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Pemberdayaan Kader Kesehatan Dalam Pencegahan Penurunan Fungsi Kognitif Lansia Melalui Permainan Edukatif di Desa Kemiri Puspitosari, Aniek; Nurhidayah, Ninik
JGEN : Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 3 (2026): JGEN : Jurnal Pengabdian Kepada Masyarakat, Juni 2026
Publisher : Lumbung Pare Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60126/jgen.v4i3.1551

Abstract

Peningkatan jumlah penduduk lanjut usia di Indonesia berimplikasi pada meningkatnya risiko permasalahan kesehatan, salah satunya penurunan fungsi kognitif. Upaya preventif diperlukan untuk mempertahankan fungsi kognitif lansia agar tetap mandiri dan memiliki kualitas hidup yang baik. Salah satu pendekatan yang dapat dilakukan adalah melalui stimulasi kognitif berbasis aktivitas yang bermakna dengan melibatkan peran kader kesehatan sebagai fasilitator di masyarakat. Program pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kapasitas kader kesehatan dalam pencegahan penurunan fungsi kognitif lansia melalui permainan edukatif. Kegiatan dilaksanakan di Desa Kemiri, Kebakkramat, Karanganyar, Jawa Tengah dengan melibatkan 25 lansia dan 5 kader kesehatan. Metode yang digunakan meliputi penyuluhan, pelatihan, dan praktik langsung. Penyuluhan diberikan terkait pentingnya menjaga fungsi kognitif pada lansia, sedangkan pelatihan difokuskan pada penggunaan permainan edukatif yang dimodifikasi, yaitu bingo, tebak gambar, ular tangga, dan monopoli sebagai media stimulasi kognitif. Kader kesehatan dilatih untuk memfasilitasi permainan tersebut sehingga dapat diterapkan secara berkelanjutan dalam kegiatan lansia. Hasil kegiatan menunjukkan adanya peningkatan pemahaman kader kesehatan dan lansia mengenai pentingnya stimulasi kognitif, serta meningkatnya keterlibatan aktif lansia dalam aktivitas permainan edukatif. Selain itu, kegiatan ini juga berdampak positif terhadap aspek sosial dan emosional lansia, seperti meningkatnya interaksi sosial dan suasana hati yang lebih positif. Dengan demikian, pemberdayaan kader kesehatan melalui permainan edukatif dapat menjadi strategi efektif dan berkelanjutan dalam upaya pencegahan penurunan fungsi kognitif lansia serta mendukung terwujudnya lansia yang sehat, aktif, dan mandiri.
DARI LATIHAN KESEIMBANGAN KE PERFORMA OKUPASIONAL: PENGARUH LATIHAN KESEIMBANGAN TERHADAP MOBILITAS FUNGSIONAL LANSIA Puspitosari, Aniek; Nurhidayah, Ninik
CENDEKIA: Jurnal Ilmu Pengetahuan Vol. 6 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/cendekia.v6i3.10055

