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All Journal Lentera Perawat Indonesian Journal of Health Services
Kastina, Kastina
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Nursing care using roy’s adaptation model–based mirror therapy for physical mobility impairment in stroke patients: A case study Saputra, Agusdiman; Susanti, Mira; Pratiwi, Siti Hardiyanti; KK, Indra Frana Jaya; Kastina, Kastina; Regina, Regina
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.643

Abstract

Background: Stroke is a common neurological disorder that requires prompt and appropriate management to prevent functional impairment. Non-pharmacological nursing interventions play an important role in supporting motor recovery, one of which is Mirror Therapy, which facilitates motor relearning through visual feedback mechanisms. Objective: This study aimed to implement nursing care for stroke patients through the application of Mirror Therapy based on Roy’s Adaptation Model. Methods: A descriptive study with a case study approach was conducted involving three stroke patients at RSUD Siti Fatimah. The intervention consisted of Mirror Therapy exercises integrated with Roy’s Adaptation Model. Data collection techniques included nursing assessment, observation, physical examination, and documentation. Nursing diagnoses were established based on the Indonesian Nursing Diagnosis Standards (SDKI), and interventions were implemented using the Indonesian Nursing Intervention Standards (SIKI) and evaluated with the Indonesian Nursing Outcome Standards (SLKI). Results: Initial assessments of all three patients revealed complaints of unilateral extremity weakness and dizziness. The identified nursing diagnoses included impaired physical mobility and risk of ineffective cerebral perfusion. After three days of Mirror Therapy intervention, all patients demonstrated improvement in extremity muscle strength scores. These findings indicate a positive functional response to the intervention. Conclusion: Mirror Therapy based on Roy’s Adaptation Model is effective in improving extremity muscle strength and addressing impaired physical mobility in patients with non-hemorrhagic stroke. This intervention can be considered a valuable non-pharmacological nursing approach to support motor recovery in stroke patients.
Application of hold finger therapy in patients with fracture pain: A nursing case study Kastina, Kastina; Regina, Regina; Apriyadi, Iman
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.125

Abstract

Background: Fracture-related pain is a common clinical problem experienced by patients following surgical procedures or traumatic injuries, which may hinder recovery and early mobilization. In addition to pharmacological treatment, non-pharmacological interventions are essential as part of holistic nursing care. One relaxation technique that can be implemented by nurses is hold finger therapy, which has the potential to reduce pain perception through relaxation mechanisms and sensory stimulation. Objective: This study aimed to describe the application of hold finger therapy and evaluate its effect on pain intensity in patients with fracture pain using a nursing case study approach. Methods: This study employed a case study design involving two patients with fracture-related conditions, including a post–Open Reduction Internal Fixation (ORIF) malunion of the right humerus and a patient with suspected nasal fracture. Hold finger therapy was administered over three consecutive days with two sessions per day. Pain intensity was measured using the Numeric Rating Scale (NRS) before the intervention and after the final session. Data were analyzed descriptively by comparing pre- and post-intervention pain scores. Results: The findings demonstrated a reduction in pain intensity in both patients following the implementation of hold finger therapy. Pain scores decreased from 7 to 4 in the first patient and from 5 to 2 in the second patient. Patients also reported increased comfort, relaxation, and improved ability to perform gradual mobilization. Conclusion: Hold finger therapy is effective as a non-pharmacological nursing intervention for reducing pain in patients with fracture-related conditions. This technique supports holistic nursing care by enhancing patient comfort and pain control.
Co-Authors Apriyadi, Iman KK, Indra Frana Jaya Mira Susanti Pratiwi, Siti Hardiyanti Regina Regina Saputra, Agusdiman