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1

Nasrun, Martina Wiwie S., Profitasari Kusumaningrum, Petrin Redayani, Hasya Layalia Lahino, Fithriani Salma Mardhiyah, Amadeo D. Basfiansa, and Nindya Nadila. "Relationship Between Quality of Life of People with Dementia and Their Caregivers in Indonesia." Journal of Alzheimer's Disease 81, no. 3 (June 1, 2021): 1311–20. http://dx.doi.org/10.3233/jad-201550.

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Background: Caregivers, as one of the most important roles in caring for a person with dementia, have a challenging task. Therefore, maintaining the quality of life (QoL) of caregivers is an integral part of dementia care. Objective: To explore the relationship between the QoL of people with dementia and their caregivers in Indonesia. Methods: This is a cross-sectional study using binary correlations to analyze the relationship between people with dementia and caregivers’ QoL. Conducted in Cipto Mangunkusumo Hospital in Jakarta, the subjects were 42 people diagnosed with dementia according to the PPDGJ-III (adapted from the ICD 10) and 42 primary caregivers with at least 6 hours duration of caregiving per day. The QoL of people with dementia was measured by EuroQol-5D and VAS EQ-5D, while severity of dementia was measured by MMSE. Caregivers underwent an interview using WHO Quality of Life Instrument (WHOQOL-BREF) and NPI. Results: Most caregivers were women, aged 40–70 years old. The study found caregivers’ QoL environmental domain strongly correlated with people with dementia’s QoL (r = 0.839). Severity of dementia had a strong correlation with caregivers’ QoL physical domain (r = 0.946). Age, duration of caregiving per day, period of care provided by caregivers, and caregiver’s distress had a strong correlation with caregiver QoL for specific domains. Conclusion: There was a strong correlation between people with dementia’s QoL and caregiver QoL, so in managing dementia, clinicians should consider caregivers’ wellbeing as an essential part significantly affecting the quality of elderly care improvement.
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Hasna Imami, Nabilah, Yudha Haryono, Anggraini Dwi Sensusiati, Muhammad Hamdan, and Hanik Badriyah Hidayati. "DEMENTIA IN DR. SOETOMO GENERAL HOSPITAL SURABAYA: A SYNTHETIC REVIEW OF ITS CHARACTERISTICS." MNJ (Malang Neurology Journal) 7, no. 1 (January 1, 2021): 12–16. http://dx.doi.org/10.21776//ub.mnj.2021.007.01.3.

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Background: Dementia is a clinical syndrome characterized by progressive loss of cognitive function in elderly people interferes the ability to function independently. The number of elderly patients increased so fast in worldwide. The prevalence of dementia rapidly increases due to increasing of population. Aging demographic transition is proceeding rapidly especially in China, India, and Latin America, where dementia is rapidly becoming the major public health problem. Demographic data of elderly patients of dementia in Indonesia is still a little. Dementia’s research data in Indonesia were only obtained from Bali and Yogyakarta, while data from Surabaya were not obtained. Our research data is taken from Dr. General Hospital Soetomo Surabaya, East Java, Indonesia. This study is important for dementia epidemiological data and baseline data for further treatment of dementia patients in Surabaya. Objective: The purpose of this study to determine the characteristics profile of elderly patients with dementia in Dr. Soetomo General Hospital Surabaya, East Java, Indonesia. Methods: Sampling was done with purposive sampling by observing the medical records of patients in the period of January 2017 to December 2017 based on inclusion and exclusion criterias that have been set. The data was taken from the patient's medical record which had been written and examined by neurologists from the neurology department in the neurobehaviour sub-department of Dr. Soetomo Surabaya. Results: The majority of dementia patients are men (51,7%); the age group which is most at risk for dementia is between age of 75-79 years; most of the patients are jobless; more than half of patients are high school graduates; and Vascular Dementia (VaD) is the type of dementia that most people suferred Conclusion: This characteristic’s data of dementia can be used for providing information about dementia to make public health care provides a better facillities and treatment for elderly patients to prevent dementia burden.
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Mulyani, Sri, and Azam David Saifullah. "Effect of Dementia Training on Knowledge and Attitude Among Long-Term Care Staff in Yogyakarta, Indonesia." Open Access Macedonian Journal of Medical Sciences 9, E (August 8, 2021): 592–97. http://dx.doi.org/10.3889/oamjms.2021.6392.

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BACKGROUND: The number of patients with dementia has increased globally. Caring for these patients is very challenging and demanding. There are many patients with dementia in long-term care facilities in Yogyakarta, Indonesia. However, most staff members do not have proper training regarding how to care for patients with dementia. AIM: This research aimed to investigate the effect of dementia care skills training on knowledge and attitudes about dementia among long-term care staff in Yogyakarta, Indonesia. METHODS: A pre-experimental study was conducted using a one-group pre-test and post-test method. There were 30 staff members in a long-term care facility in Yogyakarta, Indonesia, who participated in this study in July 2019. Training given was the Dementia Care Skills 18 h version for care workers provided by Alzheimer’s Indonesia by two certified trainers. Outcomes measured were knowledge and attitudes of the participants, which were measured using the Dementia Knowledge Assessment Scale and Dementia Attitude Scale. Data were analyzed using paired and independent t-tests as well as Pearson correlation tests. RESULTS: The results showed that staff knowledge of dementia (t = 4.78, p = 0.000) and attitudes toward persons with dementia (t = 3.27, p = 0.003) were improved significantly after the dementia training provided by the Alzheimer’s Indonesia trainers. CONCLUSIONS: Training in dementia care can improve knowledge and attitude of long-term care staff. This study recommends that dementia care skills training be provided for staff and nurses in long-term care to improve their knowledge and attitudes regarding patients with dementia and their care.
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Hogervorst, Eef, Elisabeth Schröder-Butterfill, Yvonne Suzy Handajani, Philip Kreager, and Tri Budi W. Rahardjo. "Dementia and Dependency vs. Proxy Indicators of the Active Ageing Index in Indonesia." International Journal of Environmental Research and Public Health 18, no. 16 (August 4, 2021): 8235. http://dx.doi.org/10.3390/ijerph18168235.

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Dementia prevalence is increasing worldwide and developing countries are expected to carry the highest burden of this. Dementia has high care needs and no current effective long-term treatment. However, factors associated with active ageing (e.g., longer employment; participation in society; independent, healthy and secure living; and enabling environments to allow people to remain psychosocially and physically active) could help maintain independence in older people for longer. We investigated proxy indicators of the Active Ageing Index (AAI), which were offset against dementia and dependency (assessed by Instrumental Activities of Daily Living or IADL) in multi-ethnic urban (Jakarta) and rural (Sumedang and Borobudur) health care districts on Java, Indonesia. Dementia was assessed using validated cognitive dementia screening tests, the IADL and carer reports. Dementia and dependency prevalence showed large interregional differences and were highest in rural Borobudur. Dementia and dependency were associated with an older age, lower education (for dementia), worse physical health (for dependency) and not engaging in psychosocial activities, such as attending community events, reading (for dementia) and sport activities (for dependency). By supporting active ageing activities in Puskesmas (primary health care centers) and improving access to medical care, rural areas could possibly reduce dementia and dependency risk. Our follow-up study planned in 2021 should illustrate whether recent relevant policies have rendered success in these areas. Using active ageing indicators could focus policies to support regions with targeted interventions to compress care needs in older people.
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Sunaryo, Salsabilla Rohadatul ‘Aisy, Azam David Saifullah, and Sri Mulyani. "KNOWLEDGE AND ATTITUDES TOWARD PEOPLE WITH DEMENTIA AMONG NURSING STUDENTS IN YOGYAKARTA, INDONESIA." Belitung Nursing Journal 6, no. 6 (December 21, 2020): 196–202. http://dx.doi.org/10.33546/bnj.1178.

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Background: Nursing students are prepared to deliver care for vulnerable people, including people with dementia. Nursing students tend to have lower levels of knowledge and attitudes toward dementia compared to registered nurses. While there is less evidence that discussed this topic in the Indonesian nursing student's context, it will be necessary to identify an aspect related to knowledge and attitude among students to be considered for improvement in the future.Objective: This study aimed to identify the knowledge and attitudes toward dementia among nursing students in Indonesia.Method: This study was a quantitative study with a cross-sectional design. There were 334 nursing students recruited using a total sampling method at Universitas Gadjah Mada, Yogyakarta. Data were collected using the Dementia Knowledge Assessment Scale (DKAS) and Dementia Attitude Scale (DAS). Spearman Rank, Mann Whitney Unpaired, Kruskal-Wallis test, Pearson Correlation, Unpaired t-test, and Unpaired ANOVA were used for data analysis according to the type and the distribution of the data.Results: The median of the DKAS was 24 (min - max = 7 - 40), and the mean of DAS was 99.60 (SD = 10.25). The variables that were statistically significant correlated to knowledge of dementia were age (r = .332, p < .001), class standing (H = 72.253, p < .001), and experience in taking care of people with dementia (U = 3314, p = .047). Meanwhile, only the age of the students was found to have a statistically significant correlation with attitudes toward dementia (r = 158, p = .004).Conclusion: In general, among the nursing students, knowledge toward dementia was relatively low, while the attitudes toward dementia were relatively high compared to other research. Age, class standing, and experience in taking care of people with dementia had significant correlations to the knowledge score of the students. Lastly, age also had a significant correlation with the attitude score of the students.
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Sigalingging, Ganda, Zulkarnain Nasution, and Rustina Pasaribu. "Harga diri (self esteem) lansia yang mengalami demensia." Holistik Jurnal Kesehatan 14, no. 1 (April 22, 2020): 59–66. http://dx.doi.org/10.33024/hjk.v14i1.1938.

