Pengaruh Self-Efficacy Pada Treatment Fisioterapi Terhadap Kesembuhan Pasien Pasca Stroke
DOI:
https://doi.org/10.23917/fisiomu.v4i2.4987Keywords:
self-efficacy, stroke, single case study, kemampuan fungsionalAbstract
Latar belakang: Salah satu penyebab kematian terbesar di dunia adalah penyakit tidak menular seperti penyakit degenerative, seperti stroke. Menurut World Health Organization (WHO), risiko meninggal yang disebabkan oleh stroke yaitu lebih dari dua pertiga (70%) penduduk dunia. Stroke merupakan penyakit degeneratif yang sering timbul di kalangan masyarakat yang menjadi masalah serius dan bahkan dapat menyebabkan kematian. Metode penelitian: penelitian ini menggunakan single subject research dengan metode case study, yang bertujuan untuk mengetahui pengaruh self-efficacy terhadap treatment fisioterapi atau intervensi yang telah diberikan. Desain penelitian ini menggunakan pre-test dan post-test A-B-A design dengan diberikannya treatment berupa home based exercise sebanyak 3 kali seminggu selama 4 minggu. Kesembuhan pasien diukur dengan kemampuan fungsional menggunakan Barthel index. Hasil Penelitian: pengukuran kemampuan fungsional pasien mendapatkan skor 65 poin, yaitu ketergantungan moderate (60-90), pada hasil pemeriksaan post-test menunjukkan bahwa kemampuan fungsional responden mengalami peningkatan dengan perolehan skor indeks Barthel dari 65 berubah 95 yang meningkat secara signifikan menjadi ketergantungan ringan (91-95). Kesimpulan: Treatment fisioterapi diiringi self-efficacy berpengaruh bagi kesembuhan pasien, dan mampu meningkatkan tingkat kepercayaan diri pasien serta menyebabkan kemampuan fungsionalnya meningkat pada penderita post stroke.
Downloads
References
Aben, L., Heijenbrok-Kal, M.H., Ponds, R.W.H.M., Busschbach, J.J.V. & Ribbers, G.M. 2014. Long-lasting effects of a new memory self-efficacy training for stroke patients: A randomized controlled trial. Neurorehabilitation and Neural Repair 28(3): 199–206.
Adliyani, Z.O.N. 2015. Pengaruh Perilaku Individu terhadap Hidup Sehat. Perubahan Perilaku Dan Konsep Diri Remaja Yang Sulit Bergaul Setelah Menjalani Pelatihan Keterampilan Sosial 4(7): 109–114.
Amalia, N.P. & Rahman, M.I. 2021. Latihan Endurance Penderita Pasca Stroke Iskemik. FISIO MU: Physiotherapy Evidences 3(1): 23–28.
Ayerbe, L., Ayis, S., Wolfe, C.D.A. & Rudd, A.G. 2013. Natural history, predictors and outcomes of depression after stroke: Systematic review and meta-analysis. British Journal of Psychiatry 202(1): 14–21.
Billinger, S.A., Arena, R., Bernhardt, J., Eng, J.J., Franklin, B.A., Johnson, C.M., Mackay-Lyons, M., Macko, R.F., Mead, G.E., Roth, E.J., Shaughnessy, M. & Tang, A. 2014. Physical activity and exercise recommendations for stroke survivors: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 45(8): 2532–2553.
Cho, S.H. & Yun, K.S. 2016. Influence of Uncertainty, Physiologic Risk Factors, Self-efficacy on Self-management in Stroke Patients. Journal of Muscle and Joint Health 23(2): 114–124.
Donoso Brown, E. V. & Fichter, R. 2017. Home programs for upper extremity recovery post-stroke: A survey of occupational therapy practitioners. Topics in Stroke Rehabilitation 24(8): 573–578.
Ekawati Rahayu Sa’pang, F.A., Linggi, E.B., Kulla, T.L. & Patattan, Z. 2022. Hubungan Self Efficacy dengan Self Management Pada Pasien Post Stroke. Jurnal Ilmiah Kesehatan Sandi Husada 11: 182–191.
