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Effect of Audio Visual ROM Education on Family Attitude and Motivation in Post-Stroke Care Ixora; Dewi Wulandari
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

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Abstract

Stroke is a major cardiovascular disease globally, contributing significantly to mortality and disability, with an incidence rate of 12.1 cases per 1,000 population in Indonesia in 2018. Family support is crucial during the rehabilitation phase, but inadequate information often leads to incomplete family knowledge regarding disease management. Objective: This study aimed to analyze the effect of Audio Visual Education (AVE) about Range of Motion (ROM) training on the attitude and motivation of family caregivers in performing home ROM exercises for post-stroke patients. Methods: This research employed a Quasi-Experimental Design using a one-group pre-test post-test model, with a sample of 30 family caregivers selected through purposive sampling. The intervention delivered was AVE focused on ROM techniques, the Wilcoxon Sign Rank Test was used to compare pre- and post-test scores. Results: The findings demonstrated a significant positive effect on both family attitude (P-Value = 0.001) and motivation (P-Value = 0.000). The proportion of negative attitudes decreased from 63.3% to 0.0% post-intervention, while strong motivation increased dramatically from 26.7% to 93.3% after the intervention. Conclusion: Audio Visual Education on ROM exercises is highly effective in significantly improving the attitude and motivation of family caregivers in post-stroke patient care
Pengaruh Terapi Musik Dan Terapi Murottal Alquran Secara Audiovisual Terhadap Peningkatan Kekuatan Otot Dan Penurunan Kecemasan Pada Pasien Stroke Menjalani Latihan ROM Pasif Di Ruang Unit Stroke RSUD Dr. Soedomo Trenggalek Ixora Ixora; Dewi Wulandari; Rahayu Niningasih
Jurnal Keperawatan Terapan Vol 9 No 1 (2023): Jurnal Keperawatan Terapan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i1.3796

Abstract

Strokes can have an impact on various body functions, one of which is paralysis or problems controlling movement associated with muscle strength. These conditions can lead to discharge in stroke patients. One of the distraction techniques that can be used is Murottal Al-Quran. Murotal therapy which aims to help express feelings, assist with physical rehabilitation, have a positive effect on conditions, moods and emotions and reduce the level of feelings in patients. The aim of this study was to analyze the effect of music therapy and murrotal therapy audiovisual on increasing strength and reducing reduction in stroke patients undergoing ROM exercises in the Unit Stroke room of Dr. Soedomo. The research was carried out in the Unit Stroke room of Dr. Soedomo. Quasy Experiment research design with control group pretest-posttest design. The independent ROM therapy research variables and Al-Qur'an murottal music therapy, the dependent variable increased muscle strength and decreased reduction in stroke patients. The study population was all post-stroke patients at dr. Soedomo Trenggalek. The sampling technique used purposive sampling with a sample size of 30 people. Data were analyzed using independent sample t test and paired sample t test. The results obtained: There is a difference in the strength of the right hand muscle between before and after ROM exercise (p value 0.473> 0.05), there is no difference in left hand muscle strength between before and after ROM exercise (p value 0.493> 0.05), no There was a difference in right leg muscle strength between before and after ROM training (p value 0.772> 0.05), there was no difference in left leg muscle strength between before and after ROM training (p value 0.168> 0.05). As for anxiety, it was found that there was a difference in anxiety between before and after ROM therapy (p value 0.772> 0.05). There is a difference in right hand muscle strength between before and after ROM exercise and music murrotal Al-Quran therapy (p value 0.000 <0.05), there is a difference in left hand muscle strength between before and after ROM training and music murrotal Al-Quran therapy (p. value 0.000 <0.05), there is a difference in right leg muscle strength between before and after ROM training and Al-Quran murrotal music therapy (p value 0.000 <0.05), there is a difference in left leg muscle strength between before and after ROM training and music therapy murrotal Al-Quran (p value 0.000 <0.05). As for anxiety, it was found that there was a difference in anxiety between before and after ROM therapy and murrotal Al-Quran music therapy (p value 0.000 <0.05). There was a difference in right hand muscle strength between ROM exercises and Al-Quran murrotal music therapy (p value 0.000 <0.05), there was a difference in left hand muscle strength between ROM exercises and Al-Quran murrotal music therapy (p value 0.000 <0.05). ), there is a difference in right leg muscle strength between ROM exercises and music therapy murrotal Al-Quran (p value 0.000 <0.05), there is a difference in left leg muscle strength between ROM exercises and Al-Quran murrotal music therapy (p value 0.000 <0 , 05). As for anxiety, it was found that there was a difference in anxiety between ROM therapy and Murrotal Al-Quran music therapy (p value 0.000 <0.05).
The Effect of Audio Visual Education Range of Motion on Family Motivation in increasing muscle strength through ROM training in post-stroke patients at home: Audio Visual Education Range of Motion on Family Motivation Ixora Ixora; Dewi Wulandari; Rahayu Niningasih; Edi Yuswantoro
Jurnal Keperawatan Terapan Vol 10 No 1 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i1.4198

