Conference Paper

BEBAN PENJAGA TIDAK FORMAL DAN HUBUNGANNYA DENGAN STATUS FIZIKAL DAN MENTAL PESAKIT GERIATRIK

Conference: Persidangan Psikologi Malaysia 2009

ABSTRACT Penjagaan golongan warga tua memang membebankan bagi penjaga tidak formal terutama sekali ahli keluarga. Ini ditambah pula dengan peningkatan penyakit bagi golongan warga tua akibat kemerosotan tahap kefungsian fizikal dan kognitif. Sehubungan dengan itu, kaitan antara beban penjaga tidak formal dengan status fizikal dan mental pesakit geriatrik dikaji supaya golongan penjaga ini diberi perhatian dan sokongan sepenuhnya oleh masyarakat. Enam puluh pesakit luar Klinik Geriatrik Hospital Kuala Lumpur bersama penjaga mereka telah ditemubual. Prestasi aktiviti hidup seharian pesakit geriatrik dinilai dengan menggunakan Lawton Instrumental Activities of Daily Living Scale manakala status mental pesakit geriatrik dinilai dengan menggunakan Mini-Mental State Examination. Sementara itu, tahap beban penjaga pula dinilai dengan Zarit’s Caregiver Burden Scale. Terdapat kolerasi yang signifikan dan positif antara prestasi IADL dengan status mental pesakit geriatrik (r = 0.445, p = 0.001). Selain itu, terdapat kolerasi yang signifikan dan negatif antara prestasi IADL dengan tahap beban penjaga (r = -.020, p = 0.001). Hasil kajian ini menunjukkan bahawa status mental boleh dijadikan salah satu faktor yang penting untuk meramal prestasi aktiviti harian instrumental manakala prestasi aktiviti harian instrumental pula menjadi faktor penting untuk meramal tahap beban penjaga. Penurunan status mental akan mengakibatkan penurunan prestasi IADL manakala penurunan prestasi IADL akan menambahkan beban penjaga. Perkaitan IADL dengan status mental dan tahap beban membolehkan terapis carakerja merancang dan memberi intervensi yang sesuai kepada para pesakit dan penjaga.

1 Follower
 · 
260 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to identify the social and psychological consequences of living with a cognitively impaired spouse among community-dwelling elderly individuals. The study sample consisted of 318 spouse pairs drawn from a representative sample of noninstitutionalized elderly individuals. Our principal findings were that: (a) Cognitive impairment in wives is significantly (p less than .05) associated with depressive symptomatology in husbands, whereas cognitive impairment in husbands is only weakly (p greater than .20) associated with depressive symptomatology in wives; (b) Decreased participation in social/leisure activities is selectively related to spouses' level of cognitive functioning among both men and women; (c) The relationship between wives' cognitive impairment and husbands' depressive symptoms is influenced by perceived availability of financial support from friends and relatives, but not by ADL limitations in wives, lack of emotional or instrumental support from wives, household responsibilities among husbands, or lack of participation in social/leisure activities in husbands.
    Journal of Gerontology 02/1989; 44(1):S17-27. DOI:10.1093/geronj/44.1.S17
  • [Show abstract] [Hide abstract]
    ABSTRACT: The major goal of this article was to review and synthesize the empirical research on caregiver gender and psychiatric morbidity, with the aim of answering three questions: (a) Is there greater psychiatric morbidity among female than male caregivers, (b) is the excess psychiatric morbidity among female caregivers attributable to caregiving, and (c) what factors in the caregiving situation contribute to the excess psychiatric morbidity among female caregivers? In almost all studies reviewed, women caregivers reported more psychiatric symptoms than men caregivers. Comparisons with noncaregiving community samples suggest that female caregivers experience excess psychiatric morbidity attributable to caregiving. Using a stress process model as an organizing framework, the study demonstrated that at all stages of the stress process, women are at greater risk for psychiatric morbidity than men. Directions for future research and implications for interventions and public policy are discussed.
    The Gerontologist 05/2000; 40(2):147-64. DOI:10.1093/geront/40.2.147 · 3.21 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: We analyzed the role of sociodemographic factors, chronic-disease risk factors, and health conditions in explaining gender differences in disability among senior citizens. We compared 1348 men and women (mean age = 79 years) on overall disability and compared their specific activities of daily living, instrumental activities of daily living (IADL), and mobility limitations. Analysis of covariance adjusted for possible explanatory factors. Women were more likely to report limitations, use of assistance, and a greater degree of disability, particularly among IADL categories. However, these gender differences were largely explained by differences in disability-related health conditions. Greater prevalence of nonfatal disabling conditions, including fractures, osteoporosis, back problems, osteoarthritis and depression, contributes substantially to greater disability and diminished quality of life among aging women compared with men.
    American Journal of Public Health 09/2004; 94(8):1406-11. DOI:10.2105/AJPH.94.8.1406 · 4.23 Impact Factor
Show more