Factors Associated with Post-Non Hemorrhagic Stroke Depression: a cross-sectional study

Nirmala Rumaja Putri, Arif Setyo Upoyo, Annas Sumeru

Abstract


Background: Post-stroke patient depression can result in delays in stroke recovery and healing. The degree of severity of stroke will cause neurological deficits which can become stressors that will affect individual coping mechanisms.

Objective: This research aims to analyze factors associated with non-hemorrhagic post-stroke depression.

Methods: Analytical observational with a cross-sectional approach. The research was conducted at the Neurology Clinic of RSUD dr. R. Goeteng Taroenadibrata Purbalingga. The population is 435 post-stroke non-hemorrhagic patients. The sample is 104 respondents with the sampling technique used consecutive sampling. The instruments used were the Brief COPE, NIHSS, and PHQ-9. Bivariate analysis used the Kendall-Tau correlation test.

Results: The majority of respondents were elderly, male, primary school education level/equivalent, married, live with husband/wife and children, left hemisphere lesion location, had stroke duration >2 years, did not experience recurrent strokes, hypertension, had problem-focused coping and mild stroke severity with varying degrees of depression. Age, gender, marital status, living together, location of the lesion, duration of stroke, stroke frequency, comorbidities and coping mechanisms were not significantly related (p>0.05) while education level and stroke severity was significantly associated with post-stroke depression (p<0,05).

Conclusions: There is a significant relationship between education level and severity of stroke with post-stroke depression. Nurses can also motivate patients to always take medication regularly, increase patient knowledge about stroke and depression, or implement non-pharmacological therapy such as Range of Motion (ROM) so that they can help reduce the severity of a stroke and prevent or reduce the occurrence of depression after non-hemorrhagic stroke.

Keywords


coping mechanism; non hemorragic; post-stroke depression; stroke; stroke severity

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References


American Stroke Assosiation. (2022). About Stroke | American Stroke Association. American Stroke Association.

Arvina, A. (2017). Hubungan Mekanisme Koping dan Disabilitas dengan Keputusaasaan pada Pasien Stroke di Rumah Sakit Kota Medan. Universitas Sumatra Utara.

Basit, M., & Mahmudah, R. (2019). Analisis Faktor Kejadian Depresi Pada Klien Pasca Stroke Suku Banjar Banjarmasin. Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan, 10(2), 730–744. https://doi.org/10.33859/dksm.v10i2.508

Fadlulloh, S. F., Upoyo, A. S., & Hartanto, Y. D. (2014). Hubungan Tingkat Ketergantungan Dalam Pemenuhan Aktivitas Kehidupan Sehari-Hari (AKS) Dengan Harga Diri Penderita Stroke. Jurnal Keperawatan Soedirman, 9(2), 134–145. https://doi.org/http://dx.doi.org/10.20884/1.jks.2014.9.2.579

Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Metods, 41(4), 1149–1160.

Garcia, F. E., Barraza-Pena, C. G., Wlodarczyk, A., Alvear-Carrasco, M., & Reyes-Reyes, A. (2018). Psychometric Properties of the Brief-COPE for the evaluation of coping strategies in the Chilean Population. Psicologia: Reflexao e Critica, 31(22). https://doi.org/10.1186/s41155-018-0102-3

Hayulita, S., & Sari, D. R. (2014). Faktor-Faktor yang Berhubungan Dengan Depresi Pada Pasien Paska Stroke di Ruang Rawat Jalan Rumah Sakit Stroke Nasional (RSSN) Bukittinggi Tahun 2014. Yasri Sumbar, (April).

Herawati, N., & Deharnita. (2019). Hubungan Karakteristik dengan Kejadian Depresi pada Lansia. Jurnal Keperawatan Jiwa, 7(2), 183–190.

Ibrahimagic, O. C., Smajlovic, D., Kunic, S., Dostovic, Z., Custovic, A., Sehanovic, A., & Kojic, B. (2019). Post-Stroke Depression. Mater Sociomed, 31(1), 31–41. https://doi.org/10.5455/msm.2019.31.31-34

Jojang, H., Runtuwene, T., & Pertiwi, J. M. (2016). Perbandingan NIHSS pada Pasien Stroke Hemoragik dan Non-hemoragik yang Rawat Inap di Bagian Neurologi RSUP Prof. Dr. R. D. Kandou Manado. Jurnal E-Clinic, 4(1).

