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STUDY CORRELATION BETWEEN BURDEN AND QUALITY OF LIFE OF DEPENDENT ELDERLY CAREGIVERS IN KLITREN, YOGYAKARTA Kristina, Hana; Widagdo, The Maria Meiwati; Perdamaian, Teguh Kristian
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 4, No 1 (2022): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v4i1.3321

Abstract

Introduction: Elderly with disability need caregiver’s assistance in their activities of daily living. The caregiver can experience burden during caring for dependent elderly. The burden can affect caregiver’s quality of life.Objectives: to measure and test the correlation between dependent elderly’s caregiver burden and quality of life in Klitren Kampong, Gondokusuman District, Yogyakarta Municipality. Materials and Methods:  The subjects were primary informal caregivers aged ≥ 18 years with good cognitive functions who caring for the elders with ADL score <12. Respondents were selected using consecutive sampling technique. This is a quantitative research with cross-sectional study design. Zarit Burden Interview and Caregiver Reaction Assessment were used to assessing caregiver’s burden. WHO Quality of Life-BREF was used to assess caregiver’s quality of life. Data was analysed using spearman’s rank correlation. Results: There were 21 female study subjects. In each of the CRA and ZBI domains, the caregivers’ burden tend to be low (mean=8.63±10.730–72.42±10.983). Caregivers’ quality of life tend to be low (mean=49.76±11.962–60.76±11.726). There is a strong and statistically significant correlation between the impact on finance (p=0.000, ρ=-0.678) and impact on health (p=0.002, ρ=-0.602) domain on CRA with the environmental domain of WHOQoL-BREF. There is a strong and statistically significant correlation between the impact on schedule domain on CRA with the psychological domain of WHOQoL-BREF (p=0,000, ρ=-0.683). Conclusion: There are significant correlations between caregivers’ burden and quality of life especially on certain domains. Caregivers with higher burden have lower quality of life.
COPING MECHANISM USED BY DEPENDENT ELDERLY IN REJOWINANGUN URBAN VILLAGE, YOGYAKARTA Sari, Cynthia Kumala; Widagdo, The Maria Meiwati; Sigilipoe, Mitra Andini
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 4, No 2 (2022): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v4i2.3788

Abstract

Introduction: A decrease often follows aging in quality of life. Coping is a form of problem-solving and balancing emotions in stressful situations. Coping strategies that someone uses extensively affect someone's ability to handle problems.Objectives: Obtain an overview of the coping mechanism of dependent elderly in Rejowinangun Urban Village, Yogyakarta, and indirectly know the impact of the COVID-19 pandemic on dependent elderly.Materials and Methods: The subjects were more than 60 years old residents of Rejowinangun Urban Village, which are dependent on Barthel's criteria and had no cognitive impairment. A qualitative method with a phenomenological approach was used. Data collection was carried out by in-depth interviews, which were preceded by a screening process. Sampling was done through purposive sampling with five subjects. The interview was verbatim transcribed and analyzed using the thematic framework.Results: Dependent elderly perform confrontative, seeking social support, planful problem solving, self-control, distancing, positive reappraisal, escape/avoidance, and accepting responsibility coping. Not all dependent elderly living depend on others. Some do not want to bother others and are still productive. More diverse coping mechanisms were carried out by subjects who had the disease for more than ten years.Conclusion: Subjects tend to use problem-focused coping rather than emotion-focused coping. During the COVID-19 pandemic, their disease can become uncontrollable, and they feel stressed because they cannot do outside activities or the decreased income. However, they have more time to spend with their families.
CORRELATION STUDY BETWEEN BURDENS AND THE QUALITY OF LIFE IN CAREGIVERS OF DEPENDENT ELDERLY IN PRAWIRODIRJAN VILLAGE Angelika, Putu Veby; Widagdo, The Maria Meiwati; Manus, Widya Christine; Haripurnomo, Silvester
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 4, No 2 (2022): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v4i2.3779

