PENGARUH RANGE OF MOTION AKTIF-ASSISITIF: LATIHAN FUNGSIONAL TANGAN TERHADAP PENINGKATAN KEKUATAN OTOT PASIEN STROKE NON HEMORAGIC DI RSUP HAJI ADAM MALIK MEDAN

2020 ◽  
Vol 5 (1) ◽  
pp. 80-89
Author(s):  
Imelda Derang
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Hemorrhagic Stroke ◽  
Fair Value ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Control Group Design ◽  
Significant Difference ◽  
Quasi Experimental

Introduction. Stroke is a central nervous system disorder that most often causes paralysis of the limbs, due to attacks on neuromuscular nerves that cause muscle weakness, so it takes practice that is ROM Active-Assistive hand-functional exercises. This study aims to determine the effect of Range Of Motion Active-Assistive Functional Exercise Hand on Increasing Muscle Strength In Non Hemorrhagic Stroke Patients at Haji Adam Malik General Hospital Medan.Method. research design was Quasi experimental with Pretest-posttest control group design approach. The number of samples was 30 respondents according to the inclusion criteria.Result. Wilcoxon statistical test results obtained the highest results on the pretest with the category of Fair (value 3) and postest with Good category (value 4) obtained p value = 0.001 where the value of p value α (≤0.05) so it can be concluded there is an effect Range Of Motion Active -Assistive Functional Hand Exercise on Increasing Muscle Strength in Non Hemorrhagic Stroke Patients and for the control group the results obtained p = 0.175, which means no increase in muscle strength before and after the study. Mann Whitney Test with p value of 0.001 where p value α (≤0,05)Duscussion. can be concluded that there is a significant difference between treatment group and control group. Subsequent studies are suggested to perform the same type of research on the range of motion of non hemorrhagic stroke patients.

scholarly journals Pengaruh hidroterapi rendam kaki air hangat terhadap kekuatan otot pada pasien stroke non hemoragik

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Setiyawan Setiyawan ◽  
Lina Pratiwi ◽  
Noerma Shovie Rizqiea
Keyword(s):  
Muscular Strength ◽  
Hemorrhagic Stroke ◽  
Blood Clot ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Control Group Design ◽  
Quasi Experimental ◽  
The Brain

Non-hemorrhagic stroke is a disease which is related to a functional disorder of the brain due to the blood vessel blockage by a blood clot, or by the narrowing of an artery or some arteries that lead to the brain which causes weakness of muscular strength. One of the non-pharmacological therapies, which are beneficial to non-hemorrhagic stroke patients, is hydrotherapy. Hydrotherapy is a therapy which utilizes water to cure or relieve various complaints. One of which is the complaint of how to strengthen muscular strength. The objective of this research is to investigate the effect of warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients. This research used the quasi-experimental research method ith pre-test and post-test nonequivalent control group design. Non-probability sampling with purposive sampling was used to determine its samples. The samples consisted of 40 respondents, into two groups: intervention and control group. The data of the research were analyzed by using the Wilcoxon’s Test and Mann Whitney’s Test. The result of the research shows that the footbath hydrotherapy had an effect on the muscular strength of the non-hemorrhagic stroke patients as indicated by the p-value = 0.000, and there was a difference between the control group and the intervention group where the p-value was 0. 008. The footbath hydrotherapy affected the muscular strength of non-hemorrhagic stroke patients. Thus, nurses as health practitioners are expected to administer warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients.

scholarly journals Effects of Passive Range Of Motion (ROM) Exercise On Increases Muscle Strength in Non-Hemorrhagic Stroke Patients in the Inpatient Room at RSUD Kota Tangerang

2020 ◽  
Vol 3 (2) ◽  
pp. 41
Author(s):  
Endah Sri Rahayu ◽  
Nuraini Nuraini
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Hemorrhagic Stroke ◽  
Wilcoxon Test ◽  
World Health ◽  
P Value ◽  
Stroke Patients ◽  
Before And After ◽  
Quasi Experimental ◽  
Health Organization

