Non-hemorrhagic Stroke Patients Research Articles

Penerapan Range Of Mation (ROM) terhadap Peningkatan Kekuatan Otot dengan Kasus Stroke Non Hemoragik pada Ny. A Di UPT PSTW Jember

Background: Stroke remains a major health issue both in Indonesia and globally. Non-hemorrhagic stroke is a leading cause of physical disability, resulting in decreased muscle strength and motor function. Physical rehabilitation, including Range of Motion (ROM) exercises, plays a crucial role in the recovery of stroke patients by restoring muscle function and improving muscle strength. Objective: This study aims to evaluate the effectiveness of ROM exercises in improving muscle strength in non-hemorrhagic stroke patients with physical mobility impairment. Methods: A descriptive study with a case study approach was conducted on one non-hemorrhagic stroke patient who was given passive ROM exercises for 7 days, with a frequency of twice a day (morning and evening). The instruments used included Standard Operating Procedures (SOP) and a Manual Muscle Testing (MMT) observation sheet to assess muscle strength before and after the passive ROM intervention. Results: The study showed a significant increase in muscle strength after ROM exercises. Muscle strength consistently improved throughout the intervention, indicating that ROM exercises are effective in enhancing muscle strength in non-hemorrhagic stroke patients. Conclusion: Regular ROM exercises can increase muscle strength in non-hemorrhagic stroke patients. Initially, the patient's left extremity muscle strength was at a scale of 3, and after 7 days of ROM exercises, it improved to a scale of 4. This study provides evidence that ROM exercises are effective for stroke patients

Application of Range of Motion Exercises to Increase Muscle Strength in Non-Hemorrhagic Stroke Patients

Stroke is a disruption of blood flow in the brain, patients who suffer from weakness in the limbs can cause a decrease in muscle strength, so they cannot move their body. Solutions to prevent and reduce disability, complications and death after having a stroke. Rehabilitation in stroke patients one of them is by doing Range of Motion exercises. Objective: This study was to analyze the application of ROM exercise to increase muscle strength in ischemic stroke patients. Design: This study used quasi-experimental with Pre-Test and Post-Test approaches with a sample of 15 people using Purposive Sampling techniques. Data analysis using the Wilcoxon Match Pairs test. The data collected consisted of respondents' characteristics in the form of age, gender, history of stroke and muscle strength. The instrument used is an observation sheet and muscle strength measurement, MMT (Manual Muscle Testing). Results: Showed that there was an increase in muscle strength after (post-test) intervening with an average value of 4,13, while muscle strength up to condition 5 (normal) after implementing as many as 7 people (40,67%).

PENGARUH PELAKSANAAN HOME CARE TERHADAP KEMANDIRIAN (ACTIVITY DAILY LIVING) PADA PENDERITA STROKE NON HEMORAGIK DI WILAYAH KERJA PUSKESMAS PARIAMAN

A person who has a stroke cannot do their daily activities which causes them to become less independent and need help from others so that patients must get home care services to train their independence again. The purpose of the study was to determine the effect of implementing home care on independence (activity daily living) in non-hemorrhagic stroke patients in the Pariaman Health Center Work Area in 2024. This type of research is quantitative research with the research method being a pre-experimental method with a one group pretest-posttest design. This research was conducted in the Pariaman Health Center Work Area on March 18 to March 25, 2024. The population in this study was 39 people, while the sample taken was 16 people. The results of the study showed that there was an increase in independence in activity daily living after home care was given to stroke patients. The implementation of home care has an effect on independence (activity daily living) in non-hemorrhagic stroke patients in the Pariaman Health Center Work Area (p=value 0.000 < (α 0.05). In conclusion, the provision of home care by nurses has an effect on independence (activity daily living) in non-hemorrhagic stroke patients in the Pariaman Health Center Work Area in 2024.

