Main Article Content

Yafet Pradikatama Prihanto
Ellia Ariesti

Abstract

ABSTRAK


Stroke atau Cerebro Vaskuler Accident (CVA) merupakan gangguan peredaran darah di daerah cerebral, yang disebebkan oleh pecahnya pembulih darah (stroke haemorargic) atau karena sumbatan (stroke iscemic). Manifestasi klinis stroke ini tergantung pada daerah serebri mana yang mengalami gangguan vaskularisasi. Tanda umum yang terjadi pada penderita stroke adalah terjadi kelemahan tubuh sampai dengan kelumpuhan total, baik seluruh tubuh maupun sebagian tubuh. Prevalensi stroke saat ini terbanyak masuh dialami oleh lansia, diatas 50 tahun, walaupun angka tersebut telah bergeser, dan banyak juga terjadi pada usia produktif, dan ini berhubungan dengan sedentary lifestyle. Setelah terjadi serangan stroke pada lansia, biasanya lansia masih mengalami gejala sisa. Gejala sisa inilah yang membuat lansia mengalami stress psikologis, salah satunya diakibatkan oleh kurangnya sumber informasi terkait perawatan post stroke. Jenis penelitian ini adalah kualitatif, pengambilan data dilakukan dengan cara wawancara terstruktur, jumlah partisipan 5 orang. Didapatkan 7 sub tema yang menghasilkan 3 tema besar ; yaitu memiliki harapan, hambatan dari dalam diri dan perlunya dukungan eksternal. Saran dari penelitian ini adalah sebaiknya Puskesmas sebagai fasilitas kesehatan pertama juga menyediakan layanan kunjungan rumah pada pasien post stroke sehingga meminimalkan komplikasi, terutama masalah psikologis.


 


