scholarly journals Comparison of Muscle Strength in Stroke Patients between The Given and Not Given Range of Motion Exercise

2015 ◽  
Vol 5 (2) ◽  
pp. 88
Author(s):  
Eka Rhestifujiayani ◽  
Emil Huriani ◽  
Muharriza Muharriza
Keyword(s):  
Muscle Strength ◽  
Lower Extremities ◽  
Nursing Intervention ◽  
Upper Extremities ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Whitney Test ◽  
Mann Whitney Test

Background: Hemiparesis is a common problem that can caused disability. ROM Exercise is an exercise that to performed evaluate and to improv the function of the musculoskeletal system and is one of therapies in stroke patients that aim to increase cerebral blood flow, minimize disability caused by stroke, so can refine sensory motoric function.Purpose: The objective of this study was to examine the effect ROM exercises of the extremity muscle strength in patients with stroke Methods: This study was a quasi experimental with non equivalent control group design. The sampling technique was purposive sampling. The number of sample was 20 respondents. The statistical test used are Wilcoxon test and Mann-Whitney test. Result: Wilcoxon test in control group showed p-value in upper extremities was p=0,157 and in lower extremities was p=0,083, it mean that there was no increase in muscle strength in the control group and in experiment group showed p-value in upper extremities was p=0,004 and in lower extremities was p=0,005, it mean that there is increase in muscle strength in the experiment group. The result of Mann-Whitney test showed p-value in upper extremities was p=0,002 and in lower extremities was p=0,006, it means that there were differences in the increase in muscle strength between control group and experiment group. Conclusion: ROM exercises affect the increase in muscle strength in stroke patients with hemiparesis. The ROM exercises can be used as a nursing intervention in the provision of nursing care.

scholarly journals The Combination of Softball Handling Exercise and ROM Increases Upper Extremity Muscle Strength in Non-Haemoragic Stroke Patients

2020 ◽  
Vol 4 (1) ◽  
pp. 29-37
Author(s):  
Ade Lestiani Limaretha ◽  
Mugi Hartoyo ◽  
Syamsul Arif
Keyword(s):  
Muscle Strength ◽  
Upper Extremity ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
And Control

Background: Stroke is a brain tissues damage caused by blood supply disruption to the brain. Effects that often occurs in stroke patients is weakness in one side of the body, such as the upper extremity. Exercises to stimulate muscle hands strength can be a combination softball handling exercise and ROM. Purpose: This research aims to determine the effect of a combination softball handling exercise and ROM on muscle strength in non haemoragic stroke patients at Roemani Muhammadiyah Semarang Hospital.Methods: Type of research is Quasi Experiment with a non-rondomised control group pre-post test design. There were 32 respondents including in this research using purposive sampling to select the sample. The research data were analyzed using the Wilcoxon Test to determine the effect on the intervention group and control group, then tested using the Mann Whitney test to determine the effectiveness difference between a intervention group and control group.Results: the Wilcoxon Test showed that there was an effect of a combination softball handlingand ROM on muscle strength in non haemoragic stroke patients (p value 0.000), and there was an effect on the control group without intervention (p value 0.003). While the Mann Whitney test showed that the combination group was more effective in increasing the muscle strength p value = 0.001 (0.05).Conclusion: There is the effect of a combination of softball handling exercise and ROM on the strength of the extremity muscles over non haemoragic stroke pastients.

scholarly journals Pengaruh Range Of Motion Untuk Menurunkan Nyeri Sendi Pada lansia Dengan Osteoartritis di Wilayah Puskesmas Godean I Sleman Yogyakarta

2018 ◽  
Vol 6 (1) ◽  
pp. 36
Author(s):  
Maruli Taufandas ◽  
Elsye Maria Rosa ◽  
Moh Afandi
Keyword(s):  
Range Of Motion ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Whitney Test ◽  
Group Design ◽  
Mann Whitney Test

