scholarly journals SENAM GERAK LATIH OTAK (GLO) MAMPU MENINGKATKAN FUNGSI KOGNITIF LANJUT USIA

2020 ◽  
Vol 11 (1) ◽  
pp. 70
Author(s):  
Ibnu Abas ◽  
Agus Setiawan ◽  
Widyatuti Widyatuti ◽  
Raden Siti Maryam

Abstrak  Populasi lansia saat ini mengalami peningkatan dan diharapkan kualitas hidupnya pun harus tetap baik. Salah satunya dengan memelihara fungsi kognitif melalui senam Gerak Latih Otak (GLO). Tujuan penelitian adalah melihat pengaruh senam GLO terhadap fungsi kognitif lansia. Metode penelitian menggunakan kuasi eksperimen tanpa kontrol dengan intervensi senam GLO 30 menit per sesi, tiga kali seminggu selama satu bulan. Fungsi kognitif dinilai dengan Mini Mental State Examination (MMSE). Jumlah sampel sebanyak 39 lansia. Uji statistik menggunakan paired t test. Hasil uji menunjukkan ada perbedaan rata-rata fungsi kognitif setelah intervensi dengan mean MMSE = 22,95 (SD = 1,413) menjadi  27,95  dengan SD = 1,297 (p value = 0,000). Senam GLO mampu meningkatkan fungsi kognitif lansia sehingga diharapkan menjadi salah satu latihan fisik yang dapat dilakukan di panti. Kata Kunci : fungsi kognitif,  kualitas hidup lansia,  senam GLO   Abstract The population of the elderly is currently increasing and it is expected that the quality of life must also be good. One of them is by maintaining cognitive function through Senam Gerak Latih Otak (GLO exercise). The aim of the study was to see the effect of GLO exercise on cognitive function in the elderly. The research method used quasi-experimental without control with GLO gymnastics intervention 30 minutes per session, three times a week for one month. Cognitive function is assessed by Mini Mental State Examination (MMSE). The number of samples is 39 elderly. Statistical test using paired t test. The test results showed there was a difference in the average cognitive function after the intervention with the mean MMSE = 22.95 (SD = 1.413) to 27.95 with SD = 1.297 (p value = 0,000). GLO exercise can improve cognitive function of the elderly so that it is expected to be one of the physical exercises that can be done in Panti. Keywords: cognitive function, elderly quality of life, GLO exercise

2020 ◽  
Vol 1 (1) ◽  
pp. 9
Author(s):  
Azay Zayinul Waddin ◽  
Novia Oktaviani ◽  
Heri Hermansyah

Penurunan kognitif dan demensia merupakan masalah kesehatan yang paling sering dialami oleh lansia yang berdampak pada hilangnya kemampuan untuk mempertahankan fungsi sosial dan kehidupan mandiri. Beragam pencegahan untuk menghambat penurunan kognitif pada lansia pun telah banyak dilakukan mulai dari terapi farmakologi dengan menggunakan obat-obatan sampai terapi non farmakologi. Salah satu terapi non farmakologi yang dipercaya dapat meningkatkan/mempertahankan kemampuan kognitif lansia adalah senam otak atau yang lebih dikenal dengan sebutan brain gym. Senam otak dipercaya dapat membantu mengoptimalkan segala fungsi dari sistem saraf pusat yang ada di otak manusia termasuk di dalamnya adalah optimalisasi fungsi kognitif. Tujuan dari penelitian ini adalah untuk menyelidiki pengaruh dari pemberian intervensi non farmakologis yaitu berupa senam otak terhadap fungsi kognitif lansia di Dusun Ciook Kecamatan Darma. Penelitian ini dilakukan dengan menggunakan desain one group pre-post test tanpa kelompok kontrol dengan jumlah sampel 30 orang lansia yang ditentukan dengan menggunakan teknik purposive sampling berdasarkan kriteria inklusi yang telah ditetapkan. Secara keseluruhan 30 orang lansia yang menjadi sampel diberikan intervensi berupa senam otak selama 10-15 menit setiap 2 kali seminggu selama 1 bulan. Pengukuran fungsi kognitif dengan menggunakan Mini Mental State Examination (MMSE), dilakukan 2 kali yaitu pada awal sebelum pemberian intervensi dan yang kedua pada tahap akhir pemberian intervensi. Setelah masa pemberian intervensi berakhir dan pengumpulan data terakhir telah selesai, selanjutnya data diolah dan dianalisis dengan menggunakan paired T-test. Berdasarkan hasil uji perbandingan fungsi kognitif lansia di Dusun Ciook Kecamatan Darma tahun 2019 sebelum dan sesudah melakukan terapi senam otak menunjukkan skor rata-rata 17,76 (fungsi kognitif menurun) pada pretest, dan 23,17 (fungsi kognitif baik) pada posttest dengan p value 0,000. Terapi senam otak telah terbukti secara statistik memiliki pengaruh yang signifikan dalam meningkatkan fungsi kognitif pada lansia. Dengan demikian hasil penelitian ini diharapkan dapat disosialisasikan dan diaplikasikan sebagai terapi non farmakologi dalam mencegah kemunduran fungsi kognitif akibat proses penuaan.   


