Skip to main content Skip to main navigation menu Skip to site footer
Jurnal Keperawatan Indonesia
Articles
VIEWS: 682
10.7454/jki.v18i2.410
Submitted: 2016-12-27
Published: 2015-07-17

Pengaruh Pemberian Augmentative And Alternative Communication (AAC) terhadap Kemampuan Fungsional Komunikasi dan Depresi Pasien Afasia Motorik

Faculty of Nursing Universitas Indonesia
Fakultas Ilmu Keperawatan, Universitas Indonesia
Fakultas Ilmu Keperawatan, Universitas Indonesia
afasia motorik augmentative and alternative communication depresi stroke

Abstract

Afasia motorik merupakan salah satu gangguan komunikasi yang terjadi akibat stroke yang dapat menyebabkan gangguan kemampuan fungsional komunikasi dan depresi. Pasien dengan afasia motorik membutuhkan alat pengganti komunikatif yang efektif. Salah satu alat pengganti komunikasi adalah Augmentative and Alternatif Communication (ACC) yang merupakan alat komunikasi pengganti dengan menggunakan papan elektronik berupa gambar dan simbol. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian AAC terhadap kemampuan fungsional komunikasi dan depresi pasien stroke dengan afasia motorik. Peneliti menggunakan desain quasi experiment post test non equivalent control group pada 21 responden yang terbagi menjadi 11 responden pada kelompok kontrol dan 10 responden pada kelompok intervensi. Hasil penelitian ini menunjukkan terdapat perbedaan yang bermakna rerata depresi antara kelompok kontrol dengan intervensi (p= 0,542), namun terdapat perbedaan yang tidak bermakna rerata kemampuan fungsional antara kelompok kontrol dan intervensi (p= 0,022). Hasil penelitian ini merekomendasikan AAC menjadi salah satu alternatif intervensi untuk memfasilitasi komunikasi, sehingga dapat menurunkan depresi pasien stroke dengan afasia motorik. 

 

Abstract

 

The Effect of Augmentative and Alternative Communication towards Depression and Communication Functional Ability of Patient with Motoric Aphasia. The purpose of this study was to determine the influence of conducting communication by AAC to the communication functional ability and depression for stroke patients with motor aphasia. The study design used was quasi experiment by approaching post test non equivalent control group for 21 respondents consist of 11 people of control group and 10 people of the intervention group. The results showed that no significant difference in the average communication functional ability between the control group and intervention group (p= 0,542), but there were significant differences between the average depression of control and intervention group  (p= 0,022). Based on the results of study, the giving by AAC could be one of the nursing intervention for facilitating communication that will decrease depression to the stroke patient with motor aphasia.

 

Keywords: augmentative and alternative communication, depression, motoric aphasia, stroke

