PENERAPAN RANGE OF MOTION (ROM) PASIF DALAM PEMENUHAN KEBUTUHAN MOBILITAS FISIK PADA PASIEN STROKE NON HEMORAGIK DI GADJAH MADA STROKE CENTER NAKULA 4 RS AKADEMIK UGM

Khristiyani  Khristiyani; Sugeng Jitowiyono

Authors

Khristiyani Khristiyani Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta Jl. Tata Bumi No.3 Banyuraden, Gamping, Sleman, Yogyakarta, 55293
Sugeng Jitowiyono Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta Jl. Tata Bumi No.3 Banyuraden, Gamping, Sleman, Yogyakarta, 55293

Keywords:

Non-Hemorrhagic Stroke,, Impaired Physical Mobility, Passive ROM

Abstract

Background: Non-Hemorrhagic Stroke is a type of stroke that occurs due to blockage in the blood vessels of the brain, the blood supply to the brain is disrupted resulting in impaired mobility. Individuals with movement disorders need mobilization exercises in the form of passive Range of Motion (ROM) exercises which aim to increase or maintain muscle flexibility and strength. Objective: To apply Passive Range of Motion (ROM) to the problem of impaired physical mobility in Non-Hemorrhagic Stroke patients at the Gadjah Mada Stroke Center Nakula 4 UGM Academic Hospital. Method: In writing this case study, the author used a descriptive method, describing the nursing process approach which includes the assessment stages, formulation of diagnoses, nursing planning, implementation, evaluation and documentation. Results: Assessment of Mrs. M and Mr. K shows that there is weakness in the right limb. Both patients showed the same nursing problem, namely impaired physical mobility. Nursing planning for physical mobility disorders by applying evidence based nursing practice passive Range of Motion (ROM) to increase muscle strength in patients. Nursing implementation is carried out by applying passive Range of Motion (ROM) to increase muscle strength which is carried out 2 times per day for approximately 15-20 minutes in 1 exercise. The nursing diagnosis evaluation obtained in both patients was the same, namely an increase in muscle strength. Conclusion: After the patient Mrs. M and Mr. K carried out passive Range of Motion (ROM) for the problem of impaired physical mobility in Non-Hemorrhagic Stroke patients at Gadjah Mada Stroke Center Nakula 4 UGM Academic Hospital can increase muscle strength in Non-Hemorrhagic Stroke patients.

References

Masriadi. (2021). Epidemiologi Penyakit Tidak Menular. Trans Info Media.

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke, 17(1), 18–29. https://doi.org/10.1177/17474930211065917

Riset Kesehatan Dasar (Riskesdas). (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018.

WHO. (2020). Constitution of the World Health Organization edisi ke-49. Jenewa:. hlm. 1. ISBN 978-92-4-000051-3

Sutejo, J., Suranta Ginting, D., Silalahi, R. D., & Tua, D. (2023). Pengaruh Range of Motion (Rom) Aktif Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke Di Uptd Puskesmas Peureumeue Kecamatan Kaway Xvi Kabupaten Aceh Barat Tahun 2022. Jurnal Penelitian Keperawatan Medik, 5(2). http://ejournal.delihusada.ac.id/index.php/JPKM

Fredy, R., Wijaya, H., Wardoyo, E., & Info, A. (2024). Jurnal Kesehatan Republik Indonesia Asuhan Keperawatan Pasien Stroke Non Hemoragik ( SNH ) Dengan Penerapan Latihan Rom Pasif Di RSUD. 1(2), 32–35.

Dewi, C., Amalia, R., & Safuni, N. (2023). Asuhan Keperawatan pada Pasien dengan Stroke Iskemik. Jurnal Penelitian Perawat Profesional, 6(3), 1081–1092. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP

Çobanoğlu, A. (2023). The Effect of Range of Motion Exercises on Functional Independence and Activities of Daily Living in Patients with Acute Stroke: A Randomized Controlled Study. Turkiye Klinikleri Journal of Nursing Sciences, 15, 1096–1103. https://doi.org/10.5336/nurses.2023-98627

Sudarsih, S., & Santoso, W. (2022). Pendampingan Latihan Range Of Motion (ROM) Pada Penderita Stroke. Jurnal Pengabdian Pada Masyarakat, 7(2), 318–325. https://doi.org/10.30653/002.202272.82

Andriani, D., Fitria Nigusyanti, A., Nalaratih, A., Yuliawati, D., Afifah, F., Fauzanillah, F., Amatilah, F., Supriadi, D., & Firmansyah, A. (2022). Pengaruh Range of Motion (ROM) Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke. Indogenius, 1(1), 34–41. https://doi.org/10.56359/igj.v1i1.59

Hosseini, Z. S., Peyrovi, H., & Gohari, M. (2019). The Effect of Early Passive Range of Motion Exercise on Motor Function of People with Stroke: a Randomized Controlled Trial. Journal of Caring Sciences, 8(1), 39–44. https://doi.org/10.15171/jcs.2019.006

Mauliddiyah, D., Ulfah, M., & Siwi, A. S. (2022). Asuhan Keperawatan dengan Masalah Gangguan Mobilitas Fisik pada Pasien Stroke Non Hemoragik (SNH). Journal of Management Nursing, 2(1), 168–172. https://doi.org/10.53801/jmn.v2i1.74

Hidayah, Feri, Fatma, Nurfadilah, Fian, Nova, Hadayani, & Rahmaya. (2022). Implementasi Range Of Motin (ROM) Pada Pasien Stroke Non Hemoragik (SNH) Dengan Masalah Gangguan Aktivitas dan Istirahat. Jurnal Ilmiah Multidisiplin, 1(8), 2355–2361.

