Bahasa Indonesia PENGARUH TINGKAT DEPRESI TERHADAP KEMANDIRIAN ACTIVITIES OF DAILY LIVING (ADL) PADA LANSIA

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

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Umaru Muhammad Badaru ◽  
Omoyemi Olubunmi Ogwumike ◽  
Ade Fatai Adeniyi ◽  
Olajide Olubanji Olowe

Objective. This study evaluated variation in functional independence in activities of daily living (ADL) and instrumental activities of daily living (IADL) among individuals with poststroke fatigue (PSF) and poststroke depression (PSD).Methods. A cross-sectional survey involved 65 consenting poststroke survivors who were purposively recruited from physiotherapy clinics of the University College Hospital, Ibadan, Adeoyo Maternity Teaching Hospital, Ibadan, and Federal Medical Center, Gusau. Participants were assessed for symptoms of PSD with short geriatric depression scale-15, PSF with fatigue severity scale, ADL with Barthel Index and IADL with Nottingham extended ADL scale. Data analysis was done using Chi-square and unpairedt-test with significance level being 0.05.Results. Participants’ age ranged from 58 to 80 years. PSD alone (P=0.002) and both PSF and PSD (P=0.02) were significantly associated with ADL, while PSF alone was not (P=0.233). PSD alone (P=0.001) and both PSF and PSD (P=0.001) significantly negatively affected IADL, while PSF alone had no significant effect (P=0.2).Conclusions. Participants with PSD alone and those with both PSF and PSD had lower functional independence in ADL and IADL.


2019 ◽  
Vol 34 (7-8) ◽  
pp. 500-506
Author(s):  
Leila Kamalzadeh ◽  
Moein Moghaddamnia ◽  
Seyed Kazem Malakouti ◽  
Vahid Rashedi ◽  
Sara Bahrampour ◽  
...  

Background: Dementia constitutes a public health hazard in developing countries. The aim of this study was to evaluate the prevalence of dementia and its associated factors in older hospitalized patients. Methods: The participants of this cross-sectional study consisted of older patients admitted to medical wards in Rasoul-e Akram hospital in Tehran, Iran. Mini-Mental State Examination, Mini-Cog test, Geriatric Depression Scale, Activities of Daily Living-Instrumental Activities of Daily Living (ADL-IADL) scale, and socioeconomic questionnaires were used. Results: A total of 205 elderly inpatients were included. The mean age was 71.33 ± 7.35 years; 63.4% of the participants had normal cognitive function, while 36.6% had some degree of cognitive impairment. There was a statistically significant relationship between gender, age, number of children, and occupation and the prevalence of dementia. Conclusion: Appropriate cognitive screening of older patients upon admission to hospitals could help identify potential adverse events and enhance the quality of care for patients with comorbid dementia.


2017 ◽  
Vol 70 (4) ◽  
pp. 822-829 ◽  
Author(s):  
Ariene Angelini dos Santos-Orlandi ◽  
Tábatta Renata Pereira de Brito ◽  
Ana Carolina Ottaviani ◽  
Estefani Serafim Rossetti ◽  
Marisa Silvana Zazzetta ◽  
...  

ABSTRACT Objective: Identifying prevalence of frailty in elderly caregivers inserted in a high social vulnerability context and its correlation with sociodemographic and health aspects. Method: Descriptive, correlational and cross-sectional study. Forty elderly caregivers were evaluated with: questionnaire for caregiver characterization, Mini Mental State Examination, Katz Index, Lawton instrumental activities of daily living scale, Geriatric Depression Scale and the frailty phenotype proposed by Fried. Interviews were conducted at their residences and scheduled in advance. All ethical precautions were observed. Data were analyzed with the Stata statistical program version 11.0. Results: 10% of elderly caregivers were frail. There was a significant correlation between frailty and sex, instrumental activities of daily living and cognition. Conclusion: Female caregivers, partially dependent individuals regarding instrumental activities of daily living and with worse cognitive state deserve a special attention from health services.


