Penerapan Intervensi Range Of Motion (ROM) Pada Pasien Post Stroke Iskemik Fase Kronik Dengan Masalah Keperawatan Gangguan Mobilitas Fisik

Apiyani, Yulia and Ms. Akhiyan Hadi S, S.Kep, M.Biomed (2023) Penerapan Intervensi Range Of Motion (ROM) Pada Pasien Post Stroke Iskemik Fase Kronik Dengan Masalah Keperawatan Gangguan Mobilitas Fisik. Sarjana thesis, Universitas Brawijaya.

Abstract

Gangguan muskuloskeketal yang terjadi pada penderita stroke yaitu kelemahan anggota badan, hilangnya kekuatan otot, keseimbangan tubuh atau gangguan mobilitas fiisk. Immobilisasi yang tidak mendapatkan penanganan yang tepat akan menimbulkan komplikasi berupa abnormalitas tonus, orthostatic hypotension, deep vein thrombosis dan kontraktur. Dalam upaya meningkatkan atau mempertahankan fungsional alat gerak maka berikan latihan range of motion, latihan menggerakkan sendi sesuai dengan kemampuan pasien. Tujuan penelitian ini adalah untuk menganalisa penerapan Range Of Motion (ROM) pada pasien stroke yang masalah keperawatan utamanya adalah gangguan mobilitas fisik. Metode penilitian yang digunakan yaitu metode deskriptif dengan pendekatan studi kasus pada Ny. M dengan penerapan range of motion (ROM) yang dilakukan dua belas kali intervensi dalam tiga minggu dikawasan Tanjungrejo Kota Malang. Latihan rentang gerak selama intervensi dilakukan dua kali diwaktu pagi dan siang selama 10-15 menit dalam setiap gerakan sendi diulang 8 kali. Instrument yang digunakan pemeriksaan kekuatan otot dan pemeriksaan fisik rentang gerak pre dan post intervensi. Berdasarkan hasil pengkajian kekuatan otot yang dilakukan sebelum mendapatkan nilai tangan kanan 5555, tangan kiri 3322, kaki kanan 5555 dan kaki kiri 3322 dan terdapat kekakuan pada jari tangan kiri dan kaki kiri. Sesudah pemberian tindakan latihan gerak ditemukan bahwa terdapat peningkatan kekuatan otot menjadi 4433 pada tangan kiri dan kaki kiri pasien, rentang gerak pasien juga meningkat dan kekakuan pada jari tangan dan kaki kiri menurun. Disarankan untuk pasien dan keluarganya tetap melaksanakan latihan range of motion(ROM) secara mandiri dengan pelaksanaan dua kali dalam sehari selama 10-15 menit untuk mempertahankan dan meningkatkan kemampuan kekuatan otot dan rentang gerak.

English Abstract

Musculoskeletal disorders that occur in stroke sufferers include weakness of the limbs, loss of muscle strength, body balance. Weakness in the muscles can cause decreased activity in the joints resulting in loss of synovial fluid which causes a decrease in the range of motion in the joints. The result of weakness or paralysis will cause physical mobility problems where daily activities require the help of other people. In an effort to improve or maintain functional movement, provide range of motion exercises, exercises to move joints according to the patient's abilities. The aim of this research is to analyze the application of Range of Motion (ROM) in stroke patients whose main nursing problem is impaired physical mobility. The research method used is a descriptive method with a case study approach on Mrs. M with the application of range of motion (ROM) carried out twelve interventions in three weeks in the Tanjungrejo area, Malang City. Range of motion exercises during the intervention were carried out twice in the morning and afternoon for 10-15 minutes for each joint movement, repeated 8 times. The instruments used were to examine muscle strength and physical examination of range of motion pre and post intervention. Based on the results of the muscle strength assessment carried out before, the scores for the right hand were 5555, the left hand was 3322, the right leg was 5555 and the left leg was 3322 and there was stiffness in the fingers of the left hand and left foot. After administering movement training, it was found that there was an increase in muscle strength to 4433 in the patient's left hand and left leg, the patient's range of motion also increased and stiffness in the fingers and left toe decreased. It is recommended that patients and their families continue to carry out range of motion (ROM) exercises independently, twice a day for 10-15 minutes to maintain and increase muscle strength and range of motion.

Item Type:	Thesis (Sarjana)
Identification Number:	0523160195
Uncontrolled Keywords:	gangguan mobilitas fisik; kekuatan otot; range of motion-physical mobility impairment; muscle strength; range of motion
Divisions:	Fakultas Ilmu Kesehatan > Profesi Keperawatan
Depositing User:	soegeng Moelyono
Date Deposited:	23 Apr 2024 06:46
Last Modified:	23 Apr 2024 06:46
URI:	http://repository.ub.ac.id/id/eprint/218467

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