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BARTHEL INDEX NO KRITERIA DENGAN BANTUAN MANDIRI KETERANGAN 1 Makan 5 10 Frekuensi Jumlah Jenis 2 Minum 5 10 Frekuensi Jumlah Jenis 3 Berpindah dari kursi roda ke tempat tidur, sebaliknya 5-10 15 4 Personal toilet (cuci muka, menyisir rambut, gosok gigi). 0 5 Frekuensi 5 Keluar masuk toilet (mencuci pakaian, menyeka tubuh, menyiram) 5 10 6 Mandi 5 15 Frekuensi 7 Jalan di permukaan datar 0 5 8 Naik turun tangga 5 10 9 Mengenakan pakaian 5 10 10 Kontrol bowel (BAB) 5 10 Frekuensi Konsisten 11 Kontrol Bladder (BAK) 5 10 Frekuensi Warna 12 Olah raga atau latihan 5 10 Frekuensi Jenis 13 Rekreasi atau pemantapan waktu luang 5 10 Frekuensi Jenis Keterangan : a. > 130 : Mandiri b. 65-125 : Ketergantungan Sebagian

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BARTHEL INDEX

NOKRITERIADENGAN BANTUANMANDIRIKETERANGAN

1Makan510FrekuensiJumlahJenis

2Minum510FrekuensiJumlahJenis

3Berpindah dari kursi roda ke tempat tidur, sebaliknya5-1015

4Personal toilet (cuci muka, menyisir rambut, gosok gigi).05Frekuensi

5Keluar masuk toilet (mencuci pakaian, menyeka tubuh, menyiram)510

6Mandi515Frekuensi

7Jalan di permukaan datar05

8Naik turun tangga510

9Mengenakan pakaian510

10Kontrol bowel (BAB)510FrekuensiKonsisten

11Kontrol Bladder (BAK)510FrekuensiWarna

12Olah raga atau latihan510FrekuensiJenis

13Rekreasi atau pemantapan waktu luang510FrekuensiJenis

Keterangan :a.>130: Mandirib.65-125: Ketergantungan Sebagianc.>60: Ketergantungan total


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