The Effectiveness of Mirror Therapy on Muscle Strength Rehabilitation in Non-Haemorrhagic Stroke Patients: Literature Review

Background: Stroke remains one of the significant problems of long-term disability. Most stroke patients have difficulty performing daily activities due to paresis of the upper limbs, resulting in impaired activities of daily living (ADL) and decreased quality of life. The purpose of this literature review is to find out the Application of Mirror Therapy to Muscle Strength Rehabilitation in non-homorrhagic stroke Patients. Methods: The method used is literature review (PRISMA) using journal databases from PubMed, Science Direct, and Google Scholar in the range 2020-2024 with the keywords "Mirror Therapy", "Muscle Strength Rehabilitation," and "Non-Hemorrhagic Stroke" and stroke obtained as many as 1276 articles. Results: The search for articles according to the criteria and obtained 9 articles that are ready to be reviewed. These articles explain the application of mirror therapy to muscle strength rehabilitation in non-hemorrhagic stroke patients. Conclusion: It is hoped that patients with stroke will endeavor to control mirror therapy.

Application of 30 Degree Head Up Position in Non-Hemorrhagic Stroke Patients in Improving Oxygen Saturation in the Stroke Unit Room of the Gunung Jati Hospital Cirebon

Application of 30 Degree Head Up Position in Non-Hemorrhagic Stroke Patients in Improving Oxygen Saturation in the Stroke Unit Room of the Gunung Jati Hospital Cirebon

The Effect of Five-Finger Relaxation Technique on Anxiety and Stress in Non-Hemorrhagic Stroke Patients at the Inpatient Installation of RSUD Cimacan Cianjur District

Aims: The purpose of this study was to examine the effect of five-finger relaxation technique on anxiety and stress in hemorrhagic stroke patients at Cimacan Hospital. Methods: This study used quasi-experiment with nonequivalent control group design. Sample collection using purposive sampling. The sample was 40 people and divided into two groups with 20 people each for the intervention group and control group. Data analysis using Paired Sample T-Test and Independent Sample T-Test. Results: The results showed that after the five-finger relaxation technique was performed on the intervention group, there was a decrease in anxiety levels (p = 0.000) and stress (p = 0.000) in stroke patients, while in the control group there was a decrease in anxiety (p = 0.000) and stress (p = 0.000), and there was a difference between anxiety levels (p = 0.000) and stress (p = 0.000) in the intervention and control groups. Conclusion: There is an effect of five-finger relaxation technique on anxiety and stress in non-hemorrhagic stroke patients, and there are differences in anxiety and stress in the control and intervention groups. It is hoped that this five-finger relaxation technique can be used as an evidence base nursing on non-pharmacological treatment as a form of independent nursing intervention by a nurse in providing nursing care to help in the process of reducing anxiety and stress in stroke patients.

Health Education Concerning Stroke Patients Treatment on Family's Readiness to Go Home for Non-Hemorragic Stroke Patients

Stroke has physical and mental impacts so that stroke clients depend on their families and need long-term care and recovery. Therefore, family readiness is needed in caring for stroke patients. Through health education using leaflets, we try to help patient family members be ready to care for stroke patients while at home. The research aims to determine the effect of health education on the readiness to return home to families of non-hemorrhagic stroke patients in the Inpatient Room at RSU PKU Muhammadiyah Delanggu. The research used a pre-experimental design method type one group pretest-posttest. The sample was taken by purposive sampling and obtained 32 respondents using the Slovin formula. The instrument uses leaflets and questionnaires. The data analysis technique uses a paired t test. It was found that the majority of families of stroke patients were female (65,6%), aged 46-55 years (37.5%), had a high school education (53.1%), did not work or were housewives (53,1% ), and the family caring for the child (62.5%), before being given health education using leaflets related to the care of non-hemorrhagic post-stroke patients, the majority of family members were less prepared (62.5%) and after being given health education, the majority of family members feel ready (87,5%). There is an influence of health education regarding the care of stroke patients on the readiness to return home to the families of non-hemorrhagic stroke patients in the Inpatient Room at RSU PKU Muhammadiyah Delanggu (p value 0.000 < 0,05).