Stroke is one of the serious health problems in modern life today. According to the World Health Organization (WHO) explained that stroke is the leading cause of death globally. An estimated 17.7 million people die of strokes in 2015 representing 31% of all global deaths. This study aims to determine the effect of Passive Range of Motion (ROM) Exercise on Increasing Muscle Strength in Non-Hemorrhagic Stroke Patients in the Inpatient Room at Rsud Kota Tangerang. Quasi-experimental research design with a sample of 14 people. Univariate and bivariate data analysis using the Wilcoxon test. Samples are measured using Observation Sheets before and after Range Of Motion (ROM) Exercises. This Range Of Motion exercise is carried out for 1 week in 7 days, done 2 times in the morning and afternoon for 15 minutes. Based on the Paired Test, it was found that there was an effect of Passive Range Of Motion (ROM) Exercise on increasing muscle strength in non-hemorrhagic stroke patients with p-value = 0,01 <α 0,05. This proves that passive ROM has an effect on increasing the muscle strength of the respondent. Hospitals should set standard operating procedures for special handling using Passive ROM so that the results obtained can be maximal and uniform for all the problems of the word muscle strength.Keywords: Non-hemorrhagic; stroke; Passive ROM; Muscle Strength

scholarly journals THE COMPARISON OF THE EFFECT OF HONEY AND CHLORHEXIDINE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN PATIENTS ON MECHANICAL VENTILATON

2018 ◽  
Vol 4 (2) ◽  
pp. 161-167
Author(s):  
Syaukia Adini ◽  
Bedjo Santoso ◽  
Sarkum Sarkum ◽  
Sudirman Sudirman
Keyword(s):  
Oral Hygiene ◽  
Control Group ◽  
P Value ◽  
Ventilator Associated Pneumonia ◽  
Control Group Design ◽  
Group Design ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Mean ◽  
Honey Solution

Background: Ventilator Associated Pneumonia (VAP) is one of the causes of infection in the hospital and the main cause of death due to nosocomial infection. The strategy to prevent VAP is by oral hygiene. Honey may be a good solution for oral hygiene.Objective: This study aims to compare the effect of the use of 20% honey solution and 0.2% chlorhexidine as oral hygiene on VAP prevention in patients on mechanical ventilation.Methods: This was a quasi-experimental study with posttest only control group design in an incentive care unit of a general hospital in Indonesia. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in a 20% honey group and 0.2% chlorhexidine group. Clinical Pulmonary Infection Score (CPIS) was used to measure Ventilator Associated Pneumonia. Data were analyzed using Independent t-test.Results: The mean of CPIS in the honey group was 3.33 and the chlorhexidine group was 3.53. Independent t-test showed p-value 0.618 (>0.05), which indicated that there was no significant difference of the effect of honey and chlorhexidine on VAP event.Conclusions: The 20% honey solution has the same effect with 0.2% chlorhexidine in preventing VAP events in patients on mechanical ventilation.

scholarly journals PIJAT KOMBINASI ENDORFIN OKSITOSIN MEMPENGARUHI PRODUKSI ASI PADA IBU POST OPERASI SECTIO CAESAREA

2020 ◽  
Vol 5 (1) ◽  
pp. 51
Author(s):  
Nursari Abdul Syukur ◽  
Endah Wahyutri ◽  
Erma Putri
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Sectio Caesarea ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Breast Milk Production ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Difference

