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All Journal JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan
Julika Siagian, Heriviyatno
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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Intervensi Rehabilitasi Stroke: Tinjauan Komprehensif tentang Intervensi Berbasis Komunitas Julika Siagian, Heriviyatno; Tukatman, Tukatman
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 16 No 2 (2024): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v16i2.2160

Abstract

Community-based interventions are very important to facilitate post-stroke recovery, increase community participation, and increase awareness about stroke survivors. To optimize recovery and community reintegration, there is a need to understand research findings on community-based interventions that focus on stroke survivors and their caregivers. Although nurses and community health workers are commonly involved in community-based interventions, little is known about their role compared to other post-stroke rehabilitation professionals (physical therapists, occupational therapists, and speech-language pathologists). Therefore, the aim of this review is to explore research that focuses on improving community-based stroke recovery for adult stroke survivors, caregivers, or both when provided by nurses or cadres. A systematic review using Scopus, PubMed, Medline, Cochrane Library, Proquest, and Embase was completed to identify community-based post-intervention studies using nurses or community health workers up to February 2024. Eighteen studies meeting inclusion criteria from 9 countries were identified. Details regarding the role of nurses and public health cadres are limited or not discussed. The intervention emphasizes stroke survivor self-care and caregiver support and is offered face-to-face and in group sessions in the community and home. A variety of instruments are used to measure outcomes. The results of the interventions provided were mixed. Improvements were seen in perceived health, quality of life, knowledge, self-efficacy, self-management, and caregiver support. Nurses and community health workers play an important role in community-based care. Evidence shows that community-based interventions facilitate the necessary support for stroke survivors, caregivers, families, and communities to optimize stroke recovery. Data from this review illustrate the ongoing need for comprehensive programs designed to meet the complex needs of stroke survivors and families when they return to their homes and communities.
Model perawatan untuk penderita penyakit ginjal kronis: Sistematika Review Julika Siagian, Heriviyatno; Alifariki, La Ode
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 16 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v16i4.2474

Abstract

Chronic kidney disease (CKD) is a common disease and places an increasing burden on patients and health services. However, the optimal treatment model for patients with CKD remains unclear. We systematically reviewed the clinical effectiveness of different care models for the management of CKD. A comprehensive search of eight data bases was conducted for articles published from 1992 to 2024. We included randomized controlled trials assessing any model of care in the management of adults with pre-dialysis CKD, reporting renal, cardiovascular, mortality and other results. Data extraction and quality assessment were performed independently by two authors. The results are summarized narratively. Nine articles (seven studies) were included. Four models of care were identified: nurse-led, multidisciplinary specialist team, pharmacist-led, and self-management. Nurse-led and pharmacist-led care reported increased rates of prescribing of medications relevant to CKD. High heterogeneity between studies and across studies carries a high risk of bias. Nurse-led care and multidisciplinary specialist care were associated with small improvements in blood pressure control. Evidence of long-term improvements in renal, cardiovascular or mortality endpoints is limited by short follow-up.
Co-Authors Alifariki, La Ode Tukatman Tukatman