The Effect of Puzzle Therapy on Improving Cognitive Function of the Elderly in Mongolato Village, Telaga District
Keywords:
Cognitive Function, Elderly, Puzzle Therapy
Abstract
One of the most significant declines in old age is the decline in cognitive abilities which include memory, attention, language and problem-solving. One of the non-pharmacological approaches used to improve the cognitive function of the elderly is puzzle therapy. This study aims to determine the effect of puzzle therapy on the improvement of cognitive function of the elderly. The research design used quantitative methods with the Quasi-Experimental method (Two-group Pretest-Posttest Control group design), the number of population, namely all elderly people who experienced dementia as many as 52 respondents while the number of samples was 34 elderly divided into 17 elderly people in the intervention group and 17 elderly in the control group, this study used the Wilcoxon test. The results of the study were the cognitive function of the elderly in the intervention group before being given the intervention, namely the weight category as many as 13 respondents, after the intervention was moderate, as many as 13 respondents while the cognitive function of the elderly in the control group before was the weight category as many as 14 respondents, after the weight category as many as 14 respondents, the results of the Wilcoxon test obtained a significant value of 0.000. In conclusion, there was an effect of puzzle therapy on improving the cognitive function of the elderly in Mongolato Village, Telaga District. Suggestions for officers in the village and their families to cooperate with the Puskesmas in providing therapy to the elderly to improve the cognitive function of the elderly.
References
Ainiyah Bintari Sholehah, Fitri, A., Rahmah, D. A., Fitriani, N., Rahmah, S., Azhariyah, W., & Pradana, A. A. (2022). The Effect of Physical Activity on the Elderly with Dementia: A Literature Review. Journal of Health Partners, 4(2), 65–70. https://doi.org/10.47522/jmk.v4i2.125
Chamelia, A., Fitriah, A., & Arpandy, ghea amalia. (2023). The Effect of Religiosity on Psychological Well-Being in Elderly Persons in Shelters & Shelters
Journal Psychology Islam, 6, 18–25. https://doi.org/10.46781/nathiqiyyah.v6i1.686
Damayanti, F. E., Izzah, U., & Rika, D. artini. (2023). Effect of Puzzle Play Therapy on Elderly with Dementia. Nursing Information Journal, 2(2), 57–61. https://doi.org/10.54832/nij.v2i2.300
Deesirene Rohani Simanullang, Lilik Pranata, & Aprida Manurung. (2024). Application of Puzzle Therapy to Improve Cognitive Function in the Elderly in Palembang Nursing Home. Vitamins: Journal of General Health Sciences, 2(3), 255–265. https://doi.org/10.61132/vitamin.v2i3.529
Du, Q., Song, Z., Jiang, H., Wei, X., Weng, D., & Fan, M. (2024). LightSword: A Customized Virtual Reality Exergame for Long-Term Cognitive Inhibition Training in Older Adults. Conference on Human Factors in Computing Systems - Proceedings, 1–29. https://doi.org/10.1145/3613904.3642187
Hakim, L. N. (2020). Age Restrictions and Welfare of the Elderly. Brief Info of the Research Center of the Expertise Body of the House of Representatives of the Republic of Indonesia, XII(19), 13–18. https://covid19.go.id/peta-sebaran
Rosmin Ilham, Hamna Vonny Lasanuddin & Rianti P. Umani. (2022). The Relationship between Diet and Increased Cholesterol Levels in the Elderly in Tenggela Village, Tilango District. Indonesian Journal of Medical and Health Sciences, 2(1), 22–34. https://doi.org/10.55606/jikki.v2i1.566
Lintin, A., & Winda Dolfiani. (2020). Undergraduate Study Program in Nursing and Nurses at Stella Maris Makassar College of Health 2022. Stella Maris Makassar Journal 2020, 10–80.
Nur Uyun I. Biahimo Sri Wulandari, Hamna Vonny Lasanuddin, , & Andi Nuraina Sudirman. (2023). Giving Bay Leaf Decoction to the Elderly with Gout at Griya Lansia Jannati, Gorontalo City. Journal of Ventilator, 1(2), 65–82. https://doi.org/10.59680/ventilator.v1i2.305
Hayati, F., & Murni, L. (2021). Factors Influencing Elderly Visits to Elderly Posyandu during the Covid-19 New Normal. Proceedings of the Pioneer Health Seminar E, 4(2), 2622–2256.
