THE EFFECT OF TERA EXERCISE ON REDUCING ANXIETY LEVELS IN THE ELDERLY IN WONOHARJO VILLAGE, BUMI AGUNG DISTRICT, WAY KANAN LAMPUNG Putri Pamungkas 1 ,Dwi Setiani Sumardiko* 2 , Ariska Putri Hidayatullah 1 , Heri Nur Cahyanto 1 1 Institute of Health and Bussines Surabaya, Indonesia 2 Faculty of Vocational Studies, Universitas Airlangga, Surabaya, Indonesia AB STRACT Introduction: Anxiety is a feeling of fear that is not clear and is not supported by the situation. Usually, anxiety or anxiety disorders will be accompanied by behavioral, emotional, and physiological changes (Kaliman, 2011) Anxiety in the elderly if not handled properly then the anxiety will have an impact on increasing mental disorders. Therefore, Tera exercise therapy is needed which is expected to reduce anxiety in the elderly Methods: The method in this study is a quantitative research type with a quasi-experimental research design with a pretest post-test control group approach. The sample in this study was the elderly who suffered from anxiety as many as 36 respondents who met the inclusion criteria. Collecting data in the study using a questionnaire sheet and data analysis using the Wilcoxon rank test statistical test. Results: The results of the Wilcoxon sign rank test with SPSS for Windows with a significance level of = 0.05 obtained a P value = 0.001 (0.001 <0.05) then Ho is rejected which means there is an effect of Tera exercise on decreasing anxiety levels in the elderly in Wonoharjo Village, Bumi Agung District, Way Kanan Lampung. Conclusions: For elderly who experience anxiety ranging from severe, moderate, and mild levels using tera exercise therapy can reduce anxiety levels in the elderly because it can cause them elderly to relax, feel comfortable, and happy, and interact with other elderly people. ARTICLE INFO Received September 14, 2023 Accepted December 18, 2023 Online May 30, 2024 *Correspondence: Dwi Setiani Sumardiko E-mail : dwi.setiani.s@vokasi.unair. ac.id Keywords: Anxiety in the Elderly, Elderly, Exercise TERA Research Report Journal of Vocational Nursing https://e-journal.unair.ac.id/JoViN Journal of Vocational Nursing Vol. 5, No. 1 (2024): 8-11 Volume 5, Number 1, May 2024 INTRODUCTION The elderly is the final stage in the life process which causes many physical, psychological, and social changes, which are interconnected with each other, so that they have the potential to cause physical health problems. (Wijaya & Nurhidayati, 2020) Based on United Nations (UN) data on World Population Aging, it is estimated that in 2017 there were 901 million elderly people in the world. According to WHO in 2020, this number is projected to continue to increase to reach 2 billion people in 2050. As is happening in other countries in the world, Indonesia is also experiencing population aging. There was an increase in the number of elderly people from 2017 of 22 million (8.5%) to 27.5 million (10.3%) in 2021. Meanwhile in Wonoharjo Village, sub- district. Bumi Agung District. Way Kanan, there will be 95 elderly people in 2021. If anxiety in the elderly is not handled properly, this anxiety will have an impact on increasing mental disorders. Therefore, therapy is needed which is expected to reduce anxiety in the elderly. There are two ways of treatment, namely pharmacological and non- pharmacological therapy. In pharmacological therapy, using chemical drugs for a long time can cause side effects that can harm the user, such as kidney problems. The drugs that are often used are anti-anxiety drugs (anti- depressants), while non-pharmacological therapy uses tera exercise therapy (Ng et al., 2020) The prevalence of anxiety is quite high, according to WHO in 2017 around 3.6% of the world's population was affected by anxiety. The prevalence of anxiety in Indonesia at ages 55-64 years is 11%, at ages 65-74 years is 12.8%, and at ages over 75 years is 15.8% (Siregar & Nasution, 2020). Meanwhile, the results of a preliminary study conducted by researchers on October 28, 2021, by distributing questionnaires to the elderly in Wonoharjo Village, sub-district. Bumi Agung district. Way Kanan, 36 people experiencing anxiety out of the total number of elderly people with a total of 95 people. Based on the results of measuring the lung-heart fitness of the elderly using the Rockport method, before the Indonesian Tera Gymnastics training, it was found that the lowest heart-lung fitness was 18 ml/kg/minute, the greatest heart-lung fitness was 23 ml/kg/minute and the average was 21 ml/kg/minute. minute. After the Indonesian Tera Gymnastics training, the smallest cardiopulmonary fitness was found to be 19 ml/kg/ minute, the greatest cardiopulmonary fitness was 24 ml/kg/minute and the average was 21.87 ml/kg/minute. Increasing cardiopulmonary fitness is mainly achieved through increasing maximum aerobic power with good, correct, measurable, and regular physical exercise, according to (Amiman et al., 2019). © 2024. Author (s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/)