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HUBUNGAN PERSEPSI CITRA TUBUH DAN GEJALA DEPRESI DENGAN KEJADIAN GANGGUAN MAKAN PADA REMAJA OBESITAS Adji, Seno Bayu; Fitrikasari, Alifiati; Julianti, Hari Peni
JNH (Journal of Nutrition and Health) Vol 7, No 1 (2019): JOURNAL OF NUTRITION AND HEALTH
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (638.149 KB) | DOI: 10.14710/jnh.7.1.2019.1-13

Abstract

Background: Adolescence is a stage where a person begins to pay attention to body shape and crave an ideal body. This attention to self affects the perception of body image. Obesity can cause conflict within itself and can cause depression.Those who feel dissatisfied with their appearance try to get an ideal body shape including eating unhealthy behavior so that it becomes an eating disorder.Aim : To analyze the relationship between body image perception and depressive symptoms with the incidence of eating disorders in obese adolescents.Method : An observational study with a cross sectional design on 25 students of the Medical Faculty of Diponegoro University using the Multidimensional Body-Self Relations Questionnaire-Appearance Scale (MBSRQ-AS) test, the Beck Depression Inventory - II (BDI-II) and Eating Attitude Test-40 (EAT-40).Results : Body image perception, Negative evaluation appearance 2 persons, normal 23 persons. Negative appearance orientation 12 persons, normal 13 persons. Negative body area satisfaction 11 persons, normal 13 persons, positive 1 person. Normal overweight preoccupation 20 persons, positive 3 persons, negative 2 persons. Normal self-classified weight 22 persons, positive 3 persons.Depressive symptoms, 15 persons showed no symptoms of depression, 8 persons had mild depressive symptoms, 1 person had moderate depressive symptoms and 1 person had severe depressive symptoms.Eating disorders, 3 persons experienced eating disorders and 22 persons did not experience eating disorders.Evaluation of appearance has a significant effect on the incidence of eating disorders. p <0.05, OR = 23, and CI95% = 3.382 - 156,396.Conclusion: Appearance evaluation gives 23 times the influence of eating disorders.Keywords: adolescent obesity, body image, depression, eating disorders.
FACTORS INFLUENCING THE DEGREE OF ERECTILE DYSFUNCTION IN BICYCLE RACE ATHLETES Tampubolon, Daniel Taruna; Wibisono, Dimas Sindhu; Muttaqin, Zainal; Julianti, Hari Peni
Indonesian Journal of Urology Vol 28 No 1 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i1.648

Abstract

Objective: This research aims to identify factors influencing the degree of erectile dysfunction in bicycle racing athletes. Material & Methods: This study used quantitative analysis and cross-sectional research design. Samples included in this research were 54 respondents in accordance to the inclusion and exclusion criteria of this study, and were willing to participate in this research. The data were collected using the IIEF-5 (International Index of Erectile Function-5) questionnaire. The data were then edited, coded and analyzed using Chi-square (bivariate analysis). Results: The results showed correlations between the degree of erectile dysfunction in bicycle race athletes and age (PR= 1.182; 95%CI= 0.403-3.465; p= 0.976), cycling history (PR= 0.462; 95% CI= 0.490-4363; p= 0.687), cycling frequency (PR=1.400; 95% CI= 0.299-6.560; p= 0.72), cycling duration (PR= 0.333; 95% CI= 0.074-1.507; p= 0.165), furthest cycling distance (PR= 0.883; 95% CI= 0.267-2.919; p= 1.00), and type of saddle (PR= 0.271; 95% CI= 0.481-1.547; p= 0.221) respectively. Conclusion: There were no significant correlation (p= >0.05) in all variables analyzed in this study.
Effectivity of Exoskeleton Robot-Assisted Therapy on Improving Muscle Strength in Post-Stroke Patient Aulia Salwa Alfaina; Rahmi Isma Asmara Putri; Hari Peni Julianti; Trianggoro Budisulistyo; Rifky Ismail
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.485 KB) | DOI: 10.36408/mhjcm.v8i3.588