Salah satu penyakit degeneratif pada lansia yang sering dialami yaitu osteoartritis, yang ditandai dengan adanya nyeri pada ekstremitas bawah dan prevalensinya semakin meningkat dengan bertambahnya usia. Penatalaksanaan non farmakologi merupakan komponen yang sangat penting dalam mengatasi nyeri, salah satu bentuknya adalah latihan Range of Motion. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh Range of Motion untuk menurunkan nyeri sendi pada lansia dengan osteoartritis di wilayah kerja Puskesmas Godean I Sleman Yogyakarta. Metode :Penelitian ini adalah study intervensi berupa penelitian kuantitatifdengan rancangan Quasi Eksperiment Design: Pretest-Posttest Control Group Design. Penelitian dilakukan di dua dusun di Kabupaten Sleman yaitu di dusun Mertosutan dan dusun Ngabangan.Sampel pada penelitian ini sebanyak 36 orang lansia dengan masing-masing 18 lansia sebagai kelompok intervensi dan 18 lansia sebagai kelompok kontrol.Pengambilan sampel menggunakan teknik purposive sampling.Analisis data yang digunakan adalah Wilcoxon Test dan Mann Whitney Test. Hasil : Setelah melakukan latihan Range of Motionselama 4 minggu, didapatkan hasil bahwa terdapat pengaruh Range of Motion terhadap skala nyeri sendi pada lansia dengan osteoartritis dengan p value 0,000 (α < 0,05). Kesimpulan :Range of Motion berpengaruh secara signifikan terhadap penurunan tingkat skala nyeri sendi pada lansia dengan osteoartritis

scholarly journals Pengaruh Diabetes Self Management Education (DSME) terhadap Self Management pada Pasien Diabetes Mellitus

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Trina Kurniawati ◽  
Titih Huriah ◽  
Yanuar Primanda
Keyword(s):  
Diabetes Mellitus ◽  
Management Education ◽  
Intervention Group ◽  
Simple Random Sampling ◽  
Wilcoxon Test ◽  
Self Management ◽  
Control Group ◽  
P Value ◽  
Whitney Test ◽  
Mann Whitney Test

AbstrakEdukasi kepada pasien Diabetes Mellitus (DM) yang dapat memperbaiki hasil klinis adalah Diabetes Self Management Education (DSME). DSME merupakan salah satu metode yang dapat memfasilitasi pengetahuan dan keterampilan. Penelitian ini bertujuan untuk mengetahui pengaruh Diabetes Self Management Education terhadap Self Management pada pasien DM. Penelitian ini menggunakan metode penelitian quasi experimental dengan control group pre test- post test design. Teknik pengambilan sampel menggunakan teknik Simple random sampling dengan jumlah sampel sebanyak 46 orang yang terbagi menjadi 23 orang pada kelompok intervensi mendapatkan DSME sebanyak 4 sesi dalam satu bulan dan 23 orang pada kelompok kontrol mendapatkan edukasi dari Program PERSADIA. Instrumen yang digunakan menggunakan kuesioner. Analisis statistik menggunakan Wilcoxon dan Mann Whitney test. Hasil penelitian menunjukkan bahwa P value uji Wilcoxon test sebesar 0,000 pada kelompok intervensi, P value uji Mann Whitney test adalah 0,000 pada variabel self management. Berdasarkan hasil uji statistik didapatkan p<0,05 yang menunjukkan bahwa terdapat perbedaan nilai self management antara kelompok intervensi dengan kelompok kontrol secara signifikan. Kesimpulan penelitian ini adalah DSME dapat meningkatkan self management pada pasien DM. Disarankan petugas kesehatan dapat memberikan DSME untuk meningkatkan self management pasien diabetes dan menggunakan DSME sebagai program promosi kesehatan.Kata kunci: Diabetes Mellitus; DSME;Self Management  The Influnce of Diabetes Self Management Education (DSME) to the Self Management on the Diabetes Patient AbstractEducation to patients Diabetes Mellitus (DM) who can improve clinical outcomes is Diabetes Self Management Education (DSME). DSME is one method that can facilitate knowledge and skills. The purpose of this research is to determine the effect of Diabetes Self Management Education (DSME) to Self Management on the diabetes patients. This study is used the quasi experimental research method with control group pre test post test design. The sampling technique used Simple random sampling with a samples of 46 people and it is devided 23 people in the intervention group get DSME as much as 4 sessions in one month and 23 people in the control group get education programe at PERSADIA. The instrument used was questionnaire. Statistical analysis used Wilcoxon and Mann Whitney test. The results showed that P value of Wilcoxon test  was 0.000 in the intervention group, P test value of Mann Whitney test was 0.000 in self management variable. Based on statistical test results obtained p <0.05 which indicates that there are differences in self-management value between the intervention group and the control group significantly. The conclusions of this research is DSME can improve self-management on the patients with diabetes. It is recommended that health workers can provide DSME to improve self-management  in diabetic patients and use DSME as a health promotion program.Keywords  : Diabetes Mellitus, DSME, Self Management

scholarly journals EFEKTIFITAS EDUKASI KESEHATAN DENGAN METODE AUDIOVISUAL TERHADAP MOTIVASI ORANG TUA DALAM MEMBERIKAN OBAT CACING PADA ANAK SEKOLAH DASAR