Pataky, M. W., Young, W. F., & Nair, K. S. (2021). Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications. Mayo Clinic Proceedings, 96(3), 788–814. https://doi.org/10.1016/j.mayocp.2020.07.033

Purqoti, D. N. (2020). Pengaruh Range of Motion (Rom) Terhadap Kekuatan Otot Ekstremitas Pada Pasien Stroke Di Rs Pusat Otak Nasional (Pon). Midwinerslion : Jurnal Kesehatan Stikes Buleleng, 5(1), 87. https://doi.org/10.52073/midwinerslion.v5i1.139

Trimardani, A. A., & Ditasari, A. (2022). Gangguan Mobilitas Fisik Pada Pasien Stroke Hemoragik di Ruang Arimbi RST Wijayakusuma Purwokerto. Jurnal Ilmiah Multidisiplin, 1(8), 2764–2769. https://journal-nusantara.com/index.php/JIM/article/view/635

Rusnoto, Prasetyawati, Nurlaily, & Ahmad. (2022). P Engaruh T Erapi P Rogressive M Uscle R Elaxation D Engan P Erubahan T Ekanan D Arah P Ada P Asien H Ipertensi D I. 13(2), 421–429.

Tomasdottir, M., Friberg, L., Hijazi, Z., Lindbäck, J., & Oldgren, J. (2019). Risk of ischemic stroke and utility of CHA2DS2-VASc score in women and men with atrial fibrillation. Clinical Cardiology, 42(10), 1003–1009. https://doi.org/10.1002/clc.23257

Leniwita, Hasian, Prabawati, Prabawati, D., Susilo, & Hary, W. (2019). Pengaruh Latihan Range of Motion (Rom) Terhadap Perubahan Aktivitas Fungsional Pada Pasien Stroke Rawat Inap Di Rsu Uki Jakarta. Jurnal JKFT, 4(2), 72. https://doi.org/10.31000/jkft.v4i2.2504

Maratis, J., Ivanali, K., Amir, T. L., Mahadewi, E. P., Ananda, E. T., Muchlis, A. E., Hendrawan, A. Z., Sukandar, N. I. M., & Ferrara, W. (2021). Keseimbangan Insan Pascastroke. Indonesian Journal of Primary Educationndonesian Journal of Physiotherapy Research and Education IJOPRE, 2(2), 32–39.

Setiyawan, Pratiwi, Lina, Rizqiea, Shovie, & Noerma. (2019). Pengaruh hidroterapi rendam kaki air hangat terhadap kekuatan otot pada pasien stroke non hemoragik. Caring : Jurnal Keperawatan, 8(1), 15–22. https://doi.org/10.29238/caring.v8i1.363

Rismawan, Wawan, Lestari, Mustika, Anggie, Irmayanti, & Evi. (2021). Gambaran Kualitas Hidup Dan Karakteristik Pasien Pasca Description Of Quality Life And Characteristics Of Patients After Stroke In Poli Syaraf. Jurnal Kesehatan Bakti Tunas Husada : Jurnal Ilmu Ilmu Keperawatan, Analis Kesehatan Dan Farmasi, 21(2), 250–251.

Utama, Y. A., & Nainggolan, S. S. (2022). Faktor Resiko yang Mempengaruhi Kejadian Stroke: Sebuah Tinjauan Sistematis. Jurnal Ilmiah Universitas Batanghari Jambi, 22(1), 549. https://doi.org/10.33087/jiubj.v22i1.1950

Utomo, T. Y. (2022). Stroke Hemoragik Dan Stroke Non Hemoragik Di RSUD Kota Bekasi.

Kune, N., & Pakaya, N. (2023). Range Of Mottion (Rom) Terhadap Kekuatan Otot Pada Pasien Stroke : Literature Review. Jambura Nursing Journal, 5(1), 51–67. https://doi.org/10.37311/jnj.v5i1.17896

Rahmawati, Y. D., & Yuda, hendri tamara. (2022). Case Study : Effectiveness of ROM and Rubber Ball Grip Therapy in Increasing Muscle Strenght in Stroke Patients. University Research Colloqium, 969–974.

