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All Journal Juiperdo Jurnal NERS Jurnal Pengabdian kepada Masyarakat Wahana Usada Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Putra, Komang Ardidhana Nugraha
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Journal : Jurnal NERS

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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 Arnaya, I Gede Putu Suka Dewi, Ni Putu Ayu Ratna Harigustian, Yayang I GEDE PUTU DARMA SUYASA I Ketut Swarjana Indrayani, Ni Luh Dwi Israfil, Israfil Maria Hermita Manik Ni Luh Putu Inca Buntari Agustini Ni Putu Kamaryati Ni Wayan Kesari Dharmapatni Pangruating Diyu, Ida Ayu Ningrat Pasambo, Yourisna Rosaulina, Meta Sanjana, I Wayan Edi Siti Marlina, Siti Syahri, Alfi Wahyunadi, Ni Made Dewi Wardana, Dewa Gede Wisnu Wulandari, Sarah Kartika Yusniawati, Yustina Ni Putu