Abstract

Background: Upper limb weakness is the most disability caused by stroke. The availability of physiotherapists is still limited in Indonesia. The exoskeleton robot is a developing technology that involve in stroke rehabilitation therapy. Objective: To evaluate the effectiveness of exoskeleton robot-assisted therapy on improving muscle strength of patients after stroke. Methods: An experimental study with two groups pre-test and post-test design carried out using consecutive sampling among outpatient stroke patients in Diponegoro National Hospital (RSND) and William Booth Hospital (RSWB), Semarang. Patients in the robotic group (RG) (n=8) received 16 training sessions. Each session consists of 30 passive and ten active-weighted elbow flexion-extension with the exoskeleton robot. Meanwhile, the control group (CG) (n=8) received equivalent training of conventional therapy. The primary outcome of muscle strength was measured by Manual Muscle Testing (MMT) and handheld dynamometer. Pre and post-test MMT score data in each group were analyzed by Wilcoxon test, while handheld dynamometer score data were analyzed by paired t-test. Data between the two groups were analyzed by Mann-Whitney test and unpaired t-test. Results: Significant improvements were shown for the MMT score (RG: p=0.014, CG: p=0.034). There were significant handheld dynamometer score improvements on muscle strength for elbow flexor and extensor in RG (p = 0.008 and p = 0.005 respectively) and in CG (p=0.036 and p=0.008 respectively). No significant differences for MMT and handheld dynamometer score between the two groups. Conclusion: The exoskeleton robot-assisted therapy was as effective as conventional therapy for improving muscle strength in stroke patients.
Intervensi Berbasis Keperawatan Integrasi dengan Relaksasi Islami terhadap Penurunan Kecemasan dan Nyeri Pasien AMI di Ruang ICU Angga Sugiarto; Anies Anies; Hari Peni Julianti; Mardiyono Mardiyono
Jurnal LINK Vol 11, No 3 (2015): September 2015
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.991 KB) | DOI: 10.31983/link.v11i3.406

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Disease Acute Myocardial Infarction (AMI) today became one of the major causes of death (mortality) and the top 10 causes of death in the world according to the WHO. Referring to the health profile of the city, the number of patients with AMI reached 1847 people in 2010 and increased to 2130 people in 2011 with AMI Patients generally experience high anxiety associated with the disease. This study aims to determine the effect-Based Nursing Intervention Integration with relaxation Islamist in AMI patients in the ICU. The research design used in this study was a quasi-experiment with pre and post test design approach, and repeated measures that provide treatment in the 2 groups: a group given relaxation Islamist intervention and control groups. Treatment effect seen in the differences in anxiety before and after the treatment. Gauges in this study is the Numerical Rating Scale of Anxiety (NRSA) and 0-10 Pain Rating Scale. The results showed that the intervention was able to reduce anxiety and pain in patients with AMI (p 0.05).
Model dan prototipe inkubator mobile menggunakan kontroler PID berbasis Arduino Uno Munadi Munadi; R. Andhika Pandu; Rizky Wiradinata; Hari Peni Julianti; Rudy Setiawan
Jurnal Teknologi dan Sistem Komputer Volume 8, Issue 1, Year 2020 (January 2020)
Publisher : Department of Computer Engineering, Engineering Faculty, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jtsiskom.8.1.2020.69-77

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One of the causes of the high infant mortality rate in Indonesia is the lack of health support facilities in remote areas, including incubators, to keep the baby's body warm at a specific temperature. This research develops a model and prototype of a mobile incubator to carry and maintain the baby's temperature during emergencies to get further treatment to hospitals that have better facilities than incomplete health clinic facilities. The mobile incubator prototype uses a PID controller system with the optimum gain value Kp 1.501, Ki 0.016, and Kd -1,319 from the results of modeling and tuning in Matlab. The results of the bode plot analysis show that system stability was achieved with a gain margin of 109 dB. The incubator's operational mobility can last up to 59.6 minutes with two 12 V, 5 Ah batteries.
The Differences of Marital Satisfaction of ODHA Couples with and without Depression Symptoms Salahudin, Muhammad Ismail; Fitrikasari, Alifiati; Sofro, Muchlis Achsan Udji; Julianti, Hari Peni
Jurnal Penyakit Dalam Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction. HIV/AIDS disease has caused physical, social, and emotional problems to infected individuals and their spouses. ODHA couples have a prevalence of depression symptoms with physical complaints, which amounted to 12.7%. There is a relationship between love, communication, and physical intimacy to satisfaction in marriage. Depression in ODHA couples is correlated with marital satisfaction. This study aimed to analyze the differences of marital satisfaction of ODHA HIV negative couples who experience depression symptoms with ODHA who do not experience depression symptoms Methods. The research design was cross-sectional. The samples were 52 official couples of ODHA aged 18-60 years who had outpatient treatment in Poly of Infection Tropical RSUP. Dr. Kariadi Semarang and met the criteria of research inclusion. Sampling technique was conducted with consecutive sampling method. Depression status was measured by the beck depression inventory (BDI) instrument and marital satisfaction was measured by ENRICH marital satisfaction scale (EMS). Processing and data analysis using SPSS program. The relationship analysis test using chi-square test. Results. Subjects who did not experience depression 78.8% and those with depression 21.2% consisted of mild 9.6%, moderate 11.6%, and severe 0%. No subjects were found to be unsatisfied with their marriage, 55.8% were very satisfied and 44.2% were satisfied. There was no significant difference between marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms (p = 0,595). There was a significant difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms in communication (p = 0.021), conflict resolution (p = 0.025), use of leisure activities (p = 0.025), and sexual activities (p = 0.007) Conclusion. There was no difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms. There was a significant difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms in communication, conflict resolution, the use of leisure activities, and sex activities.
Pengaruh Senam Sehat Anak Indonesia terhadap FEV1 (Forced Expired Volume in one second) dan FVC (Forced Vital Capacity) pada Anak Underweight Setiawati, Erna; Kesoema, Tanti Ajoe; Asmara Putri, Rahmi Isma; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.189 KB) | DOI: 10.36408/mhjcm.v7i2.519

