The Readiness of Discharge planning in Aspects of Caregiver Involvement among Caring for the Elderly with Stroke

Lita Heni Kusumawardani(1*), Rahmi Setiyani(2), Asep Iskandar(3), Pramono Pramono(4), Dwi Ichsan Supardi(5)


(1) Fakultas Ilmu-ilmu Kesehatan, Universitas Jenderal Soedirman; Pusat Unggulan IPTEK Perguruan Tinggi (PUI- PT) Centre of Applied Sciences for Pharmaceutical and Health, Universitas Jenderal Soedirman
(2) Fakultas Ilmu-ilmu Kesehatan, Universitas Jenderal Soedirman
(3) Fakultas Ilmu-ilmu Kesehatan, Universitas Jenderal Soedirman
(4) RSUD Prof. Dr. Margono Soekarjo Purwokerto
(5) Fakultas Ilmu-ilmu Kesehatan, Universitas Jenderal Soedirman
(*) Corresponding Author

Abstract


The elderly with stroke depend on the people around them, so caregivers must be around the patient. Its readiness to care for the elderly with a stroke can cause the treatment to be not optimal so that it pays attention to the needs of the elderly. This study aimed to determine the readiness of discharge planning in the aspect of the involvement of elderly caregivers with stroke. The study was carried out within eight months. This type of research is descriptive exploratory with a cross-sectional study design and uses a purposive sampling method for 102 respondents with criteria that match the research sample. The inclusion criteria were that the respondent is the main caregiver for the elderly with stroke. Data analysis in this study used univariate analysis and data collection tools like questionnaires. The questionnaire was declared valid and reliable (r-value > 0.361; Cronbach's alpha = 0.811). The respondents (caregivers) in this study obtained results with an age range of 17 to 74 years, and the median value of the respondent's age data is 43 years. The elderly age ranges from 60 to 88 years, and the median value of the respondent's age data is 67 years. The client's length of stay is in the range of 3-14 days, with a median value of 5 days of treatment. The description of the implementation of the readiness discharge planning in the aspect of caregiver involvement in caring for the elderly with stroke is in a good category, as many as 60 people (58.82%). Nurses are expected to maintain and improve discharge planning services for caregivers, especially stroke patients, to improve nursing care and quality of life for stroke patients.

Keywords


Caregiver; discharge planning; elderly; stroke

Full Text:

PDF

References


Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. AHA Statistical Update Heart Disease and Stroke Statistics — 2016 Update A Report From the American Heart Association WRITING GROUP MEMBERS. 2016. https://doi.org/10.1161/CIR.0000000000000350.

Gertrude N, Kawuma R, Nalukenge W, Kamacooko O, Yperzeele L, Cras P, et al. Caring for a stroke patient : The burden and experiences of primary caregivers in Uganda – A qualitative study 2019:1551–8. https://doi.org/10.1002/nop2.356.

Hekmatpou D, Baghban EM, Dehkordi LM. The effect of patient care education on burden of care and the quality of life of caregivers of stroke patients 2019:211–8.

Laporan_Nasional_RKD2018_FINAL.pdf n.d.

Kemenkes RI. Kementerian Kesehatan Republik Indonesia 2013. https://doi.org/351.077 Ind r.

Dinas Kesehatan Kabupaten Banyumas. Profil Kesehatan Kabupaten Banyumas tahun 2017. Purwokerto: 2018. https://doi.org/10.1016/j.jim.2005.11.005.

Lannin NA, Clemson L, Drummond A, Stanley M, Churilov L, Laver K, et al. Effect of occupational therapy home visit discharge planning on participation after stroke : protocol for the HOME Rehab trial 2021:1–8. https://doi.org/10.1136/bmjopen-2020-044573.

Tyagi S, Choon G, Koh H, Luo N, Tan KB, Hoenig H, et al. Role of caregiver factors in outpatient medical follow up post stroke : observational study in Singapore 2021:1–17. https://doi.org/10.1186/s12875-021-01405-z.

