Search Repository Universitas Fort De Kock

Stroke, atau cedera cerebrovaskuler (CVA) adalah kehilangan fungsi otak diakibatkan berhentinya suplai darah ke bagian otak, mengakibatkan gangguan fungsional gerak tubuh manusia bahkan sampai menimbulkan kematian. Salah satu cara untuk mengembalikan fungsional tubuh adalah dengan fisioterapi. Penelitian dilakukan pada Oktober sampai November 2016 di Rumah Sakit Stroke Nasional Bukittinggi, bertujuan untuk mengetahui apakah ada pengaruh dukungan, pengetahuan, sikap keluarga dan umur, jenis kelamin, pendidikan pasien dengan kemandirian Activity of Daily Living (ADL) pasien pasca stroke. Desain penelitian cross sectional, tehnik pengambilan sampel accidental sampling dengan 100 responden. Variabel dependen kemandirian ADL pasien pasca stroke dan variabel independen dukungan, pengetahuan dan sikap keluarga, serta variable covariat umur, jenis kelamin dan pendidikan pasien. Analisis data yang dilakukan adalah univariat, bivariat dan multivariat mengunakan chi squere. Hasil penelitian 63% pasien berumur tua, 62% jenis kelamin pasien laki-laki, 68% pasien berpendidikan tinggi. Dukungan keluarga negatif 55%, pengetahuan keluarga kategori rendah 57% dan sikap keluarga negatif 55%. Kemandirian ADL di ukur dengan Indeks Barthel tidak mandiri 57%. Hasil uji statistik ada hubungan signifikan umur pasien, dukungan keluarga dan sikap keluarga dengan kemandirian ADL, (p=0,001, OR 4,275), (p=0,004, OR 3,656) dan (p=0,000, OR 6,462). Analisis multivariat didapatkan sikap keluarga yang paling mempengaruhi kemandirian ADL pasien pasca stroke, p value = 0,000, < 0,05, OR 5,7. Sikap keluaraga memiliki pengaruh yang dominan dari semua variabel untuk mempengaruhi kemandirian ADL. Untuk itu disarankan kepada profesi fisioterapi meningkatkan exercise, edukasi dan komunikasi terhadap pasien dan keluarga pasien pasca stroke demi mengoptimalkan kemandirian ADL.

Stroke, or cerebrovascular injury (CVA) is a loss of brain function caused by the cessation of blood supply to part of the brain, which can cause functional disorders of human body movement even cause death. One way to restore the function of body is have to do fisiotherapy. National Stroke Hospital of Bukittinggi is a regional reference of Sumatra to the stroke patients. This research was conducted in October to November 2016 at National Stroke Hospital of Bukittinggi, aimed to determine whether there is influence of support, knowledge, attitude of family and age, gender, education of patient to the independence of the Activity of Daily Living (ADL) post stroke patients. The design of research is cross sectional, technique accidental sampling, with 100 respondents. Dependent variable is independence of the ADL post stroke patients and the independent variable are support, knowledge and attitudes of family, as well as covariat variable is the age, gender and patient education. The analysis of data are univariate, bivariate and multivariate analyzes with using the chi squere.. The results of research 63% of patients are old age, 62% gender of the patients are male, 68% of patients are highly educated. Negative support of family 55%, lower category knowledge of family 57% and negative attitudes of family 55%. Independence of Activity of Daily Living (ADL) is measured by the Barthel Index who is not independent 57 %. Statistical analysis show that there is a significant correlation between the age of the patient, family support and family attitude with independence of the ADL (p = 0.001, OR 4.275), (p = 0.004, OR 3.656), (p = 0.000, OR 6.462). Multivariate analysis attitude of family is most significan correlation to influence independence of the ADL post stroke patients, p value = 0.000, <0.05, OR 5.7. Family attitude have a dominan relationship from the all variable to influence the independence of the ADL. It is recommended to the profession of Fisiotherapy to improve exercise, education and communication to patients and families patients with post stroke to optimize post stroke patients ADL independence.