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"Latar belakang: Keterbatasan mobilitas pada kelompok lanjut usia  berkaitan dengan rendahnya kualitas hidup, menurunnya akses ke layanan kesehatan, meningkatknya mortalitas, morbiditas, dan beban pembiayaan kesehatan. Terdapat berbagai faktor yang mempengaruhi fungsi mobilitas. Oleh karena itu, penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan fungsi mobilitas dan mendapatkan hubungan antara usia, jenis kelamin, status gizi, kadar vitamin D, sarkopenia dan penyakit penyerta dengan fungsi mobilitas pada pasien geriatri. Metode: penelitian cross-sectional ini dilakukan antara Desember 2022 sampai Januari 2023 di Poliklinik Geriatri RS Cipto Mangunkusumo Jakarta Indonesia. Pasien yang dapat berjalan mandiri dengan atau tanpa alat bantu diikutsertakan dalam penelitian. Fungsi mobilitas dinilai dengan Timed Up and Go (TUG) Test dan skor TUG dihubungkan dengan usia, jenis kelamin, status gizi, kadar vitamin D, sarkopenia, dan komorbid. Hasil: Dari hasil analisis multivariat didapatkan bahwa kelompok usia lebih dari 80  tahun memiliki risiko penurunan fungsi mobilitas 1,9 kali lebih tinggi dengan IK 95% 1,139-3,118. Lansia perempuan berisiko 1,4 kali lebih tinggi dibandingkan lansia laki-laki dengan IK 95% 1.014-1.931 dan lansia dengan malnutrisi berisiko 1,8 kali dengan IK 95% 1.256-2.478. Ditemukannya sarkopenia pada pasien menjadi risiko terbesar untuk penurunan fungsi mobilitas yaitu berisiko 2 kali lebih tinggi dengan IK 95% 1,547-2,606. Sedangkan kadar vitamin D dan CCI tidak berpengaruh secara signifikan terhadap fungsi mobilitas. Kesimpulan: Terdapat hubungan antara usia, jenis kelamin, sarkopenia, dan malnutrisi dengan fungsi mobilitas pada pasien geriatri.

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Background: Limited mobility in elderly is related to low quality of life, reduced access to medical services, increased mortality, morbidity, and health care financial burden. Many factors can influence mobility function. Therefore, this study aims to know the factors associated with mobility function and obtain the relationship between age, sex, nutritional status, vitamin D levels, sarcopenia, and comorbidities with impaired mobility function in geriatric patients.

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Methods: This cross-sectional study was conducted between December 2022 to January 2023 in Geriatric Clinic of Cipto Mangunkusumo National Hospital in Jakarta Indonesia. All elderly patients visited the clinic who can walk with or without walking aids were included. We evaluated mobility function using Timed Up and Go Test (TUG), the TUG score was tested against age, sex, nutritional status, vitamin D levels, sarcopenia, and number of comorbidities to evaluate the association.

Result: We found, from multivariate analysis, that the age over 80 years had a risk of decreased mobility function 1.9 times higher with CI 95% 1.139-3.118. Elderly females have risk 1.4 times higher than elderly male with CI 95% 1.014-1.931 and elderly with malnutrition have a risk of 1.8 times with CI 95% 1.256-2.478. Sarcopenia is the greatest risk factor for decreased mobility function, 2 times higher with 95% CI 1,547-2,606. However, vitamin D level and CCI were not associated with mobility function.

Conclusions: There is a correlation between age, sex, sarcopenia, and malnutrition with functional mobility in geriatric patients. "

"[ABSTRAK

LATAR BELAKANG. Rasa takut jatuh merupakan gejala psikologis yang umum terjadi pada usia lanjut. Faktor-faktor yang berkontribusi terhadap rasa takut jatuh merupakan multifaktorial antara lain kecemasan, depresi, aktivitas dasar sehari-hari dan penyakit kronis yang dimiliki. Rasa takut jatuh yang menimbulkan efek negatif akan menyebabkan menurunnya mobilitas fungsional dan kualitas hidup. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan mobilitas fungsional dan kualitas hidup pada populasi usia lanjut dengan rasa takut jatuh serta faktor mana yang paling mempengaruhi.

