Risk of Dementia and Community-Based Patient Safety Regarding Health in the Elderly Women
Keywords:
community, dementia, doodle art therapy, patient safety, women health
Abstract
Multimorbidity is a challenge in elderly women's health. The increased risk of adverse health outcomes associated with frailty is related to patient safety issues, which is need broad community involvement to improve patient safety. This study aimed to describe the cognitive function of menopause women and describe the community empowerment regarding the community-based patient safety. This study was descriptive cross-sectional survey used MMSE, MOCA, and WHO-QOL brief questionnaire. The study participants were conveniently collected from 98 elderly women in nursing home and community in Semarang. A mixed methods analysis of patient safety incidents in the community related to older adults including the basic descriptive statistics and the differences of cognitive function and quality of life after giving the intervention. 87% of women are at risk for mild dementia, with a moderate quality of life for 60%. 73.5% (MMSE) and 71.4% (MOCA-INA) respondents were at mild to moderate level of memory impairment. Community-based doodle art therapy was significantly effective to improve memory index and quality of life. Patient safety that is often reported in female patients is associated with decreased cognitive function. Patient and community involvement can positively influence health outcomes.
References
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Yoo, J. E., Shin, D. W., Han, K., Kim, D., Won, H.-S., Lee, J., Kim, S. Y., Nam, G. E., & Park, H. S. (2020). Female reproductive factors and the risk of dementia: a nationwide cohort study. European Journal of Neurology, 27(8), 1448–1458. https://doi.org/https://doi.org/10.1111/ene.14315.
Ashraf, F., Sultana, S., Hasan, T., Pervin, H., Mustanzid, F., Mallick, T. S., Islam, J. A., Khatun, M. H., Tasmin, K. S., Selim, S., & Yusuf, M. A. (2019). Patient Empowerment: An Effective Strategy to Improve Management of GDM. Journal of Shaheed Suhrawardy Medical College, 10(2), 91–94. https://doi.org/10.3329/jssmc.v10i2.41167
Astarini, M. I. A., Tengko, A. L., & Lilyana, M. T. A. (2021). Pengalaman Perawat Menerapkan Prosedur Keselamatan Pada Klien Lanjut Usia. Adi Husada Nursing Journal, 7(1), 5. https://doi.org/10.37036/ahnj.v7i1.195
Berent-Spillson, A., Kelley, A. S., Persad, C. C., Love, T., Frey, K. A., Reame, N. E., Koeppe, R., Zubieta, J. K., & Smith, Y. R. (2018). Postmenopausal hormone treatment alters neural pathways but does not improve verbal cognitive function. Menopause, 25(12), 1424–1431. https://doi.org/10.1097/GME.0000000000001157
BPS, K. S. (2021). Profil lansia Kota Semarang 2020. Badan Pusat Statistik Kota Semarang, 30. https://semarangkota.bps.go.id/publication/download.html?nrbvfeve=OTVmNTlhYjRjZmYwZDA2YmU0OGU4NjA1&xzmn=aHR0cHM6Ly9zZW1hcmFuZ2tvdGEuYnBzLmdvLmlkL3B1YmxpY2F0aW9uLzIwMjAvMTAvMTUvOTVmNTlhYjRjZmYwZDA2YmU0OGU4NjA1L3Byb2ZpbC1sYW5zaWEta290YS1zZW1hcmFuZy0yMDE5Lmh
Chantalat, E., Valera, M. C., Vaysse, C., Noirrit, E., Rusidze, M., Weyl, A., Vergriete, K., Buscail, E., Lluel, P., Fontaine, C., Arnal, J. F., & Lenfant, F. (2020). Estrogen receptors and endometriosis. International Journal of Molecular Sciences, 21(8), 1–17. https://doi.org/10.3390/ijms21082815
Conde, D. M., Verdade, R. C., Valadares, A. L. R., Mella, L. F. B., Pedro, A. O., & Costa-Paiva, L. (2021). Menopause and cognitive impairment: A narrative review of current knowledge. World Journal of Psychiatry, 11(8), 412–428. https://doi.org/10.5498/wjp.v11.i8.412
Djajasaputra, A. D. R., & Halim, M. S. (2019). Fungsi Kognitif Lansia yang Beraktivitas Kognitif secara Rutin dan Tidak Rutin. Jurnal Psikologi, 46(2), 85. https://doi.org/10.22146/jpsi.33192
Edwards, H., Duchesne, A., Au, A. S., & Einstein, G. (2019). The many menopauses: Searching the cognitive research literature for menopause types. Menopause, 26(1), 45–65. https://doi.org/10.1097/GME.0000000000001171
El Khoudary, S. R., Greendale, G., Crawford, S. L., Avis, N. E., Brooks, M. M., Thurston, R. C., Karvonen-Gutierrez, C., Waetjen, L. E., & Matthews, K. (2019). The menopause transition and women’s health at midlife: a progress report from the Study of Women’s Health Across the Nation (SWAN). Menopause, 26(10). https://journals.lww.com/menopausejournal/Fulltext/2019/10000/The_menopause_transition_and_women_s_health_at.20.aspx
Gilsanz, P., Lee, C., Corrada, M. M., Kawas, C. H., Quesenberry, C. P., & Whitmer, R. A. (2019). Reproductive period and risk of dementia in a diverse cohort of health care members. Neurology, 92(17), e2005 LP-e2014. https://doi.org/10.1212/WNL.0000000000007326
Gondodiputro, S., Hidayati, A. R., & Rahmiati, L. (2018). Gender, age, marital status, and education as predictors to quality of life in elderly: WHOQOL-BREF Indonesian Version. International Journal of Integrated Health Sciences, 6(1), 36–41.