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Pendahuluan: Indonesia masih mengalami masalah gizi yaitu masih terdapatnya status gizi kurang bahkan gizi buruk. Nutrisi yang rendah atau buruk dapat mengurangi massa otot skeletal dan pernapasan, yang menyebabkan penurunan FVC dan FEV. FVC dan FEV merupakan parameter dari fungsi paru. Penelitian terdahulu menyebutkan bahwa olahraga dapat meningkatkan fungsi dari sistim pernapasan. Senam Sehat Anak Indonesia (SSAI) merupakan salah satu pilihan olahraga pada anak. Penelitian ini bertujuan menganalisis pengaruh SSAI terhadap FEV1 dan FVC pada anak underweight. Metoda: Penelitian ini menggunakan one group pre and posttest design. Populasi target adalah 24 anak underweight berusia 9-12 tahun di SDN Tembalang. Dilakukan pemeriksaan FEV1 dan FVC sebelum dan setelah pasien melakukan SSAI. Perbedaan sebelum dan sesudah perlakuan menggunakan uji t-berpasangan. Nilai p dianggap bermakna apabila nilai p<0,05. Hasil: Peningkatan FEV1 (0,66±0,25) liter, FVC (0,22±0,28) liter setelah SSAI berturut-turut p=0,23 dan p=0,71. Diskusi: Pada SSAI dilakukan gerakan-gerakan senam yang dapat meningkatkan elastisitas paru serta memperkuat otot-otot pernapasan sehingga meningkatkan volume udara yang dapat diambil saat bernapas. Peningkatan nilai FVC dapat disebabkan oleh peningkatan volume dan elastisitas paru-paru. FEV1, FEV bervariasi dan tergantung dari otot pernapasan. Pada penelitian ini walaupun tidak bermakna secara statistik namun dalam rerata nilai FEV1 dan FVC terdapat peningkatan setelah SSAI. Hal ini mungkin dikarenakan frekuensi senam yang digunakan adalah frekuensi yang paling minimal yaitu 2 kali per minggu. Simpulan: SSAI 2 kali per minggu selama 6 minggu sebagai salah satu pilihan olahraga pada anak underweight usia 9-12 tahun namun dalam penelitian ini tidak didapatkan peningkatan bermakna pada FEV1 dan FVC. Diperlukan penelitian lebih lanjut menggunakan frekuensi latihan yang lebih banyak dan durasi yang lebih panjang serta menggunakan kelompok kontrol. Kata kunci: Anak underweight; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI) Introduction: Indonesia is still facing nutritional problems, the presence of low nutritional status and even poor nutrition. Low or poor nutrition can reduce skeletal and respiratory muscle mass, which causes a decrease in FVC and FEV. FVC and FEV are parameters of lung function. Previous research suggests that exercise can improve the function of the respiratory system. Senam Sehat Anak Indonesia (SSAI) is one of the sports for children. This study aims to analyze the effect of SSAI on FEV1 and FVC in underweight children. Method: The design of this study was one group pre and post test design. The target population was underweight children at Tembalang Elementary School. FEV1 and FVC were examined before and after the patient underwent SSAI. Difference before and after treatment using paired t-test. The p value is considered significant if the p value <0.05. Results: There was no significant increase of FEV1 (0.66 ± 0.25) liters, FVC (0.22 ± 0.28) liters after SSAI with p= 0.23 and p = 0.71, respectively. Discussion: At SSAI, gymnastic movements are performed that can increase lung elasticity and strengthen breathing muscles, thereby increasing the volume of air that can be taken while breathing. Increased FVC is caused by an increase in lung volume and elasticity. FEV1, FEV varies and depends on the respiratory muscles. In weak expiratory muscles, a person's ability to expiration rapidly decrease and also the FEV1.FVC index. The mean of FEV1 and FVC values ??after SSAI increased but were not significant. In this study, although not statistically significant, the mean values ??of FEV1 and FVC were increased after SSAI. This may be due to the frequency of gymnastics used is the most minimal frequency of 2 times per week. Conclusion: SSAI twice per week for 6 weeks as one of the exercise choices in underweight children aged 9-12 years but in this study no significant increase in FEV1 and FVC was found. Further research is needed using more exercise frequency and longer duration and using a control group.Keywords: Underweight children; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI)
Hubungan Antara Mekanisme Koping Dengan Derajat Depresi Pada Caregiver Pasien Skizofrenia Studi di unit rawat jalan Rumah Sakit Jiwa Amino Gondo Hutomo Provinsi Jawa Tengah Supiyarti, Retti; Noerhidajati, Elly; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.064 KB) | DOI: 10.36408/mhjcm.v7i2.520