METODE. Disain observasional potong lintang. Penelitian dilakukan terhadap 108 usia lanjut yang didapat secara konsekutif. Analisis bivariat dengan uji Chi-Square dan analisis multivariat dengan regresi logistik. Penilaian rasa takut jatuh dengan kuesioner Falls Efficacy Scale-International (FES-I), tingkat kognisi dengan kuesioner Mini Mental State Examination (MMSE), rasa depresi dengan kuesioner Geriatric Depression Scale (GDS), rasa cemas dengan kuesioner Hamilton Rating Scale for Anxiety (HAM-A), aktivitas dasar dengan kuesioner Barthel Index, mobilitas fungsional dengan uji Timed Up and Go (TUG) dan kualitas hidup dengan European Quality of Life ? 5 Dimensions (EQ-5D).

HASIL. Subyek penelitian memiliki median Barthel Index 20 (15-20), median GDS 2 (0-13), dan median HAM-A 2 (0-22). Berdasarkan analisis bivariat, didapatkan hubungan yang bermakna secara signifikan antara variabel aktivitas dasar dengan mobilitas fungsional (OR 3.421; IK95% 1.324-8.841). Juga didapatkan hubungan yang bermakna secara signifikan antara variabel aktivitas dasar dan depresi dengan kualitas hidup (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682) . Hasil analisis multivariat dengan regresi logistik menunjukan variabel aktivitas dasar merupakan variabel yang paling berpengaruh terhadap mobilitas fungsional (OR 3,421; IK95% 1,324-8,841) dan kualitas hidup (OR 4,789; IK95% 1,836-12,497).

KESIMPULAN. Faktor aktivitas dasar merupakan faktor yang paling berpengaruh terhadap mobilitas fungsional dan kualitas hidup pada usia lanjut dengan rasa takut jatuh.

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ABSTRACT

BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.

METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).

RESULTS. Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).

CONCLUSIONS. Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.;BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.

METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).

RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).

CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.;BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.

METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).

RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).

CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life., BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.

METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life – 5 Dimensions (EQ-5D).

RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).

CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.]"

"Latar belakang: Jumlah populasi usia lanjut meningkat dan penurunan fungsi terkait usia seperti frailty menjadi salah satu isu penting. Selain itu, kesehatan mulut juga merupakan hal yang penting pada usia lanjut. Kondisi mulut yang buruk sering terjadi pada usia lanjut dan dapat berkontribusi pada kondisi frailty. Tujuan: Mengetahui hubungan faktor-faktor kesehatan mulut dengan frailty pada pasien usia lanjut rawat jalan. Metode: Desain studi potong lintang dengan data primer pada pasien geriatri rawat jalan di RS Cipto Mangunkusumo dari bulan Agustus sampai Oktober 2023. Dilakukan analisis univariat, bivariat, dan multivariat terhadap variabel jumlah gigi fungsional, penggunaan gigi palsu, periodontitis, oral hygiene, xerostomia, hiposalivasi, fungsi mastikasi, gangguan menelan, kemampuan motorik oral, dan kekuatan lidah. Hasil: Didapatkan 160 subyek yang dianalisis. Prevalensi frailty berdasakan kuesioner FRAIL sebesar 31,9%. Beberapa variabel yang berhubungan dengan frailty yaitu kemampuan motorik oral (PR 2,417 IK 95% 1,117-5,229), kekuatan lidah (PR 2,332 IK 95% 1,349-4,030), jumlah gigi fungsional (PR 1,790 IK 95% 1,082-2,959) dan gangguan menelan (PR 1,791 IK 95% 1,128-2,843). Sedangkan pada analisis multivariat, kekuatan lidah menjadi faktor yang berhubungan dengan frailty (adjusted PR 2,766 IK 95% 1,280- 5,980). Kesimpulan: Faktor kesehatan mulut yang memiliki pengaruh secara signifikan terhadap frailty adalah kekuatan lidah.

