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Latar Belakang: Biaya kesehatan pasien delirium 2.5 kali lebih besar dibanding pasien tanpa delirium. Kuesioner Indeks Cadangan Kognitif(KICK) dapat menguantifikasi cadangan kognitif (CK) individu ke dalam indeks tunggal. Penelitian ini bertujuan melakukan uji validitas dan reliabilitas KICK serta mencari perbedaan rerata cadangan kognitif pasien delirium lansia dibanding kontrol di RSCM.

Metode: Penelitian dilakukan di RSCM pada Juni sampai September 2019. Tahap pertama merupakan uji validitas KICK, dengan 33 subyek di Poli Geriatri. Tahap kedua merupakan penelitian case controluntuk mengetahui peran cadangan kognitif yang diukur dengan KICK pada kasus delirium geriatri, dengan subyek 33 orangpasien delirium yang dirawat di Ruang Rawat Akut Geriatri Gedung A RSCMdan 33 pasien lain sebagai kontrol. 

Hasil: Uji validitas konstruksi dari ketiga subskala menunjukkan korelasi yang kuat dengan p<0,001. Uji reliabilitas konsistensi internal menunjukkan hasil Cronbach’s Alphasebesar 0,688. Ditemukan adanya perbedaan bermakna (p <0.01) hasil skor KICK pada kelompok delirium dibanding kelompok kontrol dengan OR sebesar 9 (95% CI 2.86 - 28.22). 

Simpulan: KICK valid dan reliabel mengukur CK pasien lansia di Indonesia.Pasien dengan cadangan kognitif rendah berpeluang mengalami delirium 9 kali lebih tinggi dibanding pasien dengan cadangan kognitif tinggi.

 

 

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Background:Health costs for delirium patients are 2.5 times greater than non-delirium patients. Cognitive Reserve Index questionnaire (CRIQ) is aimed to quantify cognitive reserve (CR) into one single index. We conducted this study to test the validity and reliability of the Indonesian version of CRIQ and define mean differences of CR in geriatric delirium cases compared to controls in RSCM. 

Method:The study was conducted in Cipto Mangunkusumo Hospital (CMH) on June to September 2019. The first stage was validity testing of the CRIQ to 33 subjects in Outpatient Clinic. The second stage is a case control study to determine the role of cognitive reserve (CR) by CRIQ in geriatric delirium cases to 33 subjects with delirium treated in the Acute Geriatric Inpatient ward and 33 non-delirium patients as controls.

Result:The construct validity of 3 subscales showed significant correlation (p <0,001). Reliability test showedCronbach’s Alphaof 0,688. There’s a significant difference in CRI score of delirium versus non-delirium patients (p<0,01) with OR 9 (95% CI 2.86 to 28.22) of developing delirium.

Conclusion:CRIQ is valid and reliable to measure CR of elderly Indonesian patients. Patients with low CR score have 9 times higher chance of developing delirium compared to those with high CR.

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"Brain plasticity is the focus of a growing body of research with significant implications for neurorehabilitation. This state-of-the-art volume explores ways in which brain-injured individuals may be helped not only to compensate for their loss of cognitive abilities, but also possibly to restore those abilities. Expert contributors examine the extent to which damaged cortical regions can actually recover and resume previous functions, as well as how intact regions are recruited to take on tasks once mediated by the damaged region. Evidence-based rehabilitation approaches are reviewed for a range of impairments and clinical populations, including both children and adults."