Khedr, E. M., Abdelrahman, A. A., Desoky, T., Zaki, A. F., & Gamea, A. (2020). Post-Stroke Depression: Frequency, Risk Factors, and Impact on Quality Life Among 103 Stroke Patiens- Hospital-Based Study. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 56(66).

Kozier, B., Erb, G., Berman, A., & Snyder, S. J. (2011). Buku Ajar Fundamental Keperawatan : Konsep, Proses, & Praktik (7th ed.; D. Widiarti, B. Subekti, & A. O. Tampubolon, Eds.). Jakarta: EGC.

Kumar, R., Kataria, N., Kumar, N., Kumar, M., & Bahurupi, Y. (2020). Poststroke depression amaong stroke survivors in Sub-Himalayan region. Journal of Family Medicine and Primary Care, 9(7), 3508–3513.

Kurniawan, M. B., & Wibowo, T. A. (2020). Hubungan antara Dukungan Informasi Keluarga dengan Depresi pada Pasien Pasca Stroke di Puskesmas Remaja Samarinda. Borneo Student Research, 1(2).

Llorcaa, G. E., Castilla-Guerrab, L., Morenoc, M. C. F., Dobladoa, S. R., & Hernándezd, M. D. J. (2015). Post-stroke depression: an update. Neurologia, 30(1), 23–31.

Loupatty, S. N., Ranimpi, Y. Y., & Rayanti, R. E. (2019). Respon Psikososial dan Strategi Koping Pasien Stroke dalam Konteks Budaya Ambon. Jurnal Kesehatan, 10(3), 480–488.

Maharani, T., Juli, C., & Hermawan, A. N. (2021). Karakteristik Luaran Klinis Neurologis Pasien Stroke Iskemik berdasarkan NIHSS. Jurnal Kedokteran Syiah Kuala, 21(3), 212–222. https://doi.org/10.24815/jks.v21i3.20578

Masturoh, I., & Temesvari, N. A. (2018). Metodologi Penelitian Kesehatan. Jakarta: Kemenkes RI.

NIH. (2022). Causes and Risk Factors. National Heart, Lung, and Blood Intitute.

Nilamsari, & Handayani, N. (2014). Tingkat Pengetahuan Akan Memengaruhi Tingkat Depresi Penderita Kanker. Jurnal Ilmiah Kesehatan, 7(2), 107–113.

Nuraliyah, S., & Burmanajaya, B. (2019). Mekanisme Koping dan Respon Ketidakberdayaan pada Pasien Stroke. Jurnal Riset Kesehatan, 11(1), 38–43.

Pongsilurang, J. M., Pieter, H., Wungouw, L., Setiono, K. W., & Kupang, J. (2020). Hubungan Letak Lesi Stroke Dengan Kejadian Depresi Pasca Stroke Pada Pasien Stroke Di Rsud Prof Dr W Z Johannes Kupang. Cendana Medical Journal, 19(April), 51–57. https://doi.org/https://doi.org/1-.35508/cmj.v8i2.3347

Purba, M. M., & Utama, N. R. (2019). Disabilitas Klien Pasca Stroke terhadap Depresi. Jurnal Kesehatan, 10(3), 346. https://doi.org/10.26630/jk.v10i3.1539

Putri, C. K., Upoyo, A. S., & Purnawan, I. (2018). Hubungan Self Management dengan Depresi pada Pasien Pasca Stroke di Poliklinik Syaraf RSUD Dr. R. Goeteng Taroenadibrata Purbalingga. Universitas Jenderal Soediman.