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Background: The number of elderly populations is increasing and age-related functional decline such as frailty is becoming an important issue. Apart from that, oral health is also important in elderly. Poor oral conditions often occur in the elderly and can contribute to frailty. Objective: To determine the association between oral health factors and frailty in elderly outpatients. Method: A cross-sectional study design using primary data of geriatric outpatients at Cipto Mangunkusumo Hospital from August to October 2023. Univariate, bivariate, and multivariate analyses were carried performed on variables the number of functional teeth, the use of dentures, periodontitis, oral hygiene, xerostomia, hyposalivation, chewing function, swallowing function, oral motor ability, and tongue strength Results: 160 subjects were included. The prevalence of frailty based on the FRAIL questionnaire is 31.9%. Several variables related to frailty are oral motor ability (PR 2.417 CI 95% 1.117-5.229), tongue strength (PR 2.332 CI 95% 1.349-4.030), number of functional teeth (PR 1.790 CI 95% 1.082-2.959) and swallowing disorder (PR 1.791 CI 95% 1.128-2.843). In a multivariate analysis, tongue strength was factor associated with frailty (adjusted PR 2766 CI 95% 1.280-5.980). Conclusion: The oral health factors that are significantlt associated with frailty is tongue strength."

"Latar Belakang: Peningkatan populasi usia lanjut di Indonesia diiringi dengan meningkatnya masalah kesehatan pada populasi tersebut, yang merupakan salah satu dampak proses menua. Dampak serius proses menua terjadi pada otot rangka, yaitu terdapat penurunan massa dan kekuatan otot yang disebut sarkopenia. Kekuatan otot lebih berperan dari massa otot sebagai prediktor hendaya dan mortalitas, sehingga penilaian kekuatan otot menjadi penting. Kekuatan genggam tangan dapat mewakili keseluruhan kekuatan otot dan pemeriksaannya sederhana, murah, serta mudah dilakukan. Berbagai faktor yang mempengaruhi kekuatan genggam tangan, faktor IMT dan lingkar pinggang masih kontroversi dan faktor penyakit kronik terhadap kekuatan genggam tangan belum pernah diteliti sehingga perlu diketahui faktor-faktor apa saja yang berhubungan dengan kekuatan genggam tangan. Tujuan: Mengetahui hubungan antara: usia, jenis kelamin, lingkar pinggang, status gizi dan penyakit kronik (DM, HT, stroke, PJK, PPOK) dengan kekuatan genggam tangan pada pasien usia lanjut. Metode: Penelitian potong lintang dilakukan bulan Agustus 2015 di poliklinik geriatri RSCM Jakarta dan RSMH Palembang . Subjek adalah pasien usia lanjut berusia  60 tahun, yang kontrol rutin. Pemeriksaan meliputi anamnesis, pengukuran lingkar pinggang, lingkar lengan, lingkar betis, tinggi lutut, berat badan, dan kekuatan genggam tangan. Uji analisis Cochran Mantel Haenzel digunakan untuk menilai faktor-faktor yang berhubungan dengan kekuatan genggam tangan pada penelitian ini. Hasil: Dari 352 subjek ,didapatkan jenis kelamin terbanyak perempuan 212(60,2)% rerata usia 69,7 (SB 6,3) tahun, rerata lingkar pinggang 90,6 (SB10,7), Status gizi yang terbanyak adalah status gizi normal (86,4%), komorbiditas tertinggi hipertensi (44,3%), rerata kekuatan genggam tangan perempuan 19,8 (SB 5,1) dan laki=laki 29,1 (SB 6,9). Terdapat usia (p=<0,001, PR=3,6) dan status gizi /MNA (p<0,001, PR=2,8) berhubungan dengan kekuatan genggam tangan. Simpulan: Faktor yang berhubungan dengan kekuatan genggam tangan pada usia lanjut adalah usia dan status gizi.

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Background: The increasing of the elderly population in Indonesia is accompanied by increasing health problems in the population, which is one of impact of the aging process. Serious affect of the ageing process is occured in skeletal muscle. There is a decreasing of mass and muscle strength, called sarcopenia. Muscle strength is more instrumental than muscle mass as predictors of mortality and frailty status, so assessment of muscle strength becomes important. Handgrip strength can represent the overall muscle strength. The examination of handgrip strength is simple, inexpensive, and easy to do. There are many determinand factors that can influence handgrip strength. Body mass index and waist circumference still on controversy. Chronic diseases is still not observed yet. This aim of this research is to obtain determinant factors that can influence handgrip strength in elderly.

Objective: To obtain association of age, gender, waist circumference, nutrional status, and chronic disease with handgrip strength in elderly patient.

Methods: This cross sectional study was conducted to elderly outpatient age 60 years or above who visited Geriatric Clinic Cipto Mangunkusumo Hospital Jakarta and Mohammad Hoesin Hospital Palembang in August 2015. Data of age, gender, nutritional status, chronic diseases, waist circumference, arm circumference, calf circumference, and handgrip strength were collected. Cochran Mantel Haenzel was used to obtain determinant factors of handgrip strength.