Asuhan Keperawatan Medikal Bedah dengan Intervensi Penerapan Slow Stroke Back Massage Therapy pada Pasien Stroke Non Hemoragik dengan Masalah Perfusi Serebral Tidak Efektif dan Gangguan Mobilittas Fisik di Ruang Flamboyan RSUD dr. T.C Hillers Maumere

Non-hemorrhagic stroke is a clinical sign of dysfunction or damage to brain tissue caused by lack of blood flow to the brain, thereby disrupting the need for blood and oxygen in brain tissue. Slow stroke back massage therapy is a non-pharmacological therapy to overcome problems in patients with stroke. This research aims to be able to carry out nursing care for clients with non-hemorrhagic stroke using slow stroke back massage therapy in the Flamboyan Room at RSUD dr. T.C Hillers Maumere. The research design used was a case study. The approach used is a nursing care approach which includes identifying data from assessment results, nursing diagnoses, planning, implementation and evaluation. Slow stroke back massage therapy is carried out for 3 days. Data collection techniques used a medical-surgical nursing care assessment format, observation and literature study. The results of the case study showed that clients were diagnosed with ineffective cerebral perfusion and impaired physical mobility. The application of slow stroke back massage therapy showed improvements or changes on the third day, which resulted in the client experiencing a decrease in blood pressure from 180/100 mmHg to 160/90mmHg, not complaining of dizziness, and the patient's right hand was starting to be able to move. The conclusion of this case study is that slow stroke back massage therapy is effective in reducing blood pressure and also helps in increasing physical mobility in non-hemorrhagic stroke patients.

Case Report of Cylindrical Grip on Improving Upper Limb Muscle Strength of SNH Patient

Non-hemorrhagic stroke patients who do not get optimal treatment will experience disability or physical weakness such as paralysis and weakened muscle strength, which results in a lack of joint range of motion, limb function, and decreased daily life activities. One of the ROM techniques to help recover the upper extremities to stimulate the hands, can be done with cylindrical grip exercises which are functional hand exercises by grasping a cylindrical object in the palm of the hand which aims to support the recovery of the ability to move and function of the hand. Objective: This case repost aims to determine the effect of giving cylindrical grip to stroke ptients to increase muscle strengt in the upper extremities. Method: The method used is a descriptive case report design based on Evidance Based Nursing (EBN) conducted on two subjects with non-hemorrhagic stroke. Results: After the implementation of ROM exercise nursing: cylindrical grip for 3 days in each patient starting from 18-22 September 2023 which was carried out for 5 minutes and repeated 7 times, changes were obtained in the muscle strength of Mrs.M's right hand which was originally 3 to 4 and Mr.W which was originally left hand muscle strength 2 to 4. Conclusions: ROM Exercise: Cylindrical grip can improve upper extremity muscle strength in non-hemorrhagic stroke patients.

Perbandingan Efektifitas Latihan Rom Aktif Dan Akupresur Terhadap Kekuatan Otot Ekstremitas Atas Pada Pasien Stroke Non Hemoragik Di Ruang Rawat Inap Rsud Dr. Haryoto Lumajang

Stroke is a clinical syndrome that begins suddenly, progressively, in the form of focal or global neurological deficits that lasts 24 hours or more and can cause death. This is caused by nontraumatic cerebral blood flow disorders. The purpose of this study was to compare the effectiveness of active ROM and acupressure exercises on upper limb muscle strength in non-hemorrhagic stroke patients in the inpatient room of RSUD Dr. Haryoto Lumajang.
 The research method used was a pre-experimental design with the type of pre-test and post-test one group design. With a sample of 36 respondents with the Accidental Sampling technique and the test used was the Wilcoxon test.
 From the results before being given the ROM treatment, 11 respondents (61.1%) had poor muscle tone and before being given the acupressure treatment, 15 respondents (83.3%) had poor muscle tone. From the results after being given ROM treatment, 13 respondents (72.2%) had moderately good muscle tone and after being given the acupressure treatment, 14 respondents (77.8%) had poor muscle tone. The results of the Mann-Whitney analysis test obtained α = 0.003, which means that there is a comparison of the effectiveness of active ROM exercises and acupressure on upper limb muscle strength in non-hemorrhagic stroke patients.
 It is expected that patients with stroke will always try to practice ROM independently which has been taught by health workers, for the patient's family to participate and motivate patients to do ROM exercises to accelerate the healing of stroke patients.
 
