Pengaruh Pelatihan Range of Motion (ROM) pada CareGiver terhadap Kemandirian Activity Of Daily Living Pasien Pasca Stroke

##plugins.themes.academic_pro.article.main##

M Agung Akbar
Nelly Rustiati
Supangat Supangat
Ni Ketut Sujati

Abstract

Stroke menjadi penyakit yang paling sering menyebabkan ketergantungan dan penurunan kemampuan fungsional pada penderitanya. Salah satunya adalah ketidakmampuan perawatan diri akibat kelemahan pada ekstremitas dan penurunan fungsi mobilitas yang dapat menghambat pemenuhan aktivitas harian. Penelitian ini bertujuan untuk mengetahui pengaruh program pelatihan Range Of Motion (ROM) pada caregiver pasien stroke di rumah sebagai upaya peningkatan kemandirian pasien pasca stroke.  Desain Penelitian menggunakan quasi eksperiment. Teknik sampling dengan metode purposive sampling dan dilanjutkan simple random sampling saat dibagi kedalam kelompok intervensi atau kontrol. Adapun besar sampel yaitu 112 orang, dengan distribusi 56 kelompok intervensi dengan metode pelatihan ROM pada caregiver dan 56 kelompok kontrol dengan metode ceramah. Instrumen Penelitian menggunakan  Indeks Katz. Analisis data menggunakan wilcoxon dan manwhitney.  Hasil uji menunjukkan perbedaan yang signifikan antara kelompok intervensi dan kontrol dalam hal kemandirian klien dalam melakukan ADL dan kemampuan caregiver dalam melatih dengan masing-masing pvalue 0,00. Penelitian ini menyarankan pentingnya caregiver dalam perawatan pasien stroke sangat diperlukan untuk meningkatkan kualitas hidup dan perawatan harian pasien stroke.

##plugins.themes.academic_pro.article.details##

How to Cite
1.
Akbar MA, Rustiati N, Supangat S, Sujati NK. Pengaruh Pelatihan Range of Motion (ROM) pada CareGiver terhadap Kemandirian Activity Of Daily Living Pasien Pasca Stroke. jdk [Internet]. 2023 Mar. 30 [cited 2024 May 19];11(1):28-35. Available from: https://jdk.ulm.ac.id/index.php/jdk/article/view/174

