Nursing Current : Jurnal Keperawatan
Vol. 14 No. 1 (2026): June

Cognitive Status and Quality of Life Among Older Adults: Implications for the Development of an Interdisciplinary Home Visit Model

Mei Rianita Elfrida Sinaga (Sekolah Tinggi Ilmu Kesehatan Bethesda Yakkum)
Vivi Retno Intening (Sekolah Tinggi Ilmu Kesehatan Bethesda Yakkum Yogyakarta)
Reni Puspitasari (Sekolah Tinggi Ilmu Kesehatan Bethesda Yakkum Yogyakarta)
Nathan Agwin Khenda (Sekolah Tinggi Ilmu Kesehatan Bethesda Yakkum Yogyakarta)



Article Info

Publish Date
19 Jun 2026

Abstract

Dementia and cognitive impairment are rapidly increasing worldwide, with more than 57 million cases globally and a projected rise in low- and middle-income countries. Indonesia ranks among the countries with the highest number of dementia cases in Southeast Asia, with Yogyakarta reporting a high proportion of older adults at risk. Despite this growing burden, community-based dementia care models remain limited, and most older adults rely primarily on family caregivers. This situation highlights an urgent need for approaches that not only address cognitive decline but also improve the quality of life (QoL) of older adults living in the community. This study aimed to determine the relationship between the severity of cognitive impairment and QoL among community-dwelling older adults and to provide preliminary evidence for the development of an interdisciplinary home visit model tailored to the Indonesian context. A correlational study was conducted involving 30 older adults aged ≥60 years living with their families in Yogyakarta. Cognitive status was assessed using the Mini-Mental State Examination (MMSE), and QoL was measured using the WHOQOL-BREF. Data were analyzed using Spearman’s rank correlation. There was a significant relationship between the severity of dementia and QoL in the physical domain (rₛ = 0.428; p = 0.018) and the environmental domain (rₛ = 0.440; p = 0.015). These findings indicate that greater dementia severity was associated with lower QoL in the physical and environmental domains. The findings provide preliminary evidence supporting the development of an interdisciplinary home visit model in Indonesia, particularly one that integrates physical mobility support, environmental safety optimization, and family-centered care. Larger studies are recommended to strengthen this foundation before full model implementation.  

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Journal Info

Abbrev

NCJK

Publisher

Subject

Nursing

Description

Nursing Current Jurnal Keperawatan is a scientific journal that covers research related to nursing including medical surgical nursing, mental health nursing, maternity and pediatric nursing, community nursing, nursing management, and nursing education. The journal includes research articles, ...