skip to main content

Tingkat Kemandirian Pasien Dengan Gangguan Mobilitas Fisik Dengan Berbagai Macam Penyakit

Renna Lisdiana  -  Departemen Ilmu Keperawatan, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
*Muhamad Rofi'i  -  Departemen Ilmu Keperawatan, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Received: 27 Sep 2023; Published: 28 Jun 2024.
Open Access Copyright 2024 Holistic Nursing and Health Science

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

In Indonesia, 22.5 million people experience disabilities with the highest incidence occurring in those aged 60 years and over (elderly). Meanwhile, the most common impairment or limitation of function experienced by persons with disabilities in Indonesia is impaired walking (immobility). This mobility impairment can affect a person's independence in fulfilling their daily activities.This study aims to determine the level of independence of activity of daily living (ADL) in patients who experience impaired physical mobility. This research is quantitative research with a descriptive survey design. The sampling technique used purposive sampling technique with a total sample of 102 patients who experienced impaired physical mobility aged ≥ 60 years and domiciled in the Sukra Health Center work area. Measurement of ADL independence using the Katz Index questionnaire, which has been back translated and tested for construct validity with a calculated r value of 0.580-0.740 > r table 0.361 which means it is valid. Data were analyzed univariately and cross-tabulated. The results showed that the majority of patients with impaired physical mobility experienced total dependence in performing ADL (23.5%). Total dependence was more experienced by patients aged > 90 years (24.7%), female (26.1%), suffered a stroke (42.6%), lived with family (27.1%), usually assisted by other people (nurses/neighbors/helpers) (50%), and had been hospitalized less than 1 year ago (35%). Patients with impaired physical mobility are expected to be able to fulfill all activities daily living either independently or with the help of others.

Note: This article has supplementary file(s).

Fulltext View|Download |  Research Instrument
Ethical Clearence
Subject
Type Research Instrument
  Download (690KB)    Indexing metadata
Keywords: Activity of Daily Living, Impaired Physical Mobility, Level of Independence

Article Metrics:

