IMPLEMENTASI SELF-CARE REGULATION MODEL PADA PASIEN DENGAN STROKE ISKEMIK DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN
DOI:
https://doi.org/10.35328/keperawatan.v14i1.2937Keywords:
Self-Care Regulation Model, Stroke IskemikAbstract
Stroke remains a leading cause of global disability, with ischemic stroke accounting for the majority of cases. In Indonesia, the high incidence highlights the need for effective interventions, especially since self-care deficits due to hemiparesis often leave patients dependent. To address this, the Self-Care Regulation Model (SCRM) emerges as a nursing strategy empowering patients to become more independent. This quasi-experimental study was conducted from January to June 2025 at Tk II Putri Hijau Hospital. It involved 30 hospitalized ischemic stroke patients who were fully conscious, willing participants, and aged 40-70 years. Patients with other medical conditions that could influence the study were excluded. The SCRM intervention, which included training in dressing, eating, and bed mobilization, significantly increased the average Barthel Index score from 45.2±12.8 to 68.7±10.5 (p<0.001). This 23.5-point increase clinically signifies a shift from moderate dependence to mild or minimal independence. Barthel Index classifications also showed positive changes: no patients were severely dependent post-intervention, only 16.7% remained heavily dependent, while the majority (66.7%) became moderately dependent, 13.3% mildly dependent, and 3.3% even achieved full independence. Qualitative findings further supported these results, indicating improved self-efficacy, adaptive knowledge, coping mechanisms, and enhanced social and environmental support. In summary, the implementation of SCRM proved effective in significantly improving functional independence in ischemic stroke patients.
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Juniarti, A., Faizal, M., & Meilando, R. (2023). Data berdasarkan hasil Riset Kesehatan Dasar (Riskesdas), angka kejadian stroke di Indonesia pada tahun 2013 berdasarkan diagnosis medis diperkirakan sebesar 7%, Sedangkan angka kejadian stroke berdasarkan diagnosis medis pada tahun 2018 sebesar 12,4%. Da. Jurnal Penelitian Perawat Profesional, 4(November), 1377–1386.
Mihen, E. L., Suyen Ningsih, O., Ndorang, T. A., Ruteng, P., Yani, J. J. A., & Flores, R. (2022). Hubungan Antara Dukungan Keluarga Dengan Self-Care Pada Pasien Stroke Di Wilayah Kerja Puskesmas Kota Ruteng Tahun 2022. Jwk, 7(2), 2548–4702.
Rafiudin, M. A., Utami, I. T., & Fitri, N. L. (2024). Penerapan Range Of Motion (ROM) Aktif Cylindrical Grip Terhadap Kekuatan Otot Pasien Stroke Non Hemoragik. Cendikia Muda, 4(3), 10.
Risal, M. (2020). Hubungan Dukungan Keluarga Dengan Self Care Studi Pada Pasien Stroke Non-Hemoragik Di Poliklinik Syaraf Rsud I Lagaligo Wotu Kabupaten Luwu Timur. Program Studi Ilmu Keperawatan STIKES Bataraguru Soroaka, Sulawesi Selatan, Indonesia, November, 189–201.
Salsabila, R., Ahyana, & Safuni, N. (2023). (Riskesdas, 2018). Jurnal Ilmiah Mahasiswa Fakultas Keperawatan, VII, 150–159.
Suhardingsih, A. V. S., Mahfoed, M. H., Hargono, R., & Nursalam. (2019). Peningkatan Self-Care Agency Pasien Dengan Stroke Iskemik Setelah Penerapan Self-Care Regulation Model. Jurnal Ners, 7(1), 13–23.
Sulistyowati, D. (2020). Hubungan Self Efficacy Dengan Perilaku Self Care ( Dengan Pendekatan Teori Orem ) Pasien Stroke Di. Jurnal Penelitian, 3(September), 17–23.
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