PENGARUH PAKET MOBILISASI TERHADAP STATUS FUNGSIONAL PASIEN STROKE

Abstract

Patients who got stroke should be took rehabilitation program. Furthermore, the
ability for life reorganization to reach optimal health level. Especially for neurologic function after
stroke attacked, for preventing disability and gain quality of their life. Nursing intervention at
acute phase is important to establish for supporting reorganization of patient functions. One of
that interventions is training the patient to do structured early mobilization. Aims of this study is
to identified influenced of early mobilization against functional state of patient who got stroke.
This was a descriptive study, a quasi experimental study. There were two group of study, divided
to intervention group and control group. The samples of this study were stroke patient at Stroke
Unit in M.Yunus Hospital of Bengkulu with total amount 64 respondents, wich picked by consecutive
sampling. Measurement of functional status using the NIHSS score, which was measured
on admission to hospital and the time the patientat discharge. The results showed an average
NIHSS scores of stroke patients on admission is 11.56, SD 5.58 (moderate stroke). Meanwhile,
the average NIHSS score when out of the hospital was 8.89, SD 7.6 (moderate
stroke).Mean score for improved NIHSS patient who done structured training of mobilization is
4.87, SD 4.42 and score for patient who didn’t do training is 0.313, SD 4.46. After statistic test
showed that p value = 0.000 < alpha. It’s mean that there were significantly differences between
NIHSS score for the patient who got structured early mobilization and who didn’t. Structured
early mobilization must be establish, and it’s need collaboration from patient and family.