Identification Of Clinical Pathway Models To Prevent Complications And Improve The Quality Of Life Of Stroke Patients
Abstract
Stroke is a disease with high cost, high volume, and high risk. The burden of these costs will increase if you experience complications that often occur in sufferers. This study aimed to identify a clinical pathway model to prevent complications and improve the quality of life of stroke patients. This study is a quantitative descriptive study with crossectional, with 95 samples of stroke patients who have been treated for at least 1 day, can communicate 2 ways at Hospital dr. Chasbullah Abdulmadjid Bekasi City, and who have studied ethical feasibility. Participants must fill out informed consent. Data were collected using questionnaires and analyzed using univariate analysis. The results showed that the most participants were aged between 45 – 59 years (43.2%), male (61.1%). Hypertension, disease before stroke (71.9%), and 2 attacks (10.5%). (51.6%) were unaware of stroke with symptoms of muscle weakness (87.4%), (45.3%) difficulty speaking, and (17.2%) blurred vision. (46.9%) complications of paralysis. Activity daily living eating and drinking (55.8%), (58.95) personal hygiene, (62.1%) elimination, (68.4%) ambulation, (65.3%) mobilization, and (54.7%) rest/sleep should be assisted. Treatment was carried out by taking medication (89.5%) and control to health facilities (75.8%), but (75.8%) did not carry out rehabilitation and exercise (54.7%). There are still many participants who do not know about stroke well, which affects their independence in carrying out activities. Therefore, a clinical pathway model is needed that is used as a reference in providing information and education to stroke patients, to prevent complications and improve the quality of stroke patients.
Keywords
References
Almilaibary, A., El-hawary, H. M., & Alzahrani, W. S. (2022). Knowledge and Practice Concerning Hypertensive Patients towards Stroke Risk Factors and Symptoms in Albaha City Knowledge and Practice ConcerningHypertensive Patients towards Stroke Risk Factors and Symptoms in Albaha City. January 2019.
Amila, Sinaga, J., & Evarina, S. (2019). Pencegahan Stroke Berulang Melalui Pemberdayaan Keluarga Dan Modifikasi Gaya Hidup. Jurnal Abdimas, 22(2), 143–150.
Asmirajanti, M., Hamid, A. Y. S., & Hariyati, R. T. S. (2017). Clinical care pathway strenghens interprofessional collaboration and quality of health service: a literature review. Enfermería Clínica, 27, 46–50.
Badan Penelitian dan Pengembangan Kesehatan. (2018). RISKESDAS 2018. In Balitbangkes (p. 198). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Bochen Cao, Gretchen A. Stevens, J. H. and D. M. F. (2020). WHO methods and data sources for country-level causes of death. World Health Organisation, December. http://www.who.int/gho/mortality_burden_disease/en/index.html
Chen, X., Liu, L., Liu, M., Huang, X., Meng, Y., She, H., Zhao, L., Zhang, J., Zhang, Y., Gu, X., Qin, X., Zhang, Y., Li, J., Xu, X., Wang, B., Hou, F. F., Tang, G., Liao, R., Huo, Y., … Yang, L. (2021). Hypertensive retinopathy and the risk of stroke among hypertensive adults in China. Investigative Ophthalmology and Visual Science, 62(9). https://doi.org/10.1167/iovs.62.9.28
Chiangkhong, A., Suwanwong, C., & Wongrostrai, Y. (2023). Lifestyle, clinical, and occupational risk factors of recurrent stroke among the working-age group: A systematic review and meta-analysis. Heliyon, 9(3), e13949. https://doi.org/10.1016/j.heliyon.2023.e13949
Choi, H. S., Shin, W. S., & Bang, D. H. (2019). Mirror therapy using gesture recognition for upper limb function, neck discomfort, and quality of life after chronic stroke: A single-blind randomized controlled trial. Medical Science Monitor, 25, 3271–3278. https://doi.org/10.12659/MSM.914095
Datta Gupta, A., Visvanathan, R., Cameron, I., Koblar, S. A., Howell, S., & Wilson, D. (2019). Efficacy of botulinum toxin in modifying spasticity to improve walking and quality of life in post-stroke lower limb spasticity - A randomized double-blind placebo controlled study. BMC Neurology, 19(1), 1–7. https://doi.org/10.1186/s12883-019-1325-3
Donkor, E. S. (2018). Stroke in the 21 st Century: A Snapshot of the Burden, Epidemiology, and Quality of life. Stroke Research and Treatment, 10.
Fernandes, L., Santos, D., Santos, M., & Rocha, N. P. (2021). How to Improve Emergency Information Systems to Optimize the Care of Acute Stroke. Procedia Computer Science, 196(2021), 606–614. https://doi.org/10.1016/j.procs.2021.12.055
Huttami, V. T., & Hidajah, A. C. (2020). the Utilization of Golden Period of Ischemic Stroke in Patients in Productive Ages. Indonesian Journal of Public Health, 15(3), 258–265. https://doi.org/10.20473/ijph.v15i3.2020.258-265
Hyun, S. J., Lee, J., & Lee, B. H. (2021). The effects of sit-to-stand training combined with real-time visual feedback on strength, balance, gait ability, and quality of life in patients with stroke: A randomized controlled trial. International Journal of Environmental Research and Public Health, 18(22). https://doi.org/10.3390/ijerph182212229
Jackson, C. A., Sudlow, C. L. M., & Mishra, G. D. (2018). Education, sex and risk of stroke: A prospective cohort study in New South Wales, Australia. BMJ Open, 8(9). https://doi.org/10.1136/bmjopen-2018-024070
Kemenkes RI. (2019). Kemenkes RI Nomor HK.01.07/ MENKES/ 394/ 2019 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Stroke. 8(5), 55.
