Studi Efektifitas Pembiayaan Itervensi Model Adaptasi Berbasis Pemberdayaan Keluarga Untuk Meningkatkan Kualitas Hidup Pasca Stroke

##plugins.themes.academic_pro.article.sidebar##

Published Mar 16, 2023
Download
pdf
Statistic

Downloads

Download data is not yet available.
Vol. 8 No. 2 (2020): Jurnal Dunia Keperawatan

##plugins.themes.academic_pro.article.main##

Kelana Kusuma Dharma
Andi Parellangi
Halina Rahayu

Abstract

Objective: The purpose of this study was to analyze the cost-effectiveness ratio of the caregiver empowerment
program based on the adaptation model in improving the functional capacity and quality of life post-stroke
compared to hospital rehabilitation programs.
Methods: This study was a quasi-experimental study with a pre-test and post-test control group design.
Researchers divided the selected sample into 2 groups: an intervention group that received CEP-BAM and a
control group that received a hospital rehabilitation program. The sampling method used was stratified
random sampling. A sample of 56 people (28 people per group) was calculated based on the sample size
formula for the hypothesis of the two independent group means.
Results: There were no significant differences in functional capacity and quality of life after a stroke before
and after treatment between the two groups. There was a significant increase in functional capacity and quality
of life after treatment in each group (p = 0.001). The cost-effectiveness ratio showed the need for funding of Rp
564,634 to improve 1 value of quality of life using CEP-BAM and Rp 566,527 using the hospital rehabilitation
programs.
Conclusion: CEP-BAM interventions and hospital rehabilitation programs showed the same cost-effectiveness
in increasing the functional capacity and the quality of life after stroke. Recommendation: CEP-BAM can be used in the post-stroke rehabilitation program, especially in areas that do
not have rehabilitation unit facilities.

##plugins.themes.academic_pro.article.details##

How to Cite
1.
Dharma KK, Parellangi A, Rahayu H. Studi Efektifitas Pembiayaan Itervensi Model Adaptasi Berbasis Pemberdayaan Keluarga Untuk Meningkatkan Kualitas Hidup Pasca Stroke. jdk [Internet]. 2023 Mar. 16 [cited 2024 May 14];8(2):208-21. Available from: https://jdk.ulm.ac.id/index.php/jdk/article/view/358

