PENGARUH LATIHAN FISIK DAN VIRTUAL REALITY BERBASIS GAMES TERHADAP EFIKASI DIRI PASIEN STROKE DI RSUD BLORA

Ika Puji Eviyanti; Diana Tri Lestari; Ashri Maulida Rahmawati

doi:10.59003/nhj.v5i3.1643

Authors

Ika Puji Eviyanti Universitas Muhammadiyah Kudus
Diana Tri Lestari Universitas Muhammadiyah Kudus
Ashri Maulida Rahmawati Universitas Muhammadiyah Kudus

DOI:

https://doi.org/10.59003/nhj.v5i3.1643

Keywords:

physical exercise, virtual reality, games, self-efficacy, stroke patients

Abstract

Stroke is a leading cause of disability and death worldwide, including in Indonesia, impacting motor function decline and low patient self-efficacy. Conventional physical exercise is physically beneficial but is often considered monotonous, while game-based Virtual Reality (VR) offers interactive, fun, and motivating exercises. This study aims to determine the effect of a combination of physical exercise and VR on the self-efficacy of stroke patients. Self-efficacy, according to Bandura, is the belief in one's ability to complete a task. The combination of physical exercise and game-based VR is expected to provide a synergistic effect, increasing patient motivation and engagement. The research method used a quantitative quasi-experimental design with two groups: intervention (physical exercise + VR) and control (physical exercise only). The sample consisted of 35 stroke patients at Blora Regional Hospital, drawn by total sampling. The intervention was carried out for 7 days, 6 times a day, for 10 minutes per session. Self-efficacy was measured before and after the intervention using a questionnaire. Data analysis used the Wilcoxon and Mann-Whitney tests because the data were not normally distributed. The results showed that the intervention group experienced a significant increase in self-efficacy from moderate to high (p=0.001), while the control group showed no significant increase (p=0.076). Comparison between groups showed a significant difference (p=0.001), with higher scores in the intervention group. Game-based VR effectively increased self-efficacy through gradual success experiences, intrinsic motivation, and immediate feedback. Conventional physical exercise helped maintain motor function but had less impact on psychological aspects without the support of motivational stimulation. These results support the integration of VR in stroke rehabilitation programs. The combination of physical exercise and game-based VR effectively increased self-efficacy in stroke patients significantly compared to physical exercise alone. Recommendations provided include the implementation of game-based VR in nursing practice, further research with a larger sample size and intervention duration, and family support in implementing exercises to accelerate patient recovery.

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References

Anjos, J. M., Neto, M. G., Dos Santos, F. S., Almeida, K. D. O., Bocchi, E. A., Lima Bitar, Y. D. S., & Duraes, A. R. (2022). The impact Of high-intensity interval training On functioning And health-related quality Of life In post-stroke patients: A systematic review With meta-analysis. Clinical Rehabilitation, 36 (6), 726-739.

Arsal, U. W., Febriyanda, A., & Mukrim, H. (2024). Program Rehabilitasi Berbasis Masyarakat Untuk Penderita Pasca-Stroke. Korsacs: Jurnal Pengabdian Kepada Masyarakat, 3 (2), 107-111.

Dharma, K. K., Parellangi, A., & Rahayu, H. (2020). Religious Spiritual and Psycososial Coping Training (RS-PCT) meningkatkan penerimaan diri dan efikasi diri pada pasien paska stroke. Jurnal Keperawatan Silampari, 3 (2), 520-533.

Djunaidi, N. A. R., Paputungan, F., & Pascasari, A. Y. (2023). Effective Education About Healing To Manage Stress Pendidikan Kefektifan Tentang Healing Untuk Menangani Stres. Journal of Education and Culture (JEaC), 3 (2), 210-219.

Ediati, A., & Diponegoro, F. P. U. (2020). Dampak Positif Teknologi Informasi Terhadap Keluarga. Dinamika Keluarga & Komunitas Dalam Menyambut Society 5.0, 121.

Efrida, Y. (2022). Hubungan Dukungan Keluarga Terhadap Motivasi Patuh Protokol Kemoterapi Pada Pasien Kanker Payudara Di Ruang Tulip RSUD Tarakan. Disertasi. Jakarta: Universitas Binawan.

Fatria, I. (2022). The Effectiveness Of Virtual Reality Based Exercises On Upper Extremity Functional Ability And Cognitive Function For Patients With Stroke. Jurnal Inovasi Pendidikan dan Sains, 3 (3), 152-158.

Fransiska, D. (2024). Prediksi Stroke Otak Menggunakan Algoritma Naive Bayes dan Particle Swarm Optimization (PSO). INTEGER: Journal of Information Technology, 9 (1).

Hadiono, H. D. (2023). Kompilasi Pendidikan Genap 2022/2023.

Halimah, N., Pradita, A., & Jamil, M. (2022). Kombinasi Infrared dan William Flexion Exercise Efektif Menurunkan Nyeri dan Meningkakan Fleksibilitas Otot Pada Kasus Low Back Pain Miogenik. Jurnal Penelitian Kesehatan Suara Forikes (Journal of Health Research Forikes Voice), 13 (4), 1076-1079.

