Intervensi Rehabilitasi Stroke: Tinjauan Komprehensif tentang Intervensi Berbasis Komunitas
Keywords:
Community-based interventions, Community health services, Community health cadres, Nursing, Stroke
Abstract
Community-based interventions are very important to facilitate post-stroke recovery, increase community participation, and increase awareness about stroke survivors. To optimize recovery and community reintegration, there is a need to understand research findings on community-based interventions that focus on stroke survivors and their caregivers. Although nurses and community health workers are commonly involved in community-based interventions, little is known about their role compared to other post-stroke rehabilitation professionals (physical therapists, occupational therapists, and speech-language pathologists). Therefore, the aim of this review is to explore research that focuses on improving community-based stroke recovery for adult stroke survivors, caregivers, or both when provided by nurses or cadres. A systematic review using Scopus, PubMed, Medline, Cochrane Library, Proquest, and Embase was completed to identify community-based post-intervention studies using nurses or community health workers up to February 2024. Eighteen studies meeting inclusion criteria from 9 countries were identified. Details regarding the role of nurses and public health cadres are limited or not discussed. The intervention emphasizes stroke survivor self-care and caregiver support and is offered face-to-face and in group sessions in the community and home. A variety of instruments are used to measure outcomes. The results of the interventions provided were mixed. Improvements were seen in perceived health, quality of life, knowledge, self-efficacy, self-management, and caregiver support. Nurses and community health workers play an important role in community-based care. Evidence shows that community-based interventions facilitate the necessary support for stroke survivors, caregivers, families, and communities to optimize stroke recovery. Data from this review illustrate the ongoing need for comprehensive programs designed to meet the complex needs of stroke survivors and families when they return to their homes and communities.
References
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Bretz, M. N., Graves, A., West, A., Kiesz, K. C., Toth, L., & Welch, M. (2014a). Steps against recurrent stroke plus: Patient transition program. Journal of Neuroscience Nursing, 46(4). https://doi.org/10.1097/JNN.0000000000000065
Bretz, M. N., Graves, A., West, A., Kiesz, K. C., Toth, L., & Welch, M. (2014b). Steps against recurrent stroke plus: Patient transition program. Journal of Neuroscience Nursing, 46(4). https://doi.org/10.1097/JNN.0000000000000065
Burton, C., Pgcerthe, D., Rgn, B. N., Gibbon, B., Dipans, D., & Rgn, R. (n.d.). ISSUES AND INNOVATIONS IN NURSING PRACTICE Expanding the role of the stroke nurse: a pragmatic clinical trial.
Bushnell, C. D., Duncan, P. W., Lycan, S. L., Condon, C. N., Pastva, A. M., Lutz, B. J., Halladay, J. R., Cummings, D. M., Arnan, M. K., Jones, S. B., Sissine, M. E., Coleman, S. W., Johnson, A. M., Gesell, S. B., Mettam, L. H., Freburger, J. K., Barton-Percival, B., Taylor, K. M., Prvu-Bettger, J., … Rosamond, W. D. (2018). A Person-Centered Approach to Poststroke Care: The COMprehensive Post-Acute Stroke Services Model. Journal of the American Geriatrics Society, 66(5), 1025–1030. https://doi.org/10.1111/jgs.15322
Camicia, M., Lutz, B., Summers, D., Klassman, L., & Vaughn, S. (2021). Nursing’s role in successful stroke care transitions across the continuum: From acute care into the community. In Stroke (Vol. 52, Issue 12, pp. E794–E805). Lippincott Williams and Wilkins. https://doi.org/10.1161/STROKEAHA.121.033938
Cheng, H. Y., Chair, S. Y., & Chau, J. P. C. (2018a). Effectiveness of a strength-oriented psychoeducation on caregiving competence, problem-solving abilities, psychosocial outcomes and physical health among family caregiver of stroke survivors: A randomised controlled trial. International Journal of Nursing Studies, 87, 84–93. https://doi.org/10.1016/j.ijnurstu.2018.07.005
Cheng, H. Y., Chair, S. Y., & Chau, J. P. C. (2018b). Effectiveness of a strength-oriented psychoeducation on caregiving competence, problem-solving abilities, psychosocial outcomes and physical health among family caregiver of stroke survivors: A randomised controlled trial. International Journal of Nursing Studies, 87, 84–93. https://doi.org/10.1016/j.ijnurstu.2018.07.005
Creasy, K. R., Lutz, B. J., Young, M. E., & Stacciarini, J. M. R. (2015). Clinical Implications of Family-Centered Care in Stroke Rehabilitation. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses, 40(6), 349–359. https://doi.org/10.1002/rnj.188
Duncan, P. W., Bushnell, C. D., Rosamond, W. D., Jones Berkeley, S. B., Gesell, S. B., D’Agostino, R. B., Ambrosius, W. T., Barton-Percival, B., Bettger, J. P., Coleman, S. W., Cummings, D. M., Freburger, J. K., Halladay, J., Johnson, A. M., Kucharska-Newton, A. M., Lundy-Lamm, G., Lutz, B. J., Mettam, L. H., Pastva, A. M., … Vetter, B. (2017). The Comprehensive Post-Acute Stroke Services (COMPASS) study: Design and methods for a cluster-randomized pragmatic trial. BMC Neurology, 17(1). https://doi.org/10.1186/s12883-017-0907-1
Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): global stroke fact sheet 2022. International Journal of Stroke, 17(1), 18–29.
