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"ABSTRAKKualitas hidup pasien pasca stroke dapat diketahui berdasarkan laporan dari pasienstroke dengan wawancara terstruktur atau dengan pengisian kuesioner. Namun,beberapa dari pasien stroke tidak dapat melaporkan kualitas hidupnya sebagai akibatdari gangguan bahasa, efek kognitif lainnya dari stroke atau kondisi yang sudah adasebelumnya. Penelitian ini bertujuan mengidentifikasi perbedaan persepsi kualitas hidupantara perspektif pasien pasca stroke dan caregiver. Penelitian ini menggunakan desainpotong lintang (Cross Sectional) yang melibatkan 115 pasien dan 115 caregiver.Analisis statistik yang digunakan Mann Whitney. Hasil analisis menunjukkan tidakterdapat perbedaan secara signifikan antara persepsi kualitas hidup dari pasien danpersepsi kualitas hidup dari caregiver (p 0,166 ; α < 0,05). Tidak terdapat perbedaansecara signifikan pada domain fisik (p 0,278; α<0,05), psikologis (p 0,068; α<0,05),hubungan sosial (p 0,976; α< 0,05), dan lingkungan (p 0,157; α<0,05) dari kualitashidup yang dipersepsikan oleh pasien dan yang dipersepsikan oleh caregiver. Perawatdapat memperoleh informasi dari caregiver saat pasien tidak dapat memberikaninformasi terkait kualitas hidupnya.

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ABSTRACTThe quality of life of post-stroke patients might be identified on reports of strokepatients by structured interviews or questionnaires. However, some stroke patientsmight unable to report their quality of life due to language disorders, other cognitiveeffects of stroke or pre-existing conditions. The general purpose of identifyingdifferences in perception of quality of life between perceived patients post stroke andperceived caregiver. Research Design: using cross sectional design. Samples: Researchsample size is 115 patients and 115 caregivers. Statistical analysis used Mann Whitneytest. The results showed no significant difference between perception of quality of lifeby patient and perception of quality of life by caregiver (p 0,166; α <0,05). there wereno significant differences in the physical domain (p 0.278, α <0.05), psychological (p0.068, α <0.05), social relations (p 0.976, α <0.05), and environment (p 0.157; α <0.05)of the perceived quality of life by the patient and perceived by the caregiver. Nurse mayobtain information from the caregiver when the patient is unable to provide informationabout the quality of his/her life."

"Kualitas hidup merupakan salah satu parameter keberhasilan intervensi keperawatan pada penyakit kronik, terutama stroke. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan empat dimensi kualitas hidup pasien pasca stroke menggunakan metode survei analitik pendekatan cross sectional. Sampel berjumlah 49 pasien pasca stroke. Teknik sampling yang digunakan adalah consecutive sampling. Responden mengisi kuesioner berupa data demografi, 26 pertanyaan WHOQOL- Bref, 10 pertanyaan Index Barthel Scale (IBS), 19 pertanyaan Back Hopelessness Scale (BHS), dan 5 pertanyaan APGAR. Penelitian ini dianalisis menggunakan uji kai kuadrat. Hasil penelitian menunjukkan adanya hubungan signifikan antara tingkat pendidikan dengan domain lingkungan (p=0.004), kategori klinik dengan domain psikologis (p=0.038), status kecacatan dengan domain fisik (p=0.039) dan domain lingkungan (p=0.009). Perlu dilakukan penelitian lanjutan dengan menambah besar sampel atau mespesifikasikan topik penelitian seperti faktor determinan yang mempengaruhi kualitas hidup pasien pasca stroke. Bagi pelayanan keperawatan dapat memberikan dan memodifikasi intervensi keperawatan untuk meningkatkan status kemampuan fungsional pasien.

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The Quality of life is one of the success parameters of nursing interventions on chronic diseases, especially on stroke. The research aimed to identify the factors that related with four dimensions of quality of life in post-stroke patients used a survey analitic cross sectional design study. The research involved 40 post-stroke patients with using consecutive sampling. Respondents answered 26 questions of WHOQOL- Bref, 19 statements of BHS,5 statements of APGAR, they were tested by 10 questions of IBS.