Herison, R., Nurhidayati, T., & Hartiti, T. (2024). Puzzle Therapy with Cognitive Abilities in the Elderly at the Pucang Gading Semarang Social Service Home. Holistic Nursing Care Approach, 4(2). https://doi.org/10.26714/hnca.v4i2.13047
Komariah, M., Pratiwi, Z. S., Budhiyani, H., & Adithia, A. (2020). Journal of Nursing Muhammadiyah Bengkulu. Cereal For, 8(1), 51.
Lintin, A., & Winda Dolfiani. (2020). Undergraduate study program in nursing and nurses at Stella Maris Makassar College of Health 2022. Stella Maris Makassar Journal 2020, 10–80.
Luo, G., Zhang, J., Song, Z., Wang, Y., Wang, X., Qu, H., Wang, F., Liu, C., & Gao,
F. (2023). Effectiveness of non-pharmacological therapies on cognitive
function in patients with dementia—A network meta-analysis of randomized controlled trials. Frontiers in Aging Neuroscience, 15(March). https://doi.org/10.3389/fnagi.2023.1131744
Mardiana, K., & Sugiharto. (2022). An overview of cognitive function based on the characteristics of the elderly living in the community. Scientific Journal of Nursing, 8(4), 577–584. https://doi.org/10.33023/jikep.v8i4.1283
Margiyati Margiyati, Tria Friska Ningrum, Ainnur Rahmanti, & Mimin Indah Lestari. (2022). The Effect of Wapuwan Puzzle Therapy on the Cognitive Function of the Elderly at Posyandu Setyamanunggal III. Journal of Physiotherapy and Health SciencesSisthana, 3(2), 35–43. https://doi.org/10.55606/jufdikes.v3i2.131
Mbaloto, F. R., Mua, E. L., Sekeon, R. A., Susanto, D., Yanriatuti, I., Tarigan, S., Sarman, J. N. R., & Beba, N. N. (2023). The Effectiveness of Puzzle Therapy in Improving the Cognitive Function of the Elderly. Adi Husada Nursing Journal, 9(2), 85. https://doi.org/10.37036/ahnj.v9i2.454
Mujiadi, & Rachmah, S. (2022). Gerontic Nursing Textbook for Elderly Age Restrictions. In STIKes Majapahit Mojokerto.
Paende, E. (2022). Ministry to the Elderly as a Development of Categorical Ministry. Missio Ecclesiae, 8(2), 93–115. https://doi.org/10.52157/me.v8i2.99
Patola, A., & Tridiyawati, F. (2022). Comprehensive nursing journal. Journal of Comprehensive Nursing, 8(April), 203–211.
Purwanti, S. (2022). Validity and Reliability in Public Health Research. Pernamedia Group.
Sanjuán, M., Navarro, E., & Dolores Calero, M. (2020). Effectiveness of cognitive interventions in older adults: A review. European Journal of Investigation in Health, Psychology and E ducation, 10(3), 876–898. https://doi.org/10.3390/ejihpe10030063
Septiarini, A. L. N. (2024). The Effect of Cognitive Stimulation Therapy Puzzle on Improving Cognitive Function in the Elderly. Journal of the Indonesian Nursing Alliance, 1, 30–37. https://doi.org/10.55887/jaki.v1i1.5
Setiawan, R. & Handayani, F. (2021). Health research methodology: Principles and applications in nursing.
Setiawan, S., Ikhtiyarotul Fikriyah, N., & Purnama, D. (2023). Description of Cognitive Function in The Elderly with Puzzle Therapy Intervention: Case
Study. Genius Journal, 4(1), 250–256. https://doi.org/10.56359/gj.v4i1.246
Sijabat, F., Siregar, R., & Purba, S. D. (2023). Playing Puzzles in Improving Cognitive Function in the Elderly. Journal of Abdimas Mutiara, 5(1), 56–
59. http://e-journal.sari-mutiara.ac.id/index.php/JAM
Nursing Studies, J., Isna Nabila, B., Eko Kurniawan, W., Maryoto, M., Faculty of Health, M., Harapan Bangsa, U., Faculty of Health, D., & Author, C. (2022). http://ejournal.poltekkes-smg.ac.id/ojs/index.php/J-SiKep Overview of Dementia Rates in the Elderly at Rojinhome Ikedaen Okinawa Japan. http://ejournal.poltekkes-smg.ac.id/ojs/index.php/J-SiKep
Sugiyono. (2019). Quantitative, Qualitative, R&D Research Methods. Alphabet. Susanti, A., Ahnafani, M. N., Rahman, S., & Anshori, M. (2024). THERAPY
PUZZLE PLAYING MODALITIES IN THE ELDERLY IN. [EOS] 2, 221–226.
