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All Journal Journal of Smart Nursing and Health Science
Suyanto Suyanto
Program Studi Ilmu Keperawatan Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung
Health Professions Nursing Public Health

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The The Effect Range of Motion (ROM) Therapy and Transcutaneous Electrical Nerve Stimulation on Improving Extremity Muscle Strength in Stroke Patients Dewi Masitaningsih; Suyanto Suyanto
Journal of Smart Nursing and Health Science Vol. 4 No. 1 (2026): Journal of Smart Nursing and Health Science
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/josnhs.v4i1.965

Abstract

Background: Stroke is one of the leading causes of disability that often results in impaired motor function, particularly decreased muscle strength in the extremities. Physical rehabilitation is essential to improve the functional ability of stroke patients, one of which is through a combination of Range of Motion (ROM) therapy and Transcutaneous Electrical Nerve Stimulation (TENS). This study aims to determine the effect of ROM and TENS therapy on increasing extremity muscle strength in stroke patients at Sari Asih Ciledug Hospital. Methods: This study used a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 88 stroke patients selected using purposive sampling technique. The intervention included ROM and TENS therapy according to hospital standards. Muscle strength was measured before and after the intervention using Manual Muscle Testing (MMT). Data were analyzed using the Wilcoxon Signed Rank Test. Results: The results showed that before the intervention, most respondents had moderate (51.1%) and poor (39.8%) muscle strength. After receiving ROM and TENS therapy, there was an increase in muscle strength with moderate category at 65.9% and good category at 22.7%. The Wilcoxon test result showed p = 0.000 (p < 0.05), indicating a significant effect of ROM and TENS therapy on increasing extremity muscle strength in stroke patients. Conclusion: ROM and TENS therapy have a significant effect on improving extremity muscle strength in stroke patients. This therapy can be recommended as a non-pharmacological intervention in stroke rehabilitation programs to enhance motor function and patient independence
The The Effect of Education on Medication Adherence And Dietary Behaviour in Type II Diabetes Mellitus Patients Dessy Purnamawati; Suyanto Suyanto
Journal of Smart Nursing and Health Science Vol. 4 No. 1 (2026): Journal of Smart Nursing and Health Science
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/josnhs.v4i1.966

Abstract

Background: Type II diabetes mellitus is a chronic disease with an increasing incidence rate and the potential to cause various complications if not managed properly. Medication adherence and dietary behaviour are important aspects of diabetes control, but many patients still do not optimally adhere to them. Health education is one of the main pillars of diabetes management because it plays a role in increasing knowledge and shaping patient behaviour. This study aims to determine the effect of education on medication adherence and dietary behaviour in patients with type II diabetes mellitus. Methods: This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 52 patients with type II diabetes mellitus who were selected using purposive sampling. The intervention took the form of health education provided to respondents on understanding diabetes, treatment, and proper diet management. Medication adherence and dietary behaviour were measured before and after the education using a standardised questionnaire. Results: The results showed an increase in medication adherence and improvement in dietary behaviour after the education. Health education was proven to encourage changes in patient behaviour in managing their disease more optimally. Conclusion: The conclusion of this study indicates that education has a positive effect on increasing medication adherence and dietary behaviour in type II diabetes mellitus patients, so education needs to be integrated continuously into nursing services  
Co-Authors Dessy Purnamawati Dewi Masitaningsih