scholarly journals The Effect of Range Of Motion (ROM) Exercise on the Level of Stroke Patient Mobility

1970 ◽  
Vol 2 (3) ◽  
pp. 93-106
Author(s):  
Muriyati ◽  
Safruddin ◽  
Andi Nurwahyuni Asmur

One form of mobilization that can be given is by doing ROM exercises. Muscle strength in stroke patients can be done immediately through ROM exercises after a stroke has passed. The impact of ROM exercises that are not immediately performed in stroke patients as early as possible is the occurrence of muscle cell atrophy, joint stiffness, decreased muscle contraction, pain during movement and as a whole will result in the inability to move or activity. The purpose of this study is to investigate the effect of Range Of Exercise Motion (ROM) Against the Level of Mobility of Stroke Patients in the Seruni and Flamboyant Treatment Room of H. Andi Sulthan Hospital, Daeng Radja Bulukumba. This type of research is quantitative research, this type of research uses pre-experimental research, with one group research design pre and posttest design. The sample of this study were 30 respondents taken by purposive sampling method. Data analysis in this study used a statistical test dependent test (paired-sample t-test). The results of the analysis used a paired sample t-test with a level of confidence (α = 0.05). Based on the results of this test, the p-value is 0.007, thus p <α (0.007 <0.05), then Ha is accepted. This study concludes that there is the effect of Range of Motion (ROM) Exercise on the Mobility Level of Stroke Patients in the Seruni and Flamboyant Treatment Room of H. Andi Sulthan Daeng Radja Bulukumba Hospital. Suggestion: It is expected to be able to add information and input for health workers to improve the quality of health services provided and is expected to also provide benefits to the public in terms of information about the importance of the range of motion (ROM) training on the level of mobility of stroke patients

2021 ◽  
Vol 1 ◽  
pp. 1097-1102
Author(s):  
Indah Nofitasari ◽  
Benny Arief Sulistyanto

AbstractMuscle weakenss is the biggest impact on stroke patients, so that Range Of Motion (ROM) exercises are needed to maintain muscle strength and join mobility. The incidence of stroke and disability tends to increase if Range Of Motion (ROM) exercises are not carried out. This is due to a decrease in muscle strength. The purpose of this study was to describe the effect of Range Of Motion therapy on improving motor function in stroke patients. The method was literature review used the keywords “stroke”, “Range Of Motion(ROM)”, “Muscle strength”. The study was conducted by searching for serval articles from a predetermined database, namely the last 10 years. The three articles showed the strength of the muscle scale, after being given the Range Of Motion (ROM) intervention. The t-test of statistic test shows p valued <0,01 wich means there was a effect. It can be concluded there is the effect of Range Of Motion (ROM)training on muscle strength in stroke patients. Therefore, it is expected for the health workers, especially nurses to be able to apply ROM intervention more intensively in stroke patients as an additional therapy.Keywords: Stroke, Range Of Motion (ROM), Muscle strength AbstrakKelemahan otot merupakan dampak terbesar pada pasien stroke, untuk itu diperlukan latiham Range Of Motion (ROM) bertujuan untuk mempertahankan atau memelihara kekuatan otot, mobilitas persendian. Peningkatan angka kejadian stroke dan kecacatan tersebut apabila latiham Range Of Motion (ROM) tidak dilaksanakan maka akan terjadi penurunan kekuatan otot.Tujuan dari Karya Tulis Ilmiah ini adalah untuk mengetahui bagaimana gambaran pengaruh terapi ROM terhadap peningkatan fungsi motorik pada pasien stroke. Metode yang dilakukan adalah Literature Review dengan menggunakan kata kunci “Stroke”, “Range Of Motion (ROM)”, “kekuatan otot”. Penelitian dilakukan dengan cara mencari beberapa artikel dari database yang telah ditentukan yaitu 10 tahun terakhir. Pada ketiga artikel menunjukkan kekuatan skala otot, setelah diberikan intervensi Range Of Motion (ROM). Uji statistik t-test menunjukkan p value < 001 menyatakan ada pengaruh. Kesimpulan Karya Tulis Ilmiah ini terdapat pengaruh latihan Range Of Motion (ROM) terhadap kekuatan otot pada pasien stroke, sehingga sangat di harapkan agar tenaga kesehatan khususnya perawat dapat lebih intensif memberikan intervensi ROM pada pasien stroke sebagai terapi tambahan untuk pasien stroke.Kata kunci:Stroke, Range Of Motion (ROM), kekuatan otot


