AbstrakMemberikan perawatan pada lansia dengan penyakit kronis menimbulkan perasaan strain atau burden (beban) pada caregiver(pengasuh) yang dapat mempengaruhi kualitas hidup keluarga. Penelitian ini bertujuan untuk mendapatkan gambaran tentangfaktor-faktor yang berhubungan dengan beban keluarga merawat lansia. Jenis penelitian ini adalah deskriptif korelasi denganpendekatan cross sectional menggunakan uji regresi logistik ganda. Sampel berjumlah 205 responden dengan pengambilansampel secara gugus bertahap. Hasil penelitian menunjukkan hubungan bermakna antara usia keluarga (p= 0,052; α= 0,05),status kesehatan (p= 0,018; α= 0,05 ), pengetahuan (p= 0,046; α= 0,05), dan kepuasan (p= 0,033; α= 0,05) dengan bebanmerawat lansia. Faktor yang paling berkontribusi terhadap beban merawat adalah status kesehatan keluarga (OR= 2,632).Rekomendasi hasil penelitian yaitu gambaran tentang tingkat beban yang dialami keluarga dalam merawat lansia dapat dijadikansebagai masukan untuk mengembangkan program pemberdayaan keluarga serta program promosi kesehatan untuk mengurangibeban merawat yang pada akhirnya dapat mengurangi tindakan kekerasan dan penelantaran.Kata kunci: beban merawat, lansia, pemberdayaan keluarga, penelantaran, pengasuh AbstractProvide care to the elderly with chronic diseases induce a feeling of strain or burden on the caregiver that can affect on thequality of family life. This study aims to know the factors associated with caregiver burden for the elderly. This research is anobservational research with cross-sectional approach using multiple logistic regression test. Total sample is 205 respondentswhich is taken by cluster multistage sampling. Significant relationship was found in the age (p= 0.052; α= 0.05) the healthstatus (p= 0.018; α= 0.05), knowledge (p= 0.046; α= 0.05), and satisfaction (p= 0.033; α=0.05) of family with the burden ofcare. The factors that most contribute to caregiver burden is the family health status (OR= 2.632). A picture of the level burdenexperienced by families in caring for the elderly can be used as an input to develop a family empowerment and health promotionprograms to reduce caregiver burden and may reduce violence and negligence.Keywords: burden, caregiver, elderly, family empowerment, negligence
Although self-help group for older people gains the effectiveness, the effect of a nursing intervention using a self-help group model as a guideline for self-monitoring and intervention on the health status and life satisfaction among older people still remains. To determine the effectiveness of this nursing intervention, an experimental design using multistage sampling method was used for this study. The self-help intervention included a single 50–70-minute session once a week for 12 weeks done, using the Life Satisfaction Inventory-A (LSI-A) questionnaire, and SF-36 shows a significant difference. Self-help intervention could be implemented by nurses for older people in the community to improve health and well-being.
Penurunan kualitas tidur pada lansia dapat menyebabkan penuruanan kesejahteraan, kinerja, dan meningkatkan risiko kecelakaan pada lansia. Kualitas tidur ini dipengaruhui oleh beberapa faktor diantaranya karakteristik lansia, tingkat depresi dan faktor lingkungan fisik. Penelitian ini adalah deskriptif korelasi menggunakan desain cross sectional yang bertujuan untuk memperoleh gambaran tentang hubungan karakteristik, tingkat depresi dan faktor lingkungan fisik dengan kualitas tidur lansia yang tinggal di PSTW Provinsi Sumatra Barat. Sampel yang diteliti sebanyak 96 orang lansia yang mengalami depresi. Penelitian dilakukan pada bulan Juli sampai bulan Agustus 2015. Hasil penelitian menggambarkan karakteristik usia, jenis kelamin, kondisi kesehatan, tingkat depresi dan faktor lingkungan fisik memiliki hubungan yang signifikan dengan kualitas tidur lansia. Factor yang paling dominan yang berhubungan dengan kualitas tidur adalah umur dengan nilai OR adalah 9,839. Hasil penelitian ini dapat dijadikan acuan dalam menijau ulang kondisi lingkungan tempat tidur lansia. Disamping itu, perlu melakukan skrining untuk mendeteksi tingkat depresi pada lansia serta pengembangan intervensi keperawatan untuk meningkatkan kualitas tidur lansia melalui sleep hygiene, terapi kelompok, dan self help group.
he quality of life of the elderly is influenced by physical, psychological, social and environmental factors. These four factors desperately need family support as a support system for the elderly. This study aims to determine the effect of family support intervention on the quality of life of elderly hypertension in Community Area Cipayung Puskesmas East Jakarta. The research method used quasi-experiment with control group design. The sampling strategy used multistage random sampling with 30 samples for the intervention group and 30 for the control group. This study were implemented during four weeks. Statistical test using dependent t-test and independent t-test. There was a significant difference in the mean elderly quality of life with hypertension after the intervention of family support program in the intervention group compared with the control group (M= 93.67 ± 6.08, p-value 0.012). In conclusion, this study showed that there were differences in mean older people quality of life with hypertension in the intervention group compared with the control group after the intervention of family support program. The resulting family support interventions can serve as the foundation for policy and health service providers in order to implement various interventions related to family empowerment to improve the quality of life older people with hypertension in the community.
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