2021 ◽  
Vol 8 (1) ◽  
pp. 28-35
Author(s):  
Ignasia Yunita Sari
Keyword(s):  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Post Test ◽  
Quasi Experiment

Kecacingan menginfeksi 24% penduduk dunia terutama pada anak-anak dan meningkatkan angka morbiditas. Salah satu intervensi mengatasi kecacingan adalah pemberian obat cacing. Motivasi orang tua diperlukan untuk keteraturan dalam pemberian obat cacing pada anak. Edukasi yang tepat diperlukan untuk meningkatkan motivasi orang tua. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas edukasi kesehatan dengan metode audiovisual terhadap motivasi orang tua dalam memberikan obat cacing di SD Sanjaya Tritis Pakem. Metode penelitian dengan menggunakan quasi experiment dengan desain pre test and post test nonequivalent control group. Sampel sejumlah 64 dibagi menjadi 30 kelompok kontrol dan 34 kelompok intervensi. Kelompok kontrol diberikan edukasi dengan metode audiovisual dan kelompok kontrok dengan ceramah. Analisis data menggunakan wilcoxon test dan mann whitney test. Hasil penelitian menunjukkan edukasi kesehatan dengan metode audiovisual efektif dalam meningkatkan motivasi orang tua (p value 0,000). Tidak ada perbedaan keefektifan edukasi menggunakan metode audiovisual dan ceramah dalam meningkatkan motivasi orang tua (p value 0,225)

scholarly journals Peningkatan Kemampuan Interpretasi Electrocardiogram (ECG) Perawat Dengan Pembelajaran Pelatihan Dan Multimedia Di RSUD Dr. Soeratno Sragen

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Akhmad Rifai ◽  
Dwi Sulistyowati
Keyword(s):  
Statistical Tests ◽  
Test Group ◽  
Heart Association ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Significant Difference ◽  
And Training

Abstract: Level Of Ability Of Nurses, ECG Interpretation. American Heart Association (AHA) in 2011, recorded more than 1.000.000 people have heart attacks every year, half died from the heart attack and in Europe figures reach 20,000-40,000 CHD patients than 1,000,000 population. In Indonesia in 2002 with acute myocardial infarction disease is the first cause of death with a mortality rate of 220,000 (14%). The purpose of this study to determine the level of ability to interpret ECG nurse in RSUD dr. Soeratno Gemolong Sragen. This research is an experimental approach to Pre-TestPost Test Group design. through research hypothesis testing. The study population was a nurse amounted to 50 respondents divided into two groups. 30 respondents as the treatment group and 20 respondents as the control group. Statistical tests on the group in pairs using the nonparametric Wilcoxon test and unpaired pad groups using the Mann-Whitney test. Based on the results of the Wilcoxon test can be concluded that the 30 respondents who do the training interpretation of ECG by means of training and training using the modules can be drawn the conclusion that the majority of nurses had good knowledge in terms of ability to interpret ECG with p-value 0.001, which means there are significant differences between before and after doing the training. While the results of the Mann-Whitney test the difference between training and training in how to use the module p-value 0.001, which means there is a significant difference training by way of training and training in how to use the module.

scholarly journals Pengaruh Latihan Range Of Motion (ROM) Menggenggam Bola Terhadap Kekuatan Otot Ekstremitas Atas Pasien Stroke Iskemik

2019 ◽  
Vol 14 (2) ◽  
pp. 79-86
Author(s):  
Hendri Budi ◽  
Netti Netti ◽  
Yossi Suryarinilsih
Keyword(s):  
Ischemic Stroke ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Design Research ◽  
Nursing Intervention ◽  
Wilcoxon Test ◽  
Manual Muscle Testing ◽  
P Value ◽  
Stroke Patients ◽  
Muscle Testing

Stroke causes motor hemiparise disorders or weakness. Nursing intervention to overcome this is by doing range of motion (ROM) exercises grasping the ball. The purpose of the study was to identify the effect of ROM-grasping ball exercises on the strength of limb muscles for ischemic stroke patients. Quasi-experimental research type, one group pre-post test design. Research in the Neuro Ward Dr. M. Djamil Padang Hospital. The time of the research is October to December 2017. The intervention is ROM gripping ball exercises, namely rubber balls for 3 days followed by tennis balls for 2 days. Hold the ball firmly for 5 seconds then relax 10 seconds, practice repeated 10 times, frequency 3 times a day. The study population were all stroke patients in the Neuro Ward Dr. M. Djamil Padang Hospital. A sample of 10 people was obtained by purposive sampling that met the inclusion criteria. Data collection by measurement of muscle strength using Manual Muscle Testing (MMT). Data were computerized, analyzed by descriptive statistics and Wilcoxon test. The results of the study showed differences in upper limb muscle strength before and after the ROM exercise held the ball on the patient's shoulder (p value = 0.004), on the elbow of the patient (p value = 0.000), on the patient's hand (p value = 0.000), and on the patient's finger (p value = 0.000). It is recommended to nurses to implement the practice of grasping the ball to increase muscle strength of ischemic stroke patients and make it as a procedure for nursing intervention to patients to muscle strength.      

