Hemiparese pada klien stroke dapat menyebabkan klien mengalami berbagai kecacatan. Latihan Range of Motion (ROM) merupakan salah satu bentuk latihan yang dinilai efektif untuk mencegah terjadinya kecacatan. Latihan ROM bisa dilakukan dengan pendekatan bilateral yang dapat memberikan efek yang lebih baik dibandingkan dengan unilateral training. Penelitian bertujuan mengidentifikasi perbandingan latihan ROM unilateral dan bilateral terhadap kekuatan otot pasien hemiparese akibat stroke iskemik. Penelitian menggunakan desain Quasi Experiment pre dan post test design. Jumlah sampel 30 responden yang terdiri dari kelompok intervensi I dan intervensi II. Evaluasi penelitian dilakukan pada hari pertama dan ketujuh. Teknik pengambilan sampel consecutive sampling. Hasil penelitian menunjukkan kekuatan otot meningkat pada kedua kelompok intervensi dan terdapat perbedaan yang signifikan antara kedua kelompok intervensi (p= 0,018, α= 0,05 ). Penelitian lebih lanjut tentang pengaruh penggunaan latihan ini secara terprogram dalam menangani pasien stroke dengan hemiparese perlu dilakukan.
Stroke ulang merupakan bahaya yang mengancam penderita stroke yang dapat berakibat fatal dan mengakibatkan kualitas hidup yang lebih buruk dari serangan pertama. Salah satu hal yang menyebabkan terjadinya stroke ulang adalah karena pasien tidak mengendalikan factor resiko yang ada (Misbach & Kalim, 2006).Faktor resiko yang diketahui bisa dijadikan dasar untuk mencegah terjadinya stroke berulang (Nurhadi, 2005). Pasien yang pernah mengalami stroke 30% kemungkinan akan mengalami stroke berulang apabila tidak bisa mengendalikan factor resiko stroke. Penelitian ini bertujuan untuk mendapatkan gambaran tentang factor-faktor yang berkontribusi terhadap kejadian stroke ulang pada pasien stroke di RSUD Dr. Soekardjo Kota Tasikmalaya. Desain penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional, dimana pengukuran variabel-variabelnya dilakukan hanya satu kali. Hasil penelitian menunjukkan terdapat hubungan antara jenis kelamin, kadar kolesterol darah, kadar gula darah dan kebiasaan minum kopi dengan kejadian stroke ulang. Saran diberikan kepada perawat dan responden agar selalu memperhatikan factor-faktor yang bisa menyebabkan terjadinya stroke ulang.
BACKGROUND: Dysphagia is one of the problems that stroke patients often experience. Stroke patients who experience dysphagia often do not get attention because of the lack of early screening, which will cause delays in treatment. To overcome this, nurses have an essential role from the initial screening phase to independent nursing interventions. In screening for dysphagia, nurses can use various methods: Gugging Swallowing Screen (GUSS). AIM: The purpose of the study was to identify and explain association between respondent characteristics and the GUSS method of swallowing ability scores in stroke patients. METHODS: This research was a descriptive study, with a total sample of 20 people. The sampling technique used was consecutive sampling. RESULTS: The results showed that based on the results of the screening test for swallowing ability using the GUSS method, it was found that most of the respondents (75%) belonged to the category of severe dysphagia. Dysphagia was associated with age (p < 0.001), gender (p = 0.000), type of stroke (p < 0.001), comorbidities (p < 0.001), and the frequency of stroke attacks (p < 0.001). CONCLUSION: This study concludes that there is association between respondent characteristics: Age, gender, type of stroke, comorbidities, and frequency of attacks with the score of swallowing ability of stroke patients.
disorder in hemodialysis patients, which will cause a decrease in quality of life. Aromatherapy combined with progressive muscle relaxation are expected to increase the effects of relaxation on the patient so that the patient's sleep quality can improve optimally.Objective: The study aimed to investigate the effect of the progressive muscle relaxation combined with lavender aromatherapy on insomnia among patients undergoing hemodialysis. Material and Methods: The design of this study included a quasi-experiment with a pretest-posttest control group approach. The sample selection was performed using a consecutive sampling technique and involved 50 respondents, divided into two equal control and study group. Patients in study group recommended to do progressive muscle relaxation at least four times per week for three weeks and were told to drop two – three drops lavender aromatherapy on a pillow 30 minutes before bedtime at least 4 nights per week for three weeks. The control group recommended to do muscle relaxation and daily routine care at least four times per week for three weeks. Results: The results showed that both study and control groups were equal in terms of demographics, and scores of insomnia at the baseline. There no significant difference between the mean insomnia scores of two group before intervention, while the difference was statistically significant after the intervention. The mean insomnia scores were lower in study group than in the control group.Conclusion: Progressive muscle relaxation and lavender aromatherapy were effective in decreasing insomnia scores among patients undergoing hemodialysis.
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