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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) KONSELI: Jurnal Bimbingan dan Konseling (E-Journal) Elkawnie Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat International Journal of Nursing and Health Services (IJNHS) Jurnal Kesehatan Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Al-Asalmiya Nursing: Journal of Nursing Sciences Jurnal Ners Journal of Telenursing (JOTING) Indonesian Journal of Global Health research OISAA Journal of Indonesia Emas Caring : Indonesian Journal of Nursing Science MAHESA : Malahayati Health Student Journal JUKESHUM: Jurnal Pengabdian Masyarakat Holistik Jurnal Kesehatan Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research
Nur Asnah Sitohang, Nur Asnah
Universitas Sumatera Utara, Fakultas Keperawatan, Jl. Prof. T. Maas No. 3, Medan, Sumatera Utara 20155, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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The Effect of Isometric Exercise on Pain, Muscle Strength and Risk of Infection in Patients with Closed Orif (L) Femur Shaft Fracture Lower Extremity Nur Asnah Sitohang; Boiolifu Lafau
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.1156

Abstract

Femoral shaft fracture is a serious injury commonly caused by high-energy trauma and often requires Open Reduction Internal Fixation (ORIF). Patients following ORIF are at risk of acute pain, impaired physical mobility, and infection due to surgical wounds and implant placement. Femoral shaft fracture is a serious injury commonly caused by high-energy trauma and often requires Open Reduction Internal Fixation (ORIF). Patients following ORIF are at risk of acute pain, impaired physical mobility, and infection due to surgical wounds and implant placement. This study employed a single-case design with a nursing care approach. The subject was a 24-year-old male patient who sustained a closed left femoral shaft fracture due to a traffic accident and underwent ORIF. Nursing interventions included isometric exercises based on the protocol developed by Khosrojerdi et al., performed four times daily for five consecutive days. Pain intensity, muscle strength, and signs of infection were evaluated throughout the intervention period. The evaluation showed a reduction in pain intensity from a Numerical Pain Rating Scale (NPRS) score of 7 to 3. Lower extremity muscle strength improved to grade 4/5 on the Manual Muscle Testing (MMT) scale. No signs of infection were observed during the intervention period. Isometric exercise was effective in reducing pain and improving muscle strength and mobility in a patient with a femoral shaft fracture following ORIF, supporting its use as a nursing intervention in postoperative orthopaedic care.
Implementation of Swallowing Therapy in Dysphagia Patients with Ischemic Stroke Diagnosis Nur Asnah Sitohang; Icceng Sidabutar
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Ischemic stroke is the acute onset of focal neurological deficits in vascular territories affecting the brain, retina or spinal cord due to cerebrovascular disease. The symptoms of stroke in general are partial or complete limb weakness, decreased cognitive function, difficulty swallowing or dysphagia, aphasia and dysarthria. Dysphagia is a swallowing disorder in which food and drinks take time to reach the stomach from the mouth. One of the interventions that can be given to patients is swallowing therapy. The purpose of this case study is to provide nursing care for ischemic stroke patients who experience dysphagia to overcome swallowing difficulties. This exercise requires patient participation by giving instructions or directions to patients both verbally and visually about how to swallow to increase swallowing muscle strength. There was one participant in the ischemic stroke patient. The exercise was given for 4 days 3 times a day for 15 minutes each exercise using the Mann Assessment of Swallowing Ability, a standardized instrument with established validity and reliability for dysphagia assessment in stroke patients. The results of the evaluation showed an improvement in the patient’ swallowing ability, namely before the intervention MASA 147 and after the intervention MASA 170. The application of swallowing exercises can be used as a nurse intervention in carrying out nursing actions independently for patients who experience swallowing disorders in ischemic stroke patients and can be continued by families at home.
Co-Authors Adela, Cut Adeya Adela, Cut Adeya Amnita Anda Yanti Ginting Boiolifu Lafau Bungaria, Sri CUT ADEYA ADELLA, CUT ADEYA Deddy Wandra Maraksa Dedi Ardinata Dedi Ardinata Dewi Elizadiani Suza Dharmajaya, Ridha Diah Lestari Nasution Dudut Tanjung Effendy De Lux Putra, Effendy De Lux Evelina Naibaho Exodus Maruaba Barutu Icceng Sidabutar Ikhwansyah Isranuri Indira Mastura Pulungan Karo, Evi Indri Br Kiking Ritarwa Kiking Ritarwan M. Harwansyah Putra Sinaga Manullang, Evi Sara Hotmauli Manurung, Romatua Juliana Marbun, Agnes Putri S Mula Tarigan Nasution, Diah Lestari Nasution, Diah Lestari Normi Hotriani Purba Nur Asiah Nur Asiah Nurmaini Nurmaini Nurul Huda Afifah Nurwijayanti Oktabina, Rizki Wan Oktari, Rina Suryani Purba, Jenny Marlindawani Rizaldi Nanda Wiguna Santi Sihombing Sara Hotmauli Br Manullang, Evi Saragih, Maria Uli Marselina Sari, Dewi Keumala Sari, Farida Linda Sartika Hutahaean Sianipar, Helpvina Lestari Sinaga, M. Harwansyah Putra Sirait, Diyan Marsella Siti Cahaya Meliza Syah Fara Dillasani Sirait Tamba, Darwin Tasrif Hamdi Tasrif Hamdi Wiguna, Rizaldi Nanda Yannis, Nafi Yeni Rimadeni