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Self esteem in elderly persons with dementiaBackground : The triple threat is a challenge that must be faced in Indonesia. More and more the number of elderly that continues to increase. As you age, changes occur due to the aging process that causes physical and psychosocial problems. one of the psychosocial problems in the elderly is low self-esteem. If that doesn't work, the elderly will repair, attract, challenge, and even escape.Purpose :To analyze the relationship between dementia and self-esteem (self-esteem) in the elderly at the Guna Budi Bakti Foundation in Medan.Method: This analytical survey research cross sectional approach. Seventy two elderlywere involved as the population in this research.This research used total sampling technique where in the number of sample equals to the number of population. In analyzing the data, chi-square test was used.Results: Shows that older people reduce moderate dementia 44.4% with a low self-esteem 69.4%. With the statistical test results there was a relationship dementia and self-esteem in the elderly, with p-value of 0.003 Conclusion: There was a relationship dementia with of self-esteem for elderly in Panti Jompo Guna Budi Bakti Foundation in MedanKeywords: Dementia; Self-esteem; ElderlyPendahuluan: Ancaman triple burden merupakan tantangan yang harus dihadapi di Indonesia. Ancaman tersebut diantaranya jumlah lansia yang terus meningkat. Seiring pertambahan usia, terjadi perubahan sebagai akibat proses menua yang berpotensi menimbulkan masalah fisik dan psikososial. Salah satu masalah psikososial pada lansia yaitu harga diri rendah. jika tidak ditangani maka lansia mengalami depresi, menarik diri, perilaku kekerasan bahkan bunuh diri.Tujuan : Untuk menganalisa hubungan demensia dengan harga diri (self esteem) lansia di Yayasan Guna Budi Bakti Medan.Metode: Jenis penelitian survei analitik dengan pendekatan cross sectional. Populasi seluruh lansia sebanyak 72 orang dengan teknik sampel total sampling. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Analsisi data menggunakan uji chi- Sguare pada taraf kepercayaan 95%.Hasil: Menunjukkan lansia lebih banyak mengalami demensia sedang, sebanyak 32 orang (44,4%). dengan menunjukkan harga diri rendah sebanyak 50 orang (69,4%). Hasil uji statistik menunjukkan ada hubungan demensia dengan harga diri (self estem) lansia, dengan nilai p value = 0,003 (a < 0,05)Simpulan: Ada hubungan demensia dengan harga diri (self esteem) lansia di Panti Jompo Yayasan Guna Budi Bakti Medan.
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Yang, Yuan-Han, Kenichi Meguro, Sang-Yun Kim, Yong-Soo Shim, Xin Yu, Christopher Li-Hsian Chen, Huali Wang, et al. "Impact of Alzheimer's Disease in Nine Asian Countries." Gerontology 62, no. 4 (2016): 425–33. http://dx.doi.org/10.1159/000443525.

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Background: Asia will soon have the majority of demented patients in the world. Objective: To assess dementia using a uniform data system to update the current status of dementia in Asia. Methods: A uniformed data set was administered in Taiwan, China, Hong Kong, Korea, Japan, Philippines, Thailand, Singapore, and Indonesia to gather data with regard to Alzheimer's disease (AD) and its related issues for these countries. Results: In total, 2,370 AD patients and their caregivers were recruited from 2011 to 2014. The demographic characteristics of these patients and the relationships between patients and caregivers were different among individuals in these countries (p < 0.001). Of note, the family history for having dementia was 8.2% for females in contrast to 3.2% for males. Conclusion: Our study highlighted the differences in dementia assessment and care in developing versus developed countries. Greater effort with regard to studying dementia, especially in developing countries, is necessary.
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Rismawaty, Rismawaty, and Sri Moertiningsih Adioetomo. "Determinants of Cognitive Impairment among The Elderly in Indonesia." Jurnal Berkala Kesehatan 7, no. 1 (May 31, 2021): 29. http://dx.doi.org/10.20527/jbk.v7i1.9786.

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Impaired cognitive function is one of the health problems suffered by elderly people. Cognitive impairment can lead to dependence on the help of others. This study aims to analyze factors associated with cognitive impairment among older persons in Indonesia. Cognitive impairment is measured by difficulty with memory or concentration, derived from Susenas September 2018. The size of the samples is 26,010 people aged 60 years and over and analyzed using multinomial logistic regression. Cognitive impairment is divided into three categories: Normal Cognitive, Mild Cognitive Impairment or MCI, and Dementia. This study found that 17.08 percent of the elderly in the sample had MCI, and 0.86 percent had dementia. The result also showed that age, gender, marital status, social activity, and economic level are associated with MCI and dementia. However, the results showed that there are relationships between education level and living arrangements only found among elderly with MCI but not the incidence of dementia. Future studies are suggested to add other factors such as food consumption, physical activity, and cognitive activity to have more understanding of the causes of cognitive impairment in the elderly in Indonesia.
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Setiawan Nasrun, Martina Wiwie, Petrin Redayani, Profitasari Kusumaningrum, and Hasya Layalia Lahino. "454 - Quality of Life: People with Dementia and Their Caregiver in Indonesia." International Psychogeriatrics 32, S1 (October 2020): 174. http://dx.doi.org/10.1017/s1041610220003063.

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AbstractBackground:As a psychological being, quality of life is one of the most important part to human. Many things could affect one’s quality of life, in elderly, Dementia is one of them. In 2013 approximately there were 960.000 people with dementia (PWD) in Indonesia. Caregiver who take care of PWDs’ daily activity have an important role and maybe prone to stress, guilty feeling, anger and sad due to hardship of caregiving the PWD. Therefore caregivers’ quality of life is substantial as PWDs’ quality of life.Aims:This study objective was to know the relationship of quality of life people with dementia and their caregiver in Indonesia.Methods:A descriptive-analytic study was conducted in RSUPN Dr. Ciptomangunkusumo Hospital Jakarta. Eighty four subjects were participated (42 PWD and 42 caregivers). PWD subjects were interviewed using questionnaires EQ-5D and severity of dementia measured using MMSE. Meanwhile caregivers’ QOL was measured using WHOQOL-BREF. Data was analyzed using binary correlation between PWD and Caregivers’ quality of life.Results:There was no correlation of PWD physical health and caregivers’ quality of life. However there was strong correlation between quality of health PWD and caregivers’QOL notably in environmental domain (r = 0.839). And there were also a strong correlation between PWD severity of dementia and caregiver’s QOL inphysical domain (r = 0.946). Some of caregivers’ factor influencing quality of life were age (r = 0.805), duration of caregiving each day (r = 0.362) and experience of caregiving (r = 0.927)Conclusion:Study found that the quality of health PWD had a strong correlation with caregiver’s QOL specifically in environmental domain.Internal factors related to caregiversQOL were age, duration of caregiving each day and experience of caregiving. Future study should be focused on objective measurement of quantify health quality.These findings suggest that caregivers’ quality of life also an essential part in managing dementia.
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Komalasari, Renata, and Elias Mpofu. "VALIDITY AND RELIABILITY OF THE ROWLAND UNIVERSAL DEMENTIA ASSESSMENT SCALE: IMPLICATIONS OF AN INDONESIAN STUDY." Innovation in Aging 6, Supplement_1 (November 1, 2022): 467. http://dx.doi.org/10.1093/geroni/igac059.1814.

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Abstract Standardized dementia screening self-report assessments from developing countries are increasingly adopted in developing countries. Yet the cross-cultural transportability of dementia screening tools cannot be assumed. The Southeast Asia region has one of the fast-growing geriatric populations but no locally developed or validated measures of cognitive decline among older adults. This study aimed to determine the validity and reliability of scores from the Rowland Universal Dementia Assessment Scale (RUDAS) for use in the multiethnic older adult population in Indonesia. Participants were 135 Indonesian older adults (females = 61.5%, males = 38.5%; age range = 60-82) who were patients of a geriatric nursing centre. They completed the Indonesian translation of the Rowland Universal Dementia Assessment Scale (RUDAS-Ina). Exploratory factor analysis and confirmatory factor analysis of the scores yielded two factors explaining a total of 55.13% (the first factor explained 38.18%; the second factor explained 16.96%) of the variance for the entire set of variables. The reliability of scores from the RUDAS-Ina was marginally satisfactory (Cronbach α = .61), suggesting a need for locally developed measures for use with the Indonesian geriatric population. Future studies should consider the feasibility of developing and calibrating an adapted RUDAS to the Indonesian setting, which also may be studied in other Southeast Asian countries.
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Turana, Yuda, D. Y. Suharya, and Dian Purnomo. "Remember Me Film Festival : An Education Efforts to Increase Dementia Awareness in Young Generations." MITRA: Jurnal Pemberdayaan Masyarakat 4, no. 1 (May 6, 2020): 1–10. http://dx.doi.org/10.25170/mitra.v4i1.793.

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The role of film as one of the effective educational media is fundamental, especially in promoting awareness of the early symptoms of Alzheimer's disease. In Indonesia, there have not been many productions that specifically aim to escalate knowledge and awareness of Alzheimer's disease. The purpose of this activity was to increase public awareness of dementia and Alzheimer's, promote prevention and dementia risk reduction, produce short films on dementia and Alzheimer's with Indonesian cultural background as well as encouraging people toward elderly-friendly behavior. The event was held as a collaboration between FKIK Unika Atma Jaya, Alzheimer's Indonesia, and Eagle Institute titled Remember Me Film Festival (RMFF). In disseminating the information, The RMFF activities were publicized via YouTube and mass media. The aims of this study was to discuss the Remember Me Film Festival (RMFF) meetings as part of the tridharma institutions (community service), evaluation of benefits to the community, and qualitative assessment of the contents of dementia research for viewers on social media (YouTube) at three time points of observation (1 year after being downloaded on YouTube). The results of RMFF revealed that for each point of observation there was an increase in the number of views from September 2017 to October 2018. The RMFF activity can thus be employed as a model of increasing health promotion using digital/online platform for the younger generation.
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Lestari, Retno, and Wendy Cross. "Providing Basic Needs and Encouragement as Strategies in Managing Aggression in Dementia Clients." Nurse Media Journal of Nursing 3, no. 2 (August 19, 2013): 621–31. http://dx.doi.org/10.14710/nmjn.v3i2.6003.

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Purpose: The experiences of caregivers in managing dementia clients with aggressive behaviour have been an issue in nursing homes. This study utilized the fact that there is no significant strategy for managing aggression effectively. The aim of the study is to explore the experiences of caregivers in managing dementia clients with aggressive behaviour in nursing home in Jakarta, Indonesia.Method: This study employed a hermeneutic phenomenological approach so that caregivers were able to explore the phenomenon of aggression by dementia residents in the nursing home. Six experienced caregivers were interviewed in this study to uncover caregivers’ strategies they use in managing aggression in dementia residents.Result: The findings in this study were several strategies that have been used by caregivers to manage aggressive behaviour among dementia residents in the nursing home: providing basic needs and encouragement.Conclusion: The findings suggested caregivers to implement the strategies for managing aggression in dementia residents. Due to a limited number of related studies in Indonesia, this study recommended for further research to other nursing homes in Indonesia to determine if other strategies to manage aggression exist.
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Hanifah, Afifah Kusuma, Riezky Valentina Astari, Hikmah Muktamiroh, and Arman Yurisaldi Saleh. "Vascular Dementia Patients Characteristics With a History of Stroke in a National Brain Center Hospital Jakarta, Indonesia." Folia Medica Indonesiana 58, no. 3 (September 5, 2022): 203–7. http://dx.doi.org/10.20473/fmi.v58i3.33228.

