AbstrakPerawat memiliki peranan yang penting mengatasi konstipasi pada pasien stroke selama perawatan di rumah sakit. Penelitian ini bertujuan untuk mengetahui perbedaan masase abdomen dengan masase abdomen dan minum air putih hangat pada pasien stroke yang mengalami konstipasi terhadap proses defekasi di Kota Medan. Penelitian kuasi eksperimen dengan dua kelompok intervensi dan satu kelompok kontrol menggunakan pendekatan purposive sampling dengan total empat puluh tujuh responden, masing-masing empat belas responden kelompok masase abdomen, enam belas responden kelompok masase abdomen dan minum air putih hangat, dan tujuh belas responden intervensi standar diobservasi setiap hari selama tujuh hari. Proses defekasi terhadap ketiga kelompok dilihat dari waktu terjadinya defekasi antara kelompok intervensi I dan II dengan nilai p= 0,015, dan dari frekuensi defekasi antara kelompok intervensi II dan kelompok kontrol dengan nilai p= 0,000. Hasil penelitian ini diharapkan dapat menjadi evidence based practice dalam asuhan keperawatan medikal bedah dalam memberikan intervensi keperawatan terhadap pasien stroke yang mengalami konstipasi sehingga perawatan terapi komplementer di bidang keperawatan dapat dikenal dan memberikan manfaat sebagai pencegahan dan pengobatan alami.
Introduction. Stroke cause blood stream impairment in part of brain stem and reducepatients’ life quality. The patients cannot activate as usual and will have defecation disorder, wecall it constipation. The purpose of this study was to analyze the effect of ROM exercise and abdomen warm compress to overcome constipation in patient with non-hemorrhage stroke. Method. Quasi experiment design without control group was used in this study. All stroke non hemorrhage patients in Putri Hijau hospital Medanwere the respondents in this study. Data analysis used t-test (α=0,05). Result. The result showed that most defecation frequency of patients who got ROMwas twice in a week (50%), and patients who got warm compress most had 3 times defecations (50%). Time defecation of patients who got ROM most two times (56,3%), and for patientswho got warm compress was also two times (81,3%). There was difference of feces consistency (p=0,004; α=0,05); defecation frequency (p=0,000; α=0,05), and time defecation (p=0,007;α=0,05) to respondents who got ROM and warm compress. Discussion. This study result could be used asevident based practice in delivering nursing care to patients who had constipation so thatcomplementary therapy could be applied as prevention and cure.Key Words: Stroke, ROM, warm compress, constipation
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