  1. Agustiyaningsih, T., Marta, O. F. D., & Mashfufa, E. W. (2020). Identification of physical activities in post stroke patients. Jurnal Keperawatan, 11(1), 116. https://doi.org/10.22219/jk.v11i1.11098
  2. Ahmad, I., Ayu, D., & Barikha, L. (2022). Faktor-faktor yang memengaruhi penduduk lanjut usia berobat jalan di Provinsi Jawa Timur Factors affecting outpatient treatment of elderly population in East Java Province. Jurnal Kependudukan Indonesia, 17(1), 2022. https://doi.org/10.14203/jki.v17i1.723
  3. Ali, E. A. S., Mohamed, H. M., & Ellatif, M. A. B. A. (2022). Daily living activities among institutionalized older Adults with chronic immobility. Egyptian Journal of Health Care, 13(3), 404–419
  4. Alvionita Damayanti Hariyanto. (2021). Hubungan kemandirian activity daily living (ADL) dengan kualitas hidup penderita pasca stroke di wilayah kerja Puskesmas Kedungmundu, Kota Semarang. Skripsi FK Undip, 1–110. https://eprints2.undip.ac.id/id/eprint/8079/
  5. Apriliani, D. M., Yunida Triana, N., Dewi, P., Studi, P., Keperawatan, S., Kesehatan, F., & Harapan Bangsa, U. (2021). Gambaran tingkat kemandirian lansia dalam pemenuhan Activities Of Daily Living (ADL) di Roujinhome Itoman Thinsaguno Ie Jepang. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat (SNPPKM), 1444–1450
  6. Aria, R., Ikhsan, & Nurlaily. (2019). Kemandirian lanjut usia dalam aktivitas sehari-hari di wilayah kerja Puskesmas Nusa Indah Bengkulu. Jurnal Keperawatan Vokasi, 2(1), 25–33. https://doi.org/10.33369/jvk.v2i1.10651
  7. Ayuningtyas, N. R., Mawarni, A., Agushybana, F., & Djoko Nugroho, R. (2020). Gambaran kemandirian lanjut usia activity daily living di wilayah kerja puskesmas pegandan kota semarang. Jurnal Ilmiah Mahasiswa, 10(1), 15–19. https://ejournal.undip.ac.id/index.php/jim/index
  8. Badan Pusat Statistik. (2020). Hasil long form sensus penduduk 2020 (Direktorat Statistik Kependudukan dan Ketenagakerjaan (ed.)). Badan Pusat Statistik
  9. Badan Pusat Statistik. (2022). Analisis profil penduduk Indonesia: Mendeskripsikan peran penduduk dalam pembangunan. Badan Pusat Statistik. www.bps.go.id
  10. Basheti, I. A., Ayasrah, S. M., & Ahmad, M. (2019). Identifying treatment related problems and associated factors among hospitalized post-stroke patients through medication management review: A multi-center study. Saudi Pharmaceutical Journal, 27(2), 208–219. https://doi.org/10.1016/j.jsps.2018.10.005
  11. Bonafé, M., Jorge, M. S. G., Portella, M. R., Doring, M., Scortegagna, S. A., & Wibelinger, L. M. (2020). Factors related to chronic pain in institutionalized elderly. Brazilian Journal Of Pain, 3(3), 314–317. https://doi.org/10.5935/2595-0118.20200183
  12. Carmona-Torres, J. M., Rodríguez-Borrego, M. A., Laredo-Aguilera, J. A., López-Soto, P. J., Santacruz-Salas, E., & Cobo-Cuenca, A. I. (2019). Disability for basic and instrumental activities of daily living in older individuals. PLoS ONE, 14(7), 1–13. https://doi.org/10.1371/journal.pone.0220157
  13. Carod-Artal, F. J. (2012). Determining quality of life in stroke survivors. Expert Review of Pharmacoeconomics and Outcomes Research, 12(2), 199–211. https://doi.org/10.1586/erp.11.104
  14. Delaune, S., & Ladner, P. (2011). Fundamental of nursing standards & practice. Delmar
  15. Elisabet, & Taviyanda, D. (2013). Tingkat Ketergantungan Activity Daily Living (ADL) pada Pasien Stroke Infark Hemiparese. Jurnal STIKES, 6(2)
  16. Gusti, H. Y., Nurhayati, N., & Ramon, A. (2021). Tingkat kemandirian pasien post operasi fraktur ekstremitas bawah. Jurnal Riset Media Keperawatan, 4(2), 68–71
  17. Herdman, T. H., & Kamitsuru, S. (2018). Nanda internasional diagnosis keperawatan: Definisi dan klasifikasi 2018-2020 (11th ed.). EGC
