Elderly Quality of Life and Its Predictors in Chronic Disease Management Program: Indonesian Version of WHOQOL-BREF and WHOQOL-OLD
Abstract
Indonesia is currently experiencing increasing proportion of older population, which also increases the prevalence of chronic diseases that may decrease the quality of life (QoL). The Indonesian Social Security Agency develops a program to control chronic diseases, which is referred to as the Chronic Disease Management Program (Program Pengelolaan Penyakit Kronis, PROLANIS) for the National Health Insurance participants. Its goals is to control chronic diseases in order to improve participants’ QoL. To evaluate the QoL of the elderly, the World Health Organization (WHO) has developed two questionnaires, namely WHOQOL-BREF and WHOQOL-OLD. The objective of this study was to analyze the differences in the QoL of the elderly between PROLANIS and non-PROLANIS participants using the Indonesian-verson of WHOQOL-BREF and WHOQOL-OLD as well as the QoL predictors. A cross-sectional study was carried out to 84 elderly PROLANIS participants (n=42) and non-PROLANIS participants (n=42). Respondents were sampled consecutively from 6 public health health centers (Pusat Kesehatan Masyarakat, Puskesmas) in Bangka District, Indonesia in 2018. Mann Whitney test or the unpaired T test were used to statistically analyze the difference between the two groups. A multiple linear regression test was then carried out to determine the predictors of the QoL. This study discovered that no difference was observed in the QoL of the elderly between PROLANIS and non-PROLANIS participants. Disease status and depression were the predictors of the QoL. Therefore, PROLANIS has not been proven to be able to improve the QoL of the elderly.
Kualitas Hidup Lanjut Usia dan Prediktornya pada Program Pengelolaan Penyakit Kronis: Versi Indonesia dari WHOQOL-BREF dan WHOQOL-OLD
Peningkatan proporsi penduduk lanjut usia (lansia) di Indonesia meningkatkan prevalensi penyakit kronis sehingga dapat menyebabkan penurunan kualitas hidup. Badan Penyelenggara Jaminan Sosial mengembangkan Program Pengelolaan Penyakit Kronis (PROLANIS) bagi peserta Jaminan Kesehatan Nasional dengan tujuan agar penyakit kronis tersebut terkontrol dan lansia dapat hidup berkualitas. World Health Organization (WHO) mengembangkan instrumen untuk mengukur kualitas hidup, yaitu WHOQOL-BREF dan WHOQOL-OLD. Penelitian ini bertujuan menganalisis adanya perbedaan kualitas hidup lanjut usia antara bukan peserta PROLANIS dan peserta PROLANIS menggunakan kuesioner WHOQOL-BREF dan WHOQOL-OLD versi Bahasa Indonesia dan faktor yang berpengaruh. Penelitian potong lintang dilakukan pada 84 lansia yang terbagi menjadi 2 grup masing-masing 42 responden, yaitu bukan peserta PROLANIS danpeserta PROLANIS. Responden berasal dari 6 Puskesmas di Kabupaten Bangka Provinsi Bangka Belitung Indonesia pada tahun 2018 yang dipilih sesuai kriteria inklusi dan dengan metode consecutive sampling. Data yang terkumpul dilakukan analisis menggunakan Uji Mann Whitney atau uji T tidak berpasangan. Uji regresi linier multipel dilakukan untuk menentukan prediktor dari kualitas hidup. Hasil penelitian menunjukkan bahwa tidak ada perbedaan kualitas hidup lansia antara bukan peserta PROLANIS dan peserta PROLANIS. Status penyakit dan depresi merupakan prediktor kualitas hidup. Simpulan, PROLANIS belum terbukti dapat meningkatkan kualitas hidup lansia.
Keywords
Full Text:
PDFReferences
WHO-Regional Office for South-East Asia. Regional strategy for healthy ageing (2013–2018), Regional Office for South-East Asia. New Delhi: WHO-SEARO; 2014.
