scholarly journals The Combination of Softball Handling Exercise and ROM Increases Upper Extremity Muscle Strength in Non-Haemoragic Stroke Patients

2020 ◽  
Vol 4 (1) ◽  
pp. 29-37
Author(s):  
Ade Lestiani Limaretha ◽  
Mugi Hartoyo ◽  
Syamsul Arif

Background: Stroke is a brain tissues damage caused by blood supply disruption to the brain. Effects that often occurs in stroke patients is weakness in one side of the body, such as the upper extremity. Exercises to stimulate muscle hands strength can be a combination softball handling exercise and ROM. Purpose: This research aims to determine the effect of a combination softball handling exercise and ROM on muscle strength in non haemoragic stroke patients at Roemani Muhammadiyah Semarang Hospital.Methods: Type of research is Quasi Experiment with a non-rondomised control group pre-post test design. There were 32 respondents including in this research using purposive sampling to select the sample. The research data were analyzed using the Wilcoxon Test to determine the effect on the intervention group and control group, then tested using the Mann Whitney test to determine the effectiveness difference between a intervention group and control group.Results: the Wilcoxon Test showed that there was an effect of a combination softball handlingand ROM on muscle strength in non haemoragic stroke patients (p value 0.000), and there was an effect on the control group without intervention (p value 0.003). While the Mann Whitney test showed that the combination group was more effective in increasing the muscle strength p value = 0.001 (0.05).Conclusion: There is the effect of a combination of softball handling exercise and ROM on the strength of the extremity muscles over non haemoragic stroke pastients.

2015 ◽  
Vol 5 (2) ◽  
pp. 88
Author(s):  
Eka Rhestifujiayani ◽  
Emil Huriani ◽  
Muharriza Muharriza

Background: Hemiparesis is a common problem that can caused disability. ROM Exercise is an exercise that to performed evaluate and to improv the function of the musculoskeletal system and is one of therapies in stroke patients that aim to increase cerebral blood flow, minimize disability caused by stroke, so can refine sensory motoric function.Purpose: The objective of this study was to examine the effect ROM exercises of the extremity muscle strength in patients with stroke Methods: This study was a quasi experimental with non equivalent control group design. The sampling technique was purposive sampling. The number of sample was 20 respondents. The statistical test used are Wilcoxon test and Mann-Whitney test. Result: Wilcoxon test in control group showed p-value in upper extremities was p=0,157 and in lower extremities was p=0,083, it mean that there was no increase in muscle strength in the control group and in experiment group showed p-value in upper extremities was p=0,004 and in lower extremities was p=0,005, it mean that there is increase in muscle strength in the experiment group. The result of Mann-Whitney test showed p-value in upper extremities was p=0,002 and in lower extremities was p=0,006, it means that there were differences in the increase in muscle strength between control group and experiment group. Conclusion: ROM exercises affect the increase in muscle strength in stroke patients with hemiparesis. The ROM exercises can be used as a nursing intervention in the provision of nursing care.


2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Trina Kurniawati ◽  
Titih Huriah ◽  
Yanuar Primanda

