Improving The Self-Efficacy of Post-Stroke Patients Using The Application of Life Review Therapy

Sri Wahyuni, Christina Dewi Prasetyowati

Abstract

A stroke is a health problem that requires special medical attention, due to its long-term effects such as disability, anxiety, depression, and lack of social participation, which are the causes of patient's self-efficacy being reduced.  High self-efficacy is needed so that patients will be motivated to take therapy programs, increase their self-esteem and desire for recovery. The purpose of this study is to determine the self-efficacy improvement of post-stroke patients when provided with life review therapy. This study was quasi-experimental. A purposive sampling technique was used to collect the data, with a sample of 60 respondents (30 controls and 30 interventions). Data was collected using a stroke self-efficacy questionnaire. The statistical tests used were Wilcoxon and Mann Whitney. The patient's self-efficacy in the intervention group showed a change in category in the post-test result (before the intervention it was mostly in the moderate category, after the intervention it went  into the high category) with statistical test results p=0.00. The control group remained mostly in the moderate category on both pre-test and post-test results with statistical test results p=0.002. There was a comparison of the effectiveness of applying life review therapy between the two groups (p=0.000). The results of this study indicate that the administration of life review therapy can improve the self-efficacy of patients after a stroke.

Keywords

self-efficacy, stroke, life review therapy

Full Text:

PDF

References

A’la, M. Z., Yosep, I., & Agustina, H. R. (2017). Influence of Bereavement Life Review on Spiritual Well-Being of Stroke Family Caregiver. JKP, 5(2), 214–226.

Agustini, M. (2016). Self-efficacy dan makna hidup pada penderita penyakit jantung koroner. eJurnal Psikologi, 4(4), 419–430.

Ando, M., Minota, H., Shibukawa, C., & Kira, H. (2012). Simple Life Review for Terminally Ill Cancer Patients with Low Cognitive Function. Journal of Cancer Therapy, 3(October), 528–533. https://doi.org/10.4236/jct.2012.35068

Ando, M., Morita, T., Akechi, T., & Okamoto, T. (2010). Efficacy of Short-Term Life-Review Interviews on the Spiritual Well-Being of Terminally Ill Cancer Patients. Journal of Pain and Symptom Management, 39(6), 993–1002. https://doi.org/10.1016/j.jpainsymman.2009.11.320

Aswanira, N., Rumentalia, & Vausta. (2015). Pendahuluan Metode Hasil. Jurnal Keperawatan Indonesia, 18(3), 139–142.

Birren, J. E., & Svensson, C. (2013). Reminiscence, Life Review, and Autobiography : Emergence of a New Era. The International Journal of Reminiscence and Life Review, 1(1), 1–6.

Dinata, C. A., Safrita, Y., & Sastri, S. (2013). Artikel Penelitian Gambaran Faktor Risiko dan Tipe Stroke pada Pasien Rawat Inap di Bagian Penyakit Dalam RSUD Kabupaten Solok Selatan Periode 1 Januari 2010 - 31 Juni 2012. Jurnal Kesehatan Andalas, 2(2), 57–61.

Frost, Y., Weingarden, H., Zeilig, G., Nota, A., & Rand, D. (2015). Self-Care Self-Efficacy Correlates with Independence in Basic Activities of Daily Living in Individuals with Chronic Stroke. Journal of Stroke and Cerebrovascular Disease, 24(7), 1649–1655. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.054

Ghani, L., Mihardja, L. K., & Delima. (2016). Faktor Risiko Dominan Penderita Stroke di Indonesia. Buletin Penelitian Kesehatan, 44(1), 49–58.

Gillen, G. (2016). Stroke Rehabilitation: A Function- Based Approach. In Elsevier (Ed.), eBuku (Fourth). Retrieved from https://books.google.co.id/books?hl=id&lr=&id=8vBwCgAAQBAJ&oi=fnd&pg=PP1&dq=stroke+rehabilitation.+a+function+base+approach&ots=8G1QNfU59M&sig=WSxJ5iGL_ic9mImLRCQdTp4rQvw&redir_esc=y#v=onepage&q=stroke rehabilitation. a function base approach&f=false

Hadidi, N. N., Wagner, R. L. H., & Lindquist, R. (2017). Nonpharmacological Treatments for Post-Stroke Depression An Integrative Review of the Literature. Research in Gerontological Nursing, 10(4), 182–195. https://doi.org/10.3928/19404921-20170524-02

Jones, F., & Riazi, A. (2010). Self-efficacy and self-management after stroke : a systematic review. Journal Disability & Rehabilitation, 3(10), 797–810. https://doi.org/10.3109/09638288.2010.511415