2020 ◽  
Vol 7 (2) ◽  
pp. 60
Author(s):  
Murdiyanti Prihatin Putri Dewi MPP

<p><em>The aging process continues as time goes by and there will be an impairment of the organ. Decreased body functions that often appear one of them is a decrease in cognitive function. Most of the elderly experienced dementia by showing changes in behavior. This study was to identify the effect of  art therapy on cognitive function of the elderly with dementia with the design of this study was Quasy Experimental Pre-Post Control Goup Design. There were 82 respondents divided into control groups and intervention groups. Measurement of cognitive function of the elderly with dementia using the Mini-Mental State Examination (MMSE). The result of the research showed that </em><em>there </em><em>wa</em><em>s a significant improvement of </em><em>the </em><em>cognitive function in </em><em>elderly</em><em> with dementi</em><em>a after a</em><em>rt therapy for 4 (four) weeks.</em><em> It can be concluded thatbrain exercise and art therapy exercise can be applied to increase cognitive function towards the elderly.</em></p>


2021 ◽  
Vol 9 (11) ◽  
pp. 168-181
Author(s):  
Ifwandi ◽  
Dewi Saputri ◽  
Liana Rahmayani ◽  
Pocut Aya Sofya ◽  
Syahrial ◽  
...  

When a person reaches the elderly phase, the function of the body's organs decreases, which causes an increased risk of disease and death. Including dental infections such as caries and periodontal disease which are the main factors for tooth loss. Tooth loss does not only affect the impact of mastication but also affects a person's cognitive function. This condition occurs because when a person loses teeth, the function of the Periodontal Mechanoreceptors decreases, disrupting the function of the hippocampus which is important for memory in the brain. Loss of a large number of teeth tends to indicate low cognitive function, but several factors affect cognitive function, namely education level, Diabetes Mellitus, Hypertension, heart disease, depression, sleep disorders, head injury, physical activity, and a history of smoking. Mini-Mental State Examination (MMSE) is a tool to assess a person's cognitive function. This study aims to see the description of cognitive function in the elderly at the Geunaseh Sayang Nursing Home with variations in the number of tooth losses. This study was conducted with 43 research subjects with interviews and intra-oral examination methods. Based on the results of the study, it can be concluded that the elderly who only have fewer teeth show a higher decline in cognitive function compared to the elderly with more teeth in the oral cavity. This is following the theory which states that the more teeth you lose, the lower your cognitive function will be. 