Indonesian Ministry of Health. Laporan nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI; 2018.
BPJS Kesehatan. Panduan Praktis PROLANIS (Program Pengelolaan Penyakit Kronis) [Internet]. Jakarta: BPJS Kesehatan; 2015. Available from: https://bpjs-kesehatan.go.id/bpjs/dmdocuments/a9c04aa825ffc12d24aeee668747f284.pdf
World Health Organization. WHOQOL-BREF, Introduction,administration, scoring and generic version of the assessment. Geneva: Programme on Mental Health WHO; 1996.
World Health Organization. WHOQOL-OLD Manual. Copenhagen: WHO-European Office; 2006.
Purba FD, Hunfeld JAM, Iskandarsyah A, Fitriana TS, Sadarjoen SS, Passchier J, et al. QoL of the Indonesian general population: Test-retest reliability and population norms of the EQ-5D-5L and WHOQOL-BREF. PLoS One. 2018;13(5):1–20.
Bélanger E, Ahmed T, Vafaei A, Curcio CL, Phillips SP, Zunzunegui MV. Sources of social support associated with health and QoL: A cross-sectional study among Canadian and Latin American older adults. BMJ Open. 2016;6(6):1–10.
Chang P-Y, Wray L, Lin Y. Social relationship, leisure ctivity, and health inolder adults. 2014;33(6):516–23.
Hajek A, Brettschneider C, Mallon T, Der Leeden C Van, Mamone S, Wiese B, et al. How does social support affect functional impairment in late life? Findings of a multicenter prospective cohort study in Germany. Age Ageing. 2017;46(5):813–20.
Liu J, Rozelle S, Xu Q, Yu N, Zhou T. Social engagement and elderly health in China: Evidence from the China health and retirement longitudinal survey (CHARLS). Int J Environ Res Public Health. 2019;16(2).
Omole F, Fresh EM, Sow C, Lin J, Taiwo B, Nichols M. How to discuss sex with elderly patients. J Fam Pract. 2014;63(4):1–4.
Dhingra I, De Sousa A, Sonavane S. Sexuality in older adults: Clinical and psychosocial dilemmas. J Geriatr Ment Heal. 2016;3(2):131.
de Paiva MHP, Pegorari MS, Nascimento JS, Santos Á da S. Factors associated with QoL among the elderly in the community of the southern triangle macro-region, Minas Gerais, Brazil. Cienc e Saude Coletiva. 2016;21(11):3347–56.
Campos ACV, Ferreira EF e., Vargas AMD, Albala C. Aging, Gender and QoL (AGEQOL) study: Factors associated with good QoL in older Brazilian community-dwelling adults. Health Qual Life Outcomes. 2014;12(1):1–11.
Soósová MS. Determinants of QoL in the elderly. Cent Eur J Nurs Midwifery. 2016;7(3):484–93.
Sözeri-Varma G. Depression in the elderly: clinical features and risk factors. Aging Dis. 2012;3(6):465–71.
Van Nguyen T, Van Nguyen H, Duc Nguyen T, Van Nguyen T, The Nguyen P. Difference in QoL and associated factors among the elderly in rural Vietnam. J Prev Med Hyg. 2017;58(1):E63–71.
Ju S, Kim K-S. The Relationship among QoL, depression and subjective health status of the elderly with chronic disease in Korea. Indian J Sci Technol. 2015;8(16).
Weber K, Canuto A, Giannakopoulos P, Mouchian A, Meiler-Mititelu C, Meiler A, et al. Personality, psychosocial and health-related predictors of QoL in old age. Aging Ment Heal. 2015;19(2):151–8.
Steptoe A, Fancourt D. Leading a meaningful life at older ages and its relationship with social engagement, prosperity, health, biology, and time use. Proc Natl Acad Sci U S A. 2019;116(4):1207–12.
Article Metrics
Abstract view : 3213 timesPDF - 2677 times
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
MKB is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
View My Stats