The research shown a significant association between education level with environmental domain (p=0.004), clinical categorization with psychological domain (p=0.038), disability status with physical domain (p=0.039), environmental domain (p=0.009). Researcher recommends to perform further research with larger sampel size and specific research topics like the determinant factor that influences quality of life in post-stroke patients.While, the nursing services need to administer and modifiy nursing intervention for increasing the functional capability status of patient."

"ABSTRAKKondisi pasca stroke tidak hanya menimbulkan kecacatan fisik tetapi juga psikologis seperti depresi pasca stroke dan isolasi sosial yang dapat menyebabkan penurunan efikasi diri (self-efficacy) dan mempengaruhi kualitas hidup pasien. Penelitian ini bertujuan mengetahui pengaruh intervensi Stroke Self Management Education  (SSME) berbasis audiovisual terhadap self efficacy dan kualitas hidup pasien pasca stroke. Penelitian quasi eksperimen ini melibatkan 36 responden yang dipilih dengan tehnik concecutive sampling yang dibagi menjadi kelompok intervensi (18 responden) dan kelompok kontrol (18 responden). Hasil uji  independent t test menunjukkan adanya perbedaan selisih skor self efficacy (pvalue < 0.0001;α 0,05)  dan kualitas hidup (pvalue = 0,001; α 0,05) yang bermakna antara kelompok intervensi dan kontrol. SSME berbasis audiovisual berpengaruh terhadap self efficacy dan kualitas hidup pada pasien pasca Stroke. SSME ini dapat digunakan untuk meningkatkan self efficacy dan kualitas hidup pada pasien pasca Stroke.

 

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Post-stroke condition can lead to depression and social isolation that significanlly decrease self efficacy and quality of life among stroke patient. This study aimed at identifying the effects of Audiovisual-based Stroke Self Management Education (SSME) on self efficacy and quality of life of post-stroke patients. The method applied is quasi-experimental with total of 36 respondents. Concecutive sampling techniques was implemented when choosing the research subject and divided into two groups (intervention group and control group). The results of independent t-test showed there is significant mean differences of self efficacy (p value <0.0001; α 0.05) and quality of life scores(p value = 0.001; α 0.05) between the intervention and control groups.  To conclude, Audiovisual-based SSME affect significantly on self efficacy and quality of life among post-stroke patients. Audiovisual based SSME is recommended to improve self efficacy and quality of life among post-stroke patients.

 

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"ABSTRAKInfark Miokard merupakan kasus kegawatan kardiovaskular yang dapat memperburuk kualitas hidup dan meningkatkan mortalitas. Prevalensi infark miokard lebih tinggi pada pria dibanding perempuan seusianya. Namun VIRGO study 2008-2012 menyatakan prevalensi infark miokard pada perempuan muda le; 55 tahun terus meningkat. Tujuan penelitian ini untuk mengetahui perbedaan kualitas hidup laki-laki dan perempuan pasca infark miokard yang menjalani intervensi koroner perkutan. Penelitian ini menggunakan desain potong lintang, dengan metode pengambilan sampel secara consecutive sampling sebanyak 126 responden. Penelitian ini menggunakan instrumen MacNew dengan hasil tidak ada perbedaan kualitas hidup antara laki-laki dan perempuan pada pasien pasca infark miokard yang menjalani intervensi koroner perkutan p = 0,246. Skor kualitas hidup laki-laki lebih tinggi pada domain sosial 5,41 0,81. Skor perempuan lebih tinggi pada domain emosional 5,53 1,01 dan domain fisik 5,58 0,78. Perawat disarankan memfasilitasi pasien degan memberikan asuhan perawatan yang komprehensif mencakup domain fisik, emosional dan sosial tanpa membedakan jenis kelamin pasien sehingga tercapai kualitas hidup yang optimal.

