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IMPLEMENTASI RANGE OF MOTION (ROM) EXERCISE DINI PADA PASIEN POST ORIF FRAKTUR CRURIS TERHADAP KEMAMPUAN KEKUATAN OTOT DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Lenny Aptria; Nina Olivia; Muchti Yuda Pratama
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 2 (2026): SINERGI : Jurnal Riset Ilmiah, February 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i2.2385

Abstract

Open Reduction Internal Fixation (ORIF) procedures in patients with fractures often result in pain, which leads to limited mobility and decreased muscle strength. These issues can prolong the bone healing process. Early implementation of Range of Motion (ROM) exercises can improve muscle strength, maintain joint flexibility, enhance blood circulation, and accelerate wound healing. This study aims to describe the implementation of early ROM exercises in post-ORIF patients with cruris fractures and their effect on muscle strength. The research method used was a case study design with a nursing care approach, starting from assessment, diagnosis, intervention, implementation, and evaluation, involving two post-ORIF cruris fracture patients. The instrument used was a Manual Muscle Testing (MMT) observation sheet, with data collected through interviews, observation, physical examination, and nursing documentation. The study was conducted in February 2025 over three days, and data were analyzed narratively. The results showed improvements in muscle strength, reduction of pain, and increased joint flexibility through ROM exercises. The study concludes that early ROM exercises demonstrate an increase in muscle strength and a reduction in pain level.
IMPLEMENTASI  DUKUNGAN PERSONAL  HYGIENE PADA LANSIA DENGAN DEFISIT PERAWATAN DIRI YANG MENDERITA PENYAKIT OSTEOARTHRITIS DI UPTD PELAYANAN SOSIAL LANJUT USIA BINJAI Nina Olivia; Sartika Rahma; Muchti Yuda
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 7 (2026): SINERGI : Jurnal Riset Ilmiah, Juli 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i7.2864

Abstract

Osteoarthritis (OA) in older adults can cause pain, limited mobility, and self-care deficits, thereby interfering with the ability to maintain personal hygiene. Self-care deficits may lead to impaired fulfillment of basic daily needs and reduced quality of life. This study aimed to describe the implementation of personal hygiene education and training for older adults with self-care deficits who have osteoarthritis at the Binjai Elderly Social Service Center (UPTD Pelayanan Sosial Lanjut Usia Binjai). This study employed a descriptive design using a nursing care approach, which included the stages of assessment, nursing diagnosis, intervention, implementation, and evaluation. The intervention was conducted over three days through mentoring, health education, and observation involving two older adult participants experiencing self-care deficits. The Barthel Index was used to assess the participants' ability to perform personal hygiene independently. The results showed that the participants' Barthel Index scores improved from 16 and 15 at baseline to 19 and 18 after the intervention, indicating an improvement to a mild level of dependency. In addition, the intervention enhanced the older adults' knowledge, practical skills, self-confidence, and independence while reducing their dependence on others in performing personal hygiene activities. The findings are expected to serve as a reference for older adults with osteoarthritis in implementing appropriate personal hygiene practices and may also contribute to the development of standard operating procedures for nursing and healthcare services.
Co-Authors Ade Irma Khairani - Aina Kuriya Pratiwi Alfi Syahra Anggita Nadila Putri Angraini, Feby Annisa Rahma Ariandini, Shanti Astuti Rofida Bagaskara, Gustaf Wijang Citra Siburian Daulay, Amanda Ulfa Hawari Deni Susyanti Elvinna, Yulvi Endang R. Simamora Endang Rosmawati Simamora Erita Gustina Erna Masdiana Galuh Pradian Yanuaringsih Ginting, Nova Br Harahap, Miranda F.Q Harahap, Rizki Fadhillah Helmi Juhri Sibarani Helmi Juhri Sibarani Huwaina Af'idah Ika Ariyanti Isma Chairani Sitepu Isma Chairani Sitepu Josia Edyanta Purba Kipa Jundapri Kumala Sari Kurzaini, Muhammad Irfan Laura Patricia Stephannie br. Purba Lenny Aptria Lisa Ariana Loise Tampubolon Lubis, Mhd. Fauzul H. Manalu, Sri Ryzki Putri Mhd. Fauzul H. Lubis Miranda F.Q Harahap Monika, Agnes Muchti Yuda Pratama Mucti Yuda Pratama Muhammad Irfan Kurzaini Muhammad Irfan Kurzaini Nadya Putri Wulandari Naudur Fitri Sari Manalu Naudur Fitri Sari Manalu Nina Fentiana Nisrina Nisrina Nisrina Nisrina Nisrina Nuranita Harefa Purwaningsih Purwaningsih Putri Habibah Hasyim Putri Habibah Hasyim Putri Lidia Rosa Wilani Panggabean Resmi Pangaribuan Resty Jayanti Ria Banjarnahor, Hotma rinda keliat rinda Rindasari Munir Rizki Fadhillah Harahap Sartika Rahma Sayfrinanda, Virginia Septiani, Tri Andini Sibarani, Helmi Juhri Simamora, Endang Roswati Simanjuntak, Tiara Hartati Siregar, Nita Mayrani Sitompul, Desi SUHARTO Suharto Suharto Tabita Cornelia Sinaga Tiara Hartati Simanjuntak Tri Andini Septiani Villa Edilla Alfiatun Nikmah Virgini Syafrinanda Virginia Sayfrinanda Virginia Syafrinanda Vitu Gea, Handerman Winda Wulandari Sembiring Winning Amintas Kartika Waruwu Wiwin Wiwin, Wiwin Wulandari, Sephia Ayang Zihan Febi Anzani Hasibuan