Hasnah, Kholifah
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INTERVENSI MUSIK GAMELAN JAWA DALAM MENINGKATKAN NILAI KOGNITIF PADA LANSIA DENGAN PREDEMENSIA DI DESA KLESEM KEBONAGUNG Hasnah, Kholifah; Nuryanti, Aprilia
Jurnal Kesehatan Kusuma Husada Vol. 15 No. 1, Januari 2024
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v15i1.1277

Abstract

Fungsi kognitif merupakan kemampuan mental dan intektual serta memori, perhatian, persepsi, penalaran dan kondisi kesadaran secara umum yang dapat diukur untuk melihat nilai dari kognitif. Nilai kognitif akan menurun saat memasuki fase lansia dan mengakibatkan lansia menjadi mudah lupa, bingung dan terdapat gangguan bahasa. Salah satu implementasi yang dapat diberikan pada lansia dengan penurunan nilai kognitif adalah memberikan stimulasi music gamelan. Tujuan dari penelitian ini adalah mengetahui peningkatan nilai kognitif lansia setelah diberikan stimulasi music gamelan jawa. Metode yang digunakan pada penelitian ini adalah quasy eksperimental dengan one group pretest and posttest design. Jumlah subjek dalam penelitian ini adalah 20 lansia yang akan diberikan implementasi musik gamelan jawa dan diukur nilai kognitif dengan kuisioner Mini Mental State Examination sebelum dan sesudah diberikan implementasi music gamelan jawa. Hasil analisa menunjukkan bahwa ada peningkatan nilai kognitif dengan kategori dari gangguan kognitif berat menjadi gangguan kognitif ringan dengan selisih nilai rata rata sebesar 6,7 pada nilai pre test dan post test. Kesimpulan terapi music gamelan dapat meningkatkan nilai kognitif pada lansia. Saran perlu adanya penelitian selanjutnya yang berkaitan dengan penyakit degenerative pada lansia. Cognitive function is mental and intellectual abilities as well as memory, attention, perception, reasoning and general states of consciousness that can be measured to see the value of cognition. Cognitive values ​​will decrease when entering the elderly phase and result in elderly people becoming easily forgetful, confused and experiencing language problems. One implementation that can be given to elderly people with cognitive decline is providing gamelan music stimulation. The aim of this research is to determine the increase in the cognitive value of the elderly after being given Javanese gamelan music stimulation. The method used in this research was quasi-experimental with one group pretest and posttest design. The number of subjects in this study were 20 elderly people who would be given the implementation of Javanese gamelan music and their cognitive scores would be measured using the Mini Mental State Examination questionnaire before and after being given the implementation of Javanese gamelan music. The results of the analysis show that there is an increase in cognitive scores in categories from severe cognitive impairment to mild cognitive impairment with an average difference of 3.1 in the pre-test and post-test scores. Conclusion Gamelan music therapy can improve cognitive values ​​in the elderly. Suggestions require further research related to degenerative diseases in the elderly
THE EFFECT OF REMINISCENCE THERAPY ON IMPROVING THE COGNITIVE VALUES OF THE ELDERLY AT RISK OF DEMENTIA Hasnah, Kholifah; Kristian Nugroho, Rio
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 1, Januari 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i1.1626

Abstract

Elderly is a process that a person goes through in which gradual physical and psychological decline occurs, one of which is a decline in cognitive function. Cognitive decline will cause problems in fulfilling basic needs in the elderly. One non-pharmacological intervention that can be given to elderly people with cognitive impairment is reminiscence therapy. The aim of this research is to determine the increase in the cognitive value of the elderly after being given reminiscence therapy. The method used in this research was quasi-experimental with one group pretest and posttest design. The number of subjects in this study were 25 elderly people who would be given reminiscence therapy and their cognitive scores would be measured using the Mini Mental State Examination questionnaire before and after being given the intervention. The results of the analysis showed that there was an increase in the cognitive scores of 16 samples (64%) from 0-17 (severe cognitive impairment category) to 18 - 23 (mild cognitive impairment category) and 12 samples (36%) with an increase in the average total cognitive score - average 2 (still category of severe cognitive impairment). The difference in average score is 2.9 in the pre-test and post-test scores. Conclusion: Reminiscence therapy can improve cognitive values ​​in the elderly. It is suggested that there is a need for comparative interventions to assess the effectiveness of therapy for elderly people with dementia.
OPTIMIZING BALANCE AND COORDINATION THROUGH INTEGRATED PHYSICAL EXERCISE IN PATIENTS FOLLOWING FRACTURE SURGERY Nugroho, Rio Kristian; Hasnah, Kholifah
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 2, Juli 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i2.1793

