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Jurnal Ners

ISSN 1858-3598

Vol. 7 / No. 1 / Published : 2012-04

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Original Article :

Peningkatan self-care agency pasien dengan stroke iskemik setelah penerapan self-care regulation model (the improvement of the self-care agency for patients with ischemic stroke after applying self–care regulation model in nursing care)

Author :

  1. AV. Sri Suhardingsih*1
  2. Moh. Hasan Mahfoed*2
  3. Rahmat Hargono*3
  4. Nursalam*4
  1. RSAL Dr. Ramelan Surabaya
  2. Ilmu Penyakit Saraf Fakultas Kedokteran Universitas Airlangga
  3. Fakultas Kesehatan Masyarakat Universitas Airlangga
  4. Dosen Fakultas Keperawatan UA

Abstract :

Introduction: The patiens with ischemic stroke caused a dependence in a need of self-care for the aspect of physically, psychologically, socially and spiritually. Nursing care approach will encourage patiens to became independence in self-care. The purpose of this research was to examine the improvement of the self care agency of the patients with ischemic stroke after aplying  a nursing care of self care regulation model. Methods: An experimental research with quasy experimental design was applied in the study. The study was conducted in the area of Surabaya by selecting 40 patients of ischemic stroke being hospitalized  in stroke Unit  IRNA MEDIK RSUD Dr. Soetomo Surabaya and selected by consecutive sampling. Sample of 40 patients were divided equally into two groups, namely treatment and control groups. The selection of sample was matching based on  age and sex. Independent variable in the study were  self-care regulation:  interpretation coping and appraisal. While dependent variable was  self-care agency of the patients with ishemic stroke. Data was analysed by Wilcoxon signed rank, Mann- Whitey test and modeling by SEM - PLS. Result: The result showed that there were significant differences  on the increase of self care agency between the groups. The group model that aplying a nursing care of self-care regulation gained the value of R2 = 0,857 and the standart nursing care gained the value of R2 = 0,614, so it could be inferred that the best model was self care regulation model, with the differentiation R2 = 0,243. Discussion:  It was concluded that the nursing care of self care regulation model could self-care agency up to 24,3% than the  standard of nursing care. It is recomended that  Self-care  regulation model can be used as a standard of nursing care in health care institutions both in hospitals and in clinics. Further research can be developed to investigate the use of Self-care theory from other theories of behavioral change such as Health Action Process Approach (HAPA ) and Health Belief Model (HBM).

Keyword :

The nursing care of self-care regulation model, self-care agency, self-care deficit, ischemic stroke,


References :

  1. Karen, Glanz, Barbara K.,R, (2008). Health Behavior and Health Education, Theory, Research, and Practice, Fourth Edition. San Francisco : Yossey-Bass. Inc.
  2. Diwanto, M., A., (2009). Tips Mencegah Stroke, Hipertensi Dan Serangan Jantung. Yogyakarta : paradigma Indonesia


   


Archive Article

Cover Media Content

Volume : 7 / No. : 1 / Pub. : 2012-04
  1. Respons psikologis (kecemasan dan depresi) dan respons biologis (cortisol, ifn-γ dan tnf-α) pada pasien stroke iskemik dengan pendekatan model home care holistic (psychological respons (anxiety and depression) and biological respons (cortisol, ifn-γ and tnf-α) in ischemic stroke patients by home care holistic model approach)
  2. Peningkatan self-care agency pasien dengan stroke iskemik setelah penerapan self-care regulation model (the improvement of the self-care agency for patients with ischemic stroke after applying self–care regulation model in nursing care)
  3. Tingkat kepatuhan pasien gagal ginjal kronik dalam pembatasan cairan pada terapi hemodialisa (the compliance chronic renal failure patient on restrictions liquids in hemodialysis therapy)
  4. Konsep diri, dukungan sosial dan kecemasan menghadapi keadaan sakit pada pasien fraktur (self-concept, social support, and anxiety in dealing with fractured-patient)
  5. Faktor risiko timbulnya diabetes mellitus pada remaja smu di kota malang the risk factors of diabetes mellitus in adolescent high school in malang city
  6. Mutu asuhan keperawatan berdasarkan analisis kinerja perawat dan kepuasan perawat dan pasien (quality of nursing care based on analysis of nursing performance and nurse and patient satisfaction)
  7. Model adaptif conservation (acm) dalam meningkatkan dukungan keluarga dan kepatuhan berobat pada pasien tb paru di wilayah kota surabaya (adaptif conservation (acm) model in increasing family support and compliance treatment in patient with pulonary tuberculosis in surabaya city region)
  8. Pengembangan model peningkatan kinerja tenaga keperawatan dalam penerapan manajemen terpadu balita sakit (mtbs) di surabaya (the development of nursing job performance model in the implementation of integrated management of childhood illness (imci) in surabaya)
  9. Peningkatan kebersihan diri pada pasien halusinasi dengan pendekatan metode partisipatif dan rewards (the increase of self personal hygiene patient with hallusination by nursing methods of partisipatif and rewards approach)
  10. Ekspresi protein er (estrogen receptor) pada kanker payudara derajat keganasan baik, sedang dan buruk (protein expression er (estrogen receptor) in breast cancer degree of malignancy low, moderate, severe)
  11. The increasing of preschool multiple intelligences by educative playing instrument stimulation