Stroke Clients Research Articles

The Relationship of Stroke Incidents With Clients’ Quality of Life

Stroke is a condition where the blood supply to the brain is disrupted or reduced due to blockage (ischemic stroke) or rupture of blood vessels (hemorrhagic stroke). Stroke can cause physical disability, this can affect psychological, emotional, cognitive and even social conditions. So post-stroke sufferers will experience changes in their quality of life. The aim of this research is to analyze the relationship between the incidence of stroke and the quality of life of clients at RSUD Ibnu Sina Gresik. This research uses an observational research design with a cross sectional approach. The total population was 451 clients, 82 samples were studied using consecutive sampling techniques. The instrument used in the research was the WHOQOL-BREF questionnaire and then the collected data was analyzed using the SPSS Chi-Square Test. Almost all of the stroke clients who were controlled at the neurological clinic at Ibnu Sina Gresik Regional Hospital experienced a stroke once, 62 (75.6%) of the clients and almost all of the quality of life of stroke clients who were controlled at the neurological clinic at Ibnu Sina Gresik Regional Hospital experienced a fairly good quality of life. 66 (80.5%) clients. The results of the collected data were then analyzed to obtain P = 0.624 > 0.05, so H1 was rejected and H0 was accepted. In conclusion, there is no relationship between the incidence of stroke and the quality of life of clients at Ibnu Sina Gresik Regional Hospital. Keywords : Stroke, Quality of Life, Clients

Correlation Between OTs’ Motivational Strategies Used With Stroke Clients & Job Efficacy

Abstract Date Presented 03/23/24 This study explored the relationship between OTs’ motivational strategies with stroke clients and job efficacy. Surveying 212 therapists in South Korea, it found a positive correlation between the strategies used and job efficacy. Primary Author and Speaker: Yujin Lee Contributing Authors: Seong-A Lee

Health Education Concerning Stroke Patients Treatment on Family's Readiness to Go Home for Non-Hemorragic Stroke Patients

Stroke has physical and mental impacts so that stroke clients depend on their families and need long-term care and recovery. Therefore, family readiness is needed in caring for stroke patients. Through health education using leaflets, we try to help patient family members be ready to care for stroke patients while at home. The research aims to determine the effect of health education on the readiness to return home to families of non-hemorrhagic stroke patients in the Inpatient Room at RSU PKU Muhammadiyah Delanggu. The research used a pre-experimental design method type one group pretest-posttest. The sample was taken by purposive sampling and obtained 32 respondents using the Slovin formula. The instrument uses leaflets and questionnaires. The data analysis technique uses a paired t test. It was found that the majority of families of stroke patients were female (65,6%), aged 46-55 years (37.5%), had a high school education (53.1%), did not work or were housewives (53,1% ), and the family caring for the child (62.5%), before being given health education using leaflets related to the care of non-hemorrhagic post-stroke patients, the majority of family members were less prepared (62.5%) and after being given health education, the majority of family members feel ready (87,5%). There is an influence of health education regarding the care of stroke patients on the readiness to return home to the families of non-hemorrhagic stroke patients in the Inpatient Room at RSU PKU Muhammadiyah Delanggu (p value 0.000 < 0,05).

Empowering palliative care health cadres in the homecare-based management of post-stroke patients

Stroke causes disability and weakness, resulting in decreased functional ability. Palliative care is actively provided for stroke sufferers in the terminal phase. The majority of stroke clients experience residual symptoms such as paralysis, slurred speech, difficulty swallowing, difficulty speaking, and inability to understand other people's speech. The prolonged illness or the difficulty of recovering as usual creates stressors for both the patient and the family caring for them. The aim of this activity is to provide accurate information regarding post-stroke patient care by empowering palliative care health cadres (KAK LIA). This activity employs a participant active learning approach, where participants actively engage in training and mentoring activities. The methods used include lectures, question and answer sessions, and practical exercises. The activity consists of six stages: preparation, initial intervention, internal intervention, final intervention, mentoring, and evaluation. The result of this community service activity was an increase in participants' knowledge, with the majority shifting from poor knowledge (75%) to very good (90%).