Results: 352 subjects were recruited in this study. women which the most subject were 212 (60,2%), average of age was 69,7 years old (SB 6,3), average of waist circumference was 90,6 (SB 10,7), the most nutritional status was normal (86,4%), the highest comorbidity was hyptertension (44,3%), and average of handgrip strength were 19,8 (SB 5,1) in women and 29,1 (SB 6,9) in men. Determinant factors of handgrip strength were age (p=<0,001, PR=3,6) and nutritional status (p<0,001, PR=2,8).

Conclusions: Determinand factors of handgrip strength were comorbidity (hypertension, diabetes mellitus, stroke, coronary heart disase, chronic obstructive pulmonary disease), nutritional status, and increasing of age."

"Semakin berharganya waktu bagi masyarakat modern yang mobilitasnya semakin meningkat, menyebabkan waktu tunggu menjadi pertimbangan penting sebelum seseorang memutuskan memilih rumah sakit yang akan dikunjungi. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang berhubungan dengan waktu tunggu pasien poliklinik rawat jalan di RSUD Pasar Rebo tahun 2011. Penelitian ini menggunakan pendekatan kuantitatif dengan desain potong lintang dengan sampel 199 pasien. Pasien yang terbanyak adalah pasien yang menunggu ≥ 60 menit (75,9 %). Faktor-faktor yang berhubungan dengan waktu tunggu adalah keterlambatan dokter (88,5 %), jenis pembayaran pelayanan terutama pada pasien askes (98,1 %), jenis poliklinik jantung (100 %), jumlah pasien ≥ 64 pasien sebesar (99 %), dan penyelenggaraan BRM (77,8%).

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The increase of time value for the high mobility society has caused waiting time as an important factor and being considered by someone who will visit the hospital. The purpose of this study was to determine factors associated with patient waiting time at outpatient clinics in Pasar Rebo Hospital in 2011. It is quantitative study with a cross sectional design and 199 respondents. Most patients are waiting for ≥ 60 minutes (75,9%). Factors associated with waiting time in outpatient clinics are physician tardiness (88.5%), payment method especially on Askes? patients (98.1%), cardiology clinic (100%), quantity of patient ≥ 64 patients (99%), and the implementation of medical record (77,8%)."

"Penelitian ini menganalisis faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan rawat jalan di Indonesia. Penelitian ini merupakan penelitian observasional dengan desain cross sectional menggunakan data Indonesia Life Family Survey-5 tahun 2014 (IFLS 2014). Sampel yang diperoleh sebesar 25.212 orang. Uji hubungan dianalisis dengan menggunakan Chi-square. Hasil penelitian didapatkan pemanfaatan pelayanan kesehatan rawat jalan di Indonesia cukup rendah yaitu sebesar 20,4%. Individu dengan karakteristik lansia (≥46 tahun), berjenis kelamin perempuan, berpendidikan rendah, tidak bekerja, memiliki tingkat pendapatan tinggi, bertempat tinggal di kota, memiliki asuransi kesehatan, dan memiliki kondisi kronis bermakna secara statistik untuk lebih berkemungkinan memanfaatkan pelayanan kesehatan rawat jalan di Indonesia.

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This study analyzes the factors associated with the utilization of outpatient health services in Indonesia. This is an observational study with a cross sectional design using data from the Indonesia Life Family Survey-5 2014 (IFLS 2014). The sample of total 25.212. The relationship test was analyzed using Chi-square. The results showed that the utilization of outpatient health services in Indonesia was quite low, amounting to 20.4%. Individuals with elderly characteristics (≥46 years), female, low education, unemployed, have high income levels, live in cities, have health insurance, and have chronic conditions are statistically more likely to use outpatient health services in Indonesia."

