JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA

Penatalaksanaan Fisioterapi Pada Kasus Bronkopneumonia Anak di Rumah Sakit Wijaya Kusuma Lumajang

2023-11-11T10:37:21+07:00

Bronchopneumonia is an infection that affects the airways entering the lungs, also known as the bronchi. Symptoms that arise are cough, fever, restlessness, dyspnea, rapid and shallow breathing, and cyanosis around the nose and mouth. Physiotherapy measures in the form of breathing exercises (deep breathing exercise and coughing) and postural drainage are appropriate interventions for this condition. The aim of the research was to determine the effect of physiotherapy interventions in the form of breathing exercise (deep breathing exercise and coughing) and postural drainage on children's brochopneumonia conditions at Wijaya Kusuma Lumajang Hospital. The research instrument used the Dalhousie Dyspnea Scales. The results of the study showed a decrease in the degree of shortness of breath from 5 to 2 with 8 treatments. So it can be concluded that breathing exercise and postural drainage are effective in reducing the degree of shortness of breath in bronchopneumonia patients

Pengaruh Penambahan Tens Pada Quadricep Setting Exercise Untuk Mengurangi Nyeri Dan Meningkatkan Aktivitas Fungsional Pada Lansia Pederita Osteoarthritis Genu Di Rumah Sakit Citama

2023-11-09T12:07:26+07:00

Abstract: Osteoarthritis is a cause of disability in the elderly where its prevalence will increase along with the increasing life expectancy of the global population (Sacitharan, 2019). According to the World Health Organization in 2013, it is estimated that by 2050 people aged over 60 years will account for more than 20% of the world's population, of which 15% have symptoms of Osteoarthritis, while a third experience severe disability, namely being unable to carry out daily activities (Nos et al. , 2020). Impairments that arise include (1) pain felt around the knee joint and pain when bending the knee, (2) weakness of the muscles that drive the knee joint, (3) limited range of motion (LGS) of the knee. The purpose of this study was to determine the effect of adding TENS on Quadricep exercise settings to reduce pain and increase functional activity in elderly people with osteoarthritis genu. The data collection method used a quasi-experimental design with a pre and post design with a control group design. The data collected was tested for normality with Shapiro Wilk. Normal distribution, effect test using paired t-test. The results of the paired t-test obtained a value of p = 0.0001 (p <0.05) in pain and obtained a value of p = 0.0002 (p <0.005) an increase in functional activity in the treatment group I. The treatment group II obtained a value of p = 0.0004 (p <0 .05) in pain and 0.0003 (p<0.05) increased functional activity. The conclusions obtained from this study are 1) Quadricep setting exercise can reduce pain and increase functional activity in elderly people with osteoarthritis genu. 2) The addition of TENS to Quadricep exercise settings can reduce pain and increase functional activity in elderly people with osteoarthritis genu.

Keywords: Osteoarthritis knee/knee, Quadricep setting exercise, pain, functional activity

HUBUNGAN EFIKASI DIRI DENGAN TINGKAT DEPRESI PADA LANSIA DENGAN PENDERITA STROKE DI RSI SULTAN AGUNG SEMARANG

2024-01-03T11:48:56+07:00

Penyakit Stroke merupakan penyakit serebrovaskuler ditunjukkan dengan kerusakan fungsional dan struktural yang bersifat sementara maupun permanen akibat kurangnya aliran darah ke otak. Depresi merupakan penyakit yang melibatkan tubuh, suasana hati dan pikiran, depresi pada penyakit kronis yang telah dikaitkan dengan kurangnya kepatuhan dalam program pengobatan, kecenderungan bunuh diri dan tingkat kelangsungan hidup. Tujuan dari penelitian ini adalah untuk mengetahui hubungan efikasi diri dengan tingkat depresi pada lansia dengan penderita stroke di RSI Sultan Agung Semarang. Jenis penelitian yang digunakan yaitu kuantitatif dengan desain cross sectional. Jumlah sampel penelitian sebanyak 66 responden dengan teknik pengambilan sampel menggunakan Purposive sampling. Uji statistik yang digunakan adalah uji Spearman Rank. Hasil yang diperoleh yaitu taraf signifikasi p-value (0,001 <0,05) dengan nilai correlation coefficient sebesar (-0,395) yang menunjukkan terdapat hubungan antara efikasi diri dengan tingkat depresi dalam kategori hubungan rendah dengan arah korelasi negatif. Sehingga dapat disimpulkan bahwa efikasi diri yang rendah dapat menyebabkan tingkat depresi sedang pada pasien lansia dengan penderita stroke. Diharapkan peneliti selanjutnya perlu melakukan penelitian lebih lanjut mengenai faktor- faktor apa saja yang dapat mempengaruhi tingkat depresi pada pasien lansia dengan penderita stroke.

