Pengaruh Terapi Teka Teki Silang Terhadap Fungsi Kognitif Pada Lansia Dengan Kecurigaan Demensia Di Banjar Muding Klod.

DAFTAR SINGKATAN

Lansia

: Lanjut Usia

TTS

: Teka Teki Silang

BIMC

: Blessed Information Memory Concentration

BOMC

: Blessed Orientation Memory Concentration

FAQ

: Functional Activitie Questionnaire

STMS

: Short Test of Mental Status

CDT

: Clock Drawing Test

MMSE

: Mini Mental State Exam

SSP

: Sistem Saraf Pusat

xvi

DAFTAR LAMPIRAN

Lampiran 1 Jadwal Pelaksanaan Penelitian
Lampiran 2 Realisasi Dana Penelitian
Lampiran 3 Instrumen Pengumpulan Data MMSE
Lampiran 4 Standar Prosedur Operasional Teka Teki Silang
Lampiran 5 Pernyataan Keaslian Penulisan
Lampiran 6 Surat Persetujuan Menjadi Responden
Lampiran 7 Lembar Informasi
Lampiran 8 Teka Teki Silang
Lampiran 9 Master Tabel
Lampiran 10 Dokumentasi Penelitian
Lampiran 11 Hasil Analisis Uji Statistik
Lampiran 12 Surat-surat
Lampiran 13 Lembar Konsultasi

xv

DAFTAR TABEL

Halaman

Tabel 1 Definisi Operasional ............................................................................. 30
Tabel 2 Hasil Uji Kappa terhadap Peneliti Pendamping.................................... 39
Tabel 3 Hasil Uji Shapiro-Wilk.......................................................................... 45
Tabel 4 Distribusi Frekuensi Karakteristik Responden Berdasarkan Usia pada
Lansia dengan Kecurigaan Demensia di Banjar Muding Klod ........... 48
Tabel5 Karakteristik Fungsi Kognitif Pre Test Responden Berdasarkan Usia
pada Lansia dengan Kecurigaan Demensia di Banjar Muding Klod .... 48
Tabel 6 Karakteristik Fungsi Kognitif Post Test Responden Berdasarkan
Usia pada Lansia dengan Kecurigaan Demensia di Banjar Muding
Klod....................................................................................................... 49
Tabel 7 Distribusi Frekuensi Karakteristik Responden Berdasarkan Jenis
Kelamin pada Lansia dengan Kecurigaan Demensia di Banjar
Muding Klod......................................................................................... 49
Tabel 8 Karakteristik Fungsi Kognitif Pre Test Responden Berdasarkan Jenis
Kelamin pada Lansia dengan Kecurigaan Demensia di Banjar
Muding Klod......................................................................................... 50
Tabel 9 Karakteristik Fungsi Kognitif Post Test Responden Berdasarkan
Jenis Kelamin pada Lansia dengan Kecurigaan Demensia di Banjar
Muding Klod......................................................................................... 50
Tabel 10Distribusi Frekuensi Karakteristik Responden Berdasarkan

Pendidikan pada Lansia dengan Kecurigaan Demensia di Banjar
Muding Klod......................................................................................... 51
Tabel 11Karakteristik Fungsi Kognitif Post Test Responden Berdasarkan
Pendidikan pada Lansia dengan Kecurigaan Demensia di Banjar
Muding Klod......................................................................................... 51
Tabel 12Karakteristik Fungsi Kognitif Post Test Responden Berdasarkan
Pendidikan pada Lansia dengan Kecurigaan Demensia di Banjar
Muding Klod......................................................................................... 52
Tabel 13Distribusi Fungsi Kognitif pada Lansia dengan Kecurigaan
Demensia di Banjar Muding Klod Sebelum dan Setelah diberikan
Terapi Teka Teki Silang........................................................................ 53

xiii

Tabel 14Penilaian MMSE Aspek MMSE Pre dan Post Test Pemberian Teka
Teki Silang ............................................................................................ 54
Tabel 16Analisa Data Menggunakan Uji Wilcoxon Test .................................... 54

xiv

DAFTAR GAMBAR

Halaman
Gambar 1 Kerangka Konsep ...............................................................................28
Gambar 2 Desain Penelitian................................................................................31
Gambar 3 Kerangka Kerja ..................................................................................32

