Pengaruh Stimulasi Terapi Reminiscence dengan Media Kartu Diiringi Musik Tradisional terhadap Fungsi Kognitif Lansia di Griya Wredha Jambangan Surabaya

Pendahuluan: Lansia merupakan kelompok usia yang rentan mengalami penurunan fungsi kognitif akibat proses penuaan. Penurunan fungsi kognitif dapat memengaruhi kemampuan memori, perhatian, orientasi, bahasa, dan kemampuan berpikir sehingga berdampak pada kualitas hidup lansia. Tujuan Penelitian ini untuk mengetahui pengaruh stimulasi terapi reminiscence dengan media kartu diiringi musik tradisional terhadap fungsi kognitif lansia di UPTD Griya Wredha Jambangan Surabaya. Metode: Penelitian ini menggunakan desain Pre-Experimental dengan One Group Pretest-Posttest Design. Populasi pada penelitian ini 30 lansia yang tinggal di UPTD Griya Wredha Jambangan Surabaya. Sampel penelitian berjumlah 30 responden menggunakan teknik purposive sampling. Variabel Independen Stimulasi terapi Reminiscence dengan media kartu diiringi musik tradisional dan variabel Dependen Fungsi kognitif lansia. Fungsi kognitif diukur menggunakan instrumen Mini Mental State Examination (MMSE). Stimulasi terapi reminiscence dengan media kartu diiringi musik tradisional diberikan selama 6 minggu dengan total 12 sesi. Analisis data menggunakan uji Wilcoxon Signed Rank Test dengan tingkat signifikansi α = 0,05. Hasil: Hasil penelitian menunjukkan setelah diberikan stimulasi terapi reminiscence, 23 responden (77%) memiliki fungsi kognitif normal, 5 responden (17%) mengalami gangguan kognitif ringan, dan 2 responden (7%) mengalami gangguan kognitif sedang. Hasil uji Wilcoxon Signed Rank Test menunjukkan nilai dengan nilai signifikansi p < 0,001 bahwa terdapat pengaruh terapi reminiscence dengan media kartu diiringi musik tradisional terhadap fungsi kognitif lansia di UPTD Griya Wredha Jambangan Surabaya. Kesimpulan : Terapi reminiscence menggunakan kartu yang diiringi musik tradisional terbukti membantu meningkatkan fungsi kognitif pada lansia. Pendekatan ini dapat dijadikan pilihan intervensi keperawatan nonfarmakologis untuk mempertahankan sekaligus meningkatkan kemampuan kognitif pada kelompok lansia.

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Background: Older adults are a population vulnerable to cognitive decline due to the aging process. Cognitive impairment may affect memory, attention, orientation, language, and thinking abilities, thereby reducing their quality of life. Objective: This study aimed to determine the effect of reminiscence therapy stimulation using card media accompanied by traditional music on the cognitive function of older adults at UPTD Griya Wredha Jambangan Surabaya. Methods: This study employed a pre-experimental design using a one-group pretest–posttest approach. The study population consisted of 30 older adults residing at UPTD Griya Wredha Jambangan Surabaya. All 30 participants were selected using a purposive sampling technique. The independent variable was reminiscence therapy stimulation using card media accompanied by traditional music, while the dependent variable was cognitive function. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). The intervention was administered over six weeks, comprising a total of 12 sessions. Data were analyzed using the Wilcoxon signed-rank test with a significance level of α = 0.05. Results Following the reminiscence therapy intervention, 23 participants (77%) demonstrated normal cognitive function, 5 participants (17%) had mild cognitive impairment, and 2 participants (7%) had moderate cognitive impairment. The Wilcoxon signed-rank test showed a statistically significant difference (p < 0.001), indicating that reminiscence therapy using card media accompanied by traditional music significantly improved the cognitive function of older adults at UPTD Griya Wredha Jambangan Surabaya. Conclusion: Reminiscence therapy using card media accompanied by traditional music was shown to improve cognitive function in older adults. This approach may serve as a non-pharmacological nursing intervention to maintain and enhance cognitive function among older adults.