Hasanah, Wenny Wirdatul
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Effect of Community-Based Rehabilitation on Caregivers of Palliative Stroke and Geriatric Patients: Pilot Study Harini, Melinda; Nathania, Eugene; Meilinda, Astrid; Gandra, Agus Suwandi; Ghassani, Atika; Ayuningtyas, Putu Duhita; Hasanah, Wenny Wirdatul; Kusumaningsih, Widjajalaksmi; Sukmana, Deddy Tedja; Tamin, Tirza Zainuddin; Setiani, Maina; Yuliandra, Rofi; Lauvita, Jenny; Kweri, Kazya; Nadobudskaya, Syifa Muzalifa
Acta Neurologica Indonesia Vol. 4 No. 3 (2026): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v4i3.136

Abstract

Introduction : Community-based rehabilitation (CBR) effectively supports palliative care patients, including those with cerebrovascular disease (CVD/stroke), though impacts vary by local resources. Caregiver burden is common among families of palliative patients with cardiovascular and geriatric conditions. This study evaluated a primary health center–based CBR programme’s effects on both caregiver & patient. Objective : To describe and assess the clinical and statistical significance of CBR in reducing caregiver burden, improving quality of life (QoL), knowledge, and patient functional outcomes in palliative care. Material and methods : This retrospective study analyzed CBR data from Universitas Indonesia. Four validated tools were used: Zarit Burden Interview (ZBI), EQ-5D-5L/EQ-VAS (caregiver and patient QoL), caregiver knowledge questionnaire, Barthel Index (BI). Paired pre-post analyses were performed. Result : Most caregivers cared for post stroke patients. Caregiver EQ-VAS improved significantly (+30.56±39.25; p=0.048). Non-significant but clinically meaningful trends were observed in ZBI reduction (−4.33±8.38; p=0.159) and caregiver knowledge gain (median +7; p=0.050). Patient BI improvement (+1.78±1.30; p=0.073) and patient EQ-VAS increase (median +10; p=0.089). Discussion : CBR training enhanced caregiver QoL and produced consistent positive trends across functional and psychosocial measures for palliative patients in resource-limited community settings, suggesting clinical benefit and feasibility for primary care implementation despite limited statistical significance. Conclusion : CBR showed potential benefit in improving caregiver QoL and patient outcomes in primary palliative care. Larger prospective studies are needed.