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Abstrak :
Gangguan tidur dipandang sebagai masalah potensial yang terjadi pada pasien pasca stroke. Dalam mengatasi gangguan tidur dibutuhkan intervensi psikologis dan perilaku. Penelitian ini bertujuan mengetahui pengaruh teknik relaksasi Benson dikombinasikan dengan Sleep Hygiene Education (SHE) terhadap kualitas tidur pasien pasca stroke. Metode yang digunakan quasi experiment pre-post test design with control group. Dari 58 responden, 30 responden kelompok intervensi menerapkan relaksasi Benson dikombinasikan dengan SHE dan 28 responden menerapkan relaksasi Benson sebagai kelompok kontrol. Hasil penelitian menunjukkan ada peningkatan kualitas tidur pada kedua kelompok (p=0,0001) setelah perlakuan dan terdapat perbedaan yang bermakna antara dua kelompok tersebut (p=0,0001). Relaksasi Benson dikombinasikan dengan SHE direkomendasikan sebagai salah satu terapi non farmakologi untuk mengoptimalkan kualitas tidur pada pasien pasca stroke.

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Sleep disorder was considered as a potential problem for post-stroke patients. To prevent sleep disorders, psychological and behavioral interventions are needed. The purpose of this study to evaluate the effect of Benson`s relaxation techniques combined with Sleep Hygiene Education (SHE) towards sleep quality of poststroke patients. Quasi experiment pre and post test design with control group was used. From 58 respondents, 30 person were implement Benson`s relaxation combined with SHE as intervention group and 28 person implement Benson`s relaxation as control group. The result shows there was increased sleep quality in both groups (p=0,000) and there was significant differences between the groups (p=0,0001). Benson`s relaxation combined with SHE was recommended as one of the non-pharmacological method to optimize sleep quality in post-stroke patients.

Abstrak :
ABSTRAK
Karya ilmiah akhir ini merupakan laporan praktik residensi keperawatan medikal bedah yang terdiri dari pengelolaan kasus stroke hemoragik dan 30 kasus resume dengan pendekatan Model Adaptasi Roy MAR , penerapan evidence based nursing EBN untuk skrining penegakan diagnosa gangguan menelan pada pasien stroke fase akut dan melakukan proyek inovasi tentang pemberdayaan caregiver pada pasien stroke dengan edukasi terstruktur. Perilaku maladaptif paling banyak terdapat pada mode fisiologis dengan masalah keperawatan resiko ketidakefektifan perfusi jaringan serebral. Pengkajian dengan pendekatan MAR bisa diterapkan pada pasien dengan gangguan neurologi di ruangan. The Barnes-Jewish Hospital Stroke Dysphagia Screen BJH-SDS bisa diterapkan dengan memiliki sensitivitas 100 dan spesivisitas 100 . Budaya pengembangan intervensi keperawatan berdasarkan EBN diharapkan bisa terus terbangun di tatanan klinik. Pada inovasi keperawatan terdapat peningkatan rata-rata pengetahuan dan ketrampilan caregiver setelah pemberian edukasi terstruktur pValue

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ABSTRACT
This final scientific paper is a report of medical surgical nursing of residency practice which consists of the management of cases of hemorrhagic stroke and 30 cases of resume with the approach Roy rsquo s Adaptation Model RAM , the application of evidence based nursing EBN to screen for enforcement diagnosis of swallowing disorders in stroke patients in the acute phase and undertake innovation projects on empowering caregivers in stroke patients with a structured education. Maladaptive behavior are most numerous in the physiological mode with nursing problems ineffectiveness risk of cerebral tissue perfusion. RAM assessment approach can be applied to patients with neurological disorders in the hospital. The Barnes Jewish Hospital Dysphagia Stroke Screen BJH SDS can be applied with a sensitivity of 100 and specificity of 100 . Cultural development of nursing interventions based EBN is expected to continue to awaken in order clinic. On the innovation of nursing there is an average increase knowledge and skills caregiver after administration of structured education pvalue