"Kemajuan teknologi medis dan informasi mengenai terapi antiretroviral (ART) menyebabkan pasien HIV memiliki angka harapan hidup yang meningkat. Di sisi lain, angka harapan hidup yang meningkat ini juga perlu diselaraskan dengan kualitas hidup yang baik. Pada populasi pasien HIV terdapat risiko mengalami gangguan neurokognitif sehingga berdampak terhadap kualitas hidupnya. Penelitian ini bermaksud untuk mengidentifikasi faktor yang memengaruhi penurunan fungsi kognitif yang terdapat pada pasien HIV/AIDS di Pokdisus RSCM. Penelitian dilakukan dengan desain potong lintang dari Mei 2022 hingga Desember 2023. Sampel penelitian adalah pasien HIV/AIDS dewasa di Pokdisus RSCM. Sebanyak 121 subjek terpilih berdasarkan simple random sampling. Analisis regresi linear dilakukan untuk menilai faktor risiko gangguan fungsi kognitif. Dari 121 subjek, mayoritas responden berjenis kelamin laki-laki, dengan rerata usia 40,25 (SD ± 8,42). Prevalensi gangguan kognitif pada pasien dewasa dengan HIV/AIDS di Pokdisus RSCM yakni sebesar 55,4% dengan faktor risiko yang berhubungan memengaruhi rerata skor MOCA-INA yakni faktor durasi inisiasi terapi, yakni satu tahun keterlambatan inisiasi pengobatan ART dapat menurunkan skor MOCA-INA sebesar -0,3 poin. Temuan lainnya yakni kondisi meningitis secara signifikan memengaruhi gangguan kognitif pada HIV. Dari hasil analisis multivariat, meningitis menurunkan skor MOCA-INA sebesar 2,629 poin. Program untuk penapisan gangguan kogntif dapat dilakukan pada pasien HIV secara berkala.

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The advancement of medical technology and information regarding antiretroviral therapy (ART) have led to an increased life expectancy among HIV patients. This improved life expectancy needs to be aligned with a good quality of life. In the population of HIV patients, there is a risk of experiencing neurocognitive disorders that can impact the patients' quality of life. This research aims to identify factors influencing the decline in cognitive function in HIV/AIDS patients at the Pokdisus RSCM. The study was conducted with a cross-sectional design from May 2022 to December 2023. The research sample was adult HIV/AIDS patients at Pokdisus RSCM. Out of 121 subjects, the majority of respondents were male, with a mean age of 40.25 (SD ± 8.42). The prevalence of cognitive impairment in adult patients with HIV/AIDS at Pokdisus RSCM was 55.4%, associated risk factors affecting the mean MOCA-INA score, such as the duration of treatment initiation. A one-year delay in initiating ART treatment could decrease the MOCA-INA score by 0.3 points. Another finding is meningitis significantly influences the presence of cognitive impairment. From the multivariate analysis, meningitis can decrease the MOCA-INA score by 2.629 points. Screening programs for cognitive impairment can be periodically conducted in HIV patients."

"Penelitian kali ini bertujuan untuk menemukan faktor pembentuk proses sekularisasi selain yang sudah ada dalam teori sebelumnya. Faktor itu adalah cognitive style tipe reflective. Dalam penelitian ini, dinyatakan hipotesis bahwa manipulasi cognitive style yang reflectiveakan mempengaruhi religious dan secular belief. Hipotesis ini dituangkan dalam dua studi. Studi pertama mencoba untuk menguji apakah ada perbedaan tingkat religious belief pada partisipan yang dimanipulasi untuk menyukai cognitive style tipe reflective dengan partisipan yang dimanipulasi untuk tidak menyukai cognitive style tipe reflective. Partisipan penelitian studi 1 berjumlah 56 orang mahasiswa Universitas Indonesia. Manipulasi antar kelompok pada studi kedua sama seperti studi pertama, namun variabel terikat yang diukur adalah secular belief. Partisipan penelitian studi 2 berjumlah 64 orang mahasiswa Psikologi Universitas Indonesia. Hasil uji hipotesis menunjukkan bahwa tidak ada pengaruh manipulasi cognitive style tipe reflectiveterhadap religious belief, tetapi ada pengaruh terhadap secular belief. Model sekularisasi kemudian dirumuskan, dimana sekularisasi lebih berhubungan dengan secular belief daripada religious belief. Dengan demikian, cognitive style tipe reflective, menjadi faktor yang bisa mempengaruhi proses sekularisasi.

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Present study aims to find factor that can shape the process of secularization other than what previous theory mentioned. The factor is named reflective cognitive style. Hypothetically, manipulation of reflective cognitive style should influence religious and secular belief. This hypothesis is manifested within two studies. First study aims to answer whether there is difference on religious belief between participants that is given manipulation that favor reflective cognitive style and participants that is given manipulation that dislike reflective cognitive style. For this study, the samples are 56 college students of Universitas Indonesia. Manipulation for second study is no different with first study. But for second study, secular belief is measured as dependent variable. The samples are 64 college students of Faculty of Psychology Universitas Indonesia. Statistical test shown that there is no effect of reflective cognitive style manipulation on religious belief, but there is effect on secular belief. Secularization model, are thus, being formulated. In this formulation, secularization is linked with secular belief but not with religious belief. And so, reflective cognitive style became one factor that can influence secularization process."