Background: Breast milk spending is a very complex interaction between mechanics, nerves, and hormons. The decrease and production of breast milk production in the first days after delivery can be caused by a lack of stimulation of prolactin and oxytocin hormons. Caesarea section does not allow the mother to breastfeed her infant more flexibly, with adaptation to the pain, so she should be able to support the health worker thoroughly about the lactation process. Purpose: to know the difference of endorphin, oxytocin and combination effect on breast milk production in Postoperative section of caesarea section. Research design: quasi experimental design type post test only non equivalent control group design. The population in this study were all postoperative mothers caesarea section, 10 samples for each treatment. Group 1 : endorphin massage, group 2 (control) : the oxytocin massage, and group 3 : the combine massage. Results: Combination massage is the best method to produce the highest amount of ASI because the largest Sig p value is (1,000) where the level is significant <0.05. So H0 this study was rejected means that there is a significant difference between the production of breast milk from the combination massage compared with the two massage done separately. Conclusion: It is expected during childbirth the midwife can develop and implement independent non-pharmacological midwife actions to help increase milk production

scholarly journals KOMBINASI POSISI KEPALA 30° DAN PASIVE RANGE OF MOTION TERHADAP SKOR NIHSS PADA PASIEN STROKE

2021 ◽  
Vol 12 (1) ◽  
pp. 30-37
Author(s):  
Arif Hendra Kusuma ◽  
Atika Dhiah Anggraeni
Keyword(s):  
Range Of Motion ◽  
T Test ◽  
National Institutes Of Health ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Group Design ◽  
Quasi Experimental

Stroke merupakan sindrom neurologis dengan karakteristik defisit neurologis tanpa adanya konflusi akibat kelainan peredaran darah cerebral yang berlangsung selama 24 jam atau lebih. Status neurologis penderita stroke dapat diukur dengan National Institutes of Health Stroke Scale (NIHSS). Pemeriksaan ini untuk menilai kemajuan hasil perawatan pasien stroke yang terdiri dari 11 komponen. Pemberian posisi kepala 30° disertai dengan passive range of motion (PROM) merupakan kombinasi tindakan yang berfungsi memaksimalkan oksigenasi jaringan serebral dan kemampuan motorik, sehingga penyembuhan pada pasien stroke akan menjadi lebih cepat. Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi posisi kepala 30° dan PROM terhadap penurunan skor NIHSS pada pasien stroke. Desain penelitian menggunakan Quasi Experimental dengan pendekatan pretest posttest control group design. Jumlah sampel sebanyak 14 responden yang dibagi menjadi 2 kelompok. Hasil penelitian menggunakan uji dependen t-test menunjukkan ada pengaruh kombinasi posisi kepala 30° dan PROM terhadap skor NIHSS pada pasien stroke dengan  P value = 0,002 (α<0,05). Saran penelitan ini perawat dapat menerapkan kombinasi posisi kepala 30° dan PROM sebagai intervensi mandiri keperawatan pada pasien stroke untuk dalam upaya memberikan penyembuhan yang lebih cepat dan menjadikan salah satu SOP dalam perawatan pasien stroke dirumah sakit.

scholarly journals Penyuluhan dan Pengetahuan Tentang Pernikahan Usia Muda

2013 ◽  
Vol 8 (2) ◽  
pp. 56
Author(s):  
Rufaida Nurjanah ◽  
Dwiana Estiwidani ◽  
Yuliasti Eka Purnamaningrum
Keyword(s):  
Young Age ◽  
Average Score ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Group Design ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Subject ◽  
And Control