scholarly journals PELATIHAN KOMUNIKASI INTERPERSONAL UNTUK MENINGKATKAN KOMITMEN ORGANISASI KARYAWAN

2019 ◽  
Vol 9 (2) ◽  
pp. 151-159
Author(s):  
Nira Gusfika
Keyword(s):  
Organizational Commitment ◽  
Interpersonal Communication ◽  
Communication Training ◽  
Wilcoxon Test ◽  
Control Group ◽  
Test Results ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Before And After ◽  
Experimental Group

This study aims to determine the improvement of organizational commitment through interpersonal communication training. The hypothesis of this research is that there is a difference of organizational commitment to employees between before and after being given interpersonal communication training on experimental group, where the level of commitment of employee organization after being given interpersonal communication training is higher than the level of organizational commitment of the employees before being given interpersonal communication training. Second hypothesis, there is difference of posttest organizational commitment level between experiment group and control group, where posttest of organizational commitment in experiment group is higher than control group.The subject of this research is 17 employees at STAI YAPPTI Balaiselasa. Characteristics of the subjects of this study are employees who have levels of organizational commitment and interpersonal communication in the category very low, low and medium. The design used was Pretest-Posttest Control Group, while the data was collected using organizational commitment scale then analyzed using Mann Whitney test to see the difference of score between the experimental group who were given interpersonal communication training with the control group who were not given interpersonal communication training. Furthermore, Wilcoxon test was done for see experimental group scores between before and after interpersonal communication training.Based on Mann Whitney test results found Z = -3.447 (p <0.01), meaning there is a difference in scores between experimental groups who were trained with control groups who were not trained. Based on Wilcoxon test results found there was a difference between organizational commitment score in the experimental group between before and after being given interpersonal communication training with Z = -2,668 (p<0,01).

scholarly journals Efektifitas endorphin massage terhadap fungsi seksual perempuan pada masa menopause

2018 ◽  
Vol 13 (1) ◽  
pp. 88-94
Author(s):  
Sri Wahyuni ◽  
Tutik Rahayu
Keyword(s):  
Data Processing ◽  
Sexual Function ◽  
Wilcoxon Test ◽  
P Value ◽  
Female Sexual Function ◽  
Z Score ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Before And After

Abstract: The purpose of this study is to identify the effectiveness ofendorphine massage on female sexual function during menopause inNgampel District of Kendal Regency. Sampling was done by samplingcriteria acsidental aged less than 60 years old, have a husband, in a healthycondition. Data processing was performed using the Wilcoxon test todetermine differences in sexual function before and after the interventionwhile endorphine effectiveness of massage performed by using MannWhitney.Hasil research: Wilcoxon test showed that there are significantdifferences in sexual function before and after being given endorphineMassage with p value 0.00. While Mann Whitney test showed p value of0.13 and the value of z score of -2.828, which means there is a stronginfluence among endorphine Massage to increased sexual function soendorphine Massage is effective for improving sexual function.

scholarly journals Pengaruh Music Movement Therapy Terhadap Kemampuan Aktivitas Harian Pada Pasien Stroke

2019 ◽  
Vol 1 (2) ◽  
pp. 13
Author(s):  
Andreas Rantepadang ◽  
Angelia Tendean
Keyword(s):  
Daily Activity ◽  
Movement Therapy ◽  
Wilcoxon Test ◽  
Daily Activities ◽  
Group Method ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Consecutive Sampling ◽  
Quasi Experiment