References

  1. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Jama. 2014;311(5):507-20.
  2. Kementerian Kesehatan RI. Hasil Utama Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI; 2019.
  3. Ugur HG, Erci B. The Effect of Home Care for Stroke Patients and Education of Caregivers on the Caregiver Burden and Quality of Life. Acta clinica Croatica. 2019;58(2):321-32.
  4. Turana Y, Tengkawan J, Chia YC, Nathaniel M, Wang JG, Sukonthasarn A, et al. Hypertension and stroke in Asia: A comprehensive review from HOPE Asia. Journal of clinical hypertension (Greenwich, Conn). 2021;23(3):513-21.
  5. Mehrholz J, Pohl M, Platz T, Kugler J, Elsner B. Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. The Cochrane database of systematic reviews. 2018;9(9):Cd006876.
  6. Smeltzer S, Bare B. Brunner & Suddarth's textbook of medical-surgical nursing. Philadelphia: Willmians & Wilkins; 2010. 1114-2240p p.
  7. PPNI. Standar Diagnosis Keperawatan Indonesia: Definisi Dan Indikator Diagnostik. 1 ed. Jakarta: DPP PPNI; 2016.
  8. Akbar MA. Buku Ajar Konsep-Konsep Dasar Dalam Keperawatan Komunitas. Yogyakarta: Deepublish; 2019.
  9. Yusrini, Susanti H, Wardani IY, Fitriani N. Family experience in providing support and the achieving of post-stroke late adulthood development. Enferm Clin. 2019;29 Suppl 2:900-4.
  10. Akbar MA, Mediani HS, Juniarti N, Yamin A. Intervensi Perawatan Pasien Stroke selama di Rumah: Systematic Review. Jurnal Keperawatan. 2021;13(3):615-24.
  11. Lehto B, Kylmä J, Åstedt-Kurki P. Caring Interaction with stroke survivors' family members-Family members' and nurses' perspectives. Journal of clinical nursing. 2019;28(1-2):300-9.
  12. Mei Y-X, Lin B, Zhang W, Yang D-B, Wang S-S, Zhang Z-X, et al. Benefits finding among Chinese family caregivers of stroke survivors: a qualitative descriptive study. BMJ open. 2020;10(10):e038344.
  13. Glickman LB, Chimatiro G. Clients with stroke and non-stroke and their guardians' views on community reintegration status after in-patient rehabilitation. Malawi Med J. 2018;30(3):174-9.
  14. Friedman MM, Bowden VR. Family nursing textbook: Research, theory, and practice. Jakarta: EGC; 2010.
  15. Chaiyawat P, Kulkantrakorn K. Effectiveness of home rehabilitation program for ischemic stroke upon disability and quality of life: A randomized controlled trial. Clinical Neurology and Neurosurgery. 2012;114(7):866-70.
  16. Ghazzawi A, Kuziemsky C, O’Sullivan T. Using a complex adaptive system lens to understand family caregiving experiences navigating the stroke rehabilitation system. BMC Health Services Research. 2016;16(1):538.
  17. Harrison M, Ryan T, Gardiner C, Jones A. Psychological and emotional needs, assessment, and support post-stroke: a multi-perspective qualitative study. Top Stroke Rehabil. 2017;24(2):119-25.
  18. Joint National Committee VIII. evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2020;311(5):507-20.
  19. Theofanidis D, Gibbon B. Nursing interventions in stroke care delivery: An evidence-based clinical review. Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing. 2016;34(4):144-51.
  20. Pitthayapong S, Thiangtam W, Powwattana A, Leelacharas S, Waters CM. A Community Based Program for Family Caregivers for Post Stroke Survivors in Thailand. Asian nursing research. 2017;11(2):150-7.
  21. Creswell JW. Research Design: Qualitative, Quantitative, And Mixed Methods Approaches. Fourth ed. London: Sage Publications; 2016.
  22. Potter P, Perry A. Fundamentals of Nursing: Fundamental Keperawatan. Jakarta: Salemba Medika; 2014.
  23. Smallfield S, Karges J. Classification of occupational therapy intervention for inpatient stroke rehabilitation. The American journal of occupational therapy : official publication of the American Occupational Therapy Association. 2009;63(4):408-13.
  24. Hamzah A, Sugiyanto. Strengthening of Health Locus of Control could Increase the Independence of Post Stroke Patients in Implementing the Daily Activities at Home. Jurnal Nurse Care. 2014;3(2):1000152.
  25. Mayo NE, MacKay-Lyons MJ, Scott SC, Moriello C, Brophy J. A randomized trial of two home-based exercise programmes to improve functional walking post-stroke. Clinical rehabilitation. 2013;27(7):659-71.
  26. Guzik A, Bushnell C. Stroke Epidemiology and Risk Factor Management. Continuum (Minneapolis, Minn). 2017;23(1, Cerebrovascular Disease):15-39.
  27. Zeferino SI, Aycock DM. Poststroke shoulder pain: inevitable or preventable? Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses. 2010;35(4):147-51.
  28. Black JM, Hawks JH. Keperawatan Medikal Bedah. Singapura: Salemba Medika; 2014.
  29. Cho KH, Park SJ. Effects of joint mobilization and stretching on the range of motion for ankle joint and spatiotemporal gait variables in stroke patients. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 2020;29(8):104933.
  30. Park M, Ko MH, Oh SW, Lee JY, Ham Y, Yi H, et al. Effects of virtual reality-based planar motion exercises on upper extremity function, range of motion, and health-related quality of life: a multicenter, single-blinded, randomized, controlled pilot study. Journal of neuroengineering and rehabilitation. 2019;16(1):122.
  31. Alamer A, Melese H, Getie K, Deme S, Tsega M, Ayhualem S, et al. Effect of Ankle Joint Mobilization with Movement on Range of Motion, Balance and Gait Function in Chronic Stroke Survivors: Systematic Review of Randomized Controlled Trials. Degenerative neurological and neuromuscular disease. 2021;11:51-60.
  32. Ro T, Ota T, Saito T, Oikawa O. Spasticity and Range of Motion Over Time in Stroke Patients Who Received Multiple-Dose Botulinum Toxin Therapy. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 2020;29(1):104481.
  33. Park D, Cynn HS. Effects of Walking With Talus-Stabilizing Taping on Passive Range of Motion, Timed Up and Go, Temporal Parameters of Gait, and Fall Risk in Individuals With Chronic Stroke: A Cross-sectional Study. Journal of manipulative and physiological therapeutics. 2021;44(1):49-55.