ACTIVITY OF DAILY LIVING DAN KUALITAS HIDUP PASIEN PASCA STROKE ISKEMIK

Mather Mather; Rahayu Rahayu; H Amandus; Sudarto Sudarto; Irma Triyani

doi:10.54630/jk2.v15i2.371

Mather Mather Poltekkes Kemenkes Pontianak
Rahayu Rahayu Jurusan Keperawatan, Poltekkes Kemenkes Pontianak, Singkawang, Kalimantan Barat
H Amandus Jurusan Keperawatan, Poltekkes Kemenkes Pontianak, Singkawang, Kalimantan Barat
Sudarto Sudarto Jurusan Keperawatan, Poltekkes Kemenkes Pontianak, Singkawang, Kalimantan Barat
Irma Triyani Jurusan Keperawatan, Poltekkes Kemenkes Pontianak, Singkawang, Kalimantan Barat

DOI: https://doi.org/10.54630/jk2.v15i2.371

Keywords: level of independence, quality of life, ischemic stroke

Abstract

Ischemic stroke, also referred to as non-hemorrhagic stroke, results in the death of brain tissue due to impaired blood flow, primarily caused by blockages in the cerebral or cervical arteries and, less commonly, in the cerebral veins. This condition profoundly affects various aspects of an individual's life, including physical, emotional, psychological, cognitive, and social well-being. Following a stroke, many individuals experience reduced independence and mobility, which significantly detracts from their quality of life. Often, they face self-care deficits and require assistance to gradually regain the ability to perform activities of daily living (ADL) independently. This study aims to elucidate the strong relationship between ADL independence and the quality of life of post-ischemic stroke patients at Abdul Aziz Hospital in Singkawang City. Employing an analytic observational design with a cross-sectional approach, the research involved a sample of 60 respondents selected from the Neurology Polyclinic at RSUD dr. Abdul Aziz through purposive sampling. Data analysis was conducted using the Spearman Rank test with a 95% confidence level. The results indicate a significant relationship between ADL independence and the quality of life of these patients, as demonstrated by a p-value of 0.000 (p < α) and a correlation strength of 0.514, categorized as moderate (0.40 – 0.599). These findings highlight that the level of independence in activities of daily living is intrinsically linked to the quality of life for post-ischemic stroke patients.

References

Aini, D. N., Arifianto, & Auliazardhi, Y. (2017). Faktor-Faktor yang Berhubungan Dengan Kemandirian Activity of Daily Living (ADL) Pada Pasien Post Stroke di Rehabilitasi Medik RSUD Tugurejo Semarang. Jurnal NERS Widya Husada, 3(1), 1–11. http://stikeswh.ac.id:8082/journal/index.php/jners. [19 november 2021]

2. Aji Seto Arifianto, Moechammad Sarosa, O. S. (2014). Klasifikasi stroke berdasarkan kelainan patologis dengan learning vector quantiation. Eeccis, 8(2), 117–122. [11 desember 2021]

3. Budianto, P., Prabaningtyas, H., Putra, S. E., Mirawati, diah K., Muhammad, F., & Hafizan, M. (2021). Stroke iskemik akut : dasar dan klinis. January, 84. [11 desember 2021]

4. Dharma, K. K. (2018). Adaptasi Setelah Stroke. Deepublish. [11 desember 2021

5. Dharma, K. kusuma. (2017). Metodologi Penelitian Keperawatan. Cv.Trans Info Media . [1 januari 2022]

6. Djamaludin, D., & Oktaviana, I. D. (2020). Hubungan Tingkat Ketergantungan Dalam Pemenuhan Aktivitas Kehidupan Sehari-Hari Terhadap Kualitas Hidup Pasien Pasca Stroke di Wilayah Kerja Puskesmas Metro Pusat. Manuju: Malahayati Nursing Journal, 2(2), 268–278. [18 november 2021]

7. Endarti, A. T. (2015). Kualitas Hidup Kesehatan: Konsep, Model, dan Penggunaan. Jurnal Ilmiah Kesehatan, 7(2), 97–108. http://lp3m.thamrin.ac.id/upload/jurnal/JURNAL-1519375940.pdf. [18 november 2021]

8. Endro Haksara, A. R. (2018). Inovasi Nursing Dialysis Development (Ndd) Terhadap Peningkatan Kualitas Hidup Pasien Dialisis. Journal of Chemical Information and Modeling, 53(9), 1689–1699. [19 desember 2021]