Hatmanti, N. M., & Yunita, A. (2019). Senam Lansia dan Terapi Puzzle terhadap Demensia pada Lansia. Jurnal Keperawatan Muhammadiyah, 4(1), 104–107. https://doi.org/10.30651/jkm.v4i1.2422
Hidayatul, N., & Sinuraya, R. K. (2016). Biomarker miRNA-146a sebagai Deteksi Dini yang Efektif untuk Alzheimer. Farmaka, 15(2), 159–177.
Kuh, Di., Cooper, R., Moore, A., Richards, M., & Hardy, R. (2018). Age at menopause and lifetime cognition: Findings from a British birth cohort study. Neurology, 90(19), E1673–E1681. https://doi.org/10.1212/WNL.0000000000005486
Listia Dwi Febriati, S. M. N. (2019). Pengaruh Dukungan Keluarga Terhadap Penerimaan Lansia Dalam Menghadapi Perubahan Fisik Dan Psikososial Di Dusun Sampangan Wirokerten Banguntapan Bantul Yogyakarta. Medika Respati : Jurnal Ilmiah Kesehatan, 14(1), 86. https://doi.org/10.35842/mr.v14i1.213
Luthfiana, A., & Harliansyah, H. (2019). Pemeriksaan Indeks Memori, MMSE (Mini Mental State Examination) dan MoCA-Ina (Montreal Cognitive Assestment Versi Indonesia) Pada Karyawan Universitas Yarsi. Jurnal Kedokteran YARSI, 27(2), 062–068. https://doi.org/10.33476/jky.v27i2.1116
Mendrofa, F. A. M., Hani, U., Iswanti, D. I., & Semarang, K. H. (2020). Environmental Management to Control Behavioral and Emotional Problems in Elderly with Dementia. 0200(April), 9–21. https://he01.tci-thaijo.org/index.php/ijphs/article/view/225812/164578
Namazi, M., Sadeghi, R., & Moghadam, Z. B. (2019). Social determinants of health in menopause: An integrative review. International Journal of Women’s Health, 11, 637–647. https://doi.org/10.2147/IJWH.S228594
Panentu, D., & Irfan, M. (2013). Uji Validitas Dan Reliabilitas Butir Pemeriksaan Dengan Moteral Cognitive Assessment Versi Indonesia ( MoCA- INA ) Pada Insan Pasca Stroke Fase Recovery. Jurnal Fisioterapi, 13(April), 55–67.
Pertesi, S., Coughlan, G., Puthusseryppady, V., Morris, E., & Hornberger, M. (2019). Menopause, cognition and dementia – A review. Post Reproductive Health, 25(4), 200–206. https://doi.org/10.1177/2053369119883485
Rickles, L. (2018). Group Art Therapy with Nursing Home Residents with Dementia: Qualitative Case Studies. 1–59. https://scholars.smwc.edu/handle/20.500.12770/234
Stanhope M., & J., L. (2013). Foundation of Nursing in the Community: Community-Oriented Practice, 4th edition. Elsevier Inc.
Stieglitz, L.-M., Bärnighausen, T., Leyna, G. H., Kazonda, P., Killewo, J., Rohr, J. K., & Kohler, S. (2022). Patterns of comorbidity and multimorbidity among middle-aged and elderly women in peri-urban Tanzania. Journal of Multimorbidity and Comorbidity, 12, 263355652210762. https://doi.org/10.1177/26335565221076254
Tsuraya, M., Zulfitri, R., & Arneliwati. (2018). Gambaran Mekanisme Koping Wanita Dalam Menghadapi Perubahan Fisik Akibat Menopause. JOM FKp, 5(2), 1384–1401.
Unkenstein, A. E., Bryant, C. A., Judd, F. K., Ong, B., & Kinsella, G. J. (2016). Understanding women’s experience of memory over the menopausal transition: subjective and objective memory in pre-, peri-, and postmenopausal women. Menopause, 23(12). https://journals.lww.com/menopausejournal/Fulltext/2016/12000/Understanding_women_s_experience_of_memory_over.10.aspx
Weber, M. T., Maki, P. M., & McDermott, M. P. (2014). Cognition and mood in perimenopause: A systematic review and meta-analysis. The Journal of Steroid Biochemistry and Molecular Biology, 142, 90–98. https://doi.org/https://doi.org/10.1016/j.jsbmb.2013.06.001
Yoo, J. E., Shin, D. W., Han, K., Kim, D., Won, H.-S., Lee, J., Kim, S. Y., Nam, G. E., & Park, H. S. (2020). Female reproductive factors and the risk of dementia: a nationwide cohort study. European Journal of Neurology, 27(8), 1448–1458. https://doi.org/https://doi.org/10.1111/ene.14315.
Published
2022-11-28
How to Cite
Hani, U., Wulaningsih, I., Hapsari, S., Mendrofa, F., & Pujiyanto, T. (2022). Risk of Dementia and Community-Based Patient Safety Regarding Health in the Elderly Women. Indonesian Journal of Global Health Research, 4(4), 901-910. https://doi.org/10.37287/ijghr.v4i4.1365
Section
Articles