ABSTRAK Stroke merupakan suatu kondisi kematian jaringan otak yang disebabkan karena gangguan peredaran darah di otak yang mengakibatkan kelemahan serta penurunan kemampuan aktiviitas harian penderita stroke. Music movement therapy (MMT) merupakan tindakan komplementer untuk meningkatkan aktivitas pasien stroke. Tujuan: penelitian ini bertujuan untuk menganalisa pengaruh music movement therapy terhadap kemampuan aktivitas harian pasien stroke. Metode: Metode penelitian menggunakan quasi experiment pretest and posttest nonequivalent control group. Penentuan sampel menggunakan teknik consecutive sampling, 48 responden diberikan standar penanganan rumah sakit dan MMT 5 kali seminggu (masing-masing 30 menit terapi) selama dua minggu, sedangkan 16 responden hanya diberikan standar rumah sakit tanpa MMT. Hasil: Hasil penelitian menunjukkan bahwa rata-rata kemampuan aktivitas harian pasien sebelum intervensi 26.87 sangat tergantung dan setelah intervensi meningkat menjadi 67.52 cukup tergantung sedangkan pada kelompok kontrol tetap pada sangat tergantung. Uji Wilcoxon dan Mann-whitney menunjukkan pengaruh yang signifikan MMT terhadap kemampuan aktivitas harian pasien stroke dengan p-value 0.000. Rekomendasi: MMT dapat digunakan sebagai terapi komplementer untuk meningkatkan kemampuan aktivitas harian pasien stroke. Kata kunci: Terapi, kemampuan, aktivitas, stroke   ABSTRACT Stroke is a condition of death of brain structure caused by circulatory disorders in the brain which results in weakness and decrease daily activity ability of stroke patients. Music movement therapy (MMT) is a complementary action to increase the activity of stroke patients. Purpose: The purpose of this study is to identify the effect of music movement therapy (MMT) on the ability of daily activities of stroke patients. Method: Quasi experiment pretest and posttest nonequivalent control group method.  Determination of the sample using consecutive sampling technique, 48 respondents were given standard hospital handling and MMT 5 times a week (30 minutes each therapy) for two weeks, while the 16 respondents was only given hospital standard treatment without MMT. Results: The results showed average that the patient's daily activity ability before intervention was 26.87 very dependent and increased after intervention to 67.52 moderately dependence, while the control group remained in very dependent. The Wilcoxon test and Mann-Whitney showed the effect of MMT on the daily activity ability of stroke patients (p-value 0.000). Recommendation: This study recommends the use of MMT as a basis for consideration for alternative therapies in improving the ability of daily activities of stroke patients. Keywords: Therapy, ability, activity, stroke  

scholarly journals Efektivitas Kombinasi Endorphine Massage Dan Aromaterapi Lemon Terhadap Intensitas Nyeri Pada Ibu Bersalin Kala I

2021 ◽  
Vol 8 (1) ◽  
pp. 7-14
Author(s):  
Yohana Putri Apryanti ◽  
Siti Choirul Dwi astuti
Keyword(s):  
Olfactory Bulb ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Whitney Test ◽  
Group Design ◽  
Mann Whitney Test ◽  
Post Test ◽  
Test Control

Nyeri adalah hal yang fisiologis yang akan dihadapi oleh seorang ibu bersalin. Nyeri merupakan pengalaman sensorik yang. Penelitian yang diterbitkan oleh Journal of Physiotherapy membuktikan bahwa massage yang dilakukan selama 30 menit pada saat pembukaan serviks 4-5cm selama kontraksi rahim berlangsung dapat menurunkan intensitas nyeri.  Begitu juga dengan penelitian yang diterbitkan oleh Pasific Journal of Tropical Biomedicine menjelaskan bahwa penggunan esensial oil secara inhalasi dapat merangsang pusat penciuman diotak (olfactory Bulb) dapat memberikan rasa nyaman. Tujuan penelitian ini dilakukan untuk mengidentifikasi penurunan intensitas nyeri pada ibu bersalin yang diberikan perlakuan dan tidak diberikan perlakuan metode endorphine massage dan aromaterapi lemon. Penelitian ini dilakukan dengan menggunakan desain penelitian Eksperimen semu (Quasy Eksperimen) dengan rancangan yang digunakan adalah pretest-post test control group design. Teknik pengambilan sampel yaitu puprposive sample sebanyak 30 responden di BPM wilayah kerja Puskesmas Simalingkar yang terbagi menjadi  15 responden sebagai kelompok intervensi dan 15 responden sebagai kelompok kontrol Adapun hasil penelitian dari uji Mann-Whitney Test diperoleh p value sebesar 0,000 ≤ 0,05 yang berarti Ho ditolak yaitu: intensitas nyeri pada kelompok intervensi lebih menurun dibandingkan dengan intensitas nyeri pada kelompok kontrol. Sehingga tenaga kesehatan dapat memberikan kedua terapi ini dapat membantu ibu mengurangi rasa nyeri persalinan

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