Abstract

Background: The high incidence of traffic accidents has led to a significant increase in fractures, particularly of the lower extremities, many of which require treatment through Open Reduction and Internal Fixation (ORIF) procedures. Post-ORIF patients commonly experience pain and fear in performing daily activities, including impaired balance and coordination. To address this condition, a structured and progressive integrated physical exercise intervention is necessary. This study aims to evaluate the impact of an integrated intervention that combines physical activity, pain management, and enhancement of fall efficacy on the functional status of patients recovering from lower extremity fracture surgery using the Open Reduction and Internal Fixation (ORIF) procedure.Methods: The study was conducted using a pre-experimental design with a single-group pretest-posttest approach to 53 post-ORIF patients with lower extremity fractures treated in the inpatient ward of Sragen Regional General Hospital, Surakarta. Instruments used included the Barthel Index to assess functional status, the Fall Efficacy Scale, and a clinical observation sheet to evaluate physical ability. Data were analysed using the Wilcoxon test.Results: Data showed an improvement in balance function, coordination, and overall functional status in post-ORIF patients with lower extremity fractures after receiving the integrated activity training intervention. The Wilcoxon test showed a p-value of 0.001, indicating a statistically significant effect.Conclusion: The study demonstrates that an integrated physical exercise program combined with pain management and fall efficacy enhancement has a significant impact on improving balance, coordination, and functional status in patients recovering from fractures.
THE EFFECT OF REMINISCENCE THERAPY ON IMPROVING THE COGNITIVE VALUES OF THE ELDERLY AT RISK OF DEMENTIA Hasnah, Kholifah; Kristian Nugroho, Rio
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 1, Januari 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i1.1626

Abstract

Elderly is a process that a person goes through in which gradual physical and psychological decline occurs, one of which is a decline in cognitive function. Cognitive decline will cause problems in fulfilling basic needs in the elderly. One non-pharmacological intervention that can be given to elderly people with cognitive impairment is reminiscence therapy. The aim of this research is to determine the increase in the cognitive value of the elderly after being given reminiscence therapy. The method used in this research was quasi-experimental with one group pretest and posttest design. The number of subjects in this study were 25 elderly people who would be given reminiscence therapy and their cognitive scores would be measured using the Mini Mental State Examination questionnaire before and after being given the intervention. The results of the analysis showed that there was an increase in the cognitive scores of 16 samples (64%) from 0-17 (severe cognitive impairment category) to 18 - 23 (mild cognitive impairment category) and 12 samples (36%) with an increase in the average total cognitive score - average 2 (still category of severe cognitive impairment). The difference in average score is 2.9 in the pre-test and post-test scores. Conclusion: Reminiscence therapy can improve cognitive values ​​in the elderly. It is suggested that there is a need for comparative interventions to assess the effectiveness of therapy for elderly people with dementia.
OPTIMIZING BALANCE AND COORDINATION THROUGH INTEGRATED PHYSICAL EXERCISE IN PATIENTS FOLLOWING FRACTURE SURGERY Nugroho, Rio Kristian; Hasnah, Kholifah
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 2, Juli 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i2.1793

Abstract

Background: The high incidence of traffic accidents has led to a significant increase in fractures, particularly of the lower extremities, many of which require treatment through Open Reduction and Internal Fixation (ORIF) procedures. Post-ORIF patients commonly experience pain and fear in performing daily activities, including impaired balance and coordination. To address this condition, a structured and progressive integrated physical exercise intervention is necessary. This study aims to evaluate the impact of an integrated intervention that combines physical activity, pain management, and enhancement of fall efficacy on the functional status of patients recovering from lower extremity fracture surgery using the Open Reduction and Internal Fixation (ORIF) procedure.Methods: The study was conducted using a pre-experimental design with a single-group pretest-posttest approach to 53 post-ORIF patients with lower extremity fractures treated in the inpatient ward of Sragen Regional General Hospital, Surakarta. Instruments used included the Barthel Index to assess functional status, the Fall Efficacy Scale, and a clinical observation sheet to evaluate physical ability. Data were analysed using the Wilcoxon test.Results: Data showed an improvement in balance function, coordination, and overall functional status in post-ORIF patients with lower extremity fractures after receiving the integrated activity training intervention. The Wilcoxon test showed a p-value of 0.001, indicating a statistically significant effect.Conclusion: The study demonstrates that an integrated physical exercise program combined with pain management and fall efficacy enhancement has a significant impact on improving balance, coordination, and functional status in patients recovering from fractures.