"Latar Belakang. Prevalensi gangguan kognitif pada pasien artritis reumatoid (AR) berpotensi menurunkan kapasitas fungsional, kualitas hidup, dan kepatuhan berobat. Tujuan dari penelitian ini adalah untuk mengetahui prevalensi gangguan kognitif pada pasien AR di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo (RSCM) dan faktor-faktor yang memengaruhinya.Metode. Penelitian dengan desain potong-lintang ini mengikutsertakan pasien AR berusia ≥18 tahun yang berobat di Poliklinik Reumatologi RSCM pada periode Oktober-Desember 2021. Data demografik, klinis, terapi, dan laboratorium dikumpulkan. Status fungsi kognitif dinilai dengan kuesioner MoCA-INA. Analisis bivariat dan multivariat regresi logistik dilakukan untuk mengidentifikasi faktor prediktif terjadinya gangguan kognitif pada pasien AR: usia, jenis kelamin, tingkat pendidikan, durasi penyakit, aktivitas penyakit, skor faktor risiko penyakit kardiovaskular, depresi, terapi kortikosteroid, dan methotrexate.Hasil. Dari total 141 subjek yang dianalisis, 91,5% adalah perempuan, dengan rerata usia 49,89±11,73 tahun, sebagian besar tingkat pendidikan menengah (47,5%), median durasi penyakit 3 tahun (0,17-34 tahun), memiliki aktivitas penyakit ringan (median DAS-28 LED 3,16 (0,80-6,32)), dan skor faktor risiko penyakit kardiovaskular rendah (median 4,5% (0,2-30 %)). Sebanyak 50,4% subjek diklasifikasikan mengalami gangguan kognitif, dengan domain kognitif yang terganggu adalah visuospasial/eksekutif, atensi, memori, abstraksi, dan bahasa. Analisis regresi logistik menunjukkan usia tua (OR 1,032 [IK95% 1,001–1,064]; p=0,046) dan tingkat pendidikan rendah (pendidikan dasar) (OR 2,660 [IK95% 1,008–7,016]; p=0,048) berhubungan dengan gangguan kognitif pada pasien AR.Kesimpulan. Prevalensi gangguan kognitif pada pasien AR di RSCM sebesar 50,4%, dengan faktor prediktif terjadinya gangguan kognitif tersebut adalah usia tua dan tingkat pendidikan yang rendah.

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Background. Cognitive impairment in rheumatoid arthritis (RA) patients could decrease functional capacity, quality of life, and medication adherence. The objective of this study was to explore the prevalence and possible predictors of cognitive impairment in RA patients in Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta.

Method. This cross-sectional study included Indonesian RA patients aged ≥18 years old, who visited rheumatology clinic at Dr. Cipto Mangunkusumo Hospital, on October to December 2021. Demographic, clinical, therapeutic, and laboratory data were collected. Cognitive function was assessed using MoCA-INA questionnaire. Bivariate and multivariate logistic regression analysis were performed to identify predictive factors of cognitive impairment in RA patients: age, gender, education level, disease duration, disease activity, cardiovascular disease (CVD) risk factor scores, depression, corticosteroid, and methotrexate therapy.

Results. Of the total 141 subjects analysed, 91.5% were women, mean age 49.89±11.73 years old, mostly had intermediate education level (47.5%), median disease duration 3 (0.17-34) years. They had mild disease activity (median DAS-28 ESR 3.16 (0.80-6.32)), and low CVD risk factor score (median 4.5 (0.2-30) %). In this study, 50.4% of the subjects were classified as having cognitive impairment. The cognitive domains impaired were visuospatial/executive, attention, memory, abstraction, and language. In logistic regression analysis, old age (OR 1.032 [95%CI 1.001–1.064]; p=0.046) and low education level (OR 2.660 [95%CI 1.008–7.016]; p=0.048) were associated with cognitive impairment.

Conclusion. The prevalence of cognitive impairment in RA patients in Dr. Cipto Mangunkusumo Hospital was 50.4%, with the its predictive factors were older age and lower education level."

