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Caregiver adaptation after stroke: The role of adversity quotient and spiritual-religious coping Vione Deisi Oktavina Sumakul; Fransiskus Xaverius Dotulong; Meylani Dewi Wowor; Brigita Maria Karouw; Fatin Lailatul Badriyah
Psikohumaniora: Jurnal Penelitian Psikologi Vol. 10 No. 2 (2025)
Publisher : Faculty of Psychology and Health - Universitas Islam Negeri Walisongo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21580/pjpp.v10i2.26274

Abstract

Stroke is one of the leading causes of long-term disability, often requiring intensive support from family caregivers, whose psychological adaptation to their changing roles is essential not only for the patient’s recovery, but also for their own emotional well-being. This study aims to examine the influence of adversity quotient and spiritual-religious coping on caregivers’ perceptions and coping strategies, as well as the impact of these strategies on caregivers’ adaptation. A cross-sectional, correlational quantitative design was employed. Data were collected from 200 caregivers of post-stroke patients in Tomohon City, North Sulawesi, Indonesia selected through cluster random sampling, and using structured questionnaires. Adversity Quotient (AQ) was measured using the Chinese version of the Adversity Quotient Scale, while Spiritual-Religious Coping (SRC) was assessed by Pargament’s RCOPE scale. Caregiver perception was measured by the Appraisal of Caregiving Scale (ACS); coping strategy by the Ways of Coping Questionnaire (WCQ); and Caregiver Adaptation developed from the Coping and Adaptation Processing Scale. Data were analyzed using structural equation modeling (SEM) with SmartPLS. The results demonstrate that adversity quotient significantly influenced caregiver perception (β = .247, t = 3.259, p = .001, R² = .154, SRMR = .055) and coping strategies (β = .205, t = 3.092, p = .002, R² = .280). Similarly, spiritual-religious coping had a significant effect on caregiver perception (β = .230, t = 2.700, p = .007) and coping strategies (β = .312, t = 4.646, p < .001). Furthermore, caregiver perception positively predicted coping strategies (β = .185, t = 2.615, p = .009), and coping strategies significantly enhanced caregiver adaptation (β = .255, t = 4.035, p < .001, R² = .065). The practical implications of this study highlight the need to integrate resilience-building and spiritually informed psychological interventions into caregiver support programs to strengthen adaptive coping and promote sustained adjustment in post-stroke home care.
Latihan Fisik Terarah Penderita Post Sindrom Koroner Akut dalam Memperbaiki Otot Jantung Badriyah, Fatin Lailatul
IJNP (Indonesian Journal of Nursing Practices) Vol. 1 No. 1 (2014): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v1i1.640

Abstract

Background: One of cardiovascular disease and very scary is acute coronary syndrome (ACS). It is currently one of the leading causes of death in developed and developing countries, including Indonesia. SKA can be either acute myocardial infarction, including ST-segment elevation MI (STEMI) and non- segment elevation MI (NSTEMI), and unstable angina. Globally become the fi rst cause of death in developing countries, replace mortality due to infection. Systematic eff ort is needed and intensively to prevent the increasing cases of illness, among others with cardiac rehabilitation. One of cardiac rehabilitation can be done is directed physical exercise.Objectives: To determine the eff ect of derected physical exercise on the function of cardiac muscle, assessed based on the results of blood pressure, pulse and ECG.Methods: The study uses a quasi-experiment design, the research subjects totaling 64 people divided into intervention group as 32 peoples and control group of 32 peoples, carried out in hospital cardiac clinic Siti Khodijah Surabaya.Results: Wilcoxon test and Mann Whitney test, obtained results there is a significant influence on tension with p-value of 0.001 (p <0.05), there is no signifi cant eff ect on the change of the pulse with the p-value of 1.000> (p <0.05), and signifi cantly infl uence changes in EKG with P-value 0.000 <(P <0.05). The results of the Nagelkerke test and Chi-square, obtained results physical exercise directed has contributed to the tension of 16.4%, OR = 9.552, while the ECG changes of 47.0%, OR = 27.617.Conclusions: Physical exercise directed has a signifi cant eff ect on blood pressure and EKG, where the directional physical exercise has a more signifi cant eff ect on blood pressure than the ECG.Key word: Physical exercise directed and Coronary acute syndrome (ACS)