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Journal : Jurnal NERS

Development of a self-care guideline to prevent rehospitalization in stroke patients: a modified Delphi study Putra, Komang Ardidhana Nugraha; Suyasa, I Gede Putu Darma; Kamaryati, Ni Putu; Dharmapatni, Ni Wayan Kesari
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.48937

Abstract

Introduction: Since 2007, the number of stroke cases in Indonesia has continued to increase. Stroke patients who have passed the acute phase of stroke still have a risk of recurrent stroke and rehospitalization. This study aimed to develop self-care guidelines to prevent the rehospitalization of stroke patients. Methods: A three-round modified Delphi study was applied to a panel of 24 experts with different fields of expertise, consisting of doctors, nurses, families, and patients. In the first round, data were collected through a literature review and semi-structured interviews. In the second and third rounds, data were collected using a survey questionnaire on a 9-point Likert scale. Results: The first round produced seven themes around self-care activities, including drug therapy, physical exercise, diet and nutrition, stress management, self-motivation, functional status screening, and control for risk factors. In the second round, all types of self-care in the first round were agreed upon for content in preparing the guidebook. The third round resulted in agreement on the guidebook that had been designed, with scores of 8 and above by 100% of the expert panel. Conclusions: The development of a self-care guidebook to prevent rehospitalization of stroke patients through a three-round Delphi study has reached a consensus among the entire panel of experts.  Further research by testing guidebooks in the healthcare system is needed to determine their effectiveness in preventing re-hospitalization in stroke patients.
Co-Authors AA Istri Mas Padmiswari Adiana, I Nengah Adnyana, I Kadek Budi Agastya, I Gusti Ngurah Akrom, Akrom Anak Agung Istri Sri Wiadnyani Andang Adi Fitria Hananto Andi Pancanugraha Andrew John Macnab Ariani, Ni Komang Sri Ariestya Indah Permata Sari Aristadewi, Ida Ayu Mas Artha, I Wayan Oktapratama Ary Norsaputra Canggih Puspo Wibowo Darmini , A.A.A. Yuliati Darmini, Yuliati Destiwi, Monita Dharmayanti, Ni Putu Diah Diary, Dwina Gustia Dimas Sondang Dimas Sondang Irawan Doni Marisi Sinaga Doni Marisi Sinaga, Doni Marisi Donny Nauphar Dwina Gustia Diary Dyah Anantalia Widyastari Dyah Anantalia Widyastari Fattah, Rifqi Abdul Febrian Hendra Kurniawan Galih Albarra Shidiq Hafizh Muhammad Noor Hananto, Andang Adi Fitria Harditya, Kadek Buja I GEDE PUTU DARMA SUYASA I Gusti Agung Tresna Wicaksana I Gusti Ngurah Agastya I Gusti Ngurah Edi Putra I Kadek Nuryanto I Ketut Swarjana I Made Bayu Jaya Kusuma I Putu Gde Yudara Sandra Putra Ida Ayu Anom Rastiti Ida Ayu Manik Damayanti Ida Ayu Suptika Strisanti Ida Ayu Suptika Strisanti Ida Bagus Separsa Kusuma Ivana Aprilia Pratiwi Jamhari Jamhari Kadek Buja Harditya Kadek Maya Cyntia Dewi Kurniawan, Febrian Hendra Macnab, Andrew John Made Dian Shanti Kusuma Mahendrawan Nugraha Aji Pratama Maretalinia Maretalinia Maretalinia Maretalinia, Maretalinia Marina Ayu Viniriani Moehas, Puput Kusumawardani Monita Destiwi Nadya Treesna Wulansari Ni Made Manik Elisa Putri Ni Made Manik Elisa Putri Ni Putu Kamaryati Ni Wayan Desi Bintari Ni Wayan Sukma Antari Noor, Hafizh Muhammad Norsaputra, Ary Padmiswari, A.A Istri Mas Pamuko Aditya Rahman Pancanugraha, Andi Pichpisith Pierre Vejvisithsakul Pratama, Mahendrawan Nugraha Aji Pratiwi, Ivana Aprilia Puput Kusumawardani Moehas Putra, I Gusti Ngurah Edi Putra, Komang Ardidhana Nugraha Putra, Wahyu Manggala Putu Rima Sintyadewi Rahman, Pamuko Aditya Rastiti, Ida Ayu Anom Ricky Alexander Samosir Rifqi Abdul Fattah Samosir, Ricky Alexander Sari, Ariestya Indah Permata Serinadi, Desak Made Shidiq, Galih Albarra Sri Dewi Megayanti Sri Dewi Megayanti Strisanti, Ida Ayu Suptika Sukaningsih, Ni Wayan Sutrisna , I Putu Gede Suweca, I Gede Tiara Fatmarizka Veithzal Rivai Zainal Vejvisithsakul, Pichpisith Pierre Viniriani, Marina Ayu Wahyu Manggala Putra Wibowo, Canggih Puspo Widyas Pranata, Gst. Kade Adi Wulansari , Nadya Treesna