Abstract

ABSTRACT Decline in balance among older adults is one of the main factors that increases the risk of falls and reduces functional mobility as well as independence in activities of daily living. Balance training in the form of Square Stepping Exercise (SSE) is one of the exercise interventions that has the potential to improve balance and movement coordination in older adults. This study aimed to analyze the effect of SSE balance training on the functional mobility of older adults. The study employed a quantitative pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 24 older adults selected using a purposive sampling technique. Functional mobility, indicated by balance performance, was measured using the Berg Balance Scale (BBS) before and after the intervention. The SSE intervention was administered over 12 sessions within 6 weeks. Data were analyzed using the Wilcoxon test with a significance level of p < 0.05. The results showed an improvement in balance scores after the intervention, with a p-value of 0.000 (p < 0.05), indicating a significant effect of SSE balance training on the functional mobility of older adults. In conclusion, SSE balance training is effective in improving balance in older adults and has the potential to enhance functional mobility as well as independence in daily activities. ABSTRAK Penurunan keseimbangan pada lansia merupakan salah satu faktor utama yang meningkatkan risiko jatuh dan menurunkan mobilitas fungsional serta kemandirian dalam aktivitas sehari-hari. Latihan keseimbangan berupa Square Stepping Exercise (SSE) merupakan salah satu intervensi latihan yang berpotensi meningkatkan keseimbangan dan koordinasi gerak lansia. Penelitian ini bertujuan untuk menganalisis pengaruh latihan keseimbangan SSE terhadap mobilitas fungsional lansia. Penelitian ini menggunakan desain kuantitatif pre-experimental dengan pendekatan one-group pretest-posttest. Sampel berjumlah 24 lansia yang dipilih menggunakan teknik purposive sampling. Pengukuran mobilitas fungsional lansia dengan indikator keseimbangan dilakukan menggunakan instrumen Berg Balance Scale (BBS) sebelum dan sesudah intervensi. Intervensi SSE diberikan selama 12 sesi dalam 6 minggu. Analisis data menggunakan uji Wilcoxon dengan tingkat signifikansi p<0,05. Hasil analisis menunjukkan adanya peningkatan skor keseimbangan setelah intervensi dengan nilai p=0,000 (p<0,05), yang berarti terdapat pengaruh signifikan pemberian latihan keseimbangan SSE terhadap mobilitas fungsional lansia. Latihan keseimbangan SSE efektif dalam meningkatkan keseimbangan lansia dan berpotensi meningkatkan mobilitas fungsional serta kemandirian dalam aktivitas sehari-hari.
Sensory Stimulation Activities Improving Quality of Life of Elderly People in Elderly Communities Aniek Puspitosari; Ninik Nurhidayah
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.5572

Abstract

The aging process has an impact on social, economic and health aspects of life. The presence of elderly people with all health problems causes a decrease in quality of life. One effort to overcome physical health problems, especially sensory organs, is by providing sensory stimulation activities to the elderly. Sensory stimulation activities by stimulating gustatory/oral motor, visual, olfactory, tactile, auditory, vestibular and proprioceptive. This study aims to determine the effect of providing sensory stimulation activities on the quality of life of the elderly. The research method was a pre-experimental one group pretest-posttest design with a sample size of 44 elderly people in the elderly community in RW 8 area of ​​Kemiri Village, Kebakkramat, Karanganyar. Intervention by providing 10 sensory stimulation activities. Quality of life is measured by the World Health Organization Quality of Life (WHOQOL-BREF) before and after 8 section. The data analysis method uses Paired Sample T Test. The results showed Paired sample t-test Asmyp Sig. (2-tailed) = 0.000, which means that the p-value < α (0.05), which means that the Sensory Stimulation activity intervention has an effect on the quality of life of the elderly in the elderly community in RW 8 area of ​​Kemiri Village, Kebakkramat, Karanganyar.
Cognitive Stimulation Therapy (Indonesian Version): Effects on Factors Associated with Cognitive Function in Middle Adult Aniek Puspitosari; Ninik Nurhidayah
Jurnal Penelitian Pendidikan IPA Vol 11 No 1 (2025): January
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i1.9890

