Hubungan Tingkat Depresi Dengan Faktor-Faktor Yang Mempengaruhi Pada Pasien Lansia Di Layanan Rawat Jalan Puskesmas Turi Lamongan

Yustika Izziyatu Anindita, Era Catur Prasetya, Yelvi Levani

Abstract


Background: Depression is a mental health disorder that could affect to geriatric. There are several factors that can affect depression such as age, gender, occupation, caregiver status, and chronic disease. Puskesmas as primary health facilities should be the first line for the community to get comprehensive health services both in terms of physical and mental health. Objective: This study aims to determine the description of depression in elderly patients in outpatient services at the Turi Lamongan Health Center, along with what factors influence it. Methods: This study is a descriptive analytic study with a cross sectional design, with 65 elderly patients in the outpatient health center as the subject. The data was collected by interviewing using the GDS (Geriatric Depression Scale) questionnaire, demographic data and secondary data from the Puskesmas Turi Lamongan medical records on February until March 2022. Data were analyzed using Chi-Square and Fisher's Exact tests using SPSS. Results: Depression level description: 61.5% normal, 36.9% mild, 1.5% moderate, 0% severe. There is a relationship between gender, caregiver status and metabolic disease with depression. There is no relationship between depression with age and gender. Conclusion: There is a relationship between the level of depression with several factors such as gender, caregiver status and metabolic disease in elderly patients in outpatient services at the Turi Lamongan Health Center
Keyword : Depression, Geriatry, Health care facilities, Factors Outpatient Clinic

Full Text:

PDF

References


Cole MG, Dendukuri N. Risk Factors for Depression Among Elderly Community Subjects: A Systematic Review and Meta-Analysis. Am J Psychiatry [Internet]. 2003 Jun;160(6):1147–56. Available from: http://psychiatryonline.org/doi/abs/10.1176/appi.ajp.160.6.1147

Garcia‐Ptacek S, Dahlrup B, Edlund A, Wijk H, Eriksdotter M. The caregiving phenomenon and caregiver participation in dementia. Scand J Caring Sci [Internet]. 2019 Jun 29;33(2):255–65. Available from: https://onlinelibrary.wiley.com/doi/10.1111/scs.12627

Chand SP, Arif H. Depression [Internet]. StatPearls. 2022. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28613597

Fahmi M, Panjaitan NA, Habibie I, Siregar AYM, Amarullah G, Rahma, et al. Does your neighborhood protect you from being depressed? A study on social trust and depression in Indonesia. BMC Public Health [Internet]. 2019 Dec 25;19(1):1371. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7657-5

Setiati S, Laksmi PW, Aryana IGPS, Sunarti S, Widajanti N, Dwipa L, et al. Frailty state among Indonesian elderly: prevalence, associated factors, and frailty state transition. BMC Geriatr [Internet]. 2019 Dec 3;19(1):182. Available from: https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-019-1198-8

Pramesona BA, Taneepanichskul S. Prevalence and risk factors of depression among Indonesian elderly: A nursing home-based cross-sectional study. Neurol Psychiatry Brain Res [Internet]. 2018 Dec;30:22–7. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0941950017300751

Park M, Unützer J. Geriatric Depression in Primary Care. Psychiatr Clin North Am [Internet]. 2011 Jun;34(2):469–87. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0193953X1100027X

Akincigil A, Matthews EB. National Rates and Patterns of Depression Screening in Primary Care: Results From 2012 and 2013. Psychiatr Serv [Internet]. 2017 Jul;68(7):660–6. Available from: http://psychiatryonline.org/doi/10.1176/appi.ps.201600096

Smarr KL, Keefer AL. Measures of depression and depressive symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionna. Arthritis Care Res (Hoboken) [Internet]. 2011 Nov;63(S11):S454–66. Available from: https://onlinelibrary.wiley.com/doi/10.1002/acr.20556

Maffioletti E, Minelli A, Tardito D, Gennarelli M. Blues in the Brain and Beyond: Molecular Bases of Major Depressive Disorder and Relative Pharmacological and Non-Pharmacological Treatments. Genes (Basel) [Internet]. 2020 Sep 18;11(9):1089. Available from: https://www.mdpi.com/2073-4425/11/9/1089

Pradita DA, Ida R. Hubungan Antara Faktor Demografi dengan Depresi pada Penderita Riwayat Stroke di Kabupaten Gunungkidul DIY. Med Heal Sci Fac Univ Muhammadiyah [Internet]. 2017;445. Available from: http://docplayer.info/50036928-Hubungan-antara-faktor-demografi-dengan-depresi-pada-penderita-riwayat-stroke-di-kabupaten-gunungkidul-diy-dimas-adhi-pradita-1-ida-rochmawati-2.html

Liu Z, Heffernan C, Tan J. Caregiver burden: A concept analysis. Int J Nurs Sci [Internet]. 2020 Oct;7(4):438–45. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2352013220301216

Manczak EM, Skerrett KA, Gabriel LB, Ryan KA, Langenecker SA. Family support: A possible buffer against disruptive events for individuals with and without remitted depression. J Fam Psychol [Internet]. 2018 Oct;32(7):926–35. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30188156

van den Brink RHS, Schutter N, Hanssen DJC, Elzinga BM, Rabeling-Keus IM, Stek ML, et al. Prognostic significance of social network, social support and loneliness for course of major depressive disorder in adulthood and old age. Epidemiol Psychiatr Sci [Internet]. 2018 Jun 10;27(3):266–77. Available from: https://www.cambridge.org/core/product/identifier/S2045796017000014/type/journal_article

Narulita R. Perbedaan Tingkat Depresi antara Lansia yang Memiliki Keluarga dengan Lansia yang Tidak Memiliki Keluarga. Mutiara Med Ed Khusus. 2019;9(2):101–7.

Swarup S, Goyal A, Grigorova Y, Zeltser R. Metabolic Syndrome [Internet]. StatPearls. 2022. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29083742

DeJean D, Giacomini M, Vanstone M, Brundisini F. Patient experiences of depression and anxiety with chronic disease: a systematic review and qualitative meta-synthesis. Ont Health Technol Assess Ser [Internet]. 2013;13(16):1–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24228079

Berk M, Williams LJ, Jacka FN, O’Neil A, Pasco JA, Moylan S, et al. So depression is an inflammatory disease, but where does the inflammation come from? BMC Med [Internet]. 2013 Dec 12;11(1):200. Available from: http://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-11-200




DOI: https://doi.org/10.18860/jim.v6i2.17442

Refbacks

  • There are currently no refbacks.


 

Editorial Office:

Faculty of Medical and Health Sciences,
Universitas Islam Negeri Maulana Malik Ibrahim
Gedung Ibnu Thufail Lt.1, Jln. Locari, Desa Tlekung, Kota Batu
Phone (+62) 85746163772, (+62) 8563588384, Faximile (+62) 341 558933
e-mail: medicaljournal@uin-malang.ac.id

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