Harahap, H. S., Susilawati, N. N. A., Prafica, A., Setianto, C. A., & Mayza, A. (2024). Peningkatan Pengetahuan Mengenai Cara Latihan Terapi Fisik Sederhana di Rumah pada Penderita Pasca Stroke di Poliklinik RSUD Lombok Barat. Jurnal Gema Ngabdi, 6 (2), 104-109.

Jamaluddin, M., & Ilham, K. D. K. (2025). Efektivitas Terapi Cylindrical Grip Dan Rubber Ball Grip Terhadap Kekuatan Otot Pasien Stroke Non Hemoragik. Jurnal Manajemen Asuhan Keperawatan, 9 (1), 22-32.

Kamelia, A., & Pratiwi, R. M. (2024). Analisis Asuhan Keperawatan Pada Pasien Stroke Non Hemoragik Dengan Masalah Gangguan Mobilitas Fisik Melalui Pemberian Intervensi Latihan (CIMT) Constraint Induced Movement Di RSUD RT Notopuro Sidoarjo. Disertasi. Mojokerto: Universitas Bina Sehat PPNI.

Kusuma Dharma, K., Andi, P., & Halina, R. (2020). Religious Spiritual and Psycososial Coping Training (RS-PCT) meningkatkan penerimaan diri dan efikasi diri pada pasien paska stroke. Jurnal Keperawatan Silampari, 3 (2), 520-533.

Langingi, A. R. C., Pongantung, H., Terok, K. A., Watak, C. L., & Rasu, S. (2024). Pemberdayaan Masyarakat Dalam Upaya Pencegahan Stroke Di Lingkungan Satu Lorong Tower Desa Modayag. Jurnal Pengabdian kepada Masyarakat MAPALUS, 2 (2), 42-49.

Lesmana, I. P. D., Yuana, D. B. M., Mukhlisoh, N. A., Widiawan, B., Hakim, L., & Suryana, A. L. (2023). Pengaruh Latihan Sepeda Virtual Terhadap Sensori-Motor Ekstremitas Bawah Pasien Pasca Stroke. Journal of Electrical Engineering and Computer (JEECOM), 5 (2), 292-299.

Listari, R. P., Hidayah, N., Setiyowati, E., & Zahroh, C. (2023). Kombinasi Kinesio Taping dan Proprioceptive Neuromuscular Facilitation (PNF) terhadap Kekuatan Otot Extremitas Atas pada Pasien Stroke Iskemik: A Systematic Review. Jurnal Keperawatan, 15 (3), 1031-1044.

Liu, Y., Lin, R., Tian, X., Wang, J., Tao, Y., & Zhu, N. (2024). Effects of VR task-oriented training combined with rTMS on balance function and brain plasticity in stroke patients: a randomized controlled trial study protocol. Trials, 25 (1), 702.

Mawaddah, H. (2021). Analisis Efikasi Diri Pada Mahasiswa Psikologi Unimal. Jurnal Psikologi Terapan (JPT), 2 (2), 19-26.

Prasasti, A. K., Dewi, N. L. P. T., Herliana, I., Sholihat, S., Amir, M. D., Syamsiah, N., & Daryaswanti, P. I. (2024). Buku Ajar Keperawatan Komplementer dan Alternatif. Sonpedia Publishing Indonesia.

Rosdianah, S. (2024). Pengaruh terapi murottal Al-Qur’an terhadap tingkat kecemasan, depresi, dan self-efficacy pada pasien pasca stroke di Stroke Centre RSKD Dadi Provinsi Sulawesi Selatan. Disertasi. Makassar: Universitas Hasanuddin.

Sharifpour, S., Manshaee, G. R., & Sajjadian, I. (2021). Effects of virtual reality therapy on perceived pain intensity, anxiety, catastrophising and self‐efficacy among adolescents with cancer. Counselling and Psychotherapy Research, 21(1), 218-226.

SIREGAR, D. I. (2023). Hubungan Dukungan Sosial Dengan Efikasi Diri Untuk Abstinensi Pada Pecandu Narkoba Di Desa Percut. Disertasi. Medan: Fakultas Kedokteran, Universitas Islam Sumatera Utara.

Tolle, H., & Al Huda, F. Teknologi Digital Immersive: Pemanfaatan untuk Kemajuan Bangsa. Malang: Universitas Brawijaya Press.

Wicaksana, G. B. A., Linggasani, M. A. W., & Kotama, I. N. D. (2024). Pengabdian Pengembangan Game Virtual Reality Sebagai Sarana Rehabilitasi Bagi Penyandang Disabilitas Fisik. Jurnal Abdi Masyarakat, 8 (1), 188-198.

Zagoto, S. F. L. (2019). Efikasi diri dalam proses pembelajaran. Jurnal Review Pendidikan dan Pengajaran (JRPP), 2 (2), 386-391.