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All Journal INOTEKS : Jurnal Inovasi Ilmu Pengetahuan, Teknologi, dan Seni Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal NERS JKG (Jurnal Keperawatan Global) IJNP (Indonesian Journal of Nursing Practices) Jurnal Kesehatan Jurnal Penelitian Kesehatan Suara Forikes Jurnal Keperawatan Silampari Nursing Current : Jurnal Keperawatan Media Keperawatan Indonesia Holistik Jurnal Kesehatan Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jurnal Keperawatan Suaka Insan Jurnal Keperawatan Terpadu (Integrated Nursing Journal) South East Asia Nursing Research Jurnal Keperawatan (JKEP) JOURNAL EDUCATIONAL OF NURSING(JEN) Journal Of Bionursing Journal of Community Empowerment for Health JURNAL KESEHATAN BHAKTI HUSADA Jurnal Ners Journal of Telenursing (JOTING) Indonesian Journal of Global Health research JIKO(Jurnal Ilmiah Keperawatan Orthopedi) MAHESA : Malahayati Health Student Journal Jurnal Ipteks Terapan : research of applied science and education Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Makara Journal of Health Research DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Journal of Pharmaceutical and Sciences. Media Kesehatan Politeknik Kesehatan Makassar Holistik Jurnal Kesehatan Holistik Jurnal Kesehatan Jurnal Abdimas Sains JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
I Made Kariasa
Universitas Indonesia
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Concept Analysis of Post-Stroke Cognitive Function in Ischemic Stroke Patients: Implications for Nursing Practice Ardi, Muhammad; Harris, Salim; Kariasa, I Made; Wispriyono, Bambang
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1574

Abstract

Ischemic stroke is a major cause of neurological disability, often resulting in cognitive impairment that impacts quality of life, functional status, and caregiver burden. However, there has been no systematic conceptual analysis explaining the attributes, antecedents, and consequences of cognitive function in ischemic stroke patients. Thi study aims to comprehensively analyze the concept of cognitive function in ischemic stroke patients, clarifying its definition, attributes, antecedents, consequences, and empirical references. This concept analysis followed the seven-steps approach by Walker and Avant. Literature search was conducted through PubMed, Scopus, and CINAHL with the following inclusion criteria: publications from 2020 to 2025, in English, focusing on post-stroke cognitive function. A total of 22 articles from various disciplines were analyzed. Empirical references were selected based on their relevance to cognitive attributes. Data were extracted and synthesized according to the attributes, antecedents, and consequences to form a conceptual definition. The six main attributes of cognitive function in ischemic stroke are: memory, executive function, attention, language, orientation, and visuospatial function. Antecedents include biological-structural factors (infarct location/size), sociodemographic factors (age, education), clinical factors (comorbidities, stroke severity), functional factors, and psychological factors. The consequences include a decline in quality of life, functional status, increased caregiver burden, and mortality. Instruments such as MoCA, MMSE, and biological biomarkers were identified as key empirical references. This conceptual analysis provides a strong theoretical foundation for nursing practice, emphasizing the importance of early detection and attribute-based multidisciplinary interventions to prevent further cognitive decline.  This study has limitations, as variations in the assessment phase may affect the heterogeneity of cognitive impairment. Further research is recommended to validate this concept with clinical data, test the effectiveness of specifically designed interventions, and conduct longitudinal studies to monitor long-term cognitive function.
Intervensi keluarga untuk menurunkan caregiver burden pada keluarga yang merawat penyintas stroke: Sebuah tinjauan sistematis Rahmawati, Ririn Setia; Kariasa, I Made; Aryani, Denissa Faradita; Maria, Riri
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1452

