Pathways of Change
Vol. 13 No. s2 (2025): Pathways of Change, Part II
https://doi.org/10.4081/hls.2025.13308

Psychoeducation through home care strengthens family coping in elderly stroke rehabilitation

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 28 October 2024
Accepted: 17 March 2025
Published: 16 May 2025
1179
Views
383
Downloads
24
HTML
Newsletter
Elderly, family coping, psychoeducation, home care, stroke rehabilitation

Authors

Aan Nurhasanah
annur140864@gmail.com
https://orcid.org/0009-0004-5828-4760
Health Polytechnic Ministry of Health Jakarta III, Indonesia.
Yuli Mulyanti
Health Polytechnic Ministry of Health Jakarta III, Indonesia.
Sri Djuwitaningsih
Health Polytechnic Ministry of Health Jakarta III, Indonesia.
Rosidawati Rositawati
Health Polytechnic Ministry of Health Jakarta III, Indonesia.
Eros Siti Suryati
Health Polytechnic Ministry of Health Jakarta III, Indonesia.

Post-stroke patients undergoing rehabilitation require family assistance to perform their daily activities. The family’s responsi- bilities as caregivers can create psychological, social, physical, and financial burdens, highlighting the need for coping strategies that enhance the ability of families and caregivers to alleviate these burdens without jeopardizing their health. Family caregivers are important in providing psychoeducation to post-stroke rehabil- itation patients through home care. The aim of this study was to evaluate the effectiveness of home care in improving family cop- ing strategies for elderly individuals undergoing stroke rehabilita- tion. A quasi-experimental design was implemented with a pre- post-test and control on 64 families, selected by purposive sam- pling. Data were collected using a closed questionnaire and ana- lyzed through t-tests (univariate and bivariate) and multivariate analysis of covariance (MANCOVA). The research results showed significant differences in knowledge before and after being given psychoeducation through home care (p=0.001), with a difference in average value of 0.9183, and family coping scores with a p- value of 0.035, with a difference in average value of 1.100. Providing psychoeducation through home care can significantly enhance family coping mechanisms when caring for elderly patients undergoing stroke rehabilitation. As an independent nurs- ing intervention, psychoeducation, delivered in the context of appropriate home care, plays a crucial role not only in empower- ing families but also in optimizing the environment for recovery.