Author(s):  
Volkan Atmis ◽  
Basak Guler

<p><strong>OBJECTIVE:</strong> Primary end-point of this study was to detect if there is an association between walking speed and urinary incontinence in older women and secondarily to detect an association between urinary incontinence with other geriatric syndromes.</p><p><strong>STUDY DESIGN:</strong> This is a prospective and cross-sectional study. Three hundred and eighty-nine old aged women admitted to the Geriatrics Department of Ankara University were enrolled and urinary incontinence and type of urinary incontinence, Handgrip strength test, Timed up and Go test, Katz Index of Independence in Activities of Daily Living, Lawton Index of Instrumental Activities of Daily Living, Mini Nutritional Assessment, Mini-Mental State Evaluation, Geriatric Depression Scale, Body Mass Index (BMI) of these participants were recorded. Association of urinary incontinence and these parameters were analyzed. </p><p><strong>RESULTS:</strong> The median age of the study population was 68 (58-86 years of age). Two hundred and fifty-eight (66.32%) had hypertension, 122 (31.36%) had diabetes mellitus, 51 (13.11%) had asthma/Chronic obstructive lung disease, 49 (12.59%) had coronary artery disease and 9 (2.31%) had cerebrovascular disease. One hundred and seventy-eight (45.7%) patients had urinary incontinence (88 urge, 55 stress, 35 mixed). One hundred and eight (27.76%) of patients had Mini-Mental State Evaluation score ≤23. Patients with urinary incontinence detected to have a longer duration of Timed Up and Go test, higher Geriatric Depression Scale score and BMI with p-values 0.005, 0.004, and &lt;0.01 respectively; and lower Activities of Daily Living (Katz-Activities of Daily Living) score with a p-value of &lt;0.01 results. Mini-Mental State Evaluation and Mini Nutritional Assessment scores were not statistically different between the continent and incontinent group.</p><p><strong>CONCLUSION:</strong> Whenever urinary incontinence is detected in an older woman, geriatrician referral should be considered since urinary incontinence is associated with decreased walking speed, Handgrip strength test, Activities of Daily Living, Instrumental Activities of Daily Living or increased Geriatric Depression Scale; any of which is a symptom or result of at least one geriatric syndrome.</p>


2017 ◽  
Vol 3 (1) ◽  
pp. 14-22
Author(s):  
Kiki Gustryanti ◽  
Sunanta Thongpat ◽  
Sonthaya Maneerat

Background: Depression is commonly found in older people. The prevalence of depression among older people, particularly in Indonesia is increasing worldwide.Objective: This study was aimed to identify the factors relating to depression among older people living in Cimahi, West Java Province, Indonesia.Method: A cross sectional design was used with a total of 267 older people aged from 60 to 79 years old. A multi-stage random sampling has been used in five Public Health Centers in Cimahi. The instruments comprised socio-demographic questionnaires, General Health Perceptions questionnaire, Chula Activities of Daily Living Index (CADLI), and Geriatric Depression Scale-15 (GDS-15). Data analysis was conducted using descriptive statistic, chi-square, and point-biserial.Results: The result revealed that 56.2% respondents was no depression and 43.8% respondents was depression. The results also showed that age, marital status, family history of depression, perceived health status, and activities of daily living was significant relationship with depression a mong older people (p<.01; p<.05).Conclusion: This finding can be used as a reference to implement new strategies to decrease depression among older people.


2015 ◽  
Vol 31 (1) ◽  
pp. 87-96 ◽  
Author(s):  
Joana Roncon ◽  
Sara Lima ◽  
Maria da Graça Pereira

Este estudo procurou investigar as relações existentes entre morbilidade psicológica, stress familiar e qualidade de vida (QV) da pessoa idosa. A amostra foi constituída por 126 idosos. Os instrumentos utilizados foram: The Lawton Instrumental Activities of Daily Living (IADL), Quality of Life (WHOQOL-Bref), Geriatric Anxiety Inventory (GSI), Geriatric Depression Scale (GDS); e Index of Family Relations (IFR). Os resultados revelaram a importância da idade, estado civil, escolaridade e número de patologias assim como o género na capacidade funcional, morbilidade, stress familiar e QV. Ao nível dos preditores, a depressão foi a variável que mais contribuiu para a QV. Não foram encontradas variáveis moderadoras no modelo. A discussão e implicações dos resultados são abordadas bem como a intervenção psicológica nesta população.


