Stroke secara patofisiologis terjadi sebagai dampak iskemia atau hemoragi pada pembuluh darah otak yang berkontribusi pada angka mortalitas dan morbiditas yang tinggi. Angka morbiditas yang tinggi berimplikasi pada pembiayaan rehabilitasi yang mahal dan angka ketergantungan yang tinggi. Berdasarkan kesenjangan tersebut studi ini bertujuan untuk mengeksloprasi berbagai pendekatan untuk meningkatkan efektivitas program rehabilitasi stroke. Studi literatur ini dilakukan melalui telusur online di 3 data base yaitu Google Scholar, Scopus dan Sage Journal. Adapun kriteria inklusi dalam proses penelusuran antara lain publikasi dalam rentang 2013-2018 dan ditulis dalam Bahasa Inggris. Sedangkan literatur akan diekslusi apabila tidak dapat diakses full text, design penelitiannya bukan RCT, konten tidak relevan dengan outcome yang diinginkan, dan tidak memenuhi critical appraisal. Pencarian kata kunci yang digunakan adalahstroke patient AND post stroke care OR rehabilitation AND family based OR family care giver OR self exercise. Hasil studi terdapat 11 penelitian dengan desain RCT. Pendekatan berfokus pada latihan rentang gerak peningkatan kekuatan otot ekstremitas dapat dilakukan dengan memberdayakan pasien dan keluarga. Penggunaan alat bantu latihan dengan media virtual dapat membuat suasana latihan menyenangkan dan meningkatkan motivasi pasien.
Monitoring strategy of antiretroviral pre-exposure prophylaxis adherence among serodiscordant couple Antiretroviral pre-exposure prophylaxis (PrEP) has been recommended as HIV prevention but poor medical adherence can cause suboptimal therapy. This study explored the strategies of monitoring PrEP adherence among the serodiscordant couples. This systematic review based on 4 data bases (Scopus, Pubmed, Ebsco and Sage Journal), included clinical trial studies articles between 2013-2018, in English, and available in full-text. Papers, which not met the inclusion criteria, will be excluded. Keywords used in this study are ‘serodiscordant couple’ AND ‘method’ OR ‘strategy’ OR ‘approach’ AND ‘pre-exposure prophylaxis intention’ OR ‘pre-exposure prophylaxis adherence’. This study discovered various strategies applied based on the type of delivering process, the variance of dose, and variance of preference of the couple. Preference of PrEP dose and type of application related to heterosexual or homosexual orientation and their social commitment. The paper explains the advantage of M-health and biomarker level monitoring.
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