Hubungan Ketergantungan Activity Daily Living Penderita Stroke dengan Beban Family Caregiver di Puskesmas Kasihan II

https://doi.org/10.22146/jkkk.83043

Siti Mulyani(1*), Miftafu Darussalam(2)

(1) Program Studi S1 Keperawatan, Fakultas Ilmu Kesehatan, Universitas Jenderal Achmad Yani Yogyakarta
(2) Program Studi S1 Keperawatan, Fakultas Ilmu Kesehatan, Universitas Jenderal Achmad Yani Yogyakarta
(*) Corresponding Author

Abstract


Background: Stroke can cause chronic neurological disorders that can cause physical changes and decline, especially in activities of daily living or Activity Daily Living (ADL). Prolonged ADL dependence has the potential to cause a burden for family caregivers.
Objective: To determine the correlation between ADL dependence of patients with stroke and the burden of family caregivers.
Method: This research was a correlational analytic quantitative study with a cross sectional design. The research was conducted in the working area of the Kasihan Health Center II in Bantul. There were 40 family caregivers and patients with stroke, as respondents. Samples were taken by simple random sampling technique. The research instruments were the Caregiver Reaction Scale (CRA) by Given and Barthel Index. Data analysis was performed with the Somers’d test.
Result: most of the respondents with stroke were in mild dependence and were independent (f=18,45%), while family caregivers felt a moderate burden (f=29, 72,5%). The type of burden that the family caregiver felt the most was the burden of self-esteem with a mean score of 13,83. The Somers’d correlation test obtained the results for the value of r = 0,601, p-value = 0,000.
Conclusion: There is a relationship between ADL dependency of patients with stroke and the burden of family caregivers with a moderate correlation level.

ABSTRAK

Latar belakang: Penyakit stroke dapat menyebabkan gangguan neurologis kronis yang dapat menimbulkan perubahan dan penurunan fisik terutama dalam aktivitas kehidupan sehari-hari atau activity daily living (ADL). Ketergantungan ADL dalam waktu yang lama berpotensi menimbulkan beban pada family caregiver.
Tujuan: Untuk mengetahui hubungan ketergantungan ADL penderita stroke dengan beban family caregiver.
Metode: Penelitian ini merupakan penelitian kuantitatif analitik korelasional dengan rancangan cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas Kasihan II Bantul dengan responden family caregiver dan penderita stroke sejumlah 40 responden. Sampel diambil dengan teknik simple random sampling. Instrumen penelitian menggunakan Caregiver Reaction Scale (CRA) oleh Indeks Given dan Barthel. Analisis data dilakukan dengan uji Somers’d.
Hasil: Sebagian besar responden penderita stroke termasuk dalam kategori ketergantungan ringan dan mandiri (f=18, 45%). Sementara family caregiver merasakan beban sedang (f=29, 72,5%). Jenis beban yang paling dirasakan oleh family caregiver adalah beban harga diri dengan mean score 13,83. Uji korelasi Somers’d didapatkan hasil nilai r=0,601 dan p=0,000.
Kesimpulan: Terdapat hubungan antara ketergantungan ADL penderita stroke dengan beban family caregiver pada tingkat korelasi sedang.


Keywords


activity daily living; jenis beban; family caregiver; stroke

Full Text:

PDF


References

  1. Kemenkes RI. Apa itu Stroke ? [Internet]. 2018. Available from: http://p2ptm.kemkes.go.id: http://p2ptm. kemkes.go.id/infographic-p2ptm/Stroke/apa-itu-Stroke.
  2. Budijanto D. Stroke Don't Be The One [Internet]. 2019. Jakarta: Pusdatin Kemenkes RI; 2019. Available from: https://www.kemkes.go.id/article/view/20030900004/stroke-don-t-be-the-one.html.
  3. Feigin VL, Norving B, Mensah G. Global Burden of Stroke. Circulation Research. 2017; 120(3):439-448. DOI: https://doi.org/10.1161/circresaha.116.308413.
  4. Puspitasari PN. Hubungan Hipertensi terhadap Kejadian Stroke. Jurnal Ilmiah Kesehatan Sandi Husada.

2020; 12(2): 922-926. DOI: https://doi.org/10.35816/jiskh.v12i2.435.

  1. Hidayati A, Martini S, Hendrati LY. Determinan Kejadian Stroke pada Pasien Hipertensi (Analisis Data Sekunder

IFLS 5). Jurnal Kesehatan Global. 2021; 4(2): 54-65. DOI: https://doi.org/10.33085/jkg.v4i2.4794.

