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All Journal Jurnal Kreativitas PKM Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Nurse and Holistic Care Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Jurnal Akselerasi Merdeka Belajar dalam Pengabdian Orientasi Masyarakat (Jurnal AMPOEN) Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Journal of Indonesian Public Health Service
Wijayanti, Lono
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Religion Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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PENERAPAN RANGE OF MOTION (ROM) KOMBINASI HEAD OF BED PADA PASIEN STROKE ISKEMIK DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK DI RUMAH SAKIT SURABAYA Ernawati, Yayuk; Septianingrum, Yurike; Wijayanti, Lono; Soleha, Umdatus
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.74

Abstract

Background: Stroke patients often experience hemiplegia or hemiparesis. Proper treatment can help the healing and recovery process. Objectives: This study aims to provide an overview of the implementation of the combination of Range of Motion (ROM) and Head of Bed (HOB) Elevation in ischemic stroke patients with impaired physical mobility in patient Mrs. L in Room Y, Surabaya Hospital. Methods: This type of research is descriptive, using a case study approach. Nursing care was provided from June 4 - June 6, 2025. The results of the assessment on Mrs. L had a stroke with hemiparesis. The nursing problems obtained were decreased intracranial adaptive capacity, impaired physical mobility, and risk of falling. The interventions given were head up 30 ⁰, Range of Motion, and education of patients falling. Results: The application of a combination of Range of Motion and Head of bed elevation with impaired physical mobility significantly helps the healing and recovery process in stroke infarction patients. Conclusion: Evaluation of nursing problems shows that the nursing diagnosis of decreased intracranial adaptive capacity and impaired physical mobility is partially resolved with increased muscle strength from 1 to 2 and increased range of motion, and the patient does not fall.
MOTOR IMAGERY TRAINING FOR MOTOR RECOVERY IN LEFT HEMIPARESIS POST-STROKE: A SHORT-TERM CASE STUDY Taufiq, Isa; Septianingrum, Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.76

Abstract

Background: Stroke remains one of the leading causes of long-term disability worldwide, with hemiparesis being the most common motor deficit. Hemiparesis on the dominant side, such as sinistra hemiparesis, greatly impairs daily function. Motor Imagery Training (MIT) is a cognitive-based therapeutic approach that stimulates motor-related cortical areas through mental rehearsal of movement, offering a non-invasive, low-cost intervention to promote neuroplasticity during stroke rehabilitation. Objectives: This case study aims to evaluate the short-term effects of a 4-day Motor Imagery Training intervention on a post-stroke patient with hemiparesis sinistra, focusing on motor function improvement and cognitive engagement. Methods: Mrs SA, a 66-year-old female with a history of uncontrolled hypertension and prior stroke, presented with left-side weakness, facial asymmetry. The patient underwent MIT sessions for four consecutive days (30 minutes/day), guided by auditory scripts and visual imagery techniques targeting upper limb function. Motor performance was evaluated using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and the Medical Research Council (MRC) scale. Results: After four MIT sessions, the patient demonstrated improved motor strength (MRC 4-/5), increased FMA-UE score from 29 to 36, and enhanced focus and engagement. Subjectively, the patient reported increased motivation and perceived movement initiation. These findings suggest early cortical activation and functional gains, even within a limited intervention period. Conclusion: This case supports existing evidence on the effectiveness of MIT in promoting neurofunctional recovery in stroke rehabilitation. Despite its brief duration, MIT contributed meaningfully to motor recovery and psychological readiness. Motor imagery is feasible for early rehabilitation and can be tailored to settings with limited resources.
The Effectiviness of Aquatic Therapy as A Rehabilitation Innovation for Stroke Patients: Water as A Medium of Recovery-A Systematic Literature Review Babo, Leticia Freitas; Septianingrum, Yurike; Hidayatullah, Achmad; Soleha, Umdatus; Wijayanti, Lono
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6646

Abstract

Stroke often causes long-term disabilities, significantly affecting motor and functional abilities. Rehabilitation interventions such as aquatic therapy, which utilize the properties of water to enhance movement and reduce pain, have gained increasing attention as innovative rehabilitation strategies. This systematic literature review aims to analyze and summarize the effectiveness of aquatic therapy as a rehabilitation innovation for improving functional recovery in stroke patients. A systematic search was conducted in three databases—PubMed, ScienceDirect, and Google Scholar—for articles published between January 2020 and January 2025. The keywords used in English included “aquatic therapy,” “stroke rehabilitation,” and “water-based therapy.” From the initial search, a total of 45 articles were identified. After screening titles and abstracts based on inclusion criteria (language, publication year, and open-access availability), 20 full-text articles were reviewed in detail. Following critical appraisal and relevance assessment to the research objectives, 10 articles were selected for final analysis. These articles were then synthesized to evaluate the effects of aquatic therapy on functional recovery, particularly focusing on gait and balance improvement in post-stroke patients. This review found 45 studies after identification. Most studies showed that aquatic therapy significantly improved balance, gait, muscle strength, and quality of life among stroke survivors. Additionally, resistance offered by water supports muscle strengthening without overstraining. However, variations in session duration, water temperature, and exercise intensity across studies suggest a need for standardized protocols. Aquatic therapy is an effective and innovative rehabilitation approach for stroke patients, particularly in enhancing motor recovery and quality of life. Future research should focus on standardized intervention protocols and long-term outcomes.
Assessment Tools for Post-Stroke Discharge Readiness: A Literature Review Kadir, Afrizal Nur; Septianingrum, Yurike; Aprilian, Arvino; Wijayanti, Lono; Soleha, Umdatus
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6699