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ABSTRACTMyocardial infarction is an emergency case of cardiovascular which could decrease quality of life and increase mortality. Myocardial Infarction prevalence on men are higher than women at the same ages. But, the VIRGO 39 s study 2008 2012 stated that prevalence of myocardial infarction on younger women le 55 years old were increasing. This study aimed identify differences of quality of life between men and women post myocardial infarction undergoing percutaneous coronary intervention. This cross sectional study with consecutive sampling method involved 126 respondent. Using MacNew Instrument and showed no difference of quality of life p 0.246. The quality of life score of men are higher on the social domain 5,41 0,81. The quality of life score of women are higher on the emotional 5,53 1,01 and physical domain 5,58 0,78. Nurses are recommended to provide a comprehensive nursing care to obtain optimum quality of life without distinguishing between men and women. "

"Inkontinensia urin (IU) pasca stroke merupakan salah satu gejala sisa stroke yang mempengaruhi seluruh kehidupan pasien baik fisik, psikologis, sosial, dan spiritual pasien. Penelitian ini bertujuan mengembangkan model asuhan keperawatan berbasis teori human becoming dan self-care deficit theory of nursing dan teridentifikasi pengaruhnya terhadap penurunan insomnia dan peningkatan kualitas hidup pasien IU pasca stroke. Penelitian ini terbagi atas dua tahap yaitu penelitian kualitatif (studi kasus) yang melibatkan 18 informan, kemudian dilanjutkan dengan penyusunan model dan penelitian kuantitatif (non-equivalent control group pretest-posttest design) yang melibatkan 56 responden secara consecutive sampling, yang dibagi dalam kelompok intervensi dan kelompok kontrol dengan lama intervensi 8 minggu. Penelitian tahap ini dilakukan di empat rumah sakit di Kota Kendari kemudian dilanjutkan di rumah pasien. Hasil penelitian tahap satu didapatkan lima tema dari hasil wawancara mendalam sehingga dihasilkan model pengelolaan IU pasca stroke beserta buku panduan intervensi model, modul untuk pasien dan perawat. Hasil penelitian tahap dua membuktikan bahwa model ini berpengaruh dalam menurunkan insomnia dan meningkatkan kualitas hidup dengan p value < 0,05. Kesimpulan hasil penelitian yaitu model asuhan keperawatan berbasis teori human becoming dan self-care deficit theory of nursing berpengaruh dalam menurunkan insomnia dan meningkatkan kualitas hidup pasien

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Post-stroke urinary incontinence (UI) is one of the sequelae of stroke that affects the patient's entire life (physically, psychologically, socially, and spiritually). This study aims to develop a nursing care model based on the theory of human becoming and self-care deficit theory of nursing and identify its effect on decreasing insomnia and improving quality of life. This research was divided into two stages, namely qualitative research (case study) involving 18 informants, then continued with model development and quantitative research (non-equivalent control group pretest-posttest design) involving 56 respondents by consecutive sampling. Respondents were divided into the intervention group and the control group with an intervention duration of 8 weeks. This research was conducted in four hospitals in Kota Kendari and then continued at the patient's home. The results of the first phase of the study obtained five themes from the results of in-depth interviews so that a post-stroke UI management model was produced along with a model intervention guide, modules for patients and nurses. The results of the second stage of the study proved that the post-stroke UI management model had an effect on reducing insomnia and improving quality of life with p value <0.05. The conclusion of the research is that nursing care model based on the theory of human becoming and self-care deficit theory of nursing has an effect on reducing insomnia and improving the patient's quality of life"

