Background: The increasing of stroke prevalence is high year by year, and Indonesia is the number one for cause of mortality. After three months, stroke survivors require long-term care. A stroke is a lifelong change for both the stroke survivor and the family. Family caregiver is included in multidisciplinary that should provide the patients with stroke because of the unique demands on that population. There is lack of study about stroke care in Indonesia.Objective: to explore the role and function of family in care of patients with stroke in community, Indonesia.Method: A critical ethnography design used in this study to explore and critically analyze role and function of family in care of patients with stroke in community. There were 15 key informants (family caregivers) in this study using purposive sampling. Content analysis was used to answer the research question.Result: Daily care activity, spiritual activity, rehabilitation and offering medicine, decision maker, and financial support are the role and function of family in care of patients with stroke in community setting.Conclusion: Family caregivers are playing an important role in caring for their relatives who have suffered from strokes. They should work together with health workers to help the patient for enhancing the quality of life of patient.
ABSTRAKKematian dan morbiditas banyak disebabkan oleh stroke. Di ASEAN, stroke penyebab utama kematian keempat dan Indonesia nomor satu. Kalimantan Selatan merupakan empat besar untuk prevalensi di Indonesia. Pasien stroke memerlukan perawatan jangka panjang di rumah dan kualitas hidup mereka baik jika mendapat perawatan dan dukungan yang tepat dari caregiver. Sehingga kualitas hidup caregiver juga perlu diperhatikan. Tujuan penelitian ini untuk mengetahui supportive care needs pada keluarga pasien stroke saat merawat di rumah. Penelitian deskriptif digunakan di klinik syaraf, dengan 112 responden dan menggunakan kuesioner. Analisa data adalah distribusi frekuensi. Hasil penelitian ini supportive care needs pada caregivers di masyarakat berada pada tingkat sedang (100%, n = 112); Dengan domain emosional (27.11 ± 8,47), domain psikososial (26,84 ± 6,36), domain informasi (23,74 ± 4,20), domain praktek (16,3 ± 4,24), domain spiritual (6,43 ± 1,30), dan domain fisik (3,06 ± 1,17). Perawat di komunitas perlu memperbaiki kualitas dan sistem perawatan kesehatan untuk membantu caregiver dalam merawat pasien dengan perawatan jangka panjang.Kata-kata kunci: keluarga pasien stroke; komunitas; supportive care needs.ABSTRACTMortality and morbidity were caused by stroke. In ASEAN, stroke is the fourth leading and Indonesia is number one. South Kalimantan is the top four for high prevalence in Indonesia. Stroke patients require long-term care at their home and their quality of life will be good if they get the appropriate long-term care and support from caregivers. Quality of life of caregivers also need to be considered. The purpose of study was to determine the supportive care needs of stroke caregivers when take care at home. A descriptive study used at neurological clinic, with 112 caregivers, and using questionnaire. Data analysis used frequency distribution. The results showed that the supportive care needs among stroke caregivers in the community is at a moderate level (100%, n = 112); with emotional domain (27.11 ± 8.47), psychosocial domain (26.84 ± 6.36), informational domain (23.74 ± 4.20), practice domain (16.3 ± 4.24), spiritual domain (6.43 ± 1.30), and physical domain (3.06 ± 1.17). Nurses in the community need to improve the quality and the health care system to help stroke caregivers in taking care for long term. Keywords: community; stroke caregiver; supportive care needs
Introduction: In patients with type 2 diabetes mellitus (DM), sufficient knowledge and behavior are important for adherence to the lifelong treatment. The aim of this study is to measure the correlation between knowledge and behavior about the treatment of DM in diabetic patients in Kelurahan Cempaka.Methods: This is a cross-sectional study using a simple random sampling technique, with a total of 60 participants. We used a questionnaire on patients’ knowledge and behavior pertaining the treatment of type 2 DM.Result: From this study, we found that there is a significant correlation between knowledge and behaviour regarding the treatment in patients with type 2 DM (p<0.001).Conclusion: Knowledge has an important role in tailoring people’s behavior to carry out appropriate treatment in order to optimize the health status.
Background: Emergency nursing service system requires the role of nurses who are able to pay attention to the behavior of caring and patient comfort. Caring in an emergency room is an important aspect in lifesaving procedures. It might impact the psychology of patients if nurses are not caring. Caring behavior and comfort given by nurses can also affect to patient satisfaction. Patient satisfaction is considered important as a bridgehead for the treatment of patients.Objective: The purpose of this study is to determine the relationship between caring behavior and comfort with patient satisfaction in the emergency room, Ratu Zalecha Hospital, South Kalimantan, Indonesia.Method: This was an analytic correlational study with cross-sectional approach involved 341 patients in the emergency unit using consecutive sampling. Four questionnaires were used to measure the characteristics of the respondent, the nurse caring behavior, comfort given by the nurses, and patient satisfaction. Data were analyzed using descriptive statistics for respondents’ characteristic, and chi-square to analyze the relationship between variables. Result: There were 285 respondents (92.8%) who received nurses’ caring behaviors were satisfied, and 268 respondents (87.3%) stated that the nurses were able to provide comfort in nursing care in the emergency room.Conclusion: This study revealed that there was a relationship between caring behavior, and comfort with patient satisfaction. It tells that caring and comfort are very important components that influence the satisfaction of patients. Therefore, the role of nurse to provide caring and comfort for the patients in the future should be developed along with the development of science and technology and society's demands.
95% of stroke attacks happen in the community. Families, therefore, become the first responders for giving early care to patients when they have a stroke attack. This care can be very influential for stroke patients. This study aimed to explore the kinds of early handling of stroke patients given by families at home. This was a qualitative study with a phenomenology design, and there were six key informants (families which gave early care after strokes) recruited in this study. The data were collected through in-depth interviews and focus group discussions from November 30, 2019 to March 18, 2020. Data were analyzed by content analysis including through matrix, typology, and thematic analysis. Three themes and three stages of early handling of stroke in homes were identified in this study. The early handlings of stroke included medical handling, traditional handling, and combination handling. The early handling stages were stroke symptoms detection, contacting the medical or non-medical staff, and taking patients to the public health facility. The family had enough knowledge about the early handling of stroke. Families should be aware of stroke symptoms so that they can determine the right decision for patients, to reduce the risk of disability and mortality. Keywords: stroke, early handling, family, community
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