xii

DAFTAR GAMBAR

Halaman
Gambar 1 Kerangka Konsep ...............................................................................28
Gambar 2 Desain Penelitian................................................................................31
Gambar 3 Kerangka Kerja ..................................................................................32

xii

DAFTAR ISI

Halaman
HALAMAN JUDUL.................................................................................................. i
PERNYATAAN KEASLIAN....................................................................................ii
LEMBAR PERSETUJUAN.......................................................................................iii
PERNYATAAN LEMBAR PENGESAHAN ...........................................................iv
KATA PENGANTAR ...............................................................................................v
ABSTRAK .................................................................................................................vii
ABSTRACT...............................................................................................................viii
DAFTAR ISI..............................................................................................................ix
DAFTAR GAMBAR .................................................................................................xii
DAFTAR TABEL......................................................................................................xiii
DAFTAR LAMPIRAN..............................................................................................xv
DAFTAR SINGKATAN ...........................................................................................xvi
BAB I PENDAHULUAN
1.1 Latar Belakang ....................................................................................................1
1.1 Rumusan Masalah ...............................................................................................6
1.2 Tujuan Penelitian ................................................................................................6
1.3 Manfaat Penelitian ..............................................................................................7
BAB II TINJAUAN PUSTAKA
2.1 Lanjut Usia..........................................................................................................9

2.1.1 Pengertian Lansia.......................................................................................9
2.1.2 Perubahan-perubahan yang Terjadi pada Lansia .......................................9
2.2 Fungsi Kognitif pada Lansia ...............................................................................10
2.2.1 Definisi Fungsi Kognitif ............................................................................10
2.2.2 Faktor-Faktor yang Mempengaruhi Fungsi Kognitif.................................10
2.2.3 Perubahan Fungsi Kognitif ........................................................................11
2.2.4 Aspek-Aspek Kognitif ...............................................................................13
2.2.5 Alat Ukur Fungsi Kognitif .........................................................................15
2.2.6 Interpretasi MMSE.....................................................................................19
2.3 Demensia.............................................................................................................20
2.3.1 Definisi Demensia......................................................................................20
2.3.2 Penyebab Demensia ...................................................................................20
i

2.3.3 Tanda dan Gejala .......................................................................................21
2.3.4 Dampak Demensia .....................................................................................21
2.3.5 Pemeriksaan Demensia ..............................................................................22
2.3.6 Penatalaksanaan Demensia ........................................................................22
2.4 Teka Teki Silang .... ............................................................................................23
2.4.1 Definisi Teka Teki Silang ..........................................................................23

2.4.2 Manfaat Teka Teki Silang..........................................................................23
2.4.3 Waktu yang dibutuhkan dalam Teka Teki Silang......................................24
2.4.2 Prosedur Terapi Teka Teki Silang .............................................................24
2.4 Hubungan Terapi Teka Teki Silang terhadap Fungsi Kognitif Lansia
Demensia.............................................................................................................25
BAB III KERANGKA KONSEP
3.1 Kerangka Konsep................................................................................................27
3.2 Variabel Penelitian dan Definisi Operasional Variabel ......................................28
3.2.1 Variabel Penelitian.....................................................................................29
3.2.2 Definisi Operasional ..................................................................................30
3.3 Hipotesis .............................................................................................................30
BAB IV METODE PENELITIAN
4.1 Jenis Penelitian....................................................................................................31
4.2 Kerangka Kerja ...................................................................................................32
4.3 Tempat dan Waktu Penelitian .............................................................................33
4.3.1 Tempat Penelitian ......................................................................................33
4.3.2 Waktu Penelitian ........................................................................................33
4.4 Populasi, Sampel dan Teknik Sampling Penelitian ............................................33
4.4.1 Populasi Penelitian.....................................................................................33
4.4.2 Sampel Penelitian.......................................................................................33