Pada tahun 2010-2012, di Kabupaten Gunungkidul, terjadi kenaikan dua kali lipat kasus pernikahan di bawah umur. Kasus tertinggi terdapat di Kecamatan Patuk, yaitu sebanyak 18 kasus. Kehamilan di usia muda berkorelasi dengan angka kematian ibu. Peningkatan pengetahuan kesehatan reproduksi dapat dilakukan dengan penyuluhan. Tujuan penelitian ini  untuk mengetahui pengaruh penyuluhan terhadap peningkatan pengetahuan tentang pernikahan usia muda. Jenis penelitian yang digunakan adalah kuasi eksperimen dengan pretest-posttest terhadap kelompok kontrol. Penelitian dilakukan di SMPN 1 Patuk. Subjek penelitian adalah siswa kelas VIII. Jumlah sampel sebanyak 25 responden, baik pada kelompok eksperimen maupun kontrol. Instrumen penelitian adalah kuesioner. Hasil pretest menunjukkan nilai rata-rata kelompok eksperimen adalah 70,40 dan kelompok kontrol adalah 71,20. Hasil posttest menunjukkan nilai rata-rata kelompok eksperimen adalah 90,88 dan kelompok kontrol adalah 78,40. Terdapat perbedaan yang signifikan antara nilai pretest dengan posttest. Peningkatan pengetahuan pada kelompok eksperimen sebesar 20,48, sedangkan kelompok kontrol sebesar 7,20. Hasil uji independen sampel uji t menghasilkan nilai p 0,000 (< 0,05). Penelitian ini menyimpulkan bahwa ada pengaruh penyuluhan terhadap peningkatan pengetahuan tentang pernikahan usia muda pada siswa kelas VIII di SMPN 1 Patuk tahun 2013.In 2010-2012, the amount of underage marriage had doubled in Gunung Kidul. Moreover, the highest case was in Patuk which had 18 cases. However, there was correlation between early pregnancy and maternal mortality. Improving the knowledge of reproductive health can be done by counseling. The research was aimed to find out about the effect of counseling on the improvement of the knowledge of young age marriage. The research was categorized into quasi experimental research which has pre-posttest with control group design. The research was conducted at SMPN 1 Patuk. The subject of the research was VIII grade students. There were 25 respondents both the experiment group and control group as well. The instrument used was questioner. The result of pretest was the average score of experiment group was 70.40 while control group’s average score is 71.20. The result of the posttest was the average score of experiment group was 90.88 while the control group’s average score was 78.40. So, it could be concluded that there were a significant difference between pretest and posttest. The knowledge of experiment group increased by 20.48 whiles the control group’s knowledge increased by 7.20. The result of independent sample t-test was the score of p-value is 0.000 (< 0.05). This research concludes that there is effect of counseling on the improvement of the knowledge about young age marriage of VIII grade students of SMPN 1 Patuk in 2013.

scholarly journals EFEKTIVITAS PEPPERMINT DAN POMELO DALAM MENURUNKAN INTENSITAS MUAL DAN MUNTAH PADA IBU HAMIL

2020 ◽  
Vol 6 (4) ◽  
pp. 435-441
Author(s):  
Nora Veri ◽  
Nila Suci Ramadhani ◽  
Alchalidi Alchalidi
Keyword(s):  
Pregnant Women ◽  
The Body ◽  
Nausea And Vomiting ◽  
Control Group ◽  
P Value ◽  
Average Intensity ◽  
Control Group Design ◽  
Group Design ◽  
Significant Difference ◽  
Quasi Experimental