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Highlights: Characteristics of vascular dementia patients with a history of stroke was aimed. The most characteristics of vascular dementia patients with stroke history are men, post-ischemic stroke, hypertension grade 1, and lesions in the basal ganglia. Abstract: Stroke patients increase each year. Stroke is a cerebrovascular disorder caused by disruption of cerebral blood flow, which could reason vascular lesions within the mind parenchyma to be a threat to significant disorders. One of them is vascular dementia. Each affected person is prone to growing dementia after a stroke in three to five instances. Thisstudy aimed to decide the traits of patients with vascular dementia with a record of stroke. This study used a descriptive retrospective approach with a cross-sectional method. The samples were obtained from the total sampling technique. The sample of the study was vascular dementia patients with a stroke record at the National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono Jakarta in the period of 2020 through the inclusion standards with 191 samples. This study found that the majority of patients were males as many as 129 (67.5%), age group of 55-64 were 67 patients (35.1%), post-ischemic strokes were 164 patients (85.9%), grade 1 hypertension as many as 70 patients (36.6%), and basal ganglia as many as 76 patients (29.23%). Characteristics of vascular dementia patients with the maximum stroke records in men, aged 55-64 years, post-ischemic stroke, grade 1 hypertension, and a majority of the lesions within the basal ganglia.
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Putri, Yossie Susanti Eka, Yajai Sitthimongkol, Virapun Wirojratana, and Natkamol Chansatitporn. "Predictors of Depressive Symptoms among Family Caregivers of Patients with Dementia in Java, Indonesia." Siriraj Medical Journal 73, no. 8 (August 1, 2021): 549–58. http://dx.doi.org/10.33192/smj.2021.71.

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Objective: Depressive symptoms are common mental health problems among the family caregivers of patients with dementia. However, little is known about the prevalence of depressive symptoms among the family caregivers of patients with dementia in Indonesia. This study aimed to examine: 1) the factors predicting depressive symptoms, 2) the mediating role of social support in the relationship between burden and depressive symptoms, and 3) the association between depressive symptoms and healthcare utilization among family caregivers. Methods: This was a cross-sectional study involving 250 family caregivers of patients with dementia recruited from four hospitals in Java, Indonesia. Data were collected by Zarit Burden Interview (ZBI); the Neuropsychiatric Inventory Questionnaire (NPI-Q), the Mastery scale, the Multidimensional Scale of Perceived Social Support, and the Center for Epidemiologic Studies Depression (CES-D) Scale. Descriptive statistics, chi-square test, hierarchical multiple linear regression, and Baron and Kenny’s regression method were used to analyze the data. Results: The results revealed that about a quarter of the participants (24.8%) experienced depressive symptoms. Caregiver burden, mastery, behavioral and psychological symptoms of dementia, and social support explained 45.5% of the variance in the prevalence of depressive symptoms among family caregivers (R2=0.455). Social support also partially mediated the association between caregiver burden and depressive symptoms. There was no association between depressive symptoms and the use of healthcare services among the family caregivers. Conclusion: The findings revealed that social support is a mediating factor affecting the relationship between caregiver burden and depressive symptoms. Interventions targeting social support to help alleviate caregiver burden would be effective in helping reduce depressive symptoms in the family caregivers of patients with dementia.
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Juniarti, Neti, Ihda Al’Adawiyah MZ, Citra Windani Mambang Sari, and Hartiah Haroen. "The Effect of Exercise and Learning Therapy on Cognitive Functions and Physical Activity of Older People with Dementia in Indonesia." Journal of Aging Research 2021 (August 4, 2021): 1–9. http://dx.doi.org/10.1155/2021/6647029.

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Background. This study aims to analyze the effect of exercise and learning therapy on the cognitive functions and daily physical activities of older people with dementia in Indonesia. Methods. This was an experimental study with a pretest-posttest design and a control group. Samples were selected using nonrandom sampling methods and were then randomly assigned to intervention and control groups. The study population was older people with mild-to-moderate dementia, and the sample number was 90 people. The intervention group received an Indonesian physical exercise program for older people and reading therapy through 12 sessions over four weeks. The intervention was led by a community health volunteer who has been trained and certified. Results. The mean score for cognitive function in the intervention group showed significant increase between pre- and postintervention, with p value < 0. 001 , and there was no significant difference in the control group before and after intervention, with a p value of 0. 198 . Further, the Mann–Whitney test showed that there were significant differences in the mean scores for cognitive function between the intervention and control groups with p value < 0. 001 and a 95% confidence level. Conclusion. Based on the results, the Indonesian older people exercise program and reading aloud activity had a positive effect on the cognitive function of older people with dementia.
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Sya'diyah, Hidayatus, Nursalam Nursalam, Mahmudah Mahmudah, Ferry Efendi, Yoga Kertapati, and Firman Suryadi Rahman. "The Analysis of Independency Level of Elderly Having High Risk of Dementia in Surabaya Indonesia." Open Access Macedonian Journal of Medical Sciences 10, E (February 5, 2022): 1511–15. http://dx.doi.org/10.3889/oamjms.2022.9526.

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Background : Elderly with dementia through a decline in degenerative brain function is characterized by a progressive loss of memory function and other cognitive abilities, the number of which is increasing in almost all countries. Dementia is a degenerative disease that requires long-term treatment, experienced by a number of the elderly population (over 60 years) (Vega SFD, 2018). Dementia can ultimately affect social activities so that in general it affects the independence of the elderly in daily activities. Methods:The research design used in this research is descriptive analytical research design. The population involved in this study is the elderly in Surabaya, Indonesia, which is also the research sample for those who meet the criteria. These criteria include the elderly who are 60 years old, the elderly who are registered at the Community Health Center or Integrated Service Post, are diagnosed with dementia, do not include confirmed cases of COVID-19, live with family, have family members with a minimum high school education of at least 20 years, have and is able to operate Android mobile media, and does not suffer from complications. The sampling technique used in this study was simple random sampling with 100 respondents. Result : there are three levels of independence for the elderly with dementia, namely low independence as many as 35 respondents (35%), moderate independence as many as 51 respondents (51%), and high independence as many as 14 respondents (14%). These results are influenced by the characteristics of the elderly, family factors, and health services. Conclusion : Furthermore, most of the level of independence of the elderly is moderate independence. It is hoped that the elderly can increase their level of independence. The role of various lines is needed to support this including families and health workers, but the role of the elderly itself is also an important point to increase the independence of the elderly.
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Prihatin, Tut Wuri, Fery Agusman Mendrofa Motuho, Sonhaji Sonhaji, Dwi Indah Iswanti, and Shindi Hapsari. "GEMAR MAKAN IKAN UNTUK MENURUNKAN RESIKO DIMENSIA PADA LANSIA." Jurnal KESPERA 1, no. 1 (October 22, 2021): 13. http://dx.doi.org/10.34310/jkspr.v1i1.487.

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Pembangunan kesehatan menuju Indonesia Sehat (2015-2025) adalah meningkatkan kesadaran, kemauan dan kemampuan hidup bagi setiap orang agar terwujud derajat kesehatan masyarakat yang optimal. Masalah yang muncul di usia senja adalah menurunnya kemampuan kognitif dengan gejala mudah lupa, dan jika parah menyebabkan kepikunan. Salah satu bahan makanan yang disarankan untuk para lansia adalah konsumsi ikan. Tujuan pengabdian ini dilakukan untuk mengajarkan pada Lansia agar gemar makan ikan untuk menurunkan resiko dimensia. Metode kegiatan pengabdian ini dilakukan pada 1 Desember 2019 yang dibagi dalam kegiatan senam otak, diskusi tentang dimensia pemeriksaan kesehatan dan lomba masakan nusantara dengan bahan dasar adalah ikan. Hasil pengabdian yang dihadiri oleh 60 orang yang terdiri dari 18 kader kesehatan dan 42 Lansia. Tterbentuknya relawan peduli dimensia bekerjasama dengan ALZI (Alzheimer Indonesia). Relawan bekerja dengan menyesuaikan program Alzheimer's Indonesia yang terbagi dalam 5 komponen: 1. Advokasi 2. Peningkatan Kepedulian dan Pemahaman (Awareness Raising) 3. Peningkatan Kapasitas (Training) 4. Riset 5. Penguatan Organisasi Internal. Kesimpulan : meningkatkan pengetahuan lansia dalam mencegah dimensia dini dan alzaimer salah satunya dengan memberikan nutrisi yang seimbang (karbohidrat, protein, lemak dan vitamin serta mineral). Peningkatan perilaku hidup sehat dalam asuhan nutrisi dapat menurunkan angka dimensia. Kata kunci : makan ikan; dimensia; lansia FISH CONSUMING TO REDUCE THE RISK OF DIMENSIONS IN THE ELDERLY Abstract Health development towards Healthy Indonesia (2015-2025) is to increase awareness, willingness and ability to live for everyone in order to realize optimal public health degrees. The problem that arises in old age is the decline in cognitive abilities with symptoms of forgetfulness, and if severe causes senility. One of the recommended food ingredients for the elderly is fish consumption. The purpose of this service was to teach the elderly to like consuming fish to reduce the risk of dementia. The method of this service activity was carried out on December 1, 2019 which was divided into brain exercise activities, discussions about dementia, health checks and a national cuisine competition with fish as the basic ingredient. The results of the service were attended by 60 people consisting of 18 health cadres and 42 seniors, and the formation of volunteers who care about dementia in collaboration with ALZI (Alzheimer Indonesia). Volunteers work by adjusting the Alzheimer's Indonesia program which is divided into 5 components: 1. Advocacy 2. Awareness Raising 3. Capacity Building (Training) 4. Research 5. Internal Organizational Strengthening. The conclusion for this program is the raise of knowledge and awareness of the elderly in preventing early dementia and Alzheimer's, one of them is by providing balanced nutrition (carbohydrates, protein, fat and vitamins and minerals). Improving healthy living behavior in nutritional care can reduce the number of dementia. Keywords: eat fish; dementia; elderly
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Oktarina, Rani. "Hubungan Antara Status Gizi dan Aktivitas Fisik dengan Kejdian Dimensia." Cendekia Medika 5, no. 1 (April 30, 2020): 74–79. http://dx.doi.org/10.52235/cendekiamedika.v5i1.1.

