Evidence Based Case Study: Efektivitas Pemberian Vitamin D Selama Masa Perawatan pada Pasien Stroke

Abstract

The administration of vitamin D in stroke patients has been associated with functional improvement because it helps modify various cardiovascular risk factors. This study aimed to determine the effectiveness of vitamin D supplements to stroke patients. The design of this study used an evidence-based case study approach conducted in July 2023 by including an illustration case study along with several supporting research studies to strengthen the findings. The research studies were collected through PubMed, Proquest, and ScienceDirect based on the PICO framework. Seven studies were included to support the finding of the illustration case study related to the effectiveness of vitamin D administration. The results of the studies showed that there were variations in the effects of giving a single dose of vitamin D or with a combination of other nutritional elements including helping to reduce serum levels of interleukin-1β (IL-1β) and interleukin 6 (IL-6), improving the patient's neurological function, and preventing the secondary hyperparathyroidism. The positive effects of giving vitamin D were also showed during the rehabilitation period of stroke patients including improving mood regulation and functional recovery as well as improving lower extremity motor function and ambulation. The administration of vitamin D to stroke patients gives many positive contributions to both the acute and rehabilitation phases through various physiological mechanisms of the body. Health professionals are expected to consider adding vitamin D to a patient's nutritional care plan to achieve optimal health status outcomes.