AbstrakEdukasi kepada pasien Diabetes Mellitus (DM) yang dapat memperbaiki hasil klinis adalah Diabetes Self Management Education (DSME). DSME merupakan salah satu metode yang dapat memfasilitasi pengetahuan dan keterampilan. Penelitian ini bertujuan untuk mengetahui pengaruh Diabetes Self Management Education terhadap Self Management pada pasien DM. Penelitian ini menggunakan metode penelitian quasi experimental dengan control group pre test- post test design. Teknik pengambilan sampel menggunakan teknik Simple random sampling dengan jumlah sampel sebanyak 46 orang yang terbagi menjadi 23 orang pada kelompok intervensi mendapatkan DSME sebanyak 4 sesi dalam satu bulan dan 23 orang pada kelompok kontrol mendapatkan edukasi dari Program PERSADIA. Instrumen yang digunakan menggunakan kuesioner. Analisis statistik menggunakan Wilcoxon dan Mann Whitney test. Hasil penelitian menunjukkan bahwa P value uji Wilcoxon test sebesar 0,000 pada kelompok intervensi, P value uji Mann Whitney test adalah 0,000 pada variabel self management. Berdasarkan hasil uji statistik didapatkan p<0,05 yang menunjukkan bahwa terdapat perbedaan nilai self management antara kelompok intervensi dengan kelompok kontrol secara signifikan. Kesimpulan penelitian ini adalah DSME dapat meningkatkan self management pada pasien DM. Disarankan petugas kesehatan dapat memberikan DSME untuk meningkatkan self management pasien diabetes dan menggunakan DSME sebagai program promosi kesehatan.Kata kunci: Diabetes Mellitus; DSME;Self Management  The Influnce of Diabetes Self Management Education (DSME) to the Self Management on the Diabetes Patient AbstractEducation to patients Diabetes Mellitus (DM) who can improve clinical outcomes is Diabetes Self Management Education (DSME). DSME is one method that can facilitate knowledge and skills. The purpose of this research is to determine the effect of Diabetes Self Management Education (DSME) to Self Management on the diabetes patients. This study is used the quasi experimental research method with control group pre test post test design. The sampling technique used Simple random sampling with a samples of 46 people and it is devided 23 people in the intervention group get DSME as much as 4 sessions in one month and 23 people in the control group get education programe at PERSADIA. The instrument used was questionnaire. Statistical analysis used Wilcoxon and Mann Whitney test. The results showed that P value of Wilcoxon test  was 0.000 in the intervention group, P test value of Mann Whitney test was 0.000 in self management variable. Based on statistical test results obtained p <0.05 which indicates that there are differences in self-management value between the intervention group and the control group significantly. The conclusions of this research is DSME can improve self-management on the patients with diabetes. It is recommended that health workers can provide DSME to improve self-management  in diabetic patients and use DSME as a health promotion program.Keywords  : Diabetes Mellitus, DSME, Self Management


2021 ◽  
Vol 1 (2) ◽  
pp. 55-67
Author(s):  
Werna Nontji ◽  
Dwi Kartika Sari ◽  
Sitti Maria Ulfa ◽  
Syafruddin Syarif ◽  
Inez Vravty Lestari ◽  
...  

Background: Educating mothers during their postpartum period could potentially help them to overcome some important phases after giving birth. The process of education is evaluated based on the mothers’ knowledge about their independent self-care. Independency is an activity that is started individually and is done based on self-capability. The independency in the postpartum care is not only important to decrease the mother’s mortality and morbidity rate, but it is also crucial to strengthen and improve the post-partum mother’s healthy behavior during the perineal care. Providing education using Android-based application called BUBI Care could be potential to facilitate a more dynamic transfer of knowledge to the postpartum mothers.Aims: To analyze the knowledge, skills, and independence of primipara postpartum mothers in independent perineal care before and after accessing BUBI Care app. Research Method: employing quasi experimental research with pre-test and post-test design with control group design. The sample for this research were 19 pregnant mothers TM III (pregnancy age of ? 38 weeks) on each group. The treatment group was educated using BUBI Care Android app that was conducted at one of Public Health Center. The control group was educated without BUBI Care that was conducted at a Midwife Practice Clinic. The research was conducted on September to October 2020. Study Result: According to the Wilcoxon test, there was a difference in the pre-test knowledge of the treatment and control groups with the similar median of 53 and p-value of 0.666, the treatment group showed their scores improved to 80 on the post-test while the control group stayed at 53 with the p-value of 0.000. It means that BUBI Care app education influences the post-test. On the other hand, the perineal care skill saw a difference between the intervention and control groups. The intervention group had a mean of 70.05 and 56.68 for the control group with the p-value of 0.002 which means that there was an influence from the BUBI Care app education. Additionally, Mann Whitney test showed that the intervention group had a mean score of 78.95, but the control group only had 49.26, the total difference between the two are 29.69 with the p-value of 0.000. It can be concluded that there is a significance in difference in the independency rate from the provision of BUBI Care Android app education.Conclusion:  there is a significance effect on the intervention group in terms of Android based usage.


2018 ◽  
Vol 6 (1) ◽  
pp. 36
Author(s):  
Maruli Taufandas ◽  
Elsye Maria Rosa ◽  
Moh Afandi

