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Ninik Nurhidayah, Ninik
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Independence in Activities of Daily Living Among Community-Dwelling Older Adults: A Cross-Sectional Study Puspitosari, Aniek; Nurhidayah, Ninik
SENTRI: Jurnal Riset Ilmiah Vol. 4 No. 12 (2025): SENTRI : Jurnal Riset Ilmiah, Desember 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v4i12.5072

Abstract

Older adults constitute a vulnerable population experiencing declines in physical, psychological, and social functioning, which may compromise their independence in performing activities of daily living (ADL). Maintaining ADL independence is essential for preserving quality of life, autonomy, and reducing dependency on family and long-term care services. Elderly associations serve as important community-based platforms that support social and psychological well-being; however, empirical evidence regarding ADL independence among their members remains limited. This study aimed to analyze the level of independence in activities of daily living among community-dwelling older adults. An analytical cross-sectional survey was conducted involving 101 elderly individuals residing in Kebakkalang RW VIII, Kemiri, Kebakkramat, Karanganyar. Independence in ADL was assessed using the Katz Index. The findings indicate that more than half of the respondents demonstrated independence in performing daily activities, suggesting a generally favorable functional status among elderly individuals engaged in community-based social groups. This level of independence reflects the potential role of social participation and community support in maintaining functional ability among older adults, particularly in early old age. These results provide important empirical evidence for healthcare providers, families, and community stakeholders to develop targeted preventive and promotive interventions aimed at sustaining and enhancing functional independence among older adults living in the community.
Pengaruh Terapi Hortikultura terhadap Tingkat Stres Lanjut Usia Pratama, Afizal Yusa; Nurhidayah, Ninik
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.261

Abstract

Background: Elderly is someone who enters the age of 60 years and over and experiences the aging process which results in physical, cognitive, emotional, social, and sexual changes that trigger stress in the elderly. Horticultural therapy is one of the effective nonpharmacological interventions to overcome stress problems. Objectives: The purpose of this study was to determine the effect of horticultural therapy on elderly stress levels. This type of research is quantitative research using a pre-experimental design with one group pretest-posttest. This research was conducted in RW 08 Sumber Village, Trucuk District, Klaten Regency. Methods: Data collection methods were interviews, questionnaires, observation, and documentation. The sampling technique used was purposive sampling with asample size of 30 respondents. The instrument used to measure stress levels was the Perceived Stress Scale (PSS). The majority of the research sample was in the elderly category with an age range of 60-74 years (96.7%), female (56.7%), married (76.7%), and had an elementary education level (53.3%). %). Results: The results of data analysis obtained t=7.763, p=0.000. There is an effect of giving horticultural therapy on the stress level of the elderly. Conclusion: Based on the results of this study, horticultural therapy is an effective way to overcome stress problems in the elderly. Keywords: Horticultural Therapy, Stress level, Elderly.
Eksplorasi Intervensi Stimulasi Kognitif terhadap Kemampuan Kognitif Dewasa Tengah Usia 50-60 Tahun Puspitosari, Aniek; Wajihan, Zakiatul; Nurhidayah, Ninik
Jurnal Kesehatan Vokasional Vol 10, No 1 (2025): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.101733

