DETERMINAN BIOPSIKOSOSIAL KUALITAS HIDUP LANJUT USIA DI BALAI PELAYANAN SOSIAL TRESNA WERDHA YOGYAKARTA

Biopsychosocial Determinants of Quality of Life in the Elderly at Tresna Werdha Social Nursing Home, Yogyakarta Sobma Swastika1), Setyo Sri Rahardjo2), RB Soemanto3) 1)Masters Program in Public Health, Sebelas Maret University 2)Faculty of Medicine, Sebelas Maret University 3)Faculty of Social and Political Science, Sebelas Maret University ABSTRACT Background: Aging process is a multidimensional natural process with problems in biological determinants, psychological determinants, and social determinants. Efforts are needed to prolong life expectancy and to improve the quality of life of the elderly. This study aimed to analyze biopsychosocial determinants of quality of life in the elderly at Tresna Werdha Social Nursing Home, Yogyakarta. Subjects and Method: This study was analytic observational study with cross-sectional design. It was conducted at Abiyoso and Budi Luhur units, Tresna Werdha Social Nursing Home, Yogyakarta, in April 2017. A sample of 100 elderly were selected for this study by purposive sampling and simple random sampling. The independent variables were health status, level of independence, intellectual function, depression, and social activities. The dependent variable was quality of life. The data were collected by a set of pre-tested questionnaire and analyzed by logistic regression. Results: Biopsychosocial determinants of quality of life in the elderly included health status (OR= 11.66; 95% CI = 2.18 to 62.14; p= 0.004), level of independence (OR= 4.12; 95% CI = 1.08 to 15.60; p= 0.037), intellectual function (OR= 9.75; 95% CI = 1.09 to 87.08; p= 0.036), depression (OR = 3.38; 95% CI = 1.01 to 11.24; p= 0.047), and social activities (OR= 6.02; 95% CI = 1.12 to 32.25; p = 0.047). Conclusion: Health status, level of independence, intellectual function, depression status, and social activity affect the quality of life of the elderly by 50.30%, while 49.70% influenced by other variable not examined in this study, with health status become determinant which have the biggest influence to quality of life of elderly. Keywords: biopsychosocial, determinant, quality of life, elderl