"ABSTRAKPenelitian ini berfokus pada pengalaman dan persepsi kualitas hidup pada pasien denganContinuous Ambulatory Peritoneal Dialysis (CAPD). Disain kualitatif fenomenologi dipilihuntuk mendapatkan informasi yang individual dan mendalam. Tujuh orang partisipanditentukan dengan purposive sampling. Wawancara mendalam dilakukan menggunakan alatperekam, panduan wawancara semiterstruktur, dan catatan lapangan. Pendekatan Colaizzi?sQualitative content analysis menghasilkan tema : Pengalaman ketidaknyamanan fisik danpsikis saat menjalani Hemodialisis; Dukungan orang terdekat dan tenaga kesehatan dalammenguatkan keyakinan membuat keputusan CAPD dan meningkatkan kemampuan selfcare;Pertimbangan kenyamanan memilih CAPD; Mengalami komplikasi yang kemungkinan dapatdicegah; Selfcare membutuhkan waktu; Adanya rentang konsep diri; Perasaan nyamandengan CAPD; Koping positif dalam menyikapi perubahan pola hidup; Keterbatasan dipelayanan primer untuk CAPD dan Pengharapan untuk menjadi ?normal?. Pengalamanpartisipan merupakan suatu kontinum. Studi lanjutan diperlukan untuk melihat faktordominan yang mempengaruhi dalam pembuatan keputusan memilih modalitas CAPD

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ABSTRACTThis study focuses on the experiences and perceptions of quality of life of patients withContinuous Ambulatory Peritoneal Dialysis (CAPD). A Phenomenological qualitative designwas chosen to obtain personal and in-depth information. Seven participants were determinedusing purposive sampling technique. An In-depth semi-structured interviews were taperecorded. Theme emerged from the Colaizzi?s qualitative content analysis : Experience ofphysical and psychological discomfort while undergoing Hemodialysis; Supports from theclosest persons and health care professionals strengthen confidence on making CAPDdecisions and improves selfcare abilities; Convinience reason for choosing CAPD;Experience preventable complications; Selfcare takes time process; Positive coping inresponse to changes in lifestyle; Existence of a range of self-concept; More comfort onCAPD; Limited service of CAPD in Primary Care; and Hoping of being 'normal'.Participant?s experience and quality of life perception laid in a continum. Further studyrelated to dominan factors in choosing CAPD is recommended."

"ABSTRAKHemiparesis pasca stroke merupakan kondisi yang memengaruhi gaya berjalan padapenderita stroke. Akupresur merupakan metode noninvasif yang prinsip kerjanyadidasarkan pada prinsip akupunktur dan telah digunakan untuk terapi pada nyeri, mualdan kekuatan pada otot ektermitas atas .Penelitian ini bertujuan untuk Mengetahuipengaruh terapi akupresur terhadap kekuatan otot ektermitas atas dan bawah pasien poststroke yang mengalami hemiparese. Desain penelitian ini menggunakan quasiexperiment, pretest-posttest with control, intervensi berupa akupresur yang dilakukandalam 14 hari dan diukur pada hari ke 10 dan hari ke 14. 30 responden berpartisipasidalam penelitian ini. Dan pengambilan sampel dengan teknik pengambilan sampel nonprobability sampling. Uji statistik Perbedan kekuatan otot sesudah dilakukan intervensipada hari ke 10 dan 14 digunakan uji wilcoxon tes yang menunjukkan bahwa terdapatperbedaan yang bermakna pada kekuatan otot sesudah dilakukan intervensiAkupresur.(p<0,003;0,005;α 0,05). Hasil selisih kekuatan otot antra kelompok kontroldan perlakukan dengan menggunakan uji Mann Whitney yang menunjukkan adaperbedaan yang bermakna pada kekuatan otot antara kelompok intervensi dan kontrolsesudah dilakukan intervensi akupresur (p<0,000; α 0,05). Rekomendasi dari hasilpenelitian ini menunjukkan terapi akupresur selama 14 hari lebih baik dibandingkanpada terapi selama 10 hari, dan akupresur diharapkan bisa dijadikan terapi alternativedalam peningkatan kekuatan otot pasien stroke yang mengalami hemiparese.

