Geriatric Game 0.1: Teknologi Ramah Lingkungan untuk Meningkatkan Fungsi Kognitif Lansia di RS Radjiman Wediodiningrat
DOI:
https://doi.org/10.36565/jab.v15i1.1033Keywords:
brain gym, cognitive function, geriatric game 0.1., older adultsAbstract
The global population of older adults is increasing steadily worldwide. The United Nations projects that by 2050, one in six people globally will be aged 65 years or older, many of whom are at risk of cognitive decline. Addressing both health and environmental concerns, Geriatric Game 0.1 was developed as an eco-friendly cognitive stimulation tool for older adults, utilizing recycled plastic bottle caps. This innovation aims to reduce environmental pollution, generate economic value, and promote a harmonious relationship between humans and the environment. This study aimed to examine the effects of Geriatric Game 0.1 combined with recreational brain gym therapy on cognitive function among older adults. Cognitive function was assessed using the Mini-Mental State Examination (MMSE-11). A randomized controlled trial design was applied. The intervention group received two types of Geriatric Game 0.1 (puzzle and tic-tac-toe) alongside brain gym exercises, while the control group received brain gym therapy alone. Both groups participated in ten therapy sessions conducted over a three-month period (01 August– 30 October 2025). The study involved 15 older adults each group who admitted to the Psychogeriatric Ward of Dr. Radjiman Wediodiningrat Hospital, Lawang. Pre- and post-intervention data were analyzed using paired t-tests. The results demonstrated a statistically significant improvement in cognitive function in the intervention group (p<0.05). The mean MMSE score increased from 20 (moderate cognitive impairment) at baseline to 23.7 (mild cognitive impairment), reflecting a mean improvement of 3.7 points. Significant gains were observed in orientation, attention and calculation, and recall domains. In conclusion, integrating Geriatric Game 0.1 with brain gym therapy is an effective and sustainable nursing intervention for older adults with cognitive decline, while simultaneously supporting circular economy principles and strengthening nurse–older adult relationships
References
Amalia, P. (2023). Analisis Asuhan Keperawatan Melalui Intervensi Terapi Rekreasi pada Pasien dengan Diagnosa Medis Skizofrenia di Panti Sosial Bina Laras Harapan Sentosa II Cipayung Jakarta Timur. Universitas Nasional.
Amperaningsih, Y., Amatiria, G., Putri, H. L., & Tiala, N. H. (2025). Game Interaktif Sebagai Strategi Pencegahan Demensia pada Lansia di UPTD PSLU Tresna Werdha Lampung. Omni Pengabdian Masyarakat, 2(2), 1–6.
BPS. (2018). Proyeksi Penduduk Indonesia 2015-2045 Hasil SUPAS 2015.
BPS. (2021). Statistik Penduduk Lanjut Usia 2021 (Vol. 1, Issue 1). https://web-api.bps.go.id/download.php?f=lPQMxKHRR/02C1W8X3Q8CTB3WWpHZ1cwVEx3RDlIZXEySkdISGN6TmtxRjA3eTQ3M3JrYUtLUk9mUm9wWURXZk1WdEJBVHhhcG1oTnZKbWFIYWJ0MEd2Qmcya0xLWjArQ2IxOGEwS05yb2xqSk8yWkgzc2lTeVI4bHNNQmZEcVllT1crZkRZa251Z0tZQUlTQXhBVEdXRFhhUCsxTUI1dm
Devi, H. M., & Putri, R. M. (2024). Pengaruh Terapi Rekreasi terhadap Fungsi Kognitif Kelompok Lansia di Masyarakat. Jurnal Akademika Baiturrahim Jambi, 13(1), 89–99.
Devi, H. M., Putri, R. M., & Maemunah, N. (2024). Meningkatkan Fungsi Kognitif Lansia Dengan Permainan Daur Ulang Berbahan Sampah Plastik. JPM (Jurnal Pemberdayaan Masyarakat), 9(1), 1–7.
Devi, H. M., & Putri, R. S. M. (2021). Analisa Korelasional Pola Asuh Permisif Orangtua Terhadap Efikasi Diri Anak Usia Sekolah Dan Remaja Di Rt 03/Rw 02 Desa Landungsari Kabupaten Malang. Nursing News: Jurnal Ilmiah Keperawatan, 5(2), 75–85.
Dewi, E. R., Marliani, M., Azizah, N., Marpaung, W. L., Berutu, L. H., Sari, P. D., & Simarmata, M. (2023). Edukasi Deteksi Dini Demensia Pada Lansia Melalui Brain Gym Di Desa Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Tahun 2023. Jurnal Pengabdian Kepada Masyarakat Nusantara, 4(4), 3307–3312.
Folstein, M., Folstein, S., & McHugh, P. (2020). 5.2 Mini-Mental State Examination (MMSE). In Manual of Screeners for Dementia (Vol. 51). Springer.
Hartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse–patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies, 102, 103490.
Kang, H. (2021). Sample size determination and power analysis using the G* Power software. Journal of Educational Evaluation for Health Professions, 18.
