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Effect of cognitive stimulation therapy in combination with other intervention modalities on cognitive ability in elderly with cognitive impairment: a quasi-experimental study Turana, Yuda; Sani, Tara Puspitarini; Prasetya, Virginia Geraldine Hanny; Suswanti, Ika; Konny, Lisye; Halim, Magdalena Surjaningsih; Handajani, Yvonne Suzy
Universa Medicina Vol. 43 No. 1 (2024)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2024.v43.13-19

Abstract

BackgroundCognitive stimulation therapy (CST) has been proven to be beneficial in improving cognition and quality of life in people with mild cognitive impairment (MCI) and mild dementia (MD). This study investigates the benefit of more frequent exclusively CST intervention compared to less-frequent CST-exercise combination on cognitive ability among elderly people with cognitive impairment. MethodsA quasi-experimental controlled study involving 22 subjects aged = 60 years with cognitive impairment. They were divided into three groups: group A (6 months, weekly CST + exercise sessions, n=13), Group B (3 months, twice-weekly CST-only sessions, n=5), group C (3 months, no intervention, n=4) as control. The Modified Mini Mental State Examination Indonesian Version was used for evaluating the cognitive ability of the elderly subjects. Data were analyzed using one-way Anova and Kruskal-Wallis tests ResultsAll participants completed the study, the majority being female with mean age of 70.43 ± 6.97 years and differences in education level distribution across the three groups. The scores before and after the intervention showed a significant difference in the registration and construction domains (p<0.005). However, there was a greater improvement of the mean difference in cognitive scores in groups A and B compared to the control group, although the difference was not statistically significant (p >0.05). ConclusionA twice-weekly CST-only intervention and a once-a-week CST-exercise combination provide better cognitive improvement than no intervention (control). Therefore, elderly people with cognitive impairment should be encouraged to engage in physical activities, brain training, and group activities for promoting the brain’s ability.
PREVALENSI DAN FAKTOR YANG MEMENGARUHI KEJADIAN HIPERTENSI TIDAK TERKONTROL: DATA SEKUNDER INDONESIAN FAMILY LIFE SURVEY 5 Suswanti, Ika; Turana, Yuda; Riyadina, Woro; Rohanah, Rohanah
Edu Dharma Journal :Jurnal penelitian dan pengabdian masyarakat Vol 9, No 2 (2025): Edu Dharma Journal: Jurnal Penelitian Dan Pengabdian Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52031/edj.v9i2.1133

Abstract

                                                     ABSTRACTBackground: Hypertension remains one of the main health problems in Indonesia. Low awareness, inadequate hypertension treatment, and increasing risk factors contribute to the rising incidence of uncontrolled hypertension in the country. This study aimed to determine the prevalence of uncontrolled hypertension and associated factors from the Indonesian Family Life Survey Wave 5. Methods: A cross-sectional study design using secondary data from the Indonesian Family Life Survey Wave 5, conducted in 9 provinces, involving 4,566 weighted subjects. Uncontrolled blood pressure was defined as individuals diagnosed with hypertension by a health worker but who still had high blood pressure based on the average of three blood pressure measurements, according to the JNC 8 guidelines. Demographic characteristics, mental health, lifestyle factors, and disease comorbidities were examined as independent variables. Data were analyzed using the chi-square test and multiple logistic regression to identify determinants of uncontrolled hypertension. Results: The prevalence of uncontrolled hypertension was 64.5%. In the multivariate analysis, older age, female gender, lack of formal education, smoking, depression, low physical activity, obesity, and the presence of comorbid diabetes mellitus and hypercholesterolemia were significantly associated with uncontrolled hypertension (p 0.05). Among these factors, obesity was identified as the most dominant risk factor (p 0.05; Odds Ratio: 1.844).Conclusion: Obesity was identified as the most dominant risk factor associated with the prevalence of uncontrolled hypertension.                                                  ABSTRAKLatar Belakang: Hipertensi masih menjadi salah satu masalah kesehatan utama di Indonesia. Rendahnya kesadaran, pengobatan hipertensi yang tidak memadai, dan meningkatnya faktor risiko berkontribusi terhadap meningkatnya insiden hipertensi yang tidak terkontrol di negara ini. Penelitian ini bertujuan untuk menentukan prevalensi hipertensi yang tidak terkontrol dan faktor-faktor terkait dari Survei Kehidupan Keluarga Indonesia Gelombang 5.Metode: Desain penelitian cross sectional menggunakan data sekunder Indonesian Family Life Survey 5, yang dilakukan di 9 provinsi, melibatkan 4.566 subjek tertimbang. Tekanan darah yang tidak terkontrol didefinisikan sebagai individu yang didiagnosis hipertensi oleh tenaga kesehatan tetapi masih memiliki tekanan darah tinggi berdasarkan rata-rata tiga pengukuran tekanan darah, menurut pedoman JNC 8. Karakteristik demografi, kesehatan mental, faktor gaya hidup, dan komorbiditas penyakit diperiksa sebagai variabel independen. Data dianalisis menggunakan uji chi-square dan regresi logistik ganda untuk mengidentifikasi determinan hipertensi yang tidak terkontrol. Hasil: Prevalensi hipertensi yang tidak terkontrol adalah 64,5%. Analisis multivariat menunjukkan usia lanjut, jenis kelamin perempuan, kurangnya pendidikan formal, merokok, depresi, aktivitas fisik rendah, obesitas, serta adanya komorbiditas diabetes melitus dan hiperkolesterolemia secara signifikan berhubungan dengan hipertensi yang tidak terkontrol (p 0,05). Di antara faktor-faktor tersebut, obesitas diidentifikasi sebagai faktor risiko paling dominan (p 0,05; Rasio Odds: 1,844). Kesimpulan: Obesitas diidentifikasi sebagai faktor risiko paling dominan yang berhubungan dengan prevalensi hipertensi yang tidak terkontrol.