 Keywords: Active ROM Exercises, Acupressure, Upper Extremity Muscle Strength, Non Hemorrhagic Stroke

Penerapan Rom Exercise Bola Karet Untuk Meningkatkan Kekuatan Otot Genggam Pasien Stroke Di RSUD Dr. Moewardi Surakarta

Background; Stroke is a blood circulation disorder in the brain which results in the death of brain tissue. Stroke patients who experience hemiparesis can result in functional impairment, impaired mobility, impaired daily activities and irreversible disability. Purpose: This study aims to determine the results of implementing rubber ball ROM exercise on muscle strength in non-hemorrhagic stroke patients. Methods: The application was carried out using a descriptive method with a case study design in non-hemorrhagic stroke patients who are at risk of experiencing muscle weakness. The application of the rubber ball rom exercise was carried out for 4 consecutive days by holding the rubber ball for 5 seconds and repeated 7 times. Results: There was an increase in muscle strength of 1 degree in both respondents after the rubber ball ROM exercise. Conclusion: The results of the application to the two respondents between before and after being given the rubber ball ROM exercise showed an increase in muscle strength. So that rubber ball ROM exercise can be used as a non-pharmacological technique to increase muscle strength in stroke patients.

Penerapan Mirror Therapy Terhadap Kekuatan Otot Pasien Stroke Non Hemoragik Di RSUD Dr. Moewardi Surakarta

Background: Stroke is one of the causes of disability in adults today, stroke has an impact on the function of the extremities of the body, especially the upper extremities. The impact of lowering the upper extremities is the disruption of daily activities such as bathing, eating, dressing, working and other types of activities that use the upper extremities. To increase the upper extremity muscles, therapy is carried out using mirrors, especially on the upper extremities. Objective: To determine the effect of Mirror therapy on muscle strength in non-hemorrhagic stroke patients. Method: Implementation was carried out using the case study method to 2 respondents, for 3 consecutive days a day for 15 minutes in the afternoon. Findings: Based on the results of the application that has been carried out, there is a decrease in muscle strength in non-hemorrhagic stroke patients Implication: Mirror therapy is expected to be applied in nursing practice by doing it 2x a day thereby giving maximum results.

Application of Range of Motion in Stroke Patients with Impaired Physical Mobility

Stroke is one of the serious diseases and can cause impaired physical mobility in patients. This impaired physical mobility can negatively impact the patient's daily life, including the ability to walk, stand, or perform other physical activities. The study aims to find out how the application of a range of motion in stroke patients with impaired physical mobility. Descriptive qualitative research design with a case study approach. The results of the application of passive ROM techniques carried out on non-hemorrhagic stroke patients with weaknesses in extremities are effective and ineffective, this is because the first patient and family are very enthusiastic and eager to move independently while the second patient and family lack motivation and surrender to the disease. It can be concluded that the response of the two patients is different due to the psychological factors of the patient and the family's understanding of the range of motion exercise given

