* Corresponding Author
Eksplorasi Intervensi Stimulasi Kognitif terhadap Kemampuan Kognitif Dewasa Tengah Usia 50-60 Tahun
https://doi.org/10.22146/jkesvo.101733 Aniek Puspitosari(1*), Zakiatul Wajihan(2), Ninik Nurhidayah(3)
(1) Politeknik Kesehatan Kementerian Kesehatan Surakarta
(2) 2 Rehabilitasi Medik Rumah Sakit Pusat Angkatan Laut Dr. Ramelan Surabaya, Indonesia
(3) Politeknik Kesehatan Kementerian Kesehatan Surakarta
(*) Corresponding Author
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 tahunKeywords
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Bibliography CSL_BIBLIOGRAPHY Agustana, R. S., Suparto, T. A., Sumartini, S., Purwandari, A., Puspita, W. (2023). Pengaruh Aktivitas Fisik terhadap Fungsi Kognitif pada Lanjut Usia: Kajian Literatur. Jurnal Ilmiah Ners Indonesia, 4(1), 103-108. https://doi.org/10.22437/jini.v4i1.24971Carbone, E., Gardini, S., Pastore, M., Piras, F., Vincenzi, M., Borella, E. (2021). Cognitive Stimulation Therapy for Older Adults with Mild-to-Moderate Dementia in Italy: Effects on Cognitive Functioning, and on Emotional and Neuropsychiatric Symptoms. The Journals of Gerontology, 76 (9), 1700–1710. https://doi.org/10.1093/geronb/gbab007Djajasaputra, A. D. R., & Halim, M. S. (2019). Fungsi Kognitif Lansia yang Beraktivitas Kognitif secara Rutin dan Tidak Rutin. Jurnal Psikologi, 46(2), 85. https://doi.org/10.22146/jpsi.33192 Ferdyansyah, M. & Masfufah, U. (2022). Perkembangan Dewasa Madya Sebuah Studi Kasus. Jurnal Flourishing, 2(9), 598-604. DOI: 10.17977/10.17977/ um070v2i92022p598–604 Gomez-Soria, I., Peralta-Marrupe, P., & Plo, F. (2020). Cognitive Stimulation Program in Mild Cognitive Impairment A Randomized Controlled Trial. Dementia & Neuropsychologia, 14, 110-117.doi: 10.1590/1980-57642020dn14-020003. Grey, H. (2020). 15 Traditional Old School Games to Play with Your Grandparents while at Home. Diakses dari https://www.homage.sg/resources/games-for-the-elderly/ pada tanggal 10 November 2024. Iizuka, A., Suzuki, H., Ogawa, S., Kobayashi‐Cuya, K. E., Kobayashi, M., Takebayashi, T., & Fujiwara, Y. (2019). Can Cognitive Leisure Activity Prevent Cognitive Decline in Older Adults? A Systematic Review of Intervention Studies. Geriatrics & Gerontology International, 19(6), 469-482.DOI: 10.1111/ggi.13671. Isnaini, N., & Komsin, N. K. (2020). Gambaran Fungsi Kognitif pada Lansia dengan Pemberian Terapi Puzzle. Jurnal Human Care, 5(4), 1060–1066. https://doi.org/10.32883/hcj.v5i4.854 Ivandi, D. N., & Alpiah, D. N. (2024). Senam Untuk Meningkatkan Fungsi Kognitif. Medic Nutricia : Jurnal Ilmu Kesehatan, 3(2), 65–75. https://doi.org/10.5455/nutricia.v3i2.3173 Karundeng, Y., Kiling, M.A., Pasambo, Y., Bobaya, J., Tumurang, M.N., Isworo. (2020). Terapi Aktivitas Kelompok Stimulasi Sensori Dalam Upaya Pencegahan Gangguan Psikososial Lanjut Usia. Jurnal Ilmiah Perawat, 8(1), 159 – 170. DOI : 10.47718/jpd.v8i01.1167. Lowrani, M., Indarwati, R., & Lestari, P. (2020). Non-Pharmacological