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Journal : Universa Medicina

Frailty decreases physical health domain of quality of life in nursing home elderly Handajani, Yvonne Suzy; Widjaja, Nelly Tina; Turana, Yuda
Universa Medicina Vol 34, No 3 (2015)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.213-219

Abstract

BACKGROUND Approximately 10-27% of the population aged >65 years suffers from frailty. The percentage increases with age so that the prevalence of frailty in the population aged >85 years reaches 45%. The objective of this study was to determine the relationship between   frailty and quality of life (QOL) in nursing home elderly. METHODS This was a cross-sectional study of 138 subjects aged >60 years who were recruited from 4 nursing homes in West Jakarta. Participants with frailty status were evaluated by the Survey of Health, Ageing and Retirement in Europe (SHARE) instrument and QOL was evaluated by the WHOQOL-BREF questionnaire. One-way ANOVA and chi-square tests were used to find relations between the frailty syndrome and QOL. RESULTSThe percentages of respondents with pre-frail, frail, and non-frail status were 30.4%, 52.2%, and 17.4%, respectively. A decline in QOL scores of pre-frail and frail respondents was found for almost all QOL domains (physical, psychological and environment domains), except social relationships. The subdomains most influenced were “energy and fatigue” in the physical health domain, “thinking, learning, memory and concentration” in psychological health, and “opportunities for acquiring new information and skills” in the environment domain.CONCLUSIONS More than half of the nursing home elderly were frail and one-third were pre-frail. The main factor of frailty was weakness. The frailty syndrome in the elderly has a negative impact on QOL, especially in the physical health, psychological and environment domains in nursing home elderly.
Comorbidities, social, and psychological factors associated with headache in adult Indonesians: data from the 5th Indonesian Family Life Survey (IFLS-5) Barus, Jimmy Fransisco Abadinta; Sudharta, Harvey; Suswanti, Ika; Sasmita, Poppy; Widyadharma, I Putu; Turana, Yuda
Universa Medicina Vol. 43 No. 2 (2024)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2024.v43.148-156

Abstract

BackgroundHeadache is a significant health problem worldwide, but national data on headaches in Indonesia are unavailable. Various risk factors have been identified as triggers or factors affecting its occurrence and severity. This study aimed to identify factors associated with headache occurrence in Indonesians aged 20 to 65 years. MethodsA cross-sectional study was conducted involving 26,263 participants aged 20 to 65 years. We covered any social, psychological, and comorbidity variables found in the fifth Indonesian Family Life Survey (IFLS) that could be linked to headaches. A multivariate-adjusted logistic regression model was used to estimate the odds ratios (ORs) and 95% confidence intervals (CI).  ResultsThe prevalence of those who had headache once in the past four weeks was 62.1%. Headache was associated with sleep disturbances (OR 2.24; CI 95% 2.11 – 2.36; p<0.001), depression (OR 1.79; CI 95% 1.67-1.92; p<0.001), hypertension (OR 1.79; CI 95% 1.64 – 1.96; p<0.001), female sex (OR 1.64; CI 95% 1.55 – 1.73; p<0.001), early adulthood (OR 1.32; CI 95% 1.24 – 1.42; p<0.001), hypercholesterolemia (OR 1.33; CI 95% 1.15 – 1.52; p = 0.001), poor/moderate sleep quality (OR 1.22; CI 95% 1.15 – 1.29; p<0.001), and low income (OR 1.12; CI 95% 1.05 – 1.19; p = 0.001). ConclusionsThis study demonstrated that sleep disturbances were the dominant risk factor of headache in subjects aged 20 to 65 years. Furthermore, sleep disturbance treatment should especially be considered in patients with a high level of headache.
Effect of cognitive stimulation therapy in combination with other intervention modalities on cognitive ability in elderly with cognitive impairment: a quasi-experimental study Turana, Yuda; Sani, Tara Puspitarini; Prasetya, Virginia Geraldine Hanny; Suswanti, Ika; Konny, Lisye; Halim, Magdalena Surjaningsih; Handajani, Yvonne Suzy
Universa Medicina Vol. 43 No. 1 (2024)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2024.v43.13-19

Abstract

BackgroundCognitive stimulation therapy (CST) has been proven to be beneficial in improving cognition and quality of life in people with mild cognitive impairment (MCI) and mild dementia (MD). This study investigates the benefit of more frequent exclusively CST intervention compared to less-frequent CST-exercise combination on cognitive ability among elderly people with cognitive impairment. MethodsA quasi-experimental controlled study involving 22 subjects aged = 60 years with cognitive impairment. They were divided into three groups: group A (6 months, weekly CST + exercise sessions, n=13), Group B (3 months, twice-weekly CST-only sessions, n=5), group C (3 months, no intervention, n=4) as control. The Modified Mini Mental State Examination Indonesian Version was used for evaluating the cognitive ability of the elderly subjects. Data were analyzed using one-way Anova and Kruskal-Wallis tests ResultsAll participants completed the study, the majority being female with mean age of 70.43 ± 6.97 years and differences in education level distribution across the three groups. The scores before and after the intervention showed a significant difference in the registration and construction domains (p<0.005). However, there was a greater improvement of the mean difference in cognitive scores in groups A and B compared to the control group, although the difference was not statistically significant (p >0.05). ConclusionA twice-weekly CST-only intervention and a once-a-week CST-exercise combination provide better cognitive improvement than no intervention (control). Therefore, elderly people with cognitive impairment should be encouraged to engage in physical activities, brain training, and group activities for promoting the brain’s ability.