Manajemen Fatigue Post Stroke Secara Non Fisik, Apakah Efektif

Abstract

Stroke merupakan salah satu penyebab utama kematian dan disabilitas di seluruh dunia. Salah satu komplikasi stroke adalah fatigue post stroke (FPS), dimana prevalensi berkisar 25%-85%. Mekanisme FPS belum diketahui secara pasti kemungkinan dapat disebabkan oleh fatigue fisik dan mental. Faktor-faktor yang menyebabkan FPS antara lain disabilitas fisik dan gangguan psikologi. Intervensi baik fisik maupun non fisik belum terbukti secara efektif mengatasi FPS. Tujuan dari studi ini untuk melihat keefektifan intervensi yang bersifat non fisik dalam mengatasi FPS. Studi ini merupakan literature review dengan pencarian artikel menggunakan database Scopus, Ebsco, dan Science Direct dengan kata kunci fatigue post stroke, non-physical intervention, dan stroke management. Kriteria inklusi adalah jurnal full text dalam Bahasa inggris, intervensi pada manusia, penelitian Randomize Control Trial (RCT) atau Quasi experiment, jurnal yang terbit dari tahun 2015-2020 dan penelitian yang mengukur tingkat FPS sebagai tujuan utamanya. Hasil studi literatur didapatkan lima artikel RCT yang sesuai kriteria inklusi, dari kelima artikel didapatkan tiga jenis intervensi yaitu obat psikostimulan, Traditional Chinese Medicine (TCM) dan intervensi psikologi. Meskipun tidak semua intervensi menunjukkan hasil yang signifikan, intervensi dengan modafinil, Cognitive Behavioral Therapy dan TCM dapat menurunkan FPS. Hasil dari telaah literatur dapat dijadikan sebagai bukti dasar dalam penanganan fatigue pada pasien post stroke. Kata-kata kunci: fatigue post stroke, intervensi non fisik, manajemen stroke ABSTRACT Stroke is one of the leading causes of death and disability worldwide. One of the complications of stroke is fatigue post stroke (FPS), where the prevalence ranges from 25% -85%. The mechanism of FPS is not established yet, it might be caused by physical and mental fatigue. Factors that causes FPS include physical disability and psychological disorders. Both physical and non-physical interventions have not been proven to be effective in treating FPS. The purpose of this study is to explore the effectiveness of nonphysical interventions in overcoming FPS. Literature review was used in this study by searching articles using the 3 database, namely Scopus, Ebsco, and Science Direct with the keywords fatigue post stroke, nonphysical intervention, and stroke management. Inclusion criteria are full text journals in English, human intervention, Randomize Control Trial (RCT) or Quasi experiment research, journals published from 2015-2020 and studies that measure FPS levels as their main objectives. The results of the literature study found five RCT articles that fit the inclusion criteria. Three types of intervention were obtained in these articles, there were psychostimulant drugs, Traditional Chinese Medicine (TCM) and psychology intervention. Although not all interventions show significant results, interventions with modafinil, Cognitive Behavioral Therapy and TCM can improve FPS. The results of the literature review can be used as evidence ba...

Management of Fatigue in Post-Stroke Patients

“…Fatigue management can be given according to the dominant complaints felt in stroke patients. Some fatigue interventions that can be given include psychological interventions by improving the mood and behavior of the patient and other therapies can also be given, such as vestibular rehabilitation related to symptoms of depression due to prolonged fatigue or the use of traditional medicines and herbs (Puspita & Kariasa, 2020;Ghaffari et al, 2022). Fatigue in stroke patients is also often associated with the treatment process for chronic diseases, which lasts a long time and requires a long period to improve the condition.…”

“…The impact of prolonged fatigue can affect physical or psychological problems, from the physical decline in Activity Daily Living (ADL) and decreased sexual activity to a periodic decrease in quality of life; another psychological impact that is no less important to be given attention is prolonged stress to cause depression (Puspita & Kariasa, 2020). Based on this, it is important to identify the proper management of fatigue in post-stroke patients, considering that fatigue during a stroke is not just about ordinary fatigue but a decrease in physical and psychological aspects that cannot be overcome by resting.…”