Skip to main content Skip to main navigation menu Skip to site footer

The effect of self-management interventions on improving the capability of daily living activities (ADL) in stroke patients: a systematic review



Abstract

Introduction: Physical problems encountered in stroke patients such as a physical disorder, facial paralysis, and speech disorders. The weakness of the patient's limbs causes the patient to become helpless and unable to regulate himself. The problem requires self-management as a form of adaptation to new conditions. A self-management program is very necessary to increase motivation and enthusiasm to face the condition of his physical weakness after a stroke, to increase the spirit of physical activity. Self-management is a provision for stroke patients and their families to prepare themselves in managing themselves and managing post-stroke diseases. Thus this article is aimed to report the effect of self-management interventions on improving the capability of daily living activities (ADL) in stroke patients from several research.

Methods: Researchers search for data sources using two databases, namely ProQuest and Ebsco. The keywords used are "Stroke", "Self-Management", "Activities of Daily Living". The article was included in this article if it related to rehabilitation of stroke patients at home with self-management interventions with outcomes seen in activity daily living including the ability to ambulate, eat, dress, bathe and dress, using an observational design (Crosectional, Cohort, Case-Control), quasi-experimental, pre-experimental and RCT, and from 2015 to 2020, and using English. The article selection process was by the guidelines of the PRISMA to measure the quality of systematic reviews.

Results: From the database search, 6,749 articles were identified, then 5 articles that met the review requirements were identified. From the results of the review, it was found that self-management intervention by empowering patients through knowledge and skills of self-management, problem-solving, the importance of physical activity can help patients to increase their activity of daily living (ADL).

Conclusion: Of the 5 articles reviewed, one article reported an increase in ADL ability in walking activities. Then 4 other articles, reported an increase in ADL ability with assessment instruments using the Barthel index, Functional independent measure (FIM), Stroke impact scale (SIS). The time needed to carry out self-management interventions is 3 weeks to 6 months

Keywords: Strokes activity of daily living self-management.