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Based on the results of the 2014 National Socio-Economic Survey, the number of elderly people in Indonesia reached 20.24 million or around 8.03% of the total population of Indonesia. The purpose was to determine the relationship between nutritional status and physical activity with the incidence of dementia in Prabumulih City Market Health Center in 2019. This study uses Analytical Survey using the Cross-Sectional approach. The population is elderly people aged 45-59 years, amounting to 94 people. The sample amounted to 94 respondents. In the univariate analysis of 94 respondents, it was found that respondents with good nutritional status were 56 respondents (59.6%) and respondents with malnutrition status were 38 respondents (40.4%). Good physical activity was 52 respondents (55.3%) and respondents who had bad physical activity were 42 respondents (44.7%). Bivariate analysis showed Nutritional Status had a significant relationship with the incidence of dementia (p-value 0.003) and Physical Activity had a significant relationship with the incidence of dementia (p-value 0.001). This study concludes that there is a relationship between nutritional status and physical activity with the incidence of dementia in Prabumulih City Market Health Center in 2019.
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Astutik, Nanik Dwi, and Sr Felisitas. "Factors Influence Risk of Dementia in Elderly." Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 7, no. 3 (December 16, 2020): 389–97. http://dx.doi.org/10.26699/jnk.v7i3.art.p389-397.

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The population of elderly globally is predicted continue to increase. The number of dementia cases in Indonesia reaches 1 million cases with an increase in the average life expectancy of Indonesians. WHO estimated that by 2050 cases of dementia will increase drastically, from currently around 36 million to more than 115 million. In 2011 the number of dementia cases in Indonesia showed 1 million people which will increase due to high average life expectancy continue to increase. This caused in the quality of life for the sufferer decrease which potentially became a big problem especially for developing countries that were not ready to handle large amounts of the need for treatment. Factors influence the risk of dementia were divided into 3 domain factors cardiovascular risk factors, lifestyle risk factors and other risks. The purpose of this research analyzed factors that affect the risk of dementia among elderly in the elderly Posyandu, Tajinan Puskesmas work area Malang District. This research was cross sectional research methods. The sample Unit in this research was elderly who actively join elderly Posyandu in Tajinan Puskesmas, Malang District. Sample count 30 using proportionate stratified random sampling technique The Data analysis used SPSS software with logistics regression analysis tests. The results of this research showed that respondents who had high blood pressure had a chance of 23.9 times higher risk of cognitive problem compared to respondents who had normal blood pressure. This research also employed research articles, reports on research and teaching materials as the reference. The research recommends for elderly to maintain their health status especially blood pressure and emotions to prevent the occurrence of cognitive function/dementia.
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Nasution, Irina Kemala, Aldy Safruddin Rambe, Fasihah Irfani Fitri, and Iswandi Erwin. "Cognitive Function and Blood Pressure Examination in Padang Bulan Selayang II Subdistrict." Journal of Saintech Transfer 1, no. 2 (April 8, 2019): 121–27. http://dx.doi.org/10.32734/jst.v1i2.817.

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Hypertension is one of the main health problems in Indonesia, which if not controlled will result in health, psychological, social and economic burdens. A common clinical consequence of hypertension is impaired cognitive function, namely dementia and senility, which can be examined through the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina). The service program which is carried out by the Faculty of Medicine, Universitas Sumatera Utara (FK USU) is an examination of cognitive function and blood pressure in Padang Bulan Selayang II region. Examinations are carried out in accordance with the 2017 World Alzheimer Month and are followed by lay seminars on dementia, brain gym exercises (gerak latih otak/GLO) as well as brain teasers. The activity involved 26 participants from integrated development post (pos pembinaan terpadu/Posbindu) with a mean systolic blood pressure (TDS) 131.54 + 18.70 mmHg, mean diastolic blood pressure (TDD) 83.85 + 8.98 mmHg, mean mean arterial pressure 99, 69 + 9.47 mmHg and a mean MoCA-Ina score of22 + 5.03. Blood pressure monitoring, education of community awareness and cognitive stimulation at regular intervals are expected to prevent and reduce the incidence of hypertension, dementia and senility.
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Sari, Citra Windani Mambang, Eka Fitri Ningsih, and Sri Hartati Pratiwi. "DESCRIPTION OF DEMENTIA IN THE ELDERLY STATUS IN THE WORK AREA HEALTH CENTER IBRAHIM ADJIE BANDUNG." Indonesian Contemporary Nursing Journal (ICON Journal) 3, no. 1 (August 30, 2018): 1. http://dx.doi.org/10.20956/icon.v3i1.3736.

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Number of elderly in Indonesia in 2014 was reached 18.8 million lives and in 2025 would reached 36 million lives. Along with the increasing age, change of cognitive function on elderly was increased. Impaired cognitive function on elderly may caused alteration on personality and disrupting daily activity. If it took progressively, they can lead to dementia. By knowing dementia status on elderly in society it may be used as a database on developing program that related with elderly health in society. The aim of this research was to achieve description of dementia status on elderly in society. The method that used on this research was descriptive with quantitative approaches. Data collected by using Early Dementia Questionnaire (EDQ) on 98 elderlies took by used stratified random sampling technique at Puskesmas Ibrahim Adjie work area Bandung city. Univariat analysis has done to saw description of dementia status on elderly based on respondent characteristic. The result of this research obtained as many as 38 respondents with presentation 38.8% experienced early dementia and 60 respondents with 61.2% respondents belong to normal category
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Aprila, Rachel Dhea, An An, and Widi Raharjo. "Gambaran demensia vaskular pada pasien stroke nonhemoragik dengan diabetes melitus tipe 2 di poli saraf UPTD RSUD Sultan Syarif Mohamad Alkadrie Pontianak." Jurnal Cerebellum 6, no. 2 (March 2, 2021): 43. http://dx.doi.org/10.26418/jc.v6i2.45303.

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Latar belakang: Demensia vaskuler (VaD/vascular dementia) menempati peringkat kedua penyebab utama demensia atau dikenal dengan istilah pikun. Demensia berkembang sekitar 15-30% dalam kurun waktu 3 bulan setelah serangan stroke. Diabetes melitus tipe 2 merupakan faktor risiko independen stroke nonhemoragik yang dapat dimodifikasi. Sekitar 90% kasus lebih sering terjadi pada individu dengan diabetes melitus tipe 2. Indonesia menempati urutan ke-6 dengan angka penderita diabetes sebanyak 10,3 juta jiwa di tahun 2017. Penelitian ini bertujuan untuk mengetahui gambaran demensia vaskular pada pasien stroke nonhemoragik dengan diabetes melitus tipe 2 di Poli Saraf RSUD Sultan Syarif Mohamad Alkadrie Pontianak. Metode: Penelitian deskriptif dengan pendekatan cross sectional. Pengambilan sampel dilakukan dengan teknik purposive sampling. Data diperoleh dari wawancara dan kuesioner penelitian MoCA-INA, HIS, ADL dan IADL. Hasil: Pasien stroke nonhemoragik lebih banyak laki-laki (57,9%), kelompok umur 55-64 tahun (47,4%), ibu rumah tangga (IRT) (34,2%), tingkat pendidikan SMA (50%). Dijumpai gangguan kognitif ringan sebesar 47,4%, ADL tingkat ketergantungan ringan sebesar 57,9%, IADL tingkat mandiri sebesar 42,1% dan 94,7% terdiagnosis VaD. Kesimpulan: Demensia vaskular banyak dijumpai pada pasien stroke nonhemoragik dengan diabetes melitus 2.
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Gondodiputro, Sharon, Guswan Wiwaha, Melly Lionthina, and Deni Kurniadi Sunjaya. "Reliability and validity of the Indonesian version of the World Health Organization quality of life-old (WHOQOL-OLD): a Rasch modeling." Medical Journal of Indonesia 30, no. 2 (June 30, 2021): 143–51. http://dx.doi.org/10.13181/mji.oa.215065.

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BACKGROUND The World Health Organization (WHO) has developed the WHOQOL-OLD instrument, specifically measuring the quality of life (QoL) of the elderly, but the Indonesian version of the WHOQOL-OLD has not been available. METHODS This study was conducted in 2 steps. First, the instrument was translated and pre-tested to 8 elderly respondents from 2 villages in Lembang, West Java, Indonesia. Second, Rasch modeling was used as implemented by the Winstep version 3.73 software to analyze the reliability, validity, value of separation, Wright map analysis, item-fit order, and differential item functioning in elderly respondents (aged ≥60 years old and did not have dementia) from 6 community health centers in Bangka Regency, Bangka Belitung, Indonesia from July to December 2018. RESULTS Overall, the Indonesian version of the WHOQOL-OLD demonstrated good reliability and validity tests in 175 respondents. The overall value of the person reliability was 0.73 with the Cronbach’s alpha of 0.75, and the value of the item reliability was 0.97. A misconception and bias occurred in the death and dying facet, especially in the demographic categories of age, gender, and marital status. CONCLUSIONS The Indonesian version of the WHOQOL-OLD module has good psychometric properties to measure the QoL of the Indonesian older population. However, further studies involving various ethnicities, religious groups, and districts in Indonesia should be carried out before the module can be used throughout the country.
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Triyono, Heru Ginanjar, Meidiana Dwidiyanti, and Rita Hadi Widyastuti. "Perbedaan Tingkat Caregiver Burden Yang Merawat Lansia Demensia Di Panti Wreda." Holistic Nursing and Health Science 1, no. 2 (October 15, 2018): 77. http://dx.doi.org/10.14710/hnhs.1.2.2018.77-81.

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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.
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Archangela Olivia Eugenia, Cherryl Aurelia, Felisita Maritza Abidanovanty, Primadita Syahbani, and Sundari Indah Wiyasihati. "The role of physical exercise as a prevention towards dementia." World Journal of Advanced Research and Reviews 15, no. 3 (September 30, 2022): 192–97. http://dx.doi.org/10.30574/wjarr.2022.15.3.0045.

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Background: Indonesia as a country with an aging population structure is highly potential to develop an increase in dementia cases. Dementia is known as a syndrome of decreased cognitive function that can affect emotions, behavior, and daily activities, thus affecting the patient's quality of life. The management of dementia remains limited until this day, so it is necessary to prevent dementia by improving lifestyle, one of which is through exercise and physical activity. Methods: This study used a literature review method using 18 scientific articles as online data sources which were then further analyzed. Results and Discussion: Physical activity and exercise are important non-pharmacological interventions in reducing the risk of dementia. The risk of dementia is related to the intensity of the activity - the higher the intensity, the greater the role it has in reducing risk of dementia. Activities of moderate to vigorous intensity can improve cognitive function, induced by neurogenesis and neurotrophic factors expression that prevent brain atrophy. Aerobic exercise is predominantly done, supported by a combination of resistance training or other forms of exercise. Conclusion: Exercise or physical activity plays a role in the prevention of dementia through the mechanism of neurogenesis and preventing brain mass reduction. The delay in the progression of neurocognitive disorders by doing exercise or physical activity is influenced by the type and intensity of exercise, combined with lifestyle improvements such as nutritional diet and cognitive exercise. This intervention needs to be recommended for elderly adults to prevent dementia and other neurocognitive diseases.
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Hogervorst, Eef, Shelina Kassam, Atik Kridawati, Mira Soni, Xu Xin, Xiao Shifu, and Tri Budi Rahardjo. "Nutrition research in cognitive impairment/dementia, with a focus on soya and folate." Proceedings of the Nutrition Society 76, no. 4 (November 2017): 437–42. http://dx.doi.org/10.1017/s0029665117000404.

