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The effectiveness of puzzle therapy on cognitive functions among elderly with dementia at Balai Pelayanan Sosial Tresna Werdha (BPSTW) Yogyakarta, Indonesia

Abstract

Background: People with Alzheimer's dementia can experience a disruption in their daily activities, which can increase the burden of treatment costs. Puzzle therapy can encourage the release of the expression of the person living with Alzheimer's through artistic expression and creative processes. This study aims to determine the effectiveness of puzzle therapy on cognitive function of elderly dementia.

Methods: A quasi-experimental approach using pre-post with control group design was used in this study.  The number of respondents in the intervention group was 44 and in the control group was 27. The cognitive function on the elderly was assessed by the questionnaire of the Hopkins Verbal Learning Test (HVLT). Data were analyzed using SPSS version 17 for Windows. Bivariate paired T-test and Independent T-test were used in this study.

Results: There was a significant increase in the mean value of cognitive function among the intervention group (2.16±2.67; P=0.013) after puzzle therapy. The intervention group without dementia was also found significantly increase (2.10±2.19; 0.000). While in the control group who had dementia obtained a non-significant decrease in cognitive functions (0.29±0.75; 0.356). However, the control group without dementia was found to be significantly increased (0.5±0.7; 0.008) in the cognitive function.

Conclusion: Puzzle therapy intervention can improve cognitive scores significantly in all elderly people.

References

  1. Lutz W, K C S. Dimensions of global population projections: what do we know about future population trends and structures?. Philos Trans R Soc Lond B Biol Sci. 2010;365(1554):2779-91.
  2. Health Ministry of Indonesia. Situasi Lanjut Usia (LANSIA) di Indonesia. Jakarta: Pusat Data dan Informasi; 2016.
  3. Batsch NL, Mittelman MS. Overcoming the Stigma of Dementia World Alzheimer Report 2012. London: Alzheimer’s Disease International; 2012:1-80
  4. Health Ministry of Indonesia. Strategi Nasional: Penanggulangan Penyakit Alzheimer Dan Demensia Lainnya : Menuju Lanjut Usia Sehat Dan Produktif. Jakarta: Kementerian Kesehatan; 2015.
  5. Suriastini NW, Turana Y, Witoelar F, Supraptilah B, Wicaksono TY, M ED. Policy Brief. Yogyakarta; 2016.
  6. Dewi SR. Pengaruh Senam Otak dan Bermain Puzzle terhadap Fungsi kognitif lansia di PLTU Jember. J Kesehat Prim. 2016;1:64-69.
  7. Stallings JW, Emporia K. Collage as a Therapeutic Modality for Reminiscence in Patients With Dementia. Journal of the American Art Therapy Association. 2010;27(3):136-140.
  8. Alzheimer Assosiation. Activities at Home : Planning the Day for a Person with Middle or Late Stage Dementia. Alzheimer’s Association; 2017.
  9. Miller CA. Nursing for Wellness in Older Adults. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.
  10. Stanhope M, Lancaster J. Community and Public Health Nursing. St. Louis Missouri: Mosby; 2004.
  11. Fissler P, Küster OC, Loy LS, Laptinskaya D, Rosenfelder MJ, von Arnim CAF, et al. Jigsaw Puzzles As Cognitive Enrichment ( PACE ) - the effect of solving jigsaw puzzles on global visuospatial cognition in adults 50 years of age and older : study protocol for a randomized controlled trial. 2017;18(1):415.
  12. Blankevoort CG, van Heuvelen JG, Boersma F, Luning H, de Jong J, Scherder EJ. Review of Effects of Physical Activity on Strength , Balance , Mobility and ADL Performance in Elderly. Dement Geriatr Cogn Disord. 2010;30(5):392-402.
  13. Bherer L, Erickson KI, Liu-Ambrose T. A Review of the Effects of Physical Activity and Exercise on Cognitive and Brain Functions in Older Adults. J Aging Res. 2013;2013:8.
  14. Pangkahila EA, Adiputra N, Pangkahila W, Yasa IWPS. Balanced physical exercise increase physical fitness, optimize endorphin levels, and decrease malondialdehyde levels. Bali Med J. 2016;5(3):493-496.
  15. Iwamoto Y, Hoshiyama M. Alteration of Time Perception in Young and Elderly People during Jigsaw Puzzle Tasks with Different Complexities. Occupl Ther Int. 2011;18(4):194-200.
  16. Wang Y, Xiao LD, Ullah S, He GP, De Bellis A. Nurse Education Today Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial. Nurse Educ Today. 2017;49:1-7.

How to Cite

Erwanto, R., & Kurniasih, D. E. (2020). The effectiveness of puzzle therapy on cognitive functions among elderly with dementia at Balai Pelayanan Sosial Tresna Werdha (BPSTW) Yogyakarta, Indonesia. Bali Medical Journal, 9(1), 86–90. https://doi.org/10.15562/bmj.v9i1.1628

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