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Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.

Pengaruh Crossword Puzzle terhadap Gangguan Fungsi Kognitif pada Pasien Stroke Iskemik Satriani, Satriani; Sofiani, Yani; Rayasari, Fitrian; Yuntiri, Ninik; Mulyatsih, Mg Enny
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.8839

This study aims to apply crossword puzzles to cognitive impairment in patients with ischemic stroke. The method used was a Randomized Controlled Trial with a Quasy Experiment research design carried out at PON Hospital Jakarta. The research results showed that there was a greater and more significant increase in cognitive function scores with a larger effect size than the current results. Meanwhile, for the MMSE method, the results obtained from the Paired T-Test test obtained an effect size value of 6.91 (moderate) and it can be assumed that the application of MMSE improves the results of cognitive function positively. In conclusion, crossword puzzle intervention can improve cognitive outcomes Keywords: Crossword Puzzle, Cognitive, Ischemic Stroke

Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.

Penerapan Therapeutic Positions terhadap Parameter Vital Signs Pasien Stroke di Rumah Sakit Pusat Otak Nasional Prof. Dr. Dr. Mahar Mardjono Jakarta Irman, Irman; Kariasa, I Made; Nova, Prima Agustia; Mulyatsih, MG Enny
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14389

ABSTRACT This study aims to determine the application of therapeutic positions to the vital signs parameters of stroke patients at the Prof. Dr. National Brain Center Hospital. Dr. Mahar Mardjono Jakarta. This research is an application of Evidence-Based Nursing which was applied to 12 respondents. Each patient in the study group was positioned in various therapeutic positions every 2 hours following a semi-fowler's rotating schedule, lying on their side to the healthy side (Unaffected Side Position), lying on their back (Supine Position), and lying on their side to the side with hemiparesis or hemiplegia (Affected Side Position). Based on the results, the average systolic blood pressure decreased on the second post-intervention day (day 2) with a mean of 124.08 and a standard deviation of 3,147, while the diastolic mean was not much different from the first day, namely 83.17 and a standard deviation of 2,657. The average heart rate on the second-day post-intervention decreased with a mean of 84.92 and a standard deviation of 0.900. In the respiration rate variable, the decrease in the mean value post-intervention on the second day was 15.33 (standard deviation 0.888). The mean value for oxygen saturation levels (SPO2) with the mean post-test value on the second day was 99.75 (standard deviation 0.452). So it can be concluded that providing therapeutic positions intervention can reduce blood pressure, heart rate, and respiration rate and increase oxygen saturation. Keywords: Therapeutic Positions, Vital Signs ABSTRAK Penelitian ini bertujuan untuk mengetahui Penerapan Therapeutic Positions Terhadap Parameter Vital Signs Pasien Stroke Di Rumah Sakit Pusat Otak Nasional Prof Dr. dr. Mahar Mardjono Jakarta. Penelitian ini merupakan Penerapan Evidence-Based Nursing yang diterapkan pada 12 responden. Setiap pasien dalam kelompok studi diposisikan pada berbagai posisi terapeutik setiap 2 jam dengan mengikuti jadwal berputar seperti semi fowler's, berbaring miring ke sisi yang sehat (Unaffected Side Position), berbaring terlentang (Supine Position) dan berbaring miring ke sisi yang hemiparesis atau hemiplegia (Affected Side Position). Berdasarkan hasil bahwa rata-rata tekanan darah sistole terjadi penurunan pada post intervensi hari kedua (day 2) dengan mean 124.08 dan standar deviasi 3.147, sedangkan diastole diperoleh mean yang tidak berbeda jauh dengan hari pertama yaitu 83.17 dan standar deviasi 2.657. Rata-rata heart rate post intervensi hari kedua terjadi penurunan dengan mean 84.92 dan standar deviasi 0.900. Pada variabel respiration rate diperoleh penurunan untuk nilai mean post intervensi hari kedua adalah 15.33 (standar deviasi 0.888). Nilai mean pada kadar saturasi oksigen (SPO2) dengan nilai mean post-test hari kedua 99.75 (standar deviasi 0.452). Pemberian intervensi therapeutic positions dapat menurunkan tekanan darah, heart rate, respiration rate dan meningkatkan saturasi oksigen. Kata Kunci: Posisi Terapeutik, Tanda-Tanda Vital

Penerapan Panduan Nurse-Led Early Mobilization Pada Pasien yang Menjalani Pembedahan Elektif Tulang Belakang Irman, Irman; Pitaloka, Rika Diah; Rakhman, Isnawan Risqi; Kariasa, I Made; Nova, Prima Agustia; Mulyatsih, MG Enny
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.14889

