Faktor Risiko yang Mempengaruhi Tingkat Keparahan Luka Tekan pada Lansia di Masyarakat
Main Article Content
Abstract
Kejadian luka tekan pada lansia di rumah merupakan masalah global yang terus diupayakan untuk diminimalisir risikonya. Luka tekan pada lansia di rumah telah diketahui memiliki karakteristik yang berbeda dengan luka tekan yang terjadi pada pasien lansia di rumah sakit atau rumah perawatan. Tujuan penelitian ini adalah untuk mengidentifikasi faktor risiko dominan berdasarkan pengukuran skala Braden serta kekuatan hubungan diantara faktor risiko tersebut yang mempengaruhi keparahan luka tekan pada lansia di masyarakat. Penelitian ini merupakan penelitian potong lintang (cross sectional) terhadap 35 orang lansia yang memenuhi kriteria inklusi dan eksklusi dari 325 orang lansia di masyarakat yang ditemui dan dipilih secara acak. Data dianalisis dengan rumus korelasi Pearson menggunakan software Matlab. Hasil penelitian menunjukkan faktor dominan yang mempengaruhi tingkat keparahan luka tekan pada lansia di masyarakat adalah faktor aktivitas (r=0.9437), mobilisasi (r=0.9200) dan gesekan (r=0.8603). Sebaliknya, faktor kelembaban dan nutrisi memiliki hubungan paling rendah. Interaksi faktor gesekan dengan faktor aktivitas dan mobilitas sangat kuat mempengaruhi kejadian luka tekan pada lansia di masyarakat dengan nilai r berturut turut adalah 0.8405 dan 0.8200. Hasil penelitian merekomendasikan adanya upaya untuk meminimalkan faktor gesekan pada bagian tubuh lansia di masyarakat.
Downloads
Article Details
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
References
World OW. Ageing and health 2015. Switzerland; 2015.
MoHRo I. Analisis Lansia di Indonesia 2017. Health Mo Center for Data and Information; 2017.
Michel J-P SR. “Healthy Aging†Concepts and Measures. J Am Med Dir Assoc. 2017; 18(6):460.
Singh NS, Bass J, Sumbadze N, Rebok G, Perrin P, Paichadze N et al. Identifying mental health problems and Idioms of distress among older adult internally displaced persons in Georgia. Soc Sci Med. 2018; 211: 39–47.
Saquib N, Saquib J, Alhadlag A, Albakour MA, Aljumah B, Sughayyir M et al. Chronic disease prevalence among elderly Saudi men. Int J Heal Sci. 2017; 11(5): 11–6.
Randall WL, Bohlmeijer E KG. Storying Later Life: Issues, Investigations, and Interventions in Narrative Gerontology. New York: Oxford University Press; 2011.
Chatterji S, Byles J, Cutler D, Seeman T VE. Health, functioning, and disability in older adults--present status and future implications. Lancet. 2015; 385(9967).
Sari SP, Everink IH, Sari EA, Afriandi I, Amir Y, Lohrmann C, et al. The prevalence of pressure ulcers in community-dwelling older adults: A study in an Indonesian city. 2019; (December 2018): 1–8.
Landi F, Onder G, Russo A BR. Pressure ulcer and mortality in frail elderly people living in community. Arch Gerontol Geriatr. 2007; 44(Suppl 1): 217–23.
Jaul E C-MR. Systemic factors and mortality in elderly patients with pressure ulcers. Int Wound J. 2015; 12(3): 254–9.
EPUAP NPUAP. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Pan Pacific Pressure Injury Alliance; 2014.
Gunningberg L, Stotts NA IE. Hospital-acquired pressure ulcers in two Swedish County Councils: cross-sectional data as the foundation for future quality improvement. Int Wound J. 2011; 8(5): 465–73.
Corbett LQ, Funk M, Fortunato G OD. Pressure Injury in a Community Population: A Descriptive Study. J Wound Ostomy Cont Nurs. 2017; 44(3): 221–7.
