IMPROVING THE HEALTH AND FUNCTIONAL STATUS OF INSTITUTIONALIZED OLDER ADULTS THROUGH THE NURSE, CAREGIVER, AND OLDER-ADULTS PARTNERSHIP MODEL (MIRADASIA)

Health and functional status are standard measurements in older adult’s services that showed physical and mental condition. However, institutionalized older adults with several adjustments and their limited source might cause compromised health and functional status. The quasi-experimental study aimed to investigate the effect of MiRaDaSia (nurses and caregivers joined the partnership model) on health and functional status among institutionalized older adults in Jakarta. It included 106 participants as intervention groups and 106 participants as control groups, who selected by multistage random sampling. We used the SF-12 and Barthel index to measure older-adults health and functional status. MiRaDaSia model was implemented for twelve weeks. Generally, there has been an increase in the mean of health and functional status after the intervention. There were significant improvements in functional condition between each group (p=0,001); however, mean difference oh health status show the significant increase only on six weeks following the intervention. MiRaDaSia can be implemented as a practical model to enhance services among institutionalized older-adults by professional’s staff as it encourages partnership among the nurse, caregiver, and the institutionalized older-adults. Future research may consider the effectiveness of the model in private institutional, with widening variation of older adults and caregivers’ characteristics as well as the different working environment of the institution. Keywords: caregiver, health status, functional status, institutionalized older-adult, older-adults, MiRaDaSia. Abstrak Model Kemitraan Perawat, Caregiver, dan Lansia (Miradasia) Dalam Meningkatkan Status Kesehatan Dan Fungsional Lansia di Panti. Status kesehatan dan fungsional merupakan pengukuran standar yang harus dilakukan dalam menilai pelayanan kesehatan lansia yang meliputi pengkajian sampai evaluasi. Kedua pengukuran tersebut pada akhirnya menggambarkan kondisi fisik dan mental lansia. Namun, kondisi lansia yang berada di panti dengan berbagai permasalahan kesehatan dan keterbatasan sumber daya dapat menimbulkan gangguan pada status kesehatan dan fungsional lansia. Penelitian ini bertujuan untuk mengetahui pengaruh pelaksanaan model praktik Kemitraan antara perawat, caregiver, dan lansia (MiRaDaSia) terhadap status kesehatan dan fungsional pada lansia yang tinggal di panti wilayah Jakarta. Penelitian dengan desain quasi-eksperimental melibatkan 2 kelompok yan