Health Status, Family Support, and Independence in Activities of Daily Living among Adults Aged 45 Years and Older at Posbindu Tabeo, Central Sulawesi

https://doi.org/10.33860/shj.v4i2.4364

Authors

  • Rina Tampake Department of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia
  • Jurana Department of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia
  • Dwi Yulia Vasya Student of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia
  • Rahmat Kurniawan Department of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia
  • Selvi Alfrida Mangundap Department of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia

Keywords:

Activities of Daily Living, Elderly, Functional Status, Healthy Aging, Independence

Abstract

Background: Independence in performing activities of daily living (ADL) is an important indicator of functional health among middle-aged and older adults. Health status and family support are considered important factors associated with the ability to maintain daily functioning. This study aimed to analyze the association between health status, family support, and independence in ADL among adults aged 45 years and older at Posbindu Tabeo, Kayumalue Ngapa, within the working area of Tawaeli Public Health Center, Central Sulawesi, Indonesia.

Methods: This study employed an analytical cross-sectional design. The study was conducted at Posbindu Tabeo, Kayumalue Ngapa, from July 10 to July 11, 2023. A total of 38 participants aged 45 years and older were selected using purposive sampling. Data were collected through face-to-face interviews using structured questionnaires. Independence in ADL was measured using the Barthel Index, while health status and family support were assessed using structured questionnaires. Data were analyzed using descriptive statistics and the Chi-square test, with statistical significance set at p < 0.05.

Results: Among 38 participants, 28 respondents (73.7%) had good health status, 27 respondents (71.1%) received supportive family support, and 17 respondents (44.7%) had mild dependency in ADL. The Chi-square test showed a significant association between health status and independence in ADL (p = 0.001). A significant association was also found between family support and independence in ADL (p = 0.001).

Conclusion: Health status and family support were statistically associated with independence in activities of daily living among adults aged 45 years and older at Posbindu Tabeo. These findings suggest the importance of maintaining good health status and strengthening family support in community-based health programs to help preserve functional independence. Further studies with larger samples and longitudinal designs are recommended to confirm these findings.

Author Biographies

Rina Tampake, Department of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia

Jurusan Keperawatan, Poltekkes Kemenkes Palu

Jurana, Department of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia

Jurusan Keperawatan, Politekes Kemenkes Palu

Dwi Yulia Vasya, Student of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia

Mahasiswa Keperawatan, Poltekkes Kemenkes Palu

Rahmat Kurniawan, Department of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia

Jurusan Keperawatan, Poltekkes Kemenkes Palu

References

Anggraini, N. (2023). Healthcare Access and Utilization in Rural Communities of Indonesia. Journal of Community Health Provision, 3(1), 14–19. https://doi.org/10.55885/jchp.v3i1.214

Bhattacharjee, M. S., Pal, J., Ghosh, K., Hati, A., Paria, T. K., & Mahato, S. (2021). Prevalence of Frailty Syndrome and Chronic Diseases among the Elderly Population: A Hospital-based Study from a Tertiary Care Center. Bengal Physician Journal, 8(1), 3–8. https://doi.org/10.5005/jp-journals-10070-7048

Cho, J., Cho, E., Yang, M., Kim, E., & Hwang, S. (2025). Factors influencing activities of daily living in community-dwelling older adults with dementia. Geriatric Nursing, 66, 103627. https://doi.org/10.1016/j.gerinurse.2025.103627

Dinkes Sulawesi Tengah. (2021). Profil Kesehatan Provinsi Sulawesi Tengah. Profil Kesehatan Provinsi Sulawesi Tengah, 1–377.

Dwisetyo, B. (2024). Strategi Holistik Peningkatan Kualitas Hidup Lansia. AMU Press, 1(1 SE-Buku), 1–106.