Downloads

Download data is not yet available.
1. Widarti L, Krisnawati K. Home Care Holistic On The Change Of Anxiety And Depression For The Patient With Stroke Ischemic. J Ners 2012;7:107.
2. Rasyidah QA, Fitryasari R, Wahyudi AS. A Relationship Between Stress Level And Burnout Syndrome With Sleep Quality On Clinical Nursing Students In Faculty Of Nursing Universitas Airlangga. Psychiatry Nurs J (Jurnal Keperawatan Jiwa) 2020;2:16–25.
3. Machin A, Widiawan SP, Lefi A, et al. Stroke Risk Factors Based on The Framingham Stroke Risk Score Among Urban vs Rural Elderly Communities. Mal J Med Heal Sci 2024;20:35–41.
4. Camicia M, Lutz BJ, Markoff N, Catlin A. Determining the Needs of Family Caregivers of Stroke Patients during Inpatient Rehabilitation Using Interview, Art, and Survey. Rehabil Nurs 2019;44:328–37.
5. Kusumawardani W, Yusuf A, Ni’mah L. Family burden and coping in family caregivers of patientwith schizophrenia. Indian J Public Heal Res Dev 2019;10:1506–10.
6. Herawati C, Suwandono A, Putra ST, et al. Effect of psychoeducation-modification on the improvement of spiritual response, perception stigma, anxiety level and cortisol levels among lepers. Indian J Public Heal Res Dev 2019;10:1873–8.
7. Yunita FC, Yusuf A, Nihayati HE, Hilfida NH. Coping strategies used by families in Indonesia when caring for patients with mental disorders post -pasung, based on a case study approach. Gen Psychiatry 2020;33. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079666576&doi=10.1136%2Fgpsych-2018-100035&partnerID=40&md5=4e1248e2e33a75dc09f773fe353c2d6e
8. Wang J, Dang W, Hui W, et al. Investigating the Effects of Intrinsic Motivation and Emotional Appeals Into the Link Between Organic Appeals Advertisement and Purchase Intention Toward Organic Milk. Front Psychol 2021;12.
9. Rasmussen RS, Østergaard A, Kjær P, et al. Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life: A randomised controlled trial. Clin Rehabil 2016;30:225–36.
10. Chaiyawat P, Kulkantrakorn K. Effectiveness of home rehabilitation program for ischemic stroke upon disability and quality of life: A randomized controlled trial. Clin Neurol Neurosurg 2012;114:866–70.
11. Askim T, Mørkved S, Engen A, et al. Effects of a community-based intensive motor training program combined with early supported discharge after treatment in a comprehensive stroke unit: A randomized, controlled trial. Stroke 2010;41:1697–703.
12. Winstein CJ, Stein J, Arena R, et al. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke 2016;47:e98–169.
13. Sumakul VDO, Notobroto HB, Devy SR. Coping Strategies, Self-Efficacy, and Perception Among Family Caregivers for Post-Stroke Survivors in Indonesia. Malaysian J Public Heal Med 2022;22:124–30.
14. Kustyarini K, Utami S, Koesmijati E. The Importance of Interactive Learning Media In A New Civilization Era. Eur J Open Educ E-learning Stud 2020;5.
15. Abdulrahaman MD, Faruk N, Oloyede AA, et al. Multimedia tools in the teaching and learning processes: A systematic review. Heliyon 2020;6.
16. Novitasari D. Pengaruh penggunaan multimedia interaktif terhadap kemampuan pemahaman konsep matematis siswa. FIBONACCI. J Pendidik Mat dan Mat 2016;2:8–18.
17. Mayo NE. Stroke Rehabilitation at Home: Lessons Learned and Ways Forward. Stroke 2016;47:1685–91.
18. Friedman MM, Bowden VR JE. Buku Ajar Keperawatan Keluarga Teori dan Praktik. In: EGC. 5th ed. Jakarta: EGC; 2012.
19. Putri Utami K, Rizky Rinanda Nur Fauziyah A, Faradilla Rahim A. The Relationship Between Family Involvement in Physiotherapy Home Programs and Activity Daily Living in Post-stroke Patients. KnE Med 2023.
20. Morais D, Faria C, Fernandes L. Filial Maturity and Caregiving to Aging Parents. Geriatr 2024;9.
21. Creasy KR, Lutz BJ, Young ME, Stacciarini JMR. Clinical Implications of Family-Centered Care in Stroke Rehabilitation. Rehabil Nurs 2015;40:349–59.
22. Setyoadi S, Nasution TH, Kardinasari A. Hubungan Dukungan Keluarga Dengan Kemandirian Pasien Stroke Di Instalasi Rehabilitasi Medik Rumah Sakit Dr. Iskak Tulungagung. majalahkesehatan 2017;4:139–48.
23. Hapsari MA, Mubarokah K. Analisis Kesiapan Pelaksanaan Rekam Medis Elektronik (RME) Dengan Metode Doctor’s Office Quality-Information Technology (DOQ-IT) di Klinik Pratama Polkesmar. J-REMI J Rekam Med dan Inf Kesehat 2023;4:75–82.
24. Bahadoram S, Arsalani N, Fallahi-Khoshknab M, et al. The Principles of Home Care for Patients with Stroke: An Integrative Review. Iran J Nurs Midwifery Res 2024;29:503–14.
25. Kazemi A, Azimian J, Mafi M, et al. Caregiver burden and coping strategies in caregivers of older patients with stroke. BMC Psychol 2021;9.
26. Sawab S, Bahrudin M, Catharina Daulima NH. Hopelessness Experience among Stroke Survivor in Semarang. J Ners 2015;10.
27. Putri TARK, Ramadita W, Supriatin E, Hayati SN. Psychoeducational Intervention for Family Caregiver Burden in Stroke Patients Care. Risenologi 2022;7:21–5.
28. Sudja N, Meirina M. Psychoeducation Intervention Increase on The Ability of The Pre-Senile Hypertension Management. J Ners 2017;9:66–73.
29. Hanik EN, Lestari D, Laily H, et al. The effect of family psychoeducation therapy on the anxiety level of family of patients with CRF undergoing hemodialysis. Int J Pharm Res [Internet] 2020;12:1691–6. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85089700697&doi=10.31838%2Fijpr%2F2020.12.04.246&partnerID=40&md5=df2db9d1e4640cf3a51ed7e4f1533662

How to Cite



Psychoeducation through home care strengthens family coping in elderly stroke rehabilitation. (2025). Healthcare in Low-Resource Settings, 13(s2). https://doi.org/10.4081/hls.2025.13308
Copyright (c) 2025 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.