"Penelitian ini bertujuan untuk mendiskripsikan hubungan antara budi pekerti siswa di sekolah dengan prestasi belajar. Hasil penelitian menunjukkan bahwa: 1) makin baik budi pekerti siswa di sekolah, maka makin baik pula prestasi belajar pada mata pelajaran yang memuat nilai-nilai budi pekerti, yakni: pada mata pelajaran Pendidikan Agama, pendidikan Kewarganegaraan, bahasa Indonesiadan sosiologi...."

"Individu yang pernah mengalami childhood adversity cenderung kehilangan kesempatan dalam mempelajari kemampuan regulasi emosi kognitif yang adaptif dari orang tua di lingkungan keluarga. Situasi yang tidak menguntungkan ini menciptakan kerentanan individu terhadap gejala psikopatologi dan banyak dampak negatif menuju masa dewasa. Dengan demikian, sangat mendesak bagi individu yang berada di tahap emerging adulthood untuk menemukan cara alternatif yang dapat membantu mereka meningkatkan kemampuan regulasi emosi kognitif yang adaptif, termasuk dengan terlibat dalam fandom. Penelitian ini bertujuan untuk menyelidiki apakah fungsi fandom (purpose in life, escaping life stress, social connection) dapat memprediksi kemampuan regulasi emosi kognitif yang adaptif pada emerging adult dengan riwayat childhood adversity. Penelitian ini memperoleh sebanyak 417 partisipan dengan karakteristik: (1) berada pada tahap emerging adulthood (18-25 tahun); (2) tergabung dalam fandom media (musik, film, buku, animasi, game dan youtube), dan; (3) memiliki riwayat childhood adversity setidaknya pada satu dimensi (physical neglect, emotional abuse, emotional neglect, physical abuse, sexual abuse). Pengumpulan data dilakukan melalui kuesioner online dan dianalisis dengan teknik analisis regresi berganda menggunakan perangkat IBM SPSS. Hasil penelitian menunjukkan bahwa fungsi fandom purpose in life dan social connection secara signifikan memprediksi regulasi emosi kognitif adaptif, sedangkan fungsi fandom escaping life stress tidak secara signifikan memprediksi regulasi emosi kognitif adaptif. Dapat disimpulkan bahwa manfaat purpose in life dan social connection yang fandom berikan dapat memfasilitasi individu dengan riwayat childhood adversity untuk mengenal dan belajar mengenai strategi regulasi emosi kognitif yang adaptif, tetapi tidak ketika individu mendapat manfaat escaping life stress.

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Individuals who experienced childhood adversity mostly lost their chances to learn about adaptive cognitive emotion regulation strategies from their parents in a family environment. This unfortunate situation created the individual vulnerabilities to psychopathology symptoms and many negative impacts toward adulthood. So, it was urgent for emerging adult to find an alternative factor which enabled them to boost their adaptive cognitive emotion regulation strategy, such as through their involvement in fandom. This research examined whether fandom functions (purpose in life, escaping life stress, social connection) could significantly predict adaptive cognitive emotion regulation on an emerging adult who experienced childhood adversity. There were 417 participants involved in this research with characteristic; (1) emerging adult (18 – 25 years old); (2) involved in media fandom (music, film, book, animation, game, and youtube), and; (3) have a history of childhood adversity in at least one dimension (physical neglect, emotional abuse, emotional neglect, physical abuse, sexual abuse) with moderate-severe level. Data was collected through an online questionnaire and analyzed with the Multiple Regression Analysis technique using IBM SPSS software. The results showed that the function of the fandom purpose in life and social connection significantly predicted adaptive cognitive emotion regulation. However, the function of the fandom escaping life stress failed to predict adaptive cognitive emotion regulation significantly. It can be concluded that the benefits of purpose in life and social connection that fandom provide could facilitate individuals with a history of childhood adversity to recognize and learn about adaptive cognitive emotional regulation strategies, but not when individuals benefit from escaping life stress."

"Guru merupakan profesi yang menantang. Dengan tuntutan yang tinggi dan tantangan yang beragam, guru dapat menjadi profesi yang rentan terhadap stres. Hal ini menjadikan hardiness, yaitu trait memungkinkan individu untuk tetap hidup yang sehat dan baik sekalipun dihadapkan dengan tekanan, penting dimiliki oleh guru. Salah satu faktor internal yang dapat memengaruhi hardiness adalah fleksibilitas kognitif. Penelitian ini berusaha untuk menemukan hubungan antara fleksibilitas kognitif dan hardiness pada guru. Fleksibilitas kognitif akan diukur menggunakan Cognitive Flexibility Inventory (CFI) dan hardiness akan diukur menggunakan Multidimensional Hardiness Inventory for Young Adult (MHIYA). Sebanyak 71 guru berusia 20–45 tahun terlibat di dalam penelitian ini. Hasil penelitian menunjukkan bahwa ketika guru memiliki fleksibilitas kognitif yang tinggi, maka guru akan lebih tangguh ketika dihadapkan dengan situasi yang memicu stres.

