Hotma Rumahorbo
Poltekkes Kemenkes Bandung, Indonesia

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The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients Mohamat Iskandar; Mardiyono; Hotma Rumahorbo
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23556

Abstract

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital.Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength.Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients.Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412.Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. Keywords: Discharge planning, Range of motion (ROM) training, Nonhemorrhagic stroke patients, Muscle strength Received: 25 August 2018, Reviewed: 01 September 2018, Received: in revised form 23 October 2018, Accepted: 31 October 2018 DOI: 10.35898/ghmj-23556
Foot Exercise to Overcome Type 2 Diabetes Mellitus: A literature Review Ahmad Zakiudin; Gunawan Irianto; Asep Badrujamaludin; Hotma Rumahorbo; Susilawati Susilawati
International Journal of Nursing Information Vol. 1 No. 1 (2022)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v1i1.10

Abstract

Prediction in 2030, the number of deaths due to Diabetes Mellitus (DM) will increase and become the seventh cause of death. The role of patients in managing DM is vital because DM is a chronic disease that will suffer for life. Foot exercise is one type of exercise to apply to DM patients. Diabetic foot exercise improves blood circulation and foot sensitivity. This study aims to inform readers about the effectiveness of foot exercise in overcoming DM type 2. This study is qualitative with a literature review. The analysis used inductive content to identify the main themes in the related literature. This article explores the indexed national and international journals of Scopus, Sinta, and Copernicus. There is an effect of diabetes mellitus foot exercise on improving the quality of life of patients with type 2 diabetes. Foot exercise provides comfort, reduces pain, and nerve damage, controls blood sugar, increases blood circulation in the feet, and improves symptoms of peripheral neuropathy such as tingling and numbness.