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Observational studies and treatment trials investigating nutrition and cognitive function, with a focus on folate and soya and dementia, were reviewed. Data suggested that effects of folic acid based interventions may only be shown before cognitive decline is evident and/or if people are folate deficient. In older people in Indonesia, Hawai'i and China, tofu, which can contain high levels of phytoestrogens, was found to increase dementia risk. This association was not mediated by a vegetarian diet, socioeconomic status, formaldehyde, thyroid function, or loss of teeth. On the other hand, human observational and animal treatment studies suggested that tempe, a fermented soya product containing phytoestrogens and folate, reduced dementia risk and improved memory. High oestrogen levels were found to increase dementia risk in older women. However, in women with adequate serum folate, high oestrogen levels did not confer additional dementia risk and may protect ageing neurons. In conclusion, reviews seem to suggest that folic acid interventions are only effective on cognitive outcomes in people who are folate deficient and do not have cognitive impairment. Frequent consumption of tofu may have detrimental effects on memory and increase dementia risk in older East Asian people, while tempe may reduce these risks. Possibly folate in tempe offsets the potential negative effects of oestrogenic compounds on ageing neurons.
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Putri, Yossie Susanti Eka, I. Gusti Ngurah Edi Putra, Annida Falahaini, and Ice Yulia Wardani. "Factors Associated with Caregiver Burden in Caregivers of Older Patients with Dementia in Indonesia." International Journal of Environmental Research and Public Health 19, no. 19 (September 29, 2022): 12437. http://dx.doi.org/10.3390/ijerph191912437.

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This cross-sectional study aimed to identify caregiver burden and its determinants in the informal caregivers of older patients with dementia (PWDs) aged ≥ 60 years in Java, Indonesia. Data were collected from 207 caregivers of older PWDs using self-administered questionnaires. The dependent variable was caregiver subjective burden, assessed using the Zarit Burden Interview (ZBI). The independent variables included the socio-demographic characteristics of PWDs and caregivers, the caregiver’s perceived social support, and the behavioural and psychological symptoms of dementia (BPSD). Linear regression with a stepwise elimination method was used to identify the factors associated with caregiver burden. This study found that four factors were associated with the caregiver burden, such as the gender of PWDs, the educational level of caregivers, social support, and BPSD (R-squared = 27.78%). Higher burden was reported among the caregivers of female PWDs (β = 5.58; 95%CI = 2.16; 8.99) and PWDs with higher scores of BPSD (β = 0.34; 95%CI = 0.25; 0.43). Meanwhile, the caregivers with higher perceived social support (β = −0.26; 95%CI = −0.42; −0.10) and who completed high school education and above (β = −6.41; 95%CI = −10.07; −2.74) tended to have lower scores of subjective burden. These findings suggest that BPSD management and maintaining the resources of support may provide an opportunity to minimise caregiver burden and improve the quality of life of caregivers and PWDs.
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Deskianditya, Resa Budi, Astuti Astuti, and Yudiyanta Yudiyanta. "Caregiver’s burden and age are related determinants to quality of life in people with dementia." Journal of Community Empowerment for Health 4, no. 2 (August 13, 2021): 94. http://dx.doi.org/10.22146/jcoemph.60432.

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Dementia is a degenerative disease with poor prognosis. People with dementia will depend on their caregivers. Care for dementia patients aims to promote or preserve their quality of life. Identification of the factors that affect (determinants) the quality of life of people with dementia is required, and caregiver determinants are proven to play a role. The caregiver’s role could affect the frequency and variety of therapy. Long-term cognitive and physical disability in people with dementia further develops the caregiver’s burden. This study aimed to assess the determinants of caregivers which have a relation with the quality of life in people with dementia. This cross-sectional study involved subjects who are dementia patients at the Memory Clinic of Dr. Sardjito Hospital, Yogyakarta, Indonesia and fulfilled the inclusion criteria and did not meet the exclusion criteria. Subjects and caregivers were interviewed and helped to complete several questionnaires, including the DEMQOL, ZBI, and GDS. Analysis within variables was performed using Pearson, Mann-Whitney, and T-tests, followed by a multivariate linear regression analysis. As many as 76 people with dementia were included, with the majority having the diagnosis of vascular dementia (53.9%), and the average DEMQOL Career score was 80.58 + 17.62 and 81.82 + 20.80 for DEMQOL Proxy. Bivariate correlation analysis showed a significant correlation between the caregiver’s age, gender, family relation, burden (ZBI), and depression (GDS) with the quality of life people with dementia (p <0.05). In the multivariate analysis, caregiver’s age was related to the quality of life of people with dementia based on DEMQOL Career (B =0.270; p =0.001) and DEMQOL Proxy (B =0.271; p =0.001) and the caregiver burden was related to the quality of life of people with dementia based on DEMQOL Career (B =-0.629; p =0.000) and DEMQOL Proxy (B =-0.661; p =0.000). In conclusion, the determinants of caregiver that are significantly related to quality of life in people with dementia are caregiver’s burden and age.
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Hillary Shelyn Harsono, The Maria Meiwati Widagdo, and Johan Kurniawan Djonggianto. "ELDERLY FAMILY KNOWLEDGE ABOUT DEMENTIA IN WONOKERTO VILLAGE, TURI DISTRICT, SLEMAN REGENCY, YOGYAKARTA." Indonesian Scholars Scientific Summit Taiwan Proceeding 4 (August 17, 2022): 97–102. http://dx.doi.org/10.52162/4.2022165.

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Background: According to WHO, an elderly person is someone who has reached the age of 60 to 65 years and over. The development of the number of elderly people in Indonesia in 2020 reached 9.93 percent. The incidence of dementia generally increases with age. Dementia is a syndrome that characterized by a progressive and persistent decline in cognitive function. In the condition of dementia, there is a decrease in the independence and dependence of the elderly on the productive population, one of which is the family. Objective: This study aims to describe the knowledge of elderly families about dementia in Wonokerto Village, Turi Sleman Regency, Yogyakarta. Methods: The subjects of this study were elderly families who cared for and lived at home with the elderly in Wonokerto The research was conducted using a qualitative research method with a phenomenological approach. Data was collected by means of in-depth interviews. The sample was taken by purposive sampling with a total of ten research subjects. The interview transcript was analyzed using the thematic framework. Results: Three research subjects with the latest high school education and experience caring for the elderly more than ten years were able to answer questions about dementia knowledge well. The remaining seven research subjects did not know the knowledge related to dementia or answered undecided. Conclusion: The results showed that most of the research subjects still do not understand about dementia knowledge such as the definition, types, examination, and management of dementia. While most research subjects have sufficient knowledge related to elderly support, how to care for the elderly with dementia.
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David Saifullah, Azam, Sri Mulyani, and Eria Riski Artanti. "A feasibility study af a blended learning dementia care: elective course for nursing students." Proceedings Series on Health & Medical Sciences 1 (December 10, 2020): 125–31. http://dx.doi.org/10.30595/pshms.v1i.49.

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As there is a limited long-term care options in Indonesia, people with dementia are cared for by their family. They often hospitalized as the condition progresses. Nurses are the profession with most contact. Therefore, preparing nursing students to care for people living with dementia is needed. Blended learning as e new learning strategy in dementia care for nursing student need to be evaluated to comprehend its feasibility in the future dementia care course. This study aimed to evaluate the feasibility of a blended learning course for nursing students about dementia. A blended learning course was developed as a three-credits elective course that voluntarily joined by 42 fourth year nursing students. This course integrates the schedule, modules, and assignments in a learning management system called eLOK (Moodle based). One group pre-post test was conducted to evaluate this course using DKAS (Dementia Knowledge Assessment Scale) and DAS (Dementia Attitude Scale) as instruments. Google form was integrated to evaluate the course and the use of eLOK. Data were analysed using a paired t-test. 37 students (88.1%) completed the questionnaires. There is a significant improvement in knowledge towards dementia (t = 5.96, p value < .00) but not the attitude (t = 2.50, p value = .17) right after completing the course. Students also well appreciated the quizzes and project as the evaluation of learning outcomes of the course. Moreover, the audio-visual material in eLOK made them feel helpful in learning new topics and made new constructive experience of learning. In conclusion, this blended learning is feasible to be used as a learning method for delivering dementia care course.
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Rahmi, Upik, and Yoanita Suryani. "Dukungan Keluarga terhadap Penderita Demensia di Bandung." Wiraraja Medika : Jurnal Kesehatan 10, no. 2 (December 1, 2020): 60–65. http://dx.doi.org/10.24929/fik.v10i2.1000.

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Abstract Family members are primarily responsible for the care of loved ones with dementia. Family support and living with people with dementia are cultural norms that are expected in Indonesia, where family members with dementia are considered family responsibilities that must be fulfilled. The purpose of this study: to find out Family Support for Dementia sufferers. Quantitative descriptive with cross sectional design. The study was conducted in the city of Bandung with a population of 41 respondents and a sample of (n = 41) primary caregivers / families who care for dementia patients, sampling with total sampling. Family support based on education in the good category (68.3%) and not good 13 respondents (31.7%), emotional factors in the good category 26 respondents (63.4%) and not good 15 respondents (36, 6%), based on spiritual in the good category of 24 respondents (58.5%) and not good 17 respondents (43.9%), social and psychological factors are in the good category 26 respondents (63.4%) and not good 15 respondents (36.6%), and the last indicator of economic factors was in the good category of 25 respondents (61.0%) and not good 16 respondents (39.0%). Family support is very important to improve the quality of life of people with dementia, namely support based on educational, psychological / emotional, spiritual, social and environmental and economic factors. Some have provided good support, but there is still support that is not good Keywords: Dementia, Family Support, Education, Psychology
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Rahmi, Upik, and Yoanita Suryani. "Dukungan Keluarga terhadap Penderita Demensia di Bandung." Wiraraja Medika : Jurnal Kesehatan 10, no. 2 (December 1, 2020): 60–65. http://dx.doi.org/10.24929/fik.v10i2.1000.

