Akupresur untuk Meningkatkan Kekuatan Otot dan Rentang Gerak Ekstremitas Atas pada Pasien Stroke

Muhamad Adam, Elly Nurachmah, Agung Waluyo


DOI: http://dx.doi.org/10.7454/jki.v17i3.452


Abstract


Penurunan fungsi ekstremitas atas merupakan komplikasi yang sering terjadi pada pasien pasca stroke yang mengalami hemiplegia sebagai akibat dari kelemahan dan keterbatasan rentang gerak sendi pada bahu. Akupresur bermanfaat dalam memperbaiki fungsi ektremitas atas dengan melancarkan pergerakan aliran qi (energi vital) di dalam tubuh namun belum banyak penelitian yang mengkaji pengaruh akupresur untuk meningkatkan kekuatan otot dan rentang gerak ekstremitas atas pada pasien pasca stroke. Penelitian ini bertujuan untuk mengidentifikasi pengaruh akupresur terhadap kekuatan otot dan tentang gerak ekstremitas atas pada pasien stroke pasca rawat inap. Penelitian ini menggunakan quasi-experimental design dengan pendekatan pre-post test design pada 34 responden (n kontrol= n intervensi= 17). Kelompok intervensi diberi akupresur setiap hari 10 menit selama tujuh hari. Hasil penelitian menunjukkan adanya perbedaan yang bermakna pada kekuatan otot dan rentang gerak ekstremitas atas antara kelompok intervensi dan kelompok kontrol (p= 0,001 dan p= 0,000; α= 0,05). Akupresur merupakan intervensi yang efektif untuk meningkatkan kekuatan otot dan rentang gerak pada pasien pasca stroke yang mengalami hemiparesis. Rekomendasi pada penelitian ini adalah diperlukan adanya perawat yang menguasai akupresur dan memodifikasi standar asuhan keperawatan dengan memasukkan terapi komplementer akupresur dalam asuhan keperawatan pasien stroke yang mengalami kelemahan dan keterbatasan rentang gerak ekstremitas atas.

 

Abstract

Acupressure to increase muscle strength and range of motion extremities for patients stroke. Decrease in upper extremity function is a frequent complication in patients who experience post-stroke hemiparesis as a result of the weaknesses and limitations of range of motion in the shoulder. Acupressure is useful in improving the function of upper extremity by launching a movement of the flow of qi (vital energy) in the body but not much research that examines the effect of acupressure to improve muscle strength and range of motion of upper extremity in post stroke patients. This study aimed to identify the effect of acupressure on muscle strength and range of motion of upper extremity in stroke patients after hospitalization. This study is a quasi-experimental design with pre-post test approach in 34 respondents (n control = n intervention = 17). Acupressure group were given 10 minutes per time each day for 7 days. There are significant differences in muscle strength and range of motion of upper extremity between the intervention group and control group (p = 0.001 and p = 0.000; α = 0.05). Acupressure is an effective intervention to improve muscle strength and range of motion in patients who experience post-stroke hemiparesis. Recommendations from this finding that nurses need to competent to provide acupressure and modify the standard of nursing care by include acupressure therapy into nursing care of stroke patients who experience upper extremity weakness and range of motion limitations.

 

Keywords:  acupressure, upper extremity, hemiparesis, muscle strength, range of motion, stroke


Keywords


akupresur; ekstremitas atas; hemiparesis; kekuatan otot; rentang gerak; stroke

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