ABSTRACT Background: Emesis gravidarum can get worse into hyperemesis gravidarum which causes the body to become weaker, paler, and the frequency of urination decreases. As a result, decreased body fluids and hemoconcentration of blood can cause tissue damage. Non pharmacological treatment is very important because it reduces the pharmacological effects that appear in pregnant women. The herbal therapy that has been proven to be beneficial is the administration of peppermint, but research on the effects of Pamelo fruit related to nausea and vomiting in pregnant women is still rare.Objective: To determine the comparison of the effectiveness of peppermint and Pomelo orange on the intensity of nausea and vomiting in pregnant womenMethods: The research design was a quasi experimental study with a pretest posttest control group design approach. The number of samples was 24 pregnant women who were grouped into 3 groups.Results: The average intensity of nausea and vomiting in the peppermint group at pretest was 2.38 and decreased at posttest to 1 with P-value 0.004. The intensity of nausea and vomiting in the Pomelo group at pretest was 6.38, falling to 1.75 at posttest with P-value 0.000. The result of further test showed that there was no significant difference in the intensity of nausea and vomiting between the two groups with Sig. 0.428.Conclusion: Peppermint and pomelo are effective in reducing the intensity of nausea and vomiting in trimester I pregnant women.Suggestion : This research needs to be refined by enlarging the research sample and measuring the intensity of nausea and vomiting can be done every day during the study considering that this study only measured twice the number of 24 respondents. Keywords : Nausea, Vomiting, Pregnancy, Peppermint, Pomelo ABSTRAK Latar Belakang : Emesis gravidarum dapat bertambah berat menjadi hiperemesis gravidarum yang mengakibatkan tubuh semakin lemah, pucat, dan frekuensi buang air kecil menurun. Akibatnya cairan tubuh berkurang dan hemokonsentrasi darah yang dapat menimbulkan kerusakan jaringan. Pengobatan non farmakolgis sangat penting karena mengurangi efek farmakologis yang muncul pada ibu hamil. Terapi herbal yang sudah terbukti bermanfaat adalah pemberian peppermint, namun penelitian efek buah Pamelo yang berkaitan dengan mual muntah pada ibu hamil masih jarang.Tujuan Penelitian : Untuk mengetahui  perbandingan efektifitas pemberian peppermint dan Jeruk Pomelo terhadap intensitas  mual dan  muntah pada ibu hamilMetode Penelitian : Rancangan penelitian ini adalah quasi experimental dengan pendekatan pretest posttest control group design. Jumlah sampel  adalah sebanyak 24 orang ibu hamil yang dikelompokkan kedalam 3 kelompok.Hasil Penelitian : Rata-rata intensitas mual muntah pada kelompok peppermint saat pretest adalah 2,38 dan menurun pada saat posttest menjadi 1 dengan P-value 0,004. Intensitas mual muntah kelompok Pomelo pada pretest adalah 6.38 turun menjadi 1,75 pada saat posttest dengan P-value 0,000. Hasil uji lanjut didapatkan tidak ada perbedaan bermakna intensitas mual muntah antara kedua kelompok dengan Sig. 0,428.Kesimpulan : Pemberian Peppermint dan pomelo efektif dalam menurunkan intensitas mual dan muntah pada ibu hamil trimester I.Saran : Penelitian ini perlu disempurnakan dengan memperbesar sampel penelitian dan pengukuran intensitas mual muntah dapat dilakukan setiap hari selama penelitian mengingat penelitian ini hanya mengukur sebanyak dua kali pada 24 responden. Kata kunci : Mual, Muntah, Kehamilan, Peppermint, Pomelo 

scholarly journals PENERAPAN METODE EKSPERIMEN UNTUK MENINGKATKAN KREATIVITAS PADA ANAK USIA DINI

2019 ◽  
Vol 2 (3) ◽  
pp. 65
Author(s):  
Elsa Nurfuady ◽  
Heris Hendriana ◽  
Ghina Wulansuci
Keyword(s):  
Experimental Method ◽  
Design Research ◽  
Control Group ◽  
P Value ◽  
Creative Potential ◽  
Control Group Design ◽  
Significant Difference ◽  
Post Test ◽  
Quasi Experimental ◽  
Experimental Group

Basically humans have had creative potential since he was created. With the potential of its natural creativity, it is expected that early on, children will need activities related to creative ideas through coaching so that children can develop their creative potential optimally. For that we need a learning method that can improve children's creativity, one of which is the experimental method. Through the experimental method children can be trained in developing creativity. The purpose of this study is to examine the achievement of children's creativity in using experimental methods. This study used a quasi-experimental method with Nonequevalent Control Group Design research design using two classes consisting of B1 experimental group and B2 control class at Al-Masruroh Kindergarten. Based on data processing and research results obtained the results of the pre-test showed that there were no significant differences between the experimental group and the control group (TK Al-Masruroh) with p-value> 0.05 which was 0.145> 0.05, while the post test results showed creativity after the application of the experimental method there is a significant difference with the value of pvalue <0.05 which is the result of 0.000 <0.05. Based on the results of this study, the researcher recommends to child educators that the experimental method can be used as one of the learning methods to improve children's creativity.