4.4.3 Teknik Sampling ........................................................................................34
4.5 Jenis dan Cara Pengumpulan Data......................................................................35
4.5.1 Jenis Data yang Dikumpulkan ...................................................................35
4.5.2 Cara Pengumpulan Data.............................................................................35
4.5.3 Instrumen Pengumpulan Data ....................................................................38
4.5.4 Etika Penelitian ..........................................................................................40
4.6 Pengolahan dan Analisa Data .............................................................................43
4.6.1 Teknik Pengolahan Data ............................................................................43
4.6.2 Teknik Analisis Data..................................................................................44

x

BAB V HASIL PENELITIAN DAN PEMBAHASAN
5.1 Hasil Penelitian ....................................................................................................46
5.1.1 Kondisi Lokasi Penelitian dan Karakteristik Subyek Penelitian ...............46
5.1.2 Hasil Penilaian terhadap Subyek Penelitian ..............................................52
5.1.3 Hasil Analisis Data Bivariat ......................................................................54
5.2 Pembahasan..........................................................................................................55
5.2.1 Perkembangan Fungsi Kognitif pada Lansia dengan Kecurigaan
Demensia Sebelum diberikan Terapi Teka Teki Silang di Banjar

Muding Klod ...........................................................................................55
5.2.2 Perkembangan Fungsi Kognitif pada Lansia dengan Kecurigaan
Demensia Sebelum diberikan Terapi Teka Teki Silang di Banjar Muding
Klod ...........................................................................................................58
5.2.3 Pengaruh Terapi Teka Teki Silang terhadap Fungsi Kognitif Lansia
dengan Kecurigaan Demensia di Banjar Muding Klod.............................61
5.3 Keterbatasan Penelitian........................................................................................65
BAB VI PENUTUP
6.1 Simpulan ..............................................................................................................66
6.2 Saran ...................................................................................................................67
DAFTAR PUSTAKA
LAMPIRAN

xi

DAFTAR ISI

Halaman
HALAMAN JUDUL.................................................................................................. i
PERNYATAAN KEASLIAN....................................................................................ii

LEMBAR PERSETUJUAN.......................................................................................iii
PERNYATAAN LEMBAR PENGESAHAN ...........................................................iv
KATA PENGANTAR ...............................................................................................v
ABSTRAK .................................................................................................................vii
ABSTRACT...............................................................................................................viii
DAFTAR ISI..............................................................................................................ix
DAFTAR GAMBAR .................................................................................................xii
DAFTAR TABEL......................................................................................................xiii
DAFTAR LAMPIRAN..............................................................................................xv
DAFTAR SINGKATAN ...........................................................................................xvi
BAB I PENDAHULUAN
1.1 Latar Belakang ....................................................................................................1
1.1 Rumusan Masalah ...............................................................................................6
1.2 Tujuan Penelitian ................................................................................................6
1.3 Manfaat Penelitian ..............................................................................................7
BAB II TINJAUAN PUSTAKA
2.1 Lanjut Usia..........................................................................................................9
2.1.1 Pengertian Lansia.......................................................................................9
2.1.2 Perubahan-perubahan yang Terjadi pada Lansia .......................................9
2.2 Fungsi Kognitif pada Lansia ...............................................................................10
2.2.1 Definisi Fungsi Kognitif ............................................................................10
2.2.2 Faktor-Faktor yang Mempengaruhi Fungsi Kognitif.................................10
2.2.3 Perubahan Fungsi Kognitif ........................................................................11
2.2.4 Aspek-Aspek Kognitif ...............................................................................13
2.2.5 Alat Ukur Fungsi Kognitif .........................................................................15
2.2.6 Interpretasi MMSE.....................................................................................19
2.3 Demensia.............................................................................................................20
2.3.1 Definisi Demensia......................................................................................20
2.3.2 Penyebab Demensia ...................................................................................20
i✁

