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Efektivitas intervensi edukasi mobile phone terhadap penurunan tekanan darah pada pasien stroke Prasetya, Ganjar Kundi; Yunitri, Ninik; Agung, Rizki Nugraha; Rayasari, Fitrian
Holistik Jurnal Kesehatan Vol. 19 No. 5 (2025): Volume 19 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i5.1128

Abstract

Background: Stroke is one of the causes of death, most of which is caused by high blood pressure. There are still many patients who are less concerned about hypertension cases resulting in strokes when being treated, it is felt that continuous education is needed regarding knowledge and compliance. Purpose: To determine the effect of mobile phone educational intervention on reducing blood pressure in stroke patients. Method: A literature study of meta-analyze articles using the AMSTAR checklist Based on the scimago journal ranking, it entered Q1 with an impact factor of 3.593. With the G Power application, 6 samples were obtained and Jamovi 2.3.28 software was used for data processing. There were 12 educational themes based on SHEMA delivered via WhatsApp Messenger for 5 days. Results: This education was able to reduce systolic from 182 to 171, diastolic 98 to 91 and mean arterial pressure (MAP) 127 to 121. This education at least increased confidence and had productivity in controlling high blood pressure. Conclusion: The changes in systolic, diastolic and MAP reduction rates were not significant, but could control the occurrence of no increase or readmission.   Keywords: Hypertension; Mobile Phone; Stroke.   Pendahuluan: Stroke salah satu penyebab kematian yang sebagian besar disebabkan oleh tekanan darah tinggi. Masih banyaknya pasien kurang peduli kasus hipertensi berakibat stroke saat dirawat dirasa perlu edukasi terus menerus terkait pengetahuan maupun kepatuhan. Tujuan: Untuk mengetahui pengaruh intervensi edukasi mobile phone terhadap penurunan tekanan darah pada pasien stroke. Metode: Studi literatur dari artikel meta analysis menggunakan AMSTAR checklist, berdasarkan scimago journal ranking masuk Q1 dengan impact factor 3,593.  Melalui aplikasi G Power mendapat 6 sampel dan software jamovi 2.3.28 untuk olah data. Ada 12 tema edukasi berdasar SHEMA yang disampaikan melalui whatsapp messenger selama 5 hari. Hasil: Edukasi mobile phone mampu menurunkan sistolik dari 182 menjadi 171, diastolik 98 menjadi 91, dan mean arterial pressure (MAP) 127 menjadi 121. Edukasi ini setidaknya menambah keyakinan dan memiliki produktivitas dalam pengendalian tekanan darah tinggi. Simpulan: Perubahan angka penurunan sistolik, diastolik, dan MAP tidak signifikan, tetapi dapat mengendalikan untuk tidak terjadinya peningkatan atau readmisi.   Kata Kunci: Hipertensi; Mobile Phone; Stroke.
The Effect of Progressive Muscle Relaxation on Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus Sani, Fakhrudin Nasrul; Rayasari, Fitrian; Anggraini, Dewi; Agung, Rizki Nugraha; Wahyuningsih, Retno Dyah
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.v7i5.6969

