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All Journal Jurnal Kreativitas PKM JISIP: Jurnal Ilmu Sosial dan Pendidikan Bali Medika Jurnal Indonesian Journal of Community Health Nursing Indonesian Journal of Global Health research Babali Nursing Research Community Empowerment Journal of Applied Nursing and Health Ahmar Metakarya: Jurnal Pengabdian Masyarakat MEDICA (International Medical Scientific Journal) Jurnal Info Kesehatan
Wulandari, Sarah Kartika
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Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Family Caregivers Challenges for Stroke Survivors in the Community: A Literature Review Israfil, Israfil; Wulandari, Sarah Kartika; Suyasa, I Gede Putu Darma; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari
MEDICA (International Medical Scientific Journal) Vol. 8 No. 3 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i3.843

Abstract

Stroke is a chronic condition that significantly reduces the patient's quality of life and increases the need for support from family caregivers. This situation places the family as a crucial element in patient care, yet often presents significant challenges for family caregivers. This study aims to identify and describe the various challenges faced by families caring for stroke patients in the community. A literature review design was employed. Relevant articles published between 2020 and 2025 were retrieved from international databases including PubMed and ScienceDirect, using the keywords "family challenges" OR "family burden" AND "stroke" OR "stroke survivor." The inclusion criteria were determined using the PEO framework. A total of 346 articles were identified, and fifteen articles met the inclusion criteria for the review. The findings indicate that family caregivers of stroke patients face various challenges due to the complex demands of care, ranging from emotional stress at the time of diagnosis to physical and social challenges during home care. Challenges are further exacerbated when the patient experiences dysphagia, severe disability, or psychological problems such as depression and anxiety. Factors contributing to these challenges include the family caregiver's employment status, educational level, kinship relationship, social support, knowledge of stroke rehabilitation, the transition process from hospital to home, limited access to healthcare, and limited social activities. Caring for stroke patients presents significant challenges for families, who serve as the primary caregiver system and play a central role in community care. Interventions that support family caregivers through education, psychosocial support, and access to adequate health and rehabilitation services are crucial for community nurses to reduce caregiver burden and improve the quality of life for both family caregivers and stroke patients in the community.
Hipertensi Care: An Android-Based Mobile Application Integrating Acupressure, Progressive Muscle Relaxation, and Blood Pressure Monitoring Kusuma, I Made Jaya; Suyasa, I Gede Putu Darma; Wulandari, Sarah Kartika
JURNAL INFO KESEHATAN Vol 24 No 1 (2026): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol24.Iss1.2342

Abstract

Hypertension remains a major public health concern, contributing to long-term healthcare costs and complications such as stroke and kidney failure. Although pharmacological therapy is essential, patient adherence to lifestyle-based approaches remains limited. Evidence demonstrates that acupressure and Progressive Muscle Relaxation (PMR) can lower blood pressure. However, no digital platform has integrated both interventions into a single self-management tool. This Research and Development (R&D) study developed an Android-based mobile application, Hipertensi Care, using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation) to support hypertension self- management. The Analysis phase included a literature review, needs assessment, and Focus Group Discussions (FGDs) with 10 participants to identify user requirements. The Design phase involved creating the application workflow, interface, and evidence-based educational content. During Development, the application underwent content validation by 7 experts (three nurses, two acupuncturists, one cardiovascular internist, and one media specialist). A limited trial with 35 individuals with hypertension was conducted in the Implementation phase. Usability and user acceptance were evaluated using the System Usability Scale (SUS) and User Experience Questionnaire (UEQ). The results showed excellent usability, high perceived usefulness and ease of use, and positive user experience across all UEQ dimensions. Overall, Hipertensi Care demonstrated strong alignment with user needs for hypertension self-management and is ready to progress to effectiveness testing to assess its impact on blood pressure and related clinical outcomes.
Co-Authors Cintariasih, Putu I GEDE PUTU DARMA SUYASA I Ketut Swarjana Ida Ayu Putri Wulandari Indrayani, Ni Luh Dwi Israfil, Israfil Jaya Kusuma, I Made Kusuma, I Made Jaya Luh Gde Nita Sri Wahyuningsih Made Dian Shanti Kusuma Ni Kadek Ary Susandi, Ni Kadek Ary Ni Luh Putu Inca Buntari Agustini Ni Made Candra Citra Sari Ni Putu Kamaryati Nuryanto, Kadek Pangruating Diyu, Ida Ayu Ningrat Putra, Komang Ardidhana Nugraha Putu Rusanti Sandra Putra, I Putu Gde Yudara Sastamidhyani, Ni Putu Ayu J. Sri Wahyuningsih, Luh Gde Nita Sriasih, Ni Kadek Sriwahyuningsih, LG Nita Susanti, NLP Dina Wardani, Ni Kadek Devina