References

  1. Katan M, Luft A. Global Burden of
  2. Stroke. Semin Neurol [Internet]. 2018
  3. Apr 1 [cited 2020 Apr 10];38(2):208–11.
  4. Available from: http://www.thiemeconnect.de/DOI/DOI?10.1055/s-0038-
  5. Farzadfard MT, Sheikh Andalibi MS,
  6. Thrift AG, Morovatdar N, Stranges S,
  7. Amiri A, et al. Long-term disability after
  8. stroke in Iran: Evidence from the
  9. Mashhad Stroke Incidence Study. Int J
  10. Stroke [Internet]. 2019 Jan 17 [cited 2020
  11. Apr 10];14(1):44–7. Available from:
  12. http://www.ncbi.nlm.nih.gov/pubmed/30
  13. Das J, G.K. R. Post stroke depression:
  14. The sequelae of cerebral stroke. Neurosci
  15. Biobehav Rev [Internet]. 2018 Jul 1
  16. [cited 2020 Apr 4];90:104–14. Available
  17. from:
  18. https://www.sciencedirect.com/science/ar
  19. ticle/abs/pii/S0149763417302130?via%3
  20. Dihub
  21. Kim ES, Kim JW, Kang HJ, Bae KY,
  22. Kim SW, Kim JT, et al. Longitudinal
  23. impact of depression on quality of life in
  24. stroke patients. Psychiatry Investig
  25. Dharma K.K., Parellangi A., dan Rahayu H., Studi Efektifitas Pembiayaan Intervensi Model...
  26. [Internet]. 2018 [cited 2020 Apr
  27. ;15(2):141 –6. Available from:
  28. https://doi.org/10.30773/pi.2017.10.11
  29. Teh WL, Abdin E, Vaingankar JA, Seow
  30. E, Sagayadevan V, Shafie S, et al.
  31. Prevalence of stroke, risk factors,
  32. disability and care needs in older adults in
  33. Singapore: Results from the WiSE study.
  34. BMJ Open. 2018 Mar 1;8(3):e020285.
  35. Demaerschalk BM, Hwang HM, Leung
  36. G. US cost burden of ischemic stroke: A
  37. systematic literature review. Am J Manag
  38. Care. 2010 Jul;16(7):525–33.
  39. Rajsic S, Gothe H, Borba HH, Sroczynski
  40. G, Vujicic J, Toell T, et al. Economic
  41. burden of stroke: a systematic review on
  42. post-stroke care. Vol. 20, European
  43. Journal of Health Economics. Springer
  44. Verlag; 2019. p. 107–34.
  45. Lekander I, Willers C, Von Euler M,
  46. Lilja M, Sunnerhagen KS, PessahRasmussen H, et al. Relationship between
  47. functional disability and costs one and
  48. two years post stroke. PLoS One. 2017
  49. Apr 1;12(4).
  50. Dharma KK, Damhudi D, Yardes N,
  51. Haeriyanto S. Increase in the functional
  52. capacity and quality of life among stroke
  53. patients by family caregiver
  54. empowerment program based on
  55. adaptation model. Int J Nurs Sci
  56. [Internet]. 2018;5(4):357–64. Available
  57. from:
  58. https://doi.org/10.1016/j.ijnss.2018.09.00
  59. Cookson R, Mirelman AJ, Griffin S,
  60. Asaria M, Dawkins B, Norheim OF, et al.
  61. Using Cost-Effectiveness Analysis to
  62. Address Health Equity Concerns. Value
  63. Heal. 2017 Feb 1;20(2):206–12.
  64. Odetunde MO, Akinpelu AO, Odole AC.
  65. Validity and reliability of a NigerianYoruba version of the stroke-specific
  66. quality of life scale 2.0. Health Qual Life
  67. Outcomes. 2017 Oct 19;15(1):1 –12.
  68. González N, Bilbao A, Forjaz MJ, Ayala
  69. A, Orive M, Garcia-Gutierrez S, et al.
  70. Psychometric characteristics of the
  71. spanish version of the barthel index.
  72. Aging Clin Exp Res. 2018 Aug
  73. ;30(5):489–97.
  74. Pasanen T, Tolvanen S, Heinonen A,
  75. Kujala UM. Exercise therapy for
  76. functional capacity in chronic diseases:
  77. An overview of meta-analyses of
  78. randomised controlled trials. Vol. 51,
  79. British Journal of Sports Medicine. BMJ
  80. Publishing Group; 2017. p. 1459–65.
  81. van den Berg M, Crotty M, Liu E,
  82. Killington M, Kwakkel G, van Wegen E.
  83. Early Supported Discharge by CaregiverMediated Exercises and e-Health Support
  84. After Stroke: A Proof-of-Concept Trial.
  85. Stroke [Internet]. 2016 Jul 1 [cited 2020
  86. Apr 13];47(7):1885–92. Available from:
  87. http://www.ncbi.nlm.nih.gov/pubmed/27
  88. 5. Dauwan M, Begemann MJH, Slot MIE,
  89. Lee EHM, Scheltens P, Sommer IEC.
  90. Physical exercise improves quality of life,
  91. depressive symptoms, and cognition
  92. across chronic brain disorders: a
  93. transdiagnostic systematic review and
  94. meta-analysis of randomized controlled
  95. trials. Journal of Neurology. Dr. Dietrich
  96. Steinkopff Verlag GmbH and Co. KG;
  97. p. 1 –25.
  98. Han P, Zhang W, Kang L, Ma Y, Fu L,
  99. Jia L, et al. Clinical evidence of exercise
  100. benefits for stroke. In: Advances in
  101. Dunia Keperawatan, Volume 8, Nomor 2, 2020: 208-221
  102. Experimental Medicine and Biology.
  103. Springer New York LLC; 2017. p. 131 –
  104. Parveen S, Morrison V, Robinson CA.
  105. Does coping mediate the relationship
  106. between familism and caregiver
  107. outcomes? Aging Ment Heal. 2014 Feb
  108. ;18(2):255–9.
  109. Allen L, John-Baptiste A, Meyer M,
  110. Richardson M, Speechley M, Ure D, et al.
  111. Assessing the impact of a home-based
  112. stroke rehabilitation programme: a costeffectiveness study. Disabil Rehabil.
  113. Aug 14;41(17):2060–5.
  114. Whitehead L. Self-management
  115. programmes for quality of life in people
  116. with stroke. Int J Nurs Pract [Internet].
  117. Apr 1 [cited 2020 Apr
  118. ;24(2):e12612. Available from:
  119. http://doi.wiley.com/10.1111/ijn.12612
  120. Lian J, McGhee SM, So C, Chau J, Wong
  121. CKH, Wong WCW, et al. Long-term
  122. cost-effectiveness of a Patient
  123. Empowerment Programme for type 2
  124. diabetes mellitus in primary care.
  125. Diabetes, Obes Metab [Internet]. 2019
  126. Jan 1 [cited 2020 Apr 10];21(1):73–83.
  127. Available from:
  128. http://doi.wiley.com/10.1111/dom.13485