"Hipertensi merupakan penyakit kronik akibat gangguan sistem sirkulasi darah telah menjadi masalah besar bagi kesehatan masyarakat. Survei Kesehatan Rumah Tangga (SKRT) tahun 1995 menyebutkan bahwa penyakit sirkulasi ini pada kelompok umur 45-60 tahun mencapai 20.9%, sedang pada umur diatas 60 tahun angka ini mencapai 29.5%. Demikian juga pada tahun 1995 penyakit sirkulasi menduduki urutan pertama-penyebab kematian pada lansia, yakni sebesar 18.9%.Penelitian pendahuluan terhadap 90 lansia di Kota Depok pada tahun 2001 didapatkan proporsi hipertensi sebesar 50.0%, dan berdasarkan jenis kelamin pada laki-laki sebesar 41.9%, sedang pada perempuan 57.4%, dan angka ini jauh lebih besar dari prevalensi hipertensi yang ditetapkan oleh Depkes RI (20-30%) untuk lansia di tahun 2000.Penelitian ini bertujuan untuk melihat faktor-faktor yang diduga berhubungan dengan hipertensi pada lansia di Kota Depok. Sampel dalam penelitian sebanyak 310 orang lansia (181 perempuan dan 129 laki-laki) berumur 55-93 tahun, dimana pengambilan sampel dilakukan secara rancangan stratifikasi proporsional di 4 wilayah puskesmas dari 24 puskesmas yang ada di Kota Depok.Penelitian ini melihat hubungan antara umur, jenis kelamin, riwayat keluarga, konsumsi natrium, konsumsi lemak, konsumsi kalsium, IMT, merokok, stress, aktivitas fisik, dan faktor sosial ekonomi (status perkawinan, status pendidikan, status pekerjaan, dan penghasilan keluarga), dengan hipertensi. Hasil penelitian menunjukkan bahwa prevalensi hipertensi pada responden di Kota Depok sebesar 57.4%. Persentase ini lebih tinggi dibandingkan hasil penelitian sebelumnya.Berdasarkan analisis multivariat didapatkan hasil sebagai berikut: responden yang berumur 70 tahun berpeluang mendapat hipertensi 2.97 kali (95% CI: 1.3640-6.4610; p=0.0061) dibandingkan yang berumur 55-59 tahun, responden yang berumur 65-69 tahun berpeluang mendapat hipertensi 2.45 kali (95% CI: 1.2517-4.8134; p=0.0090) dibandingkan yang berumur 55-59 tahun dan responden yang berumur 60-64 tahun berpeluang mendapat hipertensi 2.18 kali (95% CI: I.0971-4.3350; p=0.0261) dibandingkan yang berumur 55-59 tahun. Responden yang mempunyai riwayat keluarga hipertensi berpeluang mendapat hipertensi 1.97 kali (95% CI: 1.0816-3.5997) dibandingkan yang tidak punya riwayat keluarga hipertensi. Responden dengan derajat stres tinggi berpeluang mendapat hipertensi 3.02 kali (95% CI: 1.5262-6.0087; p=0.0015) dibandingkan yang derajat stres rendah, dan responden dengan derajat stres sedang berpeluang mendapat hipertensi 2.47 kali (95% CI: 1.3594-4.4900; p=0.0030) dibandingkan yang derajat stres rendah. Responden dengan aktivitas kurang berpeluang mendapat hipertensi 2.73 kali (95% CI: 1.6296-4.5649; p=0.0001) dibandingkan yang aktivitas cukup. Dan responden yang tidak kawin berpeluang mendapat hipertensi 2.07 kali (95% CI: 1.1414-3.7561;p=0.0166) dibandingkan yang kawin. Selanjutnya disimpulkan bahwa dari kelima variabel tersebut, derajat stres tinggi merupakan variabel yang paling dominan berhubungan dengan hipertensi.Berdasarkan faktor-faktor yang berhubungan secara signifikan dengan hipertensi, pada penelitian di atas, maka faktor yang dapat diintervensi adalah aktivitas fisik dan stres.Oleh karenanya sehubungan dengan faktor di atas, serta tingginya angka kejadian hipertensi pada lansia, maka saran yang dapat diberikan kepada Dinas Kesehatan Kota Depok serta jajaran di bawahnya, adalah meningkatkan program promosi penanggulangan hipertensi pada lansia melalui kegiatan latihan fisik berupa senam terapi 2 kali seminggu dan gerak jalan pagi, serta melakukan pembinaan mental/ kerohanian. Perlu diperhatikan untuk membentuk kelompok-kelompok lansia baru, terutama untuk komunitas yang sosial-ekonominya rendah.