2019 ◽  
Vol 4 (1) ◽  
pp. 204
Author(s):  
Anne Rufaridah ◽  
Yelly Herien ◽  
Englia Mofa

<p><em>Emesis Gravidarum is a many that occur to pregnant woman in Indonesian. Emesis graviadarum can cause disturbed the daily activities of pregnant woman, also can decrease appetite and dehydration. When don’t overcome than the hiperemesis gravidarum, can be resolve with non pharmacology therapy, which one non pharmacology therapy is ginger. Ginger consist gingerol Shogaol, and zingeberen that can be decrease nausea and vomiting to pregnant woman. This research aims to know the effective of steep ginger towards decrease emesis gravidarum on trimester 1 at working area of Lubuk Buaya Padang in years 2017.This research was pre-experiment with one group pretest-posttest design, used purposive sampling technique with number of sample are 12 woman. Tools and methods used to collect data with the observation sheet and interview, this research was done on August 2017. The result of this research shows that means emesis gravidarum before given steep ginger is 3,38with deviation standard is 0,549, while emesis gravidarum means after was given steep ginger is 2,19 with deviation standard 0,401. Based on the result of data analysis with using paired sample t-test get p value 0,000 ( p&lt;0,05 ), so it can be conclude that there is effective of steep ginger to decrease emesis gravidarum on first trimester. So, it is expected to health workers to giving the information towards pregnant woman that was experiencing nausea and vomiting that consuming ginger with appropriate dose and the correct way to decrease nausea and vomiting that was suffered by pregnant woman</em></p><p> </p><p>Emesis gravidarum merupakan kasus yang banyak terjadi pada ibu hamil di Indonesia. Emesis gravidarum menyebabkan terganggunya aktivitas, menurunkan nafsu makan dan terjadinya dehidrasi, apabila tidak diatasi maka akan berdampak menjadi hiperemesis gravidarum. Emesis gravidarum bisa diatasi dengan terapi non farmakologi, salah satunya yaitu jahe. Jahe mengandung gingerol, shogaol dan zingeberen yang bisa menurunkan mual dan muntah pada ibu hamil. Penelitian ini bertujuan untuk mengetahui efektivitas seduhan jahe terhadap penurunan emesis gravidarum pada trimester pertama diwilayah kerja puskesmas Lubuk Buaya Padang Tahun 2017. Jenis penelitian ini adalah pra eksperimen dengan desain penelitian one group pretest-posttest ,menggunakan teknik purposive sampling dengan jumlah sampel 12 orang. Alat dan cara yang digunakan untuk mengumpulkan data yaitu dengan lembar observasi dan wawancara, dengan waktu penelitian dilakukan pada bulan Agustus 2017. Hasil penelitian menunjukan bahwa rata-rata emesis gravidarum sebelum diberikan seduhan jahe adalah 3,38 dengan standar deviasi 0,549, sedangkan rata-rata emesis gravidarum setelah diberikan seduhan jahe adalah 2,19 dengan standar deviasi 0,401. Dari hasil analisa data dengan menggunakan paired sample t-test didapat pvalue 0,000 (p &lt; 0,05), dapat disimpulkan bahwa ada efektivitas seduhan jahe terhadap penurunan emesis gravidarum pada trimester pertama. Diharapkan pada tenaga kesehatan untuk bisa memberi informasi kepada ibu hamil yang mengalami mual muntah bahwa bisa mengkonsumsi jahe dengan dosis yang tepat dan cara yang benar untuk menurunkan mual muntah yang diderita ibu hamil.</p>


2021 ◽  
Vol 8 (2) ◽  
pp. 136-144
Author(s):  
Dian Zuiatna ◽  
Elvi Era Liesmayani ◽  
Reni Julia Tan