Therapy for The Elderly to Prevent Dementia Through Cognitive Stimulation Therapy: A Systematic Review. Jurnal Ners, 15(2), s221- s229. https://doi.org/10.20473/jn.v15i1Sp.19018. Masykuroh, K., Dewi, C., Heriyani, E., Widiastuti, H.T. (2021). Modul psikologi perkembangan. Jakarta: Uhamka. Millenia, A.A. & Basuki, H.O. (2022). Pengaruh Senam Yin Yoga Terhadap Fungsi Kognitif Pada Lansia. Jurnal Keperawatan Medika, 1(1), 10-16. DOI: https://doi.org/10.24036/jkem.v1i1.5 Naylor, R., Spector, A., Fisher, E., Fucci, F., Bertrand, E., Marinho, V., Bomilcar, I., Cautinho, B., Kaks, J., Mograbi, D. C. (2023). Experiences of cognitive stimulation therapy (CST) in Brazil: a qualitative study of people with dementia and their caregivers. Aging & Mental Health, 28(2), 238–243. https://doi.org/10.1080/13607863.2023.2231376 Novack, T., Hollis, S., Brownlee, E., Allan, M., Lyndsey, H., & Klebine, P., (2021). The University of Alabama at Birmingham Traumatic Brain Injury Model System, In-home Cognitive Stimulation Guidebook: Activities to Stimulate Thinking Skills of People with Brain Disorder. Birmingham. AL: University of Alabama. Orgeta, V., McDonald, K. R., Poliakoff, E., Hindle, J. V., Clare, L., & Leroi, I. (2020). Cognitive Training Interventions for Dementia and Mild Cognitive Impairment in Parkinson’s Disease. Cochrane Database of Systematic Reviews, (2), 1-65. doi: 10.1002/14651858.CD011961.pub2. Pappalettera, C., Carrarini, C., Miraglia, F., Vecchio, F., Rossini, P.M.(2024). Cognitive resilience/reserve: Myth or reality? A review of definitions and measurement methods. Alzheimers Dement, 20(5), 3567-3586. doi: 10.1002/alz.13744. Park, J. M., Kim, M. W., & Shim, H. Y. (2019). Effects of A Multicomponent Cognitive Stimulation Program on Cognitive Function Improvement Among Elderly Women. Asian Nursing Research, 13(5), 306-312. DOI: 10.1016/j.anr.2019.11.001. Prahasasgita, M. S., & Lestari, M, D. (2023). Stimulasi Fungsi Kognitif pada Lanjut Usia di Indonesia: Tinjauan Literatur. Buletin Psikologi, (31 (2), 247-264. DOI: 10.22146/buletinpsikologi.80371 Pramadita, A. P., Wati, A. P., & Muhartomo, H. (2019). Hubungan Fungsi Kognitif dengan Gangguan Keseimbangan Postural pada Lansia. Jurnal Kedokteran Diponegoro, 8(2), 626-641. https://doi.org/10.14710/dmj.v8i2.23782. Puspitosari, A. & Putri, N. K. (2024). Improving Cogntive Performance with Board Activities in Older Adult. Asian Journal of Healty and Science, 3(9). 210-215. https://doi.org/10.58631/ajhs.v3i9.128. Puspitosari, A., & Nurhidayah, N. (2023). Sensory Stimulation Activities Improving Quality of Life of Elderly People in Elderly Communities. Jurnal Penelitian Pendidikan IPA, 9 (12), 110.38-11044. DOI: 10.29303/jppipa.v9i12.5572 Sampurna, R. A. (2023). Demensia (Pikun) Ternyata Bisa Muncul Dari Usia Muda. Diakses dari https://herminahospitals.com/id/articles/demensia-pikun-ternyata-bisa-muncul-dari-usia-muda.html pada tanggal 19 November 2024.
