Hubungan ketergantungan activity daily living klien pasca stroke dengan beban family caregiver di wilayah Puskesmas Kayon Palangka Raya

Wulandari, Lovia (2024) Hubungan ketergantungan activity daily living klien pasca stroke dengan beban family caregiver di wilayah Puskesmas Kayon Palangka Raya. Skripsi, PROGRAM STUDI SARJANA TERAPAN KEPERAWATAN, POLTEKKES KEMENKES PALANGKA RAYA.

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Abstract

Latar Belakang: Stroke merupakan kondisi pasokan darah ke otak terganggu, sebagian sel-sel otak mengalami kematian karena sumbatan atau pecahnya pembuluh darah otak. Akibatnya menimbulkan penurunan fisik terutama activity daily living (ADL). Ketergantungan ADL dalam waktu lama menimbulkan beban pada family caregiver. Tujuan Penelitian: Untuk mengetahui hubungan ketergantungan activity daily living klien pasca stroke dengan beban family caregiver. Metode Penelitian: Penelitian ini bersifat kuantitatif dengan desain cross sectional. Penelitian dilaksanakan di Puskesmas Kayon dengan responden sejumlah 38 orang. Sampel diambil dengan teknik total sampling. Instrumen penelitian Caregiver Reaction Scale (CRA) dan Indeks Given Barthel. Analisis data dengan uji Somers’d. Hasil: Klien pasca stroke ketergantungan moderat (f=17, 44,7%), family caregiver beban kategori berat (f=30, 78,9%), usia 54-67 tahun (60,5%), tingkat pendidikan SD dan SMA (39,5%), tidak bekerja (89,5%), penghasilan < UMR (68,4%), memiliki BPJS (89,5%), dan lama keluarga merawat 1-5 tahun (92,1%). Uji korelasi Somers’d didapatkan hasil nilai r=0,366 dan p=0,003. Kesimpulan: Terdapat hubungan antara ketergantungan activity daily living klien pasca stroke dengan beban family caregiver, diharapkan klien pasca stroke mempertahankan kualitas hidup yang baik serta pelayanan kesehatan memberikan informasi secara adekuat pada family caregiver untuk mengurai beban family caregiver. Kata Kunci: Stroke, Activity Daily Living, Beban Family Caregiver

Background: Stroke condition where the blood supply to the brain is disrupted, some brain cells die due to blockage or rupture of brain blood vessels. Result physical decline especially daily activities (ADL). Long-term ADL dependency creates a burden for caregiver families. Research Objective: To determine the relationship between dependence post-stroke clients' daily living activities and the burden family caregivers. Research Method: This research is quantitative, cross sectional design. Conducted at the Puskesmas Kayon Palangka Raya, respondents was 38 people. Total sampling technique. Instruments Caregiver Reaction Scale (CRA) and Index Given Barthel. Somers'd test. Results: Post-stroke clients were moderately dependent (f=17, 44.7%), family caregivers heavy burden (f=30, 78.9%), age 54-67 years (60.5%), elementary and high school education level (39.5%), not working (89.5%), income < minimum wage (68.4%), have BPJS (89.5%), and length of family care 1-5 years (92.1%). The Somers'd correlation test resulted in r=0.366 and p=0.003. Conclusion: There is a relationship between post-stroke clients' dependence on daily living activities and the burden on family caregivers. Hoped that post-stroke clients maintain a good quality of life and health services provide information to the caregiver family thereby reducing the burden on the caregiver family.

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