Relationship between Family Support and Compliance of Post-Stroke Clients Undergoing Physiotherapy in the Medical Rehabilitation Room of Pariaman Hospital

One of the degenerative diseases whose incidence has increased recently is stroke. The recovery rate of stroke is still low, as many as 15-30% of patients will experience paralysis. One of the healing processes is to follow the physiotherapy program. In the physiotherapy unit of Pariaman Hospital, more than half (50%) were not compliant with physiotherapy. The purpose of this study was to determine the relationship between family support and client compliance with physiotherapy in the physiotherapy unit of Pariaman Hospital.Stroke is an acute vascular injury to the brain, or a severe and sudden injury to the blood vessels of the brain. Injury can be caused by blockage of blood clots, narrowing of blood vessels, blockage or rupture of blood vessels. Physiotherapy is a health service that is carried out for the healing process. The implementation is in accordance with the degree of disability experienced by the client. This research is descriptive analytic with cross sectional approach. The population is stroke clients who follow physiotherapy in the physiotherapy unit of Pariaman Hospital, with sampling techniques using accidental sampling which amounted to 52 people. Data were collected by interview in accordance with the questionnaire provided and the data were processed by SPSS and then analyzed univariately and bivariately. The results of this study obtained 28 (53.8%) family support that played a role there were 3 (10.7%) clients who were not compliant with undergoing physiotherapy and from 24 (46.2%) family support did not play a role there were 22 (91.7%) clients who were not compliant with undergoing physiotherapy, P Value = 0.025 <0.05 means Ha accepts which means there is a significant relationship between family support and compliance with undergoing physiotherapy for post-stroke patients in the medical rehabilitation room of Pariaman Hospital. to increase client compliance, health workers can provide counseling on the importance of family support in increasing stroke client compliance to follow physiotherapy for the client's healing process.

Nursing Care for Clients Suffering from Non-Hemorrhagic Stroke with Impaired Physical Mobility in the Neurology Room, 6th Floor, Block B Koja Regional Hospital, North Jakarta

Non-Hemorrhagic Stroke is a blockage of blood vessels which causes blood flow to the brain to partially or completely stop, causing Non-Hemorrhagic Stroke sufferers to experience muscle weakness in some parts of their body. Based on the number of non-hemorrhagic strokes that occurred at Koja District Hospital from January to July 2017, there were 52 patients. The actions taken by nurses to reduce muscle tone weakness are Range of Motion (ROM) exercises which aim to increase muscle tone strength. In this study the author carried out a case study research design method by comparing 2 clients who experienced Non-Hemorrhagic Stroke with impaired physical mobility. To overcome this physical mobility disorder, the author provided Range of Motion (ROM) nursing actions to 2 clients for 6 days. After carrying out nursing actions for 6 days, the author compared the two clients to determine the client's response to Range Of Motion (ROM) nursing actions. In carrying out data analysis, the author collected data from interviews, observations, physical assessments, supporting data, medical records, nursing actions for 2 clients who would receive nursing care who experienced Non-Hemorrhagic Stroke with impaired physical mobility. The research results obtained were that there was an increase in muscle tone strength in client 1 (Mr. S) because Mr. S has high motivation, there is support from the family, sufficient knowledge, and the family's willingness to train ROM independently. Meanwhile, there was no change in increasing muscle strength in client 2 (Mrs. T) due to the client's low motivation to recover, lack of support from the family, lack of knowledge, and lack of family willingness to train ROM independently. Suggestions for nurses, especially Koja Regional Hospital nurses, are expected to be able to provide ROM exercises to Stroke clients.