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style='mso-element:field-separator'>Sánchez-Izquierdo, M., & Fernández-Ballesteros, R. (2021). Cognition in Healthy Aging. International Journal of Environmental Research and Public Health, 18(3), 962. DOI: 10.3390/ijerph18030962. Sanchia, N., & Halim, M. S. (2019). Terapi Stimulasi Kognitif untuk Lansia dengan Mild Cognitive Impairment: Studi Eksperimental di Panti Wreda. Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia, 36(4), 258-264. DOI: https://doi.org/10.52386/neurona.v36i4. Saragih, I. D., Tonapa, S. I., Saragih, I. S., & Lee, B. O. (2022). Effects of Cognitive Stimulation Therapy for People with Dementia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies: Cognitive stimulation therapy for dementia care. International Journal of Nursing Studies, 104181. doi: 10.1016/j.ijnurstu.2022.104181. Septiarini, N. L. A. (2024). Pengaruh Cognitive Stimulation Therapy Puzzle Terhadap Peningkatan Fungsi Kognitif Pada Lanjut Usia. Jurnal Aliansi Keperawatan Indonesia, 1(1), 30-37. DOI: https://doi.org/10.55887/jaki.v1i1.5 Shiddieqy, A. A., Zulfitri, R., & Elita, V. (2022). Analisis Faktor Risiko Yang Berhubungan Dengan Fungsi Kognitif Pada Lansia Suku Melayu. Jurnal Keperawatan, 7(1), 12-26. https://doi.org/10.32668/jkep.v7i1.775. Sipollo, B. V. (2022). Studi Fenomenologi Pengalaman Lansia Dengan Demensia Mengikuti Cst (Cognitive Stimulation Therapy) Di Lks-Lu Pangesti Lawang. Jurnal Keperawatan Malang, 7(1), 104–114. https://doi.org/10.36916/jkm.v7i1.171 Smith, A. (2020). Play The Simon game To Improve Brain Fucnction. Diakses dari https://rehabandbeyond.org/rehabilitation/play-the-simon-game-to-improve-brain-function/ pada tanggal 19 November 2024. Soedirman, B.S., & Laksmidewi, A.A.A.P., (2021). Benefit of Cognitive Stimulation Therapy in a Patient with Vascular Dementia: A Case Report. Open Access Macedonian Journal of Medicine Science, 9, 10-14. https://oamjms.eu/index.php/mjms/article/view/5585 Turana, Y., Sani, T.P., Prasetya, V.G.H., Suswanti, I., Konny, L., Halim, M.S., Handajani, Y.S. (2024). Effect of cognitive stimulation therapy in combination with other intervention modalities on cognitive ability in elderly with cognitive impairment: a quasi-experimental study. Universa Medicina, 43, 13-19. https://doi.org/10.18051/UnivMed.2024.v43.13-19. Werheid, K., Schaubs, B., Aguirre, E., & Spector, A. (2021). Cognitive stimulation therapy: Model-based cultural adaptation and manual translation of an evidence-based psychosocial group therapy for people with dementia. GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry, 34(3), 117–124. https://doi.org/10.1024/1662-9647/a000244 Woods, B., Rai, H.K., Elliott, E., Aguirre, E., Orrell, M., Spector, A. (2023). Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database Syst Rev. (1):CD005562. doi: 10.1002/14651858.CD005562.pub3. Xue, Chen. (2022). Effectiveness of cognitive stimulation therapy (CST) on cognition, quality of life and neuropsychiatric symptoms for patients living with dementia: A meta-analysis, Geriatric Nursing, 47, 201-210. https://doi.org/10.1016/j.gerinurse.2022.07.012. Yanan Cao, Nana Wang, Qianping Zhang, Natalie Shen, Jinbing Bai, Xianwu Luo, Yanqun Liu. (2023). Effects of cognitive stimulation therapy on patients with dementia: An umbrella review of systematic reviews and meta-analyses. Experimental Gerontology,177, 112197. https://doi.org/10.1016/j.exger.2023.112197. Yaslina, Maidaliza, & Srimutia, R. (2021). Aspek Fisik dan Psikososial terhadap Status Fungsional pada Lansia. Prosiding Seminar Kesehatan Perintis, 4(2), 68–73. Padang: Universitas Perintis Indonesia. https://jurnal.upertis.ac.id/index.php/PSKP/article/view/724.