Yulistanti., Y. (2023). Fullbook Gerontic Nursing. In Angewandte Chemie International Edition, 6(11), 951–952. (Vol. 1, April Issue).
Clare, L., & Woods, R. T. (2004). Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer's disease. Neuropsychological Rehabilitation, 14(4), 385–401.
Kolb, B., & Gibb, R. (2014). Plasticity in the developing brain. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 23(1), 4–9.
Sijabat, R. (2023). Playing puzzles in improving cognitive function in the elderly. Journal of Gerontic Nursing, 6(2), 101–108.
Stern, Y. (2012). Cognitive reserve in ageing and Alzheimer's disease. The Lancet Neurology, 11(11), 1006–1012.
Chamelia, A., Fitriah, A., & Arpandy, ghea amalia. (2023). The Effect of Religiosity on Psychological Well-Being in Elderly Persons in Shelters & Shelters
Journal Psychology Islam, 6, 18–25. https://doi.org/10.46781/nathiqiyyah.v6i1.686
Damayanti, F. E., Izzah, U., & Rika, D. artini. (2023). Effect of Puzzle Play Therapy on Elderly with Dementia. Nursing Information Journal, 2(2), 57–61. https://doi.org/10.54832/nij.v2i2.300
Deesirene Rohani Simanullang, Lilik Pranata, & Aprida Manurung. (2024). Application of Puzzle Therapy to Improve Cognitive Function in the Elderly in Palembang Nursing Home. Vitamins: Journal of General Health Sciences, 2(3), 255–265. https://doi.org/10.61132/vitamin.v2i3.529
Du, Q., Song, Z., Jiang, H., Wei, X., Weng, D., & Fan, M. (2024). LightSword: A Customized Virtual Reality Exergame for Long-Term Cognitive Inhibition Training in Older Adults. Conference on Human Factors in Computing Systems - Proceedings, 1–29. https://doi.org/10.1145/3613904.3642187
Hakim, L. N. (2020). Age Restrictions and Welfare of the Elderly. Brief Info of the Research Center of the Expertise Body of the House of Representatives of the Republic of Indonesia, XII(19), 13–18. https://covid19.go.id/peta-sebaran
Rosmin Ilham, Hamna Vonny Lasanuddin & Rianti P. Umani. (2022). The Relationship between Diet and Increased Cholesterol Levels in the Elderly in Tenggela Village, Tilango District. Indonesian Journal of Medical and Health Sciences, 2(1), 22–34. https://doi.org/10.55606/jikki.v2i1.566
Lintin, A., & Winda Dolfiani. (2020). Undergraduate Study Program in Nursing and Nurses at Stella Maris Makassar College of Health 2022. Stella Maris Makassar Journal 2020, 10–80.
Nur Uyun I. Biahimo Sri Wulandari, Hamna Vonny Lasanuddin, , & Andi Nuraina Sudirman. (2023). Giving Bay Leaf Decoction to the Elderly with Gout at Griya Lansia Jannati, Gorontalo City. Journal of Ventilator, 1(2), 65–82. https://doi.org/10.59680/ventilator.v1i2.305
Hayati, F., & Murni, L. (2021). Factors Influencing Elderly Visits to Elderly Posyandu during the Covid-19 New Normal. Proceedings of the Pioneer Health Seminar E, 4(2), 2622–2256.
Herison, R., Nurhidayati, T., & Hartiti, T. (2024). Puzzle Therapy with Cognitive Abilities in the Elderly at the Pucang Gading Semarang Social Service Home. Holistic Nursing Care Approach, 4(2). https://doi.org/10.26714/hnca.v4i2.13047
Komariah, M., Pratiwi, Z. S., Budhiyani, H., & Adithia, A. (2020). Journal of Nursing Muhammadiyah Bengkulu. Cereal For, 8(1), 51.
Lintin, A., & Winda Dolfiani. (2020). Undergraduate study program in nursing and nurses at Stella Maris Makassar College of Health 2022. Stella Maris Makassar Journal 2020, 10–80.
