Main Article Content
Abstract
Stroke is the third highest level of disability in the world. The prevalence of
disability in Indonesia is 13.88% (4,270 people) with dependency levels
including 36.33% independent, 33.25% mild dependency, 7.10% moderate
dependency and 9.43% severe dependency. Basic Health Research in 2018
showed that DKI Jakarta was in 11th place with the highest stroke prevalence
at 12.2%. This research aims to analyzed factors associated with self-care in
post-stroke patients at RSIJ Cempaka Putih. This research used a quantitative
research design using an analytical study with a cross sectional approach.
The Bivariate results show that there is a relationship between independent
variables including age, gender, education, physical domain, emotional
domain and social domain. Multivariate results show that the most dominant
factors related to self-care include the social domain, education and age. The
factors most related to self-care in post-stroke patients in this study are the
social domain, education and age. The findings suggest health workers to be
able to carry out holistic assessments (bio, psycho, social and spiritual)
including exploring sources of support for patients in carrying out self-care,
carrying out therapeutic communication and providing innovative group
activities that can be carried out in stroke clubs
Keywords
Article Details

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
JKEP (Jurnal Keperawatan)
References
Ferawati, Rita IS, Amira S. Stroke : Bukan Akhir Segalanya (Cegah dan Atasi Sejak Dini). Bogor: Guepedia; 2020. 157 p.
Ayerbe L, Ayis S, Wolfe CDA, Rudd AG. Natural history , predictors and outcomes of depression after stroke : systematic review and meta-analysis. 2013;14–21.
Franco-Urbano. et al. The Impact of Depression on the Functional Outcome of the Elderly Stroke Victim from a Gender Perspective : A. 2022;
Robinson RG, Jorge RE. Post-stroke depression: A review. Am J Psychiatry. 2016;173(3):221–31.
Widarti L. Perilaku Caring Meningkatkan Kondisi Psikologis dan Biologis Pasien Stroke. Yogyakarta: Deepublish; 2020.
Aslani Z, Alimohammadi N, Taleghani F, Khorasani P. Nurses’ empowerment in self-care education to stroke patients: An action research study. Int J Community Based Nurs Midwifery. 2016;4(4):329–38.
Puri AM, Setyawan D. Gambaran Self Care Pada Pasien Pasca Stroke di Wilayah Kerja Puskesmas Kedungmundu Semarang. J Ilmu Keperawatan Med Bedah. 2020;3(1):20.
Fitri FI, Fithrie A, Rambe AS. Association between working memory impairment and activities of daily living in post-stroke patients. Med Glas. 2020;17(2):384–9.
Pei L, Zang XY, Wang Y, Chai QW, Wang JY, Sun CY, et al. Factors associated with activities of daily living among the disabled elders with stroke. Int J Nurs Sci [Internet]. 2016;3(1):29–34. Available from: http://dx.doi.org/10.1016/j.ijnss.2016.01.002
Wardhani NR, Martini S, Timur J. Faktor yang berhubungan dengan pengetahuan tentang stroke pada pekerja institusi pendidikan tinggi. J Univ Airlangga. 2020;13–23.
Lopes Sam CI, Purwa Samatra DPG, Nuartha AABN, Putra Awatara BNM. Penentuan Stroke Hemoragik Dan Non-Hemoragik Memakai Skoring Stroke. Callosum Neurol. 2018;1(3):95–100.
Maydinar DD, Effendi S, Sonalia E. HIPERTENSI, USIA, JENIS KELAMIN DAN KEJADIAN STROKE DI RUANG RAWAT INAP STROKE RSUD dr. M. YUNUS BENGKULU. J Sains Kesehat. 2017;24(2):19–32.
Jessyca F, Sasmita PK. Hubungan Tingkat Pendidikan Dan Pengalaman Terkait Stroke Dengan Pengetahuan Stroke. Damianus J Med. 2021;20(1):63–71.
Honesty F, Vetty S. Beban ekonomi yang ditanggung pasien dan keluarga akibat penyakit stroke : Studi literatur. J Community Med Public Heal. 2019;35(6):193–7.
Gustin Rahayu T. Analisis Faktor Risiko Terjadinya Stroke Serta Tipe Stroke. Faletehan Heal J [Internet]. 2023;10(1):48–95. Available from: www.journal.lppm-stikesfa.ac.id/ojs/index.php/FHJ
Martono M, Editya Darmawan R, Nur Anggraeni D, Keperawatan J, Kemenkes Surakarta P. Faktor-Faktor Yang Berhubungan Dengan Kejadian Stroke Pada Usia Produktif. J Keperawatan Muhammadiyah. 2022;7(1):2022.
Black JM, Hawks JH. Keperawatan medikal bedah: manajemen klinis untuk hasil yang diharapkan [Internet]. Singapore: Elsevier Mosby; 2014. Available from: https://books.google.co.id/books/about/Keperawatan_medikal_bedah.html?id=4kR4nQAACAAJ&redir_esc=y
Nadhifah TA, Sjarqiah U. Gambaran Pasien Stroke Pada Lansia di Rumah Sakit Islam Jakarta Sukapura Tahun 2019. Muhammadiyah J Geriatr. 2022;3(1):23.