References

  1. Hamjah A, Praptiwi A, Sari E. Death Anxiety in Stroke Patients. J Nurs ’Aisyiyah. 2019;6(1):27-36.
  2. Donkor ES. Stroke in the 21(st) Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2018;2018:3238165. doi:10.1155/2018/3238165
  3. Indonesian Ministry of Health. Data and Information Center of the Ministry of Health of the Republic of Indonesia. InfoDatin. Published online 2014.
  4. Zhu M, Zhou H, Zhang W, et al. Stigma experienced by Chinese patients with stroke during inpatient rehabilitation and its correlated factors: a cross-sectional study. Top Stroke Rehabil. 2019;26(5):342-348. doi:10.1080/10749357.2019.1605759
  5. RI K. Hasil analisis RISKESDAS. RISKESDAS. Published online 2018.
  6. Rudini D, Mulyani S. Analisis Kebutuhan Perawatan Dirumah Bagi Klien Dengan Stroke di RSUD Raden Mataher Jambi. J Ilm Ilmu Terap Univ Jambi|JIITUJ|. 2019;3(1 SE-):1-9. doi:10.22437/jiituj.v3i1.7336
  7. Kirkevold M. The Role of Nursing in the Rehabilitation of Stroke Survivors An Extended Theoretical Account. ANS Adv Nurs Sci. 2010;33:E27-40. doi:10.1097/ANS.0b013e3181cd837f
  8. Handoko K. Design of a mobile application to guide the rehabilitation of stroke patients at home. Multimedia Nusantara University. Published 2017. Accessed September 17, 2020. https://kc.umn.ac.id/2920/
  9. Anderson E. Qualitative Study: Motivation of Post-Stroke Rehabilitation after Discharge from Hospital. Abstr Proc Int Sch Conf. 2018;6(1 SE-):69. doi:10.35974/isc.v6i1.1341
  10. Chumbler NR, Li X, Quigley P, et al. A randomized controlled trial on Stroke telerehabilitation: The effects on falls self-efficacy and satisfaction with care. J Telemed Telecare. 2015;21(3):139-143. doi:10.1177/1357633X15571995
  11. Chayati N, Setyopranoto I, Effendy C. THE EFFECTIVENESS OF HOME-BASED CARE INTERVENTIONS FOR STROKE SURVIVORS: A SYSTEMATIC REVIEW OF PHYSICAL AND PSYCHOLOGICAL OUTCOMES. Malaysian J Public Heal Med. 2020;20:199-219. doi:10.37268/mjphm/vol.20/no.1/art.106
  12. Sit JW, Chair SY, Choi KC, et al. Do empowered stroke patients perform better at self-management and functional recovery after a stroke? A randomized controlled trial. Clin Interv Aging. 2016;11:1441-1450. doi:10.2147/CIA.S109560
  13. Fletcher S, Kulnik ST, Demain S, Jones F. The problem with self-management: Problematising self-management and power using a Foucauldian lens in the context of stroke care and rehabilitation. PLoS One. 2019;14(6):e0218517. doi:10.1371/journal.pone.0218517
  14. Fryer CE, Luker JA, Mcdonnell MN, Hillier SL. Self-management programs for quality of life in people with stroke. Cochrane Database Syst Rev. 2013;2013(3):266-267. doi:10.1002/14651858.CD010442
  15. Wolf TJ, Spiers MJ, Doherty M, Leary E V. The effect of self-management education following mild stroke: an exploratory randomized controlled trial. Top Stroke Rehabil. 2017;24(5):345-352. doi:10.1080/10749357.2017.1289687
  16. Marlina H, Hamzah SN. ACTIVITY DAILY LIVING (ADL) PADA PASIEN STROKE ISKEMIK DI RUANG INSTALASI REHABILITASI MEDIK RSUD ARIFIN ACHMAD PROPINSI RIAU TAHUN 2015. J ilmu dan Teknol Kesehat. 2015;063:2-10. http://ojs.stikesbhamadaslawi.ac.id/index.php/jik/article/view/39/37
  17. Lee D, Fischer H, Zera S, Robertson R, Hammel J. Examining a participation-focused stroke self-management intervention in a day rehabilitation setting: a quasi-experimental pilot study. Top Stroke Rehabil. 2017;24(8):601-607. doi:10.1080/10749357.2017.1375222
  18. Chen L, Chen Y, Chen X, Shen X, Wang Q, Sun C. Longitudinal Study of Effectiveness of a Patient-Centered Self-Management Empowerment Intervention During Predischarge Planning on Stroke Survivors. Worldviews evidence-based Nurs. 2018;15(3):197-205. doi:10.1111/wvn.12295
  19. Preston E, Dean CM, Ada L, et al. Promoting physical activity after stroke via self-management: a feasibility study. Top Stroke Rehabil. 2017;24(5):353-360. doi:10.1080/10749357.2017.1304876
  20. Harel-Katz H, Adar T, Milman U, Carmeli E. Examining the feasibility and effectiveness of a culturally adapted participation-focused stroke self-management program in a day-rehabilitation setting: A randomized pilot study. Top Stroke Rehabil. 2020;27(8):577-589. doi:10.1080/10749357.2020.1738676
  21. Karunia. E. Hubungan antara dukungan keluarga dengan kemandirian Activity of Daily Living Pascastroke. 2016;(July):213-224. doi:10.20473/jbe.v4i2.2016.213
  22. Wardhani IO, Martini S. Hubungan Antara Karakteristik Pasien Stroke dan Dukungan Keluarga dengan Kepatuhan Menjalani Rehabilitasi. J Berk Epidemiol. 2015;3(1):24-34.
  23. Yuniarti II, Kariasa IM, Waluyo A. Efektifitas Intervensi Self-Management pada Pasien Stroke. J Keperawatan Glob. 2020;5(1):6-17. doi:10.37341/jkg.v5i1.94
  24. Pearce G, Pinnock H, Epiphaniou E, et al. Experiences of Self-Management Support Following a Stroke: A Meta-Review of Qualitative Systematic Reviews. PLoS One. 2015;10(12):e0141803. doi:10.1371/journal.pone.0141803
  25. Handayani. Self management in stroke patients. Proc Natl Semin Nurs “Development Self Manag Heal Training.” Published online 2018:18-21.
  26. Ngatini N, Wardaningsih S, Afandi M. The Effect of Self-Sustaining Exercise and Range of Motion Exercise Through Discharge Planning on Changes in Daily Living Activity in Ischemic Stroke Patients. Indones J Nurs Pract. 2016;1(1):48-54.
  27. Satink T, Cup EHC, de Swart BJM, Nijhuis-van der Sanden MWG. Self-management: challenges for allied healthcare professionals in stroke rehabilitation--a focus group study. Disabil Rehabil. 2015;37(19):1745-1752. doi:10.3109/09638288.2014.976717
  28. Jones F, McKevitt C, Riazi A, Liston M. How is rehabilitation with and without an integrated self-management approach perceived by UK community-dwelling stroke survivors? A qualitative process evaluation to explore implementation and contextual variations. BMJ Open. 2017;7(4):e014109. doi:10.1136/bmjopen-2016-014109

How to Cite

Muqarrobin, A., & Chayati, N. (2021). The effect of self-management interventions on improving the capability of daily living activities (ADL) in stroke patients: a systematic review. Bali Medical Journal, 10(3), 1319–1328. https://doi.org/10.15562/bmj.v10i3.2909
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

HTML
1

Total
65

Share

Search Panel

Aoladul Muqarrobin
Google Scholar
Pubmed
BMJ Journal

Nur Chayati
Google Scholar
Pubmed
BMJ Journal