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ABSTRACTPost-stroke hemiparesis is a condition that affects gait in stroke patients. Acupressure isa noninvasive method whose working principle is based on the principle of acupunctureand has been used to treat pain, nausea and strength in the upper ecstatic muscles. Thisstudy aims to determine the effect of acupressure therapy on muscle strength of upperand lower ecstatic post-stroke patients who have hemiparese. The design of this studyused quasi experiment, pretest-posttest with control, intervention in the form ofacupressure performed in 14 days and measured on day 10 and day 14. 30 respondentsparticipated in this study. And sampling with non probability sampling techniques.Statistical test of the difference in muscle strength after intervention on day 10 and day14 was used Wilcoxon test which showed that there was a significant difference inmuscle strength after the acupressure intervention was performed (p <0.003; 0.005; α0.05). The results of the difference in muscle strength between the control and treatmentgroups using the Mann Whitney test showed that there was a significant difference inmuscle strength between the intervention and control groups after the acupressureintervention (p <0,000; α 0,05). Recommendations from the results of this study showthat on 14 days acupressure therapy is better than 10-day therapy, and acupressure isexpected to be an alternative therapy in increasing the muscle strength of stroke patientswho experience hemiparese.

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"[ABSTRAKTujuan penelitian ini yaitu mengembangkan intervensi model adaptasi paska stroke serta mengidentifikasi efektifitasnya terhadap perilaku adaptasi dan kualitas hidup pasien paska stroke. Penelitian ini secara keseluruhan dilakukan dalam dua tahap. Tahap satu yaitu pengembangan model intervensi yang diawali dengan penelitian kualitatif menggunakan pendekatan fenomenologi deskriptif tentang pengalaman pasien beradaptasi paska stroke. Model intervensi kemudian dikembangkan dengan cara mengintegrasikan tema hasil penelitian kualitatif, studi literatur, dan konsultasi pakar. Tahap kedua yaitu uji coba intervensi model untuk menentukan efektifitasnya terhadap respon adaptasi dan kualitas hidup pasien paska stroke. Penelitian tahap dua merupakan penelitian kuasi eksperimen menggunakan desain post test control group. Metode sampling yang digunakan dalam penelitian tahap dua yaitu consecutive sampling dengan jumlah sampel 65 orang (32 orang kelompok intervensi dan 33 orang kelompok kontrol). Pembagian sampel ke dalam kelompok intervensi dan kontrol dilakukan dengan matching rumah sakit. Hasil penelitian tahap satu teridentifikasi 9 tema yang dinyatakan partisipan dan dihasilkan intervensi model adaptasi paska stroke (IMAPS) beserta perangkatnya meliputi buku panduan intervensi model, modul untuk perawat pelaksana, dan booklet untuk pasien dan keluarga. Hasil penelitian tahap dua membuktikan adanya perbedaan respon adaptasi fisiologis, adaptasi psikososial, dan kualitas hidup yang bermakna antara pengukuran 3 bulan dengan 4 bulan sesudah intervensi diantara kelompok intervensi dan kontrol. Kesimpulan hasil penelitian yaitu intervensi model adaptasi paska stroke efektif meningkatkan respon adaptasi fisiologis, adaptasi psikososial dan kualitas hidup paska stroke.;

