Data yang diperoleh pada bulan November 2017 pada saat dilakukan screening didapatkan data bahwa terdapat 35 Caregiver mengalami burden dengan kategori ringan sampai berat, yang terdiri dari 10 orang mempunyai burden ringan, 23 orang burden sedang dan 1 orang mempunyai burden berat. Kemudian pada saat dilakukan wawancara menyatakan bahwa caregiver merasa kelelahan karena kurang lebih 8 jam merawat lansia dengan demensia, Caregiver juga sering menahan emosi terkait dengan tingkah laku lansia yang sulit diatur. Metode penelitian yang digunakan dalam penelitian ini adalah "quasy experimental pre-post test with control group, jumlah sampel 34 orang yang diambil dengan purposive sampling, intervensi yang diberikan melalui intervensi mindfulness. Pada kelas intervensi, terdapat perbedaan tingkat caregiver burden secara signifikan antara pre-test dan post-test (p-value=0,000<α=0,05). Dari hasil tersebut maka pemberian perlakuan berpengaruh signifikan dalam menurunkan tingkat Caregiver Burden. Dilihat secara deskriptif, rata-rata tingkat caregiver Burden pada kedua kelas kontrol baik pre-test maupun post-test berada pada level sedang. Intervensi mindfulness dapat membantu permasalahan caregiver yang merawat lansia dengan demensia, emosional dari caregiver, khususnya burden, ekonomi, burden sosial, burden psikologis. Mindfulness lebih efektif ketika caregiver aktif melakukan latihan secara kontinu sehingga tingkat caregiver burden dapat berkurang
Background: The aging is the final cycle of human life, and one of the disturbances of aging which occurs in the elderly is dementia. Elderly with dementia will experience changes in the pattern of daily life activities, and therefore require total care from the family. There are some reasons of the family for caring for the elderly at home, among others, include the expression of devotion to the parents, respect, and affection towards the parents. The burden of elderly caregivers may lead to a stressful condition which can manifest in depression and frustration, and will finally affect the welfare of the elderly and the family. Purpose: This study aimed to describe the factors influencing the burden of the family caregivers in caring for the elderly with dementia, and to identify the physical and psychologic factors associated with the caregiver burden. Methods: A systematic review of three databases, including CINAHL, PubMed, and ScienceDirect was carried out by exploring relevant articles published in 2008 to 2017. The keywords of burden, elderly caregiver, and dementia were used. Seventy potentially relevant articles were selected out of 4.210. After a further review, 16 articles met the inclusion criteria and were used in this study. Results:The results revealed that factors influencing the burden of family caregivers in caring for the elderly with dementia include family support, family socioeconomic ability, and family coping mechanisms. The burden will get higher when the caregivers play double roles, i.e., caring for the elderly and working to earn a living. The quality of life of the family caregivers can be well promoted if the influencing factors can be resolved. Conclusion: Three factors influence the caregivers' burden, including family support, socioeconomic factor, and family coping. Of the three factors, family support is the most influential factor in caring for the elderly with dementia.
Background: The prediction of the number of elderly people in Indonesia will increase along with changes in Indonesia's demographic status. Elderly people who feel that at home less socialize with elderly people choose to live in a nursing home, this is an alternative for the elderly, elderly degenerative diseases are very diverse one of which is elderly dementia with dementia will require a level of dependence beyond the elderly who do not have dementia. Caregivers who treat the elderly with dementia will be very vulnerable to burden in treating elderly dementia.Purpose: The purpose of this study was to analyze the difference in the level of caregiver burden who care for elderly dementia at a nursing home.Method: This research method uses "Quasy experiment pre and posttest with control group". Number of samples 34 from each group. Data were analyzed using the Mann Whitney test with the help of SPSS 22.0 for Windows.Results: Research in the control group has a higher level of burden caregivers compared to intervention groups, this is because the control group respondents have lower wages than the city minimum wage, besides that the elderly characteristics carried out by nursing care have more severe dementia than the intervention group.Conclusion: The results of this study can be used as a reference in developing services for the elderly and elderly caregiver, especially the elderly who suffer from dementia.
Latar Belakang: Hemodialisis merupakan salah satu tindakan invasif yang rutin dilakukan pada pasien dengan gagal ginjal kronik di rumah sakit. Lama Hemodialisis akan menimbulkan perubahan perilaku khususnya tidak patuh pada program nutrisi maupun pola Diet, pada lansia yang mengalami gagal ginjal berdampak pada kualitas hidup, fungsi status mental maupun kognitif. Tujuan : Untuk mengetahui hubungan lama hemodialisis dengan fungsi kognitif lansia yang mengalami gagal ginjal kronik. Metode: Rancangan penelitian ini adalah cross sectional study dengan jumlah sampel 30 responden pada periode Mei-Juni 2022. Pengumpulan data dilakukan dengan melihat rekam medis dan kuesioner mengenai lama hemodialisis serta mengukur fungsi kognitif lansia pada penyakit gagal ginjal kronik dengan instrumen Mini Mental State Exam (MMSE). Analisis univariat dianalisis dengan distribusi frekuensi, data bivariat dianalisis dengan uji Kendal tau dengan nilai p=0,031(p<0,05) Kesimpulan: Ada hubungan antara lama hemodialisis dengan fungsi kognitif lansia yang mengalami gagal ginjal kronik.
Cedera kepala adalah cedera pada otak yang dapat menyebabkan perubahan fungsi serta struktur jaringan otak akibat mendapatkan dorongan mekanik eksternal seperti trauma tumpul maupun tusuk. Kejadian cedera kepala dan tingkat perburukan cedera kepala sangat tinggi di dunia. Oleh karena itu diperlukan penilaian awal untuk memprediksi perburukan pasien cedera kepala yaitu menggunakan GAP dan RTS. Tujuan penelitian untuk mengetahui perbandingan GAP dan RTS dalam memprediksi perburukan pasien cedera kepala. Desain penelitian observasional analitik dengan pendekatan retrospektif dengan purposive sampling. Responden berjumlah 245 rekam medis cedera kepala. Pengukuran dilakukan menggunakan lembar observasi. Analisis uji Receiver Operating Charateristic (ROC). Didapatkan hasil maisng-masing RTS dan GAP dalam memprediksi perburukan pasien cedera kepala mempunyai nilai = 0.851 vs 0.806. RTS lebih baik dalam memprediksi perburukan pasien cedera kepala dibandingkan dengan GAP.
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