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Abstract Family members are primarily responsible for the care of loved ones with dementia. Family support and living with people with dementia are cultural norms that are expected in Indonesia, where family members with dementia are considered family responsibilities that must be fulfilled. The purpose of this study: to find out Family Support for Dementia sufferers. Quantitative descriptive with cross sectional design. The study was conducted in the city of Bandung with a population of 41 respondents and a sample of (n = 41) primary caregivers / families who care for dementia patients, sampling with total sampling. Family support based on education in the good category (68.3%) and not good 13 respondents (31.7%), emotional factors in the good category 26 respondents (63.4%) and not good 15 respondents (36, 6%), based on spiritual in the good category of 24 respondents (58.5%) and not good 17 respondents (43.9%), social and psychological factors are in the good category 26 respondents (63.4%) and not good 15 respondents (36.6%), and the last indicator of economic factors was in the good category of 25 respondents (61.0%) and not good 16 respondents (39.0%). Family support is very important to improve the quality of life of people with dementia, namely support based on educational, psychological / emotional, spiritual, social and environmental and economic factors. Some have provided good support, but there is still support that is not good Keywords: Dementia, Family Support, Education, Psychology
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Windri Rivarti, Arina, Fitriannisa Faradina Zubaedi, Herpan Syafii Harahap, Nurhidayati Nurhidayati, and Legis Ocktaviana Saputri. "SKRINING DEMENSIA DAN EDUKASI POTENSI SUMBER DAYA LAUT UNTUK MENCEGAH PENYAKIT NEURODEGENERATIF PADA MASYARAKAT PESISIR DI KABUPATEN LOMBOK UTARA (KLU)." Jurnal Abdi Insani 9, no. 4 (December 28, 2022): 1527–34. http://dx.doi.org/10.29303/abdiinsani.v9i4.827.

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Improving the quality of health services has resulted in a high elderly population. The elderly are more susceptible to various degenerative diseases, including dementia. The high prevalence of dementia is a major health issue that has an impact on global socioeconomic problems. Indonesia is one of the world's largest archipelagic countries. As an archipelago-based region, West Nusa Tenggara (NTB) has numerous marine resources that could be utilized as potential dementia therapies. This program aims to conduct health screenings for dementia and educate about the potential of marine resources for dementia treatment. This program consists of two phases. The first phase consists of a health screening to assess the risk of dementia. This phase includes measuring blood pressure, measuring blood sugar, and evaluating cognitive performance. The second phase consists of health education regarding the potential of marine resources. Based on dementia screening revealed that 96% of participants need additional evaluation. About 47.3% of the patients were diagnosed with hypertension, 61.1% required further confirmation for diabetes mellitus, and 5.6% were diagnosed with diabetes mellitus. Health education explains the importance of marine resources in preventing degenerative diseases, the nutritional value of marine resources, and the proper treatment of marine resources as food and medication. The community's enthusiasm for health education is high. The high interest of the people was evidenced by a large number of attendees and queries asked. The community participates actively, and the programs run as intended.
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Kristanti, Martina Sinta, Yvonne Engels, Christantie Effendy, Astuti, Adi Utarini, and Myrra Vernooij-Dassen. "Comparison of the lived experiences of family caregivers of patients with dementia and of patients with cancer in Indonesia." International Psychogeriatrics 30, no. 6 (September 5, 2017): 903–14. http://dx.doi.org/10.1017/s1041610217001508.

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ABSTRACTBackground:Dementia, even more than cancer, demands long-term care. While in Indonesia cancer is accepted as a disease requiring caregiving, dementia is still considered "a normal condition." These differences might affect the experiences of caregivers, especially those relating to social health, the subject of our study. We aim to describe and compare the lived experiences of family caregivers of patients with cancer (PWC) with those of patients with dementia (PWD) in Yogyakarta, Indonesia, and to explore the role of their social health in these experiences.Method:A qualitative design was applied. In-depth face-to-face interviews were conducted with PWC and PWD caregivers in two outpatient clinics of a tertiary hospital. The constant comparative method was applied to analyze the data that were interpreted using the concept of social health to explore the experiences of the caregivers. We used Atlas.ti software.Results:Three themes were identified: problems with caregiving, dealing with problems, and beliefs in caregiving. We found more similarities than differences in the experiences of caregivers in both groups. Half of the categories were related to social health: challenges, consequences, hiding, social support, and the caregiver's approach. The organization of dementia care is characterized by simplicity and direct ties between medical specialists, PWD, and caregivers, whereas cancer care encounters coordination problems.Conclusions:Family caregivers of both groups mostly had similar experiences of the caregiving process. Gaining a better understanding of the specific experiences of caregivers, and their social health, opens new avenues for interventions to improve their quality of life.
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Lindayani, Linlin, Diwa Agus Sudrajat, Chanti Melnawati, and Dian Anggarini. "Prevalence of neurocognitive impairment and its associated factors among patients with HIV in Indonesia." British Journal of Neuroscience Nursing 16, no. 6 (December 2, 2020): 258–64. http://dx.doi.org/10.12968/bjnn.2020.16.6.258.

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Background: Patients with HIV are susceptable to developing HIV-associated neurocognitive disorder (HAND). However, few studies have explored the prevalence of neurocognitive impairment and its associated factors among patients with HIV in Indonesia. Aims: This study aimed to explore the prevalence of neurocognitive impairment in patients with HIV in Indonesia. Methods: A cross-sectional study was conducted among patients with HIV in West Java, Indonesia. Patients were eligible for study participation if they were HIV-positive and were aged over 20 years. The International HIV Dementia Scale (IHDS) was used to measure probable HIV–related dementia. Descriptive categorisations and statistics, using mean scores, standard deviation (SD) calculations or frequency rates, were applied to participant characteristics and major variables. Findings: There were a total 150 participants in this study. The mean age was 38.09 years (SD=3.99); 74% were male; 80.7% were high school graduates. The mean of CD4 counts was 493.3 (SD=139.8), and all participants had been living with HIV for more than 9 years (SD=3.84). The mean of total scores using the IHDS was 10.2 (SD=1.58), and 49.30% of patients with HIV were reported to have cognitive impairment. There was an increased prevalence of cognitive impairment among males with a higher BMI and higher systolic blood pressure Conclusions: Nearly half of patients with HIV in Indonesia are at high risk of cognitive impairment, as measured by IHSD. Health professionals caring for patients with HIV may consider routine neurocognitive impairment screenings during clinical visits to address this risk.
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Swatan, Jovian Philip, and Yudha Haryono. "Are Abbreviated Mental Test (AMT) and Ascertain Dementia 8 Indonesia (AD8-INA) Questionnaires More Superior than Mini-Mental State Examination (MMSE) as Dementia Screening Instrument among Elderly in Rural Areas?" AKSONA 2, no. 1 (January 31, 2022): 6–10. http://dx.doi.org/10.20473/aksona.v2i1.210.

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Introduction: Dementia screening provides numerous benefits to its users. However, current screening methods have several limitations regarding applicability and accuracy, making it difficult to accommodate the results. Objective: To describe whether the Abbreviated Mental Test (AMT) and Ascertain Dementia 8 Indonesia (AD8-INA) questionnaire is superior to Mini-Mental State Examination (MMSE) questionnaire as a dementia screening instrument for the elderly in rural areas. Methods: A cross-sectional study was conducted in February 2020 at Banyuwangi residence. Dementia screening was conducted among elderly respondents using MMSE, AMT, and AD8-INA questionnaires. Sensitivity and specificity of AMT, AD8-INA and combined AMT+AD8-INA were compared with the MMSE questionnaire using crosstabs. Comparison of time required to complete each questionnaire was analyzed using Wilcoxon Signed Rank Test. Results: Mean age among 59 respondents was 68.44 years. The average MMSE score was 24.54. Compared with MMSE, the AMT questionnaire had a sensitivity of 47.37% and specificity of 100% (X2 = 22.36, p <0.001). Meanwhile, the AD8-INA questionnaire had a sensitivity of 63.16% and specificity of 45% (X2 = 24.64, p <0.001). The average questionnaire completion time of AMT, AD8-INA, and combined AMT+AD8-INA each was significantly shorter than MMSE (122.59, 121.17, and 243.76 seconds vs 319.83 seconds, p<0.001, <0.001, and <0.001, respectively). Conclusion: This study found that the combined AMT+AD8-INA questionnaire could be used as a dementia screening instrument among the elderly in rural areas with considerable sensitivity and shorter administration time.
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Kurniawan, Putu Astiswari Permata, Erikavitri Yulianti, and Novira Widajanti. "Anxiety Profile of PWD and Caregiver During COVID-19 Pandemic in ALZI Surabaya Community, Indonesia." Journal of Medical and Health Studies 3, no. 1 (January 14, 2022): 01–08. http://dx.doi.org/10.32996/jmhs.2022.3.1.1.

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The consequence of COVID-19 pandemic conditions in vulnerable groups such as Patients with Dementia (PWD) and their caregivers are required to be urgently addressed. This study was conducted to collect data on PWD and caregiver characteristics, also concluding the profile of anxiety during the COVID-19 pandemic in Alzi Surabaya Community. This research is an observational descriptive cross-sectional study using the Beck Anxiety Inventory and Rating Anxiety in Dementia questionnaire to apprehend the profile of anxiety in PWD and caregivers in the Alzi Surabaya Community during the COVID-19 pandemic. PWD in this community experience significant anxiety (82.35%) with symptoms such as sleep disturbance (100%) worry over trifles (92.85%), complaints of headache and body aches or pains (92.85%) also sweating, flushes or chills, tingling or numbness of extremities (42.85%) and insignificant anxiety (17.65%) with symptoms such as fatigue and tiredness (100%), worry about physical health (66.57%), irritability (66.57%), heart racing or thumping (33.33%). Caregivers of PWD in this community all experience low anxiety with symptoms such as fear of something worst happening (80%), unable to relax (65%), indigestion and dizziness or lightheadedness (55%). Intervention, in order to reduce anxiety in PWD and caregiver during and post-pandemic, is substantial as establishing a good quality of life is important for PWD to increase fulfilment in life and also important for caregivers in order to maintain quality of care.
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Heok, Kua Ee. "Elderly people with mental illness in South-East Asia: rethinking a model of care." International Psychiatry 7, no. 2 (April 2010): 34–36. http://dx.doi.org/10.1192/s1749367600005701.

