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All Journal Jurnal NERS Jurnal Keperawatan Padjadjaran Jurnal Kreativitas PKM Adi Husada Nursing Journal Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Aplikasi dan Inovasi Iptek (JASINTEK) Babali Nursing Research Ahmar Metakarya: Jurnal Pengabdian Masyarakat Public Health and Preventive Medicine Archive Jurnal Lentera Kesehatan Masyarakat (JLKM) Jurnal Medika Usada
Ni Kadek Sutini
Institut Teknologi Dan Kesehatan Bali
Agriculture, Biological Sciences & Forestry Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Journal : Jurnal NERS

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Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Kamaryati, Ni Putu; Nuryanto, I Kadek
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.45700

Abstract

Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali. Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors. Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083). Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs. Keywords: aged, depression, epidemiology, Indonesia
Determinants of functional limitations in basic and instrumental daily activities among older adults living in rural settings: a cross-sectional study Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Sutini, Ni Kadek
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.83252

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Introduction: Maintaining the functional capacity of older adults is essential to support independence, particularly in rural areas. Understanding the factors contributing to the reduced ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs) is essential for developing effective gerontological nursing strategies. This study identified the predictors of ADL and IADL impairment among older adults residing in rural communities. Methods: This cross-sectional study involved 318 older adults selected through simple random sampling. The Barthel Index and Lawton IADL Scale were used to measure ADL and IADL abilities. The Geriatric Depression Scale was used to assess depressive symptoms, whereas difficulties in vision, hearing, and communication were evaluated using the Washington Group Short Set. Chi-square tests and logistic regression were used to examine the associations and predictors. Results: ADL and IADL disabilities were identified in 4.4% and 10.1% of the respondents, respectively. Communication difficulties were a strong predictor of both ADL and IADL disabilities (AOR = 13.72; 95% CI = 3.26–57.76, p < 0.001 and AOR = 7.07; 95% CI = 2.34–21.34, p < 0.001). Depressive symptoms increased the risk of ADL disability (AOR = 4.17; 95% CI = 1.24–14.05, p = 0.021), and adults aged ≥ 75 years showed higher odds of IADL impairment (AOR = 4.39; 95% CI = 1.89–10.16, p < 0.001). Conclusions: Challenges in communication and depressive affect functional capacity among rural older adults. Maintaining independence and improving daily functioning by implementing early identification and intervention targeting communication and mental health are essential.
Co-Authors ArizonaVallentino, I Gede Rendy Artsanthia, Jintana Asthadi Mahendra Bhandesa, Asthadi Mahendra Buntari, Ni Luh Putu Inca Agustini Cahyani, Kadek Indra Dari, Ni Putu Desy Ratna Wulan Dewi, Putu Ayu Laksmi Dira, Made Asmarani Dirgayasa, I Nyoman Duygulu, Sergul I GEDE PUTU DARMA SUYASA I Kadek Nuryanto I Ketut Alit Adianta I Ketut Swarjana I Made Ady Wirawan I Made, Sudarsana Indrayani, Ni Luh Dwi Israfil, Israfil Israfil, Israfil Israfil Kadek Ayu Ananda Maharini Kory, I Kadek Krishna Dwimartopaz Lestari, Putu Indah Jelita Lestari Megawati, Putu Vera Muhammad Syukri Ni Luh Putu Inca Buntari Agustini Ni Made Candra Citra Sari Ni Nyoman Nuartini Ni Nyoman, Nuartini Ni Putu Kamaryati Ni Wayan Septarini Ni Wayan Sukma Antari NLP, Dina Susanti Oka Putra, I Nyoman Trisna Oka Putra Portia, Vitug Putri, Ni Putu Kamita Rittiruang, Amonwan Sagita, Ni Wayan Riska Sagitha, I Gede Edy Sanjana, I Wayan Edi Sawitri, Anak Agung Sagung Suastika, Kadek Sasi Sasmita