One of the threats that can harm pregnant women and fetuses is anemia. In Indonesia, in light of the consequences of Riskesdas in 2013, the pervasiveness of weakness in pregnant ladies was 37.1%. The motivation behind this examination was to decide the impact of spinach juice on expanding hemoglobin levels in pregnant ladies in the first and second trimesters at the Niar Pratama center in 2020. The exploration plan in understanding with this investigation was a semi test utilizing the One Group Pretest Posttest approach. The study was conducted in September 2020. The sample in this study was 10 people. Analysis of this statistical test using the t test (Test Paired Sample T Test). The results of this study using statistical tests obtained a p-value of 0.000 <0.05, so that there is an effect between giving spinach juice to increasing hemoglobin levels in pregnant women in the second and second trimesters. In light of the aftereffects of examination on the effect of spinach juice on expanding hemoglobin levels in pregnant ladies in the first and second trimesters at the Niar Pratama Clinic in 2020, explicitly there is an impact between giving spinach juice to increment hemoglobin levels in pregnant ladies.   Keywords: Spinach Juice, Hb, Pregnant Women ABSTRAK   Salah satu ancaman yang dapat membahayakan ibu hamil dan janin adalah anemia. Di Indonesia, berdasarkan hasil Riskesdas tahun 2013, prevalensi anemia pada ibu hamil sebesar 37,1%. Tujuan penelitian ini adalah untuk mengetahui pengaruh jus bayam terhadap peningkatan kadar hemoglobin pada ibu hamil trimester I dan II di Klinik Pratama Niar tahun 2020. Desain penelitian yang sesuai dengan penelitian ini adalah Quasi Eksperimen dengan menggunakan pendekatan One Group Pretest Posttest. Penelitian dilakukan pada bulan September tahun 2020. Sampel  pada penelitian ini yaitu sebanyak 10 orang. Analisa uji statistik ini menggunakan uji t (Uji Paired Sampel T Test).  Hasil dari penelitian ini menggunakan uji statistik didapatkan nilai p-value sebesar 0,000 < 0,05, sehingga ada pengaruh antara pemberian jus bayam terhadap peningkatan kadar hemoglobin pada ibu hamil trimester I dan II. Berdasarkan hasil penelitian mengenai dampak jus bayam terhadap peningkatan kadar hemoglobin pada ibu hamil trimester I dan II di Klinik Pratama Niar tahun 2020, secara spesifik terdapat pengaruh antara pemberian jus bayam untuk meningkatkan kadar hemoglobin pada ibu hamil.   Kata Kunci: Jus Bayam, Hb, Ibu Hamil


2019 ◽  
Vol 10 (1) ◽  
pp. 85
Author(s):  
Weni Lidya Hendayani ◽  
Devi Mekar Sari

