RISMA AYUNING TYAS, NIM. 202303081 (2024) ASUHAN KEPERAWATAN PADA PASIEN POST CRANIOTOMY MENGGUNAKAN RANGE OF MOTION PASIF DENGAN MASALAH UTAMA GANGGUAN MOBILITAS FISIK DI RUANG ICU RUMAH SAKIT PROF DR. MARGONO SOEKARDJO PURWOKERTO. KIA thesis, UNIVERSITAS MUHAMMADIYAH GOMBONG.

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Abstract

Background: Craniotomy is a neurosurgical procedure involving the removal of a section of the skull to address masses or hematomas in the brain. It is performed on patients with severe head injuries, brain tumors, or vascular abnormalities in the brain. Post-craniotomy patients have surgical wounds, drainage tubes, and catheters. The drainage tube in the head can affect activity/mobilization. Immobility can lead to restricted movement. One way to address mobility issues is through passive range of motion (ROM). General purpose: To explain nursing care using passive range of motion (ROM) for post-craniotomy patients with physical mobility issues. Methods: This scientific work uses a descriptive research type in the form of a case study. A sample of 5 respondents was taken. Muscle strength was measured using a Manual Muscle Testing (MMT) observation sheet. The intervention performed was passive range of motion (ROM). Nursing care results: The nursing issue addressed in this study was physical mobility disorders. The intervention used was passive ROM. Implementation was conducted over 2 sessions, with each passive ROM action lasting about 6-10 minutes. Evaluation results from the five clients showed an improvement in muscle strength. Recommendations: The innovation of using passive ROM proved effective in enhancing muscle strength in post-craniotomy patients.

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