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Wiwik Winarningsih
Universitas Nahdlatul Ulama Surabaya
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Activities of Daily Living Improvement among Post-Stroke Patients Receiving Cognitive Behavioral Therapy: An Observational Study Linda Ramadhanty Pramesta; Rita Vivera Pane; Wiwik Winarningsih; Aisyah; Aufar Zimamuz Zaman Al Hajiri
Surabaya Physical Medicine and Rehabilitation Journal Vol. 8 No. 2 (2026): SPMRJ, AUGUST 2026
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v8i2.71703

Abstract

Background: The prevalence of stroke is now increasing along with the increase in metabolic diseases. In addition to having an impact on mortality rates, stroke is also a burden due to the increase in morbidity rates. Post-stroke patients usually experience disabilities, which causes a decrease in their independence in carrying out daily activities (ADL). Aim: Aimed to observe the effect of cognitive behavior therapy (CBT) on ADL among post-stroke patients. Material and methods: An observational analytical cross-sectional design study using secondary data from medical records of stroke patients at the Haji Regional Hospital, East Java Province, Surabaya, Indonesia. Subacute post-stroke patients who were given CBT therapy and had MMSE 25-30 examination results were included in the established inclusion criteria. Data collection was carried out from November 2023 to January 2024 using consecutive sampling techniques. ADL was assessed using the Barthel-index which was carried out before and after CBT. The statistical test used was Chi-Square with a significance value of p <0.05. Result: A total of 11 post-stroke patients who were received CBT intervention were involved in this study. The largest age group was 56-65 years (36.4%) and female (63.6%). The highest Barthel index before CBT was in the severe dependence category (54.5%) while the highest after CBT was in moderate dependence (63.6%). There was a significant effect of CBT on ADL of post-stroke patients (p < 0.05). Conclusions: There was a significant effect on ADL after patients received CBT.
Co-Authors Ain Darojah Siddiq Ramadhana Aisyah Aisyah Aisyah Akbar Reza Muhammad Atik Qurrita A’Yunin Aufar Zimamuz Zaman Al Hajiri Azmi Alvian Gabriel Bastiana Bastiana Budiharjo, Muhammad Endra Chilyatiz Zahroh Dewi Masithah Diva Indah Salsabila Eka Satria Akbar Ekayanti, Retno Diah Putri Endah Budi Permana Putri Fajriatush Sholahah Farah Nuriannisa Fardian, Ghalief Fernanda Putra Farid Adandi Hakim Fatan Danish Zamzamy Febriaulia Nastasha Romli1 Febriyanti, Aisyah Fatin Friska Febrian Damayanti Hafid Algristian Handayani Handayani Hawin Izza Nirmala Heris Santy, Wesiana Hutapea, Octavianus Jazuli, Muhammad Aqil Siroj Kombih, Muhammad Fifin Kunti Fatimah Azzahro Lestari, Marselli Widya Linda Ramadhanty Pramesta M. Djali Yusup Iskandar Muda Maharani, Uke Maritsa, Zahrina Rafa Marselli Widya Lestari Marselli Widya Lestari Mauladatul Choir Mitha Rachmawati Mochamad Faishal Riza Mufidah Sheena Andani Prastini Muhammad Fifin Kombih Mukarromah, Niswatul Mulyadi Nadia Suryani Nafil Akmal Mahrus Naila Irtabaza Rosyida Nanda Fadhilah Witris Salamy Nanda Nabilah Putri Naufal Putra Pratama Nisa, Fauziyatun Nur Intania Puteri Kusnandar Nur Rahma Prayekti, Endah Prima Surya Ardiansyah Rabbani, Muhamad Alan Rahmatullah, Falih Dhiya'ulhaq Ramadhan, Fridhio Ratna Sofaria Munir Renny Novi Puspitasari Retno Diah Putri Ekayanti Retno Diah Putri Ekayanti Retno Diah Putri Ekayanti Ridholloh Laili Rima Isna Rahmawati Rima Isna Rahmawati Rita Vivera Pane Rizki Nurmalya Kardina Rizki Nurmalya Kardina Salsabillah, Adityas Sabrina Shafira Cahyani Rakhmawati Siti Muifa Siti Nurjanah Tamaulina Br Sembiring Warda Elmaida Rusdi Zamirah Mabarroh El Haque