Domain Fungsi Kognitif setelah Terapi Stimulasi Kognitif

Renata Komalasari


DOI: http://dx.doi.org/10.7454/jki.v17i1.372


Abstract


Terapi Stimulasi Kelompok (TSK) merupakan terapi kelompok yang terbukti efektif meningkatkan fungsi kognitif lanjut usia dengan demensia ringan-sedang. Penelitian ini bertujuan membuktikan efektifitas TSK dengan 14 sesiterhadappeningkatan fungsi kognitif di Kelurahan Binong, Tangerang, Indonesia. Sebanyak 43 orang mengikuti skrining demensia dengan Mental State Examination (MMSE) rentang. Jumlah responden yang mengukti pretes 24 orang. Attrition rate responden mencapai 79,1%. Hanya lima respondenmengikuti TSK hingga pos-tes.Kendati ada kenaikan skor MMSE 2,4 poin antara pre- dan pos-test, namun berdasarkan paired t test, tidak ada perbedaan signifikan antara skor MMSE pre- dan pos-tes secara keseluruhan (p=0,080; α=0,05)dan tidak ada perbedaanpre- dan pos-tes untuk tiap domain fungsi kognitif. Kecilnya jumlah sampel dapat memengaruhi hasil penelitian ini. Penelitian lebih lanjut dengan ukuran sampel lebih besar dibutuhkan guna memvalidasi temuan penelitian ini.


Abstract

Cognitive Function Domain after Cognitive Stimulation Therapy (CST). CST is a group therapy proved effective at improving cognitive function of the elderly with mild to moderate dementia. The literature hinted no research reports on effectiveness of Cognitive Stimulation Therapy in the Indonesian community. This study aimed to prove effectiveness of CST in the Indonesian community and find which cognitive function domain improved after participating in 14 CST sessions. Purposive sampling was used with inclusion criteria: elderly of 45 and plus, living in Binong, Tangerang, havingmild to moderate dementia (Mental State Examination (MMSE) scores of 10-26, ability to communicate and understand Indonesian language.Attrition rate of respondents was 79,1%. Only 5 respondentsattended CST upto post-test. While 2,4 point increase was found on MMSE scores between pre- and post-test, paired t testshowed no significant difference between the two (p=0,080; α=0,05) and no differences found for each cognitive function domain. Future study is warranted with larger sample size to validate findings of this study.

 

Keywords: cognitive function, cognitive stimulation therapy, elderly, Mini Mental State Examination

 


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References


Alosa Foundation. (2009). Independent drug information service. Diperoleh dari http:// www.rxfacts.org.

Baker, R., Holloway, J., Holtkamp, C., Larsson, A., Hartman, L., Pearce, R.,& Owens, M. (2003). Effects of multi-sensory stimulation for people with dementia. Journal of Advanced Nursing, 43(5), 465–477. doi: 10.1046/j.1365-2648.2003.02744.x

Breuil, V., De Rotrou, J., & Forette, F. (1994). Cognitive stimulation of patients with dementia: Preliminary results. International Journal of Geriatric Psychiatry, 9, 211–17. doi: 10.1002/gps.930090306

Brodaty, H., Green, A., & Koschera, A. (2003). Metaanalysis of psychosocial interventions for caregivers of people with dementia. The American Geriatrics Society, 51, 657–664. doi: 10.1034/j.1600-0579.2003.00210.x

Brooker, D., & Duce, L. (2000). Wellbeing and activity in dementia: A comparison of group reminiscence therapy, structured goal-directed group activity and unstructured time. Aging &Mental Health, 4 (4), 354–8. doi: http://dx.doi.org/10.1080/713649967

Clare, L., & Woods, R.T. (2004). Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer’s disease: A review. Neuropschological Rehabilitation, 14 (4), 385–401. doi: 10.1002/14651858.CD003260

Cormier S., Nurius, P.S., & Osborn, C. J. (2012). Interviewing and change strategies for helpers (7th Ed.). Boston: Brooks/Cole Cengage Learning.