Luo, G., Zhang, J., Song, Z., Wang, Y., Wang, X., Qu, H., Wang, F., Liu, C., & Gao,
F. (2023). Effectiveness of non-pharmacological therapies on cognitive
function in patients with dementia—A network meta-analysis of randomized controlled trials. Frontiers in Aging Neuroscience, 15(March). https://doi.org/10.3389/fnagi.2023.1131744
Mardiana, K., & Sugiharto. (2022). An overview of cognitive function based on the characteristics of the elderly living in the community. Scientific Journal of Nursing, 8(4), 577–584. https://doi.org/10.33023/jikep.v8i4.1283
Margiyati Margiyati, Tria Friska Ningrum, Ainnur Rahmanti, & Mimin Indah Lestari. (2022). The Effect of Wapuwan Puzzle Therapy on the Cognitive Function of the Elderly at Posyandu Setyamanunggal III. Journal of Physiotherapy and Health SciencesSisthana, 3(2), 35–43. https://doi.org/10.55606/jufdikes.v3i2.131
Mbaloto, F. R., Mua, E. L., Sekeon, R. A., Susanto, D., Yanriatuti, I., Tarigan, S., Sarman, J. N. R., & Beba, N. N. (2023). The Effectiveness of Puzzle Therapy in Improving the Cognitive Function of the Elderly. Adi Husada Nursing Journal, 9(2), 85. https://doi.org/10.37036/ahnj.v9i2.454
Mujiadi, & Rachmah, S. (2022). Gerontic Nursing Textbook for Elderly Age Restrictions. In STIKes Majapahit Mojokerto.
Paende, E. (2022). Ministry to the Elderly as a Development of Categorical Ministry. Missio Ecclesiae, 8(2), 93–115. https://doi.org/10.52157/me.v8i2.99
Patola, A., & Tridiyawati, F. (2022). Comprehensive nursing journal. Journal of Comprehensive Nursing, 8(April), 203–211.
Purwanti, S. (2022). Validity and Reliability in Public Health Research. Pernamedia Group.
Sanjuán, M., Navarro, E., & Dolores Calero, M. (2020). Effectiveness of cognitive interventions in older adults: A review. European Journal of Investigation in Health, Psychology and E ducation, 10(3), 876–898. https://doi.org/10.3390/ejihpe10030063
Septiarini, A. L. N. (2024). The Effect of Cognitive Stimulation Therapy Puzzle on Improving Cognitive Function in the Elderly. Journal of the Indonesian Nursing Alliance, 1, 30–37. https://doi.org/10.55887/jaki.v1i1.5
Setiawan, R. & Handayani, F. (2021). Health research methodology: Principles and applications in nursing.
Setiawan, S., Ikhtiyarotul Fikriyah, N., & Purnama, D. (2023). Description of Cognitive Function in The Elderly with Puzzle Therapy Intervention: Case
Study. Genius Journal, 4(1), 250–256. https://doi.org/10.56359/gj.v4i1.246
Sijabat, F., Siregar, R., & Purba, S. D. (2023). Playing Puzzles in Improving Cognitive Function in the Elderly. Journal of Abdimas Mutiara, 5(1), 56–
59. http://e-journal.sari-mutiara.ac.id/index.php/JAM
Nursing Studies, J., Isna Nabila, B., Eko Kurniawan, W., Maryoto, M., Faculty of Health, M., Harapan Bangsa, U., Faculty of Health, D., & Author, C. (2022). http://ejournal.poltekkes-smg.ac.id/ojs/index.php/J-SiKep Overview of Dementia Rates in the Elderly at Rojinhome Ikedaen Okinawa Japan. http://ejournal.poltekkes-smg.ac.id/ojs/index.php/J-SiKep
Sugiyono. (2019). Quantitative, Qualitative, R&D Research Methods. Alphabet. Susanti, A., Ahnafani, M. N., Rahman, S., & Anshori, M. (2024). THERAPY
PUZZLE PLAYING MODALITIES IN THE ELDERLY IN. [EOS] 2, 221–226.
Yulistanti., Y. (2023). Fullbook Gerontic Nursing. In Angewandte Chemie International Edition, 6(11), 951–952. (Vol. 1, April Issue).
Clare, L., & Woods, R. T. (2004). Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer's disease. Neuropsychological Rehabilitation, 14(4), 385–401.
Kolb, B., & Gibb, R. (2014). Plasticity in the developing brain. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 23(1), 4–9.
Sijabat, R. (2023). Playing puzzles in improving cognitive function in the elderly. Journal of Gerontic Nursing, 6(2), 101–108.
Stern, Y. (2012). Cognitive reserve in ageing and Alzheimer's disease. The Lancet Neurology, 11(11), 1006–1012.
Published
2026-04-30
How to Cite
Silvanda Lamaji, Rosmin Ilham, & Nur Uyuun I. Biahimo. (2026). The Effect of Puzzle Therapy on Improving Cognitive Function of the Elderly in Mongolato Village, Telaga District. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(2), 1626~1635. https://doi.org/10.56338/ijhess.v8i2.10925
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Copyright (c) 2026 Silvanda Lamaji, Rosmin Ilham, Nur Uyuun I. Biahimo
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