Pengalaman Lansia dengan Demensia Ringan-Sedang Dalam Melakukan Komunikasi dengan Pelaku Rawat: Systematic Review

http://doi.org/10.22216/jen.v4i2.4046


Ummi Malikal Balqis(1*), Junaiti Sahar(2)

(1) Universitas Indonesia
(2) Universitas Indonesia
(*) Corresponding Author

Abstract


Dementia is a progressive decline in cognitive abilities that characterized by memory loss that affects everyday abilities. One of the most common problems in elderly with dementia is communication problem. The purpose of this systematic review is to explore the experience of elderly with mild-moderate dementia in communicating with caregivers. This article uses the systematic review method to all selected articles. Through this systematic review approach, six selected themes in phenomenology journals explain that elderly with mild-moderate dementia can describe the symptoms of dementia experienced, feelings of loss and stress caused of dementia, negative stigma towards elderly dementia, loss of control and desire to make their own decisions, and problems in interpersonal relationships. The ability of elderly with mild-moderate dementia in communicating their experiences when interacting with caregivers can be a consideration for caregivers in making decisions related to the condition of their experience in elderly with dementia

 

Demensia merupakan penurunan secara progresif pada kemampuan kognitif yang ditandai dengan kehilangan memori yang mempengaruhi kemampuan sehari-hari. Salah satu masalah yang cukup dominan dirasa pada lansia demensia yaitu masalah di dalam komunikasi. Tujuan dari penulisan ini adalah untuk melihat pengalaman lansia dengan demensia ringan-sedang dalam melakukan komunikasi dengan pelaku rawat. Artikel ini menggunakan metode penulisan systematic review terhadap artikel terpilih. Melalui pendekatan systematic review ini, enam jurnal fenomenologi terpilih menyebutkan bahwa tema-tema yang muncul saat lansia dengan demensia ringan-sedang melakukan komunikasi dengan pelaku rawat, diantaranya lansia mampu untuk menceritakan gejala demensia yang dialami, perasaan kehilangan dan tertekan, stigma negatif orang lain, kehilangan kendali dan keinginan untuk mengambil keputusan sendiri, serta masalah di dalam hubungan interpersonal. Kemampuan lansia dengan demensia ringan-sedang dalam mengungkapkan pengalamannya ketika berinteraksi dengan pelaku rawat dapat menjadi pertimbangan bagi pelaku rawat dalam menentukan keputusan pemberian pelayanan berkaitan dengan kondisi demensia yang dialaminya


Keywords


Caregivers; Communication; Dementia; Eldely; Experience

Full Text:

PDF

References


Aldridge, H., Fisher, P., & Laidlaw, K. (2017). Experiences of shame for people with dementia : An Interpretative Phenomenological Analysis. Dementia. https://doi.org/10.1177/1471301217732430

Alzheimer’s Disease International. (2014). Dementia in the Asia Pacific Region. London: Alzheimer’s Disease International.

Alzheimer’s Society. (2016). Communicating. Factsheet, (March), 1–12. Retrieved from https://www.alzheimers.org.uk/sites/default/files/pdf/factsheet_communicating.pdf

Badan Pusat Statistika. (2017). Statistik Penduduk Lanjut usia 2017. Badan Pusat Statistika RI, 1–258. Retrieved from https://www.bps.go.id/publication/2018/04/13/7a130a22aa29cc8219c5d153/statistik-penduduk-lanjut-usia-2017.html

Fetherstonhaugh, D., Tarzia, L., & Nay, R. (2013). Being central to decision making means I am still here!: The essence of decision making for people with dementia. Journal of Aging Studies, 27(2), 143–150. https://doi.org/10.1016/j.jaging.2012.12.007

Franceschi, C., Garagnani, P., Morsiani, C., Conte, M., Santoro, A., Grignolio, A., … Salvioli, S. (2018). The Continuum of Aging and Age-Related Diseases: Common Mechanisms but Different Rates. Frontiers in Medicine, 5(March). https://doi.org/10.3389/fmed.2018.00061

Goodman, C., Amador, S., Elmore, N., Machen, I., & Mathie, E. (2013). Preferences and priorities for ongoing and end-of-life care: A qualitative study of older people with dementia resident in care homes. International Journal of Nursing Studies, 50(12), 1639–1647. https://doi.org/10.1016/j.ijnurstu.2013.06.008

Grimme, T. M., Buchanan, J., & Afflerbach, S. (2015). Understanding Elderspeak from the Perspective of Certified Nursing Assistants. Journal of Gerontological Nursing, 41(11), 42–49. https://doi.org/10.3928/00989134-20151015-05

Holland, S., & Kydd, A. (2013). The lived experience of people newly diagnosed with dementia: A narrative study using a phenomenological approach. Clinical Nursing Studies, 2(1), 80–89. https://doi.org/10.5430/cns.v2n1p80

Jeffrey Model Foundation. (2014). 10 Warning Signs. Alzheimer Society of Canada, 1–6. Retrieved from http://www.info4pi.org/library/educational-materials/10-warning-signs

Johnson, H. F. (2016). Exploring the Lived Experience of People with Dementia Through Interpretative Phenomenological Analysis Exploring the Lived Experience of People with Dementia Through Interpretative Phenomenological Analysis. The Quality Report, 21(4), 695–711. Retrieved from http://nsuworks.nova.edu/tqr%0Ahttp://nsuworks.nova.edu/tqr/vol21/iss4/7

Kementerian Kesehatan RI. (2014). Situasi dan Analisis Lanjut Usia. InfoDATIN: Pusat Data Dan Informasi Kementerian Kesehatan RI. https://doi.org/10.3200/EXPL.67.1.43-45

Kementerian Kesehatan RI. (2015). Peraturan Menteri Kesehatan Republik Indonesia Nomor 67 Tahun 2015 tentang Penyelenggaraan Pelayanan Kesehatan Lanjut Usia.

O’Brien, R., Goldberg, S. E., Pilnick, A., Beeke, S., Schneider, J., Sartain, K., … Harwood, R. H. (2018). The VOICE study – A before and after study of a dementia communication skills training course. PLoS ONE, 13(6), 1–16. https://doi.org/10.1371/journal.pone.0198567

Patterson, C. (2018). World Alzheimer Report 2018 - The state of the art of dementia research: New frontiers. Alzheimer’s Disease International: World Alzheimer Report 2018, 1–48. Retrieved from https://www.alz.co.uk/research/WorldAlzheimerReport2018.pdf

Riasmini, N. M. (2013). Efektivitas Model Kelompok Keluarga Mandiri untuk Meningkatkan Kualitas Hidup Lanjut Usia di Masyarakat Wilayah DKI Jakarta. Universitas Indonesia. Retrieved from http://lib.ui.ac.id/file?file=digital/20350880-D1448-Ni Made Riasmini.pdf

Sharp, B. K. (2017). Stress as experienced by people with dementia: An interpretative phenomenological analysis. Dementia. https://doi.org/10.1177/1471301217713877

World Health Organization. (2017). Dementia Fact sheet. Retrieved from http://www.who.int/news-room/fact-sheets/detail/dementia

World Health Rankings. (2018). Indonesia: Life Expectancy. Retrieved December 14, 2018, from https://www.worldlifeexpectancy.com/indonesia-life-expectancy




Copyright (c) 2019 Ummi Malikal Balqis, Junaiti Sahar

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

Published by Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Khatib Sulaiman Street Padang
West Sumatera
Phone: +62751705637
Fax: +62751705637
Email: jurnal.lldikti10@ristekdikti.go.id

E-ISSN : 2477-6521
Â