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PEMENUHAN KEBUTUHAN VITAMIN DAN MINERAL PADA PASIEN GAGAL GINJAL KRONIK DI RSUD DR. SOEKARDJO TASIKMALAYA Sri Hartati Pratiwi; Asri Nurkarimah; Urip Rahayu
Jurnal Ilmiah Kesehatan Keperawatan Vol 14, No 1 (2018): Jurnal Ilmiah Kesehatan Keperawatan
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v14i1.272

Abstract

Renal failure patients will experience a variety of metabolic disorders included in the production process of various vitamins and minerals. Lack of vitamin and mineral intake will aggravate vitamin and mineral deficiencies so that patients can experience various musculoskeletal disorders. This condition can cause deterioration in the patient's condition so that the quality of life of the patient can decrease. This study aims to identify the fulfillment of vitamin and mineral needs in patients with chronic kidney diseases.This research used descriptive quantitative method with purposive sampling technique. The Sample in this study was 80 patients with criteria, experience full awareness (composmentis) and literacy. Data was taken using a food record, then analyzed with Nutrisurvey software. Data were analyzed using frequency distribution. The results showed that sodium intake (55%), potassium (87.5%), calcium (53.75%), and phosphorus (46.25%) in most respondents in the normal category. Vitamin D intake in most respondents (70%) is in the less category. Most respondents get enough vitamin and mineral intake except vitamin D.Health workers are expected to provide ongoing education on the importance of maintaining intake of vitamins and minerals especially vitamin D in patients with chronic kidney diseases. In addition, health workers are expected to collaborate well in meeting the vitamin and mineral needs of patients with kidney diseases.
Penerapan Latihan Rom Pasif Terhadap Tingkat Kekuatan Otot Ekstremitas pada Pasien Stroke Hemoragik : Studi Kasus Zahra Siti Hanifah; Siti Ulfah Rifa’atul Fitri; Urip Rahayu
Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i3.1224

Abstract

Abstract. Stroke occurs when blood vessel in the brain is blocked, causing blood flow to the brain to be disrupted. Hemiparesis is one of the symptoms of stroke, which is paralysis of the limbs or muscle weakness in the affected limbs. Case study aims to show the application of passive ROM exercises on the level of limb muscle strength in patients with hemiparesis sinistra due to hemorrhagic stroke at RSUD Kabupaten Sumedang. This writing uses a case study method. Muscle strength measured both before and after intervention with Manual Muscle Testing which has a scale of 0-5. Case study shows the results of the patient's main nursing problem is impaired physical mobility characterized by sinistra hemiparesis, sinistra upper extremity muscle strength 1 and sinistra lower extremity 2. After intervening for 4 days in the form of passive ROM exercises, the results of sinistra upper and lower extremity muscle strength increased to 2 and 3. It can be concluded the provision of passive ROM exercises can improve treatment outcomes, one of which is increasing muscle strength. Hoped that the results of this case study can be developed by combining passive ROM exercises with other interventions such as rubber ball grasping therapy. Keywords: Passive ROM, Hemorrhagic stroke, Muscle strength Abstrak. Stroke terjadi saat pembuluh darah di otak terdapat sumbatan atau pecah sehingga menyebabkan aliran darah bagian otak terganggu. Hemiparesis adalah salah satu gejala penyakit stroke yang merupakan kelumpuhan pada anggota gerak atau kelemahan otot pada anggota gerak yang terkena. Studi kasus ini bertujuan untuk menunjukkan penerapan latihan range of motion (ROM) pasif pada tingkat kekuatan otot ekstremitas pada pasien yang mengalami hemiparesis sinistra akibat stroke hemoragik di RSUD Kabupaten Sumedang. Penulisan ini menggunakan metode studi kasus yang melibatkan satu pasien stroke hemoragik. Kekuatan otot diukur baik sebelum maupun sesudah intervensi dengan Manual Muscle Testing yang memiliki skala 0-5. Studi kasus ini menunjukkan hasil masalah keperawatan utama pasien adalah gangguan mobilitas fisik ditandai dengan hemiparesis sinistra, kekuatan otot ekstremitas atas sinistra 1 dan ekstremitas bawah sinistra 2. Setelah dilakukan intervensi selama 4 hari berupa latihan ROM pasif, hasil kekuatan otot ekstremitas atas dan bawah bagian sinistra meningkat menjadi 2 dan 3. Dapat disimpulkan pemberian latihan ROM pasif dapat meningkatkan hasil perawatan, salah satunya adalah meningkatkan kekuatan otot. Diharapkan hasil studi kasus ini dapat dikembangkan dengan mengombinasikan latihan ROM pasif dengan intervensi lain seperti terapi menggenggam bola karet. Kata kunci: Kekuatan otot, ROM pasif, Stroke hemoragik