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style='mso-element:field-begin;mso-field-lock:yes'>ADDIN Mendeley
Bibliography CSL_BIBLIOGRAPHY Agustana, R. S., Suparto, T. A., Sumartini, S., Purwandari, A., Puspita, W. (2023). Pengaruh Aktivitas Fisik terhadap Fungsi Kognitif pada Lanjut Usia: Kajian Literatur. Jurnal Ilmiah Ners Indonesia, 4(1), 103-108. https://doi.org/10.22437/jini.v4i1.24971 Carbone, E., Gardini, S., Pastore, M., Piras, F., Vincenzi, M., Borella, E. (2021). Cognitive Stimulation Therapy for Older Adults with Mild-to-Moderate Dementia in Italy: Effects on Cognitive Functioning, and on Emotional and Neuropsychiatric Symptoms. The Journals of Gerontology, 76 (9), 1700–1710. https://doi.org/10.1093/geronb/gbab007 Djajasaputra, A. D. R., & Halim, M. S. (2019). Fungsi Kognitif Lansia yang Beraktivitas Kognitif secara Rutin dan Tidak Rutin. Jurnal Psikologi, 46(2), 85. https://doi.org/10.22146/jpsi.33192 Ferdyansyah, M. & Masfufah, U. (2022). Perkembangan Dewasa Madya Sebuah Studi Kasus. Jurnal Flourishing, 2(9), 598-604. DOI: 10.17977/10.17977/ um070v2i92022p598–604 Gomez-Soria, I., Peralta-Marrupe, P., & Plo, F. (2020). Cognitive Stimulation Program in Mild Cognitive Impairment A Randomized Controlled Trial. Dementia & Neuropsychologia, 14, 110-117.doi: 10.1590/1980-57642020dn14-020003. Grey, H. (2020). 15 Traditional Old School Games to Play with Your Grandparents while at Home. Diakses dari https://www.homage.sg/resources/games-for-the-elderly/ pada tanggal 10 November 2024. Iizuka, A., Suzuki, H., Ogawa, S., Kobayashi‐Cuya, K. E., Kobayashi, M., Takebayashi, T., & Fujiwara, Y. (2019). Can Cognitive Leisure Activity Prevent Cognitive Decline in Older Adults? A Systematic Review of Intervention Studies. Geriatrics & Gerontology International, 19(6), 469-482.DOI: 10.1111/ggi.13671. Isnaini, N., & Komsin, N. K. (2020). Gambaran Fungsi Kognitif pada Lansia dengan Pemberian Terapi Puzzle. Jurnal Human Care, 5(4), 1060–1066. https://doi.org/10.32883/hcj.v5i4.854 Ivandi, D. N., & Alpiah, D. N. (2024). Senam Untuk Meningkatkan Fungsi Kognitif. Medic Nutricia : Jurnal Ilmu Kesehatan, 3(2), 65–75. https://doi.org/10.5455/nutricia.v3i2.3173 Karundeng, Y., Kiling, M.A., Pasambo, Y., Bobaya, J., Tumurang, M.N., Isworo. (2020). Terapi Aktivitas Kelompok Stimulasi Sensori Dalam Upaya Pencegahan Gangguan Psikososial Lanjut Usia. Jurnal Ilmiah Perawat, 8(1), 159 – 170. DOI : 10.47718/jpd.v8i01.1167. Lowrani, M., Indarwati, R., & Lestari, P. (2020). Non-Pharmacological Therapy for The Elderly to Prevent Dementia Through Cognitive Stimulation Therapy: A Systematic Review. Jurnal Ners, 15(2), s221- s229. https://doi.org/10.20473/jn.v15i1Sp.19018. Masykuroh, K., Dewi, C., Heriyani, E., Widiastuti, H.T. (2021). Modul