THE INFLUENCES OF DEMENSIA ON THE FULFILLMENT OF DAILY LIVING ACTIVITY (ADL) IN ELDERLY PEOPLE

Hamdayani, A.Saputri Mulyana, Nuryanti Thahir, Fhirawati, Syarif Hidayat Nasir, and Andi Sarifuddin Nursing Study Program, Faculty of Health, Patria Artha University of Makassar 2017. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History Received: 06 September 2018 Final Accepted: 08 October 2018 Published: November 2018

In the current era with the development of technology in the health sector contributing to an increase in life expectancy, the data released by WHO data in 2000 suggested that the life expectancy in the world is 66 years, 12 years later will rise to 70 years, the following year to 71 years. The proportion of the elderly population in Indonesia also increases every year. The data from WHO in 2009 revealed that featured elderly people totaling 7.49% of the total population, in 2011 it increased to 7.69% and in 2013 a proportion of elderly people reached 8.1% of the total population. Elderly is someone who has reached the age of 60 or older. In 2013 the proportion of the population aged more than 60 years was 11.7% of the total world population. It is estimated that this number will continue to gradually increase along with the increase in life expectancy (WHO, 2015).
With the increasing age of a person, it automatically affects the performance of some body functions, which is, for example, the decrease in brain function which affects the cognitive aspect, the most common thing triggering the Dementia, someone with Dementia.
Year by year, it will lose the ability to self-care so that they will increasingly depend on their caregivers to do everything in their daily life, including maintaining personal hygiene. To prevent loss of all self-care abilities when experiencing dementia can be done with home training at the nursing home. This training is done by restructuring daily activities, such as writing a complete list of daily activities on a whiteboard, blackboard, or cardboard that are all installed or affixed to the wall, placing a sign signs that are easily recognizable, such as bedrooms, bathrooms, kitchens and others, because patients with dementia may go to the wrong place due to a number of conditions (Asrori, 2014).

Method:-
This type of research was a descriptive analytic with a cross sectional study approach, The results suggested that the influence of independent variables (dementia) with dependent variables (activity daily of living) by taking a momentary measurement, that was each research subject is only measured for a moment and once at a time.

Conclusion:-
This study generates some conclusion as follows: 1. From the results of research conducted at PSTW Gau Mabaji Gowa, from 78 respondents. The data suggested that the number of elder people who experienced the highest cognitive impairment, were 36 (46.2%) respondents, then severe cognitive impairment by 30 (38.5%) respondents and those who suffered from cognitive impairment were by 12 (15.4%) respondents. 2. It is said that there were 78 respondents who obtained ADL data where some respondents had a high level of independence as many as 58 (74.4%) respondents. 3. Based on the research's results conducted at PSTW Gau Mabaji Gowa District from 78 respondents, it is said that the results of statistical tests obtained the value of ρ 0,000 <0,05, which means that there was an effect of dementia on the fulfillment of Actifity of Daily Living (ADL) in the elderly at the Tresna Werdha of Gau Mabaji Gowa. Furthermore, the data also suggests that the t test obtained the value of 5.534> 1.991, indicating that it is rejected. Therefore, it can be concluded that the independent variable (MMSE) affects the dependent variable (IBL). 4. It is expected that nurses in nursing homes need to increase an activity that stimulates their memory capacity, such as reading, drawing and engaging in social activities to help reducing dementia in the elderly. Also, they need counseling guidance related to the handling of dementia in the elderly.