INTERVENSI PERILAKU CARING KELUARGA TERHADAP PERUBAHAN DEPRESI DAN TINGKAT KEMANDIRIAN PASIEN POST STROKE ISKEMIK DI WILAYAH KABUPATEN MOJOKERTO
Keywords:
depresi, post stroke, perilaku caring
Abstract
Stroke sering menyebabkan kecacatan jangka panjang yang mempengaruhi kualitas hidup pasien, termasuk munculnya depresi dan berkurangnya kemampuan untuk melakukan Aktivitas Kehidupan Sehari-hari (ADL). Depresi pada pasien stroke dapat memperburuk kondisi fisik dan emosional mereka. Penelitian ini bertujuan untuk mengevaluasi pengaruh intervensi medis dan perilaku peduli keluarga terhadap depresi dan ADL pasien pasca-stroke.
Desain penelitian ini adalah kuasi-eksperimental dengan pendekatan Nonrandomized Pretest-Posttest Control Group. Sebanyak 30 pasien pasca-stroke dari Kabupaten Mojokerto dibagi menjadi dua kelompok: kelompok perlakuan (15 pasien) yang menerima intervensi medis dan dukungan keluarga, dan kelompok kontrol (15 pasien) yang hanya menerima perawatan medis konvensional selama dua bulan.
Hasil penelitian menunjukkan bahwa kelompok perlakuan mengalami penurunan depresi yang signifikan (p = 0,000) dan peningkatan ADL yang signifikan (p = 0,000). Sebaliknya, kelompok kontrol tidak menunjukkan perubahan signifikan pada depresi (p = 0,508) dan ADL (p = 0,091).
Kombinasi antara intervensi medis dan perilaku peduli keluarga dapat efektif dalam mengurangi depresi dan meningkatkan ADL pada pasien pasca-stroke di Kabupaten Mojokerto. Temuan ini menunjukkan bahwa dukungan keluarga dan perawatan yang melibatkan keterlibatan keluarga dapat menjadi komponen penting dalam rehabilitasi stroke, selain perawatan medis.
References
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25. Koh YS, Koh GCH, Matchar DB, Hong SI, Tai BC. Examining the influence of social interactions and community resources on caregivers’ burden in stroke settings: A prospective cohort study. Int J Environ Res Public Health [Internet]. 2021;18(23):1–14. Available from: https://www.mdpi.com/1660-4601/18/23/12310
26. Pitthayapong S, Thiangtam W, Powwattana A, Leelacharas S, Waters CM. A Community Based Program for Family Caregivers for Post Stroke Survivors in Thailand. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2017;11(2):150–7. Available from: http://dx.doi.org/10.1016/j.anr.2017.05.009
27. Wang TC, Tsai AC, Wang JY, Lin Y Te, Lin KL, Chen JJ, et al. Caregiver-mediated intervention can improve physical functional recovery of patients with chronic stroke: A randomized controlled trial. Neurorehabil Neural Repair [Internet]. 2015;29(1):3–12. Available from: https://journals.sagepub.com/doi/epub/10.1177/1545968314532030
28. Mayasari D, Imanto M, Larasati TA, Ningtiyas F, Ilmu. Hubungan Dukungan Keluarga dengan Tingkat Kemandirian dalam Activity Daily Living pada Pasien Pasca Stroke di Poliklinik Syaraf RSUD Dr . H . Abdul Moeloek Bandar Lampung Correlation of Family Support with The Independence of Activity Daily Living in Post. J Agromedicine [Internet]. 2019;6(2):277–82. Available from: http://repository.lppm.unila.ac.id/16666/1/Artikel Penelitian.pdf
29. Witriastuti A, Aris A, Suhariyati, Rahmawati SA. Hubungan Dukungan Keluarga Dengan Tingkat Kemandirian dalam Activity Daily Living (ADL) pada Pasien Pasca Stroke di Poli Saraf RSM Ahmad Dahlan. J Univ Muhammadiyah Lamongan [Internet]. 2023;4(1):1–11. Available from: https://www.jurnal.umla.ac.id/index.php/JOHC/article/view/687/389
30. Andriani M, Agustriyani F. Hubungan Dukungan Keluarga dengan Motivasi Pasien Pasca Stroke Melakukan ROM Aktif di RSUD DR. A Dadi Tjokrodipo. J Curr Heal Sci [Internet]. 2021;1(1):7–12. Available from: https://ukinstitute.org/journals/2/jchs/article/view/2/2
31. Fadilah N, Rahariyani LD, Yumni H, Dinarwiyata D. The effect of family-supportive therapy on the burden of caregivers and Activities of Daily Living among stroke patients. Healthc Low-resource Settings. 2024;
32. Heltty H, Zahalim Z. Resilience after stroke and its correlation with functional independence. J Ners. 2023;18(1):47–53.