Analysis of Socio-Demographic Factors on Functional Ability of Daily Living Activity in Ischemic Stroke Clients at Blud RSUD dr. Doris Sylvanus Palangka Raya

The prevalence of stroke worldwide is 33 million, which is 16.9 people had stroke in 2010, causing 11.3% of deaths worldwide as second leading global cause of death under heart disease. In Central Kalimantan, prevalence of stroke based on diagnosis by health professionals is 0.53%. According to districts it ranges from 0.21% -1.58% and Palangka Raya City has a stroke prevalence of 0.85%. Stroke causes brain vascularization disorders, motor dysfunction that causes the patient limitations, thereby increasing the risk of complications. A person with movement disorders will have an impact on their daily activities. Aims of this study to determine the socio-demographic factors that affect the level of functional ability of clients in performing daily living activities (ADL) of ischemic stroke clients at dr. Doris Sylvanus Palangka Raya hospital. This study used a cross sectional study approach. This reresearch would see an overview of each variable to be studied using the Barthel index instrument and data from the socio-demographic respondents. The results showed that socio-demographic factors that significantly influence and influence the functional ability of client ADL are age and occupational variables, while other variables, namely gender, marital status and education, do not affect the ADL functional status of respondents.

Delivering Occupation-Based Practice in Stroke Rehabilitation of Hospital Settings: Thai Occupational Therapists’ Experiences

Occupation-based practice (OBP) is central to the practice of occupational therapists where occupations or meaningful activities become the focus of the assessment, intervention, and outcomes measurement process. Although occupational therapists practising in Thailand claim that they engage in OBP, this claim warrants empirical investigation. This study aimed to investigate the experiences and perceptions of hospital-based occupational therapists of OBP within stroke rehabilitation. Utilizing a qualitative design, fourteen occupational therapists were recruited through purposive sampling. Data were collected through semi-structured interviews until data saturation was reached. Each interview was recorded and transcribed verbatim, and data were analyzed using thematic analysis. Five themes were identified (1) Perspective towards OBP, (2) OBP as professional value and cultural identity, (3) Implementing OBP for stroke rehabilitation in hospital settings, (4) Environmental factors of using OBP in stroke rehabilitation, and (5) OBP in the service management. Occupational therapists perceived that OBP is important for professional identity. Using OBP provides positive changes in stroke clients. This study provides evidence that will help implement OBP into occupational therapy in Thailand.

Occupational Therapists' Perceptions of Quality of Life Among Stroke Clients: A Qualitative Descriptive Study

Occupational Therapists' Perceptions of Quality of Life Among Stroke Clients: A Qualitative Descriptive Study

Analysis of Family Independence in Home Care in Post Stroke Clients

Family is the main source of care at home. In reality, families are not yet independent in post-stroke care at home, this can be due to family characteristics, family support, and burden. This study aimed to identify family independence in post-stroke care at home which was associated with family characteristics, support, and coping. The research design was a cross-sectional. The research was conducted at the Neurology Poly with a sample of 83 respondents and the sampling technique was Purposive Sampling. The instrument in this study was the Multidimensional Scale of Perceived Social Support (MSPSS), Crisis Oriented Personal Evaluation Scale, and Family Independence and social demographic questionnaire. The results of the study found that more than half of the respondents were young adults, had secondary education, and had jobs, low family independence, maladaptive coping, and low family support. There was no relationship between family characteristics (age, education, occupation) with family independence and there is a relationship between coping and family support with independence in post-stroke care at home. It was suggested that families can increase their independence in post-stroke care by having support groups or stroke self-help groups and increasing the role of community nurses through home visits to families.

Family Coaching terhadap Pelaksanaan Tugas Kesehatan Keluarga pada Klien Stroke


 This study aims to determine the effect of family coaching on the implementation of family health tasks for stroke clients. This research method uses experimental research with a pretest-posttest control group design method. The results showed that the average score of the stroke client family health task implementation in the control group during the pre-test was 50.23 with a standard deviation of 5.217, while the post-test was 51.06 with a standard deviation of 3.162. The average score of the stroke client's family health task implementation in the intervention group at the pre-test was 48.09, with a standard deviation of 7.199. At the same time, the average score for implementing family health tasks during the post-test was 61.66, with a standard deviation of 1.578. The average score of the stroke client's family health task implementation in the control group was 51.06 with a standard deviation of 3.162, while in the intervention group, it was 61.66 with a standard deviation of 1.578. The results of statistical tests showed that the p-value <0.05. In conclusion, there is an effect of family coaching on the implementation of five family health tasks for stroke clients at home.
 
