DAFTAR ISI

Halaman
HALAMAN JUDUL ........................................................................................... i
LEMBAR PERSETUJUAN ................................................................................ ii
LEMBAR PENGESAHAN ................................................................................. iii
KATA PENGANTAR ......................................................................................... iv
DAFTAR ISI ........................................................................................................ vi
DAFTAR GAMBAR ........................................................................................... viii
DAFTAR LAMPIRAN ........................................................................................ ix

BAB 1 PENDAHULUAN

1.1 Latar Belakang .............................................................................................. 1

1.2 Rumusan Masalah ......................................................................................... 5
1.3 Tujuan Umum ................................................................................................ 5
1.4 Tujuan Khusus ............................................................................................... 5
1.5 Manfaat Penelitian ......................................................................................... 6
1.5.1 Manfaat Teoritis .................................................................................. 6
1.5.2 Manfaat Praktis .................................................................................... 6

BAB 2 TINJAUAN PUSTAKA

2.1 Konsep Lanjut Usia ........................................................................................ 9

2.1.1 Definisi Lanjut Usia ................................................................................ 9
2.1.2 Pengelompokan Lanjut Usia ................................................................... 9
2.1.3 Masalah yang Dihadapi Lanjut Usia ....................................................... 10
2.1.4 Permasalahan Khusus pada Lanjut Usia ................................................. 13
2.1.5 Perubahan Fisik yang Terjadi pada Lanjut Usia ..................................... 14
2.1.6 Perubahan Kognitif yang Terjadi pada Lanjut Usia ............................... 18
2.1.7 Perubahan Spiritual yang Terjadi pada Lanjut Usia ............................... 20
2.1.8 Perubahan Psikososial yang Terjadi pada Lanjut Usia ........................... 20
2.2 Konsep Depresi ............................................................................................... 21
2.2.1 Pengertian Depresi .................................................................................. 21
2.2.2 Tanda dan Gejala Depresi ....................................................................... 22
2.2.3 Patopsikologi Depresi ............................................................................. 25
2.2.4 Tingkat Depresi ....................................................................................... 28
2.2.5 Penyebab Depresi.................................................................................... 29
2.2.6 Faktor- Faktor yang Menyebabkan Depresi pada Lansia Tinggal di
Institusi .................................................................................................... 32
2.3 Konsep Terapi Okupasi ................................................................................... 34
2.3.1 Definisi Terapi Okupasi .......................................................................... 34
2.3.2 Tujuan Terapi Okupasi ........................................................................... 36
2.3.3 Peranan Aktivitas dalam Terapi Okupasi ............................................... 37
2.3.4 Indikasi Terapi Okupasi .......................................................................... 41
2.3.5 Kontraindikasi Terapi Okupasi ............................................................... 42

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 2.3.6 Proses Terapi Okupasi ............................................................................ 42
2.4 Teori Konsep Keperawatan tentang Depresi................................................... 43
2.5 Teori Konsep Keperawatan tentang Isolasi Sosial .......................................... 49
2.6 Kerangka Konsep ............................................................................................ 57

BAB 3 METODELOGI PENELITIAN

3.1 Desain Penelitian ............................................................................................ 59

3.2 Subjek Penelitian ............................................................................................ 60
3.2 1 Kriteria Inklusi ....................................................................................... 60
3.2 2 Kriteria Eksklusi ..................................................................................... 60
3.3 Fokus Studi .................................................................................................... 61
3.4 Definisi Operasional ....................................................................................... 61
3.5 Tempat dan Waktu ........................................................................................ 62
3.6 Instrumen Penelitian ....................................................................................... 62
3.7 Teknik Pengumpulan Data .............................................................................. 62
3.8 Pengolahan dan Analisa ................................................................................. 65
3.9 Penyajian Data ................................................................................................ 65
3.10 Etika Penelitian ............................................................................................. 65
3.10 1 Informed Consent ( Persetujuan Penelitian) ......................................... 66
3.10 2 Anonimity (Tanpa Nama)...................................................................... 66
3.10 3 Confidentially (Kerahasiaan) ................................................................ 66
3.10 4 Beneficience .......................................................................................... 66
3.10 5 Veracity ................................................................................................ 66
3.10 6 Nonmalifience ....................................................................................... 66

DAFTAR PUSTAKA .......................................................................................... 67

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 DAFTAR GAMBAR

Gambar 2.1 Kerangka Konsep ............................................................................ 57

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 DAFTAR LAMPIRAN

Lampiran 1 Plan Of Action .................................................................................. 68

Lampiran 2 Lembar Persetujuan ( Informed Consent) ......................................... 69
Lampiran 3 Lembar Permintaan Menjadi Responden ......................................... 70
Lampiran 4 Data Demografi Responden.............................................................. 71
Lampiran 5 Skala Depresi Geriatri ...................................................................... 73
Lampiran 6 Format Pengkajian Keperawatan ...................................................... 74
Lampiran 7 Strategi Pelaksanaan Tindakan Keperawatan ................................... 93
Lampiran 8 Lembar Observasi Terapi Okupasi..................................................98
Lampiran 9 Jadwal Kegiatan Peneliti .................................................................. 99
Lampiran 10 SOP Terapi Okupasi.......................................................................101
Lampiran 11 Surat Permohonan Studi Pendahuluan...........................................102
Lampiran 12 Surat Ijin Studi Pendahuluan Bakes Bangpol.................................103
Lampiran 13 Surat Ijin Sudi Pendahuluan Dinas Sosial......................................104

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