Lentera Perawat
Vol. 6 No. 4 (2025): October - December

Nursing care using roy’s adaptation model–based mirror therapy for physical mobility impairment in stroke patients: A case study

Agusdiman Saputra (Rumah Sakit Umum Daerah Siti Fatimah Provinsi Sumatera Selatan, Palembang, Indonesia)
Mira Susanti (Rumah Sakit Umum Daerah Siti Fatimah Provinsi Sumatera Selatan, Palembang, Indonesia)
Siti Hardiyanti Pratiwi (Rumah Sakit Umum Daerah Siti Fatimah Provinsi Sumatera Selatan, Palembang, Indonesia)
Indra Frana Jaya KK (Rumah Sakit Umum Daerah Siti Fatimah Provinsi Sumatera Selatan, Palembang, Indonesia)
Kastina Kastina (Rumah Sakit Umum Daerah Siti Fatimah Provinsi Sumatera Selatan, Palembang, Indonesia)
Regina Regina (Rumah Sakit Umum Daerah Siti Fatimah Provinsi Sumatera Selatan, Palembang, Indonesia)



Article Info

Publish Date
18 Dec 2025

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.

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Journal Info

Abbrev

lenteraperawat

Publisher

Subject

Health Professions Nursing Public Health

Description

Lentera Perawat is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, Public Health as well as with their development through interdisciplinary and multidisciplinary ...