Rehabilitation-related knowledge correlate to visit compliance in post-ischemic stroke patients in an outpatient rehabilitation clinic

Islah Nadila; Syahrul Syahrul; Suherman Suherman; Teuku Mamfaluti; Sarah Firdausa

doi:10.15562/bmj.v10i2.2409

Rehabilitation-related knowledge correlate to visit compliance in post-ischemic stroke patients in an outpatient rehabilitation clinic

Islah Nadila ,

Syahrul Syahrul ,

Suherman Suherman ,

Teuku Mamfaluti ,

Sarah Firdausa ,

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DOI: https://doi.org/10.15562/bmj.v10i2.2409 |
Published: 2021-06-30

Abstract

Background: Stroke is a serious medical condition potential that affects humans and requires special attention. The treatment of stroke is highly dependent on patients' knowledge and adherence in undergoing rehabilitation. Knowledge about medical rehabilitation will determine the level of patients' adherence undergo medical rehabilitation. The study aimed to find the correlation between patients' knowledge and adherence to chronic stroke patients undergoing medical rehabilitation.

Methods: This is an observational analytic study conducted in the executive medical rehabilitation policlinic at dr. Zainoel Abidin Hospital. Seventy-four respondents were selected by the non-probability sampling technique and accidental sampling method. Two questionnaires were used, namely the "Overview of Familial Behaviour towards Stroke Patients in Rehabilitation Efforts" questionnaire and the "Correlation of Family Support with Stroke Patients Rehabilitation Adherence" questionnaire. Data were analyzed using Chi-Square statistical test.

Results: 45.9% of respondents had good knowledge and compliance, 23% of respondents had average knowledge and compliance, and 9.5% of the respondents had poor knowledge and compliance. Data analysis showed a significant correlation between patients' knowledge and level of adherence in undergoing medical rehabilitation.

Conclusion: Increasing patients' knowledge about medical rehabilitation is crucial to improve patient's adherence in undergoing medical rehabilitation.

References

Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2019;50(12):e344-e418.
Tini K, Samatra ID, Wiryadana KA, Supadmanaba IG. Clinical profile of patients with cerebrovascular disease at Stroke Unit, Sanglah General Hospital, Denpasar, Bali. Bali Med J. 2020;9(1):129-36.
RISKESDAS. Hasil Utama Riset Kesehatan Dasar 2018. Jakarta: Kementrian Kesehatan Republik Indonesia; 2018:1-200.
Bindawas SM, and Vishal S Vennu. Stroke rehabilitation. A call to action in Saudi Arabia. Neurosciences. 2016;21:4.
Muttaqien A. Asuhan keperawatan klien dengan gangguan sistem persarafan. Jakarta: Salemba Medika. 2008.
Dharma KK. Pemberdayaan keluarga untuk mengoptimalkan kualitas hidup pasien paska stroke: Deepublish; 2018.
Sutema I, Jaya, M., Bakta, I. Medicine reminder to improve treatment compliance on geriatric patients with diabetic neuropathy at Sanglah Central Hospital, Bali-Indonesia. Bali Med J. 2018;7.
Cole RSSJW. Smoking and stroke: the more you smoke the more you stroke, Expert Review of Cardiovascular Therapy. Expert Review of Cardiovascular Therapy. 2010;8(7):917.
Priandhini SA. Profil Pasien Lanjut Usia Dengan Stroke Yang Menjalani Rehabilitasi Di Poli Rehabilitasi Medik RSUD Dr. Soetomo Surabaya Periode 2017-2018 Hipoglikemia (Penelitian Deskriptif Retrospektif): Universitas Airlangga; 2019.
Chang WH, Shin Y-I, Lee S-G, Oh G-J, Lim YS, Kim Y-H. Characteristics of inpatient care and rehabilitation for acute first-ever stroke patients. Yonsei Med J. 2015;56(1):262.
Hong K-S, Bang OY, Kang D-W, Yu K-H, Bae H-J, Lee JS, et al. Stroke statistics in Korea: part I. Epidemiology and risk factors: a report from the korean stroke society and clinical research center for stroke. J Stroke. 2013;15(1):2.
Yu HF GN, Chen HY, Liang CP. Factors affecting stroke patients' motivations for rehabilitation. The Kaohsiung Journal of Medical Sciences. 1993;9(5):305-16.
Arianti WD. Hubungan Pengetahuan Pasien Tentang Stroke Dengan Kepatuhan Menjalani Fisioterapi Di Ruang Fisioterapi Rsud Dr. Pirngadi Medan Tahun 2016. 2020. Available from: http://ecampus.poltekkes-medan.ac.id/xmlui/handle/123456789/2388.
Handayani F. Pengetahuan tentang Stroke, Faktor Risiko, Tanda Peringatan Stroke, dan Respon Mencari Bantuan pada Pasien Stroke Iskemik. Jurnal Ilmu Keperawatan Medikal Bedah. 2019;2(2):12-21.
Silvi GS. Hubungan Dukungan Keluarga dan Pengetahuan Pasien Pasca Stroke Terhadap Kepatuhan Mengikuti Rehabilitasi di Instalasi Rehabilitasi Medik RSSN Bukittinggi Tahun 2018: Universitas Andalas; 2019.
BPJS D. Peraturan Direktur Jaminan Pelayanan Kesehatan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 5 Tahun 2018 Tentang Penjaminan Pelayanan Rehabilitasi Medik dalam Program Jaminan Kesehatan. Jakarta: Kementrian Kesehatan; 2018.
Tyas KFC, Udiyono A, Saraswati LD, Susanto HS. Hubungan Antara Rehabilitasi dan Dukungan Keluarga dengan Kejadian Stroke Berulang (Studi Kasus di RSUD Dr. Adhyatma, Tugurejo Semarang). Jurnal Kesehatan Masyarakat (Undip). 2019;7(4):728-34.
Wiryadana KA, Supadmanaba IG, Samatra DP. Progress and potential roles blood biomarkers of ischemic stroke in clinical setting. Indones J Biomed Sci. 2017;11(2):19-29.
Sridharan SE, Unnikrishnan J, Sukumaran S, Sylaja P, Nayak SD, Sarma PS, et al. Incidence, types, risk factors, and outcome of stroke in a developing country: the Trivandrum Stroke Registry. Stroke. 2009;40(4):1212-8.
Santos V, Flores L, Barros I, Farias P, Lamounier C, Casasanta R. A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report). Bali Med J. 2016;5(1):53-5.

