Ricky Prawira
Universitas Lambung Mangkurat

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The Effectiveness of Passive Range of Motion (ROM) Exercise on Motor Recovery in Post-Spinal Anesthesia Patients Mariani Mariani; Novia Heriani; Candra Kusuma Negara; Ricky Prawira
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.279

Abstract

Spinal anesthesia is a commonly used regional anesthetic technique in surgical procedures, but it is often associated with delayed motor recovery postoperatively. Passive Range of Motion (ROM) exercise is a physiotherapy intervention that has the potential to accelerate motor recovery by stimulating the neuromuscular system and enhancing peripheral blood circulation. This study aimed to evaluate the effectiveness of passive ROM exercises on motor recovery in patients after spinal anesthesia. A quasi-experimental design with a posttest-only control group approach was used. This study used consecutive sampling to recruit respondents who met the inclusion criteria. The sample consisted of 30 patients who underwent spinal anesthesia and were evenly divided into an intervention group (n = 15) and a control group (n = 15). The intervention group received passive ROM exercises for 24 hours postoperatively in four scheduled sessions, while the control group received standard postoperative care. The data analysis used was univariate analysis to describe the characteristics of respondents, while bivariate analysis used the Mann-Whitney test to assess differences in Bromage scores. Motor recovery was measured using the Bromage Scale every four hours. A significant difference in Bromage scores was found between the intervention and control groups at the 24th hour (p = 0.019), with the intervention group showing a lower median score (0) compared to the control group (1), indicating faster motor recovery. Passive ROM exercise is effective in accelerating motor recovery in post-spinal anesthesia patients and can be recommended as part of postoperative care protocols.
Benson's Relaxation Technique as A Non-Pharmacological Intervention to Improve Sleep Patterns in Chronic Kidney Disease (CKD) Stage 5 Patients Undergoing Hemodialysis Yunita Yunita; Yulyanti Yulyanti; Candra Kusuma Negara; Ricky Prawira; Ari Athiutama
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.519

Abstract

Sleep disturbance is one of the common complaints experienced by patients with Chronic Kidney Disease (CKD) stage V undergoing hemodialysis, which has an impact on decreasing the quality of life physically, psychologically, and socially. Non-pharmacological therapy such as the Benson relaxation technique is considered effective and safe in overcoming sleep disturbances and improving the emotional well-being of patients. This study aims to evaluate the effectiveness of the Benson relaxation technique in improving the quality of life of patients with CKD stage V. The research design used was a quasi-experimental with a pre-test and post-test approach with a control group, involving 60 respondents who were divided into intervention groups (n=30) and control groups (n=30) through a purposive sampling technique. The intervention was carried out for 14 days with a duration of 15–20 minutes of exercise per day. The instrument used was a quality of life (QoL) questionnaire consisting of five aspects: satisfaction with therapy, impact on life, fear of complications, social problems, and total QoL score.The Pittsburgh Sleep Quality Index (PSQI) instrument used in this study has been proven valid (r = 0.412–0.698; p < 0.05) and reliable (Cronbach's Alpha = 0.824; p = 0.000), making it suitable for measuring patient sleep quality. Data were analyzed using statistics, with Pearson validity test, Cronbach's Alpha reliability ( α = 0.824), Shapiro-Wilk normality test, and Wilcoxon and Mann-Whitney difference tests. The results showed a significant increase in the total QoL score from 2.63 ± 0.49 to 3.27 ± 0.39 (p = 0.001). All aspects of QoL also experienced a significant increase (p < 0.05), especially in the aspect of satisfaction with therapy and decreased fear of complications. Field findings also showed that patients felt calmer, could fall asleep faster, and showed increased social interaction after the intervention. The conclusion of this study is that the Benson relaxation technique is effective in improving the quality of life of CKD stage V patients and is recommended as a nursing intervention that can be applied routinely and independently in hemodialysis service practices.