Reni, Suryani, & Sasmita, H. (2020). Analisa Faktor-Faktor yang Berhubungan dengan Tingkat Depresi Pasca Stroke di Rumah Sakit Stroke Nasional (RSSN) Bukittinggi. Jurnal Kesehatan Mercusuar, 3(2), 24–31. https://doi.org/https://doi.org/10.36984/jkm.v3i2.84

Rohmah, A. I. N., Muslimah, M., Ruhyanudin, F., & Arfiyanto, M. A. (2023). Factrors Affecting Coping Strategies in Post-Stroke Patients: A Literature Study. Knowledge E, 246–258. https://doi.org/10.18502/kme.v313.13511

Rutter, M. (1981). Stresss, coping, and development: some issues and some questions. Child Psychology & Psychiatry & Allied Disciplines, 22(4), 323–356. https://doi.org/https://psycnet.apa.org/doi/10.1111/j.1469-7610.1981.tb00560.x

Saryono. (2011). Metodologi Penelitian. Purwokerto: UPT. Percetakan dan Penerbitan UNSOED.

Setiawati, T. I., & Ismahmudi, R. (2020). Hubungan Pekerjaan dan Pendidikan dengan Tingkat Depresi pada Lansia di Posyandu Lansia Wilayah Kerja Puskesmas Wonorejo Samarinda. Borneo Student Research, 1(3).

Shi, Y., Yang, D., Zeng, Y., & Wu, W. (2017). Risk Factors for Post-stroke Depression: A Meta-analysis. Front Aging Neurosci, 9(2018). https://doi.org/10.3389%2Ffnagi.2017.00218

Sibbritt, Dvid, Bayes, J., Peng, W., Maguire, J., & Adams, J. (2022). Associations Between Fatigue and Disability, Depression, Health-Related Hardiness and Quality of Life in People with Stroke. Journal of Stroke and Cerebrovascular Disease, 31(7).

Smeltzer, S. C. (2013). Keperawatan Medikal Bedah : Brunner & Suddarth ; Alih Bahasa, Devi Yulianti, Amelia Kimin (12th ed.; E. A. Mardela, Ed.). Jakarta: EGC.

Smith, J. G., Urban, R. W., & Wilson, S. T. (2022). Association of stress, resilience, and nursing student incivility during COVID-19. Nursing Forum, (July 2021). https://doi.org/10.1111/nuf.12694

Sonatha, B. (2012). Hubungan tingkat pengetahuan dengan sikap keluarga dalam pemberian perawatan pasien pasca stroke. Universitas Indonesia.

Suharsono. (2022). Hubungan Antara Harga Diri dengan Tingkat Depresi pada Pasien Pasca Stroke. Jurnal Kesehatan Karya Husada, 10(2).

Supriyati, R., Noerhidajati, E., & Julianti, H. P. (2020). Hubungan Antara Mekanisme Koping Dengan Derajat Depresi Pada Caregiver Pasien Skizofrenia Studi di Unit Rawat Jalan Rumah Sakit Jiwa Amino Gondo Hutomo Provinsi Jawa Tengah. Medica Hospitalia, 7(2). https://doi.org/https://doi.org/10.36408/mhjcm.v7i2.520

Tanto, C., Liwang, F., Hanifan, S., & Pradipta, E. . (Eds.). (2014). Kapita Selekta Kedokteran (4th ed., Vol. 2). Jakarta: Media Aesculapius.

Thomas, S. A., & Lincoln, N. B. (2008). Predictors of Emotional Distress After Stroke. Stroke, 39(4), 1240–1245. https://doi.org/10.1161/STROKEAHA.107.498279

World Stroke Organization. (2019). Global Stroke Fact Sheet.

Wubshet, T. Y., Geberemichael, S. G., Adilo, T. M., Arusi, T. T., Gutulo, M. G., Assefa, D. Z., & Asfaw, M. W. (2022). Prevalence and Associated Factors of Poststroke Depression among Outpatient Stroke Patients Who Have a Follow-Up at the Outpatient Neurology Clinic of Zewditu Memorial Hospital in Addis Ababa, Ethiopia. Depression Research and Treatment, 2022. https://doi.org/10.1155/2022/9750035

Yussof, N., Low, W. Y., & Yip, C. H. (2010). Reliability and validity of the Brief COPE Scale (English version) among women with breast cancer undergoing treatment of adjuvant chemotherapy: a Malaysian study. Med J Malaysia, 65(1), 41–44.




DOI: https://doi.org/10.18196/ijnp.v7i2.17945

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