2018 ◽  
Vol 25 (5) ◽  
pp. 318-324 ◽  
Author(s):  
Giuseppa Maresca ◽  
Maria C De Cola ◽  
Santina Caliri ◽  
Rosaria De Luca ◽  
Alfredo Manuli ◽  
...  

Introduction Elderly care is a worldwide social and economic challenge for the public health system, and it requires the development of new management strategies. Telemedicine provides an innovative approach towards elderly care, especially for those with chronic diseases. In this study, we aimed to evaluate the potential role of a multidisciplinary telemedicine approach for improving elderly quality of life. Methods Twenty-two participants received weekly vital parameter monitoring and nutritional counselling, biweekly psychological counselling and a monthly consultation with a neurologist. The neuropsychological assessment included the Mini Mental State Examination, the Activities of Daily Living, the Instrumental Activities of Daily Living, the Geriatric Depression Scale and the Short-Form Health Survey, and was administered at enrolment (T0) and at the end of the study (T3). The nutritional evaluation included haematochemical examinations of glycaemia, total cholesterol, and triglycerides at baseline (T0) and every four months (T1, T2, T3). Results Significant differences in Activities of Daily Living, Geriatric Depression Scale and all domains of the Short-Form Health Survey were observed between baseline and the end of the study. The haematochemical parameters showed obvious changes over time, especially in cholesterol values, and the patients with hypercholesterolaemia and hypertriglyceridaemia showed a reduction in body mass index. Moreover, we found that the haematochemical values were moderately correlated with the Activities of Daily Living, Geriatric Depression Scale and Short-Form Health Survey scores. Conclusion Telemedicine can be a suitable tool for caring for elderly people more efficiently by promoting the remission of depressive symptoms and improving social functioning, cognitive levels and nutritional habits to prevent vascular diseases and exacerbations of pre-existing chronic illness.


2012 ◽  
pp. 261-268
Author(s):  
Salvatore La Carrubba ◽  
Loredana Manna ◽  
Carmelina Rinollo ◽  
Antonino Mazzone ◽  
Gualberto Gussoni ◽  
...  

Introduction: There are few data on the prevalence of depression among acute patients with comorbidities. The current study aimed to determine the prevalence of depressive symptoms in hospitalized patients admitted to Internal Medicine Units and the correlation between these symptoms and comorbidities and disability indexes. Materials and methods: All consecutive patients admitted to 26 Internal Medicine Units of the Italian National Public Health System in Sicily, Italy, from September 2001 to March 2002 were screened. Within 24 hours of admission, patients were administered the Geriatric Depression Scale (GDS), Mini-Mental State Examination, Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL) and Charlson’s Comorbidity Index. Results: 1,947 subjects were included in the analyses. Of the patients, 509 (26.1%) showed depressive symptoms (indicated by GDS score > 15). Depression was significantly associated (univariate analyses) with hypertension (OR 1.45; CI 95% 1.18-1.79), diabetes (OR 1.48, CI 95% 1.17-1.87), cerebrovascular disease (OR 1.50, CI 95% 1.08-2.07), cirrhosis (OR 1.49, CI 95% 1.01- 2.19), ADL score (OR 0.72: CI 95% 0.63-0.82), and IADL score (OR 0.83; CI 95% 0.78-0.87), but not with Charlson’s Comorbidity Index (OR 1.04; CI 95% 0.98-1.10). Multivariate analysis showed that independent predictive factors for depression were age (OR 1.02, CI 95% 1.01-1.02), female gender (OR 2.29, CI 95% 1.83 - 2.87), and IADL score (OR 0.86, CI 95% 0.81 - 0.93). Conclusions: The data suggest that depressive symptoms are not linked to worse clinical conditions but are associated with the loss of autonomy in Instrumental Activities of Daily Living.


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.


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