JURNAL ILMIAH KESEHATAN MANADO

Asuhan Keperawatan dengan Teknik Latihan Genggam Bola untuk Meningkatkan Kekuatan Otot Ekstremitas Atas

Faramita Hangkiho — 2026-06-01

Non-hemorrhagic stroke is a major cause of impaired physical mobility due to muscle weakness and decreased motor function. This condition makes it difficult for patients to perform daily activities and impacts quality of life. This study used a case study design (descriptive) on a 50-year-old male patient with a medical diagnosis of non-hemorrhagic stroke. The intervention provided was ball grip exercises two to three times daily for three days with a duration of 10–15 minutes per session. Data collection was carried out through direct observation of muscle strength, as well as daily subjective and objective patient evaluations. The results showed an increase in upper extremity muscle strength from a scale of 2/5 on the first day to 4/5 on the third day. The patient also showed increased tolerance for ambulation activities and the ability to grip objects stably. Ball grip exercises have been shown to help stimulate neuromuscular function, improve blood circulation, and accelerate motor recovery in stroke patients. Conclusion: Regular implementation of ball grip exercises is effective in increasing upper extremity muscle strength in non-hemorrhagic stroke patients with impaired physical mobility. This intervention can be used as one of the EBN-based non-pharmacological therapies in the nursing rehabilitation program for stroke patients.

Evidence Based Practice Senam Aerobic Low Impact Terhadap Penurunan Tanda dan Gejala Resiko Perilaku Kekerasan

Neli Nilce Talasi — 2026-04-27

The risk of violent behavior is an angry response manifested in the form of speaking with threatening words, carrying out actions that are dangerous to oneself, others, and the environment. The impact of violent behavior is a loss of self-control, harming oneself, others, and the environment. One nursing intervention that can be performed on patients at risk of violent behavior is low-impact aerobic exercise. Low-impact aerobic exercise is a gymnastics movement performed with a slow rhythm, meaning the movement is slower, with basic walking movements, one foot remaining on the floor, and no jumping movements at all. To determine the effectiveness of low-impact aerobic exercise on patients at risk of violence. A case study was used. Subjects were patients with mental disorders at risk of violence at Prof. VL. Ratumbuysang Hospital. Results: The study, using evidence-based nursing, found that low-impact aerobic exercise, performed three times a 24-hour period, reduced signs and symptoms of violent behavior, such as restlessness and pacing, irritability, and sharp and cynical speech. The results of the case study showed that after the intervention, Mrs. MA experienced a decrease in signs and symptoms of violent behavior. Recommendation: All healthcare workers should develop standard operating procedures (SOPs) for low-impact aerobic exercise, as it has many benefits, one of which is reducing signs and symptoms of violent behavior.

Faktor-Faktor yang Berhubungan dengan Kejadian ISPA pada Balita (12-59 Bulan) di Puskesmas Tuminting Tahun 2024

Sharon Lady Lendongan — 2026-05-08

Infeksi Saluran Pernafasan Akut (ISPA) adalah penyakit yang menyerang bagian
pernafasan dan mengakibatkan kematian terutama pada kelompok usia 0-5 tahun di
Indonesia. Kasus ISPA di Indonesia terhitung mulai bulan januari hingga september
2023 cukup tinggi, yakni 1,5 sampai 1,8 juta kasus secara nasional. ISPA khusus
pada bayi dan balita menurut riskesdas tahun 2018 di provinsi Sulawesi Utara
sebanyak 1.989 kasus. sedangkan untuk kota Manado menurut data dari Dinas
Kesehatan kota Manado tahun 2023 sebanyak 8.747 kasus ISPA pada balita terjadi
di kota Manado. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan
dengan kejadian ISPA pada Balita (12-59 Bulan) di Puskesmas Tuminting Tahun
2024. Jenis penelitian adalah kuantatif menggunakan observasional analitik dengan
rancangan penelitian Cross sectional study. Waktu penelitian dilakukan pada bulan
Juni sampai Juli 2024 dengan sampel berjumlah 45 responden. Hasil penelitian yang didapat tidak ada hubungan antara usia dengan kejadian ISPA dengan p-value 0,06, tidak ada hubungan antara pemberian vitamin
A dengan Kejadian ISPA dengan p-value 0,387, tidak ada hubungan antara Riwayat
Imunisasi dasar dengan Kejadian ISPA dengan p-value 0,257. Kesimpulan penelitian ini yaitu tidak ada hubungan antara variabel Usia, Pemberian Vitamin A, dan Riwayat Imunisasi Dasar dengan Kejadian ISPA pada
Balita (12-59 Bulan) di Puskesmas Tuminting Tahun 2024.