ASUHAN KEPERAWATAN GANGGUAN MOBILITAS FISIK DENGAN LATIHAN RANGE OF MOTION ACTIVE CYLINDRICAL GRIP PADA PASIEN POST STROKE NON HEMORAGIK

Dewi, Komang Triana Yulia (2024) ASUHAN KEPERAWATAN GANGGUAN MOBILITAS FISIK DENGAN LATIHAN RANGE OF MOTION ACTIVE CYLINDRICAL GRIP PADA PASIEN POST STROKE NON HEMORAGIK. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2024.

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Abstract

ASUHAN KEPERAWATAN GANGGUAN MOBILITAS FISIK DENGAN LATIHAN RANGE OF MOTION ACTIVE CYLINDRICAL GRIP PADA PASIEN POST STROKE NON HEMORAGIK Komang Triana Yulia Dewi Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: trianayuliadewi235@gmail.com ABSTRAK Stroke adalah gangguan fungsi sistem saraf akibat terganggunya peredaran darah di otak. Dampaknya berupa kelemahan dan kelumpuhan pada ektremitas sehingga penderita mengalami kesulitan saat beraktifitas. Tujuan penelitian yaitu untuk mengetahui gambaran asuhan keperawatan gangguan mobilitas fisik dengan latihan range of motion active cylindrical grip pada pasien post stroke non hemoragik. Metode penyusunan menggunakan rancangan studi kasus. Pengkajian dilakukan pada 2 pasien dengan keluhan utama sulit menggerakkan ekstremitas atas dengan kekuatan otot (3333 5555)/(4444 5555) dan (5555 3333)/(5555 4444). Diagnosis keperawatan yaitu gangguan mobilitas fisik berhubungan dengan gangguan neuromuskular. Intervensi yang diberikan yaitu dukungan ambulasi, dukungan mobilisasi dan pengaturan posisi dengan intervensi inovasi latihan range of motion active cylindrical grip. Implementasi keperawatan dilakukan selama 3 kali kunjungan pada pagi dan sore hari selama 60 menit. Evaluasi keperawatan dilakukan pada kunjungan ketiga yaitu 11 April 2024, Hasil evaluasi menunjukkan bahwa kekuatan otot ekstremitas atas pasien meningkat menjadi (4444 5555)/(4444 5555) dan (5555 4444)/(5555 4444). Hasil evaluasi keperawatan menunjukkan belum tercapai karena peningkatan hasil belum sesuai dengan kriteria yang ditentapkan. Kesimpulan yang diperoleh yaitu latihan range of motion active cylindrical grip efektif untuk meningkatkan kekuatan otot pada pasien post stroke non hemoragik dengan masalah keperawatan gangguan mobilitas fisik untuk itu peneliti menyarankan kepada petugas kesehatan agar menjadikan latihan ini sebagai alternatif untuk mengatasi masalah gangguan mobilitas fisik pada pasien post stroke non hemoragik. Kata Kunci: Gangguan mobilitas fisik NURSING CARE FOR PHYSICAL MOBILITY IMPAIRMENTS WITH RANGE OF MOTION ACTIVE CYLINDRICAL GRIP EXERCISES FOR POST PATIENTS NON HEMORRHAGIC STROKE Komang Triana Yulia Dewi Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: trianayuliadewi235@gmail.com ABSTRACT Stroke is a disruption in the function of the nervous system due to disruption of blood circulation in the brain. The impact is in the form of weakness and paralysis in the extremities so that sufferers experience difficulty when carrying out activities. The aim of the research is to determine the description of nursing care for impaired physical mobility with range of motion active cylindrical grip in non-hemorrhagic post-stroke patients. The preparation method uses a case study design. The assessment was carried out on 2 patients with the main complaint being difficulty moving the upper extremities with muscle strength (3333 5555)/(4444 5555) and (5555 3333)/(5555 4444). The nursing diagnosis is impaired physical mobility related to neuromuscular disorders. The interventions provided are ambulation support, mobilization support and position adjustment with the innovative intervention of range of motion active cylindrical grip exercises. Nursing implementation was carried out during 3 visits in the morning and evening for 60 minutes. The nursing evaluation was carried out on the third visit, namely April 11 2024. The evaluation results showed that the patient's upper extremity muscle strength increased to (4444 5555)/(4444 5555) and (5555 4444)/(5555 4444). The results of the nursing evaluation showed that it had not been achieved because the improvement in results was not in accordance with the specified criteria. The conclusion obtained is that the range of motion active cylindrical grip exercise is effective for increasing muscle strength in non-hemorrhagic post-stroke patients with nursing problems of impaired physical mobility. Therefore, researchers suggest to health workers to use this exercise as an alternative to overcome the problem of impaired physical mobility in post-stroke patients. non-hemorrhagic stroke Keywords: Impaired Physical Mobility

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