Electronic Theses and Dissertation

Stroke merupakan salah satu penyakit kronis yang berdampak pada penurunan fungsi motorik dan kemampuan perawatan diri (self-care). Self-care yang baik pada pasien pasca-stroke penting untuk mencegah serangan stroke berulang dan meningkatkan kualitas hidup. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi self-care pada pasien pasca-stroke di RSUD dr. Zainoel Abidin Banda Aceh. Desain penelitian deskriptif korelatif dengan pendekatan cross-sectional. Sampel berjumlah 84 pasien yang dipilih menggunakan metode purposive sampling. Instrumen penelitian meliputi The Southampton Stroke Self-Management Questionnaire (SSSMQ), The Stroke Self-Efficacy Questionnaire (TSSEQ), dan The Rivermead Mobility Index (RMI). Analisis data dilakukan menggunakan uji Spearman Rank Correlation. Hasil penelitian menunjukkan bahwa terdapat hubungan signifikan antara usia (p=0,000; r=0,676), status gizi (p=0,000; r=0,697), efikasi diri (p=0,000; r=0,893), dan fungsi motorik (p=0,000; r=0,888) dengan self-care pada pasien pasca-stroke. Namun, tidak ditemukan hubungan signifikan antara jenis stroke (p=0,311; r=0,112) dan frekuensi stroke (p=0,876; r=0,017) dengan self-care. Kesimpulannya, faktor usia, status gizi, efikasi diri, dan fungsi motorik mempengaruhi kemampuan self-care pasien pasca-stroke. Diharapkan pemberi layanan kesehatan dapat memberikan edukasi mengenai pentingnya status gizi yang optimal bagi pasien pasca-stroke, serta melakukan evaluasi rutin untuk memastikan pasien dapat menjaga asupan gizi yang tepat, guna mendukung pemulihan dan meningkatkan kemampuan self-care pasien.

Stroke is a chronic condition that affects motor function and self-care ability. Effective self-care in post-stroke patients is essential to prevent recurrent strokes and improve quality of life. This study aimed to analyze the factors influencing self-care among post-stroke patients at dr. Zainoel Abidin General Hospital, Banda Aceh. A correlational descriptive design with a cross-sectional approach was employed. The sample consisted of 84 patients, selected using purposive sampling. Data collection instruments included the Southampton Stroke Self-Management Questionnaire (SSSMQ), Stroke Self-Efficacy Questionnaire (TSSEQ), and the Rivermead Mobility Index (RMI). Data were analyzed using the Spearman Rank Correlation test. Results showed significant relationships between age (p = 0.000; r = 0.676), nutritional status (p = 0.000; r = 0.697), self-efficacy (p = 0.000; r = 0.893), and motor function (p = 0.000; r = 0.888) with self-care ability in post-stroke patients. However, no significant relationship was found between stroke type (p = 0.311; r = 0.112) or stroke frequency (p = 0.876; r = 0.017) and self-care. In conclusion, age, nutritional status, self-efficacy, and motor function significantly influence self-care in post-stroke patients. Healthcare providers are encouraged to educate patients on the importance of optimal nutrition and conduct regular evaluations to ensure appropriate nutritional intake, thereby supporting recovery and enhancing patients’ self-care abilities.