Abstract

: Family support during the rehabilitation phase is very much needed in order to improve the quality of life of post-stroke patients. Poor delivery of information and coordination between health teams causes family knowledge about disease management to be incomplete. Counseling and education is one of the pillars of managing stroke patients. The nurse's obligation is to provide education and ensure the transition of care to the family as a care agent for the patient at home. Identification of family members for educational purposes requires paying attention to educational background and productive age level. This research aims to examine the influence of health education about ROM on family motivation in carrying out ROM in stroke infarction patients in the family. The research design used is Quasi Experimental Design using a one group model pre test - post test design. The population in this study were all families of stroke patients in the Durenan Community Health Center Working Area.The research results showed that before health education regarding ROM was carried out, there were 25 respondents (83.3%) who had sufficient motivation to carry out ROM in stroke infarction patients. After health education about ROM, there were 20 respondents (66.7%) who had the motivation to carry out ROM in stroke infarction patients in the good category. The results of quantitative data analysis using the Wilcoxon signed ranks test statistic with the help of the SPSS computer program can be interpreted as statistical test results with a significance of 0.05 resulting in a value of P Value = 0.000 which is smaller than the value of a = 0.05 (0.000 < 0.05) so that H0 rejected and H1 accepted, which means there is an influence of health education about ROM on family motivation in carrying out ROM for infarction stroke patients in the Durenan Community Health Center Working Area.In accordance with the research instrument carried out by the researchers, it was found that after health education about ROM was carried out using audio-visual media, it was found that there was an increase in family motivation in carrying out ROM for family members who had suffered a stroke. This needs to be given attention and efforts must be made so that health workers can continue to provide health education about ROM to patient families so that families can be motivated and play an active role in helping to carry out ROM for family members who suffer from stroke.
The Effect of Observational Education About Stroke on Family Function in Preventing Recurrent Stroke: observational education, stroke, family function Dewi Wulandari; Ixora Ixora; Awan Hariyanto; Edi Yuswantoro
Jurnal Keperawatan Terapan Vol 10 No 02 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i02.4217

Abstract

Stroke is one of the causes of death and disability in both urban and rural areas. Stroke is caused by reduced blood flow to the brain which lasts for several seconds to several minutes, where if it occurs for more than a few minutes an infarction will occur in the brain tissue. The aim of the research is to determine the effect of observational education about stroke on family function in preventing recurrent strokes in family members who suffer from stroke. The research was carried out in the Baruharjo Community Health Center Work Area. Quasy Experimental research design with control group pretest-posttest design. The independent variable is Observational stroke education while the dependent variable is family function. The research population was all families of stroke patients in the Baruharjo Community Health Center Working Area. The sampling technique uses purposive sampling with a sample of 30 people. Data were analyzed using the Wilcoxon test. The research results showed that before observational education about stroke was carried out, the majority (17 respondents or 56.7%) had family function in preventing recurrent stroke in the sufficient category. Meanwhile, after observational education about stroke was carried out, almost all respondents (29 respondents or 96.7%) had the family function in preventing recurrent strokes in family members who suffered stroke in the good category. The results of quantitative data analysis using the Wilcoxon signed ranks test using the SPSS program showed that the statistical test results had a p value of <0.000 which was smaller than the value of p= 0.05. The family plays a very important role during the post-acute stage of care for stroke patients in hospital to meet daily care and rehabilitation needs. Caring for patients with stroke is a serious matter. Families, whatever their age and circumstances, need information, education and social support to be able to carry out patient care and be able to adapt to their new roles.
EFFECT OF APPLYING SLOW DEEP BREATHING TECHNIQUE WITH YLANG AROMATHERAPY ON LOWERING BLOOD PRESSURE AND ANXIETY LEVELS: PENGARUH PENERAPAN TEKNIK SLOW DEEP BREATHING DENGAN AROMATERAPI KENANGA TERHADAP PENURUNAN TEKANAN DARAH DAN TINGKAT KECEMASAN Mimik Christiani; Ixora Ixora; Putri Sintya Rahmawati
Jurnal Keperawatan Terapan Vol 9 No 2 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i2.4312

