Abstract

ABSTRACT
 Background: Alzheimer’s Diseases International predicts that the number of elderly people with dependency will increase from 101 million to 277 million in 2050, including Indonesia which is estimated to have one million people. Meanwhile WHO in 2020 reports, worldwide, around 50 million people suffer from dementia, and there are nearly 10 million new cases every year. Elderly people with dependency such as dementia requires personal care with more time and supervision, all of these relate to the burden of nurses and the higher costs. The example of the solution that problem is acupuncture treatment for dementia. Acupuncture research in Alzheimer's cases, including a decrease cognitive level or dementia, acupuncture can improve verbal, motor, cognitive abilities, and mood. But until now acupuncture is still very rarely used for this case. The aim this research is to determine the effect of stimulation on Skin, Connective tissue, Aponeurosis, Loose areolar, Pericranium (SCALP) acupuncture with electro stimulation on reduce elder dementia rate in Aisyiyah Nursing Home of Surakarta.
 Methods: The study was conducted at Aisyiyah Nursing Home of Surakarta for 2 months. Dementia rate measured with Mental Mini State Examination (MMSE) and analyze with a cross-sectional approach and with a one-group pretest-posttest research design. There are 15 elderly people as research subjects, using purposive sampling techniques. Needle insertion in this research performed at the Brain point Yamamoto New SCALP Acupuncture (YNSA).
 Results: The average age of the elderly in Aisyiyah Nursing Home of Surakarta is 72.4 years and has a risk of cognitive decline or dementia. The average of dementia rate measured with Mental Mini State Examination (MMSE) scores before treatment was 21 (dementia) and the average of MMSE score after treatment was 26.3 (normal category). Paired T-test was obtained p <0.05 which means there is an influence of SCALP Acupuncture with electro stimulation on reduce elder dementia rate.
 Conclusion: There is an effect of the procedure of SCALP acupuncture with electrostimulation therapy to reduce elder dementia rate which is marked by an increase in the value of MMSE score after therapy.

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