Evaluation of caregiver intervention on recovery of patient stroke: a systematic review

Irna Megawaty; Elly Lilianty Sjattar; Andi Masyitha Irwan

doi:10.22435/hsji.v11i1.2445

Irna Megawaty
Elly Lilianty Sjattar
Andi Masyitha Irwan

DOI: https://doi.org/10.22435/hsji.v11i1.2445

Keywords: Caregiver, Nursing interventions, Stroke patients

Abstract

Latar belakang: Stroke merupakan kontributor utama pada kecacatan jangka panjang. Keadaan tersebut dapat menyebabkan kelangsungan hidup stroke bergantung pada caregiver, yang mungkin seorang profesional atau anggota keluarga, sehingga tujuan dari tinjauan literatur ini untuk memberikan informasi terkait hasil dari intervensi yang diperantarai oleh caregiver pada penderita stroke.

Metode: Systematic Review ini disusun dengan melakukan pencarian literature dengan memasukkan kata kunci yang relevan berdasarkan database PubMed, Proquest, Ebsco, Science Direct, dan Google Scholar, dengan mengikuti panduan PRISMA.

Hasil: Diperoleh 6 artikel yang sesuai dengan kriteria inklusi dan didapatkan hasil bahwa intervensi yang diperantarai caregiver dapat menurunkan tingkat keparahan dan kematian, pemulihan fungsi fisik, perubahan kemampuan fungsi kognitif, kecemasan dan kualitas hidup pada penderita stroke. Selain itu dapat meningkatkan pengetahuan, keterampilan dan kepuasan caregiver.

Kesimpulan: Perawat dapat memberdayakan caregiver dalam merawat pasien stroke dengan tujuan terjadi peningkatan pemulihan fisik, mental serta menurunkan angka kematian.

Kata Kunci: Caregiver, Intervensi keperawatan, Penderita stroke

Abstract

Background: Stroke is a major contributor to long-term disability. This situation can lead to stroke survival depending on the caregiver, who may be a professional or family member, so the purpose of this literature review is to provide information regarding the outcome of caregiver-mediated interventions in stroke patients.

Method: The Systematic Review was compiled by searching literature by entering relevant keywords based on the PubMed, Proquest, Ebsco, Science Direct, and Google Scholar databases, following the PRISMA guidelines.

Results: Obtained 6 articles that fit the inclusion criteria and found that caregiver-mediated interventions can reduce the severity and death, recovery of physical function, changes in cognitive function abilities, anxiety and quality of life in stroke patients. Moreover, it can increase knowledge, skills and caregiver satisfaction.

Conclusion: Nurses can empower caregivers in caring for stroke patients with the aim of increasing physical, mental recovery and reducing mortality.

Keywords: Caregiver, Nursing interventions, Stroke patients

References

Johnson W, Onuma O, Mayowa O, Sachdev S. Stroke: a global respon is needed. 2016;94/9/16-18.

World Health Organization. Atlas of Deaths from stroke. Geneva: WHO; 2018.

Gibson MJ, Kelly KA, Kaplan AK. Family caregiving and transitional care : a critical review. United States of America: Family Caregiver Aliance; 2012.

Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. Heart disease and stroke statistics - 2018 update: a report from the American Heart Association. Circulation. 2018. (137): 67–492 p.

Kementrian Kesehatan. HASIL UTAMA RISKESDAS 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018. Indonesian.

Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. Heart disease and stroke statistics -2014 update a report from the American Heart Association. Circulation. 2014;129:e28–292.

da Costa TF, Gomes TM, de Carvalho Viana LR, Martins KP, de Freitas Macedo Costa KN. Stroke : patient characteristics and quality of life of caregivers. 2016;69(5):877–83.

Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, et al. Management of adult stroke rehabilitation care a clinical practice guideline. AHA journals. Wangsington DC: American Herat Association, Inc; 2005. 100–143 p.

