Penurunan Risiko Kambuh dan Lama Rawat Pada Klien Stroke Iskemik Melalui Rencana Pemulangan Terstruktur

Uke Pemila, Ratna Sitorus, Sutanto Priyo Hastono


DOI: http://dx.doi.org/10.7454/jki.v13i3.251


Abstract


Abstrak

Penelitian tentang pengaruh rencana pemulangan terstruktur klien stroke iskemik dalam menurunkan faktor risiko kekambuhan, lama rawat, dan peningkatan status fungsional telah dilakukan di sebuah RS di Bukittinggi. Desain penelitian adalah kuasi eksperimen dengan sampel 43 orang (20 kelompok intervensi dan 23 kelompok kontrol). Hasil penelitian menunjukkan perbedaan faktor risiko kekambuhan (p= 0,00; α= 0,05 ), lama rawat (p= 0,02; α= 0,05) antara kelompok intervensi dan kelompok control setelah diberikan rencana pemulangan, namun belum dapat mengubah status fungsional klien (penilaian Barthel Index). Rencana pemulangan terstruktur pada klien stroke iskemik dapat menurunkan faktor risiko kekambuhan dan lama rawat. Hasil penelitian ini dapat diterapkan dalam penatalaksanaan stroke iskemik di rumah sakit maupun di rumah (home care). Penelitian lanjut perlu dilakukan untuk mengkaji pengaruh sistem dukungan klien dalam upaya mencegah kekambuhan, komplikasi, dan meminimalkan kecacatan pada klien stroke.

 

Abstract

A research to examine the effect of structured discharge planning for the ischemic stroke patients in decreasing the recurrence risk factors and length of stay, and improving functional status has been conducted in a hospital in Bukittinggi. This quasiexperimental research included 43 subjects (20 subjects as the intervention group and 23 subjects as the control group). The findings of the study demonstrated that there is difference in recurrence risk factors (p= 0.00, α= 0,05 ) and length of stay (p= 0,02; α =0,05) but no difference in functional status (measured by Barthel Index) between two groups. This finding showed that structured discharge planning has significant effect to reduce recurrence of risk factors and length of stay of the ischemic stroke patients. This study can be an evidence to be incorporated in the ischemic stroke nursing care in the hospital as well as home care. Further, it is recommended to examine the patien’s support system on reducing stroke recurrence, complication, and disability.


Keywords


faktor risiko kekambuhan, lama rawat, klien stroke iskemik, rencana pemulangan, status fungsional

Full Text:

Full text - PDF

References


Angelelli, J., et al. (2006). Effect of educational level and minority status on nursing home choice after hospital discharge. Am J Public Health, 96 (7), 1249-1253.

Cawthorn, L. (2005). Discharge planning under the umbrella of advanced nursing practice case manager. Canada: Longwoods Publishing.

Dai, Y.T., Chang, D.R., & Tai, T.Y., (2003). Effectiveness of a pilot project of discharge planning in Taiwan. Research in Nursing and Health, 26 (1), 53-63.

Feigin, V. (2007). Stroke: Panduan bergambar tentang pencegahan dan pemulihan Stroke. Jakarta: PT. Bhuana Ilmu Populer.

Harsono. (1999). Buku ajar neurologi klinis. Yogyakarta: Penerbit Gadjah Mada University Press.

Muller, J., et al. (2005). Knowledge about risk factors for stroke. A population-based survey with 28090 participants, J Neurol Neurosurg Psychiatry, 76, 35-44.

Rankin, S., & Stallings, K (2001). Patient education: Principles and practice (4th edition). Philadelphia: Lippincott Williams and Wilkins.

Rasyid, et al. (2007). Unit stroke. Manajemen stroke secara komprehensif. Jakarta: Balai Penerbit Fakultas Kedokteran Universitas Indonesia.

Rien, T. (2009). Stroke...??? Diperoleh dari http://evianggarini.blogspot.com.

Schneider, A., T., et al. (2003). Trends in community knowledge of the warning signs and risk factors for stroke. JAMA, 289: 343-346.

Shepperd, S., et al., (2004). Discharge planning from hospital to home. The Cochrane Database of Systematic Reviews.

Slevin, A. P. (1986). A model for discharge planning in nursing education. J Community Health Nurs, 3 (1), 35-42.

Umphred, D. A. (2001). Neurological rehabilitation (4th Ed.). Philadelphia: Mosby.


Refbacks

  • There are currently no refbacks.


Creative Commons License
Jurnal Keperawatan Indonesia by http://jki.ui.ac.id is licensed under a Creative Commons Attribution 4.0 International License.
VISITOR COUNTER

StatCounter - Free Web Tracker and Counter

~ View My Stats Detail ~