Kata Kunci : Post stroke ; Adaptasi ; Psikologis

Article Details

How to Cite
Pradikatama Prihanto, Y., & Ariesti, E. (2022). ADAPTASI PSIKOLOGIS LANSIA DENGAN POST STROKE ; ANALISIS FENOMENOLOGI. Jurnal Keperawatan Dirgahayu (JKD), 4(1), 7-14. https://doi.org/10.52841/jkd.v4i1.213
References
Arafat, R., Sitorus, R., Mustikasari, & Majid, A. (2018). Spiritual Coping in People Living with Stroke. International Journal of Caring Sciences, 11(2), 658–662. www.internationaljournalofcaringsciences.org
Ariesti, E. S. E. D. T. K. K. M., & Pradikatama, Y. (2018). Hubungan Self Efficacy Dengan Tingkat Kepatuhan Kota Malang. Jurnal Keperawatan Malang, 3, 39–44.
Chan, C. K. P., Lo, T. L. T., Wan, A. H. Y., Leung, P. P. Y., Pang, M. Y. C., & Ho, R. T. H. (2021). A randomised controlled trial of expressive arts-based intervention for young stroke survivors. BMC Complementary Medicine and Therapies, 21(1), 1–11. https://doi.org/10.1186/s12906-020-03161-6
Dewilde, S., Annemans, L., Lloyd, A., Peeters, A., Hemelsoet, D., Vandermeeren, Y., Desfontaines, P., Brouns, R., Vanhooren, G., Cras, P., Michielsens, B., Redondo, P., & Thijs, V. (2019). The combined impact of dependency on caregivers, disability, and coping strategy on quality of life after ischemic stroke. Health and Quality of Life Outcomes, 17(1), 1–12. https://doi.org/10.1186/s12955-018-1069-6
Dollenberg, A., Moeller, S., Lücke, C., Wang, R., Lam, A. P., Philipsen, A., Gschossmann, J. M., Hoffmann, F., & Müller, H. H. O. (2021). Prevalence and influencing factors of chronic post-traumatic stress disorder in patients with myocardial infarction, transient ischemic attack (TIA) and stroke – an exploratory, descriptive study. BMC Psychiatry, 21(1), 1–11. https://doi.org/10.1186/s12888-021-03303-1
Dregan, A., Wolfe, C., & Gulliford, M. C. (2013). Does the influence of stroke on post-stroke dementia vary by different levels of prestroke cognitive functioning? A population-based cohort investigation. The Lancet, 382, S32. https://doi.org/10.1016/s0140-6736(13)62457-5
Gandolfi, M., Donisi, V., Battista, S., Picelli, A., Valè, N., Piccolo, L. Del, & Smania, N. (2021). Health-related quality of life and psychological features in post-stroke patients with chronic pain: A cross-sectional study in the neuro-rehabilitation context of care. International Journal of Environmental Research and Public Health, 18(6), 1–15. https://doi.org/10.3390/ijerph18063089
Jin, H. J., Pei, L., Li, Y. N., Zheng, H., Yang, S., Wan, Y., Mao, L., Xia, Y. P., He, Q. W., Li, M., Yue, Z. Y., & Hu, B. (2017). Alleviative effects of fluoxetine on depressive-like behaviors by epigenetic regulation of BDNF gene transcription in mouse model of post-stroke depression. Scientific Reports, 7(1), 1–16. https://doi.org/10.1038/s41598-017-13929-5
Kootker, J. A., Fasotti, L., Rasquin, S. M. C., van Heugten, C. M., & Geurts, A. C. H. (2012). The effectiveness of an augmented cognitive behavioural intervention for post-stroke depression with or without anxiety (PSDA): the Restore4Stroke-PSDA trial. BMC Neurology, 12(1), 1. https://doi.org/10.1186/1471-2377-12-51
Lin, C. S., Shih, C. C., Yeh, C. C., Hu, C. J., Chung, C. L., Chen, T. L., & Liao, C. C. (2017). Risk of stroke and post-stroke adverse events in patients with exacerbations of chronic obstructive pulmonary disease. PLoS ONE, 12(1), 1–15. https://doi.org/10.1371/journal.pone.0169429
Menon, R. G., Raghavan, P., & Regatte, R. R. (2019). Quantifying muscle glycosaminoglycan levels in patients with post-stroke muscle stiffness using T1ρ MRI. Scientific Reports, 9(1), 1–9. https://doi.org/10.1038/s41598-019-50715-x
Omu, O., Al-Obaidi, S., & Reynolds, F. (2014). Religious Faith and Psychosocial Adaptation among Stroke Patients in Kuwait: A Mixed Method Study. Journal of Religion and Health, 53(2), 538–551. https://doi.org/10.1007/s10943-012-9662-1
Patel, A. V., Shah, S. H., Patel, K., Mehta, P. I., Amin, N., Shah, C., & Prajapati, S. H. (2018). Prevalence of post-stroke anxiety and its association with socio-demographical factors, post-stroke depression, and disability. Neuropsychiatria i Neuropsychologia, 13(2), 43–49. https://doi.org/10.5114/nan.2018.79604
Reverté-Villarroya, S., Suñer-Soler, R., Font-Mayolas, S., Dávalos Errando, A., Sauras-Colón, E., Gras-Navarro, A., Adell-Lleixà, M., Casanova-Garrigós, G., Gil-Mateu, E., & Berenguer-Poblet, M. (2021). Influence of pain and discomfort in stroke patients on coping strategies and changes in behavior and lifestyle. Brain Sciences, 11(6). https://doi.org/10.3390/brainsci11060804
Snaphaan, L., & de Leeuw, F. E. (2009). Post-stroke depression: Systematic review on pre- and post-stroke clinical and neuroimaging correlates. Aging Health, 5(3), 427–443. https://doi.org/10.2217/ahe.09.16
Vaughan-Graham, J., Brooks, D., Rose, L., Nejat, G., Pons, J., & Patterson, K. (2020). Exoskeleton use in post-stroke gait rehabilitation: A qualitative study of the perspectives of persons post-stroke and physiotherapists. Journal of NeuroEngineering and Rehabilitation, 17(1), 1–16. https://doi.org/10.1186/s12984-020-00750-x
Wijeratne, T., & Sales, C. (2021). Understanding why post-stroke depression may be the norm rather than the exception: The anatomical and neuroinflammatory correlates of post-stroke depression. Journal of Clinical Medicine, 10(8). https://doi.org/10.3390/jcm10081674
Yafet Pradikatama, Emy Sutiyarsih, E. L. (2021). PELATIHAN KADER KESEHATAN TENTANG TERAPI THOUGHT STOPPING UNTUK MENGATASI KECEMASAN DI DUSUN WONOSARI, DESA PANDANSARI KECAMATAN PONCOKUSUMO KABUPATEN MALANG. Jurnal Pengabdian Masyarakat Humanis, 6(2), 18–22.