Abstract

Cognitive development in adulthood involves the ability to better integrate emotion and logic to make decisions and a reduced ability to process information quickly. In late adulthood, cognitive development is characterized by neurocognitive disorders, intellectual changes, and memory changes. When cognitive decline is regarded as a continuous process from normal cognitive function to mild cognitive impairment and dementia, the identification and management of influential factors such as cognitive decline-related demographic characteristics, comorbid diseases and health habits may contribute to the delay or prevention of dementia. Cognitive Stimulation Therapy (CST) is an intervention that aims to stimulate the cognitive function of middle adult individuals aged 50-60 years with cognitive activities. This study aims to determine the effect of Cognitive Stimulation Therapy on factors of cognitive function of middle adult individuals aged 50-60 years in Kemiri Village, Kebakkramat District, Karanganyar Regency. This research is a quantitative-research with a pre-experimental design with one group pre-post test. The sampling technique used was purposive sampling with a sample size of twenty-seven people. The instrument used was the Indonesian Version of the Montreal Cognitive Assessment (MoCA-Ina). Cognitive Stimulation Therapy (CST) was carried out in 6 sessions over 8 weeks. Data analysis using paired t-test (paired t-test). Paired t-test results Sig. (2-tailed) = 0.000, which means p-value < 0.05, which shows that Cognitive Stimulation Therapy has an effect on the cognitive abilities of middle adult individuals aged 50-60 years in Kemiri Village, Kebakkramat District, Karanganyar Regency.
Effects of Modified Board Game–Based Cognitive Stimulation on Cognitive Function in Community-Dwelling Older Adults: an Occupational Therapy Intervention Study Aniek Puspitosari; Ninik Nurhidayah
Jurnal Penelitian Pendidikan IPA Vol 12 No 3 (2026)
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v12i3.14884

Abstract

Cognitive decline is a common condition among older adults that may affect memory, attention, and functional independence. Non-pharmacological interventions, particularly activity-based approaches, are increasingly recommended to maintain cognitive function. Board game–based cognitive stimulation has emerged as a promising, engaging, and accessible intervention within occupational therapy practice. This study aimed to examine the effect of a modified board game–based cognitive stimulation program on cognitive function among community-dwelling older adults. This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. A total of 50 pre-elderly and older adults were recruited using purposive sampling based on predetermined inclusion criteria. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) before and after the intervention. The intervention consisted of a modified board game program conducted over eight sessions, each lasting 30–60 minutes, integrating cognitive tasks across multiple domains. Data were analyzed using descriptive statistics and paired sample t-test with a significance level of p < 0.05. The findings showed a statistically significant improvement in cognitive function after the intervention (p = 0.000, p < 0.05). Participants demonstrated increased scores across multiple cognitive domains following the modified board game–based cognitive stimulation program. The modified board game–based intervention was effective in improving cognitive function among community-dwelling older adults. This approach offers a practical, low-cost, and engaging strategy that can be implemented in community and occupational therapy settings to support cognitive health and functional independence in aging populations.
Effect of Balance Strategy Exercise Combined with an Occupational Therapy–Based Home Program on Functional Mobility in Community-Dwelling Older Adults Aniek Puspitosari; Ninik Nurhidayah
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.280

Abstract

Background: Declines in balance ability and mobility are major factors that increase the risk of falls and reduce independence among community-dwelling older adults. Exercise programs targeting balance strategy exercises can improve postural control, while occupational therapy–based home programs help translate these improvements into meaningful daily activities. Objectives: This study aimed to examine the effect of balance strategy exercises combined with an occupational therapy–based home program on functional mobility among community-dwelling older adults. Methods: This study employed a pre-experimental one-group pre-test and post-test design involving 48 older adults living in RW VIII, Kemiri Village, Kebakkramat, Karanganyar. Functional mobility was measured using the Four Square Step Test. The intervention consisted of three stages of balance strategy exercises, including ankle strategy exercises, hip strategy exercises, and stepping strategy exercises, combined with an occupational therapy–based home program delivered according to a structured intervention module. Data were analyzed using a paired t-test after the normality assumption was confirmed using the Shapiro–Wilk test. Results: The results of the paired t-test indicated a significant difference before and after the intervention (p < 0.05). An improvement in Four Square Step Test scores was observed following the balance strategy exercise and occupational therapy–based home program intervention, with a mean difference of 1.372. The combined intervention significantly improved functional mobility among older adults (p = 0.000). Most participants belonged to the elderly age group (76%), and 80% of the participants were female. Conclusion: The findings indicate that balance strategy exercises combined with an occupational therapy–based home program have a significant effect on improving functional mobility among community-dwelling older adults. Keywords: Balance Strategy Exercise, Occupational Therapy, Home Program, Functional Mobility, Community-Dwelling Older Adults.