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All Journal Jurnal Keperawatan Seroja Husada: Jurnal Kesehatan Masyarakat
Widiastuti , Linda
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Effectiveness of progressive mobilization level I on hemodynamic status of stroke patients in the ICU Yunie Atrie, Utari; Widiastuti , Linda; Siagian, Yusnaini; Wati, Liza; Rahman, Zakiah
Jurnal Keperawatan Vol. 15 No. 02 (2024): July
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v15i02.34882

Abstract

Introduction: Most stroke patients in the ICU to experience very long immobilization and are only able to rest in bed due to decreased consciousness and physical weakness. However, prolonged bed rest in the ICU can have negative impacts on patients, one of which is changes in the patient's hemodynamics. Progressive mobilization has the potential to affect hemodynamic status and has received significant attention in the critical care setting. Objectives: This study aims to determine the effect of progressive mobilization level I on the hemodynamic status of stroke patients in ICU at Bintan Regional Hospital. Methods: The research design was a non-equivalent control group design. The sample size was 32 stroke patient respondents consisting of 16 intervention groups and 16 control groups, with a purposive sampling technique. Measurements were made using observation sheets to assess hemodynamic status before and after progressive mobilization. Results:  The results of the bivariate analysis using the Paired T-Test showed that there was a difference in the average heart rate (p=0.000), systolic blood pressure (p=0.003), diastolic blood pressure (p=0.000), respiratory rate (p=0.000), and oxygen saturation (SaO2) (p= 0.001) between before and after progressive mobilization level I. The results of the Independent-T-Test showed that there was an effect of progressive mobilization level I on the hemodynamic status of ICU patients (p= 0.000 for each hemodynamic). There was an increase in hemodynamic status within the normal range after progressive mobilization. Conclusions: The results of this study can be a recommendation for nurses to carry out progressive mobilization level I by paying attention to the hemodynamic status of critical patients, especially for stroke patients to improve quality of life.
PENGARUH ROM EXERCISE DINI TERHADAP INTENSITAS NYERI PADA PASIEN POST OPERASI FRAKTUR EKSTREMITAS ATAS DAN BAWAH DI RUMKITAL Dr. MIDIYATO SURATANI TANJUNGPINANG Sembiring, Suryani Florentina Br; Widiastuti , Linda; Yanti , Masyitah Novia
Seroja Husada: Jurnal Kesehatan Masyarakat Vol. 1 No. 6 (2024): Seroja Husada: Jurnal Kesehatan Masyarakat
Publisher : Seroja Husada: Jurnal Kesehatan Masyarakat

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Abstract

Background: Extremity of fractures make it difficult for a person to mobilize and feel pain after surgery. This has an impact on hampering the patient's rehabilitation phase. Early ROM exercise is important for post-operative patients to restore muscle function, improve blood circulation, prevent contractures and muscle atrophy. The aim of the study was to determine the effect of early ROM exercise on pain intensity in post-extremity fracture surgery patients at Rumkital Dr. Midiyato Suratani Tanjungpinang. This research design : is quasi experimental (quasi-experiment) with a one group pre and post test design, sample size of 30 with total sampling technique. Data collection tool with observation sheet and hayward pain scale. Data analysis used the wilcoxon test. Research results : The intensity of pain on the first post-operative day before early ROM exercise was mostly in the give up category for 28 respondents (93.3%) with a median of 3.00. The intensity of pain on the first day after early ROM exercise was mostly in the mild pain category for 26 respondents (86.7%) with a median of 2,00. The pain intensity of the respondents on the second day before early ROM exercise was mostly in the pain category which was a give up for 17 respondents (56.7%) with a median of 3,00. The pain intensity of respondents on the second day after early ROM exercise was mostly in the mild pain category 28 respondents (93.3%) with a median of 2.00. The wilcoxon test results have a p value of 0.000 (≤0.05), meaning that there is an influence of early ROM exercise on pain intensity in post-extremity fracture surgery patients at Rumkital Dr. Midiyato Suratani Tanjungpinang. Discussion: Early implementation of ROM exercise can reduce pain intensity. This action can be used as a way to reduce pain intensity in post-extremity fracture surgery patients..
Co-Authors Rahman, Zakiah Sembiring, Suryani Florentina Br Siagian, Yusnaini Utari Yunie Atrie Wati, Liza Yanti, Masyitah Novia