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.
Di Indonesia, strok adalah penyakit mematikan peringkat ketiga, kesadaran akan adanya faktor risiko masih rendah, terutama dikenalinya gejala, kurangnya optimalisasinya pelayanan dan rendahnya kepatuhan terhadap program terapi untuk pencegahan strok ulang yang rendah merupakan permasalahan yang muncul pada pelayanan strok di Indonesia. Angka kejadian strok ulang sebesar 29,52% secara umum, akan meningkat pada penderita usia 60-69 tahun (36,5%), dan pada kurun waktu 1-5 tahun (78,37%) dengan faktor resiko utama adalah hipertensi (92,7 %) dan dislipidemia (34,2%), (Siswanto,2010). Penelitian ini bertujuan mengetahui pengaruh pendidikan kesehatan terhadap kemampuan pencegahan risiko strok. Dengan desain penelitian ; kuasi-eksperimen pada group intervensi dan kontrol. Sampel yang digunakan sebanyak 28 orang penderita strok. Metode analisis yang dilakukan adalah uji Paired t test. Hasil analisis data diperoleh terdapat perbedaan bermakna skor pengetahuan dan perilaku dalam pencegahan risiko strok berulang pada kelompok intervensi dan kelompok setelah post intervensi penkes (nilai p= 0,000; p= 0.018), dan selisih rata-rata skor pengetahuan (nilai selisih = 1.178) dan selisih rata-rata skor perilaku dalam pencegahan risiko strok berulang (nilai selisih = 0.892). Kesimpulan : terdapat peningkatan pengetahuan dan perilaku klien strok dalam pencegahan strok berulang setelah dilakukan penkes selama 3 bulan.
Coronavirus merupakan virus RNA strain tunggal positif, berkapsul dan tidak bersegmen termasuk ordo Nidovirales. Desember 2019 muncul kasus pneumonia misterius di Wuhan, provinsi Hubei. Tanggal 11 Februari 2020, World Health Organization memberi nama penyakitnya sebagai Coronavirus disease 2019 (COVID-19). Kasus terinfeksi covid-19 dunia 512.000.000 dan meninggal 6.230.000 jiwa, kemudian di Indonesia kasus terinfeksi 6.040.000 dan meninggal 156.000 jiwa (Jayani, D.H., 28 April 2022). Tujuan penelitian adalah untuk mengetahui hubungan antara pengetahuan, sikap dan kebijkan new normal terhadap kepatuhan penerapan protokol kesehatan mencegah penularan Covid-19. Metode penelitian yang digunakan adalah analitik korelational. Sampel adalah mahasiswa Poltekkes Kemenkes Jakarta III sebanyak 330 mahasiswa. Strategi sampling Purposive sampling. Hasil uji bivariat diperoleh tidak ada hubungan antara pengetahuan covid-19 dengan kepatuhan penerapan protokol kesehatan pencegahan covid-19 nilai-p= 0.945, tidak ada hubungan kebijakan new normal dengan kepatuhan penerapan protokol kesehatan pencegahan covid-19 nilai-p= 0.273, terdapat hubungan yang signifikan antara sikap individu dengan kepatuhan penerapan protocol pencegahan covid-19 dengan nilai-p= 0.047. Hasil uji multivariate disimpulkan responden berpeluang patuh menerapkan protokol kesehatan 0.543 kali ditambah 2.244 kali bila berusia diatas 20 tahun ditambah 3.683 kali bila memiliki sikap yang baik dalam penerapan protokol kesehatan.
Objective Post-stroke disability and psychosocial disorders cause burdens for the families of stroke patients, including physical and financial burdens. The physical and psychological health of family caregivers determines the quality of care they provide to patients. The purpose of this study was to identify the effectiveness of the Caregiver Empowerment Program Based on the Adaptation Model (CEP-BAM) in increasing the family caregiver's coping ability against various problems and reducing their burden while caring for the stroke patient. Methods This research was a quasi-experimental study with pre- and post-test control group design. The intervention group received CEP-BAM, while the control group received a conventional intervention in the form of a discharge planning program for family caregivers in the hospital. The samples were caregivers who care for and facilitate the recovery of stroke patients during their convalescence at home. We selected the samples from the population using the stratified random sampling method. The number of samples completed in the study was 40 in the intervention group and 40 in the control group. Measurement of outcome variables (coping and caregiver burden) was carried out 4 times including pre-test before the intervention, post-test 1 at 4 months after the intervention, post-test 2 at 5 months after the intervention, and post-test 3 at 6 months after the intervention. Results There were significant differences in caregiver's coping (P = 0.016) and caregiver's burden (P = 0.009) in measurements between the two groups. Conclusions The CEP-BAM interventions were effective in increasing adaptive coping strategies and reducing the burden of caregivers 4 months and continuing 6 months after the intervention.
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