Abstract

Background: Aging is synonymous with decreased body function due to natural factors (aging process) and diseases. The elderly who are unable to do their activities can cause dependence on the caregiver. In carrying out its role, the caregiver has burdens that can affect their life quality. Objective: To measure the correlation between the burden and the quality of life in caregivers of dependent elderly in Prawirodirjan Sub-district, Gondomanan District, Yogyakarta Municipality.Materials and Methods: This study used a cross-sectional method with a total sample of 33 participants. Caregiver burden was measured using the Zarit Burden Interview (ZBI) and Caregiver Reaction Assessment (CRA) questionnaires. Measurements of quality of life were conducted using the WHO QoL BREF questionnaire. Spearman rank correlation analysis was administered to conduct statistical analysis.Results: There were very significant negative correlations between the caregiver’s burden (ZBI) and WHO QoL BREF physical health domain, psychological domain, social relations domain, and environment domain. There were very significant positive correlations between the caregiver’s burden self-esteem caregiver’s domain (CRA) and WHO QoL BREF psychological domain. There was a significant negative correlation between the caregiver's burden of the family support domain (CRA) and WHO QoL BREF physical health domain, psychological domain, social relations domain, and environment domain. There was a significant negative correlation between the caregiver’s burden impacts on the financial domain (CRA) and WHO QoL BREF environment domain. There was a very significant negative correlation between the caregiver’s burden of daily schedule impact domain (CRA) and WHO QoL BREF environment domain as well as there was a very significant negative correlation between the caregiver’s burden of health impact domain (CRA) and WHO QoL BREF physical health domain.Conclusion: There is a significant correlation between burden and the quality of life of dependent elderly caregivers in Prawirodirjan Village, Gondomanan District, Yogyakarta Municipality. The higher the burden of a caregiver, the lower the caregiver's quality of life, and conversely.
Providing Health Education as an Effort to Improve Knowledge and Prevention of COVID-19 for Persons with Disabilities, PPDMS Social Institutions, Nglipar, Gunungkidul The Maria Meiwati Widagdo; Widya Christine Manus; Frista Frista; Matahari Bunga Indonesia
Journal of Community Practice and Social Welfare Vol. 2 No. 1 (2022): Journal of Community Practice and Social Welfare
Publisher : LPPM Universitas Ma Chung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33479/jacips.2022.2.1.1-10

Abstract

People with disabilities are vulnerable to being infected with the COVID-19 virus. The COVID-19 pandemic has had an impact on human life, including the health of people with disabilities. The government makes various policies and programs in an effort to prevent the spread of COVID-19, but their implementation is still challenging for people with disabilities. This community service program was carried out in collaboration with Mitra Sejahtera Disability Empowerment Center (PPDMS), an organization empowering people with disabilities in Gunungkidul Regency. Empowerment of people with disabilities was carried out using 'community control' principle in which the community has the control in making decisions regarding the problems they face so that they can adopt a ‘new normal’ lifestyle because of their knowledge. The principle of 'community control' was applied by providing education about COVID-19 situation in Indonesia, the symptoms and signs of COVID-19 infection, wash hands, proper cough etiquette, how to use masks, food and lifestyle that can prevent COVID-19 transmission, as well as about the benefits of COVID-19 vaccination. Education was given with a presentation followed by discussion. Evaluation was carried out quantitatively and qualitatively. Quantitative evaluation using pretest and post-test showed an increase in knowledge. Qualitative evaluation using FGD indicated changes in attitudes and behavior that support the adoption of ‘new normal’ lifestyle to prevent transmission of COVID-19. People with disabilities who have received education disseminate the information obtained to other people with disabilities, resulted in multiplication effect of this empowerment program for people with disabilities.
HUBUNGAN VISUS DENGAN RISIKO JATUH PADA LANSIA DI KELURAHAN BACIRO YOGYAKARTA Amadea Rigenastiti; The Maria Meiwati Widagdo; Yanti Ivana Suryanto
Berkala Ilmiah Kedokteran Duta Wacana Vol 3, No 2 (2018): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2250.444 KB) | DOI: 10.21460/bikdw.v3i2.100

