The Effect of Elderly Cognitive Care on the Cognitive Function and Physical Activity of Elderly

  • Hyan Oktodia Basuki STIKES NU Tuban
  • Joni Haryanto Faculty of Nursing, Universitas Airlangga
  • Tiyas Kusumaningrum Faculty of Nursing, Universitas Airlangga
Keywords: elderly cognitive care, cognitive function, physical activity, elderly


Background. The process of aging causes various health problems namely the physiological changes of the elderly. The increase in number of elderly is directly proportional to the problems of elderly, including the decreased cognitive function and physical activity. This phenomenon is most commonly found in people over the age of 60 years, but also can attack the age of 40 years.  Methods. type of research using quantitative research with quasi experimental pre-posttest design. The Sampling method uses non-probability sampling with purposive sampling. The sample of this research is 62 elderly, divided into treatment and control groups in Puskesmas Jetak Tuban. The questionnaire in this research uses MMSE for cognitive function and Index katz for physical activity. The research was conducted from March to April 2018. Results. the statistical test results uses wilcoxon sign rank test obtained significant values of cognitive function intervention group and physical activity variables, before and after given the intervention, the Elderly Cognitive Care has a calculated value Z= -4.32 and Z = -3.94 with significant value α = 0.00. This result means if value of p value ≤0.05, then the hypothesis is accepted, this means that there is influence of Elderly Cognitive Care to cognitive function and physical activity of elderly in Puskesmas Jetak Tuban. Conclusion. There is an enhancement in cognitive function and physical activity in the elderly, after being given Elderly Cognitive Care. This intervention can be used as management for the elderly against the reduction in cognitive function and physical activity.


Download data is not yet available.


Alligood, M. R. (2014). Nursing Theorists and Their Work (8th ed.). St. Louis: Elsevier.

Azizah, L. M. (2011). Keperawatan Lanjut Usia. Yogyakarta: Graha Ilmu.

Badan Pusat Statistik. (2015). Statistik Penduduk Lanjut Usia 2014. Jakarta: Badan Pusat Statistik.

Baert, V., Gorus, E., Mets, T., Geerts, C., & Bautmans, I. (2011). Motivators and barriers for physical aetivity in older old: a systematic review. Ageing Research Reviews, 10(4), 464–476.

Beard, R. L. (2012). Art therapies and dementia care: A systematic review. Dementia, 11(5), 633–656.

Beerens, H. C., Zwakhalen, S. M. G., Verbeek, H., Tan, F. E. S., Jolani, S., Downs, M., … Hamers, J. P. H. (2017). The relation between mood, activity, and interaction in long-term dementia care. Aging & Mental Health, 22(1), 26-32.

Bherer, L., Erickson, K. I., & Ambrose, T. L. (2013). A Review of the Effects of Physical Activity and Exercise on Cognitive and Brain Functions in Older Adults. Journal of Aging Research. 2013.

Cotelli, M., Manenti, R., & Zanetti, O. (2012). Reminiscence therapy in dementia: A review. Maturitas, 72(3), 203–205.

Darmojo, R. B. (2000). Aspek Kesehatan Pada Golongan Lansia. Jakarta: Simposium Nasional Gerontologi, Geriatri, Dewan Riset Nasional.

Dennison, P. E. (2006). Brain Gym and Me: Reclaiming the Pleasure of Learning (1st ed.). California: Edu-Kinesthetics, Incorporated.

Depkes RI. (2010). Definisi Lansia. Retrieved from

Depkes RI. (2013). Masalah Kesehatan Lansia. Retrieved from

Dinkes Kabupaten Tuban. (2000). Profil Kesehatan Kabupaten Tuban tahun 2016. Tuban: Dinkes Kabupaten Tuban.

Dobbs, D., Hobday, J., Roker, R., Kaas, M. J., & Molinari, V. (2017). Certified nursing assistants perspectives of the CARES activities of daily living dementia care program. Applied Nursing Research, 39, 244–248.

Dorland. (2002). Kamus Saku Kedokteran. Jakarta: EGC.

Edvardsson, D., Petersson, L., Sjogren, K., Lindkvist, M., & Sandman, P. (2014). Everyday activities for people with dementia in residential aged care : associations with person-centredness and quality of life. International Journal of Older People Nursing, 9(4), 269–276.

Folstein, M. F., Susan, F. E., & McHugh, P. R. (1975). Mini-mental state a practical method for grading the cognitive state of patients for the clinican. Jounal of Psychiatric Research, 12(3), pp. 189–198.

Franco-Marina, F., García-González, J. J., Wagner-Echeagaray, F., Gallo, J., Ugalde, O., Sánchez-García, S., … García-Peña, C. (2010). The Mini-Mental State Examination revisited: ceiling and floor effects after score adjustment for educational level in an aging Mexican population. International Psychogeriatrics, 22(1), 72–81.

Hardywinoto & Setiabudhi. (2007). Panduan Gerontologi. Jakarta: Pustaka Utama.

Heyn, P., Abreu, B.C., Ottenbacher, K. J. (2004). The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Archive of Physical Medicine and Rehabilitation, 85(10), 1694-704.

Hidayat, A. A. (2011). Metode Penelitian Keperawatan dan Teknik Analisis Data. Jakarta: Salemba Medika.