Salah satu penyakit degeneratif pada lansia yang sering dialami yaitu osteoartritis, yang ditandai dengan adanya nyeri pada ekstremitas bawah dan prevalensinya semakin meningkat dengan bertambahnya usia. Penatalaksanaan non farmakologi merupakan komponen yang sangat penting dalam mengatasi nyeri, salah satu bentuknya adalah latihan Range of Motion. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh Range of Motion untuk menurunkan nyeri sendi pada lansia dengan osteoartritis di wilayah kerja Puskesmas Godean I Sleman Yogyakarta. Metode :Penelitian ini adalah study intervensi berupa penelitian kuantitatifdengan rancangan Quasi Eksperiment Design: Pretest-Posttest Control Group Design. Penelitian dilakukan di dua dusun di Kabupaten Sleman yaitu di dusun Mertosutan dan dusun Ngabangan.Sampel pada penelitian ini sebanyak 36 orang lansia dengan masing-masing 18 lansia sebagai kelompok intervensi dan 18 lansia sebagai kelompok kontrol.Pengambilan sampel menggunakan teknik purposive sampling.Analisis data yang digunakan adalah Wilcoxon Test dan Mann Whitney Test. Hasil : Setelah melakukan latihan Range of Motionselama 4 minggu, didapatkan hasil bahwa terdapat pengaruh Range of Motion terhadap skala nyeri sendi pada lansia dengan osteoartritis dengan p value 0,000 (α < 0,05). Kesimpulan :Range of Motion berpengaruh secara signifikan terhadap penurunan tingkat skala nyeri sendi pada lansia dengan osteoartritis


2018 ◽  
Vol 3 (2) ◽  
pp. 82-94
Author(s):  
Seri Wahyuni

Anemia is one of the indirect causes of maternal mortality. The Government of Indonesia has made efforts to overcome anemia, including by giving iron tablets to pregnant women. To improve maternal compliance in consuming iron tablet healthcare workers should include family/cadres in the supervision of food and medicine. This study aims to know the effectiveness of accompaniment drinking iron tablet By Cadres Against Increasing Hb Level of Pregnant Women at Puskesmas Kota Palangka Raya. This research is a quasi-experimental design using "nonrandomized control group pretest-posttest design" approach. Sampling technique total sampling is with the number of samples of 62 people divided into 2 groups, 31 intervention groups, and 31 control groups. In the intervention group involving cadres as moderate blood-boosting drink companions in the control group without blood-boosting companions. The analysis technique used for the intervention and control group is using the Wilcoxon test. The result of intervention group statistic test get p-value = 0,000 (


2017 ◽  
Vol 3 (6) ◽  
pp. 697-701
Author(s):  
Fara Imelda Theresia Patty ◽  
Suhartono Suhartono ◽  
Ngadiyono Ngadiyono ◽  
Mardiyono Mardiyono

Background: The prolonged partus is one of the causes of maternal deaths marked by the slow progress of labor. Induction of labor and caesarean section is a common procedure performed on long-term partus events to end pregnancy. The birth acupressure technique is a complementary method to activate the hormone oxytocin at a certain point to use to soften the cervix and increase contraction.Objective: To examine the effect of acupressure point LI4, SP6 and BL60 on the duration of the first stage of labor and APGAR Score of newborn in primigravida.Methods: This research employed a Quasy experimental study with posttest control group design. It was conducted at the Public Health Center of Trauma and Public Health Center of Palaran Samarinda, East Kalimantan. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in the experiment and control group. The duration of the first stage of labor was assessed using partograph and APGAR Score was assessed using APGAR Score assessment sheets. Mann Whitney test was used for data analysisResults: Findings showed that the duration of the first stage of labor in the experiment group was 187 minutes and in the control group was 307 minutes. Mann Whitney test obtained p-value 0.001 (<0.05), which indicated that there was a statistically significant difference of the duration of the first stage of labor between both groups. However, Mann Whitney test for APGAR score showed p-value 0.114 (>0.05), which indicated that there was no significant difference of APGAR score in the experiment and control group.Conclusion: There was a significant effect of acupressure on the duration of the first stage of labor, but no effect of the APGAR score. Therefore, acupressure may be recommended to shorten the duration of the first stage of delivery in primigravida.


2019 ◽  
Vol 2 (3) ◽  
pp. 62-71
Author(s):  
Herlina Syafrianti ◽  
Bambang Suwarno ◽  
Elfrida .

This research aimed to know the effect of using metacognitive strategy towards student’s reading comprehension. The design was quasi-experimental. The sample consists of 69 students in two classes. The instrument consists of reading test which was tried out. The treatment for the experiment group was metacognitive strategy and for the control group was the strategy that the teacher use in the class. The data were collected through pre-test and post-test. The activity in the classroom during six meetings, two meetings for pre-test and post-test and four meetings for teaching in the classroom. The data was analyzed by The Wilcoxon Test and The Mann-Whitney Test. The Wilcoxon Test for the control group showed that there was no significant difference between pre-test and post-test. The Wilcoxon test for the experiment group showed that there was significant difference between pre-test and post-test. The Mann-Whitney test for pre-test showed that there was no significant difference between experiment and control class. The Mann-Whitney test for post-test showed that there was significant difference between experiment and control class. Finding of the research showed that, there was significant difference between pre-test and post-test for the experiment class and there was significant differece between experiment and control class for post-test result. This result indicated that there was an effect of metacognitive strategy towards student’s reading comprehension


