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KORELASI ANTARA FRAILTY DENGAN DEPRESI PADA LANJUT USIA Shania Makmur; Noer Saelan Tadjudin
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol 6, No 1 (2023): EFFECTS OF CORONA VIRUS 2019
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/aimj.v6i1.9096

Abstract

Elderly people in Indonesia are increasing in number and with increasing age there are changes such as threat of death, retirement, stressful life events or medical problems. It's normal to feel uncomfortable, stressed or sad about change. But if this feeling lasts for a long time, then there is a possibility of depression. Some people may experience depression after being diagnosed with a physical illness. Physical illness increases the risk of developing severe depression, so that there is a causal or mutually amplifying relationship in the comorbidity of psychological illness with physical illness. Frailty is theoretically a clinically recognizable state of increased susceptibility. Physical frailty and depression are common comorbid conditions that have an important impact on the elderly, so it is important to further research and confirm the relationship between frailty and depression to provide information and knowledge as a preventive measure and reduce the risk that can occur in the elderly. The study used a cross-sectional analytic study with a total population sampling technique. The study used the RAPUH questionnaire and the Geriatric Depression Scale (GDS) 15. The results showed that the elderly were classified as severe depression (6.2%), moderate depression (8.6%), mild depression (27.2%) and not depressed ( 58%). The elderly were also found to be frail (53.1%), pre-frail (44.4%) and robust (2.5%). Research on the relationship between frailty syndrome and depression scale was proven by Chi – Square test (P=0.000). The results of the relationship between frailty syndrome and depression scale were found to be P-value 0.05 so that in conclusion there was a significant relationship between frailty syndrome and depression in the elderly.
Hubungan Obesitas dengan Kejadian Nyeri Lutut pada Lansia Nency Martaria; Joshua Kurniawan; Fernando Nahaniel; Noer Saelan Tadjudin
JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA Vol. 5 No. 2 (2023): Juli : Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jufdikes.v5i2.377

Abstract

Obesity is one of commonly found problem, with the numbers rising globally. Obesity also often associated with other conditions, such as heart disease, stroke, diabetes, and osteoarthritis. This study aims to find out the correlation between obesity and incidence of knee pain for elderly. The study is an analytic observational study with cross-sectional design, that’s done at Sasana Tresna Werda RIA Pembangunan in January 2019. The population for this study is the elderly with minimum 60 years of age. Data were obtained through interview for knee pain variable, height and weight were measured by health workers using calibrated tools. Body mass index (BMI) over 25 kg/m2 is categorized as obese. Descriptive data will be presented as proportion (%). Statistical test used in the study are Pearson Chi Square with Yates Correction and Fisher Exact as alternative. The expected significance value in this study is 5%. The study found that there was significant relationship between obesity and knee pain in the elderly at Sasana Tresna Werda RIA Pembangunan (p-value=0.022). Elderly group with obesity is clinically known have 2.684 times higher riks of experiencing knee pain compared to the other group. Obesity is a major risk factor for knee pain including osteoarthritis and has an impact on morbidity in the elderly population. Holistic evaluation and treatment is needed in dealing with knee pain and obesity, considering that these two variables have a complex and multi-factorial pathogenesis.
Hubungan Tekanan Darah yang Tidak Terkontrol dengan Kejadian Gangguan Kognitif pada Lansia Yuwono Yuwono; Fernando Nathaniel; Joshua Kurniawan; Noer Saelan Tadjudin
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v1i3.2160