Dharma KK. Pemberdayaan Keluarga untuk mengoptimalkan kualitas hidu pasien pasca stroke. Yogyakarta; 2018. 156 p.
Huzaifah Z, Dody D. Hubungan Antara Klasifikasi Stroke Dengan Gangguan Fungsi Motorik Pada Pasien Stroke. J Nurs Invent E-ISSN 2828-481X. 2021;2(2):94–7.
Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, Cramer SC, et al. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Vol. 47, Stroke. 2016. 98–169 p.
Laksmidewi, Ayu Putri et al. Cognitive Changes Associated with Normal and Pathological Aging. Hazzard’s Geriatr Med Georontology. 2018;751–3; 46; 781; 757.
Ramadhani SS, Hutagalung HS. Hubungan Stroke Iskemik dengan Gangguan Fungsi Kognitif di RS Universitas Sumatera Utara. Scr SCORE Sci Med J. 2020;2(1):20–7.
Lo JW, Crawford JD, Desmond DW, Bae HJ, Lim JS, Godefroy O, et al. Long-Term Cognitive Decline After Stroke: An Individual Participant Data Meta-Analysis. Stroke. 2022;53(4):1318–27.
Laksono BA, Widyastuti K, Trisnawati SY. Profil gangguan fungsi kognitif pada pasien pasca stroke iskemik di RSUP Sanglah Denpasar Bali, Indonesia periode 2019. Intisari Sains Medis. 2019;10(3):698–701.
Boletimi RO, Kembuan MAHN, Pertiwi JM. Gambaran Fungsi Kognitif Pasien Pasca Stroke. Med Scope J. 2021;2(2):66–72.
Howieson DB. Cognitive Skills and the Aging Brain: What to Expect. Cerebrum [Internet]. 2015;2015(December):1–13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27408669%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4938247
Dark J, Sander R. An overview of communication, movement and perception difficulties after stroke. Nurs Older People. 2014;26(5):32–7.
De Cock E, Oostra K, Bliki L, Volkaerts AS, Hemelsoet D, De Herdt V, et al. Dysarthria following acute ischemic stroke: Prospective evaluation of characteristics, type and severity. Int J Lang Commun Disord. 2021;56(3):549–57.
Wray F, Clarke D, Forster A. How do stroke survivors with communication difficulties manage life after stroke in the first year? A qualitative study. Int J Lang Commun Disord. 2019;54(5):814–27.
Widakdo G, Aprilia Astuti M. Stroke and Mental Emotional Disorder. Indones Giri Widakdo dan Medya April Astuti, Stroke Ment Emot Disord [Internet]. 2016;630–9. Available from: https://jurnal.umj.ac.id/index.php/IMC/article/view/1253
Silva SM, Corrêa JCF, Pereira GS, Corrêa FI. Social participation following a stroke: an assessment in accordance with the international classification of functioning, disability and health. Disabil Rehabil [Internet]. 2019;41(8):879–86. Available from: https://doi.org/10.1080/09638288.2017.1413428
Kruithof WJ, van Mierlo ML, Visser-Meily JMA, van Heugten CM, Post MWM. Associations between social support and stroke survivors’ health-related quality of life-A systematic review. Patient Educ Couns [Internet]. 2013;93(2):169–76. Available from: http://dx.doi.org/10.1016/j.pec.2013.06.003
Wardhani IO, Martini S. The Relationship between Stroke Patients Characteristics and Family Support with Compliance Rehabilitation. J Berk Epidemiol. 2015;3(1):24.
Wang W, Lin B, Mei Y, Zhang Z, Zhou B. Self-care interventions in stroke survivor-caregiver dyads: A protocol for systematic review and meta-analysis. BMJ Open. 2021;11(12):1–7.
Agustiyaningsih T, Marta OFD, Mashfufa EW. Identification of Physical Activities in Post Stroke Patients. J Keperawatan. 2020;11(1):91–6.
Juniarti A, Faizal M, Meilando R. Management Self Care Stroke Terhadap Kualitas Hidup Pasien Pasca Stroke. 2024;6(Februari):1377–86.
Wiyata T. Potensi Interaksi Obat Pada Pasien Stroke Iskemik Rawat Inap Di Salah Satu Rs Di Jakarta. Farmasains. 2020;xx(xx).
Irie F, Kamouchi M, Hata J, Matsuo R, Wakisaka Y, Kuroda J, et al. Sex differences in short-term outcomes after acute ischemic stroke: The fukuoka stroke registry. Stroke. 2015;46(2):471–6.