9. Ghani, L., Mihardja, L. K., & Delima, D. (2016). Faktor Risiko Dominan Penderita Stroke di Indonesia. Buletin Penelitian Kesehatan, 44(1). https://doi.org/10.22435/bpk.v44i1.4949.49-58. [11 desember 2021]

10. Kanyal, N. (2015). The Science of Ischemic Stroke: Pathophysiology & Pharmacological Treatment. International Journal of Pharma Research & Review, 4(10), 65–84.[1 januari 2022]

11. Kemenkes RI. (2018a). Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI, 53(9), 1689–1699. [1 januari 2022]

12. Kemenkes RI. (2018b). Stroke Dont Be The One (p. 10). [1 januari 2022]

13. Kristensen, M. G. H., Busk, H., & Wienecke, T. (2021). Neuromuscular Electrical Stimulation Improves Activities of Daily Living Post Stroke: A Systematic Review and Meta-analysis. Archives of Rehabilitation Research and Clinical Translation, 100167. https://doi.org/10.1016/j.arrct.2021.100167. [2 januari 2022]

14. Kurnia, E., & Idris, D. N. T. (2020). Kualitas Hidup Pada Pasien Pasca Stroke. Jurnal Penelitian Keperawatan, 6(2), 146–151. https://doi.org/10.32660/jpk.v6i2.496. [5 januari 2022]

15. Ludiana, & supardi. (2020). Pasien pasca stroke di wilayah kerja puskesmas banjarsari metro correlation of family support with life quality post stroke patients in the working area health center. 5, 505–511. [6 januari 2022]

16. Mountain, A. et.al. (2020). Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. Part Two: Transitions and Community Participation Following Stroke. International Journal of Stroke, 15(7), 789–806. https://doi.org/10.1177/1747493019897847. [6 januari 2022]

17. Mutiarasari, D. (2019). Ischemic Stroke: Symptoms, Risk Factors, and Prevention. Jurnal Ilmiah Kedokteran Medika Tandulako, 1(1), 60–73. [7 januari 2022]

18. Ninla Elmawati Falabiba. (2019). Gambaran Kemampuan Pemenuhan Adl (Activity Daily Living) Pada Pasien Post Stroke Di Rsud Sleman. 11–35. [20 desember 2021]

19. Quinn, T. J., Langhorne, P., & Stott, D. J. (2011). Barthel index for stroke trials: Development, properties, and application. Stroke, 42(4), 1146–1151. https://doi.org/10.1161/STROKEAHA.110.598540. [ 10 januari 2022]

20. Rahman, F. S. T. Dewi, dan I. Setyopranoto, “Dukungan Keluarga dan Kualitas Hidup Bagi Penderita Stroke Pada Fase Pasca Akut di Kabupaten Wonogiri,” BKM J. Community Med. Public Heal., vol. 33, no. 8, hal. 383–390, 2017. [10 januari 2022]

21. Rohaedi, S., Putri, tuty S., & Karimah, D. A. (2016). Tingkat Kemandirian Lasia dalam Activities Daily Living di Panti Sosial Tresna Werdha Senja Rawi. Jurnal Pendidikan Keperawatan Indonesia, 2(4), 16–21. [8 januari 2022]

22. Susilo, T. (2021). Health Science and Rehabilitation Journal Faktor – Faktor Yang Berhubungan Dengan Kualitas Hidup Pasien Fase Rehabilitasi Pasca Stroke Di Rumah Sakit Haji Medan Health Science and Rehabilitation Journal. 1, 35–41.

23. Tatali, A. J., Kundre, R., Studi, P., Keperawatan, I., Kedokteran, F., Sam, U., & Manado, R. (2018). Hubungan Dukungan Keluarga Dengan Tingkat Kemandirian Activity Daily Living (Adl) Pada Pasien Pasca Stroke Di Poliklinik Neurologi Rsu Gmim Pancaran Kasih Manado. Jurnal Keperawatan, 6(1). [15 januari 2022]

24. Tawaang, E. Y., Laoh, J., & Sumampouw, O. (2020). E-Jurnal Sariputra, Juni 2020 Vol. 7 (2). 7(2). [ 20 desember 2021]

25. Wawan Rismawan , Anggie Mustika Lestari, E. I. (2021). Description of Quality Life and Characteristics of Patients After Stroke in Poli Syaraf. 21. [ 11 Januari 2022]