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All Journal Althea Medical Journal Jurnal Berkala Epidemiologi Damianus Journal of Medicine The Indonesian Journal of Public Health Universa Medicina JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Berkala Ilmiah Kedokteran Duta Wacana Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Oto Rhino Laryngologica Indonesiana Majalah Kedokteran Neurosains Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesian Journal of Global Health research Cermin Dunia Kedokteran Berita Kedokteran Masyarakat Neurona Jurnal Kedokteran Meditek Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Cermin Dunia Kedokteran
Yvonne Suzy Handajani
Departemen Ilmu Kesehatan Masyarakat Dan Gizi, Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Universa Medicina

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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.
Life satisfaction is the most significant determinant of quality of life in the elderly Vinsalia, Thania; Handajani, Yvonne Suzy
Universa Medicina Vol. 40 No. 1 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.14-22

Abstract

BackgroundQuality of life tends to decrease as age increases. This study aimed to determine the most significant risk factors (family support, spirituality, and life satisfaction) for the elderly’s quality of life. MethodsThis was a cross-sectional study of 101 subjects aged ³60 years in West Jakarta. The variables were assessed using the World Health Organization Quality of Life–BREF (WHOQOL–BREF), Family Support, Daily Spiritual Experience Scale (DSES), and the Satisfaction with Life Scale (SWLS) instruments. Multivariate logistic regression was used to analyze the association between quality of life and its determinant factors.ResultsBased on sociodemographic characteristics, the respondents were mostly women (66.3%), had more than nine years of education (79.2%), and were married (56.4%). The analysis showed that life satisfaction was significantly associated with overall quality of life (OR=9.71; 95% CI:2.04–46.26; p=0.004) and general health (OR=7.52; 95% CI:1.70–33.25; p=0.008). Life satisfaction was also a risk factor for the environmental domain (OR=36.02; 95% CI:5.07–255.82; p<0.001). Furthermore, spirituality was found to be a risk factor for the physical health domain (OR=4.18; 95% CI:1.51–11.59; p=0.006), psychological domain (OR=6.67; 95% CI:2.4–17.86; p<0.001), and environmental domain (OR=11.46; 95% CI:3.10–42.37; p<0.001).ConclusionLife satisfaction plays a significant role in increasing the environmental domain of quality of life, the overall quality of life, and general health among the elderly. Awareness of these factors can assist providers in identifying people at risk and guide new intervention programs to improve care for these invaluable elderly of our communities.
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.
Co-Authors Aditya Putra, Aditya Barus, Jimmy Fransisco Abadinta Budhy, Carissa Marvella Budiharsana, Meiwita Paulina Chandra, Kenly Christy, Kezia David Reinaldo Sebastian Gunawan Elsiandi, Caroline Alvina Felicia, Tesya Giovanny, Audrey Carissa Gunawan, David Reinaldo Sebastian Halim, Magdalena Surjaningsih Hardi, Nicholas Ika Suswanti Kezia Christy Konny, Lisye kridawati, atik Kristian, Kevin Kwok, Lyvia Ariella Latasya, Chelsea Destania Lim, Sebastian Lusia Gani Maria Anggi Sylvani Martin, Juvenius Nelly Tina Widjaja Pakpahan, Hotmaria Agustina Piustan, Mas Eaufrat Prasetya, Virginia Geraldine Hanny Pricilya H. Wangi Rahardjo, Tri Budi sandy Ayu Monica Silalahi Sani, Tara Puspitarini Schröder-Butterfill, Elisabeth Sejati, Fabian Suryakusuma, Linda Suwito, Michelle Margaretha Tanumihardja, Tommy Tanuwijaya, Melyana Thiantoro, Benedicta Ann Clarabelle Vebriana, Gennesia Vinsalia, Thania Wijaya, Kenneth Noah Yuda Turana