QUALITY-OF-LIFE OF ELDERLY NATIONAL HEALTH INSURANCE PARTICIPANTS WITH HYPERTENSION AND TYPE 2 DIABETES MELLITUS IN DENPASAR

Abstrak

Elderly individuals are at a high risk of suffering from chronic diseases, especially hypertension and type 2 diabetes mellitus (DM type 2). Chronic diseases were often accompanied by multimorbidity and require long-term treatment. This led to a decline in the quality-of-life among the elderly. This research aimed to understand the quality-of-life among elderly individuals with hypertension and DM type 2 who are participants of BPJS Kesehatan and reside in the city of Denpasar. The study used a cross-sectional descriptive design, conducted from January to August 2023. A total of 49 elderly individuals (age ≥60 years) from 4 community health centers in Denpasar were selected as respondents using consecutive sampling. Data were collected through interviews using a questionnaire. The collected data included respondent characteristics and the level of quality-of-life based on the SF-36 questionnaire. Based on the data analysis, the majority of respondents sufferred from hypertension (51.0%) for a duration of 2-5 years (44.9%), with one accompanying disease (48.9%), mainly heart disease (48.9%). In terms of physical and mental aspects, elderly individuals with hypertension and/or DM type 2 had good quality-of-life. Individuals with hypertension/DM had better physical functional abilities compared to mental functional abilities, with poor social functioning. Conversely, elderly individuals with more than one chronic disease generally had a lower quality-of-life, with better mental functional abilities compared to physical functional abilities. Therefore, policymakers were encouraged to maintain efforts to improve the quality-of-life, such as through exercise or health promotion programs (Prolanis), and develop health programs focused on mitigating the impact of multimorbidity at both individual and community levels.

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