Abstract

One of the most complex chronic diseases is diabetes, which requires ongoing medical care aimed at reducing multifactorial risks beyond glycaemic control. Diabetes and stress are interrelated, where stress results in increased cortisol production, cortisol itself inhibits the work of insulin, this triggers an increase in blood sugar levels. One of the ways to control blood sugar levels by providing non-pharmacological therapy is to provide music therapy, relaxation and guided imagery. Progressive Muscle Relaxation (PMR) is one of the relaxations that can be applied to patients with diabetes mellitus. This relaxation technique can speed up the body's metabolism by physiologically increasing blood flow. This study aims to determine the effect of progressive muscle relaxation on blood sugar levels in patients with type 2 diabetes mellitus. This research is a quasi-experimental. The research design used is nonrandomised pretest - posttest with control group design. The research sample was divided into two groups, the intervention group and the control group. Blood sugar level measurements were carried out in the intervention group twice, namely before (pretest) and after (posttest) being given progressive relaxation therapy, while the control group did not receive any actions. The population in this study were patients with type 2 diabetes mellitus at Dr Moewardi Surakarta Hospital. Data analysis using the parametric paired t-test because the data is normally distributed. The blood sugar level in the control group before the relaxation intervention was an average of 237.90 mg/dl and after the relaxation intervention was an average of 218.57 mg/dl. The average blood sugar level in the control group before relaxation was 238.10 mg/dl and after relaxation was 231.43 mg/dl. The p-value for the intervention group based on the paired sample t-test statistic is 0.000 (p < 0.05) with an average decrease in blood sugar level of 19.33 mg/dl. These results indicate that progressive muscle relaxation exercises have an effect on changes in blood sugar levels in patients with type 2 diabetes mellitus. Based on the above description, it can be concluded that progressive muscle relaxation has an effect on changes in blood sugar levels in patients with type 2 diabetes mellitus.
Determinan Terbentuknya Epibole (Rolled Under Epithelial) Pada Penyembuhan Ulkus Kaki Diabetik Arisanty, Irma Puspita; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49253

Abstract

Introduction: Diabetic foot ulcers (wounds) are chronic ulcers that require special treatment, one of which is to ensure that the wound edge epithelialization process goes well. Epibole is a wound edge complication where the epithelium rolls downward, preventing wound closure. Methods: This study is a cross sectional observation with a conscusive sampling method in diabetikic foot ulcer patients. Results: Statistical analysis of this study showed the incidence of epibole in diabetic foot ulcers was 18.3% (N=93) and showed no significant relationship between the characteristics of respondents, ulcer characteristics with the incidence of epibole in diabetic foot ulcers. Multivariate analysis showed that the determinant factor of epibole formation in diabetic foot ulcer healing was wound age with an OR value of 5.566. Chronic wounds aged ≥ 21 days have the characteristic of keratinocytes (epithelialization) that slow down (do not migrate) so that epibole is formed and the wound is difficult to close. Recommendation: The occurrence of epibole should be identified as soon as posible, so that it can be treated immediately and accelerate wound re-epithelial or closure.
Poor Sleep Quality Related to Impaired Cognitive Function Following Stroke: A Comparative Cross-Sectional Study Sofiani, Yani; Rahim Kamil, Abdu; Puspitasari, Nia Ayu; Hadi, Muhammad; Agung, Rizki Nugraha; Kurwiyah, Neneng
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (632.781 KB) | DOI: 10.30604/jika.v7i1.672