Abstract

Latar Belakang: Memiliki anggota keluarga yang menderita skizofrenia merupakan suatu stressor yang mengakibatkan stres yang bersifat kronik. Stress kronik lebih banyak dihubungkan dengan tingkat derajat depresi. Derajat depresi dibedakan sesuai dengan banyak dan beratnya gejala terhadap fungsi kehidupan pasien. Caregiver pasien skizofrenia akan melakukan mekanisme koping dalam mengatasi stressor tersebut yang terbagi atas problem focused coping dan emotion focused coping. Mekanisme koping memiliki peranan penting dalam interaksi antara situasi yang menekan dan proses adaptasi. Tujuan: Mengetahui hubungan mekanisme koping dan derajat depresi pada caregiver pasien skizofrenia. Metode: Penelitian ini merupakan penelitian analitik kuantitatif dengan rancangan cross sectional. Sampel adalah caregiver pasien skizofrenia di unit rawat jalan Rumah Sakit Amino Gondohutomo Jawa Tengah dan memenuhi kriteria inklusi penelitian. Subyek penelitian sebanyak 58 responden di pilih dengan metode consecutive sampling. Instrumen penelitian yang digunakan adalah Beck Depression Inventory (BDI) II dan Kuesioner The Ways of Coping serta kuesioner karakteristik sosiodemografi. Analisis dengan program komputer SPSS. Hasil : 27 responden (46,6%) menggunakan emotional focused coping. 31 responden (53,4%) menggunakan problem focused coping. 43 responden (74,1%) tidak depresi, 12 responden (20,7%) depresi ringan, 2 responden (3,4%) depresi sedang dan 1 responden (1,7%) depresi berat. Hasil analisis hubungan mekanisme koping dengan derajat depresi caregiver pasien skizofrenia dengan menggunakan uji Chi-square didapatkan P value > 0,05 bahwa tidak ada hubungan yang signifikan antara mekanisme koping dengan derajat depresi caregiver pada pasien skizofrenia. Simpulan: Tidak terdapat hubungan antara mekanisme koping dengan derajat depresi pada caregiver pasien skizofrenia Kata kunci :Mekanisme koping, Depresi, Caregiver Background: Having family members who suffer from schizophrenia is a stressor that results in chronic stress. Long life events or chronic stress are more associated with depression. Derajat depresi dibedakan sesuai dengan banyak dan beratnya gejala terhadap fungsi kehidupan Caregiver schizophrenic patients will carry out coping mechanisms in dealing with these stressors which are divided into problem focused coping and emotion focused coping. Coping mechanisms have an important role in the interaction between situations that suppress and adaptation processes. Objective: To analyze the relationship between coping mechanisms and the degree of depression in caregiver schizophrenic. Method: This study is a quantitative analytic study with a cross sectional design. The sample was a schizophrenic caregiver in the outpatient unit of Amino GondoHutomo Hospital in Central Java and fulfilled the study inclusion criteria. Sampling using consecutive sampling method. The research instruments used were the Beck Depression Inventory (BDI) II and The Ways of Coping Questionnaire and the socio-demographic characteristic questionnaire. Analysis with computer programs. Results: 27 respondents (46.6%) used emotional focused coping. 31 respondents (53.4%) used problem focused coping. 43 respondents (74.1%) were not depressed, 12 respondents (20.7%) mild depression, 2 respondents (3.4%) moderate depression and 1 respondent (1.7%) had severe depression. The results of the analysis of the relationship between coping mechanism with the degree of caregiver depression in schizophrenic patients using the Chi-square test obtained P value> 0.05 that there was no significant relationship between coping mechanisms with caregiver depression degrees in schizophrenic patients. Conclusion: There is no relationship between coping mechanism and the degree of depression in the caregiver of schizophrenic patients Keywords: Coping mechanism, Depression, Caregiver
Pengaruh Robotic Therapy dalam Meningkatkan ROM dan Memperbaiki Tonus Pasien Stroke Iskemik Pangesti, Adelia; Julianti, Hari Peni; Pudjonarko, Dwi; Rahmawati, Maria Belladonna; Ismail, Rifky
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (563.006 KB) | DOI: 10.36408/mhjcm.v8i1.530