Setiawan, L., & Hartiti, T. (2020). Penatalaksanan Ketergantungan pada Pasien Stroke. Ners Muda, 1(1), 1. https://doi.org/10.26714/nm.v1i1.5510

Kasanah, F., Sarkun, Rahyono, P., & Purwo. (2018). Asuhan Keperawatan Pada Tn. S dengan Penurunan Kapasitas Adaptif Intrakranial pada Stroke Hemoragik Di Ruang ICU RSUD K.R.M.T Wongsonegoro Semarang. http://repository.poltekkes-smg.ac.id/index.php?p=show_detail&id=17689&keywords=

Rahmadani, E., & Rustandi, H. (2019). Peningkatan Kekuatan Otot Pasien Stroke Non Hemoragik dengan Hemiparese melalui Latihan Range of Motion (ROM) Pasif. Journal of Telenursing (JOTING), 1(2), 354–363. https://doi.org/10.31539/joting.v1i2.985

Arif, M., Mustika, Suci, & Primal, D. (2019). Pengaruh Terapi Cermin Terhadap Kemampuan Gerak Pada Pasien Stroke Di Wilayah Kerja Puskesmas Kumpulan Kabupaten Pasaman. Jurnal Kesehatan Perintis (Perintis’s Health Journal), 6(1), 49–53. https://doi.org/10.33653/jkp.v6i1.239

Hidayah, Feri, Fatma, Nurfadilah, Fian, Nova, Hadayani, & Rahmaya. (2022). Implementasi Range Of Motin (ROM) Pada Pasien Stroke Non Hemoragik (SNH) Dengan Masalah Gangguan Aktivitas dan Istirahat. Jurnal Ilmiah Multidisiplin, 1(8), 2355–2361.

Yuni, V., & Retnaningsih, D. (2023). Penerapan Range of Motion Pada Pasien Stroke Dengan Gangguan Mobilitas Fisik. Jurnal Edukasi Ilmiah Kesehatan, 1(2), 18–24. https://doi.org/10.33655/mak.v8i1.179

Retnaningsih, D. (2023). Asuhan Keperawatan pada pasien Stroke. PT. Nasya Expanding Management.

Agusrianto, A., & Rantesigi, N. (2020). Application of Passive Range of Motion (ROM) Exercises to Increase the Strength of the Limb Muscles in Patients with Stroke Cases. Jurnal Ilmiah Kesehatan (JIKA), 2(2), 61–66. https://doi.org/10.36590/jika.v2i2.48

Tamburian, Andrytha, G., Ratag, Tarmady, Budi, Nelwan, & Ester, J. (2020). Hubungan antara hipertensi, diabetes melitus dan hiperkolesterolemia dengan kejadian stroke iskemik. Journal of Public Health and Community Medicine, 1(1), 27–33.

Maywati, S., Annashr, N. N., & Laksmini, P. (2023). Pencegahan Komplikasi Hipertensi Melalui Edukasi Kader Posyandu Dalam Pendampingan Pasien Hipertensi. JMM (Jurnal Masyarakat Mandiri), 7(1), 501. https://doi.org/10.31764/jmm.v7i1.12326

Endro, Haksara, Shafira, Aliya, & Putri. (2021). Penerapan Latihan Range of Motion (Rom) Pada Kekuatan Otot Ekstremitas Dengan Penderita Stroke Di Wilayah Binaan Puskesmas Gunung Pati Semarang. Jurnal Ilmu Kedokteran Dan Kesehatan Indonesia, 1(3), 28–44. https://doi.org/10.55606/jikki.v1i3.79

Potter, & Perry. (2017). Fundamental of Nursing.

Utami Ningsih, M., Nurunniswati, Mas’adah, Cembun, Dwi Sentana, a’an, & Mardiatun. (2022). Pendidikan Kesehatan Tentang Latihan ROM (Range of Motion) Meningkatkan Pengetahuan dan Keterampilan Keluarga Penderita Stroke. Bima Nursing Journal, 4(1), 24–31. http://jkp.poltekkes-mataram.ac.id/index.php/bnj/article/view/1044

Tim Pokja SLKI DPP PPNI. (2019). Standar Luaran Keperawatan Indonesia : Definifi dan Kriteria Hasil Keperawatan. DPP PPNI.

Aditama, M. A., & Muntamah, U. (2024). Pengelolaan Gangguan Mobilitas Fisik pada Pasien Hemiparesis dengan Stroke Non Hemoragik. Jurnal Keperawatan Berbudaya Sehat, 2(1). http://jurnal.unw.ac.id/index.php/JKBS

Pratama, M. Z., Faradisi, F., & Fajriyah, N. N. (2021). Penerapan Terapi Range Of Motion (Rom) Terhadap Peningkatan Kekuatan Otot Pada Pasien Dengan Stroke. Prosiding Seminar Nasional Kesehatan, 1, 692–698. https://doi.org/10.48144/prosiding.v1i.736

Srinayanti, Y., Widianti, W., Andriani, D., Firdaus, F. A., & Setiawan, H. (2021). Range of Motion Exercise to Improve Muscle Strength among Stroke Patients: A Literature Review. International Journal of Nursing and Health Services (IJNHS), 4(3), 332–343. https://doi.org/10.35654/ijnhs.v4i3.464