2020 ◽  
Vol 48 (7) ◽  
pp. 030006052092244
Author(s):  
Jinzhong Huang ◽  
Wei Hong ◽  
Zhilong Yang ◽  
Jian Ding ◽  
Yi Ren

Purpose To investigate the efficacy of combining the dopamine receptor agonist pramipexole with levodopa for Parkinson’s disease (PD) treatment and to measure their effects on quality of life and tumor necrosis factor (TNF)-α levels in PD patients. Basic Procedure In total, 160 PD patients who were admitted to our hospital were equally randomized into a control treatment group (levodopa alone) and the study group (pramipexole combined with levodopa). Both groups were treated for 12 weeks. Findings After treatment, scores from the Unified Parkinson’s Disease Rating Scales (1–3), the Hamilton Depression Scale, and the Parkinson’s Disease Questionnaire (PDQ-39) were significantly decreased in both groups, whereas Mini-Mental State Examination scores were significantly increased. After treatment, the study group had significantly lower scores for all scales except the Mini-Mental State Examination, for which those who received combined treatment had significantly higher scores than the control group. The incidence of adverse reactions was significantly lower in the study group than in the control group. Furthermore, after treatment, serum TNF-α levels were significantly decreased in both groups compared with pre-treatment levels. Conclusion Pramipexole combined with levodopa relieved PD symptoms and improved the quality of life of PD patients, potentially by suppressing serum TNF-α levels.


2021 ◽  
Vol 5 (4) ◽  
pp. 1102-1109
Author(s):  
Wilma Hannie Daniel ◽  
Chairil Anwar ◽  
Nur Alam Fajar ◽  
Rico Januar Sitorus ◽  
Ahmad Ghiffari

Background: In the era of the COVID-19 pandemic, various problems were experienced by the elderly, especially those with degenerative diseases, as the population most at risk of being exposed to COVID-19. The elderly are vulnerable to decreased physical, mental and social health; therefore, a new and effective strategy is needed to improve healthy living behavior in this population. This study aimed to analyze the effect of the Charitas Group virtual health education program on improving the quality of life of the elderly with degenerative diseases in the era of the COVID-19 pandemic. Methods: The One Group Pretest-Posttest Pre-Experimental study was with a sample of 33 patients selected by purposive sampling in May - July 2021. The data collection was taken using the World Health Organization Quality of Life – Bref (WHOQOL-Bref) form, translated and validated into Bahasa Indonesia. The data was then compared before and after the intervention and analyzed using the Paired Samples T-Test. Results: The T-Test showed a significant difference between the pre-test and post-test results  (p-value 0.041 < 0.05). At the same time, the other T-Test results showed a significant influence on the quality of life of the elderly in the specific domains, namely:  Psychological (p-value 0.025), Social Relationship (p-value 0.033)  and  Environmental  (p-value 0.034). Conclusions: The Charitas Group virtual health education program significantly influences the quality of life of elderly people with degenerative diseases in the COVID-19 pandemic era.


Author(s):  
Frederica Jovianti ◽  
Linda Suryakusuma ◽  
Yuda Turana ◽  
Yvonne Suzy Handajani