[1] Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2019;50(12):e344-e418.

[2] Tini K, Samatra ID, Wiryadana KA, Supadmanaba IG. Clinical profile of patients with cerebrovascular disease at Stroke Unit, Sanglah General Hospital, Denpasar, Bali. Bali Med J. 2020;9(1):129-36.

[3] RISKESDAS. Hasil Utama Riset Kesehatan Dasar 2018. Jakarta: Kementrian Kesehatan Republik Indonesia; 2018:1-200.

[4] Bindawas SM, and Vishal S Vennu. Stroke rehabilitation. A call to action in Saudi Arabia. Neurosciences. 2016;21:4.

[5] Muttaqien A. Asuhan keperawatan klien dengan gangguan sistem persarafan. Jakarta: Salemba Medika. 2008.

[6] Dharma KK. Pemberdayaan keluarga untuk mengoptimalkan kualitas hidup pasien paska stroke: Deepublish; 2018.

[7] Sutema I, Jaya, M., Bakta, I. Medicine reminder to improve treatment compliance on geriatric patients with diabetic neuropathy at Sanglah Central Hospital, Bali-Indonesia. Bali Med J. 2018;7.

[8] Cole RSSJW. Smoking and stroke: the more you smoke the more you stroke, Expert Review of Cardiovascular Therapy. Expert Review of Cardiovascular Therapy. 2010;8(7):917.

[9] Priandhini SA. Profil Pasien Lanjut Usia Dengan Stroke Yang Menjalani Rehabilitasi Di Poli Rehabilitasi Medik RSUD Dr. Soetomo Surabaya Periode 2017-2018 Hipoglikemia (Penelitian Deskriptif Retrospektif): Universitas Airlangga; 2019.

[10] Chang WH, Shin Y-I, Lee S-G, Oh G-J, Lim YS, Kim Y-H. Characteristics of inpatient care and rehabilitation for acute first-ever stroke patients. Yonsei Med J. 2015;56(1):262.

[11] Hong K-S, Bang OY, Kang D-W, Yu K-H, Bae H-J, Lee JS, et al. Stroke statistics in Korea: part I. Epidemiology and risk factors: a report from the korean stroke society and clinical research center for stroke. J Stroke. 2013;15(1):2.

[12] Yu HF GN, Chen HY, Liang CP. Factors affecting stroke patients' motivations for rehabilitation. The Kaohsiung Journal of Medical Sciences. 1993;9(5):305-16.

[13] Arianti WD. Hubungan Pengetahuan Pasien Tentang Stroke Dengan Kepatuhan Menjalani Fisioterapi Di Ruang Fisioterapi Rsud Dr. Pirngadi Medan Tahun 2016. 2020. Available from: http://ecampus.poltekkes-medan.ac.id/xmlui/handle/123456789/2388.

[14] Handayani F. Pengetahuan tentang Stroke, Faktor Risiko, Tanda Peringatan Stroke, dan Respon Mencari Bantuan pada Pasien Stroke Iskemik. Jurnal Ilmu Keperawatan Medikal Bedah. 2019;2(2):12-21.

[15] Silvi GS. Hubungan Dukungan Keluarga dan Pengetahuan Pasien Pasca Stroke Terhadap Kepatuhan Mengikuti Rehabilitasi di Instalasi Rehabilitasi Medik RSSN Bukittinggi Tahun 2018: Universitas Andalas; 2019.

[16] BPJS D. Peraturan Direktur Jaminan Pelayanan Kesehatan Badan Penyelenggara Jaminan Sosial Kesehatan Nomor 5 Tahun 2018 Tentang Penjaminan Pelayanan Rehabilitasi Medik dalam Program Jaminan Kesehatan. Jakarta: Kementrian Kesehatan; 2018.

[17] Tyas KFC, Udiyono A, Saraswati LD, Susanto HS. Hubungan Antara Rehabilitasi dan Dukungan Keluarga dengan Kejadian Stroke Berulang (Studi Kasus di RSUD Dr. Adhyatma, Tugurejo Semarang). Jurnal Kesehatan Masyarakat (Undip). 2019;7(4):728-34.

[18] Wiryadana KA, Supadmanaba IG, Samatra DP. Progress and potential roles blood biomarkers of ischemic stroke in clinical setting. Indones J Biomed Sci. 2017;11(2):19-29.

[19] Sridharan SE, Unnikrishnan J, Sukumaran S, Sylaja P, Nayak SD, Sarma PS, et al. Incidence, types, risk factors, and outcome of stroke in a developing country: the Trivandrum Stroke Registry. Stroke. 2009;40(4):1212-8.

[20] Santos V, Flores L, Barros I, Farias P, Lamounier C, Casasanta R. A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report). Bali Med J. 2016;5(1):53-5.

Rehabilitation-related knowledge correlate to visit compliance in post-ischemic stroke patients in an outpatient rehabilitation clinic

Abstract

References

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