psikologi perkembangan. Jakarta: Uhamka. Millenia, A.A. & Basuki, H.O. (2022). Pengaruh Senam Yin Yoga Terhadap Fungsi Kognitif Pada Lansia. Jurnal Keperawatan Medika, 1(1), 10-16. DOI: https://doi.org/10.24036/jkem.v1i1.5 Naylor, R., Spector, A., Fisher, E., Fucci, F., Bertrand, E., Marinho, V., Bomilcar, I., Cautinho, B., Kaks, J., Mograbi, D. C. (2023). Experiences of cognitive stimulation therapy (CST) in Brazil: a qualitative study of people with dementia and their caregivers. Aging & Mental Health, 28(2), 238–243. https://doi.org/10.1080/13607863.2023.2231376 Novack, T., Hollis, S., Brownlee, E., Allan, M., Lyndsey, H., & Klebine, P., (2021). The University of Alabama at Birmingham Traumatic Brain Injury Model System, In-home Cognitive Stimulation Guidebook: Activities to Stimulate Thinking Skills of People with Brain Disorder. Birmingham. AL: University of Alabama. Orgeta, V., McDonald, K. R., Poliakoff, E., Hindle, J. V., Clare, L., & Leroi, I. (2020). Cognitive Training Interventions for Dementia and Mild Cognitive Impairment in Parkinson’s Disease. Cochrane Database of Systematic Reviews, (2), 1-65. doi: 10.1002/14651858.CD011961.pub2. Pappalettera, C., Carrarini, C., Miraglia, F., Vecchio, F., Rossini, P.M.(2024). Cognitive resilience/reserve: Myth or reality? A review of definitions and measurement methods. Alzheimers Dement, 20(5), 3567-3586. doi: 10.1002/alz.13744. Park, J. M., Kim, M. W., & Shim, H. Y. (2019). Effects of A Multicomponent Cognitive Stimulation Program on Cognitive Function Improvement Among Elderly Women. Asian Nursing Research, 13(5), 306-312. DOI: 10.1016/j.anr.2019.11.001. Prahasasgita, M. S., & Lestari, M, D. (2023). Stimulasi Fungsi Kognitif pada Lanjut Usia di Indonesia: Tinjauan Literatur. Buletin Psikologi, (31 (2), 247-264. DOI: 10.22146/buletinpsikologi.80371 Pramadita, A. P., Wati, A. P., & Muhartomo, H. (2019). Hubungan Fungsi Kognitif dengan Gangguan Keseimbangan Postural pada Lansia. Jurnal Kedokteran Diponegoro, 8(2), 626-641. https://doi.org/10.14710/dmj.v8i2.23782. Puspitosari, A. & Putri, N. K. (2024). Improving Cogntive Performance with Board Activities in Older Adult. Asian Journal of Healty and Science, 3(9). 210-215. https://doi.org/10.58631/ajhs.v3i9.128. Puspitosari, A., & Nurhidayah, N. (2023). Sensory Stimulation Activities Improving Quality of Life of Elderly People in Elderly Communities. Jurnal Penelitian Pendidikan IPA, 9 (12), 110.38-11044. DOI: 10.29303/jppipa.v9i12.5572 Sampurna, R. A. (2023). Demensia (Pikun) Ternyata Bisa Muncul Dari Usia Muda. Diakses dari https://herminahospitals.com/id/articles/demensia-pikun-ternyata-bisa-muncul-dari-usia-muda.html pada tanggal 19 November 2024.
