대한신장학회

논문분류	춘계학술대회 초록집
제목	Does Digital Aging, Social Capital, and Macroeconomic Factors Matter in Recovery Advancement of Geriatric Renal Disease?
저자	Rosinta Hotmaida Pebrianti Purba
출판정보	2025; 2025(1):
키워드	Digital aging, Social capital, Macroeconomic factors, Geriatric renal disease, Geriatric quality of life
초록	Indonesia is entering an aging society with population aged 60+ reaching 32.4 million people or (12%) in 2024. Renal disease is the highest comorbid factor in increasing mortality rate by 19.5 times in the elderly and 60% of the elderly patients must undergo dialysis. Geriatric renal disease recovery is influenced by multiple factors, including digital aging, social capital, dietary intake, and macroeconomic conditions. This study investigates how digital engagement, social capital, and economic indicators impact post-treatment recovery. Using Indonesia Family Life Survey (IFLS), World Bank, and UNDP, dependent variable was post-treatment recovery outcomes (WHOQOL-BREF scores). Independent variables included digital device use (using smartphones for health tracking, online consultations, social interactions), social capital (community participation, social network size), dietary intake (caloric and protein consumption), GDP per capita, and healthcare expenditure. Control variables included age, gender, education, comorbidities, and household income. Mental health was assessed using the Geriatric Depression Scale (GDS). Multiple regression analysis, interaction effect modeling, and structural equation modeling (SEM) were conducted. Higher digital device use (β=0.45, p=0.001) improved recovery, indicating digital literacy's role in elderly healthcare engagement. Social capital (β=0.38, p=0.005) positively influenced recovery, suggesting that community involvement enhances well-being. Higher protein intake (β=0.40, p=0.001) and caloric consumption (β=0.30, p=0.002) were associated with better health outcomes. Macroeconomics variables depict in GDP per capita (β=0.22, p=0.015) and healthcare spending (β=0.33, p = 0.008) significantly improved recovery, emphasizing the importance of public health investments. Depression negatively affected recovery (β=-0.42, p=0.002), but digital engagement and social capital moderated this effect. Digital aging and social capital significantly enhance geriatric renal disease recovery, while economic conditions and mental health play critical roles. Policies should promote digital health literacy, community-based programs, and mental health interventions to improve elderly healthcare outcomes. Increased healthcare investments are essential for better recovery rates.
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