ABSTRAKPendahuluan. Jatuh merupakan masalah kesehatan yang umum dijumpai pada kelompok lanjut usia karena menyebabkan gangguan fisik dan psikis, bahkan kematian. Timed up and go test (TUG) merupakan metode skrining yang umum digunakan dalam praktik medis sebagai pemeriksaan dasar untuk menilai mobilitas, keseimbangan, dan risiko jatuh. Tujuan penelitian ini untuk menentukan hubungan riwayat jatuh dan TUG pada pasien geriatri di Rumah Sakit Umum daerah (RSUD) Dr.Soetomo Surabaya, Indonesia.Metode. Penelitian ini menggunakan desain deskriptif analitik cross-sectional dengan pendekatan observasional retrospektif.Subjek adalah pasien geriatri di RSUD Dr. Soetomo dengan kriteria usia ≥ 60 tahun, nilai mini mental state examination (MMSE) ≥ 17, tidak menderita stroke hemiplegia, dan tidak menggunakan alat bantu berjalan. Subjek dengan kriteria tersebut dilakukan wawancara untuk mengetahui riwayat jatuh 12 bulan terakhir, tingkat pendidikan, dan komorbiditas. Selanjutnya dilakukan penilaian MMSE, pengukuran IMT (indeks massa tubuh), dan penilaian TUG. Analisis statistika dilakukan menggunakan uji Fisher exact test.Hasil. Sebanyak 73 subjek ikut serta pada penelitian ini yang 56,16% di antaranya adalah perempuan. Dari 73 subjek, sebanyak 18 subjek memiliki riwayat jatuh dan 72,22% di antaranya adalah perempuan. Hasil uji Fisher menunjukkan adanya hubungan yang signifikan antara riwayat jatuh dan TUG dengan nilai p = 0,048 dan koefisien kontingensi 0,305.Simpulan. Terdapat hubungan yang lemah antara riwayat jatuh dan TUG pada pasien geriatri di RSUD Dr.Soetomo Surabaya. Penelitian selanjutnya perlu menambah dan memilih sampel dengan sebaran karakteristik merata agar hasil yang didapat bisa merepresentasikan keseluruhan populasi lanjut usia di RSUD Dr. Soetomo Surabaya. ABSTRACTIntroduction. Fall is the global major problem in geriatrics as it causes physical and physicological impairment, even leads to mortality. Timed up and go test (TUG) is the screening method which commonly used in medical practice as standard examination to assess mobility, balance, and fall risk.This study aimed to determine the correlation between TUG and history of falls in geriatric patients at General Hospital Dr. Soetomo Surabaya, Indonesia. Methods.A cross-sectional study was conducted among geriatric patients in Dr. Soetomo hospital with criteria ≥ 60 years old, mini mental state examination (MMSE) score ≥ 17, did not suffer from hemiplegic stroke, and did not use walking aids. Subjects with these criteria were interviewed to know the fall history from the past 12 months, level of education, and comorbidity. Then the subjects carried out MMSE assessment, BMI (body mass index) measurement, and TUG assessment. Statistical analysis was done with Fisher exact test.. Results.A total of 73 subjects participated in this study of which 56.16% were women. Among 73 subjects, 18 subjects had a history of falls and 72.22% of them were women. The Fisher test results showed a significant relationship between history of falls and TUG with p value= 0.048 and...
Background/Purpose: Aging causes locomotive syndrome (LS), which is characterized by difficulty in walking. The present study determined the effects of locomotion training and regular aerobic exercise programs on the aerobic capacity of older nursing home residents with LS stage 1.Methods: This randomized controlled trial included 24 participants aged 60-80 years with LS stage 1 residing in a single nursing home in Surabaya, Indonesia. The participants were randomly assigned to either the locomotion training group (LTG) or the control group (CG).Both the groups performed 30 min of a daily group-based aerobic exercise program for 8 weeks.The LTG performed additional locomotion training three times weekly, with three sets per session, gradually increasing to five sets per session according to the participant's tolerance. Two-minute walking test (2MWT) values before and after the 8-week intervention were determined in both the groups and converted to maximum oxygen consumption values (VO2max).Results: After 8 weeks of intervention, a significant increase in VO2max was observed in both the groups (both p <0.05). The LTG showed a more significant improvement in VO2max (p <0.05) compared to the CG. Conclusion:The study results demonstrated the positive effect of 8 weeks of locomotion training and regular aerobic exercise programs in improving the aerobic capacity of older adult nursing home residents with LS stage 1.
Introduction: The 200 million people in the world experience urinary incontinence. In general, with increasing age, the capacity of the bladder decreases. The remaining urine in the bladder tends to increase and irregular contraction of the bladder muscles becomes more frequent. This situation often makes the elderly experience problems with the fulfillment of urine elimination needs, namely urinary incontinence. Efforts to overcome urinary incontinence in the form of bladder training programs are aimed at developing muscle tone and bladder sphincter so that it can function optimally. Objective: Knowing the profile of muscle strength and physical performance with the incidence of urinary incontinence in elderly women. Methods: This research was a retrospective descriptive study based on the results of filling out the questionnaire and evaluating it directly. Based on tabulated data, 38 elderly women were selected as the study sample. Results: There were (42.1%) urinary incontinence on elderly with very poor left hand muscle strength and (50%) urinary incontinence on elderly with very poor right hand muscle strength. In physical performance with urinary incontinence as many as (57.8%) were normal and (42.1%) were poor. Conclusions: Muscle strength and physical performance can be used as a measurement to early detection of the urinary incontinence. Keywords: urinary incontinence; muscle strength; physical performance; descriptive retrospective study
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