  1. Purba MM & Utama NR. Disabilitas Klien Pasca Stroke terhadap Depresi. Jurnal Kesehatan. 2019; 10: 347. DOI: http://dx.doi.org/10.26630/jk.v10i3.1539.
  2. Ariska YN, Handayani PA, Hartati E. Faktor yang Berhubungan dengan Beban Caregiver dalam Merawat Keluarga yang Mengalami Stroke. Journal of Holistic Nursing and Health Science. 2020; 3(1): 52-63. https:// doi.org/10.14710/hnhs.3.1.2020.52-63.
  3. Given CW, Given B, Stommel M, Collins C, King S, Franklin S. The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Research in Nursing and Health. 1992; 15(4), 271-283. DOI: https://doi.org/10.1002/nur.4770150406.
  4. Rizka Y, Erwin E, Hasneli Y, Putriana N. Beban Family Caregiver dalam Merawat Pasien Kanker Stadium Lanjut. Jurnal Ners Indonesia. 2021; 12(1), 22–28. DOI: https://doi.org/10.31258/jni.12.1.22-28.
  5. Sari IWW, Warsini S, Effendy C. Burden among Family Caregivers of Advanced-Cancer Patients in Indonesia. Belitung Nursing Journal. 2018; 4(3), 295–303. DOI: https://doi.org/10.33546/bnj.479.
  6. Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. International Disability Studies. 1988; 10(2): 61-63. doi: https://doi.org/10.3109/09638288809164103.
  7. Oktari I, Febtrina R, Malfasari E, Guna SD. Tingkat Ketergantungan dalam Pemenuhan Aktivitas Sehari-hari Berhubungan dengan Harga Diri Penderita Stroke. Jurnal Ilmiah STIKES Kendal. 2020; 10(2): 185-194.
  8. Jasmia RV, Widianti E, Prawesti A. Beban Keluarga sebagai Caregiver pada Klien Stroke di Bandung. Jurnal Keperawatan ’Aisyiyah. 2019; 5(2), 31-40.
  9. Alifudin MR, Ediati A. Pengalaman Menjadi Caregiver: Studi Fenomenologis Deskriptif pada Istri Penderita Stroke. Jurnal EMPATI [Online]. 2019; 8(1): 111-116. https://doi.org/10.14710/empati.2019.23583.
  10. Jiru-Hillman S, Gabriel K, Schuler M, Wiedmann S, Muhler J, Dotter K, Heuschmann PU. Experience of Family Caregivers 3-Months after Stroke: Result of The Prospective Trans-Regional Network for Stroke Intervention with Telemedicine Registry (TRANSIT-Stroke). BMC Geriatric.2022; 22(228): 1-10. DOI: https:// doi.org/10.1186/s12877-022-02919-6.
  11. Asti AD, Novariananda S, Sumarsih T. Beban Caregiver dan Stres Keluarga Pasien Stroke. Jurnal Ilmiah Kesehatan Keperawatan. 2021; 17(2): 161.
  12. Rohmah AI, & Rifayuna D. Kebutuhan Family Caregiver pada Pasien Stroke. Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia. 2021;1 43-152.
  13. Maydinar DD, Effendi S, Sonalia E. Hipertensi, Usia, Jenis Kelamin, dan Kejadian Stroke di Ruang Rawat Inap Stroke RSUD dr. M. Yunus Bengkulu. Jurnal Sains Kesehatan Vol. 2017;24(2). DOI: https://doi.org/10.37638/ jsk.24.2.19-32.
  14. Sandra, Daniati M, Harni S. Studi Kasus Gangguan Mobilitas Fisik Pasien Stroke Iskemik dengan Hemiparesis Setelah Diberikan Stimulasi Sikat Sensori." Jurnal Keperawatan Abdurrab, vol. 5, no. 1, Jul. 2021, pp. 8-16, DOI: https://doi.org/10.36341/jka.v5i1.1762.
  15. Mohr WK. Psychiatric Mental Health Nursing. Philadelphia: Lippincott Williams & Wilkins; 2006.
  16. Erwanto, R. (2017). Faktor yang Berhubungan dengan Beban Keluarga dalam Merawat Aktivitas Sehari-hari pada Lansia. JNKI (Jurnal Ners Dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery), 4(3), 117-122. doi:http://dx.doi.org/10.21927/jnki.2016.4(3).117-122.



DOI: https://doi.org/10.22146/jkkk.83043

Article Metrics

Abstract views : 1630 | views : 1702

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Siti Mulyani, Miftahu Darussalam



Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) 
collaborates with DPW PPNI DIY

Lisensi Creative Commons  

Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

https://salto.poltekip.ac.id/css/

https://thinkcat.mywhc.ca/menyalaabangku/

https://thinkcat.mywhc.ca/sawercuan/

https://bandungkab.go.id/tests/

https://ebphtb.acehtimurkab.go.id/css/

https://h2h.web.uinjambi.ac.id/

https://elicer.com.br/wp-content/kt/

http://koe.polywatch.com.my/

https://rx8.mywow2.com/wp-includes/css/

http://mundotvonline.medianewsonline.com/wp-includes/css/