THE IMPACT OF GRANDPARENTING ACTIVITY ON COGNITIVE FUNCTION IN ELDERLY WOMANABSTRACT Introduction: Cognitive impairment is a neurodegenerative process which often experienced by the elderly. One of the factors associated with cognitive function is grandparenting which is common and has become a social norm in Indonesia.Aims: To determine the association between characteristics of the subjects and grandparenting activity with cognitive function in elderly woman.Methods: This study was conducted on July 2016–January 2017 in West Jakarta and as a part of Active Ageing Research in Atma Jaya University. The data were collected through grandparenting activity questionnaire and cognitive function assessment using Mini Mental State Examination (MMSE).Results: Based on 93 participants, the age mean was 67,51±5,058 and majority had education <9 years (54,8%). Data analysis showed that education, grandparenting, the quality of grandparenting, types of grandparenting activity specifically preparing food and/or feeding child and storytelling had a significant association with global cognitive function.Discussions: Physical, social activity, and cognitive stimulation while caring for grandchildren can prevent decline in cognitive function.Keywords: Elderly, cognitive function, grandparentingABSTRAK Pendahuluan: Penurunan fungsi kognitif merupakan suatu proses neurodegeneratif yang sering dialami oleh lansia. Salah satu faktor yang dianggap berpengaruh terhadap fungsi kognitif adalah aktivitas pengasuhan cucu yang masih umum dilakukan dan telah menjadi bagian dari norma masyarakat di Indonesia.Tujuan: Mengetahui hubungan antara karakteristik subjek dan aktivitas pengasuhan cucu terhadap fungsi kognitif pada perempuan lansia.Metode: Penelitian dilakukan pada bulan Juli 2016–Januari 2017 di Jakarta Barat dan merupakan bagian dari penelitian Active Ageing di Universitas Atma Jaya. Pengumpulan data dilakukan melalui pengisian kuesioner aktivitas pengasuhan cucu dan pengukuran fungsi kognitif menggunakan Mini Mental State Examination (MMSE).Hasil: Penelitian terhadap 93 subjek dengan rerata usia 67,51±5,058 dan sebagian besar berpendidikan <9 tahun (54,8%). Pendidikan, aktivitas pengasuhan cucu, kualitas pengasuhan cucu, serta jenis aktivitas pengasuhan cucu, yaitu menyiapkan dan/atau menyuapi makanan dan membacakan cerita memiliki hubungan yang bermakna dengan fungsi kognitif global.Diskusi: Aktivitas fisik, sosial dan stimulasi kognitif pada saat mengasuh cucu dapat mencegah terjadinya penurunanfungsi kognitif.Kata kunci: Aktivitas pengasuhan cucu, fungsi kognitif, lanjut usia 


2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Lisna Anisa Fitriana ◽  
Nazhifa Ufamy ◽  
Kusnandar Anggadiredja ◽  
Setiawan Setiawan ◽  
I Ketut Adnyana

ABSTRAKPenurunan daya ingat dan ketidakmampuan dalam melakukan aktivitas sehari-hari menjadi salah satu alasan lansia dikirim ke panti wredha. Adapun tujuan penelitian ini untuk mengetahui hubungan faktor demografi dan demensia dengan kemandirian lansia dalam memenuhi aktivitas dasar dan instrumental di panti wredha. Desain penelitian ini adalah cross sectional. Alat pengumpulan data menggunakan kuisioner BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living), dan MMSE (Mini Mental State Examination). Sampel penelitian berjumlah 166 lansia berusia > 60 tahun yang tinggal di 3 panti wredha Bandung dan Garut. Analisa data menggunakan uji independent sample t-test. Hasil penelitian menunjukkan lansia yang ada di panti wredha 65,1% mandiri dalam BADL dan 51,8% mandiri dalam IADL, 109 orang (65,7%) mengalami demensia, 118 orang (71,1%) adalah wanita, 142 orang (85,5%) berpendidikan rendah, dan 153 orang (92,2%) tidak menikah. Analisis menunjukkan terdapat hubungan yang signifikan antara kemandirian (BADL dan IADL) dengan pendidikan, status marital, dan demensia pada lansia di panti wredha (p<0,05). Upaya yang komprehensif perlu dilakukan untuk meningkatkan kemandirian lansia khususnya yang ada di panti wredha. ABSTRACT Cognitive impairment and inability to do activities of daily living being the reasons for elderly to transferring in the nursing homes. The purpose of this study was to determine association of demographic factors and dementia with the independence of the elderly to fulfill basic and instrumental activities in nursing homes. The design of this study was cross-sectional. Data collection tools using BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living), and MMSE (Mini Mental State Examination) questionnaires. The research sample of 166 elderly aged > 60 years who live in 3 nursing homes in Bandung and Garut. Data analysis uses an independent sample t-test. The results showed that the elderly in nursing homes 65.1% were independent in BADL and 51.8% were independent in IADL, 109 people (65.7%) suffered dementia, 118 people (71.1%) were women, 142 people (85.5% ) have low education, and 153 people (92.2%) are not married. The analysis showed that there was a significant relationship between BADL and IADL with education, marital status, and dementia in the elderly in nursing homes (p <0.05). Comprehensive treatment needs to improve the independence of the elderly especially in nursing homes.


