monograf: PENGARUH UMUR, DEPRESI DAN DEMENSIA TERHADAP DISABILITAS FUNGSIONAL LANSIA DI PSTW ABIYOSO DAN PSTW BUDI DHARMA PROVINSI D.I. YOGYAKARTA (ADAPTASI MODEL SISTEM NEUMAN)

2006-07-16

en

Thesis

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Objective : To predict the influences of age, depression and dementia on the functional disability of an elderly using Neuman System Model perspectives. Method : The study design was a cross-sectional. 70 elderly was choosen as a subject at Panti Sosial Tresna Werdha Abiyoso and Budi Dharma Province D.I. Yogyakarta. Depression was assessed using the Geriatric Depression Scale 15-Item (GDS-15), dementia was assessed using the Mini-Mental State Examination (MMSE), and functional disability was assessed using the Groningen Activity Restriction Scale (GARS). Results : The mean age was 70.59 (95%CI, 68.97–72.27); 44.3% severe-moderate depressed; 55.7% mild depressed; 11.4% cognitive impairment; 90.0% with activities of daily living (ADL) independently and 10.0% with ADL fully independently but with some difficulty. The correlation analysis at α=0.05 showed that age (r=0.426; r2=18.2%; p=0.000), depression (r=0.313; r2=9.8%; p=0.008), and dementia (r=-0.512; r2=26.2%; p=0,000) had the significant relationship with functional disability of elderly. The multiple linear regressions at α=0.05 showed that regression model was functional disability = 16.906 +0.223*Age + 0.443*[GDS-15] scores – 0.499*MMSE scores (r=0.609; r2=37.1%; p=0.000). Conclusions : Age, depression and dementia had significant influence to functional disability among elderly. Age, depression and dementia that caused functional disability impairment among elderly can be described as an intra-personal environment that acts like a stressor. Nursing intervention methods that can help prevent depression and dementia need to be established. Furthermore, a comprehensive study on NSM testing is needed. Key words: age, depression, dementia, functional disability, elderly, Neuman Systems Model