VISUAL IMPAIRMENT AND FALL RISK IN OLDER ADULTS HUBUNGAN GANGGUAN PENGLIHATAN DENGAN RESIKO JATUH PADA LANSIA
Abstract
Background: Visual impairment is a common degenerative problem in older adults and may interfere with environmental recognition, distance estimation, postural control, and mobility, thereby increasing fall risk. Purpose: This study aimed to determine the relationship between visual impairment and fall risk among older adults at Kassi-Kassi Health Center, Makassar City. Methods: This correlational study used a cross-sectional approach involving 32 older adults who actively participated in PROLANIS exercise activities and were selected by total sampling. Visual acuity was assessed using the Snellen Chart at a distance of 6 meters, while balance and gait were assessed using the Tinetti Balance and Gait Assessment. Data were analyzed using the Spearman Rank correlation test with a significance level of α = 0.05. Results: Seventeen respondents (53.1%) had severe visual impairment, 14 (43.8%) had moderate impairment, and 1 (3.1%) had mild impairment. High fall risk was identified in 17 respondents (53.1%), moderate risk in 11 (34.4%), and low risk in 4 (12.5%). The Spearman test showed p = 0.000 and r = 0.587, indicating a significant positive relationship of moderate strength between visual impairment and fall risk. Conclusion: Visual impairment is significantly associated with fall risk among older adults; greater visual impairment tends to accompany higher fall risk. Primary health care services should integrate visual screening, fall-risk assessment, education, referral for visual correction, and balance training.Keywords
visual impairment, fall risk, older adults, Snellen Chart, Tinetti Assessment
References
- 1. BPS. (2024). Jumlah Penduduk menurut Kelompok Umur dan Jenis Kelamin di Kota Makassar (Jiwa). https://makassarkota.bps.go.id
- 2. CDC. (2026). Pencegahan Jatuh pada Lansia. https://www.cdc.gov/falls/data-research/facts-stats/index.html
- 3. Friska., et al. (2021). Perubahan Lansia Akibat Proses Menua. Jurnal Kesehatan Republik Indonesia, 5(perubahan pada lansia), perubahan pada lansia.
- 4. Group, nature publishing. (2025). Global, regional, and national burden of falls among older adults: findings from the Global Burden of Disease Study 2021 and Projections to 2040. https://pmc.ncbi.nlm.nih.gov/articles/PMC12511421/
- 5. Kemenkes RI (2024). Indonesia siapkan lansia aktif dan produktif . https://kemkes.go.id/id/indonesia-siapkan-lansia-aktif-dan-produktif
- 6. Kemenkes. (2021). Rencana Aksi Nasional Kesehatan Lanjut Usia.
- 7. Kemenkes. (2022). Begini Strategi Pengentasan Gangguan Penglihatan . https://kemkes.go.id/id/begini-strategi-pengentasan-gangguan-penglihatan
- 8. Kemenkes RI. (2022). Pedoman Pelayanan Kesehatan Lanjut Usia di Puskesmas . https://repository.kemkes.go.id/book/280
- 9. Kholifah, N. (2021). Ciri-Ciri Psikososial Lansia: Update Pasca -Pandemi. https://ejournal.unib.ac.id/jpg/article/view/3456/pdf (1.9MB, hlm. 140-155; adaptasi 2016).
- 10. Kurniawan, A., & Sari, R. (2023). Klasifikasi Fungsional Lansia dalam Pelayanan Primer. https://ejournal.fkm.unsri.ac.id/index.php/jkman/article/view/789/pdf
- 11. Lord et al. (2021). Vision and Falls in Older Adults. Clinical Geriatric Medicine. https://pubmed.ncbi.nlm.nih.gov/34910151/
- 12. Maryam, R. S., Ekasari, M. F., Rosidawati, R., Jubaedi, A., & Batubara, I. (2022). Mengenal Usia Lanjut dan Perawatannya. https://penerbitsalemba.com/buku/08-0057-mengenal-usia-lanjut-dan-perawatannya
- 13. Montero-Odasso, M. (2022). Falls prevention in older adults . https://www.bmj.com/content/379/bmj-2022-072198
- 14. Montero-odasso, M., Velde, N. Van Der, Martin, F. C., Petrovic, M., Tan, M. P., Ryg, J., Aguilar-navarro, S., Alexander, N. B., Becker, C., Lamb, S. E., Latham, N. K., Lipsitz, L. A., Liu-ambrose, T., & Logan, P. (2022). World guidelines for falls prevention and management for older adults : a global initiative. 1–36.
- 15. Nomor 46, P. P. R. I. (2024). Tahun 2022 Tahun 2022. Malahayati Nursng Journal, 4(31601900074), 43–62.
- 16. Rovner, B. W., & Casten, R. J. (2021). Discordant health beliefs and telehealth use in African Americans with diabetes. Journal of the American Geriatrics Society, 69(6), 1684–1686. https://doi.org/10.1111/jgs.17081
- 17. Salsabilah, D. I., Safira, M. D., Chairi, A., & Apriliani, D. (2025). Permasalahan Lansia Terkait Gangguan Penglihatan. Cons-Iedu, 5(2), 278–293.
- 18. Seresirikachorn et, al 2025. (2025). The Impact of Vision Impairment on Self-Reported Falls Among Older US Adults: Cross-Sectional and Longitudinal Study. JMIR Aging, 8, 1–13.
- 19. Setiyo, M. (2025). Cara Membangun Kerangka Konsep dan Merumuskan Hipotesis . http://muji.blog.unimma.ac.id/cara-membangun-kerangka-konsep-dan-merumuskan-hipotesis/#:~:text=dasar yang ada.-,Menyusun Kerangka Konsep,kegiatan penelitian yang akan dilakukan.
- 20. Setyawati, N. F., et al. (2021). Metodologi Riset Kesehatan.