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Pg1}{\bkmkend Pg1}\par\pard\ql \li9986\sb0\sl-253\slmult0 \par\pard\ql\li9986\sb218\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs22 15 \par\pard\ql \li5869\sb0\sl-276\slmult0 \par\pard\ql\li5869\sb0\sl-276\slmult0 \par\pard\ql\li5869\sb0\sl-276\slmult0 \par\pard\ql\li5869\sb0\sl-276\slmult0 \par\pard\ql\li5869\sb184\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf2\f3\fs24 BAB 2 \par\pard\li2268\sb154\sl-276\slmult0\fi2746 \up0 \expndtw-4\charscalex100 TINJAUAN PUSTAKA\par\pard\li2268\sb139\sl-276\slmult0\fi0 \up0 \expndtw-4\charscalex100 2.1 Orang Lanjut Usia\par\pard\qj \li2268\sb0\sl-412\slmult0 \par\pard\qj\li2268\ri1500\sb15\sl-412\slmult0\fi720 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf3\f4\fs24 Lanjut usia merupakan anugerah. Menjadi tua, dengan segenap \up0 \expndtw0\charscalex105 keterbatasannya, pasti akan dialami oleh seseorang bila ia panjang umur. Di \up0 \expndtw0\charscalex103 Indonesia, istilah untuk kelompok lanjut usia ini belum baku, orang memiliki \up0 \expndtw0\charscalex100 sebutan yang berbeda-beda. Ada yang menggunakan istilah lanjut usia ada pula \up0 \expndtw0\charscalex100 usia lanjut. Atau jompo dengan padanan bahasa Inggeris biasa disebut \ul0\nosupersub\cf4\f5\fs24 the aged, \up0 \expndtw-5\charscalex100 the elders, older adult,\ul0\nosupersub\cf3\f4\fs24 serta\ul0\nosupersub\cf4\f5\fs24 senior citizen\ul0\nosupersub\cf3\f4\fs24 . \par\pard\qj \li2268\ri1505\sb2\sl-420\slmult0\fi720 \up0 \expndtw0\charscalex103 Dalam uraian selanjutnya akan digunakan istilah lanjut usia atau yang \up0 \expndtw-3\charscalex100 lebih dikenal nama lansia. \par\pard\ql \li2268\ri1497\sb6\sl-413\slmult0\fi720\tx2988 \up0 \expndtw0\charscalex102 Kapan seseorang dikategorikan usia lanjut? Para ahli membedakannya \up0 \expndtw-2\charscalex100 menjadi 2 macam usia yaitu: usia kronologis dan usia biologis (Setiawan, 2002) \line\tab \up0 \expndtw0\charscalex101 Usia kronologis dihitung dengan tahun kalender. Di Indonesia, dengan \line \up0 \expndtw-3\charscalex100 usia pensiun 56 tahun, barang kali dapat dipandang sebagai batas seseorang mulai \up0 \expndtw-3\charscalex100 memasuki usia lanjut, namun dalam perkembangan selanjutnya, menurut undang\up0 \expndtw-1\charscalex100 undang No. 13 Tahun 1998 dinyatakan bahwa usia 60 tahun ke atas adalah yang \up0 \expndtw-3\charscalex100 palik layak disebut usia lanjut. \par\pard\ql \li2268\ri1504\sb0\sl-420\slmult0\fi720\tx2988 \up0 \expndtw-2\charscalex100 Usia biologis adalah usia yang sebenarnya. Di mana biasanya diterapkan \up0 \expndtw-3\charscalex100 kondisi pematangan jaringan sebagai indeks usia biologis. \line \tab \up0 \expndtw-3\charscalex100 Selain itu, menurut Departemen Kesehatan RI \up0 \expndtw-3\charscalex100 (Buku Pedoman \par\pard\qj \li2268\ri1501\sb0\sl-410\slmult0\tx3597 \up0 \expndtw-3\charscalex100 Pembinaan, \tab \up0 \expndtw0\charscalex105 2000) dikenal pula usia psikologis, yaitu dikaitkan dengan \line\up0 \expndtw0\charscalex100 kemampuan seseorang untuk mengadakan penyesuaian terhadap settiap situasi \line \up0 \expndtw-3\charscalex100 yang dihadapinya. \par\pard\ql \li2268\sb112\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Berikut ini adalah definisi usia lanjut dalam beberapa literatur: \par\pard\ql \li2268\sb124\sl-276\slmult0\tx2988 \up0 \expndtw-3\charscalex100 1. \tab \up0 \expndtw0\charscalex100 Smith dan Smith (1999), menggolongkan usia lanjut menjadi tiga yaitu; \par\pard\qj \li2988\ri1499\sb26\sl-420\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs24 young\ul0\nosupersub\cf3\f4\fs24 \ul0\nosupersub\cf4\f5\fs24 old \ul0\nosupersub\cf3\f4\fs24 (65-74 tahun); \ul0\nosupersub\cf4\f5\fs24 middle old\ul0\nosupersub\cf3\f4\fs24 (75-84 tahun); dan \ul0\nosupersub\cf4\f5\fs24 old old\ul0\nosupersub\cf3\f4\fs24 (lebih dari \up0 \expndtw-4\charscalex100 85 tahun). \par\pard\ql \li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb97\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf5\f6\fs20 Universitas Sumatera Utara \par\pard\sect\sectd\fs24\paperw11900\paperh16820{\shp{\*\shpinst\shpleft0\shptop0\shpright11900\shpbottom16820\shpwr3\shpfblwtxt0\shpz-10000\shplid1{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn 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Pg2}{\bkmkend