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Teaching is a challenging profession. With high demands and varied challenges, teaching can be a job that is vulnerable to stress. This makes hardiness, or the ability to live a healthy and good life even when under pressure, crucial for teachers to have. One internal factor that can influence hardness is cognitive flexibility. This research seeks to discover the relationship between cognitive flexibility and hardiness in teachers. Cognitive flexibility will be measured using the Cognitive Flexibility Inventory (CFI), and hardiness will be measured using the Multidimensional Hardiness Inventory for Young Adults (MHIYA). A total of 71 teachers aged 20–45 participated in this research. The research results show that when teachers have high cognitive flexibility, they will be more resilient when confronted with stressful conditions."

"[ABSTRAKLatar Belakang. Gangguan fungsi kognitif dapat terjadi pada pekerja yang terpajan toluen. Gangguan fungsi kognitif tersebut terutama adalah penurunan memori, atensi dan konsentrasi, yang dapat menurunkan produktifitas kerja. Penelitian ini bertujuan mengetahui prevalensi gangguan fungsi kognitif dan faktor-faktor yang mempengaruhi Metode Penelitian. Desain potong lintang dilakukan pada 102 orang pekerja perempuan usia 19-40 tahun dan pendidikan minimal SMA. Data dikumpulkan dengan kuesioner, pemeriksaan fisik dan laboratorium serta MMSE. Kriteria inklusi adalah masa kerja ≥ 1 tahun dan bersedia menjadi responden dengan menandatangani informed consent. Kriteria eksklusi adalah hamil, menstruasi,merokok, minum alkohol, riwayat cedera kepala, hipertensi, gula darah dan dislipidemia. Faktor risiko yang diteliti antara lain umur, status perkawinan, masa kerja, lama kerja, kepatuhan pakai masker , stres kerja dan status gizi. Umur, status perkawinan,masa kerja dan lama kerja diambil dari data HRD. Status gizi didapatkan dari perhitungan Indeks Massa Tubuh. Kepatuhan pakai masker berdasarkan pengawasan kepatuhan APD. Stres kerja dinilai menggunakan kuesioner Survey Diagnostik Stress . Hasil. Walaupun kadar toluen didapat lebih kecil dari nilai ambang batas toluen , didapatkan prevalensi gangguan fungsi kognitif sebesar 52 %. Area kognitif yang menurun adalah atensi kalkulasi dan visuospasial. Faktor risiko yang secara bermakna mempengaruhi gangguan fungsi kognitif adalah masa kerja, lama kerja, kepatuhan pemakaian masker, stres kerja yang meliputi konflik peran, ketaksaan peran, beban kerja kualitatif, beban kerja kuantitatif, pengembangan karir dan tanggung jawab rekan kerja. Hasil analisis multivariat menunjukkan konflik peran merupakan faktor risiko yang paling mempengaruhi gangguan fungsi kognitif ( OR 7,546 Interval kepercayaan 95% 1,5 ? 41,88 ) Kesimpulan. Prevalensi penurunan fungsi kognitif studi ini lebih besar dari penelitian sebelumnya dan teori. Aspek kognitif yang menurun didominasi oleh atensi kalkulasi dan visuospasial. Konflik peran merupakan faktor risiko yang paling mempengaruhi gangguan fungsi kognitif.