Flemming, K. D., Allison, T. G., Covalt, J. L., Herzig, D. E., & Brown, R. D. (2013a). Utility of a post-hospitalization stroke prevention program managed by nurses. Hospital Practice (1995), 41(3), 70–79. https://doi.org/10.3810/hp.2013.08.1070
Flemming, K. D., Allison, T. G., Covalt, J. L., Herzig, D. E., & Brown, R. D. (2013b). Utility of a post-hospitalization stroke prevention program managed by nurses. Hospital Practice (1995), 41(3), 70–79. https://doi.org/10.3810/hp.2013.08.1070
Green, T., Green, T., Haley, E., Eliasziw, M., & Hoyte, K. (2007a). Education in stroke prevention: Efficacy of an educational counselling intervention to increase knowledge in stroke survivors. https://www.researchgate.net/publication/5610768
Green, T., Green, T., Haley, E., Eliasziw, M., & Hoyte, K. (2007b). Education in stroke prevention: Efficacy of an educational counselling intervention to increase knowledge in stroke survivors. https://www.researchgate.net/publication/5610768
Kidd, L., Lawrence, M., Booth, J., Rowat, A., & Russell, S. (2015a). Development and evaluation of a nurse-led, tailored stroke self-management intervention. BMC Health Services Research, 15(1). https://doi.org/10.1186/s12913-015-1021-y
Kidd, L., Lawrence, M., Booth, J., Rowat, A., & Russell, S. (2015b). Development and evaluation of a nurse-led, tailored stroke self-management intervention. BMC Health Services Research, 15(1). https://doi.org/10.1186/s12913-015-1021-y
Kim, A. S., Cahill, E., & Cheng, N. T. (2015). Global stroke belt: Geographic variation in stroke burden worldwide. In Stroke (Vol. 46, Issue 12, pp. 3564–3570). Lippincott Williams and Wilkins. https://doi.org/10.1161/STROKEAHA.115.008226
Kirkness, C. J., Cain, K. C., Becker, K. J., Tirschwell, D. L., Buzaitis, A. M., Weisman, P. L., McKenzie, S., Teri, L., Kohen, R., Veith, R. C., & Mitchell, P. H. (2017a). Randomized trial of telephone versus in-person delivery of a brief psychosocial intervention in post-stroke depression NCT01133106 NCT. BMC Research Notes, 10(1). https://doi.org/10.1186/s13104-017-2819-y
Kirkness, C. J., Cain, K. C., Becker, K. J., Tirschwell, D. L., Buzaitis, A. M., Weisman, P. L., McKenzie, S., Teri, L., Kohen, R., Veith, R. C., & Mitchell, P. H. (2017b). Randomized trial of telephone versus in-person delivery of a brief psychosocial intervention in post-stroke depression NCT01133106 NCT. BMC Research Notes, 10(1). https://doi.org/10.1186/s13104-017-2819-y
Kitzman, P., Hudson, K., Sylvia, V., Feltner, F., & Lovins, J. (2017a). Care Coordination for Community Transitions for Individuals Post-stroke Returning to Low-Resource Rural Communities. Journal of Community Health, 42(3), 565–572. https://doi.org/10.1007/s10900-016-0289-0
Kitzman, P., Hudson, K., Sylvia, V., Feltner, F., & Lovins, J. (2017b). Care Coordination for Community Transitions for Individuals Post-stroke Returning to Low-Resource Rural Communities. Journal of Community Health, 42(3), 565–572. https://doi.org/10.1007/s10900-016-0289-0
Lo, S. H. S., Chang, A. M., & Chau, J. P. C. (2018). Stroke Self-Management Support Improves Survivors’ Self-Efficacy and Outcome Expectation of self-management behaviors. AHA Journal, 49, 758–760. https://doi.org/10.1161/STROKEAHA.117.019437
Magwood, G. S., Ellis, C., Nichols, M., Burns, S. P., Jenkins, C., Woodbury, M., & Adams, R. (2019). Barriers and Facilitators of Stroke Recovery: Perspectives From African Americans With Stroke, Caregivers and Healthcare Professionals. Journal of Stroke and Cerebrovascular Diseases, 28(9), 2506–2516. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.06.012
Mayo, N. E., Nadeau, L., Ahmed, S., White, C., Grad, R., Huang, A., Yaffe, M. J., & Wood-Dauphinee, S. (2008). Bridging the gap: The effectiveness of teaming a stroke coordinator with patient’s personal physician on the outcome of stroke. Age and Ageing, 37(1), 32–38. https://doi.org/10.1093/ageing/afm133
Mayo, N. E., Scott, S. C., & Ahmed, S. (2009). Case management poststroke did not induce response shift: the value of residuals. Journal of Clinical Epidemiology, 62(11), 1148–1156. https://doi.org/10.1016/j.jclinepi.2009.03.020
Mcginnes, A., Easton, S., Williams, J., & Neville, J. (n.d.). The role of the community stroke rehabilitation nurse.
McKenna, S., Jones, F., Glenfield, P., & Lennon, S. (2015). Bridges self-management program for people with stroke in the community: A feasibility randomized controlled trial. International Journal of Stroke, 10(5), 697–704. https://doi.org/10.1111/ijs.12195
Middleton, S., Grimley, R., & Alexandrov, A. W. (2015). Triage, treatment, and transfer: Evidence-based clinical practice recommendations and models of nursing care for the first 72 hours of admission to hospital for acute stroke. In Stroke (Vol. 46, Issue 2, pp. e18–e25). Lippincott Williams and Wilkins. https://doi.org/10.1161/STROKEAHA.114.006139
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