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Hypertension is a chronic disease, it caused to the problem on blood circulation system, and it has become a big problem to public health. Based on the Household Health Survey (SKRT) in 1995 mentioned that this disease at age group 45-60 years reach 20.9%, while at age over than 60 years this number reach 29.5%. It was also in 1995; this disease lies at the first line of death on elderly, i.e. 18.9%. The previous study to 90 elderly at Depok City in 2001, it was found that the proportion was 50.0%, and based on male it was 41,9%, while on female 57,4%, and this number was bigger than hypertension prevalence that stated by MOH RI (20-30%) for elderly in 2000.The objective of this study was to determine the factors that estimated related to hypertension on elderly at Depok City. The number of sample in this study was 310 elderly (181 females and 129 males) their age 55-93 years, where the sample took proportionally in four areas of Health Centers out of 24 Health Centers that available at Depok City. This study see the relationship among age, sex, family history, sodium consume, fatty consume, calcium consume, IMT, smoking, stress, physic activity, and social economy factors (marital status, education status, profession status, and family income), with hypertension. The result of this study shows that hypertension prevalence on respondent at Depok City was 57.4%. This presentation was higher than the previous study.Based on multivariate analysis it was found that the result as the followings: the respondent whose age z 70 years having tendency of hypertension 2.97 times (95% CI: 1.3640-6.4610; p=0.0061) compared to whose age 55-59 years. The respondent whose age 65-69 having tendency of hypertension 2.45 times (95% CI: 1.2517-4,8134; p=0.0090) compared with whose age 55-59 years. And the respondent whose age 60-64 having tendency of hypertension 2.18 times (95% Cl: 1.0971-4.3350; p=0.0261) compared with whose age 55-59 years. Respondent whose having family history on hypertension tend to have hypertension 1.97 times (95% CI: 1.0816-3.5997) compared to whose not having hypertension on family history. Respondent with higher stress tend to have hypertension 3.02 times (95% CI: 1.522622-6.0087; p=0.0015) compared whose is lower stress, and respondent with moderate stress tend to have hypertension 2.47 times (95% CI: 1,3594-4900; p=0.0030) compared to whose lower stress. Respondent with lack of activity tend to have hypertension 2.73 times (95% CI: 1.6296-4.5649; pO.0001) compared to whose enough activity. And respondent whose unmarried tend to have hypertension 2.07 times (95% CI: 1.1414-3756I;p=0.0166) compared with whose married. Then it concluded that from the fifth variables, the degree of high stress is a variable that the most dominant related to hypertension.Based on the factors that related significantly to hypertension in this study, so the factors that can be intervention, i.e. stress and physical activity. Therefore, referring the factors above, also the high rate of hypertension on elderly, so the recommendation that can be given to the Local Health Service of Depok City also it?s related. They are improving the program on promotion to overcome the hypertension for elderly through physical exercise in the form of gymnastic therapy, twice a week and morning jogging, also doing mental management/spiritual. It is considering establishing the new groups of elderly, especially to community with lower social economy."

"ABSTRAKHipertensi (HT) menjadi resiko utama penyebab kematian lansia. Kepatuhanlatihan fisik adalah salah satu kendala manajemen HT. Penelitian bertujuanmengidentifikasi faktor yang berhubungan dengan tingkat kepatuhan lansia HTmelakukan latihan fisik. Penelitian cross-sectional pada 108 lansia diseleksidengan purposive sampel. Pengambilan data menggunakan kuesioner. Analisadata menggunakan chi-square dan regresi logistik ganda. Riwayat keluarga(p=0,037), persepsi kerentanan (p=0,018), persepsi hambatan (p=0,044), persepsidukungan keluarga (p=0,005) dan persepsi dukungan sosial (p=0,004) memilikihubungan yang signifikan. Faktor paling dominan adalah persepsi dukungansosial (exp (β) = 3,759). Dukungan sosial diperlukan lansia untuk mematuhiprogram kesehatan.

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ABSTRACTHypertension (HT) is a major risk of elderly mortality. Adherence physicalexercise is one of HT management constraints. The study aimed to identify factorsrelated to adherence level of HT elder did physical exercise. Cross-sectionalstudies of 108 elderly were selected by purposive samples. Data collection usingquestionnaire. Data analysis using chi-square and multiple logistic regression.Family history (p=0.037), perception of resistance (p=0.044), perception of familysupport (p=0.005) and social support perception (p=0.004) have significantrelationship. The most dominant factor is the perception of social support (exp(β)=3.759). Social support is needed by the elderly to comply with the healthprogram."