  18. Herman, R., & Akhriani, H. N. (2018). Determinants Activity of Daily Living (ADL) Elderly Tresna Werdha Nursing Home (PSTW) Special Region of Yogyakarta. Journal of Ultimate Public Health, 2(1), 81–92
  19. Hilton, P. A. (2005). Fundamental nursing skills
  20. Hurek, R. K. K., Setiaji, B., & Suginarty. (2019). Determinan kemandirian lansia dalam melakukan Basic Activity Daily Living ( BADL ) di Wilayah Kerja Puskesmas Balauring Kec. Omesuri Kab. Lembata-NTT tahun 2018. Jurnal Info Kesehatan, 9(1), 71–81. http://download.garuda.kemdikbud.go.id/article.php?article=935045&val=14063&title=Determinan Kemandirian Lansia Dalam Melakukan Basic Activity Daily Living Badl Di Wilayah Kerja Puskesmas Balauring Kec Omasuri Kab Lembata-NTT Tahun 2018
  21. Juita, D. R., & Shofiyyah, N. A. (2022). Peran keluarga dalam merawat lansia. Jurnal Agama Sosisal Dan Budaya, 5(2), 2599–2473
  22. Kasron. (2012). Buku ajaran gangguan sistem kardiovaskuler. Nuha Medika
  23. Kemenkes. (2020). Permenkes RI Nomor 21 Tahun 2020. Kementerian Kesehatan RI, 9(May), 1–337. https://www.slideshare.net/maryamkazemi3/stability-of-colloids%0Ahttps://barnard.edu/sites/default/files/inline/student_user_guide_for_spss.pdf%0Ahttp://www.ibm.com/support%0Ahttp://www.spss.com/sites/dm-book/legacy/ProgDataMgmt_SPSS17.pdf%0Ahttps://www.n
  24. Kozier, B., Glenora, E., Audrey, B., & Shirlee, J. (2010). Buku ajar fundamental keperawatan. EGC
  25. Langhammer, B., Bergland, A., & Rydwik, E. (2018). The importance of physical activity exercise among older people. Biomed Res Int. https://doi.org/10.1155/2018/7856823
  26. Li, C., Karmarkar, A., Kuo, Y., Haas, A., & Otr, K. J. O. (2020). Impact of self-care and mobility on one or more post-acute care transitions. Journal of Aging and Health, 0(0), 1–10. https://doi.org/10.1177/0898264320925259
  27. Li, X., Zheng, T., Guan, Y., Li, H., Zhu, K., Shen, L., & Yin, Z. (2020). ADL recovery trajectory after discharge and its predictors among baseline-independent older inpatients. BMC Geriatrics, 20(1), 1–10. https://doi.org/10.1186/s12877-020-1481-8
  28. Łukaszyk, E., Bień-Barkowska, K., & Bień, B. (2018). Cognitive functioning of geriatric patients: Is hypovitaminosis D the next marker of cognitive dysfunction and dementia? Nutrients, 10(8). https://doi.org/10.3390/nu10081104
  29. Mlinac, M. E., & Feng, M. C. (2016). Assessment of activities of daily living, self-care, and independence. Archives of Clinical Neuropsychology, 31(06), 506–516
  30. Mubarak, W. I., Indrawati, L., & Susanto, J. (2015). Buku ajar ilmu keperawatan dasar. Salemba Medika
  31. Mulyani, S., & Darussalam, M. (2023). Hubungan ketergantungan Activity Daily Living penderita stroke dengan beban family caregiver di Puskesmas Kasihan II. Jurnal Keperawatan Klinis Dan Komunitas (Clinical and Community Nursing Journal), 7(1), 29. https://doi.org/10.22146/jkkk.83043
  32. Nakazawa, A., Nakamura, K., Kitamura, K., & Yoshizawa, Y. (2012). Association between activities of daily living and mortality among institutionalized elderly adults in Japan. Journal of Epidemiology, 22(6), 501–507. https://doi.org/10.2188/jea.JE20110153
  33. Ng, N., Hakimi, M., Byass, P., Wilopo, S., & Wall, S. (2010). Health and quality of life among older rural people in Purworejo District, Indonesia. Global Health Action, 3(2), 78–87. https://doi.org/10.3402/gha.v3i0.2125
  34. Nugroho, W. (2008). Keperawatan gerontik dan geriatrik (M. Ester (ed.); 3rd ed.). EGC
  35. Nurhidayat, S., Andarmoyo, S., & Widiyati, W. (2021). Tingkat ketergantungan activity daily living pada pasien stroke (iskemik dan hemoragik) berdasarkan indeks barthel di RSUD Dr. Harjono S. Ponorogo. Jurnal Kesehatan Mesencephalon, 7(1), 29–37. https://doi.org/https://doi.org/10.36053/mesencephalon.v7i1.271
