COGNITIVE FUNCTION OF THE ELDERLY IN PALEMBANG CITY NURSING HOMES: AN EPIDEMIOLOGICAL STUDY
Main Article Content
Elderly refers to individuals who have reached the final stage of life, namely 60 years old and above. Physiologically, the elderly will experience various declines in body functions. The decline in cognitive function is among the most common in the elderly. The incidence of cognitive decline in the elderly in Indonesia is relatively high, which is as much as 32.4%, and is most vulnerable at the age of 65 years. Cognitive impairment can cause older adults to have difficulty in doing daily activities (bathing, dressing, washing, cooking), managing finances, getting lost on the road, and other disturbances that make the elderly less independent and confident, then tend to withdraw from social activities. The disturbances can also lead to anxiety disorders and depression. This study aims to determine the profile of cognitive function in the elderly at Palembang Nursing Homes. This cross-sectional study involves all elderly individuals in Palembang City Nursing Homes who meet the inclusion-exclusion criteria. The Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) was used to assess cognitive function. In this study, as many as 69 elderly (87.34%) had experienced a decline in cognitive function. Then, the dominant characteristics in the group that experienced a decrease in cognitive function were >90 years old (100%), women (91.38%), college graduates (100%), never worked (100%), had a history of stroke (92.86%), did not remember or did not know about cognitive impairment history in the family (93.33%). Delayed recall was the aspect that experienced the most disruption (96.2%). This study has revealed that the prevalence of cognitive impairment in Palembang Nursing Homes is exceptionally high. Therefore, it is imperative to implement routine screenings to identify early cognitive impairment in the elderly to provide immediate treatment.
2. Ambohamsah I, Darmiati, Sia NL. Gambaran Fungsi Kognitif pada Lanjut Usia di Desa Buku Kecamatan Mapilli Kabupaten Polewali Mandar. J Ilm Kesehat Diagnosis. 2020;15(3).
3. Anita F, Linggi EB. Gambaran Gangguan Fungsi Kognitif Pasien Paska Stroke Di Rumah Sakit Stella Maris Makassar. J Keperawatan Florence Nightingale. 2020;3(1):7–11.
4. Boletimi RO, Kembuan MAHN, Pertiwi JM. Gambaran Fungsi Kognitif Pasien Pasca Stroke. Med Scope J. 2021;2(2).
5. Habil R, Berlianti B. Kehidupan Ekonomi, Sosial, dan Kesehatan Lansia dalam Pengasuhan Keluarga di Lingkungan IV Galang Kota. SOSMANIORA J Ilmu Sos dan. 2023;2(1):108–21.
6. Handajani YS. Gangguan Kognitif Lanjut Usia. J Publ Kesehat Masy Indones. 2020;7(1):3–8.
7. Hasibuan RK, Raafidianti RS. Gambaran Gangguan Kognitif pada Lansia dan Faktor-faktor yang Memengaruhinya di Kecamatan Kayangan Kabupaten Lombok Utara Nusa Tenggara Barat tahun 2018. Tarumanagara Med J. 2021;3(2).
8. Jockwitz C, Wiersch L, Stumme J, Caspers S. Cognitive Profiles In Older Males and Females. Sci Rep. 2021;11(1):1–13.
9. Khan HIA, Suwanti. Gambaran Fungsi Kognitif pada Lansia dengan Hipertensi. J Keperawatan Berbudaya Sehat. 2023;1(1).
10. Komsin NK, Isnaini N. Pengaruh Crossword Puzzle Therapy (CPT) Terhadap Fungsi Kognitif Lansia di Panti Pelayanan Sosial Lanjut Usia (PPSLU) Sudagaran Banyumas. J Keperawatan Sriwij. 2020;7(2):6–15.
11. Levine DA, Gross AL, Briceno EM. Sex Differences in Cognitive Decline Among US Adults. JAMA Netw Open. 2021;4.
12. Liya X. The Effects of Exercise for Cognitive Function in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Environ Res Public Heal. 2023;20(2).
13. Mardiana K, Sugiharto. Gambaran Fungsi Kognitif Berdasarkan Karakteristik Lansia Yang Tinggal di Komunitas. J Ilm Keperawatan. 2022;8(4):577–84.
14. Margiyati, Rahmanti A, Ningrum TF, Lestari MI. Pengaruh Terapi Puzzle Wapuwan Terhadap Fungsi Kognitif Lansia Di. J Jufdikes. 2021;3(2):44–52.
15. Noor CA, Merijanti LT. Hubungan antara aktivitas fisik dengan fungsi kognitif pada lansia. J Biomedika dan Kesehat. 2020;3(1):8–14.
16. Nurfianti A, An A. The Effectiveness of The Mini-Cog and MMSE As Vital Instrument Identifying Risk of Dementia As A Nursing Process Reinforcement. NurseLine J. 2020;4(2):114.
17. Putri DE. Hubungan Fungsi Kognitif dengan Kualitas Hidup Lansia. J Inov Penelit. 2021;2(4):6.
18. Ratumanan SP, Huwae LBS, Sanaky M. Fungsi Kognitif Pada Lansia Ditinjau Berdasarkan Tempat Tinggal Dan Jenis Kelamin Di Negeri Passo. PAMERI Pattimura Med Rev. 2019;1(2):23.
19. Riani AD, Halim MS. Fungsi Kognitif Lansia yang Beraktivitas Kognitif secara Rutin dan Tidak Rutin. J Psikol. 2019;46(2):85.
20. Riasari NS, Djannah D, Wirastuti K, Silviana M. Faktor-Faktor yang Mempengaruhi Penurunan Fungsi Kognitif pada Pasien Prolanis Klinik Pratama Arjuna Semarang. J Pendidik Tambusai. 2022;6:3049–56.
21. Rodgers V. Gerontological Nursing: Competencies for Care. Vol. 17, Journal of Clinical Nursing. 2008. p. 564–564.
22. Shiddieqy AA, Zulfitri R, Elita V. Analisis Faktor Risiko Yang Berhubungan Dengan Fungsi Kognitif Pada Lansia Suku Melayu. Jkep. 2022;7(1):12–26.
23. Susilowati DT, Untari I, Sarifah S. Perbedaan Fungsi Kognitif Lansia Di Tinjau Dari Tempat Tinggal. PROFESI (Profesional Islam Media Publ Penelit. 2020;18(1):49–54.
24. Toreh ME, Pertiwi JM, Warouw F. Gambaran Fungsi Kognitif pada Lanjut Usia di Kelurahan Maasing Kecamatan Tuminting. J Sinaps. 2019;2(1):33–42.
25. Vrijsen J. Association Between Dementia Parental Family History and Mid-Life Modifiable Risk Factors for Dementia: A Cross-Sectional Study Using Propensity Score Matching Within The Lifelines Cohort. BMJ Open. 2021;11(12).
26. Widyastuti K. Perubahan Kognitif pada Menopause: Peranan Estrogen. Universitas Udayana; 2016.