2018 ◽  
Vol 3 (1) ◽  
pp. 38
Author(s):  
Iwan Ardian ◽  
Nuraini Nuraini

Cognitive function of the elderly is influenced by several factors such as age, sex, education and physical activity so that it can impact on the decreasing of progressive cognitive function. As power center of thinking, brain requires to be taken care by making a simple movement that followed by various of brain fuction component like vision, imagination, hearing and emotion. The objective of study is to find the difference of effectiveness of brain gymnastics and brain vitalization gymnastics in increasing of cognitive function of the elderly. It is quantitative study by using design of Quasi Experimental Pre and Post Test without Control Group. The data collecting is using questionnaires of MMSE. The number of respondents is 34 elderly with consecutive sampling technique by using Simple Paired T-test, Wicoxon and Mann Whitney. It indicates that the result of statistical test with Simple Paired T-test in group of brain gymnastics obtained p value 0,000 (p value < 0,050), so that it is stated that there is a significant difference between cognitive function in group of brain gymnastics before and after treatment, Wilcoxon test in group of brain vitalization gymnastics obtained p value 0,000 (p value < 0,050) so that there it is a significant difference between cognitive function in brain vitalization gymnastics group before and after treatment. The result of statistical test of Mann Whitney obtained p value or significant 0,004 (p value < 0,050), this it can be concluded that there is a significant defference between cognitive function in group of brain gymnastics and brain vitalization gymnastics. There is significant difference between cognitive function in group of brain gymnastics and brain vitalization gymnastics in Pucang Gading Social Rehabilitation Unit of Semarang (p value < 0,050).


Author(s):  
Darren Eduardo William ◽  
◽  
Mitra Andini Sigilipoe ◽  
Widya Christine Manus ◽  
◽  
...  

ABSTRACT Background: Dementia is a collective term for several diseases that affect memory, other cognitive abilities, and behavior. These diseases can seriously interfere with people’s ability of daily living. This is not a normal phenomenon of aging. With the increasing prevalence of dementia in the elderly, the importance of dementia as a comorbidity of hypertension is increasing. However, several questions regarding the link between hypertension and dementia remain unresolved. This study aimed to determine Orientation-Memory-Concentration-Test (OMCT) can be used to assess cognitive function in the elderly as an early step in the early detection of dementia. Subjects and Method: This was a comparative study using a case-control design. The study was conducted in Jetis Sub-District, Yogyakarta from September 2019 to June 2020. A total sample of 110 of elderly was divided into two groups 42 elderly (case), and 68 elderly (control) selected by consecutive sampling using the Mini-Mental State Examination (MMSE), Clock-Drawing Test (CDT) and Orientation-Memory-Concentration Test (OMCT). The dependent variables were the sensitivity and specificity level of the OMCT instrument while the scores of the MMSE. The independent variable was CDT instruments. The collected data will then be processed by diagnostic analysis followed by analysis of ROC and Youden’s index to determine the optimal cut off. Respondents are categorized as having impaired cognitive function if the MMSE (cut off ≤ 24) or CDT (cut off <18) shows a positive result. Results: 110 elderlies were involved. A total of 42 elderlies were included in the case population, and 68 elderlies were included in the control population. In the total OMCT population (cut off> 11) it has a sensitivity (29%) and specificity (97%) to the combination of MMSE and CDT. In populations with hypertension OMCT (cut off> 2.5) has sensitivity (68%) with specificity (46%). In a population without hypertension OMCT (cut off> 7) has a sensitivity (55%) and specificity (90%) to the combination of MMSE and CDT. Conclusion: OMCT can be used as a screening tool for cognitive dysfunction in older people with hypertension because of its short duration, ease of use, and can be used in patients with visual impairments. Keywords: Dementia, cognitive dysfunction, OMCT, 6-CIT. Correspondence: Darren Eduardo William. School of medicine Universitas Kristen Duta Wacana, Yogyakarta. Jl. Dr. Wahidin Sudirohusodo 5-25 Yogyakarta 55224, Indonesia. Email: [email protected]. Mobile: 0813-4136-9999 DOI: https://doi.org/10.26911/the7thicph.05.17


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