Abstract

Background: The aging process causes changes of physiological and psychosocial functions. The percentage of older people population in Yogyakarta Province in 2015 was 13,49%, the highest in Indonesia. The increased number of older people is followed by the increased number of problems in older people. One of the most common problems of older people is falls. Risk of falls consists of intrinsic and extrinsic factors. Visual acuity is a part of the intrinsic factor of risk of falls in the older people. Objective: To find out the correlation between visual acuity and the risk of falls of older people in Baciro Village Yogyakarta. Methods: The research method was observational-analytic with cross sectional design. Researchers took samples in Baciro Village Yogyakarta. The inclusion criteria was people aged ≥60 years old. The exclusion criteria were older people who were illiterate and had neuromotor limitations in lower extremity.The data was collected by checking the visual acuity of the older people with Snellen chart. Falls Efficacy Scale International (FES-I) questionnaire was used to determine the risk of falling. Results: Ninety-seven older people participated in this research.The results of bivariate analysis used Spearman correlation test showed that there was no correlation between the better eye visual acuity and the risk of falls in the older people (FES-I) (r = 0.190 and p = 0.063) and there was a significant correlation between the worse eye visual acuity and the risk of falls in the older people (r = 0.240 and p = 0.018). Conclution: 1) There is no correlation between the better eye visual acuity and the risk of falls in the older people. 2) There is a correlation between the worse eye visual acuity and the risk of falls in the older people. Keywords: Visual acuity, Risk of Falls, FES-I
Comparing well-being and health among rural and urban Indonesian older people: analysis of the related factors The Maria Meiwati Widagdo; Maria Fransiska Pudjohartono; Meilina Meilina; Angela Rosalia Mete; Adhiyasa Primagupita; Kadek Dewi Armitha Putri Sudarsana
International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i4.21752

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Indonesia has the fourth highest population of older people in the world, with Yogyakarta Province having the highest percentage of older people in Indonesia. There is a need to ensure the well-being of older people. This study aimed to compare the well-being and health of older people living in urban and rural areas in Yogyakarta Province, Indonesia, as well as analyze the predictors of well-being. A total of 142 (80 rural and 62 urban) older people aged 60-75 years participated in this study. Well-being was assessed using the WHO-5 Well-Being Index. The factors measured included sociodemographic data (age, sex, educational level, living arrangements, and current employment status), physical function (mobility and balance), cognitive function, depression, independence, and attitude towards aging. Data of the two groups were compared using t-tests and chi-square analysis. Correlations with well-being were analyzed using univariate correlation and multivariate hierarchical regression. The urban group had slightly older age, higher education, lower mobility and balance, higher attitude scores, and higher well-being. Depression was a significant variable in well-being for both communities. Physical capacity was an important factor in urban populations, while well-being in rural areas was better predicted by independence and cognitive function.Keywords: aging, elderly, Indonesia, mental health, older people, physical health, quality of life, rural, urban, well-being
Profil Kesehatan Pelajar Sekolah Dasar di Kecamatan Bambanglipuro, Kabupaten Bantul, DIY I Gusti Bagus Suryanegara; Mitra Andini Sigilipoe; Daniel Chriswinanto Adityo Nugroho; The Maria Meiwati Widagdo
Bahasa Indonesia Vol 3 No 2 (2022): Prominentia Medical Journal
Publisher : Universitas Ciputra Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37715/pmj.v3i2.3094