Abstract

Latar Belakang: Gejala awal gangguan kognitif pada dewasa tengah usia 50-60 tahun seringkali diabaikan dan akan berdampak pada kelangsungan hidup individu disaat memasuki lansia. Gangguan kognitif berdampak pada seluruh aspek kehidupan dan dapat mengakibatkan kesulitan pada semua area fungsi okupasional. Intervensi yang dilakukan untuk mengatasi gangguan kognitif pada penelitian sebelumnya yaitu terapi gerak, terapi musik, berkebun dan olahraga. Cognitive Stimulation Therapy (CST) merupakan intervensi yang bertujuan untuk merangsang fungsi kognitif yang nantinya akan berdampak pada kemampuan kognitif mereka.Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh CST terhadap kemampuan kognitif individu dewasa tengah usia 50-60 tahun.Metode: Penelitian ini merupakan penelitian kuantitatif one group pre-post test. Lokasi penelitian di Kecamatan Baki, Sukoharjo, Jawa Tengah dengan jumlah sampel 27 dengan kriteria sampel berusia 50-60 tahun, skor MoCA-Ina minimal 10 dan tidak memiliki hambatan mobilitas fisik. Analisis data menggunakan Uji t-berpasangan (paired t-test).Hasil: Hasil penelitian menunjukkan bahwa terjadi peningkatan kemampuan kognitif dilihat dari perubahan rerata skor MoCA-Ina dari 17.41 menjadi 21.44. Hasil uji hipotesis nilai Sig. (2-tailed) < 0.05.Kesimpulan: Cognitive Stimulation Therapy berpengaruh terhadap kemampuan kognitif individu dewasa tengah usia 50-60 tahun
Impact of Crossword Puzzle Therapy on Cognitive Performance Among Elderly Individuals Nurhidayah, Ninik; Rachma, Annisa Aulia
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 11 Issue 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v11i1.474

Abstract

Background: The elderly experience a decline in cognitive function due to degenerative processes that affect their independence and quality of life. Crossword Puzzle Therapy is one of the non-pharmacological interventions that can stimulate cognitive functions, including memory, concentration, language, and problem-solving. This study aimed to examine the effect of crossword puzzle therapy on cognitive function among older adults at community-based health service posts in Central Java, Indonesia. Methods: This research utilized a pre-experimental design with a one-group pretest–posttest approach. The sample, selected through purposive sampling, consisted of 35 elderly participants who took part in six intervention sessions over a two-week period. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). Data analysis involved the paired sample t-test for comparison, with the Shapiro–Wilk test applied to assess data normality. Results: The findings revealed an increase in the average MMSE score from 24.74 to 26.20 following the intervention. Results of the paired sample t-test yielded a p-value of <0.001 (<0.05), indicating a statistically significant difference between pre- and post-therapy scores. Conclusion: Crossword Puzzle Therapy significantly improves the cognitive function of the elderly and offers an easy, affordable, and enjoyable intervention that can be applied within the community. Crossword Puzzle Therapy can be an intervention option to prevent cognitive decline and for older adults with cognitive impairment.
Exercise-Based Intervention and Its Impact on Sleep Quality Among Older Adults Nurhidayah, Ninik; Susanti, Yusni Ayu Adi
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 11 Issue 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v11i1.475

Abstract

Background: Poor sleep quality is one of the common problems in the elderly. Non-pharmacological interventions such as chair-based exercise (CBE) are considered effective in improving sleep quality. The study aimed to determine how CBE affects the sleep quality of older people at community-based health service posts in Central Java, Indonesia.   Methods: A pre-experimental one-group pretest-post test design was conducted at community-based health service posts in Central Java, Indonesia, with 30 elderly respondents selected through a purposive sampling technique. The intervention was performed for 4 weeks, twice a week. 30 minutes/session. Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Data analysis using the Wilcoxon test.   Results: The mean PSQI score before the intervention was 10.23 (SD = 1.80), with a maximum score of 15, and a minimum score of 7. After the intervention, the mean score decreased to 5.43 (SD =1.85), with a maximum score of 10 and a minimum score of 3. There was a significant decrease in PSQI scores after the intervention (Z= -4.583, p <0.001).   Conclusion: CBE can be an alternative non-pharmacological therapy that is effective, safe, and easy to implement in the elderly community, especially in the posyandu environment, which is the center of public health activities, especially to improve sleep quality. Its inclusion in posyandu lansia programs provides a useful way to enhance sleep quality and support health promotion and prevention initiatives, without the need for medication.
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.
Co-Authors Aniek Puspitosari Badriyani, Ayu Cembun, Cembun Dian Ayu Anggraeni, Ni Putu Pratama, Afizal Yusa Puput Dinda Kurniawan, Ganesa Rachma, Annisa Aulia Susanti, Yusni Ayu Adi Wajihan, Zakiatul Wijayanti, I Gusti Ayu Sri Puja Warnis Yudha Anggit Jiwantoro