2.3.3 Tanda dan Gejala .......................................................................................21
2.3.4 Dampak Demensia .....................................................................................21
2.3.5 Pemeriksaan Demensia ..............................................................................22
2.3.6 Penatalaksanaan Demensia ........................................................................22
2.4 Teka Teki Silang .... ............................................................................................23
2.4.1 Definisi Teka Teki Silang ..........................................................................23
2.4.2 Manfaat Teka Teki Silang..........................................................................23
2.4.3 Waktu yang dibutuhkan dalam Teka Teki Silang......................................24
2.4.2 Prosedur Terapi Teka Teki Silang .............................................................24
2.4 Hubungan Terapi Teka Teki Silang terhadap Fungsi Kognitif Lansia
Demensia.............................................................................................................25
BAB III KERANGKA KONSEP
3.1 Kerangka Konsep................................................................................................27
3.2 Variabel Penelitian dan Definisi Operasional Variabel ......................................28
3.2.1 Variabel Penelitian.....................................................................................29
3.2.2 Definisi Operasional ..................................................................................30
3.3 Hipotesis .............................................................................................................30
BAB IV METODE PENELITIAN
4.1 Jenis Penelitian....................................................................................................31
4.2 Kerangka Kerja ...................................................................................................32
4.3 Tempat dan Waktu Penelitian .............................................................................33
4.3.1 Tempat Penelitian ......................................................................................33
4.3.2 Waktu Penelitian ........................................................................................33
4.4 Populasi, Sampel dan Teknik Sampling Penelitian ............................................33
4.4.1 Populasi Penelitian.....................................................................................33
4.4.2 Sampel Penelitian.......................................................................................33
4.4.3 Teknik Sampling ........................................................................................34
4.5 Jenis dan Cara Pengumpulan Data......................................................................35
4.5.1 Jenis Data yang Dikumpulkan ...................................................................35
4.5.2 Cara Pengumpulan Data.............................................................................35
4.5.3 Instrumen Pengumpulan Data ....................................................................38
4.5.4 Etika Penelitian ..........................................................................................40
4.6 Pengolahan dan Analisa Data .............................................................................43
4.6.1 Teknik Pengolahan Data ............................................................................43
4.6.2 Teknik Analisis Data..................................................................................44

x

BAB V HASIL PENELITIAN DAN PEMBAHASAN
5.1 Hasil Penelitian ....................................................................................................46
5.1.1 Kondisi Lokasi Penelitian dan Karakteristik Subyek Penelitian ...............46
5.1.2 Hasil Penilaian terhadap Subyek Penelitian ..............................................52
5.1.3 Hasil Analisis Data Bivariat ......................................................................54
5.2 Pembahasan..........................................................................................................55
5.2.1 Perkembangan Fungsi Kognitif pada Lansia dengan Kecurigaan
Demensia Sebelum diberikan Terapi Teka Teki Silang di Banjar
Muding Klod ...........................................................................................55
5.2.2 Perkembangan Fungsi Kognitif pada Lansia dengan Kecurigaan
Demensia Sebelum diberikan Terapi Teka Teki Silang di Banjar Muding
Klod ...........................................................................................................58
5.2.3 Pengaruh Terapi Teka Teki Silang terhadap Fungsi Kognitif Lansia
dengan Kecurigaan Demensia di Banjar Muding Klod.............................61
5.3 Keterbatasan Penelitian........................................................................................65
BAB VI PENUTUP
6.1 Simpulan ..............................................................................................................66
6.2 Saran ...................................................................................................................67
DAFTAR PUSTAKA
LAMPIRAN

xi

ABSTRACT

Ningsih, M. A. D, 2015. The Effect of Crossword Puzzle Therapy on Cognitive
Function in the Elderly With Dementia Suspicions in Banjar Muding Klod.
Final Assignment, Department of Nursing, Faculty of Medicine, Udayana
University. Supervisor (1) Ns. I Wayan Suardana, S.Kep, M.Kep; (2) Ns.
Putu Oka Yuli Nurhesti, S.Kep, MM, M.Kep.
Dementia is a condition when a person experiences memory loss that can interfere
the activities of daily life. There is some impacts if cognitive function in elderly
dementia is not repaired. Of effort that can be done is crossword puzzle therapy.
The purpose of this study was to determine the effect of crossword puzzle therapy
on cognitive function in the elderly with dementia suspicion in Banjar Muding
Klod. This study uses a Pre experimental study, with one group prettest-posttets
design. The sample were 22 respondents with a non-probability techniques total
sampling. This therapy was done three times a week with 15 minutes duration and
was given for four weeks. The results of this study with wilcoxon analysis
obtained significance (2-tailed) 0.000, p