ABSTRAK            Menurut survei tahun (2015),   stroke merupakan pembunuh nomor satu di RS Pemerintah di seluruh Indonesia. Diperkirakan ada 550.000 penduduk yang terkena stroke.Keluarga memiliki peran yang sangat penting dalam pemenuhan kebutuhan pasien yang mengalami stroke. Penelitian ini merupakan penelitian quasieksperimenpre danpostonegroup design. Populasi dalam penelitian ini adalah seluruh pasien stroke yang masuk ke Rumah Sakit Stroke Nasional (RSSN) Bukittinggi yang berjumlah 366 orang dengan teknik pengambilan sampel AccidentialSampling. Penelitian ini dilakukan pada bulan Juni 2017 - Juni 2018. Hasil uji-T untuk dukungan keluarga pada pasien stroke sebelum dan sesudah dilaksanakan penyuluhan kesehatan didapatkan p-value 0,000 (α≤0,05) artinya, terdapat perbedaan yang signifikan antara dukungan keluarga yang diberikan pada pasien stroke sebelum dan sesudah dilakukan penyuluhan kesehatan. Hasil uji-T pada konsep diri pasien stroke sebelum dan sesudah didapatkan p-value 0,000 (α≤ 0,05) artinya, terdapat perbedaan yang signifikan antara konsep diri pasien stroke sebelum dan sesudah dilakukan penelitian. Sehingga dapat disimpulkan bahwa ada pengaruh dukungan keluarga terhadap konsep diri pasien stroke yang mengalami kelumpuhan di Poli Klinik Saraf Rumah Sakit Stroke Nasional Bukittinggi ditandai dengan p-value 0,000 (α≤0,05). Diharapkan tenaga kesehatan perlu memberikan pendidikan kesehatan mengenai perawatan pasien stroke yang mengalami kelumpuhan dan tentang bagaimana pasien stroke untuk mempertahankan dirinya.Kata Kunci   : DukunganKeluarga; Konsep Diri; Pasien Stroke The Effect of Family Support on Self-Concept of Stroke Patients Who Have Paralysis at the Nerve Polyclinic of the National Stroke HospitalBukittinggi Year 2018 ABSTRACT            According to a 2015 survey, strokes are the number one killer in Government hospitals throughout Indonesia. More than 550,000 people were stroked. This research is a quasi-experimental pre and post one group design. The population in this study were 366 stroke patients who entered the National Stroke Hospital in Bukittinggi with Accidential Sampling sampling techniques. This study was conducted in June 2017 - June 2018. The results of the T-test for family support for stroke patients before and after the implementation of health counseling obtained p-value 0,000 (α≤0,05) which means that there was a significant difference between family support given in stroke patients before and after health education. The T-test results on the self-concept of stroke patients before and after obtaining p-value 0,000 (α≤ 0,05) means that there is a significant difference between the self-concept of stroke patients before and after the research. So it can be concluded that there is an effect of family support on the self-concept of stroke patients who experience paralysis at the Neural Stroke Clinic of Bukittinggi National Stroke Hospital marked by p-value 0,000 (α (0,05). I hope health workers need to provide health education about the care of stroke patients who experience paralysis and about how stroke patients maintain themselves.Kata Kunci     : Family Support; self-concept; stroke patients


2019 ◽  
Vol 1 (2) ◽  
pp. 13-19
Author(s):  
Tahan Adrianus Manalu

Aromatherapy inhalation was complemantary therapy that most effective and safe to used, the physicology problem was anxiety as the impact of chronic kidney deasese who underwent hemodialysis. The purpose of this research was to know the influence of aromatherapy inhalation on the decreased anxiety value of chronic kidney deasese who underwent hemodialysis at Grendmed Hospital Lubuk Pakam 2018. This research was quantitative research, with research design pra-experiment and used approach one group pretest–posttest. This research population of all the patient chronic kidney deasese who underwent hemodialysis at Grandmed Hospital Lubuk Pakam 2018. Sample as many 13 respodences with tecnique used purposive sampling. Statistic test used paired simple t-test with confidence level 95% (α = 0,05). The result of the research that there was influence of aromatherapy inhalation on the decreased anxiety value of chronic kidney deasese who underwent hemodialysis at Grandmed Hospital Lubuk Pakam 2018 with p value = 0,001. It is expected to the nurse to be able to apply the implamention the influence of aromatherapy inhalation on the decreased anxiety value of chronic kidney deasese who underwent hemodialysis to decrease dependency in farmacology therapy in decreasing anxiety.


2020 ◽  
Vol 9 (2) ◽  
pp. 1650-1656
Author(s):  
Shindi Hapsari ◽  
Sonhaji Sonhaji ◽  
Nindya Nurulia

This research is an experimental study with the design of the control group. The sampling technique is purposive sampling. The study's population was 32.  The intervention group (n=16) respondents were given ROM therapy exercises of fingers and spherical grip, control group (n=16) respondents by giving ROM therapy exercise fingers. Exercise is done 2 times a day and done in 3 days for 15-20 minutes each time.  Data analysis using Shapiro-Wilk, dependent paired t-test, and independent t-test. Statistical analysis results obtained by the intervention group (Range Of Motion therapy exercises (ROM) of the fingers of the hand and spherical grip exerted a more effective influence compared to the administration of therapy on the control group (ROM) of the fingers of the hand) get an average difference in extremity muscle strength with a p-value of 0.000