Abstract

Sleep deprivation is a common concern among stroke patients. There was a connection between sleep deprivation and poor cognitive function. Few studies, however, have compared sleep and cognitive variations in older adults with and without stroke, as well as explored the relationship between sleep quality and cognitive function. The objective of this study was to explore the quality and feature of sleep between patients with and without a stroke. To assess the association between sleep quality and cognitive dysfunction in older adults. A cross-sectional analysis was carried out. 156 participants completed this research. The study was carried out in 90 stroke patients and 66 of non-stroke patients. The patient was given a sleep quality questionnaire and took a cognitive test. In addition, a multivariate linear regression statistical analysis was used to determine the relationship between two variables. The global mean PSQI in patients with stroke was 7.12±3.96 versus 4.98±2.86, respectively, higher than the non-stroke group. Around 56.7 percent of stroke patients complained of poor sleep quality. Stroke patients scored lower than those who did not get a stroke on the memory and executive function test. Sleep quality affects memory by 28.6 percent. Poor sleep quality was strongly associated with memory dysfunction in stroke patients. To prevent patients with stroke from experiencing cognitive loss, health care providers should develop effective interventions to improve sleep quality.  Kurang tidur adalah masalah umum di antara pasien stroke. Ada hubungan antara kurang tidur dan fungsi kognitif yang buruk. Beberapa penelitian, bagaimanapun, telah membandingkan variasi tidur dan kognitif pada orang dewasa yang lebih tua dengan dan tanpa stroke, serta mengeksplorasi hubungan antara kualitas tidur dan fungsi kognitif. Tujuan dari penelitian ini adalah untuk mengeksplorasi kualitas dan fitur tidur antara pasien dengan dan tanpa stroke. Untuk menilai hubungan antara kualitas tidur dan disfungsi kognitif pada orang dewasa yang lebih tua. Sebuah analisis cross-sectional dilakukan. 156 peserta menyelesaikan penelitian ini. Penelitian dilakukan pada 90 pasien stroke dan 66 pasien non stroke. Pasien diberi kuesioner kualitas tidur dan menjalani tes kognitif. Selain itu, analisis statistik regresi linier multivariat digunakan untuk mengetahui hubungan antara dua variabel. Rata-rata PSQI global pada pasien stroke masing-masing adalah 7,12±3,96 versus 4,98±2,86, lebih tinggi daripada kelompok non-stroke. Sekitar 56,7 persen pasien stroke mengeluhkan kualitas tidur yang buruk. Pasien stroke mendapat skor lebih rendah daripada mereka yang tidak terkena stroke pada tes memori dan fungsi eksekutif. Kualitas tidur mempengaruhi memori sebesar 28,6 persen. Kualitas tidur yang buruk sangat terkait dengan disfungsi memori pada pasien stroke. Untuk mencegah pasien stroke mengalami kehilangan kognitif, penyedia layanan kesehatan harus mengembangkan intervensi yang efektif untuk meningkatkan kualitas tidur.
The Effectiveness of Kegel Exercises in Reducing Urinary Incontinence in Post-Operative TURP Patients Junaidin, Junaidin; Agung, Rizki Nugraha; Anggraini, Dewi; Jumaiyah, Wati
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5242

Abstract

Urinary incontinence is a common complication following Transurethral Resection of the Prostate (TURP) for benign prostatic tumors, which significantly impacts the quality of life of patients. Kegel exercises have been proven effective as a non-pharmacological intervention to improve bladder control and strengthen the pelvic floor muscles. This study aims to evaluate the effectiveness of Kegel exercises in reducing urinary incontinence levels in post-TURP patients. Objective to assess the effectiveness of Kegel exercises in reducing the severity of urinary incontinence in post-TURP patients. This study used a quasi-experimental design with a pre-test and post-test approach on 15 post-TURP patients at RSUD Labuang Baji Makassar. Respondents performed Kegel exercises for 7 days with a frequency of 6 sessions per day. Urinary incontinence levels were measured using the ICIQ-UI Short Form questionnaire before and after the intervention. Data analysis was conducted using the dependent t-test. Before the intervention, the average urinary incontinence score was 24.27 (±2.712), which decreased to 21.73 (±3.217) after the intervention, with a p-value of < 0.001. The effect size of 0.915 indicates a significant effect. Kegel exercises are effective in reducing the severity of urinary incontinence in post-TURP patients. This intervention is recommended as a non-pharmacological therapy to improve patients' quality of life.
Standardized Swallowing Assessment (SSA) Diagnostic Test for Diysphagia Screening in Stroke Patients in the Stroke Center Treatment Room Alhidayat, Nurun Salaman; Agung, Rizki Nugraha; Yunitri, Ninik
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6057

