Implementation of Range of Motion Exercises for Non-Hemorrhagic Stroke Patients (Mrs. Z) at Dr. H. Koesnadi General Hospital, Bondowoso

Abstract

Introduction: Non-hemorrhagic stroke is a type of stroke that occurs due to the obstruction of blood flow to the brain. This condition can cause damage to brain cells and disrupt various bodily functions, particularly physical functions. One of the main problems commonly experienced by patients with non hemorrhagic stroke is impaired physical mobility. This impairment is generally caused by the loss of motor control and decreased muscle strength. One non-pharmacological therapy that can be applied to improve flexibility and muscle strength is range of motion (ROM) exercises, both passive and active. This study aims to identify the implementation of range of motion exercises in non-hemorrhagic stroke patients with the nursing diagnosis of Impaired Physical Mobility in the Teratai Pavilion at dr. H. Koesnadi General Hospital, Bondowoso.

Methods : Data collection techniques included interviews, observations, physical examinations, and documentation. Nursing intervention in the form of range of motion exercises was administered to patients for 15–30 minutes in the morning and evening over three consecutive days, with the aim of increasing muscle strength in weakened extremities.

Results : The data analysis revealed that the primary nursing problem experienced by the patient was Impaired Physical Mobility. The implementation of range of motion exercises proved to be an effective intervention in improving joint flexibility and muscle strength in non-hemorrhagic stroke patients.

Discussion: Based on the evaluation of the nursing care provided, it can be concluded that range of motion exercises can improve muscle strength and joint flexibility in non hemorrhagic stroke patients experiencing impaired physical mobility. This intervention can be considered a beneficial non-pharmacological approach in the recovery of motor function.