Kemenkes RI. (2018). Potret Sehat Indonesia dari Riset Kesehatan Dasar 2018. Retrieved from http://www.depkes.go.id/article/view/18110200003/potret-sehat-indonesia-dari-riskesdas-2018.html

Korpershoek, C., Bijl, J. Van Der, & Hafsteinsdottir, T. B. (2011). Self-efficacy and its influence on recovery of patients with stroke: a systematic review. Journal of Advanced Nursing, 67(9), 1876–1894. https://doi.org/10.1111/j.1365-2648.2011.05659.x

Korte, J. (2012). The Stories We Live by: The Adaptive Role of Reminiscence in Later Life (The Netherlands: University of Twente). https://doi.org/10.3990/1.9789036534574

Korte, J., Bohlmeijer, E. ., Cappeliez, P., Smit, F., & Westerhof, G. J. (2011). Life review therapy for older adults with moderate depressive symptomatology : A pragmatic randomized controlled trial Psychological Medicine, 1–11. https://doi.org/10.1017/S0033291711002042

Kurniawan, S. T., Andini, I. S., & Agustin, W. R. (2019). Hubungan Self Efficacy dengan Kualitas Hidup pasien Gagal Ginjal Kronik yang Menjalani Terapi Hemodialisa di RSUD Sukoharjo. Kesehatan Kusuma Husada, 2, 1–7.

Maujean, A., Davis, P., Kendall, E., Casey, L., & Loxton, N. (2013). The Daily Living Self-efficacy Scale: A New Measure for Assessing Self-efficacy in stroke survivors. Disability and Rehabilitation, An International, Multidisciplinary Journal, 1–8. https://doi.org/10.3109/09638288.2013.804592

Medical Records of Gambiran Hospital. (2017). Data: Number of Stroke Patients in Gambiran Hospital. Kediri City.

Misesa. (2012). Pengaruh Terapi Kelompok Life Review Dan Reminecence Terhadap Depresi Di PSTW Sinta Rangkang Tengkiling Palangkaraya. Universitas Indonesia, Jakarta.

Riazi, A., Aspden, T., & Jones, F. (2014). Stroke Self-efficacy Questionnaire : A Rasch-refined measure of confidence post stroke. Journal Rehabilitation Med., 46(4), 406–412. https://doi.org/10.2340/16501977-1789

Rustika, I. M. (2012). Efikasi Diri : Tinjauan Teori Albert Bandura. Buletin Psikologi, 20(1–2), 18–25.

Sadler, E., Wolfe, C. D. A., Jones, F., & Mckevitt, C. (2017). Exploring stroke survivors ’ and physiotherapists ’ views of self- management after stroke : a qualitative study in the UK. BMJ Open, 7(e011631). https://doi.org/10.1136/bmjopen-2016-011631

Schmid, A. A., Puymbroeck, M. Van, Altenburger, P. A., Dierks, T. A., Miller, K. K., Damush, T. M., & Williams, L. S. (2012). Balance and Balance Self-Efficacy Are Associated With Activity and Participation After Stroke : A Cross-Sectional. Arch Phys Med Rehabil, 93(6), 1101–1107. https://doi.org/10.1016/j.apmr.2012.01.020

Setyoadi, & Kushariyadi. (2011). Terapi Modalitas Keperawatan pada Klien Psikogeriatrik. Jakarta: Salemba Medika.

Sharif, F., Jahanbin, I., Amirsadat, A., & Moghadam, M. H. (2018). Effectiveness of Life Review Therapy on Quality of Life in the Late Life at Day Care Centers of O riginal A rticle. IJCBNM, 6(2), 136–145.

Somaye, K. (2012). The Effect of Life Review on The Rate of Anxiety in Adolescent Girls of The Divorced Families. Knowledge & Research in Applied Psychology, 1(13 (47)), 11–17.

Thornton, S. A. (2019). The Prediction and Relationship between Age, Ethnicity, Gender, and Quality of Life Using Self-Efficacy Scores among Stroke Survivors. Walden University.

Wayunah, & Saefulloh, M. (2016). Analisis Faktor yang berhubungan dengan Kejadian Stroke di RSUD Indramayu. Pendidikan Keperawatan Indonesia, 2(2), 65–76.

Westerhof, G. J., Bohlmeijer, E. T., Beljouw, I. M. J. Van, & Pot, A. M. (2010). Improvement in Personal Meaning Mediates the Effects of a Life Review Intervention on Depressive Symptoms in a Randomized Controlled Trial. 50(4), 541–549. https://doi.org/10.1093/geront/gnp168

DOI: http://dx.doi.org/10.20884/1.jks.2020.15.2.1202

Refbacks

  • There are currently no refbacks.


Bookmark and Share