Kim, K. H., & Jang, S. H. (2021). Effects of task-specific training after cognitive sensorimotor exercise on proprioception, spasticity, and gait speed in stroke patients: A randomized controlled study. Medicina (Lithuania), 57(10). https://doi.org/10.3390/medicina57101098
Ladhani, N. N. N., Swartz, R. H., Foley, N., Nerenberg, K., Smith, E. E., Gubitz, G., Dowlatshahi, D., Potts, J., Ray, J. G., Barrett, J., Bushnell, C., Bal, S., Chan, W. S., Chari, R., El Amrani, M., Gandhi, S., Hill, M. D., James, A., Jeerakathil, T., … Lindsay, M. P. (2018). Canadian Stroke Best Practice Consensus Statement: Acute Stroke Management during pregnancy. International Journal of Stroke, 13(7), 743–758. https://doi.org/10.1177/1747493018786617
Lally, J., Vaittinen, A., McClelland, G., Price, C. I., Shaw, L., Ford, G. A., Flynn, D., & Exley, C. (2020). Paramedic experiences of using an enhanced stroke assessment during a cluster randomised trial: A qualitative thematic analysis. Emergency Medicine Journal, 37(8), 480–485. https://doi.org/10.1136/emermed-2019-209392
Mazidah, Z., Yasin, N. M., & Kristina, S. A. (2019). Analisis Biaya Penyakit Stroke Pasien Jaminan Kesehatan Nasional di RSUD Blambangan Banyuwangi. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice), 9(2), 76–87. https://doi.org/10.22146/jmpf.41984
Mazidah, Z., Yasin, N. M., Kristina, S. A., Hyun, S. J., Lee, J., Lee, B. H., Cumming, T. B., Churilov, L., Collier, J., Donnan, G., Ellery, F., Dewey, H., Langhorne, P., Lindley, R. I., Moodie, M., Thrift, A. G., Bernhardt, J., Pérez-De la Cruz, S., Lim, J., … Bang, D. H. (2019). Home-based rehabilitation programs on postural balance, walking, and quality of life in patients with stroke. International Journal of Environmental Research and Public Health, 25(13), 1–7. https://doi.org/10.1212/WNL.0000000000007937
Mead, G. E., Sposato, L. A., Sampaio Silva, G., Yperzeele, L., Wu, S., Kutlubaev, M., Cheyne, J., Wahab, K., Urrutia, V. C., Sharma, V. K., Sylaja, P. N., Hill, K., Steiner, T., Liebeskind, D. S., & Rabinstein, A. A. (2023). A systematic review and synthesis of global stroke guidelines on behalf of the World Stroke Organization. In International Journal of Stroke (Vol. 18, Issue 5). https://doi.org/10.1177/17474930231156753
Owolabi, M. O., Thrift, A. G., Martins, S., Johnson, W., Pandian, J., Abd-Allah, F., Varghese, C., Mahal, A., Yaria, J., Phan, H. T., Roth, G., Gall, S. L., Beare, R., Phan, T. G., Mikulik, R., Norrving, B., Feigin, V. L., on behalf of the Stroke Experts Collaboration Group, Abera, S. F., … Yperzeele, L. (2021). The state of stroke services across the globe: Report of World Stroke Organization–World Health Organization surveys. International Journal of Stroke, 16(8), 889–901. https://doi.org/10.1177/17474930211019568
Pérez-De la Cruz, S. (2020). Influence of an aquatic therapy program on perceived pain, stress, and quality of life in chronic stroke patients: A randomized trial. International Journal of Environmental Research and Public Health, 17(13), 1–12. https://doi.org/10.3390/ijerph17134796
Setyopranoto, I., Upoyo, A. S., Isworo, A., Sari, Y., & Vidyanti, A. N. (2021). Influencing Factors of Stroke Awareness Among Hypertensive Patients in Community Health Centers in Indonesia. Preprints, 1(July). https://doi.org/10.20944/preprints202106.0430.v1
Snooks, H. A., Anthony, R., Chatters, R., Dale, J., Fothergill, R., Gaze, S., Halter, M., Humphreys, I., Koniotou, M., Logan, P., Lyons, R., Mason, S., Nicholl, J., Peconi, J., Phillips, C., Phillips, J., Porter, A., Niroshan Siriwardena, A., Smith, G., … Russell, I. T. (2017). Support and assessment for fall emergency referrals (SAFER) 2: A cluster randomised trial and systematic review of clinical effectiveness and cost-effectiveness of new protocols for emergency ambulance paramedics to assess older people following a fall wi. Health Technology Assessment, 21(13), 1–218. https://doi.org/10.3310/hta21130
World Health Organization. (2019). World health statistics 2019: monitoring health for the SDGs, sustainable development goals (Vol. 8, Issue 5).
Yudiati, E. K. (2017). Rencana strategis unit pelayanan terpadu RSCM Dr . Cipto Mangunkusumo tahun 2013-2017 = Strategic planning of integrated services unit RSCM Kencana at RSUPN Dr . Cipto Mangunkusumo for 2013-2017 / Endar Kusuma Yudiati. 2017.
Zhong, L. L., Zheng, Y., Lau, A. Y., Wong, N., Yao, L., Wu, X., Shao, T., Lu, Z., Li, H., Yuen, C. S., Guo, J., Lo, S., Chau, J., Chan, K. W., Ng, B. F. L., Bian, Z., & Yu, E. C. L. (2022). Would integrated Western and traditional Chinese medicine have more benefits for stroke rehabilitation? A systematic review and meta-analysis. Stroke and Vascular Neurology, 7(1), 77–85. https://doi.org/10.1136/svn-2020-000781
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