2. Hui C, Tadi P, Suheb MZK, Patti L. Ischemic STROKE. StatPearls Publishing LLCNational Library of Medicine [Internet]. 2024;259–66. Available from: ncbi.nlm.nih.gov
3. Davison TE, McCabe MP, Knight T, Mellor D. Biopsychosocial factors related to depression in aged care residents. J Affect Disord [Internet]. 2012;142(1–3):290–6. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0165032712003217?via%3Dihub
4. National Research Council (US), Institute of Medicine (US) Committee on Depression, Parenting Practices and the HD of C. The Etiology of Depression. National Academy of Sciences. 2009;1–133.
5. Harrison P. Depression. In: Shorter Oxford Textbook of Psychiatry (7 edn) [Internet]. 2024. Available from: academic.oup.com
6. World Health Organization. Depression and Other Common Mental Disorders Global Health Estimates [Internet]. World Health Organization. 2017. 1–24 p. Available from: https://iris.who.int/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
7. Harahap EY, Septianingrum Y, Wijayanti L, Sholeha U, Hasina SN. Depresi Pasca Stroke (PSD): A Systematic Review. J Keperawatan [Internet]. 2023;15(2):859–66. Available from: http://journal.stikeskendal.ac.id/index.php/Keperawatan
8. Khedr EM, Abdelrahman AA, Desoky T, Zaki AF, Gamea A. Post-stroke depression: frequency, risk factors, and impact on quality of life among 103 stroke patients—hospital-based study. Egypt J Neurol Psychiatry Neurosurg [Internet]. 2020;56(66):1–8. Available from: https://ejnpn.springeropen.com/counter/pdf/10.1186/s41983-020-00199-8.pdf
9. Asmila L, Septiwantary R, Nuraenah. Depresi Pada Pasien Paska Stroke. Indones J Nurs Sci Pract [Internet]. 2021;2(1):27–32. Available from: https://ejnpn.springeropen.com/counter/pdf/10.1186/s41983-020-00199-8.pdf
10. Shi Y, Yang D, Zeng Y, Wu W. Risk factors for post-stroke depression: A meta-analysis. Front Aging Neurosci [Internet]. 2017;9(JUL):1–14. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5504146/pdf/fnagi-09-00218.pdf
11. Saini G, Kaur K, Bhatia L, Kaur R, Singh J, Singh G. Single Serum Cortisol Value as a Prognostic Marker in Acute Ischemic Stroke. Cureus [Internet]. 2023;15(6):1–8. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10364192/pdf/cureus-0015-00000040887.pdf
12. Watson J. Carative Factors – Caritas Processes guide to professional nursing. Klin Sygepleje [Internet]. 2006;20(3):129–35. Available from: https://www.redalyc.org/pdf/714/71416116.pdf
13. Darliana D, Dewi CM. Dukungan keluarga dengan depresi pada pasien pasca stroke. Idea Nurs J. 2017;8(3):1–7.
14. Nur Silmi Kaffatan N, Virgonita Winta MI, Erlangga E. Dukungan Sosial pada Pasien Pasca Stroke Social Support in Post-Stroke Patients. J Psikol dan Psikol Islam. 2023;20(2):633–49.
15. Fahrizal, Darliana D. Dukungan keluarga dalam merawat pasien stroke di poliklinik saraf RSUD Meuraxa Banda Aceh. J Ilm Mhs Fak keperawatan. 2016;1(1):1–8.
16. Wang X, Hu CX, Lin MQ, Liu SY, Zhu FY, Wan LH. Family Functioning is Associated with Post-Stroke Depression in First-Ever Stroke Survivors: A Longitudinal Study. Neuropsychiatr Dis Treat [Internet]. 2022;18(December):3045–54. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9807129/pdf/ndt-18-3045.pdf
17. F S, Retnowati L, Hidayah N. DUKUNGAN KELUARGA PADA LANSIA PASCA STROKE DI DESA KARANGSONO KECAMATAN SUKOREJO KABUPATEN PASURUAN. Hosp MAJAPAHIT [Internet]. 2020;12(2):104–15. Available from: https://doi.org/10.1016/j.jnc.2020.125798%0Ahttps://doi.org/10.1016/j.smr.2020.02.002%0Ahttp://www.ncbi.nlm.nih.gov/pubmed/810049%0Ahttp://doi.wiley.com/10.1002/anie.197505391%0Ahttp://www.sciencedirect.com/science/article/pii/B9780857090409500205%0Ahttp:
18. Wijeratne T, Sales C, Wijeratne C. A Narrative Review on the Non-Pharmacologic Interventions in Post-Stroke Depression. Psychol Res Behav Manag [Internet]. 2022;15(June):1689–706. Available from: https://www.dovepress.com/article/download/76424