Abstract

Background: Stroke often causes physical impairments and risk of disability, making patients highly dependent on caregivers for physical and emotional support. The complex caregiving role frequently leads to physical, psychological, and social pressures, known as caregiver burden, which negatively impacts caregiver well-being and patient care. Purpose: To identify interventions provided to stroke caregivers to reduce caregiver burden. Method: A systematic review was conducted following PRISMA guidelines on randomized controlled trials (RCTs) published in English between 2014 and 2024 with full-text availability. Pilot and feasibility studies were excluded. Literature searches were performed through Science Direct, Medline (via EBSCOhost), Sage Journals, Taylor & Francis, and Scopus. Results: Eleven studies with a total of 1,229 stroke caregivers were included. Identified interventions comprised psychoeducation, counseling, coaching, education, and training, all designed to alleviate caregiver burden. Conclusion: Family-based interventions are effective in reducing caregiver burden. Their implementation can be initiated during the acute phase in the hospital and continued through follow-up approaches such as telenursing after discharge. This review emphasizes the potential of family-based interventions as a comprehensive and sustainable strategy to support stroke caregivers.   Keywords: Caregiver Burden; Family Intervention; Stroke Survivors.   Pendahuluan: Stroke sering menimbulkan gangguan fisik dan risiko kecacatan sehingga pasien mengalami sangat bergantung pada caregiver dalam pemenuhan kebutuhan fisik dan emosional. Peran yang kompleks kerap menimbulkan tekanan fisik, psikologis, dan sosial, yang dikenal sebagai caregiver burden. Hal ini akan berdampak pada kesejahteraan caregiver dan kualitas perawatan pasien. Tujuan: Untuk mengidentifikasi intervensi keluarga untuk menurunkan caregiver burden pada keluarga yang merawat penyintas stroke. Metode: Tinjauan literatur sistematis dilakukan sesuai panduan PRISMA terhadap artikel Randomized Controlled Trial (RCT) berbahasa Inggris, terbit antara tahun 2014-2024, dan tersedia teks lengkap. Artikel pilot atau feasibility study dikecualikan. Penelusuran menggunakan database Science Direct, Medline (via EBSCOhost), Sage Journals, Taylor & Francis, dan Scopus. Hasil: Sebanyak 11 penelitian dengan 1,229 partisipan (caregiver pasien stroke) diikutkan. Berbagai intervensi keluarga teridentifikasi, antara lain psikoedukasi, konseling, coaching, edukasi, dan pelatihan, yang bertujuan menurunkan beban caregiver. Simpulan: Intervensi keluarga terbukti efektif menurunkan beban caregiver. Pelaksanaannya dapat dimulai sejak fase akut di rumah sakit dan dilanjutkan dengan follow-up seperti telenursing setelah pasien pulang. Tinjauan ini menegaskan bahwa pendekatan intervensi keluarga berpotensi menjadi strategi komprehensif dalam mendukung caregiver penyintas stroke secara berkelanjutan.   Kata Kunci: Caregiver Burden; Intervensi Keluarga; Penyintas Stroke.
Co-Authors AA Sudharmawan, AA Agung Waluyo Agung Waluyo Ahmad Faried Amelia Amelia Anhari, Anhari Arif Hidayatullah Aryani, Denissa Faradita Asri Bashir Bahrul Hayat, Bahrul Bambang Wispriyono Basuki Rachmat Basuki Rachmat Dahlia, Debie - Deni Yasmara Derrett, Sarah Dewi Irawaty Dewi Sartika Sinaga, Dewi Sartika Dikha Ayu Kurnia Diky Julianto Dwi Kartika Rahayuningtyas Dwi Sartika, Dwi Dyah Untari Effendy, Pepen Elly Nurachmah Elvina Elvina Erna Fitriani Eva Chris Veronica Gultom Eva Yulianti Fahmi, Ismail Fajariyanto, Muhammad Iqbal Faljeki Kurniawan Fathurahman, Muhamad Ganefianty, Amelia Gayatri, Dewi Gustini Putri Dewanti Harun Al Rasid Hasby Pri Choiruna Hellena Deli Hening Pujasari Idha Nurfallah Idramsyah Idramsyah Imam Ghozali Irman Irman Irmina Ika Yuniarti Jelang, Destya Wenny Juliana G.E.P Massie Krisna Yetti Kurnia, Anna Leo Ginting Lestari Sukmarini Liya Arista Luciana Kabang M.G Enny Mulyatsih Maria , Riri Maria, Riri Marwanti, Eni Masfuri - McAllister, Susan Muhamad Adam Muhammad Adam Muhammad Ardi, Muhammad Mulyatsih, Enny Mulyatsih, MG Enny Nafisah, Luluk Nia Khusniyati Nova, Prima Agustia Nunung Nurhayati Pertiwi, Ratna Pompey, Cut Sarida Pramita, Senja Prima Agustia Nova puspita, vema tiyas Puspitasari, Anita R, Maya Rahmawati, Ririn Setia Rakhman, Isnawan Risqi Ranukusuma, Candradewi Mahardika Ratna Sitorus Ratna Sitorus Ratna Sitorus Renditya Anggana Retno Yulianti Rika Diah Pitaloka, Rika Diah Ristinawati Ristinawati Rumiati, Rumiati - Rusjini Rusjini Rusmala Dewi S., Chiyar Edison Sali Rahadi Asih Salim Harris, Salim Sarjono, Kalih Senja Paramita Sespa, Elya Sri Yona Sri Yona Supartha, I Gede Nyoman Ardi Susanto, Dibyo Harjo Sutiono, Agung B Tatu Meri Tri Antika Rizki Kusuma Putri Triensya, Rafiana Tuti Herawati Vema Tiyas Puspita Wilson Simangunsong Wolagole, Lily Yeni Agustin Yuniarti, Irmina Ika Yunisar Gultom