Abstract

Stroke is the second leading cause of death in the world with cases continuing to increase every year, and one of the complications that often occurs is dysphagia, which can cause nutritional and respiratory disorders. Early detection of dysphagia through appropriate screening, such as the Standardized Swallowing Assessment (SSA), is very important to prevent further complications and improve the recovery of stroke patients.. Objective: to conduct diagnostic tests of the SSA assessment instrument for dysphagia screening in the Stroke Center room of Labuang Baji Hospital, South Sulawesi Province, Makassar. Method: In this study, a diagnostic test was used by measuring the sensitivity and specificity of the SSA instrument. The diagnostic test is a descriptive observational study with a cross-sectional study design. Results: The results of this study indicate that the sensitivity level of the SSA instrument reached 96.55% and the specificity level of the SSA instrument reached 87.5%. Conclusions: Dysphagia screening Standardized Swallowing Assessment (SSA) can be used as a standard instrument to identify dysphagia manifestations.
Effectiveness of Intradialytic Exercise on Fatigue in Chronic Kidney Failure Patients Undergoing Hemodialysis Therapy Safruddin, Safruddin; Agung, Rizki Nugraha; Anggraini, Dewi; Jumaiyah, Wati
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6079

Abstract

Fatigue is one of the most common symptoms experienced by patients undergoing hemodialysis therapy. This condition can affect the quality of life of chronic patients, because reduced physical activity, such as sedentary habits, and emotional stress can also be the cause of fatigue. Intradialitic exercise has various benefits in reducing fatigue experienced by patients. This study aims to evaluate the effect of exercise training on the level of fatigue in patients undergoing hemodialysis therapy. The study used a design Quasi-experimental research using the pre-test and post test group design. The research population was all patients with end-stage renal failure with the sampling technique being accidental sampling, with amount sample of 22 patients. Intradialytic exercises were performed for six weeks at a frequency of twice a week, with each session lasting a maximum of 20 minutes. Fatigue levels were measured using the Functional Assessment of Chronic Illness Therapy (FACIT) questionnaire. Data analysis was performed using the dependent t-test. The results of the study showed that the average level of fatigue before the intervention is 26.36 (SD ± 3.580 ), while the average score is the fatigue level after intervention is 32.09 (SD ±4.116 ) with a p value of 0.001, the effect size is -3.378, then including in category effect tall based on Cohen'. There is significant difference between fatigue levels before and after interdialytic exercise in patients with chronic renal failure undergoing hemodialytic therapy.
Peppermint and Ginger Aromatherapy for Managing Nausea and Vomiting During Chemotherapy Maryani, Fenny; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6212

Abstract

Nausea and vomiting are common side effects experienced by breast cancer patients undergoing chemotherapy. Complementary therapies, such as peppermint and ginger aromatherapy, have been widely studied as alternatives to relieve these symptoms. However, the effectiveness of each type of aromatherapy needs further evaluation. Objective: This study aims to analyze the effectiveness of peppermint and ginger aromatherapy in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. Methods: A Quasi-Experimental design was used with 28 breast cancer patients at Husada Hospital Jakarta, divided into two groups: peppermint and ginger. Nausea and vomiting levels were measured before, 2 hours, and 6 hours after chemotherapy and analyzed using ANOVA Repeated Measures and Independent T-Test. Results: The results showed that both peppermint and ginger aromatherapy significantly reduced nausea and vomiting after chemotherapy (p < 0.05). However, at 6 hours after chemotherapy, the peppermint group had lower average nausea and vomiting scores compared to the ginger group (6.57 vs. 10.29, p = 0.036). This indicates that peppermint is more effective than ginger in reducing nausea and vomiting after chemotherapy. Conclusion: Both peppermint and ginger aromatherapy are effective in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. However, peppermint showed higher effectiveness compared to ginger at the 6-hour post-chemotherapy time point. Future research could explore the combination of peppermint and ginger aromatherapy to enhance effectiveness in reducing nausea and vomiting in breast cancer patients.
Penerapan Evidence Based Practice Chin Tuck Againts Resistance (CTAR) dalam Penanganan Disfagia pada Pasien Stroke Rinawati, Rinawati; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizki Nugraha; Nurhayati, Elis
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14130