scholarly journals PENGARUH TERAPI PSIKOEDUKASI TERHADAP BEBAN CAREGIVER DALAM MERAWAT PENDERITA STROKE

2018 ◽  
Vol 3 (2) ◽  
pp. 278
Author(s):  
Mira Agusthia
Keyword(s):  
Intervention Group ◽  
Sampling Technique ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Control Group Design ◽  
Zarit Burden Interview ◽  
Quasi Experimental ◽  
The Right ◽  
Loss Control

<p><em>Stroke patients in Indonesia are increasing every year and have a high degree of dependence on caregiver. The more severe the load perceived by the caregiver the more severe the emotional level felt by the caregiver, therefore caregiver requires upbringing in reducing the burden he feels that is by providing psychoeducation therapy. Psychoeducation is one of the therapies that provide information and education to the caregiver, thus psychoeducation is the right therapy in lowering caregiver load. The purpose of this study was to determine the effect of psychoeducation therapy on caregiver load in treating stroke patients. This research was conducted at National Stroke Hospital of Bukittinggi from July 31st to September 1st 2017. The research type was quasi-experimental with pretest and posttest with control group design using Zarit Burden Interview questionnaire. The sample of 34 Caregiver using Purpossive Sampling technique. The results showed that there was a decrease of Caregiver load in the intervention group as much as (12,71), deviation standard (4,566) with p value 0,000 and the weight loss control group (0,41) standard deviation (0,795), with p value 0,050. Conclusion of the study of the influence of psychoeducation therapy on caregiver load in treating stroke patients.</em></p><p><em><br /></em></p><p><em><br /></em>Penderita stroke di Indonesia semakin meningkat setiap tahunnya dan memilikitingkatketergantungan yang tinggiterhadapcaregiver. Semakin berat beban yang dirasakan oleh caregiver semakin berat pula tingkat emosional yang dirasakan oleh caregiver, oleh karena itu caregiver membutuhkan asuhan dalam menurunkan beban yang dirasakannya yaitu dengan memberikan terapi psikoedukasi. Psikoedukasi merupakan salah satu terapi yang memberikan informasi dan edukasi kepada caregiver, dengan demikian psikoedukasi adalah terapi yang tepat dalam menurunkan beban caregiver. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi psikoedukasi terhadap beban caregiver dalam merawat penderita stroke.Penelitian ini dilakukan Di Rumah Sakit Stroke Nasional Bukittinggi mulai dari tanggal 31Juli s/d 1 September 2017. Jenis penelitian adalah quasi-eksperimental dengan rancangan pretest and posttest with control group menggunakan kuisioner Zarit Burden Interview. Sampel berjumlah 34 Caregiver menggunakan teknik Purpossive Sampling. Hasil penelitian menunjukkan bahwa adanya penurunan beban Caregiver pada kelompok intervensi sebanyak (12,71), standar deviasi (4,566) dengan p value 0,000 dan kelompok kontrol penurunan beban sebanyak ( (0,41) standar deviasi (0,795), dengan p value 0,050. Simpulan penelitian adanya pengaruh terapi psikoedukasi terhadap beban caregiver dalam merawat penderita stroke.</p>

scholarly journals Effectiveness of Range of Motion (ROM) Fingers and Spherical grip to Extremity Strength in Non Hemorrhagic Stroke Patients

2020 ◽  
Vol 9 (2) ◽  
pp. 1650-1656
Author(s):  
Shindi Hapsari ◽  
Sonhaji Sonhaji ◽  
Nindya Nurulia
Keyword(s):  
Range Of Motion ◽  
Hemorrhagic Stroke ◽  
Intervention Group ◽  
Sampling Technique ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Average Difference ◽  
Time Data ◽  
Stroke Patients

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

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