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The report World Population Ageing 1950–2050 (United Nations, 2002) estimated that in 2005 there were 37.3 million elderly people (i.e. aged 65 years or more) in South-East Asia (a region incorporating Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam). There are only a few epidemiological studies on mental disorders among elderly people in this region and the published data are mainly from Singapore, Malaysia and Thailand. Using Singapore's prevalence rate of 3% for dementia and 5.7% for depression, the numbers of elderly people with dementia in this region would be 1.2 million and with depression 2.12 million (Kua, 1992; Kua & Ko, 1995). However, even in Singapore, we have identified only 10% of all potential cases of dementia and depression — meaning that the large majority of elderly people with mental disorders are not detected, although they may be known, for other reasons, to the health services.
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Fitri, Fasihah Irfani, Ika Mariana Gultom, Eka Mahendrayana, Engki Irawan, Aldy Safruddin Rambe, Tara Puspitarini Sani, Yuda Turana, Imelda Theresia, Nicolas Farina, and Sube Banerjee. "Adaptation of the STRiDE dementia survey into the Indonesian context in North Sumatra." Neurology Asia 27, no. 3 (September 2022): 737–43. http://dx.doi.org/10.54029/2022pti.

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Background: North Sumatra is one of two provinces in Indonesia in which the prevalence and costs of care of dementia has been completed as part of the STrengthening Responses to dementia In Developing countries (STRiDE) program. The toolkit used in the study was developed in English and thus needed to be cross-culturally adapted into Bahasa Indonesia. Part of this process involved pre-testing as a way to maximize the cultural appropriateness of the toolkit, especially in a multi- ethnic province like North Sumatra. Here we report the adaptation process. Methods: The translated toolkit consisted of measures needed within the prevalence survey in North Sumatra. This included cognitive, functional and quality of life measures aimed at older adults and their informants (i.e., family member). The interviewer asked each component of the toolkit in full, making notes on certain questions or items that need to be clarified or rephrased for the participants. Any specific difficulty in understanding the translated sentence or any items that were culture inappropriate were also noted. Data included observation, interviews, verbatim quotes which were constructed in the form of field- notes. Results: Several questions and items needed to be paraphrased to achieve greater clarity and make sure that they were in line with the original meanings. This was mainly due to the translatability of the word from the source language to the target language with errors that could be linguistic or cultural. Translating a text from English to Bahasa Indonesia and vice versa may be affected because of the different ways of ellipsis, which is a phenomenon of missing phrasal components, operated in both languages. Although the respondents belonged to different ethnic groups, cultural background did not affect the way they responded to the questions. Conclusion: Cross-cultural adaptation and pre-testing process played an important role to ensure the toolkit measured and was interpreted as it was originally intended. The STRIDE toolkit was generally accepted and understood, although several items need further explanation or examples.
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Maryam, Raden Siti, Junaiti Sahar, Sutanto Priyo Hastono, and Kuntjoro Harimurti. "Common symptoms of Alzheimer’s dementia that are easily recognizable by families." Dementia & Neuropsychologia 15, no. 2 (April 2021): 186–91. http://dx.doi.org/10.1590/1980-57642021dn15-020005.

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ABSTRACT. The increase in dementia incidence among the elderly is directly related to aging, which is associated with changes in bodily functions and other health-related risk factors. Alzheimer's dementia is the most prevalent form of dementia, and individuals in the late stages are predominantly dependent on other family members. Therefore, it is important for families, as the closest support group, to recognize common symptoms early. Objective: To provide a family-friendly guide to the ten common symptoms of Alzheimer's dementia. Methods: This is a descriptive survey-based research that included 354 families comprising elderly people (≥60 years) residing in Jakarta. The instrument aimed at identifying ten common Alzheimer’s dementia symptoms in Indonesia. Descriptive statistical analysis based on frequency tables was used. Results: The participant’s major characteristics were age ≥66 years (52.3%), female sex (70.3%) and primary school education (87.3%). The predominant symptoms experienced by 42.4% of the elderly included forgetting recent events and asking questions and narrating a particular detail repeatedly. The remaining 35.6% demonstrated signs of forgetting where an item was placed and frequently suspecting others of theft and concealment of personal items. Conclusion: The symptoms of frequently forgetting new events and the location of personal belongings are of particular concern for families, as they have a propensity to progress and interfere with daily activities. Therefore, the families of affected individuals are expected to identify this symptom early on and present the affected individual for screening or examination at a health care facility.
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Fukuhara, Ryuji, Amitabha Ghosh, Jong-Ling Fuh, Jacqueline Dominguez, Paulus Anam Ong, Aparna Dutt, Yi-Chien Liu, Hibiki Tanaka, and Manabu Ikeda. "Family history of frontotemporal lobar degeneration in Asia – an international multi-center research." International Psychogeriatrics 26, no. 12 (April 23, 2014): 1967–71. http://dx.doi.org/10.1017/s1041610214000635.

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ABSTRACTBackground:Previous studies in western countries have shown that about 30%–50% of patients with frontotemporal lobar degeneration (FTLD) have a positive family history, whereas the few epidemiological studies on FTLD done in Asia reported much lower frequencies. It is not clear the reason why the frequencies of FTLD with positive family history were lower in Asia. Furthermore, these findings were not from studies focused on family history. Therefore, it is necessary to conduct further studies on the family history of FTLD in Asia. This international multi-center research aims to investigate the family histories in patients with FTLD and related neurodegenerative diseases such as progressive supranuclear palsy (PSP), corticobasal syndrome (CBS), and motor neuron diseases in a larger Asian cohort.Methods:Participants were collected from five countries: India, Indonesia, Japan, Taiwan, and Philippines. All patients were diagnosed with behavioral variant frontotemporal dementia (bvFTD), semantic dementia (SD), progressive non-fluent aphasia (PA), frontotemporal dementia with motor neuron disease (FTD/MND), PSP, and corticobasal degeneration (CBD) according to international consensus criteria. Family histories of FTLD and related neurodegenerative diseases were investigated in each patient.Results:Ninety-one patients were included in this study. Forty-two patients were diagnosed to have bvFTD, two patients had FTD/MND, 22 had SD, 15 had PA, one had PA/CBS, five had CBS and four patients had PSP. Family history of any FTLD spectrum disorder was reported in 9.5% in bvFTD patients but in none of the SD or PA.Conclusion:In contrast to patients of the western countries, few Asian FTLD patients have positive family histories of dementia.
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Yudhawasthi, Ciwuk Musiana. "MUSEUM AS A HEALTH AND WELLBEING FACILITATOR IN PANDEMIC ERA: A PERSPECTIVE FROM MUSEUM COMMUNICATION." Scriptura 12, no. 1 (August 22, 2022): 1–12. http://dx.doi.org/10.9744/scriptura.12.1.1-12.

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During the pandemic, museums in the world began to move to expand their role in social interaction. Referring to the proposed new museum definition from ICOM which is still being discussed, museums are expected to contribute to the health and well-being sector. Currently, all museums in the world are changing the way they work by using technology and carrying out all activities remotely by utilizing various applications to stay connected with their visitors. What about the condition of museums in Indonesia? how museums in Indonesia carry out their role as direct actors of social development beyond their educational role? Are museums in Indonesia more proactive in improving society lives with special consideration for marginalized groups, like a senior adult, disabled person, special need, people with dementia, schizophrenia, or people with mental health? How museums in Indonesia use technology to communicate with their users? Researchers use qualitative studies and virtual ethnographic methods to explore museums that use social media. The results of the study show that most of the museums in Indonesia are not aware of their role to contribute to the quality of urban life, especially during the pandemic. And museum communication skills in the pandemic era must be expanded through the use of the internet while still paying attention to the ethics and limitations that apply to each type of collection owned.
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Tualeka, Abdul Rohim, Dwi Ananto Wibrata, Bahrul Ilmi, Ahsan Ahsan, and Pudji Rahmawati. "Association Between Toluene Inhalation Exposure and Demography Towards Risk of Neurotoxic: A Cross-Sectional Study at Plastic Sack Industry Workers in Indonesia." Global Journal of Health Science 11, no. 2 (January 7, 2019): 20. http://dx.doi.org/10.5539/gjhs.v11n2p20.

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Toluene as a chemical often used by industry has effects that are harmful to the human body. One known effect was neurotoxic. Plastic industry workers are always exposed to toluene with a neurotoxic risk. Research on toluene exposure towards neurotoxic risk has never been done in Indonesia.The research subjects were printing workers in the PT X plastic sack industry. The design was cross-sectional with simple random sampling obtained 32 workers. Toluene concentration was measured using a gas chromatography device while the neurotoxic risk was measured using Q18 Questionnaire from German. The majority of the study subjects aged range of 36-45 years, worked more than 18 years, sometimes used personal protective equipment (PPE), and had nutritional status with criteria for overweight&nbsp; (&ge; 23.0 - 24.9). Demographic factors such as age, working period, personal protective equipment (PPE) and nutritional status have a significant relationship with neurotoxic risk. Indoor toluene concentration also had a significant relationship with neurotoxic risk. Continuous toluene exposure could cause apoptosis/damage to the myelin sheath in the nerves so that it can cause neurotoxin risks such as difficult to concentrate, emotional, dementia and sleep disturbances. Toluene exposure in plastic bag workers can cause a risk of neurotoxins such as difficult to concentrate, dementia,&nbsp; and sleep disturbances. Plastic sack workers are required to use PPE regularly (especially masks) to reduce the risk of neurotoxins through toluene inhalation.
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Putri, Yossie Susanti Eka, and Ni Made Riasmini. "The Predictors of Caregiver’s Burden and Depression Level in Caring Elderly People with Dementia at Community." Jurnal Ners 8, no. 1 (April 2, 2017): 88–97. http://dx.doi.org/10.20473/jn.v8i1.3882.

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Introduction: Most older people with dementia in Indonesia stay at home, cared by family members. Family caregivers even experience physical, psychological, social, and fi nancial problems. Care giving demands often lead to caregiver burden and depression. The objective of this study was to determine factors which contribute burden and depression experienced by the caregivers of older people with dementia.Method: Design was descriptive analytic with cross sectional approach. The population were caregivers living with older people with dementia. Sample size were 183 respondents. The independent variables were caregiver’s contextual factors, stressor caregiving, and intervening factor. The dependent variables were the burden of care and level of caregivers’ depression. Data were collected using questionnaire. Data were analyzed using linier regresion.Results: Statistical analyses showed marital status was significantly related to caregivers’ burden. While worked, education, and relationships with older people were significantly related with caregivers’ depression level. Memory and behavior problem, the task of caring and satisfaction of caring were related with caregivers’ burden and depression level. Multivariate analyses show health status was the most factors related to caregivers’ depression level. Memory and behavior problems was main factor related to caregivers’ burden of caring for older people with dementia.Conclusion: The results are expected to provide information about the extent of caregivers’ burden and depression which experienced in care giving, therefore the services can be designed based on the needs of the caregivers of persons with dementia in the community.
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Wiratman, Shinta Kaozar, and Widya Hary Cahyati. "Decreased Cognitive Function in People with Type 2 Diabetes Mellitus." Jurnal Kesehatan Masyarakat Indonesia 16, no. 1 (April 30, 2021): 34. http://dx.doi.org/10.26714/jkmi.16.1.2021.34-41.

