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Journal : Jurnal NERS

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.
Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Kamaryati, Ni Putu; Nuryanto, I Kadek
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.45700

Abstract

Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali. Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors. Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083). Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs. Keywords: aged, depression, epidemiology, Indonesia
Co-Authors A.A. Ayu Yuliati Darmini Adi Satriani Adiana, I Nengah Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Antari, Luh Putu Juni Aries Susanti, Ni Putu Arka, I Gede Widhi Astawa, I Gede Satria Ayu Puja Astuti Dewi Bela, I Kade Miki Indra Cahyani, Kadek Indra Cintariasih, Putu Darmini, A.A. Ayu Yuliati Dewi, Ayu Puja Astuti Dewi, Puja Astuti Dina Susanti, NLP Diyu, Ida Ayu Ningrat Pangruating Gede, Khrisna Eka Yudha Gst Ayu Dwina Mastryagung Gustiawan, Sastro Putre I Gede Edy Sagitha I Gede Edy Sagitha I GEDE PUTU DARMA SUYASA I Gusti Ayu Rai Rahayuni I Kadek Nuryanto I Nyoman Purna Wijaya I Wayan Edi Sanjana Ida Ayu Ningrat Pangruating Diyu Ida Ayu Putri Wulandari Indrayani, Ni Luh Dwi Juliani, Made Krisnandari D, Anak Agung Istri Wulan Kusuma, Made Dian Santi Luh Gde Nita Sri Wahyuningsih Made Rismawan Nadya Treesna Wulansari Ni Kadek Sutini Ni Kadek Sutini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Made Ari Widayani Ni Made Ayu Yulia Raswati Teja Ni Made Candra Citra Sari Ni Made Sri Rahyanti Ni Putu Ayu Ratna Dewi Ni Wayan Kesari Dharmapatni Ni Wayan Sri Wahyuni NLP Dina Susanti Nur Halimah Nusa Harta, I Putu Arika Pangruating Diyu, Ida Ayu Ningrat Prataba, I Made Dwi Krisma Puja Astuti Dewi Purniawati, Wayan Puspariani, Ni Komang Sri Putra, I Nyoman Arya Maha Putra, Komang Ardidhana Nugraha Putu Inge Ruth Suantika Rahayuni, IGA Rai Ratih Comala Dewi, Ni Made Sagitha, I Gede Edy Sanjana, I Wayan Edi Sastro Putre Gustiawan Satriani, Adi Sri Dewi Megayanti Sriasih, Ni Kadek Sutini, Kadek Trisna, Made Oktaviani Bulan Wayan Purniawati Wicaksana, IGA Tresna Widiastuti, Ni Kadek Nefi Wijaya, I Nyoman Purna Wulandari, Sarah Kartika Yudari, Ni Made Adi Yudi Wahyu, I Made Yusniawati, Yustina Ni Putu Yustina Ni Putu Yusniawati