2018 ◽  
Vol 4 (1) ◽  
pp. 104-111
Author(s):  
Chandra Irawan ◽  
Mardiyono Mardiyono ◽  
Suharto Suharto ◽  
Aris Santjaka

Background: Range of Motion (ROM) exercise has been identified in the literature that it has an effect in improving muscle strength, especially in patients with stroke. However, little is known about the effect of ROM exercise combined with hypnosis therapy.Objective: To determine the effect of combination of hypnosis therapy and ROM exercise on upper extremity muscle strength in patients with non-hemorrhagic.Methods: This study employed a quasy experiment with pretest-posttest control group design. Thirty-two samples were selected using simple random sampling, which 16 randomly assigned in the experiment and control group. Muscle strength was measured using Muscle Strength Scale. Hypnosis Deepening test was used to measure the level of hypnosis depth. Paired t-test and Independent t-test were used for data analysis.Results: The mean value of muscle strength in the experiment group was 3.50 and  the mean value in the control group  was 2.62. Independent sample t-test obtained p-value = 0.012, indicated that there was a statistically significant difference in the mean of muscle strength of upper extremity in the experiment and control group. Paired t-test obtained p-value = 0.000, which indicated that there was significant difference between the average of muscle strength value before and after treatmentConclusion: The combination of hypnosis therapy and ROM exercise has a significant effect in increasing muscle strength of upper extremity in patients with stroke non-haemorrhagic.


2021 ◽  
Vol 8 (1) ◽  
pp. 28-35
Author(s):  
Ignasia Yunita Sari

Kecacingan menginfeksi 24% penduduk dunia terutama pada anak-anak dan meningkatkan angka morbiditas. Salah satu intervensi mengatasi kecacingan adalah pemberian obat cacing. Motivasi orang tua diperlukan untuk keteraturan dalam pemberian obat cacing pada anak. Edukasi yang tepat diperlukan untuk meningkatkan motivasi orang tua. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas edukasi kesehatan dengan metode audiovisual terhadap motivasi orang tua dalam memberikan obat cacing di SD Sanjaya Tritis Pakem. Metode penelitian dengan menggunakan quasi experiment dengan desain pre test and post test nonequivalent control group. Sampel sejumlah 64 dibagi menjadi 30 kelompok kontrol dan 34 kelompok intervensi. Kelompok kontrol diberikan edukasi dengan metode audiovisual dan kelompok kontrok dengan ceramah. Analisis data menggunakan wilcoxon test dan mann whitney test. Hasil penelitian menunjukkan edukasi kesehatan dengan metode audiovisual efektif dalam meningkatkan motivasi orang tua (p value 0,000). Tidak ada perbedaan keefektifan edukasi menggunakan metode audiovisual dan ceramah dalam meningkatkan motivasi orang tua (p value 0,225)


2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Akhmad Rifai ◽  
Dwi Sulistyowati

Abstract: Level Of Ability Of Nurses, ECG Interpretation. American Heart Association (AHA) in 2011, recorded more than 1.000.000 people have heart attacks every year, half died from the heart attack and in Europe figures reach 20,000-40,000 CHD patients than 1,000,000 population. In Indonesia in 2002 with acute myocardial infarction disease is the first cause of death with a mortality rate of 220,000 (14%). The purpose of this study to determine the level of ability to interpret ECG nurse in RSUD dr. Soeratno Gemolong Sragen. This research is an experimental approach to Pre-TestPost Test Group design. through research hypothesis testing. The study population was a nurse amounted to 50 respondents divided into two groups. 30 respondents as the treatment group and 20 respondents as the control group. Statistical tests on the group in pairs using the nonparametric Wilcoxon test and unpaired pad groups using the Mann-Whitney test. Based on the results of the Wilcoxon test can be concluded that the 30 respondents who do the training interpretation of ECG by means of training and training using the modules can be drawn the conclusion that the majority of nurses had good knowledge in terms of ability to interpret ECG with p-value 0.001, which means there are significant differences between before and after doing the training. While the results of the Mann-Whitney test the difference between training and training in how to use the module p-value 0.001, which means there is a significant difference training by way of training and training in how to use the module.


Sign in / Sign up

Export Citation Format

Share Document