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The World Health Organization (WHO) reported the prevalence of underweight in children in the world was around 14.3% with the number of underweight children thinness as many as 95.2 million in 2015. One of the main goals of national development is to improve the quality of human resources. School-age children need good nutrition to support learning activities at school. This study aims to determine the health profile of students in grades one through six elementary schools in Bambanglipuro District, Bantul Regency, Special Region of Yogyakarta. This research is a descriptive study using secondary data. The inclusion criteria were elementary school students in Bambanglipuro District from grade one to grade six. The exclusion criteria were students who did not have complete health records. All data was analyzed by Microsoft excel. The total number of respondents in this study was 2,562 people. From the results of the study, the percentage of BMI in the normal category for male students was 52% while the female was 48%. The number of students with a BMI in the obese category was found to be a total of 12 (0.5%) students, divided into 5 male students and 7 female students. In the "thin" category found a total of 6 (0.2%) students consisting of 2 men and 4 women. In the "Obesity" category, a total of 2 (0.1%) female students were found. The percentage of visual acuity in the normal category for male students is 52% while the female is 48%. The percentage of nearsightedness in students in the nearsighted category is 0.2%, consisting of 3 male students while 2 female students. The percentage of dental caries for male students is 80% while the female is 79.2%. The immunization status of elementary school students in Bambanglipuro District is complete or 100% of these students have been immunized properly. The nutritional status of elementary school students in Bambanglipuro Subdistrict is in the normal category, for immunization status, all SD Bambanglipuro students are in the complete category.
Long-Term Effects of Exercise on Balance and Fear of Falling in Elderly Widagdo, The Maria Meiwati; Laurentia, Claudia Bella; Suryadiningrat, Bagus Anggawaisna Anggawaisna; Perdamaian, Teguh Kristian
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v19i3.44079

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Falls is the main cause of injuries in elderly. Studies on the long-term effects of balance training are still limited. This study aimed to assess the long-term impact of a physical exercise on the balance and fear of falling in community dwelling elderly. This was a quasi-experimental study with pre-post design. The participants were older people ≥60 years with balance problems. They received a one-month physical exercise. The instruments included Functional Reach Test (FRT) to assess balance and Falls Efficacy Scale-International (FES-I) to assess fear for falling. Assessment was conducted at pre- and post-intervention and two years later. Data were analysed using Wilcoxon Signed-Rank Test and linear mixed model regression. Data of 23 participants were analysed. There were significant differences inn FRT and FES-I between pre-and post-intervention, pre-intervention and two years later. There was no significant difference in FRT and FES-I between post-intervention and two years after. There was significant improvement in the balance and fear of falling one month and two years after the program. The balance program had long-term effect that lasted at least for two years. Inclusion of the balance program in community-based health program for elderly can improve balance and prevent falls.
MATERNAL AGE INCREASES THE RISK OF DOWN SYNDROME: A CASE-CONTROL STUDY IN YOGYAKARTA, INDONESIA Zevanya, Evita; Indrarto, Wikan; Lestari, Dewi; Widagdo, The Maria Meiwati
Berkala Ilmiah Kedokteran Duta Wacana Vol. 9 No. 1 (2024): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v9i1.636

