Korelasi Nilai Fecal Incontinence Severity Index (FISI) dengan nilai Activity Daily Living (ADL) pada Kelompok Lanjut Usia

Johan Lucas Harjono, Yohanes Firmansyah, William Gilbert Satyanagara, Joshua Kurniawan, Giovanno Sebastian Yogie, Edwin Destra

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ABSTRACT

 

Fecal incontinence is describes as inability to control bowel movement that effect 10-17% elderly. Fecal incontinence increase the risk of infection, psychosocial stress, depression, and increase dependency on others, leading to decrease in quality of life. A cross-sectional study was conducted to determine the correlation of FISI values with ADL in the elderly, at the Santa Anna nursing resident from June-July 2023. Participants who include in the study will be asked to complete both the FISI and ADL questionnaires. The Spearman correlation test was used In this study. This research include 60 participants with an average age of 76.30 years, dominated by women 40 (66.7%). The results indicate a moderate correlation (-0.432) between FISI scores and ADL scores (p-value=0.001). These findings suggest that increasing severity of fecal incontinence is associated with a decrease in independence. Fecal incontinence impacts the independence of elderly patients. This serves as a reminder for caregivers and families to offer both physical and psychological support to patients suffering from fecal incontinence.

 

Keywords : Activity Daily Living, Fecal Incontinence, Elderly

 

 

ABSTRAK

 

Inkontinensia fekal merupakan kondisi ketidakmampuan untuk mengatur buang air besar yang dialami oleh 10-17% lansia. Inkontinensia fekal dapat meningkatkan risiko infeksi, stress psikososial, depresi, dan meningkatkan ketergantungan terhadap pengaruh yang dapat menurunkan kualitas hidup. Pelaksanaa studi potong lintang untuk mengetahui korelasi nilai FISI terhadap ADL ada kelompok lanjut usia, di Panti Lansia Santa Anna periode Juni-Juli 2023. Responden yang memenuhi kriteria inklusi akan mengisi kuisioner FISI dan ADL. Analisa statistik yang akan dilakukan adalah uji Spearman Correlation.  Terdapat 60 responden ikut dalam penellitian ini, dengan rerata usia 76,30 tahun dan didominasi oleh perempuan (40 (66,7%)). Hasilnya, didapatkan korelasi antara skor FISI terhadap nilai ADL (p-value 0,001, r:-0,432(cukup)). Hal ini menunjukan semakin berat inkontinensia fekal maka kemandirian akan semakin menurun. Inkontinesia fekal memberikan dampak terhadap kemandirian pasien usia lanjut. Hal ini menjadi pembelajaran bagi pengasuh dan keluarga untuk tetap memberikan dukungan baik fisik maupun psikis terhadap pasien yang mengalaminya.

 

Kata Kunci: Activity Daily Living, Inkontinensia Fekal, Lansia


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Referensi


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DOI: https://doi.org/10.33024/mahesa.v3i11.11609

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