2018 ◽  
Vol 5 (1) ◽  
pp. 074-078
Author(s):  
Ika Agustina

Abstract: Exclusive breastfeeding is the pure one without additional fluids, either formula, water orange juice or other supplementary foods before reaching the age of six month. Giving breasfeeding is very benefical for baby, mother, family, and country. The purpose of this study was to analyze the effect of health education on breasfeeding preparation of mother ’s motivation to provide exclusive breasfeeding. The type of the study used pre-experimental design. The populastion used in this study was 15 primi- gravida mother’s. The sample was 15 respondents taken by Consecutive sampling technique. The instrumen used questionnaire sheet. The statistical test used Paired Sample t Test. The results showed that the motivation of mother primigravida after being given health education become strong motivation equal to40%. The resulth of analysis using Paired Sample t Test Test showed the value of p value=0,000, so p value=0,000 <0,05 or significant, it meant that there was an effect of health education of breasfeeding preparation to motivate primigravida mothers to give exclusive breasfeeding. Based on the results of the study is expected to primigravida mothers’s to improve health education in the preparation of breasfeeding and to health workers further increase the primigravida mother ’s mitigation to provide exclusive ation to achieve exclusive ation success. Keywords: Motivation, Exclusive Breastfeeding, Benefits


2020 ◽  
Vol 8 (3) ◽  
pp. 223
Author(s):  
Lingling Marinda Palupi

<em>Stroke is a brain functionality disorder caused by disruption of blood supply into the brain. Stroke is one of the leading causes of weakness or hemiparesis on ekstremities. A stroke patient who encounter hemiparesis may suffer joints contracture which then can become permanently disabled if it is not trained. In hospitals, Range of Motion Exercise is often performed, but the results are less optimal. This research aims to discover the combination effects of Range of Motion Exercise (ROM) and Constraint Induced Movement Therapy (CIMT) to the changes of upper extremity functional ability</em> <em>by using a measuring tool Chedoke Arm and Hand Activity Inventory form (CAHAI) </em><em>to stroke patients with hemiparesis at Interna 1 of dr. R. Soedarsono Regional Public Hospital, Pasuruan. This research uses Quasi Experimental with non-Equivalent Control Group design. The respondents were chosen by using Consecutive Sampling technique with a total of 34 respondents divided into two groups. 17 respondents as the treatment group were given combination therapy of ROM and CIMT and 17 respondents as control group were given ROM therapy only..The Statistical test was done by using Paired T-test and Independent T-test. According to the result of Paired T-test, there are differences found in the result of upper  extremity functional ability after the combination intervention of ROM and CIMT had been given in the treatment group with P Value 0.000 (p &lt; 0.05). Then, the independent t-test stated that the intervention of ROM and CIMT hold an influence to upper extremity functional ability with P Value = 0.047 (p &lt; 0.05). This research concludes that the combination of Range of Motion Exercise (ROM) and Constraint Induced Movement Therapy (CIMT) can increase the upper extremity functional ability so that it can be used as an alternative of exercise therapy to increase the upper extremity functional ability of stroke patients.</em>


2021 ◽  
Vol 15 (1) ◽  
pp. 133-139
Author(s):  
Yenni Fusfitasari ◽  
Dita Amita ◽  
Kurniawan Saprihadi