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ABSTRACTBackground: The number of cases and the prevalence of diabetes has continued to increase over the past few decades. DM itself is associated with an increased risk of cancer, kidney failure, stroke, and decreased cognitive function that leads to dementia. In 2016 Indonesia has an estimated 1.2 million people with dementia and is expected to grow to 4 million by 2050.Objective: The purpose of this study was to find out the risk factors for decreased cognitive function in people with type 2 diabetes mellitus.Method: This type of research is observational analytics with cross sectional design. The sample was 62 respondents with purposive sampling techniques. The instrument used in the study was a structured questionnaire. Measurement of cognitive function using MoCA-INA questionnaire. Data collection is done by interview method to respondents.Result: The results showed that there was a relationship between the age of the respondent (PR= 2.98; 95% CI= 0.97-9.17), and the respondent's blood sugar level (PR= 3.31; 95% CI= 1.12-9.74) to decreased cognitive function in people with type 2 diabetes mellitus.Conclusion: Age and blood sugar levels of respondents contributed to decreased cognitive function of people with type 2 diabetes mellitus.
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Sigalingging, Ganda, Zulkarnain Nasution, Hetti Marlina Pakpahan, and Nasilia Tafonao. "Penerapan Terapi Aktivitas Kelompok (TAK) Dan Senam Lansia Sebagai Upaya Pengendalian Demensia Pada Lansia." JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) 4, no. 4 (August 3, 2021): 867–73. http://dx.doi.org/10.33024/jkpm.v4i4.3959.

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ABSTRAK Ancaman triple burden merupakan tantangan yang harus dihadapi di Indonesia, diantaranya jumlah lansia yang terus meningkat. Seiring pertambahan usia, berpotensi menimbulkan masalah kesehatan fisik dan psikososial antara lain depresi, harga diri rendah, bahkan bunuh diri, jika tidak ditangani dengan serius. Oleh karena itu, diperlukan upaya mempertahankan kesehatan lansia pada taraf kesehatan optimal. Tujuan untuk meningkatkan kemampuan lansia berinteraksi dalam rangka pencapaian penyesuaian psikologi, perilaku dan pencapaian adaptasi optimal. Metode kegiatan melakukan senam sehat dan terapi aktivitas kelompok (TAK). Hasil kegiatan menunjukkan, secara keseluruhan lansia terlihat ceriah dan bahagia. Disimpulkan kegiatan ini mampu meningkatkan semangat dan menciptakan kebersamaan sesama lansia selama berada di rumah Jompo. Kepada Yayasan panti jompo untuk memfasilitasi kegiatan sesuai kebutuhan lansia yaitu melakukan terapi aktivitas kelompok (TAK) dengan senam sehat secara berkesinambungan untuk tercipta perasaan yang riang gembira sehingga kualitas hidup lansia tetap sehat, mandiri, berguna, dan produktif. Kata kunci : Terapi aktivitas kelompok, senam sehat, demensia, lansia. ABSTRACT The triple threat is a challenge that must be faced in Indonesia. More and more the number of elderly continues to increase. As you age, changes occur due to the aging process that causes physical and psychosocial problems. one of the psychosocial problems in the elderly is low self-esteem. If that doesn't work, the elderly will repair, attract, challenge, and even escape. Therefore, it is necessary to maintain the health of the elderly at an optimal level of health. The goal is to increase the ability of the elderly in the contexts of psychological loss, behavior, and optimal adaptation. Activity methods of doing healthy gymnastics and group activity therapy. The results of the activity showed that overall the elderly looked bright and happy. This activity can increase enthusiasm and create togetherness among the elderly in a nursing home. Keywords: Group activity therapy, healthy gymnastics, dementia, elderly.
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Fitri, Fasihah Irfani, Aldy Safruddin Rambe, and Aida Fitri. "Correlation between Lymphocyte CD4 Count, Treatment Duration, Opportunistic Infection and Cognitive Function in Human Immunodeficiency Virus-Acquired Immunodeficiency Syndrome (HIV-AIDS) Patients." Open Access Macedonian Journal of Medical Sciences 6, no. 4 (April 13, 2018): 643–47. http://dx.doi.org/10.3889/oamjms.2018.152.

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BACKGROUND: Human immunodeficiency virus (HIV) infection is an epidemic worldwide, despite the marked benefits of antiretroviral therapy (ARV) in reducing severe HIV-associated dementia. A milder form of neurocognitive disorders are still prevalent and remain a challenge.AIM: This study aimed to determine the correlation between plasma cluster of differentiation 4 (CD4) lymphocyte, duration of ARV treatment, opportunistic infections, and cognitive function in HIV-AIDS patients.METHODS: A cross-sectional study involving 85 HIV-AIDS patients was conducted at Adam Malik General Hospital Medan, Indonesia. All subjects were subjected to physical, neurologic examination and Montreal Cognitive Assessment-Indonesian Version (MoCA-INA) to assess cognitive function and measurement of lymphocyte CD4 counts.RESULTS: Out of the 85 subjects evaluated, the proportion concerning sexes include 52 males (61.2 %) and 33 females (38.8%). The mean age was 38.53 ± 9.77 years old. There was a significant correlation between CD4 lymphocyte counts and MoCA-INA score (r = 0.271, p = 0.012), but there was no significant correlation between duration of ARV treatment and MoCA-INA score. There was also no difference in MoCA-INA score based on the presence of opportunistic infection.CONCLUSION: Lymphocyte CD4 count was independently correlated with cognitive function in HIV-AIDS patients.
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Rocha, Ida Ingrid, Kaavya Narasimhalu, and Deidre Anne De Silva. "Impact of Air Pollution and Seasonal Haze on Neurological Conditions: A Review." Annals of the Academy of Medicine, Singapore 49, no. 1 (January 31, 2020): 26–36. http://dx.doi.org/10.47102/annals-acadmedsg.18087.

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Introduction: Air pollution is a global problem and seasonal haze from forest clearing and peat land burning in Indonesia is an annual phenomenon in Southeast Asia. As neurological disorders comprise 6.3% of the burden of disease globally, we reviewed evidence of the association between common neurological conditions and air pollution exposure, and summarised existing data on the impact of the haze phenomenon in Southeast Asia. Materials and Methods: A PubMed search for relevant studies on air pollution, Alzheimer’s disease (AD), dementia, epilepsy, haze, headache, migraine, stroke, Parkinson’s disease (PD) and neuromuscular conditions was performed. There were 52 articles which were relevant and were reviewed. Results: There were associations between short-term air pollution exposure with AD, epilepsy, ischaemic stroke and migraine. Long-term air pollution exposure was associated with AD, amyotrophic lateral sclerosis, dementia and ischaemic stroke. Evidence on the link between air pollution and PD was inconsistent. Currently, there is no specific data on the effects haze has on neurological conditions in Southeast Asia. Conclusion: Air pollution is associated with increased risk of certain common neurological disorders. More specific studies are needed to investigate the impact of seasonal haze on neurological conditions in Southeast Asia. Key words: Alzheimer’s disease, Epilepsy, Migraine, Parkinson’s disease, Stroke
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Kamariyah, Kamariyah, and Yuliana Yuliana. "Pengaruh Terapi Aktivitas Kelompok Stimulasi Sensori: Menggambar terhadap Perubahan Tingkat Halusinasi pada Pasien Halusiansi di Ruang Rawat Inap Rumah Sakit Jiwa Daerah Jambi." Jurnal Ilmiah Universitas Batanghari Jambi 21, no. 2 (July 4, 2021): 511. http://dx.doi.org/10.33087/jiubj.v21i2.1484.

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Indonesia According to WHO (2017) data, there are about 35 million people affected by depression, 60 million people are affected by bipolar, 21 million are affected by schizophrenia, and 47.5 million are affected by dementia. The nursing problems that arise from the medical diagnosis of schizophrenia include hallucinations. Based on data from Mental Hospitals in Indonesia, about 70% of patients undergoing treatment in inpatient wards of mental hospitals experience hallucinations nursing problems. Data from the inpatient room of the Jambi Provincial Mental Hospital in 2018 from 12 rooms the number of patients experiencing hallucinations was 4320 patients. The management of hallucinations is through the continuous application of comprehensive nursing care, accompanied by incorrect modality therapies. one of them is Group Activity Therapy. Objective: To determine the effect of Sensory Stimulation Group Activity Therapy (TAK) on changes in the level of hallucinations in hallucinating patients in the inpatient ward of the Jambi Province Mental Hospital. Research Methodology Quantitative research with a Quasi Experiment research design that uses Pre-Test and Post-Test with Control Group with drawing stimulation therapy intervention, data collection is done by interview and observation. The statistical test in this study used the Independent T Test
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Vidyanti, Amelia Nur, Galenisa Falinda Santika Putri, Aditya Rifqi Fauzi, Rizqa Nafiati, Astuti Prodjohardjono, and Christantie Effendy. "Measurement of Social Strain in People with Dementia: A Preliminary Study of the Reliability and Validity of the Negative Relationship Quality Questionnaire in Indonesia." Geriatrics 7, no. 5 (September 15, 2022): 99. http://dx.doi.org/10.3390/geriatrics7050099.

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People with dementia (PWD) may exhibit symptoms that negatively affect their relationships with their families or friends which could cause social strain. The Negative Relationship Quality (NRQ) questionnaire can be used to measure social strain in PWD. There has never been an Indonesian adaptation of the NRQ. This preliminary study aimed to measure the validity and reliability of the NRQ among PWD in Indonesia (NRQ-INA). This study used a cross-sectional design. Forward–backward translation methods were conducted first. Pearson’s correlation and factor analysis were employed for the validity test. Cronbach’s alpha and test–retest were used to determine reliability. The NRQ-INA has four parallel items related to social strain that are divided into three subscales and asked to spouse/partner, family members, and friends, leading to a total of 12 questions. The results of validity testing from 60 respondents showed that all items in the NRQ-INA were strongly valid with correlation coefficients (r) of >0.8 (p < 0.01). Factor analysis showed a convergence with the variance explained of more than 50% for all items in each subscale, which also indicated that NRQ-INA had acceptable construct validity to measure social strain. Cronbach’s alpha values (α) were 0.926, 0.942, and 0.938 for the subscales of spouse, friends, and family members, respectively. The correlations of test–retest reliability for all items were >0.7 (p < 0.01), demonstrating a reliable NRQ-INA measurement. In conclusion, NRQ-INA had a good validity and reliability to measure social strain in PWD. Further study of the concurrent validity among PWD is still needed.
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