The provision of ROM exercises with jagged rubber balls can increase the strength of the hand muscles of stroke patients. This study aimed to determine the effect of ROM exercises with serrated rubber balls on increasing the strength of the upper extremity muscles in stroke patients. Design of pre-test and post-test with one group. Selection of a nonprobability sample with a purposive sampling type, the sample is 11 people in the Tabanan General Hospital in the inpatient ward in the stroke corner and outpatient ward. The average hand muscle strength in ROM exercises with a jagged rubber ball was distinguished by the male and female sex, namely before 12.5 and 12.7 after treatment, the average hand muscle strength was 15.2 and 15.6. Based on the mean value, patients with stroke experienced an increase in the normal category as measured using a hand dynamometer before and after giving therapy exercises by holding a jagged rubber ball. The test results of the analysis of the paired sample test above obtained a sig value of 0.000. In conclusion, there is a significant effect of ROM training by holding a serrated rubber ball on increasing upper limb muscle strength in stroke patients at Tabanan Hospital in 2022. It is hoped that it can be used as a nursing intervention to improve function in stroke and revive brain control over muscles. Keywords: strokes; muscle strength; serrated rubber ballLatihan Range of Motion Dengan Bola Karet Bergerigi Dapat Meningkatkan Kekuatan Otot Ekstremitas Atas Pada Pasien StrokeABSTRAK Pemberian latihan ROM dengan bola karet bergerigi dapat meningkatkan kekuatan otot tangan pasien stroke.Tujuan penelitian untuk mengetahui pengaruh latihan ROM dengan bola karet bergerigi terhadap peningkatan kekuatan otot ekremitas atas pada pasien stroke.Desain pre-test post-test with one group. Pemilihan sampel nonprobability dengan jenis purposive sampling, sampel adalah 11 orang di RSUD Tabanan pada ruang rawat inap di ruang stroke corner dan rawat jalan. Rata-rata kekuatan otot tangan dalam latihan ROM dengan bola karet bergerigi dibedakan dengan jenis kelamin laki laki dan perempuan yaitu untuk sebelum 12,5 dan 12,7 sesudah perlakuan rata-rata kekuatan otot tangan yaitu 15,2 dan 15,6. Berdasarkan nilai rata rata, pasien dengan stroke mengalami peningkatan kategori normal diukur menggunakan alat ukur hand dynamometer sebelum dan sesudah pemberian latihan terapi menggemgam bola karet bergerigi. Hasil uji analisis uji paired sampel test diatas, didapatkan nilai sig yaitu 0,000. Simpulan terdapat pengaruh yang signifikan dari latihan ROM dengan menggenggam bola karet bergerigi terhadap peningkatan kekuatan otot ekremitas atas pada pasien Stroke di RSUD Tabanan tahun 2022.Diharapkan dapat dijadikan salah satu intervensi keperawatan untuk meningkatkan fungsional pada stroke dan membangkitkan kembali kendali otak terhadap otot. Keywords: stroke; kekuatan otot; bola karet bergerigi
Hipertensi sering disebut juga "silent killer". Hipertensi adalah suatu keadaan ketika tekanan di pembuluh darah terus-menerus mengalami peningkatan secara kronis dimana tekanan darah sistolik ≥140 mmHg dan tekanan darah diastolik ≥90 mmHg. Penyakit hipertensi dapat dikendalikan dengan pengobatan non farmalokogis salah satunya air kelapa muda, karena kandungan kalium yang terdapat dalam air kelapa muda sangat bermanfaat untuk menurunkan tekanan darah sistolik dan diastolik. Penelitian ini bertujuan untuk mengetahui adanya pengaruh pemberian air kelapa muda terhadap tekanan darah pada pasien hipertensi di UPTD Puskesmas 1 Denpasar Selatan Tahun 2021. Jenis penelitian yang digunakan adalah pre-eksperimental dengan rancangan one group pretestpost test design menggunakan non probability sampling dengan purposive sampling. Sample dikumpulkan dengan dengan menggunakan teknik sampling purposive sampling. Jumlah sampel sebanyak 11 orang. Penelitian dilakukan pada bulan April 2021. Hasil penelitian menunjukkan rata-rata tekanan darah systole dan diastole sebelum perlakuan 149,45/95,73 mmHg dan setelah perlakuan 140,73/89,45 mmHg. Uji hipotesis menggunakan uji paired t-test dengan nilai p=0,000 < 0,05. Kesimpulan penelitian ini terdapat pengaruh pemberian air kelapa muda terhadap tekanan darah pada pasien hipertensi di UPTD Puskesmas 1 Denpasar Selatan. Kepada penderita hipertensi agar dapat memanfaatkan air kelapa muda sebagai terapi non farmakologis yang murah dan efisien untuk menurunkan tekanan darah.Kata kunci :Air kelapa muda, Tekanan darah, Hipertensi
Background: Chronic kidney disease is a progressive and irreversible renal function disorder in which the body's ability to fail to maintain the metabolism and balance of fluids and electrolytes causes uremia. One medicine for the treatment of chronic kidney failure is hemodialysis therapy. Ironically, many patients undergoing hemodialysis experience anxiety. This study aims to determine the efforts to overcome the anxiety of chronic kidney failure in patients undergoing hemodialysis in the Hemodialysis Room of Sanglah Hospital, Denpasar. Method: The research design used was a descriptive analysis approach survey. The study sample used was kidney failure patients who experienced chronic hemodialysis anxiety and light using consecutive sampling technique. Data obtained in April 2012 by filling out a questionnaire about efforts to overcome data analysis anxiety in univariate. Results: Of the 40 respondents who underwent hemodialysis, there were 28 people (70%) experiencing moderate anxiety and 12 people (30%) experiencing mild anxiety. And to overcome anxiety is 27 people (67.50%) doing cognitive therapy and 13 people (32.50) doing relaxation techniques. Conclusions: Some efforts made such as cognitive therapy and relaxation techniques can reduce anxiety in patients with chronic renal failure undergoing hemodialysis.Keywords : Chronic Kidney Failur; Hemodialysis; Fear
Background: Diabetes Mellitus is a disease with high levels of glucose (simple sugar) in the high blood because the body can not release or use insulin adequately. One complication that is feared by people with Diabetes is Diabetic Foot or Diabetic Gangrene. This research aims to determine the behavior of patients with diabetes mellitus in the prevention of diabetic foot in room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital. Methods: Types of research used in this research is descriptive survey approach. Sample of the study are 40 patients with diabetes mellitus hospitalized in the room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital using consecutive sampling technique. Data is collected in the period March to May 2012 by filling out a questionnaire about behavioral prevention of diabetic foot. Results: The results of data analysis showed that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot based on education level, age, gender and occupation. From the 40 respondents there were: 55% of the level of knowledge good, 80% good attitude, 70% good actions and 67,5% good actions in the category of good behavior. Conclusion: It can be concluded that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot is in a good category with the factors assessed including knowledge, attitudes, and actions. Keywords : Diabetes mellitus; diabetic foot; behavioral
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