Pg2}\par\pard\ql \li9986\sb0\sl-253\slmult0 \par\pard\ql\li9986\sb218\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs22 16 \par\pard\ql \li2268\sb0\sl-413\slmult0 \par\pard\ql\li2268\sb0\sl-413\slmult0 \par\pard\ql\li2268\ri1498\sb349\sl-413\slmult0\tx2988\tx4364\tx2988\tx2988\tx2988 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs24 2. \tab \up0 \expndtw-3\charscalex100 Setyonegoro \tab \up0 \expndtw0\charscalex100 (1984), menggologkan bahwa yang disebut usia lanjut \line\tab \up0 \expndtw-2\charscalex100 (\ul0\nosupersub\cf4\f5\fs24 geriatric age\ul0\nosupersub\cf3\f4\fs24 ) adalah orang yang berusia lebih dari 65 tahun. Selanjutnya \line \tab \up0 \expndtw0\charscalex100 terbahagi ke dalam usia 70-75 tahun (\ul0\nosupersub\cf4\f5\fs24 young old\ul0\nosupersub\cf3\f4\fs24 ); 75-80 tahun (\ul0\nosupersub\cf4\f5\fs24 old);\ul0\nosupersub\cf3\f4\fs24 dan \line \tab \up0 \expndtw-5\charscalex100 lebih dari 80 tahun (\ul0\nosupersub\cf4\f5\fs24 very old\ul0\nosupersub\cf3\f4\fs24 ) \par\pard\ql \li2268\sb121\sl-276\slmult0\tx2988 \up0 \expndtw-3\charscalex100 3. \tab \up0 \expndtw0\charscalex101 Menurut Bab I Pasal 1 ayat (2) Undang-Undang No. 13 Tahun 1998 \par\pard\qj \li2988\ri1505\sb42\sl-400\slmult0 \up0 \expndtw0\charscalex100 tantang Kesejahteraan Usia Lanjut , lansia adalah seseorang yang sudah \up0 \expndtw-3\charscalex100 mencapai usia 60 tahun ke atas. \par\pard\qj \li2988\ri1498\sb10\sl-413\slmult0 \up0 \expndtw0\charscalex104 Pada usia lanjut, terjadi penurunan kondisi fisik atau biologis, kondisi \up0 \expndtw0\charscalex100 psikiologis, serta perubahan kondisi sosial. Para usia lanjut, bahkan juga \up0 \expndtw-2\charscalex100 masyarakat menganggap seakan tugas-tugasnya sudah selesai, mereka \up0 \expndtw0\charscalex105 berhenti bekerja dan semakin mengundurkan diri dari pergaulan \up0 \expndtw-2\charscalex100 bermasyarakat yang juga merupakan salah satu ciri fase ini, biasanya usia \up0 \expndtw-3\charscalex100 lanjut merenungkan hakikat hidupnya dengan lebih intensif serta mencoba \up0 \expndtw-4\charscalex100 mendekatkan dirinya kepada Tuhan. \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb265\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 2.2 Konsep Dasar dan Perspektif Usia Lanjut \par\pard\ql \li2268\sb144\sl-276\slmult0 \up0 \expndtw-3\charscalex100 2.2.1 Aspek Demografi Usia Lanjut \par\pard\qj \li2268\ri1505\sb6\sl-420\slmult0\fi720 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs24 Aspek demografi pada usia lanjut meliputi gambaran umum, geografi dan \up0 \expndtw-3\charscalex100 lansia, serta pola kehidupan lansia di Negara maju. \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb243\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 2.2.2 Gambaran Umum \par\pard\qj \li2268\ri1503\sb31\sl-413\slmult0\fi720 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf3\f4\fs24 Ciri-ciri demografi lansia selain jumlah dan proporsi populasinya juga isu \up0 \expndtw0\charscalex100 yang penting adalah gambaran morbiditas dan mortilitas. Adapun dampak \up0 \expndtw0\charscalex102 akhirnya berupa gambaran usia harapan hidup yang dalam perkembangannya \up0 \expndtw-3\charscalex100 mengalami dinamika perubahan. \par\pard\qj \li2268\ri1503\sb18\sl-400\slmult0\fi720 \up0 \expndtw0\charscalex103 Secara global, bila ditinjau dari aspek peradaban umat manusia, maka \line \up0 \expndtw-1\charscalex100 terdapat konsep transisi kependudukan dari pelbagai pakar, termasuk pakar \par\pard\ql \li2268\sb123\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs24 gerontology \par\pard\qj \li2268\ri1506\sb42\sl-400\slmult0\fi60 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf3\f4\fs24 ( Comfort 1964 dan Myres 1984) menggambarkan pertumbuhan jumlah lansia \up0 \expndtw-3\charscalex100 akibat penurunan pada angka morbiditas. \par\pard\ql \li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb0\sl-230\slmult0 \par\pard\ql\li7856\sb161\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf5\f6\fs20 Universitas Sumatera Utara \par\pard\sect\sectd\fs24\paperw11900\paperh16820{\shp{\*\shpinst\shpleft0\shptop0\shpright11900\shpbottom16820\shpwr3\shpfblwtxt0\shpz-10000\shplid2{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn pib}{\sv 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