Therapeutic communication and cooperative behavior among early childhoodBackground: Cooperative behavior is an important level of developmental achievement, one factor influencing cooperative behavior with the application of therapeutic communication. The results of the initial survey conducted on 10 Kindergarten students, there were 8 students who were uncooperative with nurses or health workers.Purpose: Knowing the effect of the application of therapeutic communication and cooperative behavior in early childhoodMethod : A quantitative research was pre-experimental design with the One Group Pretest Posttest approach. The population with a total sample of 38 students conducted at kindergarten school, in Bengkulu. data collection using by observations. Data analysis was univariate (frequency distribution) and bivariate (Paired sample t-test).Results: The mean of early childhood in cooperative behavior before therapeutic communication was 4.03. The mean of after therapeutic communication was 7.08. The statistical test results got the value of ρ = 0,000 <α (0.05), so there is an effect of the therapeutic communication and cooperative behavior among early childhood.Conclusion: There is an effect of the therapeutic communication and cooperative behavior among early childhood, to be following continuously implement invitations and cooperation with nurses or health workers to implement of therapeutic communication, and developing positive a behavior.Keywords: Therapeutic communication; Cooperative behavior; Early childhood; Kindergarten schoolPendahuluan : Sikap kooperatif merupakan salah satu tingkat pencapaian perkembangan yang penting untuk dikembangkan, salah satu faktor mempengaruhi sikap koperaif dengan penerapan komunikasi teraupetik. Hasil survey awal yang dilakukan terhadap 10 siswa TK Witri I terdapat 8 orang yang tidak kooperatif terhadap perawat atau petugas kesehatan yang hadir dalam pelaksanaan pemeriksaan kesehatan untuk pengecekan tumbuh dan kembang anak di TW Witri I tersebut.Tujuan : diketuahui pengaruh penerapan komunikasi teraupetikterhadap sikap kooperatif anak usia diniMetode: Penelitian kuantitatif rancangan pra eksperimen dengan pendekatan one group pretest postest. Populasi seluruh perawata dengan pengambilan sampel secara total sampling yang berjumlah 38 siswa telah dilakukan di TK Witri I Kota Bengkulu. pengambilan data menggunakan kuesioner yang dibagikan ke responden. Analisis data secara univariat (distribusi frekuensi) dan bivariat (Uji paired sampel t-test).Hasil : Rata-rata sikap kooperatif anak usia dini sebelum dilakukan komunikasi teraupetikadalah 4,03. Rata-rata sikap kooperatif Anak Usia setelah dilakukan komunikasi teraupetikadalah 7,08. Hasil uji statistic didapatkan nilai ρ = 0,000 < α (0,05), maka ada pengaruh penerapan komunikasi teraupetikterhadap sikap kooperatif anak usia dini.Simpulan : Didapatkan Pengaruh pengaruh penerapan komunikasi teraupetikterhadap sikap kooperatif anak usia dini (p-value 0,0001 < α 0,05). Diharapkan penyelenggara pendidikan anak usia dini hendaknya secara terus menerus menerapkan mengundang dan kerjasama kepada perawat atau tenaga kesehatan untuk menerapkan komunikasi teraupetiksehingga sikap anak selalu kooperatif kepada tenaga kesehatan dan orang yang baru dikenal.


2019 ◽  
Vol 8 (1) ◽  
pp. 49-53
Author(s):  
Angga Arfina ◽  
Yureya Nita ◽  
Khairiyati Khairiyati

Lanjut usia (lansia) merupakan tahap akhir perkembangan pada daur kehidupan manusia yang telah mencapai usia lebih dari 60 tahun. Pada lansia terjadi proses degeneratif yang akan berdampak terjadinya perubahan-perubahan diri manusia. Perubahan yang terjadi pada lansia mengakibatkan berbagai masalah yang kompleks baik secara fisik maupun psikologis. Kecemasan merupakan salah satu respon yang paling dini dan sering muncul pada lanjut usia. Selain dengan farmakologis, kecemasan juga dapat ditangani secara non farmakologis salah satunya dengan membaca Al-Qur’an. Penelitian ini bertujuan mengetahui pengaruh membaca Al-Qur’an terhadap kecemasan pada lansia di Panti Sosial Tresna Werdha (PSTW) Khusnul Khotimah Pekanbaru. Desain penelitian adalah quasy eksperiment dengan metode penelitian one group pretest & posttest. Sampel penelitian adalah lansia berjumlah 42 orang menggunakan metode probability sampling dengan teknik simple random sampling. Pengumpulan data dilakukan dengan lembar observasi untuk membaca Al-Qur’an dan penilaian kecemasan dengan Hamilton Anxiety Rating  Scale. Data dianalisis secara statistik deskriptif dan Paired Sample T Test. Hasil penelitian menunjukkan bahwa ada pengaruh membaca Al-Qur’an dengan kecemasan pada lanjut usia dengan p value 0.002 < 0.05. Penelitian ini diharapkan dapat meningkatkan asuhan keperawatan gerontik sehingga membaca Al-Qur’an dapat dijadikan salah satu intervensi dalam meningkatkan spiritualitas serta menurunkan kecemasan pada lansia.


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