Purpose The family caregiver's role is an important influence factor of patient's adaptation behaviour and quality of life after stroke. The purpose of this research was to identify the effect of caregiver empowerment program based on the adaptation model (CEP-BAM) on functional capacity and quality of life of patients after stroke. Methods This research was a quasi-experimental research with a pre- and post-test control group design. The total participants who completed the research were 80 patients and their families, 40 participants in the intervention group and 40 participants in the control group. We conducted home visits to perform the intervention. The measurement of functional capacity and quality of life performed four times (pre-test and three times post-test). Data analysis was performed using the repeated measurement ANOVA or general linear model repeated measure (GLM-RM). Results This research proves a significant difference in functional capacity and quality of life between the two groups and between pre-test and sixth months after intervention ( P < 0.05). The quality of life of the intervention group in the sixth month after intervention was better than that of the control group (33.40 ± 3.65 vs 30.60 ± 2.78) with a significant difference ( P < 0.05). Conclusion It is concluded that CEP-BAM effectively increased patients' functional capacity and quality of life after a stroke in the sixth month after intervention.

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Penelitian ini bertujuan menganalisis efektifitas pembiayaan intervensi model adaptasi berbasis pemberdayaan keluarga dalam meningkatkan kapasitas fungsional dan kualitas hidup pasien pasca stroke dibandingkan dengan program rehabilitasi konfensional di rumah sakit. Metode: Penelitian ini adalah penelitian kuasi eksperimen menggunakan desain pre-test dan post-test kontrol group. Peneliti membagi sampel menjadi 2 kelompok yaitu kelompok intervensi yang mendapatkan pemberdayaan keluarga berbasis model adaptasi (caregiver empowerment program based on adaptation model/CEPBAM) dan kelompok kontrol yang mendapatkan program rehabilitasi medik di RS. Metode sampling yang digunakan yaitu stratified random sampling. Sampel berjumlah 56 orang (28 orang perkelompok) yang dihitung menggunakan rumus jumlah sampel untuk menguji hipotesis dua mean kelompok independen. Hasil: Tidak ada perbedaan kapasitas fungsional dan kualitas hidup pasca stroke yang bermakna sebelum dan setelah perlakuan diantara kedua kelompok. Terjadi peningkatan kapasitas fungsional dan kualitas hidup yang bermakna sesudah perlakuan pada setiap kelompok (p=0,001). Rasio efektifitas pembiayaan menunjukkan perlunya pembiayaan sebesar Rp 564.634 untuk meningkatkan 1 nilai kualitas hidup menggunakan intervensi CEP-BAM dan Rp 566.527 menggunakan rehabilitasi di RS. Kesimpulan: Intervensi CEP-BAM dan program rehabilitasi di rumah sakit menunjukkan efektifitas pembiayaan yang sama dalam meningkatkan kapasitas fungsional dan kualitas hidup pasien pasca stroke. Rekomendasi: CEP-BAM dapat digunakan dalam rehabilitasi pasca stroke terutama di wilayah yang tidak memiliki rumah sakit dengan fasilitas unit rehabilitasi medik.

The purpose of this study was to determine the effectiveness of Religious Spiritual and Psychosocial Coping Training (RS-PCT) interventions on self-acceptance and self-efficacy in post-stroke patients. The research method used in this study was an experimental design with a Randomized Control Trial (RCT) pre and post-test control groups. The results of this study showed that there were significant differences in self-acceptance (p = 0.046) and self-efficacy (p = 0.030) after treatment between the RS-PCT and control groups. The multi-analysis of covariance test showed only interventions (RS-PCT) that were significantly related to self-acceptance (p = 0.045) and post-stroke self-efficacy (p = 0.030) after being controlled by confounding variables (age, sex, type of stroke, aphasia, hemiparesis side). In conclusion, RS-PCT intervention is effective in increasing self-acceptance and self-efficacy in post-stroke patients who are recovering at home.   Keywords: Self-Efficacy, Spiritual Religious Coping, Self-Acceptance, Psychosocial

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