Description of Cognitive Function in The Elderly with Puzzle Therapy Intervention: Case Study


  • Setiawan Setiawan Faculty of Nursing, Padjadjaran University
  • Neng Ikhtiyarotul Fikriyah Faculty of Nursing, Padjadjaran University
  • Dadang Purnama Faculty of Nursing, Padjadjaran University



cogtive function, elderly, puzzle


The elderly can experience a decrease in cognitive function because the body functions of the elderly also tend to decrease. Cognitive disorders in the elderly can interfere with and affect the behavior or activities of the elderly. The role of nurses is very important to provide interventions that can improve the cognitive function of the elderly. Non-pharmacological efforts are needed to overcome cognitive function problems in the elderly, one of which is through puzzle therapy. Puzzles in the form of pictures in the form of small pieces to hone intelligence, lead to patience, introduce the ability to share, and are a fun way to train the brain, especially for the elderly. This research method is a case study method with a nursing care approach to the elderly aged 80 years, the MMSE and SPSMQ questionnaires are used to assess cognitive and intellectual development in the elderly. The results showed that the application of puzzle therapy which had been carried out for 6 meetings with an intensity of 1x20 minutes per day showed an improvement in the results of the MMSE and SPSMQ scores, in other words there was an increase in cognitive and intellectual function in the elderly. For maximum results, puzzle preparation exercises should be carried out regularly and can be done together in nursing homes so that the elderly are more motivated and more enthusiastic.


Download data is not yet available.


Azizah, L. M., Martiana, T., & Soedirham, O. (2017). The Improvement of Cognitive Function and Decrease the Level of Stress in the Elderly with Brain Gym. international journal of nursing and midwifery science (ijnms), 1(1), 26–31.

Health Research and Development Agency, -. (2018). National Riskesdas Report 2018. Basic Health Research 2018, 166. Report/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

Cancela, J. M., Casal, Á., Sánchez-Lastra, M. A., & Ayán, C. (2020). Brain gym exercises versus standard exercises for institutionalized older people with cognitive impairment: A randomized controlled study. Asian Journal of Gerontology and Geriatrics, 15(2), 74–80.

Dewi, S. R. (2016). Effects of Brain Exercises and Playing Puzzles at the Jember Power Plant. Journal of Primary Health, 1, 64–69.

Ekasari, M., Riasmini, N., & Hartini, T. (2019). Improving the quality of life of the elderly concept and various interventions.,+M.+F.,+Riasmini,+N.+M.,%26+Hartini+2019 )

Erna Damayanti, F., Izzah, U., Putu Diahsuri Artini, N., Studi, P. S., & Banyuwangi, S. (2023). The Effect of Playing Puzzle Therapy on Elderly with Dementia. Nursing Information Journal, 2(2), 57–61.

Erwanto, R., & Kurniasih, D. E. (2020). The effectiveness of puzzle therapy on cognitive functions among the elderly with dementia at Tresna Werdha Social Service Center (Bpstw) Yogyakarta, Indonesia. Bali Medical Journal, 9(1), 86–90.

Faeiqah, R. F. (2020). Application of Puzzle Therapy to Elderly People with Dementia With Nursing Problems with Memory Disorders in Giring Manding Village, Sumenep.

Givon Schaham, N., Buckman, Z., & Rand, D. (2022). The Effect of Daily Practice of Puzzle-Game Apps on Cognition in Two Groups of Older Adults: A Pre-Post Experimental Study. International Journal of Environmental Research and Public Health, 19(23).

Hatmanti, N.M., & Ana Yunita. (2019). Elderly Exercise and Puzzle Therapy Against Dementia in the Elderly Nety. Journal of Muhammadiyah Nursing, 4(1), 104–107.

Kholifah, S. N. (2016). Gerontic Nursing. Republic of Indonesia Ministry of Health

Layla, J. I., & Wati, D. N. K. (2017). Decreasing Cognitive Function Can Reduce Elderly Body Mass Index in Pstw DKI Jakarta Region. Indonesian Journal of Nursing, 20(2), 128–132.

Nurleny, Hidayatul Hasni, Yazia Velga, Meriakontesa, & Ulfa Suryani. (2021). Cognitive Training through Puzzle Therapy for the Level of Dementialia at Tresna Werdha Social Institution (Pstw) Sabai Nan Aluih Sicincin Padang Pariaman 2021. Abdima Saintika, 1–10.

Pae, K., Aldo Marcello, S. (2021). The Effect of Exercise on Board Game (Puzzle) Completion Levels in the Elderly in Old Age Homes. Journal.Wima.Ac.ID.

Riyani, W., Sarir, Dewi Kartika, & Fatmawati, S. (2020). Application of brain gym to the level of dementia in the elderly. Jkp. Poltekkes-Mataram. Ac. Id.

Sigalingging. (2022). Characteristics of Elderly People with Memory Disorders. Jurnal.Darmaagung.Ac.Id.

SDKI DPP PPNI Working Group Team. (2017). Indonesian Nursing Diagnosis Standards. Jakarta: Central Executive Board of the Indonesian National Nurses Association.

SIKI DPP PPNI Working Group Team. (2017). Indonesian Nursing Intervention Standards. Jakarta: Central Executive Board of the Indonesian National Nurses Association.

PPNI DPP DPP SLKI Working Group Team. (2017). Indonesian Nursing Outcome Standards. Jakarta: Central Executive Board of the Indonesian National Nurses Association.

Tuppen, J. (2012). The benefits of groups that provide cognitive stimulation for people with dementia. Nursing Older People, 24(10), 20–24.

Yuliyanti, T., Kustanti, K., & Wahyuni, W. (2022). Efforts to Prevent Dementia With Brain Therapy Training and Basic Health Examinations in the Elderly in the Bulakrejo Village Area, Sukoharjo Regency. GEMASSIKA: Journal of Community Service, 6(2), 141–153.




How to Cite

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.