Abstract

In stroke sufferers, anxiety can trigger an increase in blood pressure. A slow deep breathing exercise is an action carried out consciously to regulate breathing slowly and deeply to create a relaxing effect. One of the relaxation techniques is giving aromatherapy in the sufferer's environment it can create a comfortable atmosphere and provide a positive influence. The research aimed to determine the effect of applying the slow deep breathing technique with ylang-ylang aromatherapy to reduce blood pressure and anxiety levels in stroke patients in the Stroke Unit of Dr Soedomo Trenggalek Hospital. The design of this research was descriptive and quantitative with experimentation. The research was carried out using the Intact Group Comparison pre-experiment method by dividing the variables into two groups, namely the experimental group and the control group. The statistical test resulted in the slow deep breathing exercise group with ylang-ylang aromatherapy affected reducing systolic and systolic blood pressure with a p-value of 0.000 (<0.05) and the statistical test resulted on the slow deep breathing exercise group showed a change in reducing systolic blood pressure and diastolic with a p-value of 0.000 (<0.05). Based on the result, it was concluded that there were differences in the average reduction in blood pressure and anxiety levels between the exercise intervention groups slow deep breathing with Ylang Ylang aromatherapy and the slow deep breathing exercise intervention group. The use of slow deep breathing using Ylang Ylang aromatherapy was more effective in reducing blood pressure and anxiety levels experienced by patients.
Analysis of Factors Related to the Role of Nurses as Care Givers in the Implementation of Patient Safety: Analisis Dewi Wulandari; Ixora Ixora
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5435

Abstract

Nurses in carrying out their role as care givers have the task of caring for patients, making decisions, communicating and collaborating with other health teams. The Emergency Room is part of the hospital that provides initial treatment for patients. The implementation of patient safety carried out by nurses is a form of compliance in every action or interaction with patients in accordance with a compliance theory or known as the "Compliance Model" (Charles et al, 2003). The design in this study was analytical observation using a cross-sectional approach. This study was conducted in the Emergency Room of Dr. Soedomo Trenggalek Hospital in March - April 2019. The population in this study were all nurses in the Emergency Room of Dr. Soedomo Trenggalek Hospital as many as 30 people with the sample being nurses in the Emergency Room of Dr. Soedomo Trenggalek Hospital. The sampling procedure was carried out using total sampling. The researcher used an instrument in the form of a questionnaire. The factor that most influences the role of nurses as care givers in implementing patient safety through the compliance model approach in the Emergency Room is the nurse's attitude. Hospitals are required to provide continuous education and training, periodic socialization of training results to improve the knowledge and skills of officers in implementing patient safety so that it has an impact on optimal nurse performance. Patient safety as a global issue must be included in the education curriculum and become a target for student competency achievement so that new nurses can implement patient safety.
Co-Authors Awan Hariyanto Awan Hariyanto, Awan Awan, Awan Hariyanto Christiani, Mimik Dewi Wulandari Dewi Wulandari Dewi Wulandari Dewi Wulandari Edi Yuswantoro Edi Yuswantoro, Edi Mimik Mimik Christiani Niningasih, Rahayu Putri Sintya Rahmawati Rahayu Niningasih Rahayu Niningasih Rahayu Niningasih Rahmawati, Putri Sintya Yulidaningsih, Elok