Abstract

Background: Down syndrome incidence increases year to year and ranks first in birth defect cases in Indonesia. Down syndrome birth may burden family physically, socially, economically, and emotionally. The most common risk factor associated to Down syndrome is maternal age. Objective: This research is conducted to understand the association between maternal age and parity as the risk factors of Down syndrome births. Methods: Analytical observation design with case-control approach is used in this study. Bivariate and multivariate analysis were calculated using Chi-Square and binary logistic regression test. Results: This research’s results showed significant association between maternal age as risk factor with the incidence of Down syndrome (p-value < 0.001) and no significant association between parity with the incidence of Down syndrome (p-value > 0.05) in Yogyakarta, Indonesia. Mothers aged ? 35 years have 18.82 greater risk to give birth Down syndrome baby compared to mothers aged < 35 years (OR=18.82). The mean of maternal age when birth Down Syndrome children was 35.1 years old. Biological ovarium aging hypothesis presumed cause higher probability of chromosomal segregation failure during oocyte meiosis. Advanced maternal age naturally causes biological ovarium aging. Biological ovarium aging may caused or influenced by hormonal imbalance, limited oocyte pool, oxidative stress, change of spontaneous abortus mechanism, and genetic abnormality or mutation. No significant association between parity with the incidence of Down Syndrome (p-value=0.0689). Conclusion: Mothers with age of 35 year or older are the only the risk factor for having child with Syndrome Down in this research, with 18.82 more greater risk than mothers under 35 years old. The mean of maternal age when birth Down Syndrome children was 35.1 years old.
Pemberdayaan Kader Kesehatan dan Penyuluhan Pada Kelompok Pemberdayaan Disabilitas Mitra Mandiri, Gunung Kidul Bararinda, Pradipta Putramachristy; Widagdo, The Maria Meiwati; Oktaviano, William; Nawangwulan, Charista Prasasti
Patria : Jurnal Pengabdian Kepada Masyarakat SPECIAL ISSUE - SENDIMAS IX
Publisher : Universitas Katolik Soegijapranata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/patria.v1i1.12731

Abstract

Laporan ini menyajikan hasil akhir program ECCE (Early Clinical and Community Exposure) yang dilakukan oleh sekelompok mahasiswa Fakultas Kedokteran UKDW dengan pembimbing yang berfokus pada pemberdayaan penyandang disabilitas untuk menjadi kader kesehatan dalam kelompok Mitra Mandiri. Pemberdayaan penyandang disabilitas untuk menjadi kader kesehatan memainkan peran penting dalam meningkatkan akses dan inklusivitas perawatan kesehatan. Inisiatif ini tidak hanya meningkatkan kemandirian dan kepercayaan diri mereka tetapi juga berkontribusi pada sistem kesehatan yang lebih luas dengan menyediakan komunitas dengan individu yang berpengetahuan yang dapat menawarkan layanan kesehatan dan pendidikan. Penyandang disabilitas menghadapi banyak hambatan dalam mengakses perawatan kesehatan, dan keterlibatan mereka sebagai kader kesehatan dapat menjembatani kesenjangan ini, mendorong pendekatan perawatan kesehatan yang lebih inklusif dan empatik. Proses pemberdayaan melibatkan pelatihan keterampilan, terutama dalam menggunakan alat medis dan memahami prinsip-prinsip perawatan kesehatan dasar, yang disesuaikan dengan kebutuhan dan kemampuan unik mereka. Dengan mengintegrasikan penyandang disabilitas ke dalam peran perawatan kesehatan, komunitas mendapat manfaat dari perspektif yang beragam, sementara individu memperoleh pekerjaan yang bermakna dan rasa kontribusi sosial. Model pemberdayaan ini sejalan dengan tujuan yang lebih luas dari keadilan sosial dan kesetaraan kesehatan, membuat sistem perawatan kesehatan lebih responsif terhadap kebutuhan semua warga negara, terutama kelompok marjinal.This report presents the final results of the ECCE (Early Clinical and Community Exposure) conducted by a group of medical students at UKDW under the guidance of their supervisors program focused on empowering people with disabilities to become health cadres in the Mitra Mandiri group. Empowering people with disabilities to become health cadres plays a crucial role in improving healthcare access and inclusivity. This initiative not only enhances their self-reliance and confidence but also contributes to the broader health system by providing communities with knowledgeable individuals who can offer health services and education. People with disabilities face numerous barriers in accessing healthcare, and their involvement as health cadres can bridge these gaps, fostering a more inclusive and empathetic healthcare approach. The empowerment process involves skill training, especially in using medical devices and understanding basic healthcare principles, tailored to their unique needs and abilities. By integrating people with disabilities into healthcare roles, communities benefit from diverse perspectives, while individuals gain meaningful employment and a sense of social contribution. This model of empowerment aligns with broader goals of social justice and health equity, making healthcare systems more responsive to the needs of all citizens, particularly marginalized groups.