Abstract

ABSTRACT The Chin Tuck Against Resistance (CTAR) intervention is rarely utilized by nurses in treating dysphagia among stroke patients. Symptoms arising from a stroke can differ based on the affected brain area, encompassing speech disorders, chewing and swallowing difficulties (dysphagia), limb paralysis or weakness, personality alterations, emotional disturbances, diminished cognitive abilities, impaired urinary function, and others. The use of Evidence-Based Nursing Practice (EBNP) is conducted to comprehend the impact of implementing chin tuck against resistance (CTAR) on improving swallowing muscle strength in stroke patients with dysphagia. In this study, the data were analyzed using univariate data analysis to evaluate the demographic characteristics and swallowing ability profiles of each respondent. Furthermore, the statistical test of influence was conducted using a paired t-test to assess changes in swallowing ability after undergoing CTAR rehabilitation exercises. Sampling in this study utilized the total sample method, involving 8 respondents. The CTAR intervention has been shown to significantly improve swallowing ability in stroke patients. The results indicate a meaningful increase from an average of 84.3 to 91.7 post-intervention, with an effect size of 4.59 and a p-value of 0.022, demonstrating the statistical effectiveness of this therapy. Furthermore, CTAR exercises are convenient to implement, time-efficient, and can be performed by patients without disrupting their daily routines. To enhance its effectiveness, it is recommended to involve patients and their families in the education process, enabling them to continue the exercises independently. The simplicity of these exercises facilitates nurses in providing interventions during nursing care for stroke patients experiencing dysphagia. Keywords: Evidence Based Practice Chin Tuck Against Resistance (CTAR), Dysphagia, Stroke Patients  ABSTRAK Intervensi Chin Tuck Exercise (CTAR) jarang digunakan oleh perawat untuk mengatasi disfagia pada pasien stroke. Gejala yang muncul akibat stroke dapat bervariasi tergantung pada area otak yang terkena, termasuk gangguan berbicara, kesulitan mengunyah dan menelan (disfagia), kelumpuhan atau kelemahan anggota gerak, perubahan kepribadian, gangguan emosi, penurunan fungsi kognitif, gangguan fungsi berkemih, dan lainnya. Penggunaan Praktik Keperawatan Berbasis Bukti (EBNP) dilakukan untuk memahami dampak dari penerapan chin tuck against resistance (CTAR) terhadap peningkatan kekuatan otot menelan pada pasien stroke dengan disfagia. Pada penelitian ini, data dianalisis menggunakan analisis data univariat untuk mengevaluasi karakteristik demografi dan gambaran kemampuan menelan pada setiap responden. Selanjutnya, uji statistik pengaruh dilakukan dengan uji paired t-test untuk menilai perubahan kemampuan menelan setelah menjalani latihan rehabilitasi CTAR. Pengambilan sampel dalam penelitian ini menggunakan metode total sampel dengan melibatkan 8 responden. Intervensi CTAR terbukti secara signifikan meningkatkan kemampuan menelan pada pasien stroke. Hasil menunjukkan peningkatan yang berarti dari rata-rata 84.3 menjadi 91.7 setelah intervensi, dengan besaran efek sebesar 4.59 dan nilai p-value sebesar 0.022, menunjukkan keefektifan terapi ini secara statistik. Lebih lanjut, latihan CTAR memberikan kemudahan dalam pelaksanaan, tidak memakan waktu lama, dan dapat dilakukan oleh pasien tanpa mengganggu rutinitas harian. Untuk meningkatkan efektivitasnya, disarankan untuk melibatkan pasien dan keluarganya dalam proses edukasi, sehingga mereka dapat melanjutkan latihan secara mandiri. Kesederhanaan latihan ini memudahkan perawat dalam memberikan intervensi selama asuhan keperawatan pada pasien stroke yang mengalami disfagia. Kata Kunci: Praktek Berbasis Bukti Chin Tuck Melawan Resistensi (CTAR), Disfagia, Pasien Stroke 
Penerapan Evidence Based Nursing Practice Pemberian Head Up 30 Derajat Terhadap Peningkatan Saturasi Oksigen Pasien Stroke Iskemik Wahyudin, M. Didin; Agung, Rizki Nugraha; Yunitri, Ninik
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14084