Tomita H, Hagii J, Metoki N, Saito S, Shiroto H, Hitomi H, et al. Impact of Sex Difference on Severity and Functional Outcome in Patients with Cardioembolic Stroke. J Stroke Cerebrovasc Dis [Internet]. 2015;24(11):2613–8. Available from: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.07.016
Feske SK. Ischemic Stroke. Am J Med [Internet]. 2021;134(12):1457–64. Available from: https://doi.org/10.1016/j.amjmed.2021.07.027
Darma IWDA, Pramesona BA, Kurniawan B. Faktor Fibrilasi Atrium Dengan Kejadian Stroke Iskemik. Agromedicine. 2022;9(1):24–30.
T. Kuryllo L, JG I. Sex Differences in Motor Unit Behaviour : A Review. 2022;(Agustus). Available from: https://pubmed.ncbi.nlm.nih.gov/36095969/
Ignatius WE, Arinta WP, Hexanto M. Perbedaan Jenis Kelamin sebagai Faktor Risiko terhadap Keluaran Klinis Pasien Stroke Iskemik. Diponegoro Med J. 2017;6(2):655–62.
López Espuela F, Portilla Cuenca JC, Leno Díaz C, Párraga Sánchez JM, Gamez-Leyva G, Casado Naranjo I. Sex differences in long-term quality of life after stroke: Influence of mood and functional status. Neurologia [Internet]. 2020;35(7):470–8. Available from: http://dx.doi.org/10.1016/j.nrl.2017.10.002
Emellia E, Gaghauna EE., Irawan A. Faktor-Faktor Yang Mempengaruhi Self Efficacy Pada Pasien Pasca Stroke Di Wilayah Kerja Upt Puskesmas Terminal Kota Banjarmasin. J Keperawatan Suaka Insa. 2023;8(2):178–83.
Dewi Kumalasari I, Budi Musthofa S, Jati SP. Determinan Perilaku Self-care Hipertensi pada Usia Dewasa di Asia Tenggara : Literature Review Review Articles Open Access Determinants of Hypertension Self-care Behavior in Adults in Southeast Asia : Literature Review. Indones J Heal Promot MPPKI Media Publ Promosi Kesehat Indones [Internet]. 2023;6(3):410–5. Available from: https://doi.org/10.31934/mppki.v2i3
Haung Z, Hong SA, Tejativaddhana P, Puckpinyo A, Myint MNHA. Multiple self-care behaviors and associated factors in community-dwelling patients with hypertension in Myanmar. Nagoya J Med Sci. 2020;82(2):363–76.
Fadlulloh SF, Upoyo AS, Hartanto YD. Hubungan Tingkat Ketergantungan Dalam Pemenuhan Aktivitas Kehidupan Sehari-Hari (AKS) Dengan Harga Diri Penderita Stroke. J Keperawatan Soedirman. 2014;9(2):134–45.
Ikawati Z, Anggarini Y. Farmakoterapi Penyakit Sistem Syaraf Pusat [Internet]. Yogyakarta: Bursa Ilmu; 2014. Available from: http://library.usd.ac.id/web/index.php?pilih=search&p=1&q=0000127348&go=Detail
Hankey GJ. Secondary stroke prevention. Lancet Neurol [Internet]. 2014;13(2):178–94. Available from: http://dx.doi.org/10.1016/S1474-4422(13)70255-2
Malahati F. Gambaran Penerimaan Diri Pada Lansia Di Indonesia. SENTRI J Ris Ilm. 2023;2(4):1055–64.
Wiliyanarti PF, Rofiatin I, Nasrullah D, Yulianto Y. The Comparative Study: Self Acceptance, Environmental Development and Depression on Elderly. Heal Notions [Internet]. 2018;2(2):212–20. Available from: http://heanoti.com/index.php/hn/article/view/hn20213
Törnbom K, Persson HC, Lundälv J, Sunnerhagen KS. The impact of physical function on participation in the first year post-stroke. Acta Neurol Scand. 2017;135(6):649–55.
Guidetti S, Ytterberg C, Ekstam L, Johansson U, Eriksson G. Changes in the impact of stroke between 3 and 12 months post-stroke, assessed with the stroke impact scale. J Rehabil Med. 2014;46(10):963–8.
Robby A, Selpiyati. STATUS FUNGSIONAL PASIEN STROKE DI RUANG 5 RSUD DR SOEKARDJO KOTA TASIKMALAYA. Rabit J Teknol dan Sist Inf Univrab. 2019;1(1):2019.
Sandrawati DP. Studi Literatur: Pengaruh Fungsi Kognitif Terhadap Activities of Daily Living Pasca Stroke. Media Gizi Kesmas. 2021;10(1):113.
Araújo ÉDF, Viana RT, Teixeira-Salmela LF, Lima LAO, De Morais Faria CDC. Self-rated health after stroke: A systematic review of the literature. BMC Neurol. 2019;19(1):1–14.
Novera M, Musmiler E, Nadya N. Pengetahuan dan Dukungan Keluarga Terhadap Self Care pada Pasien Pasca Stroke. Jik J Ilmu Kesehat. 2022;6(2):422.