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ABSTRACTBackground. Cognitive Function Impairment can happen among workers expose by Toluene. This impairment mainly effect in attention, concentration and memory function, and can decrease working productivity. This study aims to calculate the prevalence of Cognitive Function impairment and related risk factors Method. Cross sectional design study was conducted on 102 female workers, age 19-40 years old and graduated from senior high school. Age and education were obtained from secondary data, and followed by interviews, physical and laboratory examination and Mini Mental States Examination. The inclusion criteria were age ≥ 1 year of work and willing to be the subject of research. Exclusion criteria were pregnancy, menstruation, smoker, Alcohol consumption, history of head injury, hypertension, diabetes mellitus and Dyslipidemia. Risk factor included in this study were age, marital status, duration of work,time of work, PPE obedience ,work stress and nutritional status. Age, Marital status, Duration and Time of work were from secondary data of HRD department. Nutritional status was obtained from body mass index calculation. face mask obedience was obtained from data of wearing mask compliance. Work stress was assessed using Survey Diagnostic Stress Questionnaire. Results. The prevalence of Cognitive Function Impairment was 52 % , mainly at Attention ? Calculation and Visuospasial Aspect respectively. Significant risk factors ( p value < 0,05 ) in this study were duration of work and time of work, PPE obedience and all of work stress domain. The Result of multivariate analysis show that conflict of role was the most influence factor ( OR 7,546 C.I 95% 1,5 ? 41,88 ) Conclusion. This study found that the prevalence of cognitive function impairment was higher than theory and other similar studies . Cognitive aspects mainly affected were attention ? calculation and visuospatial. Conflict of role was the most inluence risk factor relating with cognitive function impairment;Background. Cognitive Function Impairment can happen among workers expose by Toluene. This impairment mainly effect in attention, concentration and memory function, and can decrease working productivity. This study aims to calculate the prevalence of Cognitive Function impairment and related risk factors Method. Cross sectional design study was conducted on 102 female workers, age 19-40 years old and graduated from senior high school. Age and education were obtained from secondary data, and followed by interviews, physical and laboratory examination and Mini Mental States Examination. The inclusion criteria were age ≥ 1 year of work and willing to be the subject of research. Exclusion criteria were pregnancy, menstruation, smoker, Alcohol consumption, history of head injury, hypertension, diabetes mellitus and Dyslipidemia. Risk factor included in this study were age, marital status, duration of work,time of work, PPE obedience ,work stress and nutritional status. Age, Marital status, Duration and Time of work were from secondary data of HRD department. Nutritional status was obtained from body mass index calculation. face mask obedience was obtained from data of wearing mask compliance. Work stress was assessed using Survey Diagnostic Stress Questionnaire. Results. The prevalence of Cognitive Function Impairment was 52 % , mainly at Attention – Calculation and Visuospasial Aspect respectively. Significant risk factors ( p value < 0,05 ) in this study were duration of work and time of work, PPE obedience and all of work stress domain. The Result of multivariate analysis show that conflict of role was the most influence factor ( OR 7,546 C.I 95% 1,5 – 41,88 ) Conclusion. This study found that the prevalence of cognitive function impairment was higher than theory and other similar studies . Cognitive aspects mainly affected were attention – calculation and visuospatial. Conflict of role was the most inluence risk factor relating with cognitive function impairment, Background. Cognitive Function Impairment can happen among workers expose by Toluene. This impairment mainly effect in attention, concentration and memory function, and can decrease working productivity. This study aims to calculate the prevalence of Cognitive Function impairment and related risk factors Method. Cross sectional design study was conducted on 102 female workers, age 19-40 years old and graduated from senior high school. Age and education were obtained from secondary data, and followed by interviews, physical and laboratory examination and Mini Mental States Examination. The inclusion criteria were age ≥ 1 year of work and willing to be the subject of research. Exclusion criteria were pregnancy, menstruation, smoker, Alcohol consumption, history of head injury, hypertension, diabetes mellitus and Dyslipidemia. Risk factor included in this study were age, marital status, duration of work,time of work, PPE obedience ,work stress and nutritional status. Age, Marital status, Duration and Time of work were from secondary data of HRD department. Nutritional status was obtained from body mass index calculation. face mask obedience was obtained from data of wearing mask compliance. Work stress was assessed using Survey Diagnostic Stress Questionnaire. Results. The prevalence of Cognitive Function Impairment was 52 % , mainly at Attention – Calculation and Visuospasial Aspect respectively. Significant risk factors ( p value < 0,05 ) in this study were duration of work and time of work, PPE obedience and all of work stress domain. The Result of multivariate analysis show that conflict of role was the most influence factor ( OR 7,546 C.I 95% 1,5 – 41,88 ) Conclusion. This study found that the prevalence of cognitive function impairment was higher than theory and other similar studies . Cognitive aspects mainly affected were attention – calculation and visuospatial. Conflict of role was the most inluence risk factor relating with cognitive function impairment]"