MIRROR THERAPY CAN IMPROVE MUSCLE STRENGTH IN NON-HEMORRHAGIC STROKE PATIENTS

Background: Stroke patients experience hemiparesis. Stroke management is done by pharmacological and non-pharmacological means.Pharmacologically, stroke management can be given fibrinolytic, while non-pharmacologically, exercises such as mirror therapy can be done,which is a therapeutic intervention that focuses on the movement of non-problematic limbs using mirrors in the hope of reducing nerve damage, reducing and preventing recurrent strokes. Objective: to determine the effect of mirror therapy can increase muscle strength in patients with non-hemorrhagic stroke. Methods: The type of research used is pre-experiment design without control group. The intervention given is the provision of mirror therapy for a duration of 15 minutes 6 times a week. The research was conducted in all internal medicine inpatient rooms at Kustati Islamic General Hospital Surakarta. The population of this study were all non-hemorrhagic stroke patients. This study used purposive sampling technique obtained as many as 35 patients. The instruments used to measure muscle strength are MMT (Manual Muscle Testing) observation sheets and mirror therapy SOPs. The data analysis used was the Wilcoxon Signed Rank Test analysis test. Results:The mean value of respondents' muscle strength before being given mirror therapy was 0.90 and after being given mirror therapy was 2.57. There is a difference in the mean value of muscle strength before and after by 1.67. Conclusion: Mirror Therapy can be used as one of the interventions that can be used by nurses in carrying out nursing care actions for stroke patients in increasing muscle strength. Keywords:Muscle strength; Mirror therapy; Non-haemorrhagic stroke patients.

Position Head Up Towards Reduction of Blood Pressure in Non-Hemoragic Stroke Patients in The Inpatient Room of Harapan Insan Sendawar Hospital

Introduction: position Head up 30º is a position given to stroke patients to improve blood flow to the heart. brain and maximize cerebral tissue oxygenation. Objective: This study aims to determine the effect of head up 30º to decrease blood pressure in non-hemorrhagic stroke patients. Methods: research quasi-experimental approach pre and post without control. The population is 32 people. The sample is 15 people using accidental sampling technique. The research site is in HIS Hospital. The instruments used are SOP, sphygmomanometer, and observation sheet. Collecting data obtained from primary data. Data were analyzed bivariately using paired sample t statistic test. Results and Discussion: The results of the statistical test paired t sample p value are 0.000 <0.05, which means Ha is accepted that there is an effect of giving a head-up to the decrease in blood pressure of stroke patients in the inpatient room at Harapan Insan Sendawar Hospital. Conclusion: There is an effect of giving a head up on the blood pressure of stroke patients at Harapan Insan Sendawar Hospital. It is recommended for the hospital to intervene in a head up in stroke patients

GAMBARAN PENGELOLAAN HAMBATAN MOBILITAS FISIK PADA PASIEN STROKE NON HEMORAGIK DENGAN LATIHAN GENGGAM BOLA

Introduction: Stroke is a neurological disease that occurs suddenly causing blockages in cerebral blood vessels, both total and partial blockages that occur over a period of 24 hours. Stroke is damage to the brain that appears suddenly, progressively and rapidly due to non-traumatic cerebral blood circulation disorders. The disorder suddenly causes symptoms, including paralysis of the face or limbs, speech is not fluent, speech is not clear (pelo), changes in consciousness, visual disturbances, etc. Objectives to identify the description of the management of Physical Mobility Barriers in Non-Hemorrhagic Stroke Patients with Exercise Hold the Ball. Methods: This type of research is quantitative, descriptive research, the sample is 32 respondents, using total sampling. The measuring instrument used in this research is a questionnaire sheet and an observation sheet, data analysis using univariate. Results: The results showed that the majority of respondents who managed physical mobility barriers in non-hemorrhagic stroke patients with good ball grip exercise were 19 (59.4%). Suggestion: It is hoped that the results of this study can be used as information material for the public to use handheld ball exercises in non-hemorrhagic stroke patients

Implementasi Range of Motion untuk Meningkatkan Kekuatan Otot Ekstremitas Pasien Stroke dengan Hambatan Mobilitas Fisik