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Background: After stroke occurs, the patients generally have upper extremity hemiparesis. It makes movement restrictions due to decreased elbow active ROM and abnormal upper arm muscle tone, so they need to get rehabilitation therapy. Besides conventional therapy, robotic therapy has now been developed to restore their motor funtions. Objective: To prove that the effect of robotic therapy in increasing elbow active ROM and improving upper arm muscle tone in ischemic stroke patients is better than the effect of conventional rehabilitation exercises. Methods: A quasy-experimental study with two groups pre-test and post-test design was carried out among outpatient ischemic stroke patients in Diponegoro National Hospital and William Booth General Hospital Semarang which was chosen using consecutive sampling.The interventions were by doing exercises using an exoskeleton robotic hand in the robotic group and conventional rehabilitation exercises in the control group. Pre-test and post-test data of robotic group were analyzed using Wilcoxon test, while pre-test dan post-test data of control group were analyzed using Wilcoxon test and paired t-test. Pre-test an post-test data between two groups were analyzed using Mann-Whitney test and unpaired-t test. Results: The robotic group experienced an insignificant increase in ROM (p= 0,593) and significant improvement in muscle tone (p= 0,025). The control group experienced insignificant reduction in ROM (p= 0,980) and insignificant improvement in muscle tone (p= 0,081). Conclusion: There was a significant improvement of upper arm muscle tone in ischemic stroke patients after had exoskeleton robotic hand exercise. Keywords: Stroke, elbow active ROM, muscle tone, exoskeleton robotic
Hubungan Faktor Fisik, Penyakit Komorbid, dan Faktor Psikis Terhadap Kualitas Hidup Lansia dengan Osteoartritis Rasyidin, Nur Laelatul; Julianti, Hari Peni; Ngestiningsih, Dwi; Purwoko, Yosef
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.788 KB) | DOI: 10.36408/mhjcm.v8i2.534

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ABSTRACT BACKGROUND: Osteoarthritis were the fourth cause of disability in the world in 2020. Limitation of physical activity that occurred in elderly with osteoarthritis can affect the socio-economic aspects of the elderly, causing a decrease in health-related quality of life (HRQoL). In addition to osteoarthritis, recent studies have shown an association between history of hypertension, diabetes, and family support on quality of life in the elderly. OBJECTIVE: To analyze the relationship between physical factors, comorbid diseases, and psychological factors on the quality of life of the elderly with knee osteoarthritis. METHOD: This study was an observational analytic study with a cross-sectional design. The samples were patients with knee OA who underwent therapy at the William Booth Hospital Semarang and the Diponegoro National Hospital that met the inclusion criteria. The research subjects were 61 respondents selected through consecutive sampling. The analysis test performed using the Chi-square method and logistic regression with p-value considered significant if p <0.05. The instrument used in this study was a demographic characteristic questionnaire, VAS, family APGAR, and OPQOL-35. RESULTS: There was a significant relationship in the assessment of the level of pain and family function on the quality of life of the elderly with knee OA (p = 0.003 and p = 0.042). Assessment of other physical factors consisting of gender (p = 0.637), duration of illness (p = 0.2), and degree of radiology (p = 0.532), as well as comorbid factors consisting of hypertension (p = 0.37) and diabetes (p = 0.663), showed an insignificant relationship to the quality of life of the elderly with knee OA. The dominant factor that affected the quality of life of the elderly with knee OA is the level of pain (p = 0.022) with OR value 14.1. CONCLUSION: Factors that affected the quality of life of the elderly with knee OA were the level of pain and family function. Key: knee OA, Quality of Life, Elderly