ABSTRACT This study aims to determine the implementation of the Nurse-LED Early Mobilization Guide in patients undergoing elective spinal surgery. This research is an implementation of an Innovation Project which was applied to 10 respondents. Each patient in the study group was mobilized in a sequence starting from right lateral/supine/left, sitting 45o, sitting upright 90o, and dangling sitting mobilization according to the specified time. Post intervention results were evaluated where pain started from the first 24 hours (POD-1) to the third day (POD-3) while functional status after 72 hours post surgery (POD-3). Based on the results, the average Barthel Index in the post-intervention group evaluated on the third day (POD-3) was 15.30 with a standard deviation of 3.40. Meanwhile, the average pain score in the first day post-intervention group (POD-1) was 4.50 with a standard deviation of 0.97. The mean pain score on the second day (POD-2) was 3.60 with a standard deviation of 0.69. Meanwhile, the average pain score on the third day was 2.50 with a standard deviation of 0.70. Conclusion: Nurse-LED early mobilization intervention can be carried out in degenerative disc disease patients undergoing elective spine surgery to improve the patient's clinical outcomes, especially functional status and decreased pain. Keywords: Decreased Pain, Functional Status, Nurse-LED Early Mobilization ABSTRAK Penelitian ini bertujuan untuk mengetahui Penerapan Panduan Nurse-LED Early Mobilization pada pasien yang Menjalani pembedahan elektif tulang belakang. Penelitian ini merupakan Penerapan Proyek Inovasi yang diterapkan pada 10 responden. Setiap pasien dalam kelompok studi dimobilisasikan dengan urutan mulai dari lateral kanan/supine/kiri, duduk 45o, duduk tegak 90o, dan mobiliasi duduk berjuntai sesuai dengan waktu yang telah ditentukan. Hasil post intervensi dievaluasi dimana nyeri mulai dari 24 jam pertama (POD-1) sampai dengan hari ketiga (POD-3) sedangkan status fungsional setelah 72 jam post operasi (POD-3). Berdasarkan hasil bahwa rata-rata Barthel Index pada kelompok post intervensi yang dievaluasi pada hari ketiga (POD-3) adalah 15,30 dengan standar deviasi 3,40. Sedangkan rata-rata skor nyeri pada kelompok post intervensi hari pertama (POD-1) adalah 4.50 dengan standar deviasi 0.97. Mean skor nyeri pada hari kedua (POD-2) adalah 3,60 dengan standar deviasi 0,69. Sedangkan rerata skor nyeri pada hari ketiga adalah 2,50 dengan standar deviasi 0,70. Kesimpulan : intervensi Nurse-LED Early mobilization dapat dilakukan pada pasien-pasien degenerative disc disease yang menjalani pembadahan elektif tulang belakang untuk meningkatkan outcome klinis pasien khususnya adalah status fungsional dan penurunan nyeri. Kata Kunci: Penurunan Nyeri, Status Fungsional, Nurse-LED Early Mobilization

Application of Evidence-Based Nursing Practice: Shaker Exercise for Swallowing Ability in Stroke Patients with Dysphagia Saputra, M. Khalid Fredy; Agung, Rizki Nugraha; Yunitri, Ninik; Jumaiyah, Wati; Mulyatsih, MG Enny
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 04 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i04.3664

Background: Stroke is one of the leading causes of disability and mortality worldwide, with more than 13 million new cases recorded annually. Stroke can lead to various complications, including dysphagia, which disrupts the patient's swallowing ability. One therapy that can assist stroke patients with dysphagia is the Shaker Exercise. Objectives: This study aims to provide an overview of the impact of implementing Shaker Exercise on swallowing ability in stroke patients experiencing dysphagia through Evidence-Based Nursing Practice (EBNP). Methods: The study used a systematic approach by reviewing various articles and literature from seven prominent health databases, including ProQuest, PubMed, and ScienceDirect. Selected articles focused on Shaker Exercise interventions for stroke patients with dysphagia. Results: The review identified one article in the form of a Systematic Review Meta-Analysis, which examined 37 studies involving a total of 2,656 participants. The analysis results demonstrated that the Shaker Exercise is effective in strengthening suprahyoid muscles, reducing aspiration frequency, and improving swallowing ability in stroke patients with dysphagia. Conclusion: The implementation of Shaker Exercise therapy for stroke patients with dysphagia shows significant results in enhancing swallowing ability and reducing aspiration complications. This therapy aligns with evidence-based nursing principles, supporting the improvement of patients' quality of life through scientifically proven interventions.

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