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Efektivitas Hendrich Fall Scale (HFS) dan Morse Fall Scale (MFS) dengan Penilaian Risiko Jatuh pada Lansia Maita Sarah; Elyani Sembiring
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.226

Abstract

The goal of understanding fall risk in the elderly, prevention and protection is to improve clinical and care satisfaction. Another anticipatory method that can be used to predict falling conditions is the assessment of the risk of falling in the elderly. The Hendrich Fall Scale (HFS) and Morse Fall Scale (MFS) are a form of assessment to anticipate the risk of falling in the elderly in nursing homes for patients. The aim is to determine the effectiveness of the Hendrich Fall Scale and the Morse Fall Scale with an assessment of the Risk of Fall in the Elderly. The research design used in this study is a longitudinal comparative design. The total sample in this study was 40 elderly. This research was conducted at the Nursing Home Foundation Guna Budi Bakti Medan Labuhan. Data collection using the Hendrich Fall Scale and Morse Fall Scale. Data analysis using Chi Square. Fall risk assessment using the Hendrich Fall Scale (HFS), elderly people with a high risk of falling (25.0%), moderate risk of falling (65.0%). Fall risk assessment used the Morse Fall Scale (MFS), the elderly who had a high risk of falling (39.1%), moderate risk of falling (47.8%). It is recommended that seniors at risk of falling should be assessed using the MFS instrument.
The Effect of Shaker Exercise Therapy on Dysphagia in Stroke Patients Admitted to the Intensive Care Unit (ICU) at Grandmed Hospital Lubuk Pakam Juni Mariati Simarmata; Debi Dinha Octora; Maita Sarah; Martina Evlyn Romauli Hutahaean
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/27tc1v43

Abstract

Stroke patients frequently experience dysphagia due to impairment of the glossopharyngeal, vagus, and hypoglossal nerves, which consequently reduces swallowing function. Shaker exercise has been shown to improve swallowing disorders through isometric and isokinetic training that enhances the strength of the suprahyoid muscles in the neck via upward (elevation) and forward (protrusion) movements. This study aimed to analyze the effect of Shaker exercise therapy on dysphagia in stroke patients admitted to the Intensive Care Unit (ICU) at Grandmed Hospital Lubuk Pakam. This study employed a quantitative approach with a pre-experimental design using a one-group pre-test and post-test method. A total of 11 stroke patients were recruited using a total sampling technique. Dysphagia levels were measured before and after the administration of the Shaker exercise intervention. Data analysis was conducted using the Shapiro–Wilk normality test and the Paired T-test with a significance level of 0.05. The results indicated that prior to the intervention, the majority of respondents were in the low score category (20–80), accounting for 7 individuals (63.6%), while 4 respondents (36.4%) were in the high score category (81–100). Following the intervention, all respondents (100%) were classified in the high score category (81–100), with no participants remaining in the low category. The Paired T-test revealed a p-value of 0.000 (<0.05), indicating a statistically significant difference in dysphagia conditions before and after the intervention. In conclusion, Shaker exercise is significantly effective in reducing dysphagia among stroke patients. This improvement is attributed to the strengthening of the suprahyoid muscles, which enhances the opening of the esophageal sphincter and facilitates the passage of food into the lower digestive tract.