 Keywords: Family Coaching, Stroke, Family Health Tasks

Pemberdayaan Kader Kesehatan sebagai Social Support bagi Pasien Stroke

The majority of stroke clients experience sequelae that can cause stress in the home care process, both for stroke patients and their families as caregivers. As a result, social support involving cadres for families with stroke patients is necessary. The service activity aims to increase the knowledge of health cadres about social support for stroke patients and implement social support for stroke patients and their families. The implementation method was through two stages. The first stage was the training of health cadres in Gedangan District with 70 cadres from 15 villages, while stage 2 was empowering health cadres in the community. Each cadre provides social support for families/stroke patients according to where the cadres live. Each cadre was provided with a questionnaire, and the data were analyzed descriptively. The activity results stated that all cadres found that stroke patients and their families experienced stress due to the illness, agreed that stroke patients and their families needed attention, and citizens needed to be prepared if someone had a stroke. In addition, the knowledge of health cadres increases, and cadres are happy with the social support program for stroke patients and their families. The visited stroke patients were happy because they received attention and support. In the long run, this program can be continued in every village by empowering health cadres as agents of reform in the health sector.

Improving upper extremity function in chronic stroke using occupational therapy task-oriented approach

Background: Recovery of upper extremity function in chronic stroke requires functional rehabilitation. Objectives: The objective of this study was to investigate the effects of task-oriented occupational therapy on the upper extremity function of chronic stroke clients. Materials and methods: Twenty participants were selected for the study, which was carried out through purposeful sampling process. The participants were then divided into two groups: the intervention and the control groups. Both groups were given a conventional rehabilitation program. The intervention group was also provided with occupational therapy task-oriented training within the duration of 6 weeks, with the consistency of 3 sessions a week, and 1 hour each session. The training program was individually designed based on an analysis of the three most important activities identified by the participants from the Canadian Occupational Performance Measure (COPM). Each training session consisted of task-oriented training (75%) and supplementary exercise (25%). The Functional Test of the Hemiparetic Upper Extremity-Thai version (FTHUE-Thai Version) and COPM were used as outcome measurements before and after the training programs. Results: The FTHUE-Thai version study showed that the intervention group had significant improvement in the function of paretic upper extremity (p<0.05). The COPM’s report found a dramatical change in performance and satisfaction of the intervention group after the training program (p<0.05). These changes were also significantly different when compared between groups (p<0.05). Conclusion: This study indicated the effect of occupational therapy task-oriented training based on client-centered approach on improving functions of paretic upper extremities, occupational performance, and satisfaction in people with chronic stroke.

New-onset Constipation After Stroke: Caspian Nursing Process Projects

Introduction: The impacts of new-onset constipation outcomes in stroke clients have remained unclear. It seems helpful to update the structure planning with nursing-led intervention. Objective: The current study aimed to present a protocol and methods of Caspian Nursing Process Projects in new-onset constipation by nursing-led intervention considering the experts’ point of view. Materials and Methods: The current multi-stage evolutionary study describes the protocol and methods of Caspian Nursing Process Projects, which were conducted on stroke constipation, such as new-onset constipation. The study was conducted in several phases, including searching for scientific sources, formal-content validity, RAND and Delphi methods, and changes made at the Delphi stage and the experts’ panel. We selected 21 studies published between January 2004 and December 2019 in the Cochran database, Medline, Science Direct, PubMed, Elsevier, and Scopus. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and AGREE II (The Appraisal of Guidelines for Research & Evaluation) were used to evaluate the articles and guidelines. Results: After considering the inclusion and exclusion criteria, 14 articles and guidelines were entered. Most of the authorities were 16 men (72.7%), 11 cases had MD degrees (50%), and 4 (18.2%) were neurologists. Regarding the priority, the highest agreement was found on patient and companion education (98%) and the lowest on disability in daily activity (75.6%). In terms of benefits, patient education again achieved the highest agreement with 97.2%, and use of the Bartel index with 73.6% obtained the lowest agreement. Regarding the applicability, registration, and reporting, the water and electrolyte impairment and educational booklet obtained the highest agreement with 93.6%. Conclusion: All recommendations had reached over 70% agreement in all four areas of the initial draft, and some care should be taken only by stroke nurses or critical care nursing. The study results can be used for developing national guidelines or criteria.

