Skripsi

Hubungan Behavioral and Psychological Symptoms of Dementia dengan Kualitas Kesehatan Fisik Caregiver = Correlation of Behavioral and Psychological Symptoms of Dementia and Caregiver’s Physical Health.

Behavioral and psychological symptoms of dementia (BPSD) yang diderita oleh orang dengan demensia (ODD) menimbulkan beban pada caregiver baik secara mental maupun fisik karena diperlukan penjagaan dan perawatan yang lebih intensif. Studi ini bertujuan untuk untuk menilai hubungan BPSD dengan kualitas kesehatan fisik caregiver. Penelitian dilakukan secara potong lintang dengan subjek sebanyak 42 caregiver keluarga. BPSD dinilai dengan menggunakan kuesioner Neuropsikiatri Inventori (NPI) sedangkan, kualitas kesehatan fisik caregiver dinilai dengan kuesioner Short-Form 36v2 (SF-36) versi Bahasa Indonesia. Hasil yang didapatkan adalah korelasi antara kualitas kesehatan fisik caregiver dengan total skor NPI tidak bermakna (r=-0,172, p=0,277) dan korelasi kualitas kesehatan fisik caregiver dengan total distress bermakna (r=-0,378, p=0,013). Selain itu, total skor NPI hanya berhubungan dengan satu domain kualitas kesehatan fisik yaitu general health (r=-0,363, p=0,018). Namun, total distress berkorelasi signifikan dengan kekuatan lemah-sedang dengan semua domain kesehatan fisik yaitu physical functioning (r=-0,436, p=0,002), physical role (r=-0,328, p=0,017), bodily pain (r=-0,403, p=0,004), dan general health (r=-0,262, p=0,047). Kualitas kesehatan fisik caregiver tidak secara langsung berhubungan dengan BPSD yang diderita oleh ODD tetapi lebih berhubungan dengan distress yang ditimbulkan oleh BPSD.
Kata kunci : Behavioral and psychological symptoms of dementia, caregiver, demensia, kualitas kesehatan kesehatan fisik, NPI, SF-36


Behavioral and psychological symptoms of dementia (BPSD) can be a challenging clinical manifestation to handle for caregiver. It can cause burden to the caregiver’s health-related quality of life both mentally and physically. Aim of this study was to investigate association between BPSD and caregiver’s physical health. This study had a cross-sectional design with fourty-two family caregivers. Subjects were assessed with Neuropsychiatry Inventory (NPI) to evaluate the BPSD’s severity and frequency of the person with dementia (PWD) and Short-Form 36v2 (SF-36) Bahasa Indonesia version to analyze the caregiver’s physical health. There is no significant correlation between caregiver’s physical health with total NPI score (r=-0.172, p=0.277) but, there is significant correlation between caregiver’s physical health and total caregiver distress (r=-0.378, p=0.013). Furthermore, total NPI score only correlates with one of four domain in physical health which is general health (r=-0.363, p=0.018) but, total distress had a significat weakmoderate correlation with four physical health domains such as physical functioning (r=-0.436, p=0.002), physical role (r=-0.328, p=0.017), bodily pain (r=-0.403, p=0.004), and general health (r=-0.262, p=0.047). Caregiver’s physical health is not associated directly with BPSD but more likely through the distress caused by BPSD that caregiver suffers.
Key words: Behavioral and psychological symptoms of dementia, caregiver, dementia, physical health, NPI, SF-36