Lippman JM, Smith SNC, McMurry TL, Sutton ZG, Gunnell BS, Cote J, et al. Mobile Telestroke During Ambulance Transport Is Feasible in a Rural EMS Setting: The iTREAT Study. Telemedicine and E-Health 2016;22:507–13. https://doi.org/10.1089/tmj.2015.0155.

Jia H, Lubetkin EI, DeMichele K, Stark DS, Zack MM, Thompson WW. Prevalence, risk factors, and burden of disease for falls and balance or walking problems among older adults in the U.S. Prev Med (Baltim) 2019;126:105737. https://doi.org/https://doi.org/10.1016/j.ypmed.2019.05.025.

de Azeredo Passos VM, Giatti L, Bensenor I, Tiemeier H, Ikram MA, de Figueiredo RC, et al. Education plays a greater role than age in cognitive test performance among participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). BMC Neurol 2015;15:191. https://doi.org/10.1186/s12883-015-0454-6.

Erawantini F, Karimah RN, Program H, Polytechnic S. EARLY WARNING SYSTEMS ( E-WARS ) DESIGN FOR EARLY DETECTION OF STROKE 2018:2–6.

Id JDMV, Id MM, Nijland RHM, Goedhart QS, Konijnenbelt M, Mulder H, et al. Caregiver-mediated exercises with e-health support for early supported discharge after stroke ( CARE4STROKE ): A randomized controlled trial 2019;8:1–15. https://doi.org/10.1371/journal.pone.0214241.

Andrew BY, Stack CM, Yang JP, Dodds JA. mStroke: “Mobile Stroke”—Improving Acute Stroke Care with Smartphone Technology. Journal of Stroke and Cerebrovascular Diseases 2017;26:1449–56. https://doi.org/10.1016/J.JSTROKECEREBROVASDIS.2017.03.016.

Reeves MJ, Hughes AK, Woodward AT, Freddolino PP, Coursaris CK, Swierenga SJ, et al. Improving transitions in acute stroke patients discharged to home : the Michigan stroke transitions trial ( MISTT ) protocol 2017:1–16. https://doi.org/10.1186/s12883-017-0895-1.

Kavga A, Govina O, Galanis P, Kalemikerakis I, Vlachou E, Fotos N, et al. Determinants of Health Promotion Behaviors among Family Caregivers of Stroke Survivors 2021:1–16.

Chiang L, Shyu Y, Lee T. A home-based training programme improves family caregivers ’ oral care practices with stroke survivors : a randomized controlled trial 2016;2011. https://doi.org/10.1111/idh.12138.

Oni OD, Olagunju AT. Predictors of caregiver burden after stroke in Nigeria : Effect on psychosocial well being 2019. https://doi.org/10.4103/psychiatry.IndianJPsychiatry.

Ariska YN, Handayani PA, Hartati E. Faktor yang Berhubungan dengan Beban Caregiver dalam Merawat Keluarga yang Mengalami Stroke 2020;3:52–63.

Sastroasmoro S. Dasar-dasar metodologi penelitian klinis. 4th editio. Sagung Seto; 2011.

Kowitt SD. Community Health Workers as Agents of Health Promotion : Analyzing Thailand ’ s Village Health Volunteer Program 2015:780–8. https://doi.org/10.1007/s10900-015-9999-y.

Ishigami A, Yokota C, Nishimura K, Ohyama S, Tomari S, Hino T, et al. Delivering Knowledge of Stroke to Parents Through Their Children Using a Manga for Stroke Education in. Journal of Stroke and Cerebrovascular Diseases 2017;26:431–7. https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.10.005.

Zhang MWB, Ho CM. Smartphone Applications Providing Information about Stroke : Are We Missing Stroke Risk Computation Preventive Applications ? 2017;19:115–6.

Potter, S & Perry H. Fundamental of Nursing. 8th ed. Missoury: Mosby Elsevier; 2013.