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mso-field-lock:yes'>ADDIN Mendeley Bibliography CSL_BIBLIOGRAPHY
style='mso-element:field-separator'>Sánchez-Izquierdo, M., & Fernández-Ballesteros, R. (2021). Cognition in Healthy Aging. International Journal of Environmental Research and Public Health, 18(3), 962. DOI: 10.3390/ijerph18030962. Sanchia, N., & Halim, M. S. (2019). Terapi Stimulasi Kognitif untuk Lansia dengan Mild Cognitive Impairment: Studi Eksperimental di Panti Wreda. Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia, 36(4), 258-264. DOI: https://doi.org/10.52386/neurona.v36i4. Saragih, I. D., Tonapa, S. I., Saragih, I. S., & Lee, B. O. (2022). Effects of Cognitive Stimulation Therapy for People with Dementia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies: Cognitive stimulation therapy for dementia care. International Journal of Nursing Studies, 104181. doi: 10.1016/j.ijnurstu.2022.104181. Septiarini, N. L. A. (2024). Pengaruh Cognitive Stimulation Therapy Puzzle Terhadap Peningkatan Fungsi Kognitif Pada Lanjut Usia. Jurnal Aliansi Keperawatan Indonesia, 1(1), 30-37. DOI: https://doi.org/10.55887/jaki.v1i1.5 Shiddieqy, A. A., Zulfitri, R., & Elita, V. (2022). Analisis Faktor Risiko Yang Berhubungan Dengan Fungsi Kognitif Pada Lansia Suku Melayu. Jurnal Keperawatan, 7(1), 12-26. https://doi.org/10.32668/jkep.v7i1.775. Sipollo, B. V. (2022). Studi Fenomenologi Pengalaman Lansia Dengan Demensia Mengikuti Cst (Cognitive Stimulation Therapy) Di Lks-Lu Pangesti Lawang. Jurnal Keperawatan Malang, 7(1), 104–114. https://doi.org/10.36916/jkm.v7i1.171 Smith, A. (2020). Play The Simon game To Improve Brain Fucnction. Diakses dari https://rehabandbeyond.org/rehabilitation/play-the-simon-game-to-improve-brain-function/ pada tanggal 19 November 2024. Soedirman, B.S., & Laksmidewi, A.A.A.P., (2021). Benefit of Cognitive Stimulation Therapy in a Patient with Vascular Dementia: A Case Report. Open Access Macedonian Journal of Medicine Science, 9, 10-14. https://oamjms.eu/index.php/mjms/article/view/5585 Turana, Y., Sani, T.P., Prasetya, V.G.H., Suswanti, I., Konny, L., Halim, M.S., Handajani, Y.S. (2024). Effect of cognitive stimulation therapy in combination with other intervention modalities on cognitive ability in elderly with cognitive impairment: a quasi-experimental study. Universa Medicina, 43, 13-19. https://doi.org/10.18051/UnivMed.2024.v43.13-19. Werheid, K., Schaubs, B., Aguirre, E., & Spector, A. (2021). Cognitive stimulation therapy: Model-based cultural adaptation and manual translation of an evidence-based psychosocial group therapy for people with dementia. GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry, 34(3), 117–124. https://doi.org/10.1024/1662-9647/a000244 Woods, B., Rai, H.K., Elliott, E., Aguirre, E., Orrell, M., Spector, A. (2023). Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database Syst Rev. (1):CD005562. doi: 10.1002/14651858.CD005562.pub3. Xue, Chen. (2022). Effectiveness of cognitive stimulation therapy (CST) on cognition, quality of life and neuropsychiatric symptoms for patients living with dementia: A meta-analysis, Geriatric Nursing, 47, 201-210. https://doi.org/10.1016/j.gerinurse.2022.07.012. Yanan Cao, Nana Wang, Qianping Zhang, Natalie Shen, Jinbing Bai, Xianwu Luo, Yanqun Liu. (2023). Effects of cognitive stimulation therapy on patients with dementia: An umbrella review of systematic reviews and meta-analyses. Experimental Gerontology,177, 112197. https://doi.org/10.1016/j.exger.2023.112197. Yaslina, Maidaliza, & Srimutia, R. (2021). Aspek Fisik dan Psikososial terhadap Status Fungsional pada Lansia. Prosiding Seminar Kesehatan Perintis, 4(2), 68–73. Padang: Universitas Perintis Indonesia. https://jurnal.upertis.ac.id/index.php/PSKP/article/view/724.
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DOI: https://doi.org/10.22146/jkesvo.101733
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Jurnal Kesehatan Vokasional with registered number ISSN 2541-0644 (print), ISSN 2599-3275 (online) published by the Departement of Health Information Management and Services, Vocational College, Universitas Gadjah Mada