Cognitive Thought Stopping Therapy Towards Depression and Control Negative Thoughts in Post-Stroke Patients

Background: Stroke is the third leading cause of mortality worldwide after coronary heart disease and cancer in developed and developing countries. Psychosocial therapy is important to reduce depression levels and control negative thoughts of post-stroke patients. Objective: This study aims to determine the effect of cognitive thoughts stopping therapy to decrease the levels of depression and increase the ability to control negative thoughts in post-stroke clients. Methods: This study used a quasi-experimental research design. A purposive sampling technique was used with 48 of the total sample. Result: Wilcoxon test results for cognitive thought-stopping therapy (CTST) showed p=0.003; cognitive therapy (CT) showed p=0.003, and thought stopping (TS) showed p=0.002. It indicated that in each treatment group, there were significant differences. Meanwhile, the Kruskal Wallis test showed that the posttest om depression showed p=0.001, Wilcoxon for CTST showed p=0.002, CT showed p=0.003, and thought stopping (TS) showed p=0.002, indicating that in each treatment group, there were significant differences. The Kruskal Wallis test showed that the posttest on the ability to control negative thoughts showed p=0.000. Conclusion: The results showed an effect of therapy on depression levels and the ability to control negative thoughts. Hospitals can implement this study's results to develop mental health services, especially for stroke clients.

Resiko Jatuh pada Klien Stroke yang Menggunakan Kursi Roda di Kabupaten Pamekasan

Introduction: people who suffer from stroke and immobilization use wheelchair to help move/carry out daily activities on average, so they may be at risk of falling during its usage. This research aimed to comprehend the fall risk assessment in stroke clients with wheelchair at RSUD Dr. H. Slamet Martodirdjo Pamekasan. Methods: This research used a cross sectional descriptive design. Population in this research was 31 stroke clients using wheelchairs in Pamekasan District with the sampling technique using total sampling. This research was conducted in the region of Pamekasan on February, 2021. Data was collected by distributing a Close ended-Multiple choice questionnaire with an ordinal scale containing of 12 question items and then processing the data in the form of editing, scoring, tabulating. Results: Most of the total respondents who have been researched indicate a low risk of falling as 14 people (45%). Conclusion: The Families are expected to provide assistance and supervision to stroke client, especially those who have experienced falling.

Effect of Cognitive Therapy and Family Psychoeducation in Stroke Clients with Depression and Disability

Stroke patients who were take care in the hospital 30-40% in depression condition. This research aim was to determine the effect of cognitive therapy and psycho Education for depression, helplessness, and ability to change negative thoughts for stroke patients. This research design was quasi experimental pre and post test with control group with a total of sample 87 person with 29 persons are given cognitive therapy and family psychoeducation therapy, 29 persons are given only cognitive therapy and 29 persons are not given therapy. Analysis by anova test and Pair t-test. The result of research show a decrease in depression and helplessness condition and increase the ability to change negative thoughts of stroke clients whom received cognitive therapy and family psychoeducation group larger than whom just only receive cognitive therapy and the group without therapy (p value <0,05). There was factor that contribute depression condition of stroke client is age. Cognitive therapy and Family Psychoeducation are recommended for stroke klien who got depression and helpless to increases the ability to change negative thinking.

Mirror therapy in adult stroke patients: a review of possible applications and effectiveness with an emphasis on activities of daily living

