PERAN PERAWAT MEDIKAL BEDAH DALAM

EDUKASI DINI SELF CARE PASIEN STROKE

DAN KELUARGA

Alfrina Hany
Disampaikan pada SEMINAR NASIONAL KEPERAWATAN, Sabtu 06 Juni
2020
 Outline
 Burden Stroke
 Stroke patients and care givers
 Transitional Care
 Stroke Education
 Role of Medical Surgical Nurses

www.stroke.org
 Burden of Stroke
Globally Locally
 5 juta kematian akibat stroke tiap tahun
 Penyebab kematian kedua di dunia
 Setiap 40 detik, 1 orang di US sakit stroke
 Setiap 4 menit, 1 orang meninggal akibat stroke
 15%-30% cacat permanen
 Pasien stroke perlu 3 bulan perawatan penuh berisiko
kematian 7x dalam 1 tahun. Riskesdas :
 1 dari 5 pasien stroke kambuh lagi dalam 5 tahun 2013 sebanyak 7%, 2018 sebanyak 11%
berusia produktif mulai 18 tahun
AHA Heart Disease and Stroke Statistics 2014 Update/ CDC National Vital Statistics Reports 2010
10 PENYEBAB KEMATIAN DI INDONESIA
Critical Intervention Points pasien stroke di RS

Transisi
Kembali ke rumah

Acute Rawat inap &

Care Rehab

Dalam perawatan
lama

Olson DM, Prvu Bettger J, Alexander KP, et al. AHRQ 2011

Transisi dalam perawatan
stroke
 pasien Stroke and
keluarga
Methods:
Thirty-eight participants, were interviewed during
their stay at a rehabilitation facility and within 6
months of discharge. Interview questions were
loosely structured and focused on the stroke
experience and how patients and caregivers were
managing postdischarge. Data were analyzed
using dimensional and comparative analysis.
Results: Conclusion:
Findings were organized in a conceptual framework illustrating the
trajectory of the crisis of stroke. Stroke survivors and their
Stroke survivors and their
caregivers do not have adequate
caregivers faced enormous challenges as they moved through 3
phases of the trajectory: the stroke crisis, expectations for recovery, time to deal with the shock and
and the crisis of discharge. Findings from this study suggest that as crisis of the stroke event. let
caregivers move through the phases of the trajectory, they do not
al.one the crisis of discharge and
have a good understanding of the role to which they are committing,
and they are often underprepared to take on even the basic tasks to all of the new responsibilities with
meet the patients’ needs on discharge which they must deal.
Implikasi Keperawatan:
 Keluarga sebagai caregivers memerlukan dukungan dan “waktu yang tepat” dari professional kesehatan dalam transisi
perawatan Stroke.
Edukasi Stroke sejak
dini  Masa rawat inap diperpendek  pasien pulang dengan
penkes minimal  butuh edukasi komprehensif.
 Fokus perawatan  pada rehab fisik saja ??
 Pasien dan keluarga mengalami transisi  perlu
adaptasi fisik dan psikologis, perubahan pada
hubungan keluarga, tantangan terhadap masalah
lingkungan dan finansial.
 Perlu pedoman edukasi yang jelas, terstruktur yang
diberikan sedini mungkin.
 Edukasi pada Stroke Care
Uchino, Pary, Grotta. Acute Stroke Care. 2011

 Edukasi publik
 Edukasi penolong pre hospital
 Koordinasi kecepatan triage stroke dan evaluasi
 Tim Stroke

Acute Rehab &

Care Recovery

Perawat Stroke Perawat Medikal bedah

 Self Care pada Stroke Care
Uchino, Pary, Grotta. Acute Stroke Care. 2011

 Mengendalikan factor risiko

 Kepatuhan minum obat
 Modifikasi gaya hidup
 Pengendalian tekanan darah

Self Care pasien Dukungan Keluarga

Stroke
Perencanaan pulang
Intervensi cegah stroke berulang
Williams, Perry, Watkins (2020) STROKE NURSING
“ Edukasi dini pada pasien stroke dan keluarga dapat
dilakukan oleh perawat medical bedah untuk mengatasi
kesenjangan transisi perawatan diri mulai dari pasien
masuk ke RS sampai pulang untuk mencegah
berulangnya kejadian stroke
”
Kesimpulan
TERIMA KASIH