Fatmawati, B.R., Suprayitna, M. & Prihatin, K. 2019. Efektifitas Edukasi Basic Life Support dengan Media Audiovisual dan Praktik Terhadap Tingkat Pengetahuan dan Keterampilan Mahasiswa Program Studi Ilmu Keperawatan Jenjang D.III Stikes Yarsi Mataram Tahun 2018. Jurnal Kesehatan Qamarul Huda 7(1): 6–12.
Fernandes, B., Ferreira, M.J., Batista, F., Evangelista, I., Prates, L. & Silveira-sérgio, J. 2015. Task-oriented training and lower limb strengthening to improve balance and function after stroke : A pilot study. European Journal of Physiotherapy (March): 1–7.
Fink, M.L. 2014. Physical Therapy Journal of Policy , Administration and Health Behaviors of Physical Therapists and Physical Therapist Students in South-central Pennsylvania 14(4).
Hellström, K., Lindmark, B., Wahlberg, B. & Fugl-Meyer, A.R. 2003. Self-efficacy in relation to impairments and activities of daily living disability in elderly patients with stroke: A prospective investigation. Journal of Rehabilitation Medicine 35(5): 202–207.
Jones, F., Partridge, C. & Reid, F. 2008. The Stroke Self-Efficacy Questionnaire: Measuring individual confidence in functional performance after stroke. Journal of Clinical Nursing 17(7B): 244–252.
Omu, O. & Reynolds, F. 2014. Religious faith and self-efficacy among stroke patients in Kuwait: Health professionals’ views. Disability and Rehabilitation 36(18): 1529–1535.
Pongantung, H., Anita, F., Palango, C. & Manuel, C. 2020. Hubungan Self Efficacy Dengan Quality of Life Pada Pasien Sesudah Stroke. Journal of Islamic Nursing 5(1): 21.
RI, K. 2018. Riskesdas 2018. Development 1–220.
Robinson-Smith, G., Johnston, M. V. & Allen, J. 2000. Self-care self-efficacy, quality of life, and depression after stroke. Archives of Physical Medicine and Rehabilitation 81(4): 460–464.
Schmid, A.A., Van Puymbroeck, M., Altenburger, P.A., Dierks, T.A., Miller, K.K., Damush, T.M. & Williams, L.S. 2012. Balance and balance self-efficacy are associated with activity and participation after stroke: A cross-sectional study in people with chronic stroke. Archives of Physical Medicine and Rehabilitation 93(6): 1101–1107.
Sîrbu, E. 2013. Evaluation of a Home-Based Physical Therapy Program in Ischemic Stroke Patients. Timisoara Physical Education and Rehabilitation Journal 5(9): 16–23.
Sriramayanti, C.I. & Darliana, ; Devi. 2018. PENDAHULUAN Stroke merupakan masalah neurologik primer di Amerika Serikat dan di dunia . Stroke penyebab ketiga kematian dengan laju mortilitas 18 % sampai 37 % untuk stroke pertama dan sebesar 62 % untuk stroke selanjutnya ( Smeltzer & Bare , 2002 , p . JIM FKep V IV(1): 75–86.
Sulistyaningsih, D.R. 2012. Efektivitas Training Efikasi Diri Pada Pasien Penyakit. Training Efikasi Diri, Kepatuhan, Intake Cairan, Penyakit Ginjal Kronik 50(128): 1–15.
Wahyuni, W. & Ajitirtiono, R. 2021. Pengaruh Home-Based Exercise Terhadap Aktifitas Fungsional Pasca Stroke: Analisis Kasus Tunggal The Effect Of Home-Based Exercise On Post-Stroke Functional Activities: Single Case Analysis. Jurnal Kesehatan Al-Irsyad 14(2): 61.
Downloads
Submitted
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Fisio Mu : Physiotherapy Evidaces Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with FISIO MU: Phsiotherapy Evidences agree to the following terms:
- Author(s) retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International License that allow others to share the work within an acknowledgement of the work’s authorship and initial publication of this journal.
- Author(s) are able to enter into separate, additional contractual arrangement for the non-exclusive distribution of the the journal’s published version of the work (e.g. acknowledgement of its initial publication in this journal).
- Author(s) are permitted and encouraged to post their work online (e.g. in institutional repositories or on their websites) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published works.