Elisabeth. (2024). Inter-generational family support provided by older people in Indonesia. Ageing and Society, 24(4), 497–530. https://doi.org/10.1017/S0144686X0400234X

Enogela, E. M., Buchanan, T., Carter, C. S., Elk, R., Gazaway, S. B., Goodin, B. R., … Buford, T. W. (2022). Preserving independence among under-resourced older adults in the Southeastern United States: existing barriers and potential strategies for research. International Journal for Equity in Health, 21(1), 119. https://doi.org/10.1186/s12939-022-01721-5

Fauziah Nasution. (2025). Peran Keluarga dalam Meningkatkan Kesejahteraan Lansia. Observasi : Jurnal Publikasi Ilmu Psikologi, 3(2), 30–36. https://doi.org/10.61132/observasi.v3i2.1032

Gianfredi, V., Nucci, D., Pennisi, F., Maggi, S., Veronese, N., & Soysal, P. (2025). Aging, longevity, and healthy aging: the public health approach. Aging Clinical and Experimental Research, 37(1), 125. https://doi.org/10.1007/s40520-025-03021-8

Hu, M., Li, X., Zhu, Y., Chen, Z., Lai, C., Liu, R., … Phillips, M. R. (2025). The role of family caregiving in the management of individuals with mental illnesses and the outcome of family-based interventions for mental illnesses in China: a scoping review. The Lancet Regional Health - Western Pacific, 56, 101184. https://doi.org/10.1016/j.lanwpc.2024.101184

Jiang, N., Wu, B., & Li, Y. (2024). Caregiving in Asia: Priority areas for research, policy, and practice to support family caregivers. Health Care Science, 3(6), 374–382. https://doi.org/10.1002/hcs2.124

Kusumaningrum. (2024). Factors related to quality of life in community-dwelling adults in Sleman Regency, Special Region of Yogyakarta, Indonesia: Results from a cross-sectional study. PLOS ONE, 19(1), e0296245. https://doi.org/10.1371/journal.pone.0296245

Noto, S. (2023). Perspectives on Aging and Quality of Life. Healthcare, 11(15), 2131. https://doi.org/10.3390/healthcare11152131

Nurti, W. D., Zulfitri, R., & Jumaini. (2022). Relationship between the Level of Independence of the Elderly doing Activities of Daily Living with Emotional Mental Health Conditions in Elderly in Banjar Guntung Village. Jurnal Medika Hutama, 03(02), 2508–2518.

Osareme, J. (2024). Demographic shifts and healthcare: A review of aging populations and systemic challenges. International Journal of Science and Research Archive, 11(1), 383–395. https://doi.org/10.30574/ijsra.2024.11.1.0067

Rumaolat, W., Soamole, I., & Sillehu, S. (2023). Faktor yang Berhubungan dengan Kemandirian Lansia di Desa Tamilouw Kecamatan Amahai Kabupaten Maluku Tengah. JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan), 8(2), 122. https://doi.org/10.30829/jumantik.v8i2.14350

Siti Rochmah. (2023). Partisipasi Lansia pada Pelayanan Posbindu PTM di Kabupaten Rembang. Window of Health : Jurnal Kesehatan, 167–178. https://doi.org/10.33096/woh.vi.741

Sri Kristiyanto. (2026). An Integrated 5I Health Promotion Model for Enhancing Independence and Quality of Life Among Older Adults in Indonesia: A Community-Based Path Analysis Study. International Journal of Environmental Research and Public Health, 23(3), 301. https://doi.org/10.3390/ijerph23030301

Suryani, C., Tri Febriani, R., & Harningtyas, S. (2025). The Relationship Between Family Roles and the Independence of Activities of Daily Living (ADL) in Elderly : Hubungan Antara Peran Keluarga Dengan Kemandirian Activity Daily Living (ADL) Lansia. Jurnal Keperawatan Terapan, 11(2 SE-Original Articles), 203–209. https://doi.org/10.31290/jkt.v11i2.6066

Wong, A. K. C., Liu, T., Liu, L. Z., Bayuo, J., Tao, X., & Wong, F. K. Y. (2025). Healthcare and Social Needs of Older Adults in Underserved Urban Communities: Insights from Community Health Workers. Journal of Urban Health, 102(5), 1057–1068. https://doi.org/10.1007/s11524-025-01011-9

Published

2026-08-17

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