Abstract

ABSTRACT Stroke is a neurological disorder that appears suddenly, lasts for more than 24 hours, and is caused by cerebrovascular disease. Providing a 30◦ head position for stroke patients has significant benefits, namely that it can improve hemodynamic conditions by facilitating increased blood flow to the brain and optimizing oxygenation of brain tissue. The application of Evidence-Based Nursing Practice (EBNP) to overcome nursing problems in stroke patients who experience hypoxia is carried out by providing 30 degrees head up or head elevation interventions. The aim of this study was to evaluate the impact of 30 degrees of head elevation on oxygenation levels in patients experiencing stroke. This research is cross-sectional. The sample consisted of 12 patients who were undergoing treatment in the stroke unit. Sample collection was carried out using the proportional stratified random sampling method, and data analysis was carried out using the Jamovi application via the Paired T-Test test. Implementation of Evidence Based Nursing Practice (EBNP) by providing a 30° head up position showed an increase in SPO2 values after intervention. At an onset of less than 24 hours, the average SPO2 increased from 88% to 93%, while at an onset of less than 48 hours, the average SPO2 increased from 91% to 95%. In addition, at onset of more than 7 days, the average SPO2 increased from 95% to 99% with P-Value = 0.01. From these results, it can be concluded that the application of evidence-based nursing practices, especially providing a 30° head up position, has proven effective in increasing oxygen saturation levels in stroke patients at Hospital in DKI Jakarta. Keywords: Ischemic Stroke, Head Up 300, Oxygen Saturation  ABSTRAK Stroke adalah gangguan neurologis yang muncul secara tiba-tiba, berlangsung selama lebih dari 24 jam, dan disebabkan oleh penyakit serebrovaskular. Memberikan posisi kepala naik 300 pada pasien stroke memiliki manfaat signifikan, yaitu dapat meningkatkan kondisi hemodinamik dengan memfasilitasi peningkatan aliran darah ke otak serta mengoptimalkan oksigenasi jaringan otak. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) untuk mengatasi masalah keperawatan pada pasien stroke yang mengalami hipoksia dilakukan dengan memberikan intervensi head up atau elevasi kepala sebanyak 300. Tujuan dari penelitian ini adalah untuk mengevaluasi dampak dari peninggian kepala sebanyak 300 terhadap tingkat oksigenasi pada pasien yang mengalami stroke.  Penelitian ini bersifat potong lintang (cross-sectional). Sampel terdiri dari 12 pasien yang sedang menjalani perawatan di unit stroke. Pengumpulan sampel dilakukan menggunakan metode proportional stratified random sampling, dan analisis data dilakukan dengan menggunakan aplikasi jamovi melalui uji Paired T-Test. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) dengan memberikan posisi head up 30° menunjukkan peningkatan nilai SPO2 setelah intervensi. Pada onset kurang dari 24 jam, rata-rata SPO2 meningkat dari 88% menjadi 93%, sedangkan pada onset kurang dari 48 jam, rata-rata SPO2 meningkat dari 91% menjadi 95%. Selain itu, pada onset lebih dari 7 hari, rata-rata SPO2 meningkat dari 95% menjadi 99% dengan P-Value = 0.01. Dari hasil ini, dapat disimpulkan bahwa penerapan praktik keperawatan berbasis bukti, khususnya pemberian posisi head up 30°, terbukti efektif dalam meningkatkan kadar saturasi oksigen pada pasien stroke di Rumah Sakit di DKI Jakarta. Kata Kunci: Stroke Iskemik,  Head Up 300, Saturasi Oksigen