Friedman MM, Bowden VR, Jones EG. Family nursing research, theory and practice. New Jersey: Prentice Hall; 2010.

Huang H, Huang Y, Lin M, Hou W, Shyu M, Chiu H, et al. Effects of home-based supportive care improvements in physical function and depressive symptoms in stroke patients: a metaanalysis. 2017. Archives of physical medicine and rehabilitation, 98(8), 1666–1677.e1.https://doi.org/10.1016/j.apmr.2017.03.014.

Badaru UM, Ogwumike OO, Adeniyi AF, Nelson EE. Determinants of caregiving burden and quality of life of informal caregivers of African stroke survivors : literature review. 2017;16(3):249–58.

Young ME, Lutz BJ. Rethinking intervention strategies in stroke family caregiving. Rehabil Nurs. 2010;35(4).

Given B, Sherwood PR, Given CW. What knowledge and skills do caregivers. Journal of Social Work Education, 44(SUPPL. 3), 115–123. https://doi.org/10.5175/JSWE.2008.77324770.

Moher D, Liberati A, Tetzlaff JAD. PRISMA - Preferred Reporting Items for Systematic Reviews and Meta Analyses - Checklist. PLoS Med. 2009;6(6):e1000097.

Hong S, Kim C, Kim E, Joa K, Kim T, Kim S, et al. Effect of a caregiver’s education program on stroke rehabilitation. Ann Rehabil Med. 2017;41(1):16–24.

Wang T, Tsai AC, Wang J, Lin Y, Lin K, Chen JJ, et al. Caregiver-mediated intervention can improve physical functional recovery of patients with chronic stroke : a randomized controlled trial. Clin Res Artic. 2015;29(1):3–12.

Pitthayapong S, Thiangtam W, Powwattana A, Leelacharas S, Waters CM. A community based program for family caregivers for post stroke survivors in Thailand. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2017;11(2):150–7. Available from: http://dx.doi.org/10.1016/j.anr.2017.05.009

Kusuma K, Damhudi D, Yardes N, Haeriyanto S. Increase in the functional capacity and quality of life among stroke patients by family caregiver empowerment program based on adaptation model. Int J Nurs Sci [Internet]. 2018;5(4):357–64. Available from: https://doi.org/10.1016/j.ijnss.2018.09.002

Yu F, Hongyu M, Bn L, Tai C, Ting BN, Mn G, et al. Effect of family education program on cognitive impairment, anxiety, and depression in persons who have had a stroke : a randomized, controlled study. Nurs Health Sci. 2019;(June 2018):44–53.

Wang T, Tsai AC, Wang J, Lin Y, Lin K, Chen JJ, et al. Caregiver-mediated intervention can improve physical functional recovery of patients with chronic stroke : a randomized controlled trial. Neurorehabil Neural Repair. 2015;29(1):3–12.

Ahmad SA, Supandiman I, Markam S, Estiasari R, Hankey G. The effect of caregiver education program on functional independence and Mortality in first-ever stroke. Malaysian J Med Res. 2018;2(April):57–67.

Mulyatsih E, Ahmad A. Stroke: petunjuk perawatan pasien pasca stroke di rumah. Jakarta: Balai Penerbit FKUI; 2008. Indonesian.

Irdawati, Ambarwati WN. Hubungan antara pengetahuan dan sikap keluarga dengan perilaku dalam meningkatkan kapasitas fungsional pasien pasca stroke di wilayah kerja puskesmas kartasura. Ber Ilmu Keperawatan. 2009;2(2):63–8. Indonesian.

Duffy L, Gajree S, Langhorne P, Stott DJ, Quinn TJ. Reliability (Inter-rater Agreement) of the Barthel Index for assessment of stroke survivors systematic review and meta-analysis. AHA journals. 2013;44:462–8.

White CL, Cantu AG, Trevino MM. Interventions for caregivers of stroke survivors : an update of the evidence. 2015;3(3):87–95.