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All Journal Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Catur Prasastia Lukita Dewi
Universitas Bina Sehat PPNI Mojokerto
Health Professions Nursing Public Health

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Range of Motion Spherical Grip Affected the Upper Extremity Muscle Strength in Post Stroke Patients Lutfi Wahyuni; Siti Kotijah; Catur Prasastia Lukita Dewi
Journal of Ners and Midwifery Vol 9 No 3 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i3.ART.p328-334

Abstract

Stroke is a medical emergency. Post-stroke patients generally experience muscle weakness in the limbs, postural disturbances and muscle atrophy. The purpose of this study was to prove the effect of ROM Spherical Grip exercise on post-stroke patients. The type of the study was pre-experimental with one group pre-test-post-test design. The independent variable was Range Of Motion (ROM) Spherical Grip. The dependent variable was the degree of upper extremity muscle strength in post-stroke infarct patients who had hemiparesi. The sampling technique used a consecutive sampling technique. The sample was 33 respondents. The data were taken by measuring the muscle strength before and after being given the intervention. The instrument used an observation sheet for assessing muscle strength and manual muscle testing (MMT) physical examinations in post-stroke patients. The results of this study showed that most of the muscle strength before giving the Spherical Grip ROM exercise was Poor (there was movement but could not fight gravity) as many as 14 respondents (42.4%). After the intervention of the Spherical Grip ROM exercise, the muscle strength was mostly Fair (can move against gravity) as many as 19 respondents (57.6%). There is an increase in upper extremity muscle strength before and after being given ROM Spherical Grip exercise in post-stroke patients who experience hemiparesis. This showed that the Spherical Grip could improve the tone of those who experience weakness and if done continuously could increase muscle strength in post-stroke patients. It is hoped that with this research Spherical grip exercises can be used as one of the treatments for stroke patients who experience decreased upper extremity muscle strength and collaborate with physiotherapy also assisted by taking drugs according to doctor's advice.
Tripod Position and Pursed Lip Breathing on Respiration Rate in COPD Patients Lutfi Wahyuni; Catur Prasastia Lukita Dewi
Journal of Ners and Midwifery Vol 10 No 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i1.ART.p100-107

Abstract

Many people with COPD develop emphysema and chronic bronchitis. Both conditions cause obstruction of airflow in the respiratory system and cause an increase in the frequency of external respiration. One of the non-pharmacological management is tripod position and pursed lip breathing. This study aimed to determine the effect of giving a tripod position and pursed lip breathing on respiration rate in COPD patients. The design of this study used a one group pretest-post test design. The population in this study were all COPD patients at Bangil Hospital, Pasuruan in June 2021. The sampling technique of this study was consecutive sampling, the sample was obtained by 25 respondents. The instrument used observation and SOP. The results showed that the average respiration rate before giving the combination of tripod position and pursed lip breathing was 28.8x/minute, and the average value of respiration rate after giving the tripod position and pursed lip breathing was 23.2x/minute. Wilcoxon test results value = 0.000 on respiration rate before and after the combination of tripod position and pursed lip breathing, which means that tripod position and pursed lip breathing are proven to be effective on respiration rate in COPD patients. Tripod position and pursed lip breathing will loosen the chest cavity, provide positive pressure on the lungs so that air can go in and out more smoothly and reduce shortness of breath
The Effect of Progressive Muscle Relaxation (PMR) on Stress Level of Diabetes Mellitus Patients Lutfi Wahyuni; Catur Prasastia Lukita Dewi
Journal of Ners and Midwifery Vol 11 No 1 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i1.ART.p057-061

Abstract

Diabetes mellitus is a chronic condition that occurs when there is an increase in glucose levels in the blood because the body cannot produce enough insulin or use insulin effectively. In stressful conditions, it can increase the hormone adrenaline which can convert glycogen reserves in the liver into glucose and increase blood sugar in diabetes mellitus patients. The objective of this research was to prove the effect of Progressive Muscle Relaxation (PMR) on stress levels in Diabetes Mellitus patients. Research design pre-post test control group design. The experimental group was given treatment in the form of progressive muscle relaxation (PMR) while the control group received treatment as usual/conventional. The samples in this research were some DM patients at the Mentikan Community Health Center, Mojokerto City, totaling 35 respondents. The results of the pre-test and post-test in the treatment and control groups showed that there was a reduction in stress. It was found that there was a significant decrease in stress in both the treatment group, this was indicated by p=0.001 for the treatment group, while in the control group it was found to be p=0.303, so the decrease stress is not significant. After carrying out PMR, it is hoped that the client will be able to manage the body's condition in response to stress.
Co-Authors Lutfi Wahyuni Siti Kotijah