LILIK DJUARI, 090710365 D (2012) PENGEMBANGAN KONSEP ACTIVITY OF DAILY LIVING (ADL) PADA LANSIA BERBASIS SINDROMA GERIATRIK, PENYAKIT DAN UMUR Dalam rangka Skrining dan Rujukan Lansia. Disertasi thesis, UNIVERSITAS AIRLANGGA.

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Abstract

Background and aim : Around the world the proportion of the population of 60 years and over (elderly) grows very fast compared to other age groups. It is estimated that the growth of elderly proportion from 2000 to 2025 to be doubled across the globe. Health problems that affect elderly individuals are: cronic disease; mental disorder; geriatric syndrome; disability as measured by assessment concept of ADL (activity daily living) . The purpose of this study was to develop the activity daily living concept in elderly based on geriatric syndrome, diseases and age in the context of screening and referral of elderly. Method : The study design was exploratory descriptive study. Subjects were elderly chosen as a sample comprising elderly visiting the elderly clinic of Balongsari primary health center and elderly receiving home visits or palliative home care. The sample size was 200. Sampling technique was purposive sampling. Results : The results of multivariate analysis with logistic regression found that geriatric syndrome, diseases, and age that significantly affected the activity daily living in elderly (ADL) were visual impairment (p = 0.024), incontinence (p = 0.000) and age (p = 0.001). Conclusion : Diagnostic parameters for the identification of elderly activity daily living were age, incontinence, visual impairment, hearing loss, dementia, diabetes mellitus, hypertension, central obesity, anemia and depression. Scoring for early detection of high risk elderly using a priority issue with scoring techniques showed that the high risks were urinary incontinence, visual impairment and dementia. Moderate risks were diabetes mellitus, hypertension, central obesity and depression. Low risks were hearing loss and anemia

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