19. Tering SG, Wilson W, Putri EA. Hubungan Konsep Diri Terhadap Tingkat Depresi pada Pasien Stroke di RSUD Kota Pontianak. J Kedokt dan Kesehat [Internet]. 2023;19(1):18–25. Available from: https://jurnal.umj.ac.id/index.php/JKK
20. Christman E, Dzubay S, Green J, Johnson-Schuh D, Pritchard R, Sward M, et al. Nursing: Mental Health and Community Concepts [Internet]. 2022. 1090 p. Available from: https://www.ncbi.nlm.nih.gov/books/NBK590040/pdf/Bookshelf_NBK590040.pdf
21. Guerrero-Muñoz D, Salazar D, Constain V, Perez A, Pineda-Cañar CA, García-Perdomo HA. Association between polypharmacy and depression: a systematic review and meta-analysis. Korean J Fam Med [Internet]. 2021;42:172–80. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8010447/pdf/kjfm-19-0166.pdf
22. Deng X, Liu D, Li M, He J, Fu Y. Association between depression and stroke and the role of sociodemographic factors: A study among hypertensive populations. J Stroke Cerebrovasc Dis [Internet]. 2023;32(12):1–23. Available from: https://www-sciencedirect-com.translate.goog/science/article/abs/pii/S1052305723004780?_x_tr_sl=en&_x_tr_tl=id&_x_tr_hl=id&_x_tr_pto=tc
23. Pranata AD, Fasimi RH, Yahya M, Yuliana Y. Hubungan Dukungan Keluarga Dengan Tingkat Kemandirian Activity Of Daily Living (ADL) Pada Pasien Pasca Stroke di Wilayah Kerja Puskesmas Langsa Kota. J Kebidanan, Keperawatan Dan Kesehatan [Internet]. 2022;2(2):1–6. Available from: https://www-sciencedirect-com.translate.goog/science/article/abs/pii/S1052305723004780?_x_tr_sl=en&_x_tr_tl=id&_x_tr_hl=id&_x_tr_pto=tc
24. Liu Y, Guo H. Empowerment in Chinese primary caregivers of post-stroke patients with disability A cross-sectional study. Med (United States) [Internet]. 2021;100(5):1–9. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7870185/pdf/medi-100-e23774.pdf
25. Koh YS, Koh GCH, Matchar DB, Hong SI, Tai BC. Examining the influence of social interactions and community resources on caregivers’ burden in stroke settings: A prospective cohort study. Int J Environ Res Public Health [Internet]. 2021;18(23):1–14. Available from: https://www.mdpi.com/1660-4601/18/23/12310
26. Pitthayapong S, Thiangtam W, Powwattana A, Leelacharas S, Waters CM. A Community Based Program for Family Caregivers for Post Stroke Survivors in Thailand. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2017;11(2):150–7. Available from: http://dx.doi.org/10.1016/j.anr.2017.05.009
27. Wang TC, Tsai AC, Wang JY, Lin Y Te, Lin KL, Chen JJ, et al. Caregiver-mediated intervention can improve physical functional recovery of patients with chronic stroke: A randomized controlled trial. Neurorehabil Neural Repair [Internet]. 2015;29(1):3–12. Available from: https://journals.sagepub.com/doi/epub/10.1177/1545968314532030
28. Mayasari D, Imanto M, Larasati TA, Ningtiyas F, Ilmu. Hubungan Dukungan Keluarga dengan Tingkat Kemandirian dalam Activity Daily Living pada Pasien Pasca Stroke di Poliklinik Syaraf RSUD Dr . H . Abdul Moeloek Bandar Lampung Correlation of Family Support with The Independence of Activity Daily Living in Post. J Agromedicine [Internet]. 2019;6(2):277–82. Available from: http://repository.lppm.unila.ac.id/16666/1/Artikel Penelitian.pdf
29. Witriastuti A, Aris A, Suhariyati, Rahmawati SA. Hubungan Dukungan Keluarga Dengan Tingkat Kemandirian dalam Activity Daily Living (ADL) pada Pasien Pasca Stroke di Poli Saraf RSM Ahmad Dahlan. J Univ Muhammadiyah Lamongan [Internet]. 2023;4(1):1–11. Available from: https://www.jurnal.umla.ac.id/index.php/JOHC/article/view/687/389
30. Andriani M, Agustriyani F. Hubungan Dukungan Keluarga dengan Motivasi Pasien Pasca Stroke Melakukan ROM Aktif di RSUD DR. A Dadi Tjokrodipo. J Curr Heal Sci [Internet]. 2021;1(1):7–12. Available from: https://ukinstitute.org/journals/2/jchs/article/view/2/2
31. Fadilah N, Rahariyani LD, Yumni H, Dinarwiyata D. The effect of family-supportive therapy on the burden of caregivers and Activities of Daily Living among stroke patients. Healthc Low-resource Settings. 2024;
32. Heltty H, Zahalim Z. Resilience after stroke and its correlation with functional independence. J Ners. 2023;18(1):47–53.
