Rehabilitasi Pasien Stroke Dimasa Pandemi Covid-19: Integrative Review

Latar belakang: Dimasa Pandemi Covid-19 terjadi penurunan pelayanan rehabilitasi pada pasien stroke dan pasien hanya berada di rumah tanpa rehabilitasi. Hal ini menyebabkan pasien mengalami stroke berulang, kontraktur, malnutrisi, decubitus dan penurunan fungsi kognitif. Rehabilitasi sangat penting dilakukan untuk mencapai pemulihan dan perbaikan maksimal dalam hal kemampuan fisik, mental, sosial dan kemampuan bicara. Adapun tujuan penelitian ini Untuk mengetahui gambaran rehabilitasi pasien stroke selama masa pandemi Covid-19. Metode: Review ini menggunakan metodologi penelitian integrative review yang dimodikasi oleh Whittemore & Knafl, (2005), Pencarian literatur dilakukan pada 5 database yaitu PubMed, Science Direct, ProQuest, Cochrane Library dan DOAJ dengan kriteria inklusi berbahasa inggris, diterbitkan antara tahun 2020 sampai 2022, berfokus pada stroke, rehabilitasi pasien stroke dan pandemi Covid 19 dan penelitian original. Penilaian publikasi menggunakan penilaian kritis yang dirancang oleh Bowling, (2001). Hasil: 10 artikel dimasukkan dalam analisis. Didapatkan rehabilitasi pasien stroke selama pandemi Covid-19 yaitu, pertama: Perubahan sistem layanan rehabilitasi, Kedua: adanya hambatan rehablitasi pasien stroke selama pandemi covid-19 seperti beban kerja keluarga semakin bertambah, kurangnya dukungan sosial dan faktor ekonomi/kendala finansial. Ketiga: Perubahan Status fungsional pasien stroke. Kesimpulan: Gambaran rehabilitasi pasien stroke di masa pandemi Covid-19 yaitu perubahan sistem layanan rehabilitasi,  adanya hambatan rehabilitasi pasien stroke selama pandemi covid-19 seperti beban kerja keluarga semakin bertambah, kurangnya dukungan sosial dan faktor ekonomi/kendala finansial dan perubahan staus fungsional pasien stroke

EFEKTIVITAS PERILAKU CERDIK DAN PATUH CEGAH STROKE BERULANG

The impact of recurrent stroke is heavier than the first attack because it increases mortality and disability which adds to the economic burden, decreases the quality of life of post-stroke patients. Lifestyle changes that cause recurrent stroke have an impact on reducing human resource productivity. The government program through GERMAS, namely CERDIK and PATUH programs was modified by researchers to prevent recurrent strokes by behaving in a healthy behavior used online and offline booklet media. This study aims to determine the effectiveness of providing health education on the CERDIK and PATUH lifestyle to prevent recurrent stroke in post-stroke patients. This research design was quasi-experiment pre and post-test without control. Sampling was done using the non-probability sampling technique by accidental sampling. The sample in this study amounted to 20 respondents. The questionnaire used was the questionnaire on the health behavior of CERDIK and PATUH to prevent recurrent strokes and the risk form for stroke events. The statistic test used Wilcoxon with the value of p=0.002 (p < 0.05) which means there is an effect of education on the behavior of stroke sufferers in preventing recurrent stroke. Then the risk of stroke event with the value of p=0.001 (p < α) which means there is an effect of education on preventing the risk of recurrent stroke. Therefore, it is hoped that post-stroke patients can be given health education on the CERDIK and PATUH behavior to prevent recurrent strokes

The Efektivitas Perilaku Cerdik dan Patuh untuk Mencegah Stroke Berulang

Introduction; the impact of repeated strokes is heavier because it increases mortality and disability which adds to the economic burden, decreasing the quality of life of post-stroke patients. Aim; know the effectiveness of providing health education about a CERDIK and PATUH lifestyle in preventing recurrent strokes. Method; This type of research is a quasi-experimental pre and post-test without control. Test using Wilcoxon. Result; shows that there is an effect of education on the behavior of stroke sufferers in preventing recurrent stroke attacks and there is an effect of education on the prevention of the risk of recurrent stroke. Conclusion; There is an effect of providing education on a healthy lifestyle, BE AWARE, and MODIFY to prevent recurrent strokes on the behavior of stroke sufferers and the risk of recurrent stroke eventsPengantar; dampak stroke berulang lebih berat karena meningkatkan mortalitas dan kecacatan yang menambah beban ekonomi, menurunkan kualitas hidup pasien pasca stroke. Tujuan; mengetahui efektivitas pemberian penyuluhan kesehatan tentang pola hidup CERDIK dan PATUH dalam mencegah stroke berulang. Metode; Jenis penelitian ini adalah quasi eksperimen pre dan post-test without control. Uji menggunakan Wilcoxon.  Hasil; menunjukkan ada pengaruh pendidikan terhadap perilaku penderita stroke dalam mencegah serangan stroke berulang dan adanya pengaruh pendidikan terhadap pencegahan risiko stroke berulang. Kesimpulan; Ada pengaruh pemberian edukasi pola hidup sehat CERDIK dan PATUH modifikasi cegah stroke berulang terhadap perilaku penderita stroke serta terhadap risiko kejadian stroke berulan

Effectiveness of Behaviour Cerdik and Patuh to Prevent Recurrent Stroke

Introduction; the impact of repeated strokes is heavier because it increases mortality and disability which adds to the economic burden, decreasing the quality of life of post-stroke patients. Aim; know the effectiveness of providing health education about a CERDIK and PATUH lifestyle in preventing recurrent strokes. Method; This type of research is a quasi-experimental pre and post-test without control. Test using Wilcoxon. Result; shows that there is an effect of education on the behavior of stroke sufferers in preventing recurrent stroke attacks and there is an effect of education on the prevention of the risk of recurrent stroke. Conclusion; There is an effect of providing education on a healthy lifestyle, BE AWARE, and MODIFY to prevent recurrent strokes on the behavior of stroke sufferers and the risk of recurrent stroke event