Khor HM, Tan J, Saedon NI, Kamaruzzaman SB, Chin AV, Poi PJ et al. Determinants of mortality among older adults with pressure ulcers. Arch Gerontol Geriatr. 2014; 59(3): 536–41.
Amir Y, Lohrmann C, Halfens RJ SJ. Pressure ulcers in four Indonesian hospitals: prevalence, patient characteristics, ulcer characteristics, prevention and treatment. Int Wound J. 2017; 14(1): 184–93.
Beerens HC, Sutcliffe C, Renom-Guiteras A, Soto ME, Suhonen R, Zabalegui A et al. Quality of life and quality of care for people with dementia receiving long term institutional care or professional home care: the European RightTimePlaceCare study. J Am Med Dir Assoc. 2014; 15(1): 54–51.
Chang SC, Shiu MN, Chen HT, Ng YY, Lin LC WS. Evaluation of care quality for disabled older patients living at home and in institutions. J Clin Nurs. 2015 ;24(23–24): 3469–80.
Meesterberends E, Halfens RJ, Spreeuwenberg MD, Ambergen TA, Lohrmann C, Neyens JC et al. Do patients in Dutch nursing homes have more pressure ulcers than patients in German nursing homes? A prospective multicenter cohort study. J Am Med Dir Assoc. 2013; 14(8): 605–10.
Schussler S, Dassen T LC. Care dependency and nursing care problems in nursing home residents with and without dementia: a cross-sectional study. Aging Clin Exp Res. 2016; 28(5): 973–82.
Carryer J, Weststrate J, Yeung P, Rodgers V, Towers A JM. Prevalence of key care indicators of pressure injuries, incontinence, malnutrition, and falls among older adults living in nursing homes in New Zealand. Res Nurs Heal. 2017; 40(6): 555–63.
Kwong EW, Pang SM, Aboo GH LS. Pressure ulcer development in older residents in nursing homes: influencing factors. J Adv Nurs. 2009; 65(12): 2608–20.
Kozier, Barbara, Glenora Erb, Shirlee Snyder and AB. Fundamentals of Nursing: Concepts, Process, and Practice. 8th ed. Upper Saddle Riveer: NJ: Pearson Education, Print.; 2008. p905-907.
Amir Y, Kottner J, Schols JM, Lohrmann C HR. Psychometric properties of the Dutch National Prevalence Measurement of Care Problems used to measure quality of pressure ulcer care in Indonesian hospitals. Adv Ski Wound Care. 2014; 27(8).
Halfens RJ, Meesterberends E, van Nie-Visser NC, Lohrmann C, Schonherr S, Meijers JM et al. International prevalence measurement of care problems: results. J Adv Nurs. 2013; 69(9): 5–17.
Braden BJ BN. Clinical utility of the Braden scale for Predicting Pressure Sore Risk. Decubitus. 1989; 2(3): 44–6.
BJ. B. he Braden scale for predicting pressure sore risk: reflections after 25 years. Adv Skin Wound Care. 2012; 25(2): 61.
Papadakis G, Zampelis T, Michalopoulou M, Konstantopoulos K, Rosenberg T CS. Prayer Marks in Immigrants from Bangladesh with Diabetes Who Live in Greece. J Immigr Minor Heal. 2016;18(1): 274.
Halfens RJG, Achterberg T Van, Bal RM. Validity and reliability of the Braden scale and the influence of other risk factors: a multi-centre prospective study. 2000; 37: 313–9.
Bergstrom N, Braden BJ, Laguzza A, Holman V. The Braden Scale for Predicting Pressure Sore Risk. Nurs Res. 1987; 36(4): 205–10.
Chen H, Cao Y, Zhang W, Wang J, Huai B. Braden scale (ALB) for assessing pressure ulcer risk in hospital patients: A validity and reliability study. Appl Nurs Res [Internet]. 2017; 33: 169–74. Available from: http://dx.doi.org/10.1016/j.apnr.2016.12.001.