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Journal : Jurnal NERS

Telerehabilitation System in Nursing Post Stroke - A Systematic Review Dimas Hadi Prayoga; Bernadetta Germia Aridamayanti; Ida Trisnawati; Maria Fransiska Ronalia
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.565 KB) | DOI: 10.20473/jn.v14i3.17017

Abstract

Background: Stroke is currently the main cause of disability worldwide. Telerehabilitation is a rehabilitation approach that can be used to repair the damage to motor, sensory and cognitive functions. This can also substantially reduce the travel time for the health workers and therefore increase the number of patients who are consulted in a day.Method: A search using specific keywords was done in both the journal articles and in the database. In total, 119 articles were from Scopus, 45 articles were from PubMed, 87 articles were from Science Direct, 52 articles were from EBSCO and 97 articles were from Proquest. There were 15 articles that matched the inclusion criteria. Most of the available literature only refers to short-term results and most of the research is of low quality.Result: Evidence of the relative effectiveness was found in the types of videos, VR, cellphones and computer use. The location of the network support and technological progress are still obstacles that must be addressed immediately. Based on the current scientific evidence, only a few telerehabilitation methods can be recommended for wider use.Conclusion: The telerehabilitation system can provide long-term therapy, meet the patient needs and save the health resources needed to minimize the severity of the patients’ condition. The application of telerehabilitation is used by the nurses to optimize their role in improving patient health and telerehabilitation will answer the problem of penetrating the distance dimension.
Effect of Combination Mirror Therapy and Cylindrical Grip on Self-Care of Post-Stroke Ischemic Patients Bernadetta Germia Aridamayanti; Nursalam Nursalam; Iqlima Dwi Kurnia
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.18906

Abstract

Introduction: Stroke is the leading cause of disability at a productive age. Hemiparesis upper limb is an example of a disability that is found post-stroke, which limits self-care such as eating, bathing, toileting and dressing. The purpose of this study was to determine the effect of a combination of mirror therapy and cylindrical grip on improving self-care of post-stroke patients.Methods: The design of this study was quasi-experimental (pre-post test with control group design). The population was post-stroke patients who experience upper limb hemiparesis in the Medical Rehabilitation Poly. A sample of 66 respondents (33/33) was chosen using purposive sampling. The independent variable was a combination of mirror therapy and cylindrical grip, and the dependent variable was self-care. Data were collected using a self-care questionnaire with strong validity and reliability. Analysis was undertaken using Kolmogorov Smirnov and Wilcoxon Sign Rank Test. Interventions were given three times a week for a month.Results: In the intervention and control groups there were significant differences between self-care before and after the intervention with a value of 0.000 (p <0.05).Conclusion: The increase in the intervention group can be seen from the sub-variables in self-care toileting, which involves cleaning the genitalia area after defecation/urination. This intervention stimulates the finger sensory and motor nerves so that they can perform self-care to the maximum. A combination of mirror therapy and cylindrical grip has been shown to improve self-care.