Eloniemi-Sulkava, U., Notkola, I., Hentinen, M., Kivela, S., Svenius, J., & Sulkava, R. (2001). Effects of supporting community-living demented patients and their caregivers: A randomised trial. Journal of American Geriatrics Society, 49, 1281–1287. doi: http://onlinelibrary.wiley.com/doi/10.1111/jgs.2001.49.issue-10/issuetoc

FKIK UPH. (2013). Survey mahasiswa program profesi ners angkatan III. Banten: Fakultas Ilmu Keperawatan dan Ilmu Kesehatan, Universitas Pelita Harapan.

Folstein, M.F., Folstein, S.E. & McHugh, P.R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. doi: http://dx.doi.org/10.1016/0022-3956(75)90026-6

Healy, J. (2004). The benefits of an ageing population. TheAustralia Institute Discussion Paper Number, 63, 1–41. doi: 10.1017/S1041610212001822.

Kementerian Sosial Republik Indonesia. (2010). Government targeted 2020 elderly welfare. Diperoleh dari http://www.kemsos.go.id.

Livingston, G., Johnston, K., Katona, C., Paton, J., & Constantine, G. (2005). Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. Am J Psychiatry, 1, 1996–2021. doi: http://dx.doi.org/10.1176/appi.ajp.162.11.1996

Orrell, M., Yates, L.A., Burns, A., Russell, I., Woods, R.T., Hoar, Z., &Orgeta, V. (2012). Individual cognitive stimulation therapy for dementia (ICST): Study protocol for a randomized controlled trial. BMC Trials, 13, 172.

Schneider, Z., Whitehead, D., Elliott, D., Lobiondo-Wood, G., &Haber, J. (2007). Nursing and midwifery research, methods and appraisal for evidence-based practice (3rd Ed.). New South Wales: Elsevier.

Spector, A., Orrell, M., Davies, S., Woods, B. (2001). Can reality orientation be rehabilitated? Development and piloting of an evidence-based programme of cognition-based therapies for people with dementia. Neuropsychological Rehabilitation, 11(3–4), 377–379. doi: 10.1080/09602010143000068

Spector, A., Thorgrimsen, L., Woods, B., Royan, L., Davies, S., Butterworth, M., & Orrell, M. (2003). Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia, randomised controlled trial. British Journal of Psychiatry, 183, 248–254.doi: 10.1192/bjp.183.3.248

Spector, A., Thorgrimsen, L., Woods, B., & Orrell, M. (2006). Making a difference–an evidenced based group programme to offer cognitive stimulation therapy (CST) to people with dementia: The manual for group leaders. Hawker Publications. Diperoleh dari http://www.communitycare.co.uk.

Spector, A., Orrell, M., & Woods, B. (2010). Cognitive stimulation therapy (CST): Effects on different areas of cognitive function for people with dementia. International Journal Geriatric Psychiatry, 25, 1253–1258. doi: 10.1017/S1041610212001822.

Streater, A., Spector, A., Aguirre, E., Hoe, J., Hoare, Z., Woods, R., Russell, I., & Orrell, M. (2012). Maintenance Cognitive Stimulation Therapy (CST) in practice: study protocol for a randomized controlled trial. BMC Trials, 13, 91. doi: 10.1186/1745-6215-13-91.

The Evidence-Base (2013). Cognitive Stimulation Therapy. Diperoleh dari http://www.cstdeme ntia.com/page/the-evidence-base.

United States Census Bureau. (2010). Age and sex. Diperoleh darihttp://www.census.gov/population/age.

Videbeck, S.L. (2008). Buku ajar keperawatan jiwa.(R. Komalasari & A. Hany, Penerj). Philadelphia: Lippincott Williams & Wilkins Inc.(Buku asli diterbitkan tahun 2001).

Woods, B., Aguirre, E., Spector, A.E., &Orrell, M. (2012). Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database of Systematic Reviews, 2, 1–78. doi: 10.1002/14651858.

Woods, R.T., Bruce, E., Edwards, R.T, Hounsome, B., Keady, J., Moniz-Cook, E.D., Orrell, M., &Russell, I.T. (2009). Reminiscence groups for people with dementia and their family carers: Pragmatic eight-centre randomised trial of joint reminiscence and maintenance versus usual treatment: A protocol. BMC mTrials, 10, 64. doi: 10.1186/1745-6215-10-64.


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