Abstract

Hypertension is one of the cardiovascular disease, defined by World Health Organization as blood pressure ≥140/90 mmHg. The high prevalence of hypertension has always been a problem globally. This disease could cause many complications, including cerebrovascular disease, and often associated with cognitive impairment. This study is done to find out the relation between uncontrolled blood pressure and cognitive impairment in geriatric people. This study is an observational analytic study with cross-sectional design. Samples are geriatric people with minimum of 60 years of age in Sasana Tresna Werda RIA Pembangunan in January 2019. Sample was taken with total sampling method. The hypertension criteria in study is previous history of hypertension or blood pressure ≥140/90 mmHg. MMSE score interpretations are: (1) score of 25-30: normal cognitive function; (2) score of <21: indication of mild to severe cognitive impairment. Statistical analysis used in the study are Pearson Chi Square with Yates Correction, with alternative of Fischer Exact, with parameter of expected count of 5%. Significant relation expected in the study is 5%. The study found that there are no significant relation between history of hypertension with cognitive impairment in geriatric people in Sasana Tresna Werda RIA Pembangunan (p-value=0.098), but it is predicted that the group of geriatric people with history of hypertension has 27.7% more risk of getting cognitive impairment. However, the elderly group who have a history of hypertension has a proportion of 27.7% experiencing cognitive impairment.
HUBUNGAN PANDEMI COVID-19 DAN PSBB DENGAN GANGGUAN DEPRESI PADA LANSIA DI PANTI WREDA HANA CIPUTAT JAKARTA Anggun Tsabitah Rachmah; Noer Saelan Tadjudin
Jurnal Muara Medika dan Psikologi Klinis Vol. 1 No. 1 (2021): Jurnal Muara Medika dan Psikologi Klinis
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmmpk.v1i1.12087

Abstract

Pemerintah Indonesia selama pandemi COVID-19 menerapkan PSBB (Pembatasan Sosial Berskala Besar) dimana PSBB tersebut membuat aktivitas masyarakat dibatasi, dampaknya juga bisa dirasakan pada lansia di Panti Wreda sehingga dapat menyebabkan timbulnya gangguan depresi. Penelitian ini bertujuan untuk mengetahui hubungan pandemi COVID-19 dan PSBB dengan gangguan depresi pada lansia di Panti Wreda Hana Ciputat Jakarta. Penelitian ini menggunakan metode analitik observational dengan desain studi cross sectional. Penelitian ini dilakukan di Panti Wreda Hana Ciputat Jakarta terhadap lansia sejumlah 56 subjek penelitian yang terdiri dari perempuan 48 orang dan laki-laki 8 orang. Dari 56 subjek penelitian jumlah laki-laki 8 (14,3%) dan perempuan 48 (85,7%). Sebelum terjadinya pandemi COVID-19 dan PSBB, subjek penelitian yang tidak depresi sejumlah 49 subjek (87,5 %), kemungkinan besar depresi 6 subjek (10,7%), dan yang mengalami depresi 1 subjek (1,8%). Selama pandemi COVID19 dan PSBB, subjek penelitian yang tidak depresi 38 subjek (67,9%), kemungkinan besar depresi 14 subjek (25%), dan yang mengalami depresi 4 subjek (7,1%). Berdasarkan hasil uji Chi-square nilai p= 0,000. Dapat disimpulkan terdapat hubungan pandemi COVID-19 dan PSBB dengan gangguan depresi pada lansia di Panti Wreda Hana Ciputat Jakarta. The Government of Indonesia during the COVID-19 pandemic implemented PSBB (Large-Scale Social Restrictions) where the PSBB made community activities restricted, the impact can also be felt on the elderly in nursing home so that it can cause depressive disorders. This research was done in order to determine the relationship of the COVID-19 pandemic and PSBB with depressive disorders in the elderly at the Ciputat Hana Nursing Home in Jakarta. This study used an observational analytic method with a cross sectional study design. The research was conducted at the Ciputat Hana Nursing Home in Jakarta for 56 elderly subjects. In the nursing home consist of 48 women and 8 men. In 56 research subjects, there were 8 (14,3%) men and 48 (85,7%) women. Before the Pandemic of COVID-19 and PSBB, there were 49 (87,5%) research subjects who were not depressed, 6 (10,7%) research subjects who were most likely depressed, and 1 (1,8%) research subject who were depressed. During the Pandemic of COVID-19 and PSBB, there were 38 (67,9%) research subjects who were not depressed, 14 (25%) research subjects who were most likely depressed, and 4 (7,1%) research subjects who were depressed. Based on Chi-Square test result, the value of P = 0,000. In conclusion, there is a correlation between the pandemic of COVID-19 and PSBB with depression disorder in the elderly at Ciputat Hana Nursing Home in Jakarta.
Hubungan Kadar Vitamin D dengan Kejadian Insomnia Pada Kelompok Lanjut Usia di Panti Santa Anna Anastasia Ratnawati Biromo; Noer Saelan Tadjudin; Alexander Halim Santoso; Yohanes Firmansyah; William Gilbert Satyanegara; Dean Ascha Wijaya; Joshua Kurniawan; Ayleen Nathalie Jap; Fladys Jashinta Mashadi; Melkior Michael Fransisco; Linginda Soebrata
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13516