Kementerian Kesehatan RI. (2018). Profil Kesehatan Indonesia Tahun 2017. Kementerian Kesehatan Republik Indonesia 2018. https://kemkes.go.id/app_asset/file_content_download/Profil-Kesehatan-Indonesia-2017.pdf
Kementerian Kesehatan RI. (2019). Indonesia Masuki Periode Aging Population. 04 Juli 2019. https://www.kemkes.go.id/article/view/19070500004/indonesia-masuki-periode-aging-population.html
Lee, L.-H. N., Huang, C.-S., Wang, R.-W., Lai, H.-J., Chung, C.-C., Yang, Y.-C., & Kuo, C.-C. (2022). Deep brain stimulation rectifies the noisy cortex and irresponsive subthalamus to improve parkinsonian locomotor activities. Npj Parkinson’s Disease, 8(1), 77.
Leng, Y., Diem, S. J., Stone, K. L., & Yaffe, K. (2018). Antidepressant use and cognitive outcomes in very old women. The Journals of Gerontology: Series A, 73(10), 1390–1395.
Lisnaini, L. (2021). Senam Vitalisasi Otak untuk Meningkatkan Fungsi Kognitif Usia Dewasa Muda. INSPIREE: Indonesian Sport Innovation Review, 2(2), 97–113.
Pelawi, N. E. (2024). The effectiveness of brain exercises on reducing dementia in the elderly: a narrative review. PROMOTOR Учредители: LPPM Universitas Ibn Khaldun Bogor, 7(6), 863–867.
Prahasasgita, M. S., & Lestari, M. D. (2023). Stimulasi Fungsi Kognitif pada Lanjut Usia di Indonesia: Tinjauan Literatur. Buletin Psikologi, 31(2).
Putri, R. M., & Devi, H. M. (2024). Menghidupkan Kembali Bank Sampah Pasca Pandemi Covid 19 RT 06 RW 09 Landungsari Malang. Jurnal Abdimas Kesehatan (JAK), 6(1), 27–34.
Rosdiana, Y., Devi, H. M., Dewi, N., Supriyadi, S., & Putri, R. S. M. (2023). Peningkatan Pengetahuan Fungsi Kognitif pada Lansia Kelurahan Tanjungrejo, Kecamatan Sukun, Kota Malang. Journal of Indonesian Society Empowerment, 1(2), 70–76.
Sari, D. N., & Wellis, W. (2022). Lansia Sehat Aktif dan Produktif Melalui Germas dan Pelatihan Industri Kreatif. Jurnal Pelayanan Dan Pengabdian Masyarakat (Pamas), 6(2), 118–125.
Seino, S., Kitamura, A., Abe, T., Taniguchi, Y., Yokoyama, Y., Amano, H., Nishi, M., Nofuji, Y., Narita, M., & Ikeuchi, T. (2020). Dose-response relationships between body composition indices and all-cause mortality in older Japanese adults. Journal of the American Medical Directors Association, 21(6), 726–733.
Sharkiya, S. H. (2023). Quality communication can improve patient-centred health outcomes among older patients: a rapid review. BMC Health Services Research, 23(1), 886.
Spector, A., Abdul Wahab, N. D., Stott, J., Fisher, E., Hui, E. K., Perkins, L., Leung, W. G., Evans, R., Wong, G., & Felstead, C. (2024). Virtual group cognitive stimulation therapy for dementia: mixed-methods feasibility randomized controlled trial. The Gerontologist, 64(8), gnae063.
Stern, Y. (2021). How can cognitive reserve promote cognitive and neurobehavioral health? Archives of Clinical Neuropsychology, 36(7), 1291–1295.
Suhari, S., Astuti, A., Rahmawati, P. M., & Musviro, M. (2019). Brain Gym Improves Cognitive Function for Elderly With Demensia. International Conference of Kerta Cendekia Nursing Academy, 1(1).
Sukrisna, J. (2023). Tingkatkan Fungsi Kognitif dan Sosial Lansia, RT 06 RW 01 Tanjungrejo Sukun Kota Malang Mainkan Permainan Daur Ulang. https://javasatu.com/esai/tingkatkan-fungsi-kognitif-dan-sosial-lansia-rt-06-rw-01-kelurahan-tanjungrejo-kecamatan-sukun-kota-malang-mainkan-permainan-daur-ulang/
United Nations. (2020). World Population Ageing 2019 Ten key messages (Issue December 2019). https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/aging_theme_world_population_ageing_2019_10_key_messages.pdf
Yang, A.-N., Wang, X.-L., Rui, H.-R., Luo, H., Pang, M., & Dou, X.-M. (2020). Neuropsychiatric symptoms and risk factors in mild cognitive impairment: a cohort investigation of elderly patients. The Journal of Nutrition, Health & Aging, 24(2), 237–241.
Zhang, T., Zhang, X., Zhu, W., Lu, Z., Wang, Y., & Zhang, Y. (2022). Study on the diversity of mental states and neuroplasticity of the brain during human-machine interaction. Frontiers in Neuroscience, 16, 921058.
Zuliani, G., Polastri, M., Romagnoli, T., Marabini, L., Seripa, D., Cervellati, C., Zurlo, A., Passaro, A., & Brombo, G. (2021). Clinical and demographic parameters predict the progression from mild cognitive impairment to dementia in elderly patients. Aging Clinical and Experimental Research, 33(7), 1895–1902
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