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ABSTRACTThe purpose of this research was to develop intervention adaptation model for post-stroke (IMAPS) and identify its effectiveness on adaptation response and quality of life after stroke. This study conducted in two stages. The first stage was the development of intervention model that begins with a qualitative research using a descriptive phenomenological approach. Intervention model was then developed by integrating the results of qualitative research, literature review, and expert review. The second stage was examination the intervention model to identified its effectiveness on adaptation response and quality of life after stroke. This study was quasi-experimental research using post test control group design. The sampling method used in this study was consecutive sampling with a sample of 65 stroke patient (32 samples in intervention group and 33 samples in control group). Samples were allocated to intervention and control group by matching the hospital. The qualitative study identified nine theme stated by the participants. Qualitative themes serve as guidelines for developing intervention model. The first stage resulted in intervention model and its devices include intervention manual, module for nurses, and booklet for patients and their families. The second stage of research proves the significant difference in physiological and psychosocial adaptation response, and quality of life between measurements 3 months to 4 months after the intervention between groups. We conclude that IMAPS effectively improve the response of physiological and psychosocial adaptation, and quality of life after stroke;The purpose of this research was to develop intervention adaptation model for post-stroke (IMAPS) and identify its effectiveness on adaptation response and quality of life after stroke. This study conducted in two stages. The first stage was the development of intervention model that begins with a qualitative research using a descriptive phenomenological approach. Intervention model was then developed by integrating the results of qualitative research, literature review, and expert review. The second stage was examination the intervention model to identified its effectiveness on adaptation response and quality of life after stroke. This study was quasi-experimental research using post test control group design. The sampling method used in this study was consecutive sampling with a sample of 65 stroke patient (32 samples in intervention group and 33 samples in control group). Samples were allocated to intervention and control group by matching the hospital. The qualitative study identified nine theme stated by the participants. Qualitative themes serve as guidelines for developing intervention model. The first stage resulted in intervention model and its devices include intervention manual, module for nurses, and booklet for patients and their families. The second stage of research proves the significant difference in physiological and psychosocial adaptation response, and quality of life between measurements 3 months to 4 months after the intervention between groups. We conclude that IMAPS effectively improve the response of physiological and psychosocial adaptation, and quality of life after stroke, The purpose of this research was to develop intervention adaptation model for post-stroke (IMAPS) and identify its effectiveness on adaptation response and quality of life after stroke. This study conducted in two stages. The first stage was the development of intervention model that begins with a qualitative research using a descriptive phenomenological approach. Intervention model was then developed by integrating the results of qualitative research, literature review, and expert review. The second stage was examination the intervention model to identified its effectiveness on adaptation response and quality of life after stroke. This study was quasi-experimental research using post test control group design. The sampling method used in this study was consecutive sampling with a sample of 65 stroke patient (32 samples in intervention group and 33 samples in control group). Samples were allocated to intervention and control group by matching the hospital. The qualitative study identified nine theme stated by the participants. Qualitative themes serve as guidelines for developing intervention model. The first stage resulted in intervention model and its devices include intervention manual, module for nurses, and booklet for patients and their families. The second stage of research proves the significant difference in physiological and psychosocial adaptation response, and quality of life between measurements 3 months to 4 months after the intervention between groups. We conclude that IMAPS effectively improve the response of physiological and psychosocial adaptation, and quality of life after stroke]"

"ABSTRAKKualitas hidup merupakan salah satu parameter keberhasilan intervensi keperawatan padapenyakit kronik, terutama kanker. Penelitian ini bertujuan untuk mengetahui perbedaankualitas hidup pasien kanker payudara dan kanker ginekologi. Desain penelitian ini adalahdeskriptif dengan pendekatan cross sectional, dan jumlah sampel 96 responden untukmasing-masing kelompok data. Teknik pengambilan sampel adalah consecutive sampling dananalisa data distribusi frekuensi. Hasil penelitian menunjukkan bahwa skor rata-rata kualitashidup responden kanker payudara adalah 66,49; ginekologi 59,04, skor tertinggi kategoriskala fungsional pada kanker payudara adalah fungsi peran 40,55; ginekologi fungsi sosial82,60, skala gejala pada kanker payudara adalah diare 92,70; ginekologi dypsnoea 89,23.Skor tertinggi pada aspek seksual kanker payudara pada kepuasan seksual dan kecemasanseksual 48,26 dan 82,27;ginekologi 89,93 dan 89,23. Penelitian ini merekomendasikankepada peneliti selanjutnya untuk meneliti perbedaan rerata nilai mean pada setiap skala itemdi kuesioner.Kata kunci: kualitas hidup, kanker payudara, kanker ginekologi.