PENGARUH BRAIN GYM DAN MULTI-EXERCISE TERHADAP PENINGKATAN KOGNITIF PADA DIMENSIA DI SAWANGAN

2024-01-04T10:34:54+07:00

Demensia merupakan kelainan yang menyebabkan seseorang mengalami kehilangan kognitif yang meliputi daya ingat, IQ, dan aktivitas sehari-hari. Fungsi kognitif menurun akibat kerusakan morfologi dan biokimia pada saraf. Aktivitas fisik akan lebih efektif jika dipadukan dengan berbagai rangsangan lainnya. (Nur Sukma, et al, 2020). Tujuannya untuk mengetahui pengaruh Brain Gym dan Multi-Exercise (Square Stepping exsercise dan Pazzel) dalam meningkatkan fungsi kognitif pada Kondisi Demensia. Metode penelitian pra-eksperimental. Sampel yang memenuhi kriteria inklusi dan eksklusi berjumlah 15 orang. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Desain penelitiannya adalah one-group pretest-posttest. Dilaksanakan selama 4 minggu dan 3 kali pertemuan. Hasil : Uji hipotesis menggunakan uji Unpaired t test dengan nilai p=0,0017 artinya p<0,05 (lebih kecil dari 0,05) yang berarti Ha diterima dan Ho ditolak yang berarti terdapat pengaruh Brain Gym dan Multi-Exercise terhadap peningkatan kognitif pada siswa. ukuran. Kesimpulan Terdapat pengaruh pemberian Brain Gym dan Multi-Exercise dari kombinasi latihan dan terdapat peningkatan kognitif pada demensia.

INTERVENSI KEPERAWATAN UNTUK PENCEGAHAN KEJADIAN PNEUMONIA PADA PASIEN STROKE

2024-01-12T06:43:50+07:00

Stroke patients are susceptible to respiratory problems and complications in the lungs, namely pneumonia, which most often occurs during stroke treatment. The aims of this study is to review the various literature on interventions that nurses can do to prevent and treat pneumonia in stroke patients. Search methods using electronic databases Science Direct, Scopus, Pubmed, and Google Scholar with a search range of 2017-2022. The inclusion criteria were research conducted on all stroke patients, both ischemic and hemorrhagic, the intervention given was a nursing action, and the outcome assessed was pneumonia. Five articles were reviewed and found several interventions used to prevent and reduce the incidence of pneumonia in stroke patients. Nursing actions that can be done are dysphagia screening and oral care. Conclusion: Dysphagia screening and and oral care can used to prevent and reduce the incidence of pneumonia in stroke patients.

HUBUNGAN LAMA HEMODIALISA DENGAN PEMENUHAN KEBUTUHAN SPIRITUAL PASIEN YANG MENJALANI TERAPI HEMODIALISA

2024-01-31T22:19:49+07:00

Hemodialisa merupakan terapi pengganti ginjal bagi pasien dengan diagnosa medis gagal ginjal kronik, utamanya pada stadium akhir. Terapi ini dilakukan sepanjang hidup sehingga pasien rentan mengalami ketidakseimbangan masalah baik fisik, psikologis, sosial maupun spiritual. Lamanya terapi hemodialisa memberikan respon yang berbeda – beda pada setiap pasien. Timbulnya perasaan kesepian akibat kurangnya support keluarga, kekhawatiran yang berlebihan terhadap komplikasi, bahkan ansietas dan stress terhadap ancaman kematian. Apabila tingkat spiritual pasien rendah, maka pasien tidak akan mendapatkan tujuan hidup dengan baik. Tujuan penelitian ini adalah untuk mengetahui hubungan lama hemodialisa dengan pemenuhan kebutuhan spiritual pasien yang menjalani terapi hemodialisa. Desain penelitian ini cross sectional yang melibatkan 62 responden dengan teknik purposive sampling. Hasil analisis statistic menggunakan uji spearman rank menunjukkan bahwa ada hubungan lama hemodialisa dengan pemenuhan kebutuhan spiritual pasien yang menjalani terapi hemodialisa (p= 0.000).

Management Fisioterapi Pada Kasus Post Operasi Histerektomi Total Akibat Mioma Uteri: Case Study

2024-02-23T16:12:30+07:00

Uterine myoma or often called fibroids is a benign tumor originating from the smooth muscle of the uterus. Tumor cells are formed due to genetic mutations, then develop due to the induction of the hormones estrogen and progesterone. The incidence of uterine myoma in Indonesia ranks second after cervical cancer, the incidence of uterine myoma in Indonesia is found to be 2.39% - 11.70% in all patients with gynecological cases hospitalized. Hysterectomy is surgical removal of the uterus (uterus) is one of the procedures performed for uterine myoma. Physiotherapy aids recovery by avoiding or minimizing complications as well as providing physical rehabilitation to support the return of physical function postoperatively hysterectomy. Based on the results of the evaluation of interventions that have been given, breathing exercises, pelvic floor muscle training, active exercises on the hip to the lower extremities as well as early transfer and ambulation exercises have been shown to reduce pain levels, strengthen pelvic floor muscles thereby reducing incontinence, and increase functional activity.

Management Of Physiotherapy Programs In Skin Flap For Thumb : Case Report

2024-03-18T11:00:39+07:00

Skin flap is a skin graft procedure that will repair damaged skin by removing the soft tissue underneath. Objective: to determine Physiotherapy management in the form of giving electro therapy (ultrasound and Infrared) and exercise. Methods: The research method includes a "case report" case study conducted on 1 male patient with a diagnosis of Stiffness wrist digiti 1-5 manus dextra hand function disorders, ec. Amputation of fingers manus dextra post flap). The measuring instruments used are using the Numeric Rating Scale (NRS) for pain scale, Wrist Hand Disability Index (WHDI) to measure functional activity ability, Gonimeter to measure joint motion scope, Manual Muscle Testing (MMT) to measure muscle strength, mitline to measure odema segment circumference. Results: After 3 times of therapy, the patient's assessment results were obtained, namely a significant change in the level of joint scope of motion, muscle strength, skin integrity, motion pain in the wrist and fingers of the right hand, and functional ability. Conclusion: This case study shows that the administration of electrotepsy and exercises in the case of Skin Flap of the thumb of the hand, proved to be effective.