The Influence of Health Education with Video Media on ROMRegarding the Level of Knowledge in Families of Stroke Patients

Abstract

The Ministry of Health of the Republic of Indonesia reported that in, individuals aged 75 years and older represented the largest age group affected by stroke, followed by those aged 65-74 years. However, individuals under 45 years old are still at risk for non-hemorrhagic strokes. In West Java Province, with a population of 131,846, the stroke incidence rate is 11.4%. According to the Ministry of Health, Sumedang District reported 12,584 stroke cases, particularly in the Puskesmas (Community Health Centers) of Tanjungsari, Cimanggung, and Buahdua, which had the highest number of stroke patients. Functional hand exercises using Range of Motion (ROM), which involve various joint movements to enhance muscle strength and flexibility, are crucial for stroke patients experiencing reduced joint mobility. This study uses a quantitative non-parametric approach with an observational research design. The study population consisted of 20 elderly individuals over 60 years old, all of whom were included in the sample. Data was collected through an observation sheet specifically designed to assess ROM. Statistical analysis was performed using univariate and bivariate tests, along with the Wilcoxon Signed Rank Test. The results showed a significant increase in knowledge after the intervention. In the video media group, the average knowledge score increased from 37.51 to 57.21 (p < 0.001). In the leaflet media group, the average score increased from 30.56 to 45.10 (p < 0.001). Video media proved to be more effective than leaflets, with a greater increase in knowledge and a more uniform distribution of scores. Both media positively influenced the knowledge of stroke patients' families regarding ROM, but video media had a greater statistical and practical impact.