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Nurdina Nurdina
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Journal : Journal Of Nursing Practice

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The Combination Effect of Motor Relearning Program and Positive Affirmation on Functional Abilities and Quality of Life in Post Stroke Patients at Ngudi Waluyo Wlingi Hospital Setyo Wahyudi; Yuly Peristiowati; Agusta Dian Ellina; Nurdina; Ratna Wardani
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.483

Abstract

Background: Stroke is a disease that causes chronic disability. It is hoped that the combination of Motor Relearning Program (MRP) and Positive Affirmation (PA) will be able to improve the functional abilities and quality of life (QoL) of post-stroke patients considering that there is no intervention that combines these two methods. Purpose: The purpose of this study was to analyze the effect of the combination of MRP and PA on the functional abilities and QoL of post-stroke patients at Ngudi Waluyo Wlingi Hospital. Methods: The research design used is quantitative research using the true experimental pre and post with controlled design. The sampling technique used was Simple Random Sampling with a sample of 7 people given a combination of MRP and PA (Group A), 7 people given MRP treatment (Group B), 6 people given PA treatment (Group C), and 7 people in the control group given conventional physiotherapy treatment (CPT) (Group D). The research was carried out for 4 weeks with 3 sessions. Functional ability was measured using Barthel Index and QoL was measured using Stroke Impact Scale. Paired sample t, ANOVA, Tukey post hoc, and Games-Howell post hoc tests was used to analyzed the data. Results: With the exception of the PA group, which had a p-value of 0.000 > 0.05 for functional ability, the results of the paired t-test showed that the p-value was 0.000 for both functional ability and QoL for all treatment groups. This suggests that functional abilities were unaffected by PA. ANOVA test results revealed a significance value of 0.000, below the 0.05 alpha threshold. This indicates that the pre-post test results for each treatment group differ significantly from those of the control group. Group C (PA) and Group A (a mix of MRP and PA) had the biggest mean difference, according to the Tukey test, with a value of 38.80. Additionally, the Games-Howell test's QoL scores showed. Conclusion: PA treatment has no effect on improving the patient's functional ability, but has an effect on patient’s QoL, so it is recommended to combine it with MRP treatment. The combination treatment of MRP and PA is recommended to be given simultaneously to improve the functional ability and QoL of post-stroke patients for maximum results.
Co-Authors Abas, Ibnu Adi Sutrisni Agusta Dian Ellina Aji Prasetyo, Aji Alfia, Nida Aminundin, Aminundin Andhika Cahyono Putra Aprin Rusmawati Ardhiani, Mutiara Rachma Ariprabowo, Tri Aristha Purwanthari sawitri Assidiq, Muhammad Ati, Felomene Dian Sulistyananing Atik Setiawan Wahyuningsih Bayu Adi Bayu Rama Laksono Benny Yoga Satria Byba Melda Suhita Cahyani, Amelia Ayu Riska Cahyono M. Wijanarko, Dwi Christina Menuk Sri Handayani Edi Sulistyawan Estiasih, Soffia Pudji Ety Diana Sulistyawati Fachrudy Asj’ari Farah Tifanny Aisyah Anindya Putri Fazrin, Intan Ferry Hariawan Firdausia, Yuli Kurnia Fitria, Anjar Resti Frisyanto, Balqis Khairunisa Gustira, Dias Hadi Santoso Hari Rachmawati Harli, Kurnia I Made Bagus Dwiarta Indah Ayu Avilia Indarti, Daru Indasah Ira Nurdiana Joko Prasetyo Katmini Kusuma Wardani, Lingga Latif, Nashrudin Lestari, Iriyanti Ayu Malairu, Hildegardis Indah R Mayta Sari Dwianggimawati Miranti Moch Munir Rachman Mochklas, Mochamad Mohammad Afrizal Miradji MULYADI Munir Rachman Nashrudin Latif Nashrudin Latif Nelsent Oiyan Dimas Karyoto noer choidah Noerchoidah Nur Khalilah Nurwijayanti Nurwijyanti Nurwijyanti Pangestu, Septiawan Rizky Pety Merita Sari Purwasih, Yefi Putri, Nabila Maulidya R Yudi Sidharta Ratna Wardani Ridha Rachmathiany Rossitika, Amanda Rizky Sandu Siyoto Santika, I Made Setyo Wahyudi Sidharta, R. Yudi Sidharta, Yudi Sigit Prihanto Utomo Silviana Anggraini Ardya Putri Siti, Patimah Solihin Solihin Sri Rezeki Pettalolo Sugiati Sugiati Suhardiyah, Martha Suharyanto Sukandani, Yuni Syarli, Syarli Titin Susiyanti Tri Ariprabowo Wabula, Irfan Widhayani Puri S Widiar Onny Kurniawan Yessi Irvina Tombokan Yoga Satria , Benny Yuli Peristiowati, Yuli Yuliani Ningsih Yulianti, Desak Made Yuly Periostiawati Yuly Peristiowati