staff for the data gathering process with use of Total Sampling technique. The total of Respondent for this study are 61 Respondents. The results of this study showed that most of the respondents had adaptive coping mechanism and immune to stress in 32 respondents (82,1%). With the result of Spearman’s rank correlation test, 0,000 < α = 0,05 was obtained and the correlation coefficient value of 0,705, meaning there is significant connection between Stress Immunity Level with the Coping Mechanism on the Elderly.Keywords: Stress Immunity, Coping Mechanism, Elderly.               Abstrak : Penyebab stres pada lansia sering kali karena ketika mereka berada di panti wredha sementara masih mempunyai keluarga, mereka merasa terbuang, tidak dibutuhkan lagi, terisolasi, dan kehilangan orang-orang yang dicintai. Untuk mengurangi dampak stres yang dirasakan, hendaknya setiap lansia mempunyai upaya-upaya peningkatan kebebalan stres yang tepat. Lansia yang mengalami stress biasanya menggunakan strategi koping untuk menghadapi masalah yang ditimbulkan atau yang dialaminya. Tujuan: tujuan dari penelitian ini adalah untuk mengetahui hubungan antara tingkat kekebalan stress dengan mekanisme koping pada lansia yang tinggal di panti wredha senja cerah dan panti wredha sehati Kota Manado.Metode: Penelitian ini menggunakan desain penelitian kuantitatif, dengan rancangan cross sectional study, menggunakan kuisioner Brieff COPE dan Smith&Miller. Proses penelitian dilakukan selama 2 minggu dan dibantu oleh pihak panti wredha untuk proses pengambilan data, dengan teknik Total Sampling. Total Responden dalam penelitian ini sebanyak 61 responden. Hasil : Hasil penelitian menunjukkan sebagian besar responden memiliki mekanisme koping adaptif dan kebal terhadap stres  sebanyak 32 responden (82,1%). Dengan hasil uji korelasi rank spearman, diperoleh sebesar 0,000 < α = 0,05 dan nilai koefisien korelasi 0,705, artinya terdapat hubungan yang signifikan antara Kekebalan Stress dengan Mekanisme Koping pada Lansia.Kata kunci : Kekebalan Stres, Mekanisme Koping, Lansia


2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Angrayni Putri Muselli ◽  
Zaimah Z. Tala

Hyperuricemia is an increase in blood uric acid levels. In the elderly cell damage occurs due to the aging process which can result in organ weakness, physical damage and various diseases such as increased uric acid levels. The purpose of this study is to determine the relationship between purine intake and the incidence of hyperuricemia in the elderly at the HISOSU Binjai nursing home. This research was conducted with an observational analytic research design using a cross sectional study. Samples were selected using the total sampling method and adjusted for inclusion and exclusion criteria. Data taken by weighing and recording food (in 1 day) Then assess respondent uric acid levels. This is done 3 times in the HISOSU Binjai nursing home. There are 32 research samples. Samples that experienced hyperuricemia as much as 40.6%, most of them consuming moderate-category purine source protein. The results of the chi-square test Pearson chi-squared t-test was 16.453 and p value < 0.001 (<0.05), it can be concluded as consumption of purine source protein associated with the incidence of hyperuricemia. The higher the purine intake, the greater the chance of getting hyperuricemia.


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