Penerapan Range of Motion dalam Meningkatkan Mobilitas Fisik kepada Pasien Stroke Iskemik di RS. TK. II Moh. Ridwan Meuraksa

Safitri, Devyanti Natalia (2024) Penerapan Range of Motion dalam Meningkatkan Mobilitas Fisik kepada Pasien Stroke Iskemik di RS. TK. II Moh. Ridwan Meuraksa. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Pendahuluan: Stroke iskemik disebabkan oleh iskemia, trombosis, emboli, dan penyempitan lumen, yang dapat menghentikan aliran darah ke otak. Pasien stroke iskemik memiliki gejala gangguan sensorik dan motorik, meliputi kelemahan otot, hilangnya koordinasi, perubahan postur, dan hemiparesis, yang mengganggu keseimbangan tubuh. Tujuan: Penerapan Range Of Motion (ROM) kepada pasien stroke iskemia dengan masalah mobilitas fisik di RS. TK. II Moh. Ridwan Meuraksa. Metode: Metode ilmiah yang digunakan studi kasus dengan pendekatan analisis deskriptif menggunakan dua pasien stroke iskemia. Studi kasus dilakukan selama tiga hari rawat di Ruangan Anyelir RS. TK. II Moh. Ridwan Meuraksa instrumen yang digunakan untuk meningkatka mobilitas fisik adalah indeks barthel. Hasil: Penerapan range of motion mampu meningkatkan mobilitas fisik pasien stroke iskemia pasien pertama yaitu dari nilai indeks barthel 25 (ketergantungan berat) menjadi 60 (ketergantungan sebagian) dan pada pasien kedua meningkat dari 15 (ketergantungan total) menjadi 25 (ketergantungan berat). Perbedaan hasil nilai indeks barthel pada kedua pasien dikarenakan pasien kedua tidak melakukan secara periodik. Kesimpulan: Penerapan ROM meningkatkan mobilitas fisik pada pasien stroke iskemik. Disarankan perawat tidak hanya mampu mengajarkan ROM pada pasien dan keluarga namun memotivasi pasien dan keluarga melakukan ROM secara periodik. Kata Kunci: Mobilitas Fisik; Range Of Motion; Stroke iskemik. / Pendahuluan: Ischemic stroke is caused by ischemia, thrombosis, embolism, and narrowing of the lumen, which can stop blood flow to the brain. Ischemic stroke patients have symptoms of sensory and motor disorders, including muscle weakness, loss of coordination, changes in posture, and hemiparesis, which disrupts body balance. Tujuan: Applying Range Of Motion (ROM) to ischemic stroke patients with physical mobility problems at RS. TK. II Moh. Ridwan Meuraksa. Metode: Used is a case study with a descriptive analysis approach using two ischemic stroke patients. The case study was conducted for three days of treatment in the Anyelir Room of RS. TK. II Moh. Ridwan Meuraksa The instrument used to increase physical mobility is the Barthel index. Hasil: Of the application of range of motion were able to increase the physical mobility of ischemic stroke patients, the first patient, namely from a barthel index value of 25 (severe dependence) to 60 (independent) and in the second patient it increased from 15 (severe dependence) to 25 (severe dependence). The difference in the results of the Barthel index values in the two patients was because the second patient did not do it periodically. Kesimpulan: The application of ROM increases physical mobility in ischemic stroke patients. It is recommended that nurses are not only able to teach ROM to patients and families but also motivate patients and families to do ROM periodically. Keywords: Physical Mobility; Range Of Motion; Ischemic Stroke

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