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Journal : Journal Keperawatan

Profile of Elderly Independence in Tluwuk Village, Wedarijaksa Pati Widyaningsih, Heriyanti; Muniroh, Fitri Ambarwati; Fitriana, Vera; Arsy, Gardha Rias; Putri, Devi Setya; Faidah, Noor; Winarsih, Biyanti Dwi; Hartini, Sri; Pujiati, Eny
Journal Keperawatan Vol. 3 No. 2 (2024): November 2024
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v3i2.82

Abstract

Background: Elderly is a stage when a person enters the age of 60 years and above where changes occur in various aspects such as biological, cognitive, psychosocial, spiritual, and economic functions, which can affect the level of individual independence. Independence is related to a person's ability not to depend on others and not require full direction in carrying out activities. Elderly independence refers to the ability to carry out daily activities independently, make their own decisions, and meet their needs without assistance. Aspects of elderly independence include the ability to care for themselves such as eating, dressing, using the toilet, moving, bathing and eating independently. This independence can certainly be the main capital for the elderly in maintaining their health. Purpose: To find out the level of independence of the elderly in Tluwuk Village, Wedarijaksa Pati . Methods: The type of research used is quantitative descriptive with a survey design. The sample used in this study was the entire elderly population at the Tluwuk village health post as many as 30 respondents with a total sampling technique. The inclusion criteria include elderly people aged ≥ 60 years who live in Tluwuk village, are able to communicate fluently and are willing to be respondents. The instrument used to assess the function of independence is the Barthel Index. Results: Based on the results of the analysis, there were 16 elderly people in the independent category (53.3%), 13 people in the mild dependency category (43.3%) and 1 person in the heavy dependency category (3.3%). Conclusion: Almost half of the elderly in Tluwuk village have a good level of independence and can carry out daily activities without depending on or needing help from other people.
Decreased Self-Esteem and Depression Experienced by Elderly People with Stroke Arsy, Gardha Rias; Hindriyastuti, Sri; Muna, Wafda Nailil
Journal Keperawatan Vol. 4 No. 2 (2025): November 2025
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v4i2.125

Abstract

Background: Neurological dysfunction, which leads to stroke, is the third leading cause of disability worldwide. Stroke-related conditions, such as paralysis of the extremities, are particularly stressful for the elderly. Feelings of helplessness, depression, and low self-esteem are common. This is because they feel like a burden on their families and are ashamed to burden their children. Purpose: Exploring the experience of depression and low self-esteem in older adults who have experienced stroke. Methods: This study used a qualitative method with a phenomenological approach. Seven elderly stroke patients experiencing psychosocial problems and requiring full family support were participants. The sample size was determined using purposive sampling. Participants were selected based on inclusion criteria, including being diagnosed with stroke for more than three years, being able to communicate, and experiencing psychosocial problems. The research used Interpretative Phenomenology Analysis (IPA) as the data analysis technique. Results: Based on the research results, 3 themes were obtained, namely 1. Feeling like a burden on the family (Living with stroke was felt by participants as a burden for the family), Theme 2: Feeling limited in doing something (All participants considered themselves unable to do physical activities freely) and Theme 3: Experiencing low self-esteem. (The elderly with stroke felt that they were no longer productive, could only depend on their families and experienced feelings of helplessness and worthlessness). Conclusion: Elderly stroke survivors tend to experience psychological disorders characterized by depression, such as sadness, anger, disappointment, feelings of helplessness, and feeling like a burden on their families. Furthermore, socially, they also tend to have low self-esteem, as evidenced by feelings of being restricted and incapable of engaging in social activities.