Nogueira RG, Silva GS, Lima FO, Yeh Y, Fleming C, Branco D, et al. The FAST-ED App : A Smartphone Platform for the Field Triage of Patients With Stroke 2017:1–8. https://doi.org/10.1161/STROKEAHA.116.016026.

Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar. 2013.

Treskes RW, Gielen W, Wermer MJ, Grauss RW, van Alem AP, Dehnavi RA, et al. Mobile phones in cryptogenic strOke patients Bringing sIngle Lead ECGs for Atrial Fibrillation detection (MOBILE-AF): Study protocol for a randomised controlled trial. Trials 2017;18:1–9. https://doi.org/10.1186/s13063-017-2131-0.

Ayu K, Achjar1 H, Kusumawardani LH, Astiti S, Parashita P. Health Status of Older Adults with Hypertension after Family and Cadre Empowerment through Comprehensive Care. n.d.

Ebrahimi B, Adib-Hajbaghery M. Effect of benson’s relaxation technique on anxiety in family caregivers of patients with cancer: A randomized controlled trial. Nurs Midwifery Stud 2022;11:37–43. https://doi.org/10.4103/nms.nms_22_21.

Halket D, Singer J, Balucani C, Stefanov D, Levine SR. Mobile Applications for Stroke Prevention: A Survey of Physicians’ Perspectives. J Mob Technol Med 2017;6:7–13. https://doi.org/10.7309/jmtm.6.3.3.

Jauhar M, Kusumawardani LH. E-Ways ( Early Warning System ): A Literature Study of Smartphone Application-Based Stroke Early Detection 2020.

Nuriyanto A, Rahayuwati L. Family Nursing as an Improvement Strategy of Family Health Index in Indonesia: A Literature Review. Asian Community Health Nursing Research 2019:7. https://doi.org/10.29253/achnr.2019.1721.

Kang Y, Suh YK, Debele L, Juon H, Christian P. Effects of a community-based nutrition promotion programme on child feeding and hygiene practices among caregivers in rural Eastern Ethiopia 2016;20:1461–72. https://doi.org/10.1017/S1368980016003347.

Falk NL, Johnson W. Strategic Planning and Doctor Of Nursing Practice Education : Developing Today ’ s and Tomorrow ’ s Leaders 2015;33:246–53.

Dodson S, Klassen KM, McDonald K, Millard T, Osborne RH, Battersby MW, et al. HealthMap: A cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV. BMC Infect Dis 2016;16:1–12. https://doi.org/10.1186/s12879-016-1422-5.

Meng R, Li J, Zhang Y, Yu Y, Luo Y, Liu X, et al. Evaluation of patient and medical staff satisfaction regarding health care services in Wuhan public hospitals. Int J Environ Res Public Health 2018;15:1–18. https://doi.org/10.3390/ijerph15040769.

S AH. Measuring patient ’ s satisfaction of healthcare services in the UAE hospitals : Using SERVQUAL 2018;11.

Bulechek, G.M., Butcher, H.K., Dochterman JM. Nursing interventions classification (6th Ed). United Stated of America, USA: Elsevier Mosby; 2013.

Kim HJ, Lee Y, Sohng K-Y. Effects of Bilateral Passive Range of Motion Exercise on the Function of Upper Extremities and Activities of Daily Living in Patients with Acute Stroke. J Phys Ther Sci 2014;26:149–56. https://doi.org/10.1589/jpts.26.149.


Article Metrics

Abstract view : 292 times
PDF - 5 times

DOI: https://doi.org/10.26714/mki.6.1.2023.9-17

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Lita Heni Kusumawardani, Rahmi Setiyani, Asep Iskandar, Pramono Pramono, Dwi Ichsan Supardi

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:

              

 

View My Stats 

Universitas Muhammadiyah Semarang and PPNI Jawa Tengah

Kedungmundu Raya No. 18 Semarang NRC Building Universitas Muhammadiyah Semarang

Phone: 02476740287
Fax: 02476740287
Email: [email protected]