  36. Nursyiham, Ardi, M., & Basri, M. (2019). Asuhan keperawatan pemenuhan kebutuhan mobilitas fisik pada pasien stroke non hemoragik di RSKD DADI Makssar. Jurnal Media Keperawatan, 10(01), 59–66. http://journal.poltekkes-mks.ac.id/ojs2/index.php/mediakeperawatan/article/download/1555/pdf
  37. Ozsoy, I., Kahraman, B. O., Acar, S., Ozalevli, S., Akkoclu, A., & Savci, S. (2019). Factors influencing activities of daily living in subjects with COPD. Respiratory Care, 64(2), 189–195. https://doi.org/10.4187/respcare.05938
  38. Potter, P. A., & Perry, A. G. (2006). Buku ajar fundamental keperawatan : Konsep, proses, dan praktik (R. Komalasari, M. Ester, D. Yulianti, & I. Parulian (eds.); 4th ed.). EGC
  39. PPNI. (2016). Standar diagnosis keperawatan Indonesia: Definisi dan indikator diagnostik (1st ed.). DPP PPNI
  40. Purba, E. P., Veronika, A., Ambarita, B., & Sinaga, D. (2022). Tingkat kemandirian lansia dalam pemenuhan activity daily living (ADL) di Panti Pemenang Jiwa. Healthcaring: Jurnal Ilmiah Kesehatan, 1(1), 27–35. https://doi.org/10.47709/healthcaring.v1i1.1320
  41. Setiawati, E., & Sri, W. (2021). Adakah Hubungan Tingkat Kemandirian Dengan Kualitas Hidup Lansia Yang Tinggal Di Panti Jompo ? Baiturrahman Medical Journal, 1(2), 63–71. https://jurnal.unbrah.ac.id/index.php/brmj/article/view/1035
  42. Setyoadi, S., Nasution, T. H., & Kardinasari, A. (2017). Hubungan dukungan keluarga dengan kemandirian pasien stroke di Instalasi Rehabilitasi Medik Rumah Sakit Dr. Iskak Tulungagung. Majalah Kesehatan FKUB, 4(3), 139–148. https://doi.org/10.21776/ub.majalahkesehatan.2017.004.03.5
  43. Swartz, K., & Collins, L. G. (2019). Caregiver care. American Family Physician, 99(11), 699–706
  44. Syarif, I. (2021). The relationship of family support with elderly independence in fulfillment of daily living activity in the middle of the COVID-19 outbreak in Pangkep District. International Journal of Science and Healthcare Research, 6(3), 35–40. https://doi.org/10.52403/ijshr.20210707
  45. Tatali, A. J., Kundre, R., Studi, P., Keperawatan, I., Kedokteran, F., Sam, U., & Manado, R. (2018). Hubungan dukungan keluarga dengan tingkat kemandirian Activity Daily Living (ADL) pada pasien stroke pasca stroke di Poliklinik Kasih Manado. E-Journal Keperawatan, 6(1), 1–8
  46. Volpato, S., Onder, G., Cavalieri, M., Guerra, G., Sioulis, F., Maraldi, C., Zuliani, G., & Fellin, R. (2007). Characteristics of nondisabled older patients developing new disability associated with medical illnesses and hospitalization. Journal of General Internal Medicine, 22(5), 668–674. https://doi.org/10.1007/s11606-007-0152-1
  47. Wahyudi, Y. D. J., & Widaryati, W. (2019). Perbandingan activities of daily living pasca perawatan pada pasien jantung berdasarkan jenis penyakit. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 15(1), 71–79. https://doi.org/10.31101/jkk.1024
  48. Whitiana, G. D., Vitriana, & Cahyani, A. (2017). Level of activity daily living in post stroke patients. Althea Medical Journal, 4(2), 261–266. https://doi.org/10.15850/amj.v4n2.1068
  49. WHO. (2021). Global report on health equity for persons with disabilities. World Health Organization 2022. https://www.who.int/publications/i/item/9789240063600
  50. Widuri, H. (2010). Kebutuhan dasar manusia: Aspek mobilitas dan istirahat tidur (1st ed.). Gosyen Publishing
  51. Yunalia, E. M. (2016). Hubungan antara dukungan keluarga dengan kemandirian ADL (activity daily living) pada lansia. Journal of Nursing Care & Biomolecular –, 1(1), 21–27

Last update:

No citation recorded.

Last update:

No citation recorded.

slot gacor slot