Abstract

ABSTRACT Vitamin D deficiency is a public health problem that affects everyone regardless of their age. It is linked to various health problems, and one of them is sleep problem. Nearly 60% of elderly have sleep problems, with insomnia being the most frequently reported symptom. Insomnia can lead to physical, mental, behaviour problems, and increasing risk of having diabetes and cardiovascular disease. To find the association between vitamin D and insomnia in elderly. This research uses cross sectional study to find association between vitamin D and insomnia in elderly who live in Santa Anna’s nursing home. Respondents who met the inclusion criterias were measured for vitamin D and then filling out Insomnia Severity Index (ISI) questionnaire. Statistical analysis used is the Mann-Whitney test. Twenty-seven participants met the inclusion criteria, with the mean age of 75,59 (SD 7,42) years and vitamin D level 19,93 (SD 6,87) ng/ml. There was no significant difference in vitamin D level between non-insomnia and insomnia (p-value 0,979). However, from this study we found that lower vitamin D serum was associated with the increasing risk of insomnia. Vitamin D deficiency should be taken into account when treating elderly with sleep disorder. Health practitioners should consider Vitamin D supplementation as adjunctive treatment in sleep problems. Keywords: Insomnia, Elderly, Vitamin D  ABSTRAK Defisiensi vitamin D merupakan masalah kesehatan umum yang dapat terjadi pada semua orang tanpa memandang usia. Defisiensi vitamin D dihubungkan dengan berbagai macam masalah kesehatan, salah satunya adalah gangguan tidur. Gangguan tidur pada lansia merupakan masalah yang sering ditemui, dimana hampir 60% lansia mengalami gangguan tidur. Insomnia dapat menyebabkan gangguan fisik, mental, perilaku, dan meningkatkan risiko penyakit diabetes serta kardiovaskular. Meneliti hubungan vitamin D dengan kejadian insomnia pada lansia. Penelitian ini merupakan studi potong lintang yang mencari hubungan antara kadar vitamin D dengan kejadian insomnia pada orang lanjut usia di Panti Lansia Santa Anna. Responden yang memenuhi kriteria inklusi dilakukan pengukuran kadar vitamin D dan pengisian kuesioner Insomnia Severity Index (ISI) untuk insomnia. Analisis statistik dilakukan dengan menggunakan uji Mann-Whitney. Sebanyak 27 responden memenuhi kriteria inklusi dengan rerata usia 75,59 (SD 7,42) tahun, dengan kadar vitamin D 19,93 (SD 6,87) ng/ml. Hasil analisis statistik tidak mendapatkan perbedaan rerata kadar vitamin D yang bermakna antara kelompok dengan atau tanpa insomnia (p-value 0,979), meski demikian pada penelitian ini didapatkan bahwa defisiensi vitamin D berisiko meningkatkan terjadinya insomnia. Defisiensi vitamin D harus dipertimbangkan dalam manajemen lanjut usia dengan gangguan tidur. Suplementasi vitamin D dapat dipertimbangkan sebagai terapi tambahan pada lanjut usia yang mengalami gangguan tidur. Kata Kunci: Insomnia, Lansia, Vitamin D