References

  1. Ackley, B.J. & Ladwig, G.B. (2011). Nursing diagnosis handbook: An evidence based guide to planning care (9th Ed.). St. Louis: Mosby Elseiver.
  2. American Music Association (2005). Music therapy. Diperoleh dari http://www. musictherapy.org.
  3. Amir, N. (2005). Depresi: Aspek neurobiologi diagnosis dan tatalaksana. Jakarta: Balai Penerbit FK UI.
  4. Bakheit, Shaw, S., Barret, L., Wood, J., Carrington, S., Griffith, S., Searle, K., & Koutsi, F. (2007). A prospective, randomized, parallel group, controlled study of the effect of intensity of speech and language therapy on early recovery from post stroke aphasia. Clinical Rehabilitation, 21(10), 885–894.
  5. Benain, C., Cailly, B., Perennou, D., & Pelissier, J. (2004). Validation of the aphasic depression rating scale. Stroke, 35(7), 1692–1696.
  6. Bhogal, S.K., Teasel, R., Foley, N., & Speechley, M. (2004). Lesion location and poststroke depression: Systematic review of the methodological limitations in the literature. Stroke, 35 (3), 794–802.
  7. Black, J.M., & Jacob, E.M. (2009). Medical surgical nursing clinical management for positive outcomes (8th Ed.). St. Louis: Elsevier Saunders.
  8. Bulecheck, G.M. & McCloskey, J.C. (1999). Nursing interventions: Effective nursing treatment (3rd Ed.). Philadelphia: W.B. Saunders Company.
  9. Caeiro, L., Ferro, J.M., Santos, C.O., & Luisa, F. (2006). Depression in acute stroke. Journal of Psychiatry Neuroscience, 31(6), 377–383.
  10. Clarkson, K. (2010). Aphasia after stroke enabling communication through speech and language therapy. British Journal of Neuroscience Nursing, 6(5), 227–231.
  11. Dahlin, A.F., Laska, A.C., Larson, J., Wredling., Billing, E., & Murray, F. (2007). Predictors of life situation among significant others of depresses or aphasia stroke patients. Journal of Clinical Nursing, 17, 1574–1580.
  12. Finke, E.H., Light, J., & Kitko, L. (2008). A systematic review of the effectiveness of nurse communication with patients with complex communication needs with a focus on the use of augmentative and alternative communication. Journal of Clinical Nursing, 17(16), 2102– 2115.
  13. Johnson, R.K., Hough, M.S., King, K.A., Vos P., & Jeffs, T.A. (2008). Functional commu-nication in individual with chronic severe aphasia using augmentative communication. Informa Healthcare, 24(4), 269–280.
  14. Kusumoputro, S. (1992). Afasia: Gangguan berbahasa. Jakarta: Balai Penerbit FKUI.
  15. Lumbantobing, S.M. (2011). Neurologi klinik pemeriksaan fisik dan mental. Jakarta: Balai Penerbit FK UI.
  16. Mulyatsih, E., & Ahmad, A.A. (2010). Stroke: Petunjuk perawatan pasien pasca stroke di rumah. Jakarta: Balai Penerbit FK UI.
  17. NANDA International. (2011). Diagnosis keperawatan: Definisi dan klasifikasi 2009–2011 (Sumarwati dkk, Penerj). Jakarta: EGC. Buku asli diterbitkan 2002.
  18. Price, S.A., & Wilson, L.M. (2006). Patofisiologi: Konsep klinis proses-proses penyakit (Edisi ke 6). Terjemahan oleh: Pendit, Hartanto, H, Wulansaei, P & Kurniangsih. Jakarta: EGC. Buku asli diterbitkan 2003.
  19. Rasyid, A., & Soertidewi, L. (2007). Unit stroke. Manajemen stroke secara komprehensif. Jakarta: Balai Penerbit FK UI.
  20. Salter, K., Jutai, J., Foley, N., Hellings, C., & Teasell, R. (2006). Identification of aphasia poststroke: A review screening assesment tools. Brain injury, 20(6), 559–568.
  21. Schub, E., & Caple, C. (2010). Stroke complication: Post stroke depression. California: Cinahl Information System.
  22. Silbernagl, S., & Lang, F. (2007). Teks dan atlas berwarna patofisiologi. (Iwan S. & Iqbal M., Penerj). Jakarta: EGC.
  23. Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (2010). Brunner & Suddarth’s textbook of medical surgical nursing (12th Ed.). Philadelphia: Lippincott Williams & Wilkins.
  24. Thomas, S.A., & Lincoln, N.B. (2008). Predictors of emotional distress after stroke. Journal of the American Heart Association, 39, 1240–1245.
  25. Wirawan, R.P. (2009). Rehabilitasi stroke pada pelayanan kesehatan primer. Majalah Kedokteran Indonesia, 59(2), 61–71.
  26. Yastroki (2011). Stroke penyebab kematian urutan pertama di rumah sakit di Indonesia. Diperoleh dari http://www.yastroki.or.id.

How to Cite

Amila, A., Sitorus, R., & Herawati, T. (2015). Pengaruh Pemberian Augmentative And Alternative Communication (AAC) terhadap Kemampuan Fungsional Komunikasi dan Depresi Pasien Afasia Motorik. Jurnal Keperawatan Indonesia, 18(2), 95–101. https://doi.org/10.7454/jki.v18i2.410