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All Journal Indonesian Journal for Health Sciences (IJHS) Journal of Management Nursing Health Access Journal
Wiratmoko, Heru
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Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Case Study Report: Nursing Intervention to Improve Physical Mobility in a Postoperative Tibial Fracture Patient Suwanto, Agus Wiwit; Purwaningsih, Endang; Wiratmoko, Heru; Octavia, Nataya Rizka
Health Access Journal Vol. 2 No. 2 (2025): Vol. 2 No. 2 (June 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i2.5355

Abstract

Surgery is an invasive medical procedure performed to restore the anatomy and physiology of impaired body organs. One type of surgery is fracture surgery, which aims to restore the anatomy and physiology of bones that are broken for various reasons. The purpose of this study was to provide nursing care to a post-operative tibial fracture patient with a physical mobility disorder in the Flamboyan Room of Dr Harjono Ponorogo Hospital. This study used a descriptive design with a case study approach involving a participant who met the criteria. Data collection techniques included interviews and observation of muscle strength and range of motion (ROM) values. The results of the assessment found that the patient had grade 2 muscle strength in the left extremity, and the ROM value was reduced. The nursing diagnosis was Physical Mobility Disorder. Nursing interventions according to SIKI included early mobilisation and early ambulation for seven days. The evaluation results showed that muscle strength increased from grade 2 to grade 5 by the sixth day, and the ROM value improved to reach the average normal limit by the sixth day. ROM exercises and the use of crutches were effective in improving physical mobility. ROM exercises are effective for improving physical mobility because they can reduce pain levels, thus decreasing concerns related to mobility.
Asuhan Keperawatan pada Klien Pasca Stroke dengan Gangguan Komunikasi Verbal di Wilayah Puskesmas Jenangan Ponorogo Kartika, Amelia Agnes; Suwanto, Agus Wiwit; Wiratmoko, Heru
Journal of Management Nursing Vol. 1 No. 4 (2022): Journal of Management Nursing
Publisher : Scipro Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jmn.v1i4.66

Abstract

Latar Belakang: Stroke merupakan penyakit serebrovaskular ditandai dengan adanya kematian jaringan otak akibat kekurangan suplai darah dan oksigen, sehingga dapat menimbulkan manifestasi klinis yaitu kesulitan berbahasa. Afasia merupakan gangguan berbahasa yang terjadi akibat adanya kerusakan otak di bagian kiri,  hal ini menyebabkan penderita sulit berbicara, membaca, dan menulis. Tujuan: Penelitian ini bertujuan untuk menganalisa asuhan keperawatan pada pasien pasca stroke dengan gangguan komunikasi verbal. Metode: Penelitian ini dirancang dengan metode deskriptif kualitatif berbentuk studi kasus. Asuhan keperawatan diberikan kepada Ny.S selama 7 hari. Teknik pengumpulan data diperoleh dari hasil wawancara, observasi, dan pemeriksaan fisik. Hasil: Hasil penelitian ini menunjukkan pasien mengalami afasia dibuktikan hasil skrining FAST ditemukan skor 16 pada usia 56 tahun, serta hasil komunikasi verbal pasien mengalami peningkatan dengan pemberian terapi wicara AIUEO selama 7x24 jam dengan penilaian DFCS didapatkan pada hari pertama total skor 12 dan mengalami peningkatan pada hari keenam hingga hari ketujuh dengan total skor 18. Hal ini menunjukkan terdapat pengaruh pemberian terapi wicara AIUEO dengan penilaian skala komunikasi fungsional derby (DFCS) pada pasien pasca stroke yang mengalami gangguan komunikasi verbal di wilayah Puskesmas Jenangan Ponorogo. Kesimpulan: Terapi wicara AIUEO dengan penilaian DFCS terbukti efektif dilakukan untuk meningkatkan kemampuan komunikasi verbal pada klien pasca stroke yang ditunjukkan adanya peningkatan dari afasia sedang menjadi afais ringan pada hari ke-6 hingga ke-7 setelah pemberian terapi wicara AIUEO berdasarkan penilaian skala komunikasi fungsional derby (DFCS). Sehingga asuhan keperawatan pada pasien pasca stroke dengan gangguan komunikasi verbal di wilayah puskesmas jenangan ponorogo dapat teratasi sebagian.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND ANXIETY IN DIABETES MELLITUS AT RSUD DR. HARJONO PONOROGO IN 2023 Wiratmoko, Heru; Purwaningsih, Endang; Suwanto, Agus Wiwit
Indonesian Journal of Health Science Vol 8 No 2 (2024): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v8i2.7952

Abstract

The prevalence of Diabetes Mellitus (DM) globally continues to increase until it triples in 2030, namely 21.3 million (Perkeni, 2019). Physical, psychological, economic and social changes occur due to various complications. Diabetes mellitus, which cannot be completely cured, often results in anxiety and decreases quality of life. The role of patients and families in managing DM is vital because DM is a chronic disease that patients will carry for life (Perkeni, 2019). The research aims to identify family support and the level of anxiety among patients with type 2 diabetes mellitus at the Internal Medicine Clinic, Dr. RSUD. Harjono Ponorogo. This research design used cross-sectional research with the Zung Self-Rating Anxiety Scale and Hensarling's Diabetes Family Support Scale). Data analysis used statistical tests with Spearman's Rink through the SPSS program with α of 5%. The results of the Spearman Rink test obtained a value (p-value = 0.027 ˂ 0.05) indicating that there is a significant relationship between family support and anxiety in patients with diabetes mellitus. Based on the results of the analysis, it is known that family support has a significant influence on the level of anxiety among patients with type 2 diabetes mellitus
Co-Authors Endang Purwaningsih Kartika, Amelia Agnes Octavia, Nataya Rizka Suwanto, Agus Wiwit