Pengaruh Pengelolaan Stress Keluarga terhadap Activity Daily Living (ADL) Pasien Post Stroke Iskemik
DOI:
https://doi.org/10.32584/jikmb.v2i1.236Kata Kunci:
Stress family, Stroke, Activity Daily LivingAbstrak
Asuhan keperawatan pada pasien stroke merupakan rangkaian intervensi yang dilakukan perawat terhadap pasien dan keluarganya. Hasil wawancara yang dilakukan penulis terhadap keluarga dari 10 pasien stroke yang menjalani rawat inap di RSUD Ungaran, keluarga mengalami stress disebabkan merasa belum siap untuk melakukan perawatan di rumah, sedangkan pasien stroke tidakmampu untuk melakukan aktifitasnya sehari – hari (ADL) secara mandiri, sehingga menambah beban keluarga. Penulisan artikel ini bertujuan untuk mendeskripsikan pengaruh pengelolaan stress keluarga terhadap kemandirian pasien post stroke iskemik. Metode penulisan ini adalah literature review. Penulisan artikel ini menggunakan sumber pustaka jurnal dan buku referensi dengan kata kunci stress family, stroke,activity daily living.
Hasil yang diperoleh peran keluarga sangat penting dalam proses kemandirian ADL pasien post stroke. Sumber daya yang dimiliki keluarga memberikan kontribusi besar terhadap proses adaptasi. Keluarga membutuhkan intervensi dari perawat untuk meningkatkan kemampuan beradaptasi.Intervensi yang sering diberikan pada keluarga pasien stroke adalah skill building, psiko-edukasi dan support.Kesimpulan akhirnya adalah asuhan keperawatan secara holistik terhadap pasien post stroke beserta keluarganya mampu meningkatkan kemandirian pasien dalam melakukan ADL, sehingga pasien bisa mencapai kualitas hidup yang baik.
Referensi
Agusthia, M. (2018). Pengaruh Terapi Psikoedukasi Terhadap Beban Caregiver Dalam Merawat Penderita Stroke. Jurnal Endurance, 3(2), 278. https://doi.org/10.22216/jen.v3i2.2741
Alexander, Sheila A, RN, P. (2013). Evidence-Based Nursing Care for Stroke and Neurovascular Conditions.
Castaño, A., & Maurer, M. S. (2015). HHS Public Access, 20(2), 163–178. https://doi.org/10.1007/s10741-014-9462-7.Natural
Chafjiri, R. T., Navabi, N., Shamsalinia, A., & Ghaffari, F. (2017). The relationship between the spiritual attitude of the family caregivers of older patients with stroke and their burden. Clinical Interventions in Aging, 12, 453–458. https://doi.org/10.2147/CIA.S121285
Clark, P. C., Miller, E. L., Lutz, B. J., Kelly-Hayes, M., King, R. B., & Bakas, T. (2014). Evidence for Stroke Family Caregiver and Dyad Interventions. Stroke, 45(9), 2836–2852. https://doi.org/10.1161/str.0000000000000033
Hariyati, R. T. S., Sumarwati, M., & Handiyani, H. (2004). Jurnal Keperawatan Indonesia. Jurnal Keperawatan Indonesia, 8(1), 13–17. Retrieved from http://jki.ui.ac.id/index.php/jki/article/view/141/361
Hesamzadeh, A., Dalvandi, A., Bagher Maddah, S., Fallahi Khoshknab, M., & Ahmadi, F. (2015). Family adaptation to stroke: A metasynthesis of qualitative research based on double ABCX model. Asian Nursing Research, 9(3), 177–184. https://doi.org/10.1016/j.anr.2015.03.005
Jaracz, K., Grabowska-Fudala, B., Górna, K., & Kozubski, W. (2014). Caregiving burden and its determinants in Polish caregivers of stroke survivors. Archives of Medical Science, 10(5), 941–950. https://doi.org/10.5114/aoms.2014.46214
Jeong, H., Han, S. J., Jang, S. J., & Lee, J. E. (2018). Factors Affecting Activities of Daily Living in Severely Disabled Stroke Patients. Brain & Neurorehabilitation, 11(2). https://doi.org/10.12786/bn.2018.11.e11
Karunia, E. (2016). Hubungan Antara Dukungan Keluarga dengan Kemandirian Activity of Daily Living (ADL) Pasca Stroke. Jurnal Berkala Epidemiologi, Vol. 4(September), 213–224. https://doi.org/10.20473/jbe.v4i2.2016.213
Mclaughlin Renpenning, Katherin, M., & Taylor,Susan.G, RN, PHD, F. (2003). Self - Care Theory in Nursing Selected Papers of Dorothea Orem.
Pesantes, M. A., Brandt, L. R., Ipince, A., Miranda, J. J., & Diez-Canseco, F. (2017). An exploration into caring for a stroke-survivor in Lima, Peru: Emotional impact, stress factors, coping mechanisms and unmet needs of informal caregivers. ENeurologicalSci, 6, 33–50. https://doi.org/10.1016/j.ensci.2016.11.004
RapolienÄ—, J., EndzelytÄ—, E., JaseviÄienÄ—, I., & Savickas, R. (2018). Stroke Patients Motivation Influence on the Effectiveness of Occupational Therapy. Rehabilitation Research and Practice, 2018, 1–7. https://doi.org/10.1155/2018/9367942
Sahmad. (2013). Potensi Peran Keluarga Dalam Perawatan Penyakit Stroke Melalui Pengembangan Model Discharge Planning Berbasis Teknologi Informasi di Ruang Perawatan Lontara 3 Saraf RSUP Wahidin Sudirohusodo Makasar.
Sulianti, A., & Sahroni, D. (2017). Terapi Biopsikologi di rumah Untuk Meningkatkan Kekuatan Motorik Pasca Stroke Ulangan. Jurnal Biodjati, 2(2).
Suprobo, K. A., Wiyono, N., & Setyanto, A. T. (2015). Pengaruh Supportive Group Therapy terhadap Caregiver Burden Pada Istri yang Berperan Sebagai Primary Caregiver Penderita Stroke. Jurnal Universitas Sebelas Maret, 1–12. Retrieved from https://digilib.uns.ac.id/dokumen/download/155141/MTU1MTQx
Teh, W. L., Abdin, E., Vaingankar, J. A., Seow, E., Sagayadevan, V., Shafie, S., … Subramaniam, M. (2018). Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study. BMJ Open, 8(3), e020285. https://doi.org/10.1136/bmjopen-2017-020285
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