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Heru Wiratmoko
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Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing

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A Case Study: Nursing Care in Stroke Patients with Impaired Skin Integrity Suwanto, Agus Wiwit; Endang Purwaningsih; Heru Wiratmoko; Marcella Linda Indriani
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

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Abstract

Stroke is one of the leading causes of long-term disability that often results in impaired skin integrity due to immobilization. This study aimed to analyze nursing care for stroke patients with impaired skin integrity at Dr. Harjono Regional Hospital, Ponorogo. A case study with a descriptive qualitative approach was conducted on a 66-year-old patient who experienced stroke and pressure ulcers. Data were collected through interviews, observation, physical examination, and risk assessment using the Braden Scale. Nursing interventions included pressure ulcer management, skin condition monitoring, adequate nutritional support, and repositioning every two hours to prevent further tissue damage. The results showed an improvement in the Braden Scale score from 11 (high risk) to 16 (low risk) after seven days of nursing care, indicating better skin condition and reduced tissue impairment. Evaluation revealed that impaired skin integrity problems were resolved following consistent implementation of nursing interventions. This study concludes that a holistic nursing approach, including nutritional support and family involvement, plays an essential role in preventing further complications and enhancing the quality of nursing care in stroke patients.
Pengaruh Senam Kaki Terhadap Nilai ABI Pada Pasien Diabetes Mellitus : Pengaruh Senam Kaki Terhadap Nilai ABI Pada Pasien Diabetes Mellitus Heru Wiratmoko; Endang Purwaningsih; Agus Wiwit Suwanto
Jurnal Keperawatan Terapan Vol 12 No 1 (2026): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v12i1.5963

Abstract

Abstract:  Diabetes Mellitus (DM) is a non-communicable disease that attracts a lot of attention. Severe arterial occlusive disease in the lower extremities in the form of peripheral artery disease (PAD). Type 2 DM sufferers are at two to three times the risk of developing peripheral arterial occlusive disease compared to non-DM sufferers (Jonathan, 2019). One way to detect PAD early can be done by examining the circulation by calculating the Ankle Brachial Index (ABI) value. It is hoped that foot exercises will improve circulation in the peripheral blood vessels in the legs. The aim of the study was to determine the effect of foot exercise intervention on ABI values ??in diabetes mellitus patients. The research method is true experimentation. The research population was diabetes mellitus sufferers in Kutu Wetan village, Kec. Jetis numbered 67 people, the research sample was a purpusive sample of 40 people. Data were collected by examining ABI values ??before and after the DM foot exercise intervention..The results of the Paired T Test obtained values ??(p value = right leg 0.005 and left leg 0.023 ? 0.05) indicating that there is a significant relationship between DM Foot Exercises and ABI Values ??in DM Sufferers. Keyword: DM Foot Exercises, ABI value, Diabetes Mellitus Patients
Co-Authors Agus Wiwit Suwanto Endang Purwaningsih Marcella Linda Indriani Suwanto, Agus Wiwit