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All Journal Journal of Noncommunicable Diseases Prevention and Control
Marlin Brigita
Poltekkes Kemenkes Banten
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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The Impact of Bilateral Range of Motion Exercises on Upper Limb Muscle Strength in Stroke Patients Marlin Brigita; Niken Nita Yogi Febriana; Robby Rahmadi Akbar
Journal of Noncommunicable Diseases Prevention and Control Vol. 2 No. 1 (2024): Journal of Noncommunicable Diseases Prevention and Control
Publisher : Hypertension Prevention and Control Research Center, The Polytechnic of Health of Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61843/jondpac.v2i1.715

Abstract

Stroke is a condition that arises due to a disruption in blood circulation in the brain, which results in the death of brain tissue, causing a person to suffer paralysis and even death. Exercise activities are part of a rehabilitation program that enhances patient movement. Exercise therapy, such as range of motion (ROM) exercises, is the movement of a joint through its entire range in all appropriate directions. This research method is quantitative, with a one-group pre-test and post-test design. A sample of 24 respondents was taken using the purposive sampling technique at RSUP Dr. Sitanala Tangerang. Data collection used two instruments, namely a bilateral ROM checklist and a guide to muscle strength values. Data analysis used the paired t-test in univariate analysis and bivariate analysis. The results of statistical tests using the t-dependent test (paired sample t-test) showed that of the 24 respondents, the mean pre-test value was ± 3.38 and the mean post-test was ± 4.50. The statistical test results show a p-value of 0.000 (α<0.05). Therefore, we can conclude that ROM has an influence on increasing muscle strength in stroke patients.
DIAGNOSTIC ACCURACY OF THE WHO LABORATORY-BASED CARDIOVASCULAR RISK CHART IN DETECTING CARDIOVASCULAR DISEASE AT DR. SITANALA GENERAL HOSPITAL Mulia; Marlin Brigita
Journal of Noncommunicable Diseases Prevention and Control Vol. 3 No. 2 (2025): Journal of Noncommunicable Diseases Prevention and Control
Publisher : Hypertension Prevention and Control Research Center, The Polytechnic of Health of Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61843/jondpac.v3i2.991

Abstract

Cardiovascular disease is the leading cause of death worldwide. The World Health Organization Cardiovascular Risk Chart (laboratory-based) was developed as a screening tool to estimate the ten-year risk of cardiovascular events. However, its validity in Indonesia has not been widely evaluated. This study aimed to evaluate the accuracy of the World Health Organization Cardiovascular Risk Chart (laboratory-based) and to analyze the relationship between several risk factors, including age, sex, smoking status, systolic blood pressure, total cholesterol level, and diabetes mellitus status, with the occurrence of cardiovascular disease. This quantitative study used a cross-sectional design with secondary data from outpatient medical records at Dr. Sitanala Central General Hospital from January 2024 to March 2025. A total of 210 respondents were included. Data were analyzed using univariate analysis, chi-square tests, and diagnostic tests using the receiver operating characteristic curve to determine the area under the curve, sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratios, and overall accuracy. Among the respondents, 107 individuals (51 percent) were diagnosed with cardiovascular disease. The area under the curve was 0.564 (p = 0.107; 95 percent confidence interval: 0.487–0.642), indicating low discriminative ability. Sensitivity was 66.36 percent and specificity was 41.75 percent. Significant associations were found between sex, smoking status, and total cholesterol level with the occurrence of cardiovascular disease (p < 0.05). The World Health Organization Cardiovascular Risk Chart (laboratory-based) demonstrated low predictive ability for detecting cardiovascular disease in this population.
Co-Authors Mulia Niken Nita Yogi Febriana Robby Rahmadi Akbar