Improved functional status and quality of life among the public institutionalized elderly in Jakarta

Abstract

A nurse, caregiver, and elderly partnership are essential in aged care institutions to maintain a functional status and quality of life for the elderly. However, there are insufficient aged care institutions that can provide thorough care service due to the limitations of the aged care service system teams. This study aimed to determine the effectiveness of the nurse, caregiver, and elderly partnership model (MiRaDaSia) on the functional status and quality of life of the elderly living in public aged care institutions in Jakarta, Indonesia. This quasi-experimental design included 102 participants in an intervention group and 102 participants in a control group. Samples were taken with multistage random sampling, the World Health Organization Quality of Life-BREF, and Barthel Index were used to measure elderly patient quality of life and functional status, and McNemar's test and repeated measurements were used to analyze the results. The results showed improving functional status and quality of life after 12 weeks of the intervention. We can conclude that the MiRaDaSia model is significantly effective in improving the functional status and quality of life of the institutionalized elderly. The use of this model allowed the aged care service system members to take part based on their roles and competencies optimally. Finally, this model can be used as a model of care in other aged care institutions in Indonesia and as a training reference for future nurses to be assigned in that setting.