Hsieh, C., Chang, C., Su, S., Hsiao, Y., Shih, Y., Han, W., & Lin, C. (2017). Reminiscence Group Therapy on Depression and Apathy in Nursing Home Residents With Mild-to-moderate Dementia. Journal of Experimental & Clinical Medicine, 2(2), 72–78.

Issacs, A. (2004). Keperawatan Jiwa dan Psikiatrik (3rd ed.). Jakarta: EGC.

Istvandity, L. (2017). Combining music and reminiscence therapy interventions for wellbeing in elderly populations: A systematic review. Complementary Therapies in Clinical Practice, 28, 18–25.

Keliat, B. A. (2005). Keperawatan Jiwa Terapi Aktivitas Kelompok. Jakarta: EGC.

Kushariyadi. (2010). Asuhan Keperawatan pada Klien Lanjut Usia. Jakarta: Salemba Medika.

Lautenschlager, N. T., Cox, K. L., Flicker, L. Foster, J. K., van Bockxmeer, F. M., Xiao, J., Greenop, K. R., & Almeida, O. P. (2008). Effect of Physical Activity on Cognitive Function in Older Adults at Risk for Alzheimer Disease A Randomized Trial. Journal America Medical Association, 300(9), 1027-1037.

Lee, L., Arthur, A., & Avis, M. (2008). Using self-efficacy theory to develop interventions that help older oepole overcome psychological barriers to physical activity: A discussion paper. International Journal of Nursing Studies, 45(11), 1690–1699. 10.1016/j.ijnurstu.2008.02.012

Lestari, S. Fitriyasari, R. and Ulfiana, E. (2010). Pengaruh Terapi Aktivitas Kelompok (TAK) Orientasi Realitas terhadap Tingkat Fungsi Kognitif pada Lansia di Unit Pelayanan Sosial Tresna Werdha Pare Kediri. Surabaya: Universitas Airlangga.

Lueckenotte, A. G. (2000). Gerontologic Nursing. (2nd ed.). Philadelphia: Mosby.

Maryam, R. S., Ekasari, M. F., Rosidawati, Jubaedi, A., & Batubara, I. (2008). Mengenal Usia Lanjut dan Perawatannya. Jakarta: Salemba Medika.

Mkenda, S., Olakehinde, O., Mbowe, G., Siwoku, A., Kisoli, A., Paddick, S.-M., … Ogunniyi, A. (2018). Cognitive stimulation therapy as a low-resource intervention for dementia in sub-Saharan Africa (CST-SSA): Adaptation for rural Tanzania and Nigeria. Dementia, 17(4), 515–530.

Mujahidullah, K. (2012). Merawat Lansia dengan Cinta dan Kasih Sayang. Yogyakarta: Pustaka Belajar.

Murtadho, M. A. (2016). Efektifitas Brain Gym dan Terapi Memory Games terhadap Peningkatan Fungsi Kognitif Lansia dengan Demensia di Panti Tresna Werdha Hargo Dedali Surabaya Penelitian Studi Komparasi. Surabaya: Universitas Airlangga.

Nakamae, T., Yotsumoto, K., Tatsumi, E., & Hashimoto, T. (2014). Effects of productive activities with reminiscence in occupational therapy for people with dementia: A pilot randomized controlled study. Hong Kong Journal of Occupational Therapy, 24(1), 13–19.

Nugroho, W. (2012). Konsep Keperawatan Gerontik & Geriatrik (3rd ed.). Jakarta: EGC.

Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan (4th ed.). Jakarta: Salemba Medika.

Potter, P. A. & Perry, A. G. (2009). Fundamental Nursing (7th ed.). Jakarta: Salemba Medika.

Putra, G. S. M., Indarwati, R., & Has, E. M. M. (2014). Reminiscence therapy with therapeutic methods group activity improve elderly’s cognitive function. Indonesian Journal of Community Health Nursing, 3(1), 124-132.

Riskesdas. (2013). Laporan Hasil Riset Kesehatan Dasar. Jakarta: Badan Penelitian Dan Pengembangan Kesehatan Kementerian Kesehatan RI.

Stuart, G. W. (2006). Buku Saku Keperawatan Jiwa (5th ed.). Jakarta: EGC.

Tammasse, J. & Wahyuni, S. (2016). Effect of brain gym on cognitive function in elderly. Nusantara Medical Science Journal, 1(1), 16-24.

Wang, J. J., Yen, M., & OuYang, W. C. (2009). Group reminiscence intervention in Taiwanese elders with dementia. Archives of Gerontology and Geriatrics, 49(2), 227–232.

Yusuf, A., Indarwati, R., & Jayanto, A. D. (2004). Brain Gym Improves Cognitive Function for Elderly. Jurnal Ners, 5(1), 79–86.

Zhang, T., Lin, C., Yu, T., Sun, J., Hsu, W., & Wong, A. M. (2017). Fun cube based brain gym cognitive function assessment system. Computers in Biology and Medicine, 84, 1–8.

How to Cite
Basuki, H., Haryanto, J., & Kusumaningrum, T. (2018). The Effect of Elderly Cognitive Care on the Cognitive Function and Physical Activity of Elderly. Indonesian Journal of Health Research, 1(2), 37-48.

PlumX Article Metrics