Introduction: Non-hemorrhagic stroke is a stroke caused by the existence of blockage that occurs as a result of a thrombus in vessels, blood-brain, or clot blood caused by the embolic process. A stroke causes several complications such as cerebral edema, increased intracranial pressure, seizures, hemorrhagic transformation, pneumonia, urinary tract infections, venous thrombosis, and impaired daily activities. Nurses must provide nursing care to overcome barriers to the physical mobility of non-hemorrhagic stroke patients. Objective: This activity was conducted to describe the implementation of nursing practice Range of Motion on Mrs. R with a non-hemorrhagic stroke who had impaired physical mobility. Method: Research this use method studies case with design writing descriptive. The approach used that is with approach implementation of nursing covers measuring a patient's vital signs, measuring the strength of muscle extremities patient, give practice Range of Motion, and giving therapy pharmacological. Result: After being given the Range of Motion exercise to Mrs. R, which was carried out for three days showed that the patient's muscle strength had increased, while the patient's impaired physical mobility had not been overcome. Conclusion: It is necessary to do Range of Motion at least twice a day with a time of 10 to 15 minutes to maximize the increase in extremity muscle strength in non-hemorrhagic stroke patients.

Nursing Care with A Medical Diagnosis of Non-hemorrhagic Stroke in High Care Unit of Banjarnegara Islamic Hospital: A Case Study

Objective: The purpose of this study was to determine the development of non-hemorrhagic stroke patients by maximizing the implementation of ROM during treatment. Method: The method used is descriptive method with a case study approach in non-haemorrhagic stroke patients with decreased consciousness. The case study process was carried out by finding patient data and classified according to continued inclusion criteria. interviews (to the family) and secondary data collection from medical records, observation of the patient's condition and periodic physical examinations. After obtaining the data, further documentation of the nursing process is carried out from assessment, data analysis, nursing problems, nursing interventions, nursing implementation and evaluation. Result: Nursing problems that arise include: risk of ineffective cerebral perfusion related to hypertension, ineffective airway clearance related to retained secretions and impaired physical mobility associated with decreased muscle strength, Three nursing problems have not been resolved because stroke is a brain tissue damage that is characterized by irreversible (cannot be returned) and it takes a long time for the recovery process.

Penerapan Posisi Lateral 30 Derajat dan Massage Menggunakan Virgin Cocunut Oil (VCO) Terhadap Risiko Kerusakan Integritas Kulit Pada Pasien Stroke

Background: Non-Hemorrhagic Stroke is a dysfunction of the central nervous system in the form of blockage of brain blood vessels which results in hemiparesis, indirectly experiencing immobilization at risk of skin integrity damage, one of the independent nursing interventions in overcoming the risk of skin integrity damage is the provision of a lateral 30 position degrees and massage using Virgin Coconut Oil (VCO). Research Methods: Descriptive with a case study approach. Results: After the implementation for 4 days by giving a 30 degree lateral position and massage using virgin coconut oil 2 times a day. The application of a 30 degree lateral position and maage using virgin coconut oil can reduce the risk of skin integrity damage in stroke patients. Conclusion: The application of a 30 degree lateral position and massage using virgin coconut oil is effective in reducing the occurrence of skin integrity damage. Suggestion: It is hoped that it can provide independent nursing interventions as a companion to pharmacological therapy to overcome nursing problems that exist in non-hemorrhagic stroke patients.

EFFECT OF AL-QURAN MUROTTAL THERAPY ON SLEEP QUALITY OF NON-HEMORRHAGIC STROKE PATIENTS (PENGARUH TERAPI MUROTTAL AL-QURAN TERHADAP KUALITAS TIDUR PENDERITA STROKE NON HEMORAGIK)

This study was aimed to identify the effect of Al-Quran Murottal therapy on sleep quality of non-hemorrhagic stroke patients. This was a quasi design experiment with a control group, involving 18 respondents as the result of simple randomization. Samples were divided into two groups: intervention and control, who met the inclusion and exclusion criteria. Sleep quality was measured by the Pittsburg Sleep Quality Index (PSQI). This study showed that there was a significant difference in sleep quality before and after Al-Quran Murottal therapy (p-value 0,018) even though the result was not significant in the control group (p-value 1,000). There was a significant effect of Al-Quran Murottal therapy for the sleep quality of non-hemorrhagic stroke patients.