Published date: Mar 15 2021

Journal Title: KnE Life Sciences

Issue title: The 4th International Virtual Conference on Nursing

Pages: 145-154

DOI: 10.18502/kls.v6i1.8599

Lia Juniarnijuniarnilia@yahoo.comProgram Pendidikan Ners, Bidang Keilmuan Keperawatan Jiwa, Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat, Bandung, Indonesia

Risma PujiantiProgram Vokasi Keperawatan, Bidang Keilmuan Keperawatan Jiwa, Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat, Bandung, Indonesia

Masdum IbrahimProgram Vokasi Keperawatan, Bidang Keilmuan Keperawatan Jiwa, Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat, Bandung, Indonesia

Cognitive decline in the elderly is often referred to as dementia. Dementia is an effect of the aging process, which impacts the brain function. The subjective cognitive decline happens when a person’s cognitive perceptions experience decline but remain within parameters considered normal. A screening process for this condition is one of the efforts which can improve welfare services for the elderly. Subjective Cognitive Decline (SCD) is cognitive self-reports that assess subjective cognitive impairment abilities by prompting the recall of frequently experienced events. SCD has a double function, as an instrument for both early detection and the prevention of disease. This study aims to identify the risk of dementia using a Subjective Cognitive Decline (SCD) instrument. This research was conducted using a quantitative descriptive method with a cross-sectional approach. 187 elderly were taken as the sample by consecutive sampling methods, and data were analyzed using univariate analysis. This study showed that most of the respondents have a poor subjective cognitive decline, with 54.0%. The domains that have the most cognitive decline were the orientation with 78.1%, 76.5% of executive function, 68.4% of memory, and 59.4% of language. Demographic data associated with subjective cognitive decline showed poorly in female gender with 55.6%, age> 90 years with 55.3%, high school education with 70.4%, married status with 57.1%, and unemployed with 53.2%. This study concludes that the results of SCD with poor subjective cognitive decline have a risk of developing dementia.

Keywords: Dementia, elderly, subjective cognitive decline

[1] Depkes RI. (2015). Pelayanan dan Peningkatan Kesehatan Usia Lanjut. Retrieved January 22, 2019 from http://www.depkes.go.id/article/view/15052700010/pelayanan-dan-peningkata-kesehatanusia-lanjut.html.


[2] Kemenkes RI. (2018). Populasi Lansia Diperkirakan Terus Meningkat Hingga Tahun 2020 Retrieved January 23, 2019 from www.depkes.go.id.


[3] Pudjiastuti, S. and Utomo, B. (2003). Fisioterapi Pada Lansia. Jakarta: EGC.


[4] Lumbatobing, S. (2006). Kecerdasan Pada Usia Lanjut dan Demensia. Jakarta: Balai Penerbit FKUI.


[5] Wreksoatmodjo, B. R. (2012). Hubungan Social Engagement dengan Fungsi Kognitif. Cermin Dunia Kedokeran (CDK),190, Jakarta, p. 39.


[6] Ekasari, M. F., Riasmini, N. M. and Hartini, T. (2018). Meningkatkan Kualitas Hidup lansia Konsep Dan Berbagai Intervensi. Malang: Wineka Media.


[7] Anam, O., et al. (2015). Diagnosis dan Penatalaksanaan Demensia. Retrieved from http://www.perdossi. or.id.


[8] Zaini, M. (2019). Asuhan Keperawatan Jiwa Masalah Psikososial Di Pelayanan Klinis Dan Komunitas. Yogyakarta: Deepublish.


[9] Reisberg, B., et al. (2008). The Pre – Mild Cognitive Impairment, Subjective Cognitive Impairment Stage of Alzheimer’s Disease. Alzheimer’s & Dementia. Vol 4 Issue 1, pp. 98–108.


[10] Rosenberg, P. B., Johnston, D. and Lyketsos, C. G. (2006). A Clinical Approach to Mild Cognitive Impairment. Treatment in Psychiatry. Am J Psychiatry 163:11


[11] Supriadi, S. (2015). Lanjut Usia dan Permasalahannya (vol. 10). Jurnal PPKn dan Hukum. Sumatera Barat.


[12] Sundariyati, I. G. A. H., Ratep, N. and Westa, W. (2014). Gambaran Faktor-Faktor Yang Mempengaruhi Status Kognitif Pada Lansia Di Wilayah Kerja Puskesmas Factors That Affect The Cognitive States In Elderly. E-Jurnal Medika Udayana. Vol 4, 1.


[13] Maryati, H., Bhakti, D. S. and Dwiningtyas, M. (2013). Description Of Cognitive Function in Elderly Upt Institution In Elderly Mojopahit. Jambang: STIKES Pemkab Jambang.


[14] Myers, J. S. (2008). Factors Associated with Changing Cognitive Function in Older Adults: Implications for Nursing Rehabilitation. Rehabilitation Nursing, May-Jun 33(3):117-23.


[15] Izzah, A. (2014). Hubungan Aktivitas Fisik Dengan Fungsi Kognitif Lansia Pada Lansia Usia 60-69 Tahun Di Kelurahan Purwantoro. Universitas Muhammadiyah Malang, Vol 10(2) Pp. 88–93.


[16] Vlachos, G. S., et al. (2019). Prevalence and Determinants of Subjective Cognitive Decline in a Representative Greek Elderly Population. Int Geriatr Psychiatry. Jun;34(6): 846-854.


[17] Dayamaes, R. (2013). Gambaran Fungsi Kognitif Klien Usia Lanjut di Posbindu Rosella Legoso Wilayah Kerja Puskesmas Ciputat Timur Tangerang Selatan. IPB Scientfic Repositry. UIN Syarif Hidayatullah Jakarta (UIN-JKT-IR), issue 27.


[18] Dahlan, P. (2003). Pemeriksaan Neuropsikologi Pada Demensia. Berk Neurosains, issue 4, pp. 17–22.


[19] Fitriani, R., Saraswati, L. G. I. and Suardana, I. W. (2014). Status Kognitif Dan Kualitas Hidup Lansia. Jurusan Keperawatan Politeknik Kesehatan Denpasar(20)


[20] Ahmadi, A. (2009). Psikologi Umum. Jakarta: Rineka Cipta.


[21] Bhinnety, M. (2015). Struktur dan Ptoses Memori (vol. 16). Buletin Psikologi. Yogyakarta.


[22] Aini, D. N. and Puspitasari, W. (2016). Hubungan Fungsi Kognitif dengan Kualitas Hidup pada Lansia di Kelurahan Barusari Kecamatan Semarang Selatan. Media Neliti, Issue 7, pp. 6-12.