HUBUNGAN TINGKAT KEMANDIRIAN ACTIVITY OF DAILY LIVING (ADL) DENGAN RISIKO JATUH: PERAN KESEIMBANGAN SEBAGAI VARIABEL MEDIASI PADA LANSIA
DOI:
https://doi.org/10.62710/g1ft1m13Keywords:
Aktivitas Sehari-Hari, Keseimbangan, Lansia, Risiko JatuhAbstract
Risiko jatuh merupakan masalah geriatri yang dapat memengaruhi kemampuan fungsional lansia. Penelitian ini bertujuan menganalisis hubungan tingkat kemandirian Activity of Daily Living (ADL) dengan risiko jatuh melalui keseimbangan sebagai variabel mediasi pada lansia di Kota Bandung. Penelitian kuantitatif analitik dengan pendekatan potong lintang ini melibatkan 144 lansia yang dipilih menggunakan proportionate stratified random sampling. Data dikumpulkan menggunakan Barthel Index, Timed Up and Go Test (TUG), dan Morse Fall Scale (MFS), kemudian dianalisis secara univariat, bivariat, dan mediasi. Sebanyak 85,4% responden termasuk kategori mandiri dan 55,6% memiliki risiko jatuh rendah. Analisis menunjukkan hubungan negatif sedang antara skor Barthel Index dan waktu TUG (ρ = −0,422; p < 0,001), sedangkan hubungan TUG dengan MFS bersifat positif lemah (ρ = 0,218; p = 0,009). Hubungan antara Barthel Index dan MFS tidak signifikan (ρ = −0,160; p = 0,055). Pada analisis mediasi, hubungan Barthel Index dengan TUG signifikan (β = −0,894; p < 0,001), tetapi efek tidak langsung melalui TUG tidak signifikan (β = −0,282; p = 0,095). Meskipun efek total signifikan (β = −0,372; p = 0,002), keseimbangan yang diukur menggunakan TUG belum terbukti memediasi hubungan tingkat kemandirian ADL dengan risiko jatuh pada lansia.
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