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Abstract

Indonesia is facing a significant increase in its elderly population, requiring effective and sustainable integrated geriatric services, one of which is through the implementation of Integrated Care for Older People (ICOPE) to assess intrinsic capacity decline combined with the Ina-FRAIL questionnaire to measure frailty in the elderly. This study aims to assess the condition of frailty in older adults through the ICOPE approach in integrated geriatric services at Humana Prima Hospital in Bandung using a quantitative design with an experimental approach. The assessment was conducted using the ICOPE and Ina-FRAIL instruments to monitor intrinsic capacity and the level of frailty in older adults. The results showed a prevalence of frailty impairment (50%), mobility limitations (56%), decreased appetite (46%), visual impairment (56%), hearing impairment (23%), and loss of interest or symptoms of depression (73%), with significant differences between the control and intervention groups before and after the implementation of ICOPE, as well as a meaningful relationship between frailty levels and geriatric syndromes. In conclusion, the combination of ICOPE and Ina-FRAIL is effective in comprehensively detecting geriatric syndromes and frailty in the elderly, so it is recommended that its application be expanded to primary health care facilities through training of health workers and integration of clinical follow-up to improve the quality of life of the elderly.

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Bahasa Abstract

Indonesia menghadapi peningkatan populasi lansia yang signifikan sehingga memerlukan pelayanan geriatri terpadu yang efektif dan berkelanjutan, salah satunya melalui penerapan Integrated Care for Older People (ICOPE) untuk menilai penurunan kapasitas intrinsik yang dikombinasikan dengan kuesioner Ina-FRAIL dalam mengukur kerapuhan lansia. Penelitian ini bertujuan menilai kondisi kerapuhan lansia melalui pendekatan ICOPE dalam pelayanan geriatri terpadu di Rumah Sakit Humana Prima Kota Bandung menggunakan desain kuantitatif dengan pendekatan eksperimental. Penilaian dilakukan menggunakan instrumen ICOPE dan Ina-FRAIL untuk memantau kapasitas intrinsik dan tingkat kerapuhan lansia. Hasil penelitian menunjukkan prevalensi gangguan kognitif (50%), keterbatasan mobilitas (56%), penurunan nafsu makan (46%), gangguan penglihatan (56%), gangguan pendengaran (23%), serta kehilangan minat atau gejala depresi (73%), dengan perbedaan signifikan antara kelompok kontrol dan intervensi sebelum dan setelah penerapan ICOPE serta hubungan bermakna antara tingkat kerapuhan dan sindroma geriatrik. Kesimpulannya, kombinasi ICOPE dan Ina-FRAIL efektif dalam mendeteksi sindroma geriatrik dan kerapuhan lansia secara komprehensif sehingga disarankan penerapannya diperluas hingga fasilitas kesehatan tingkat pertama melalui pelatihan tenaga kesehatan dan integrasi tindak lanjut klinis untuk meningkatkan kualitas hidup lansia.

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