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Journal : Journal Of Nursing Practice

The Effect of Mirror Therapy on Exterm Muscle Strength in Non-Hemorrhagic Stroke Patients Based on Self Care Theory Siti Robi’atus Sholiha; R. Khairiyatul Afiyah; Hotimah Masdan Salim; Abdul Muhith; Siti Nur Hasina
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.661

Abstract

Background: Non-hemorrhagic strokes result in neuromuscular disorders with reduced activity and weakness in joint movement and even disability. This condition receives treatment at the hospital in the form of educational therapy, diet, medication and ROM (active and passive). Purpose: The aim of the research was to determine the effect of Mirror Therapy on extremity muscle strength in non-hemorrhagic stroke patients based on self-care theory. Methods: Quasi experiment research design with a pretest posttest approach with control group design. The population of all non-hemorrhagic stroke patients with a sample size of 40 people, divided into 2 groups, namely the control group and the intervention group, was selected using a purposive sampling technique. The instruments used in this research include respondent characteristics, MMT (Manual Muscle Testing) observation sheets and Mirror Therapy SOP. Data analysis used the Mann Whitney U-test with a significance value of P value < 0.05. Results: The results of the study showed that the average muscle strength score in the Mirror Therapy intervention group was 1.55 before and after 2.65, while in the control group with standard hospital treatment before 1,40 and after 1.95. The Wilcoxon Test results show P value = 0.000 in the intervention group and P value = 0.000 in the control group, meaning there is an increase in extremity muscle strength in the intervention and control groups. Based on the Mann Whitney test, it shows P value = 0.013, meaning there is no differences in Mirror Therapy on extremity muscle strength in non-hemorrhagic stroke patients. Conclusion: The application of Mirror Therapy affects the level of extremity muscle strength in non-haemorrhagic stroke patients. Nurses are expected to be able to apply Mirror Therapy to apply it in nursing practice.
Health Coaching Based on Social Cognitive Theory in Increasing Compliance with Fluid Restrictions, Controlling Interdialytic Weight Gain and Improving the Quality of Life of Hemodialysis Patients Arie Kusumo Dewi; Ima Nadatien; Raden Khairiyatul Afiyah
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.539

Abstract

Background: Chronic kidney failure requires long-term treatments like hemodialysis, a vital therapy for managing the disease. Patient compliance with fluid restrictions and controlling interdialytic weight gain (IDWG) significantly impacts therapy effectiveness. Health coaching based on social cognitive theory may enhance understanding, motivation, and healthy behaviors in hemodialysis patients. Purpose: This study aims to analyze the impact of health coaching based on social cognitive theory on compliance with fluid intake restrictions, IDWG control, and quality of life in chronic kidney failure patients undergoing hemodialysis. Methods: A quasi-experimental study with a pre-post test control group design involved 38 hemodialysis patients selected via simple random sampling. The intervention group received social cognitive theory-based health coaching sessions for four weeks, while the control group received standard care following hospital procedures. Data collection included daily fluid restriction records, IDWG measurements, and a validated quality of life questionnaire, with pre- and post-intervention comparisons. Results: The intervention group demonstrated a significant improvement in compliance with fluid restrictions (p < 0.011), better IDWG control (p < 0.021), and enhanced quality of life (p < 0.001) compared to the control group. Conclusion: Health coaching based on social cognitive theory effectively improves fluid restriction compliance, reduces IDWG, and enhances the quality of life in hemodialysis patients. Integrating this approach into routine hemodialysis care can optimize therapeutic outcomes and significantly benefit patients.
The Effectiveness of Mirror Therapy in Stroke Patients: A Systematic Review Zahrotul Jannah; Yurike Septianingrum; Raden Khairiyatul Afiyah; Imamatul Faizah
Journal Of Nursing Practice Vol. 6 No. 2 (2023): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v6i2.307

Abstract

Backgrounds : Stroke is a global problem and the second cause of death in the world. Purpose : To find out the effectiveness of giving mirror therapy in stroke patients. Methods : There are five databases used, namely Science Direct, SAGE Journal, Emerald, ProQuest and PubMed to search for mirror therapy and post-strokes. The inclusion criteria used are for publications for the last 5 years from 2017 to 2022, full-text articles and in English, according to the title, and RCT research or experimental studies. Results : of the total 7 articles submitted for this systematic review after quality assessment, this included 3 randomized controlled trials and 4 experimental studies. All muscle strength studies in post-stroke patients after being given mirror interventions experienced an increase in muscles in parts of the body that experienced hemiperation, thereby increasing independence in patients. From the results of all studies, it was found that the optimal time in starting the therapy is in the chronic stage, and the therapeutic dose is given with the same intensity (at least five sessions per week) and duration (at least 30 minutes to 90 minutes). Conclusion : mirror therapy proved to be an effective and viable approach to rehabilitate post-stroke survivors in acute, sub-acute, and chronic phases of the stroke, despite the long-term effects.
Co-Authors -, Rusdianingseh Abdul Manan Abdul Muhith Abdul Rohim Tualek Alvina Cornelia Sugijantoro Amaliyah, Makrifatul Andikawati Fitriasari Anggraeni, Fritria Dwi Arie Kusumo Dewi Arie Kusumo Dewi Bisma Aditiya Putra Budi Prasetyo Budury, Syiddatul Chatarina Umbul Wahyuni Damawiyah, Siti Diah Retno Kusumawati Didik Dwi Winarno Didik Dwi Winarno Difran Nobel Bistara Djumati, Sarmi Djunaedi, Dwinanda Dwinanda Djunaedi Dwinanda Djunaedi Elanda Pebianita Garini Farida Umamah Faridah Umamah Fariska Zata Amani Firman Suryadi Rahman Fritria Dwi Anggraeni Fritria Dwi Anggraini Garini, Elanda Pebianita Handayani, Nanik Hari Basuki Notobroto Hatmanti, Nety Mawarda Huda, Nuh Ima Nadatein Imamatul Faizah Izmi Azizah Juliana Jalaludin Kamariyah, Nurul Lestari, Yeni Tri Puji M. Khafid Maiisa, Khotimatul Chusna Maimunah, Siti Makrifatul Amaliyah Mawarda Hatmanti, Nety Muhamad Khafid Muhamad Khafid Muhammad Bagus Qomaruddin Mujib Hannan Nadatien, Ima Najmiatu Zuhriyah Nanik Handayani Noeroel Widajati Nur Ainiyah Nur Ainiyah Nur Hidayah Nurul Maulida Putri, Rahmadaniar Aditya Rachmat Hargono Rahayu Anggraini Ratna Yunita Sari RatnaYunita Sari Rita Vivera Pane Rohmawati, Riska Rusdianingseh Salim, Hotimah Masdan Sari, Ratna Yunita Septianingrum, Yurike Shodiq, M Sholiha, Siti Robiatus Singgih, Singgih Siti Maimunah Siti Nur Hasina Siti Robi’atus Sholiha Soleha, Umdatus Syaifurrahman Hidayat Tintin Sukartini Sukartini, Tintin Sukartini Wati, Reni Dwi Novita Wijayanti, Lono Winoto, Priyo Mukti Pribadi Yanis Kartini Yeni Tri Puji Lestari Yhusnain, Juliatik Ragil Zahroh, Chilyatiz zahrotul jannah