Aim: To present the current knowledge about possible applications, effectiveness, and other aspects of mirror therapy in adult stroke clients, with an emphasis on the performance of Activities of Daily Living (ADL), or on supporting independence and self-care, including limitations. Design: A descriptive mapping study. Methods: A systematic literature search and an interpretative content analysis (according to predetermined criteria) of 34 identified relevant studies (2000–2017) and conceptualization of findings in relation to ADL performance / limitation among adult stroke clients. Results: Mirror Therapy (MT) is a simple and undemanding approach which improves the function of extremities with respect to performance of ADL. However, due to smaller research samples, it is impossible to clearly confirm its effectiveness and extrapolate the conclusions. MT is also used to complement other therapeutic approaches, or various approaches can be combined with it (e.g., micro-sensory electrical stimulation or observation imitation). Assessment of ADL was primarily performed with the Barthel Index, Modified Barthel Index, and Functional Independence Measures, Functional Ambulation Categories, and Foot and Ankle Ability Measure tests. Conclusion: It seems desirable to apply task-oriented MT – an approach that includes functional tasks to prevent clients from becoming bored during therapy. The performance of MT tasks need not always be supervised by a physiotherapist. Good cooperation between nurses from clinical practice and physiotherapy is desirable. In order to be able to widen the conclusions and clearly confirm the effectiveness of MT in the context of ADL, other randomized controlled (pilot) studies are desirable.

Implementation of a sexuality interview guide in stroke rehabilitation: a feasibility study

Background Although people who sustain a stroke can experience sexual difficulties, few address them during rehabilitation. Objectives Explore the feasibility of implementing a Sexuality Interview Guide (SIG) in stroke rehabilitation and describe the factors perceived as influencing its implementation. Materials and Methods Using a mixed research design, the SIG was implemented for four months in a rehabilitation hospital. The frequency with which clinicians addressed sexuality and their level of comfort pre-post implementation was measured. Perceived factors influencing implementation were determined through individual interviews and focus groups with five stroke clients, 15 clinicians and a coordinator. A paired-specimen Wilcoxon test was used to explore differences in pre- post-level of comfort. Qualitative data was analyzed by two independent evaluators using thematic analysis. Results The SIG was used 28 times and clinicians' level of comfort in addressing sexuality improved significantly (p = 0.001). The factors perceived as influencing implementation were: the acceptability of the SIG, the individual characteristics, the context of the rehabilitation hospital and the implementation process. Conclusion This study showed that the SIG can be used in stroke rehabilitation and that, with sufficient financial and human resources, and training for clinicians, it would be feasible to implement it in usual care. Implications for rehabilitation The Sexuality Interview Guide (SIG) can be used in stroke rehabilitation and helps clinicians to target stroke clients who want to include sexuality in their rehabilitation. The best time to approach sexuality using the SIG, according to all participants, was in outpatient rehabilitation. For inpatient clients, it was more appropriate to use the SIG as they approach a weekend home trial or rehabilitation discharge. Training for clinicians working in post-stroke sexual rehabilitation, administrative policies and procedures and access to a sexual health specialist for consultation or referral purpose, would be important facilitators in integrating sexuality into clinical practices.

Interventions used by allied health professionals in sexual rehabilitation after stroke: A systematic review

ABSTRACT Background: Although sexuality can be affected post-stroke, few individuals receive sexual rehabilitation because of clinicians’ lack of knowledge regarding evidence-based interventions. Objective: To document and describe the best available evidence supporting interventions that target post-stroke rehabilitation of sexuality. Methods: This systematic review searched the databases Medline, Embase, Psycinfo, CINAHL, Web of science, PEDRO and OTSeeker up to 29 May 2020. Inclusion criteria were: published studies with a sample composed of ≥ 50% stroke clients and describing an intervention that could be applied by an allied health professional. Data was extracted according to the PRISMA guidelines by two independent reviewers. Interventions were described according to the Template for intervention description and replication checklist. Results: Among the 2446 articles reviewed, 8 met the inclusion criteria. Two randomized controlled trials (RCT) and one non-RCT showed improvement in sexual functioning and satisfaction following a 30–45-minute structured rehabilitation program. Two other RCT showed significant improvement in sexual functioning with physical therapy oriented toward 1) structured physical and verbal sexual counseling and 2) pelvic floor muscle training. Three studies showed that interdisciplinary sexual rehabilitation improved satisfaction and sexual functioning; implementation of an interview script for clinicians improved the proportion of clients who addressed sexuality from 0 to 80% in 10 months; and two-day couple retreats improved perceived intimacy between couples. Conclusions: This review highlights promising interventions that could orient future research and improve the access to sexual rehabilitation services for post-stroke, with structured sexual rehabilitation and pelvic floor muscle training being the most strongly supported.