Abstract

Stroke survivors are at high risk of hospital readmission due to recurrent stroke, comorbidities, and inadequate discharge preparation. Readiness for hospital discharge plays a pivotal role in ensuring a safe transition of care and improving post-stroke outcomes. Evaluating patient and caregiver readiness for hospital discharge is essential to reduce the likelihood of readmission and optimize home care outcomes. This review aimed to identify, describe, and evaluate existing tools used to assess discharge readiness in post-stroke patients, and examine their effectiveness in supporting care transitions and preventing hospital readmissions.Methods: A systematic review was conducted in accordance with PRISMA guidelines. Four databases-PubMed, Science Direct, Clinical Key, and Google Scholar—were searched for relevant articles published between 2021 and 2025 using predefined keywords related to stroke, discharge readiness, transition of care, and readmission. After screening 202 initial records, 34 articles were selected for full-text review. Ten studies met the inclusion criteria and were then critically appraised using the Joanna Briggs Institute (JBI) checklist to assess methodological quality and risk of bias. The included studies were synthesized narratively based on study design, assessment tools used, psychometric properties, and their impact on discharge readiness and hospital readmission outcomes. The review identified several validated tools, including the Readiness for Hospital Discharge Scale (RHDS), the Preparedness Assessment for the Transition Home After Stroke (PATH-s), and the Caregiver Contribution to Self-Care Inventory (CC-SC-CII-v2). These tools varied in focus, population, and application context. While some showed strong psychometric properties and predictive power for readmission, others highlighted the need for caregiver inclusion and context-specific adaptation. However, inconsistencies in implementation, limited integration into clinical workflows, and lack of long-term outcome evaluations remain significant barriers. This review enhances understanding of discharge readiness assessment tools in post-stroke care and underscores their value in reducing readmissions and optimizing care transitions.
CASE STUDY OF THE DUAL EFFECTIVENESS OF ROM AND RUBBER BALL HANDHELD ON THE RECOVERY OF MOBILITY OF ISCHEMIC STROKE PATIENTS Herawati, Netti; Septianingrum , Yurike; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 3 (2025): Volume 9 Issue 3, October 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i3.77

Abstract

Background: Stroke is a serious global health issue, ranking as the leading cause of disability and the second leading cause of death worldwide. One of the most common impacts of stroke is impaired physical mobility, particularly when damage occurs to the brain's motor centers or neural pathways that control body movement. In stroke patients, this impairment can manifest immediately after the acute phase and persist into the rehabilitation phase if not properly addressed. One effective intervention to overcome physical mobility problems in stroke patients is the application of a combination of Range of Motion (ROM) exercises and rubber ball gripping therapy. This approach not only accelerates motor function recovery but also prevents complications due to immobility and enhances patient independence. Objectives: This study aimed to analyze the application of combined ROM and rubber ball gripping therapy in managing physical mobility impairment in stroke patients, particularly in improving movement function and supporting a comprehensive rehabilitation process. Methods: This research used a descriptive case study design with a nursing care process approach to provide an in-depth overview of the intervention implementation in the patient. Results: The implementation of nursing interventions in the form of combined ROM exercises and rubber ball gripping therapy on Mr. E, who experienced physical mobility impairment due to a non-hemorrhagic stroke over six days, showed positive outcomes. Conclusion: The combined implementation of Range of Motion (ROM) exercises and rubber ball gripping therapy proved effective in improving muscle strength and motor function in ischemic stroke patients with impaired physical mobility. This intervention not only facilitated the recovery of movement but also supported patient independence and provided a feasible approach for continued rehabilitation at home.
Training Health Cadres in Overcoming Nausea, Vomiting, and Sleep Disorders Wijayanti, Lono; Purwanti, Nunik; Septianingrum, Yurike; Damawiyah, Siti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 11 (2025): Volume 8 No 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i11.22847

Abstract

ABSTRACT Nausea, vomiting, and sleep disorders are common complaints often experienced by the community, especially among vulnerable groups such as the elderly and patients with chronic diseases. If not treated properly, these conditions can reduce quality of life and increase the risk of complications. Health cadres, as the spearhead of health services in the community, have a strategic role in the early detection and initial treatment of these complaints. This training activity aims to improve the knowledge and skills of health cadres in recognizing, preventing, and managing nausea, vomiting, and sleep disorders appropriately and in a community-based manner. The training methods include interactive lectures, simulations, and case discussions. Evaluation results show a significant improvement in cadres' understanding of the training material and their practical ability to provide education and initial intervention to the community. It is hoped that this activity will strengthen the capacity of cadres in supporting public health programs, particularly in promotive and preventive efforts related to nausea, vomiting, and sleep disorders. Keywords: Health Cadres, Nausea And Vomiting, Sleep Disturbances, Promotive-Preventive
Co-Authors Abidatun Mu’awanah, Nurul Achmad Hidayatullah, Achmad Afiyah, R. Khairiyatul Agus Wahyudi Aprilian, Arvino Babo, Leticia Freitas Chaiyun Nafiah, Ilmi damawiyah, siti Eka Pratama, Ahmad Yudha Ernawati, Yayuk Faridah Umamah Firdaus Firdaus Hatmanti, Nety Mawarda Imamatul, Faizah Kadir, Afrizal Nur Kamariyah, Nurul Machruf, Awalludin Netti Herawati Nurmalya Kardina, Rizki Purwanti, Nunik Sari, Ratna Yunita Septianingrum , Yurike Septianingrum, Yurike Siti Nurjanah Soleha, Umdatus Sulistiyawati, Sri Sulistyorini Sulistyorini, Sulistyorini Taufiq, Isa Wardani, Erika Martining Wulan Anggraini, Mitha Yhusnain, Juliatik Ragil Yuniati, Dyah