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ABSTRACTQuality of life is one of the parameters of the success of nursing interventions on chronicdiseases, especially cancer. This study aims to determine differences in the quality of life ofpatients with breast cancer and gynecologic cancer. This study was a descriptive crosssectional approach, and the number of samples 96 respondents for each group of data. Thesampling technique is consecutive sampling and analysis of the frequency distribution data.The results showed that the average score of respondents quality of life of breast cancer was66.49; gynecology 59.04, the highest score in the category of functional scale breast canceris the function of the role of 40.55; 82.60 gynecology social function, scale symptoms inbreast cancer were diarrhea 92.70; gynecology was dypsnoea 89.23. The highest scores onthe sexual aspects of breast cancer in sexual enjoyment and sexual anxiety 48.26 and 82.27;gynecology 89.93 and 89.23. The study recommends further research to examine thedifferences between the mean value of the mean on each scale item in the questionnaire."

"Latar Belakang: Post-stroke fatigue merupakan invisible handicap dengan prevalensi global 23% - 85%. Faktor yang berkaitan multidimensional, dan berdampak negatif terhadap angka rawat, luaran fungsional, kualitas hidup, dan kesintasan. Prevalensi dan faktor-fakor yang berkaitan dengan late PSF pada populasi stroke iskemik di Indonesia belum ada. Metode: Penelitian potong-lintang ini menggunakan teknik pengambilan sampel berurutan pada seluruh pasien stroke iskemik yang kontrol ke Poli Saraf RSUPN Dr. Cipto Mangunkusumo. Data primer didapatkan menggunakan kuisioner Fatigue Severity Scale, Skala Kecemasan dan Depresi Rumah Sakit, Montreal Cognitive Assessment, dan Pittsburgh Sleep Quality Index versi Indonesia. Data sekunder didapatkan dari rekam medis. Analisis dilakukan untuk menilai prevalensi, hubungan PSF dengan faktor-faktor yang memengaruhi, dan korelasi item FSS dengan PSF.

Hasil: Dari 248 pasien, 100 pasien pertama yang memenuhi kriteria penelitian diambil sebagai subjek penelitian. Prevalensi PSF didapatkan sebanyak 49%. Pada analisis multivariate, pekerjaan sebelum stroke (aOR 0,34; IK95% (0,11-0,99); p=0,047), jumlah komorbid (aOR 3,07; IK95% (1,17-8,10); p=0,023), dan talamus (aOR 0,17; IK95% (0,03-0,89); p=0,036) menentukan kejadian PSF. Pada uji korelasi, item FSS yang berkorelasi tertinggi adalah item 8 dan 5.

Simpulan: Pada penelitian ini, hampir setengah pasien stroke iskemik mengalami late PSF. Faktor-faktor yang berkaitan perlu diinterpretasi secara hati-hati. Fatigue bersifat subjektif sehingga faktor psikososial dan budaya perlu dipertimbangkan.

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Background: Post-stroke fatigue is an invisible handicap with a global prevalence of 23%-85%. The factors associated is multidimensional, and has negatif impact on hospitalization, functional outcome, quality of life, and survival. The prevalence and factors associated with late PSF among the Indonesian population with ischemic stroke has not been published.

Methods: This is a cross-sectional study using consecutive sampling techniques on stroke ischemic patients who visits the Neurolgy clinic at Dr. Cipto Mangunkusumo Hospital. Primary data is obtained by questionnaires consisting of the Indonesian version of the Fatigue Severity Scale, Hospital Anxiety and Depression Scale, Montreal Cognitive Assessment, dan Pittsburgh Sleep Quality Index. Secondary data is obtained through medical records. Analysis are performed to obtain the prevalence, relationship between PSF and associated factors, and correlation between FSS items with PSF.

Results: From 248 patients, the first 100 patients meeting the study criteria were taken as study subjects. The prevalence of PSF is 49%. In multivariate analysis, employment before stroke (aOR 0.34; 95%CI (0.11-0.99); p=0.047), number of comorbid (aOR 3.07; 95%CI (1.17-8.10); p=0.023), and thalamus (aOR 0.17; 95%CI (0.03-0.89); p=0.036) are associated with PSF. In the correlation test, the items from FSS that have the highest correlation to PSF are items 8 and 5.

Conclusion: In this study, nearly half of ischemic stroke patients experienced late PSF. Related factors need to be interpreted carefully. Fatigue is a subjective symptom so cultural and psychosocial factors needs to be considered."