Rehabilitasi Pasien Stroke Dimasa Pandemi Covid-19: Integrative Review
DOI:
https://doi.org/10.25311/keskom.Vol9.Iss3.1526Kata Kunci:
Covid-19, Rehabilitasi, StrokeAbstrak
Latar belakang: Dimasa Pandemi Covid-19 terjadi penurunan pelayanan rehabilitasi pada pasien stroke dan pasien hanya berada di rumah tanpa rehabilitasi. Hal ini menyebabkan pasien mengalami stroke berulang, kontraktur, malnutrisi, decubitus dan penurunan fungsi kognitif. Rehabilitasi sangat penting dilakukan untuk mencapai pemulihan dan perbaikan maksimal dalam hal kemampuan fisik, mental, sosial dan kemampuan bicara. Adapun tujuan penelitian ini Untuk mengetahui gambaran rehabilitasi pasien stroke selama masa pandemi Covid-19. Metode: Review ini menggunakan metodologi penelitian integrative review yang dimodikasi oleh Whittemore & Knafl, (2005), Pencarian literatur dilakukan pada 5 database yaitu PubMed, Science Direct, ProQuest, Cochrane Library dan DOAJ dengan kriteria inklusi berbahasa inggris, diterbitkan antara tahun 2020 sampai 2022, berfokus pada stroke, rehabilitasi pasien stroke dan pandemi Covid 19 dan penelitian original. Penilaian publikasi menggunakan penilaian kritis yang dirancang oleh Bowling, (2001). Hasil: 10 artikel dimasukkan dalam analisis. Didapatkan rehabilitasi pasien stroke selama pandemi Covid-19 yaitu, pertama: Perubahan sistem layanan rehabilitasi, Kedua: adanya hambatan rehablitasi pasien stroke selama pandemi covid-19 seperti beban kerja keluarga semakin bertambah, kurangnya dukungan sosial dan faktor ekonomi/kendala finansial. Ketiga: Perubahan Status fungsional pasien stroke. Kesimpulan: Gambaran rehabilitasi pasien stroke di masa pandemi Covid-19 yaitu perubahan sistem layanan rehabilitasi, adanya hambatan rehabilitasi pasien stroke selama pandemi covid-19 seperti beban kerja keluarga semakin bertambah, kurangnya dukungan sosial dan faktor ekonomi/kendala finansial dan perubahan staus fungsional pasien stroke.
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Referensi
Bowling A. Research Methods in Health – Investigating Health and Health Services. Public Health. 2001;124(2):122.
WHO. Communication and Community Engagement Guidance for Physical and Social Distancing. Reg Off africa. 2020; https://reliefweb.int/report/world/risk-communication-and-community-engagement-guidance-physical-and-social-distancing
Venketasubramanian N, Anderson C, Ay H, Aybek S, Brinjikji W, De Freitas GR, et al. Stroke Care during the COVID-19 Pandemic: International Expert Panel Review. Cerebrovasc Dis. 2021;50(3):245–61. https://doi.org/10.1159/000514155
Cadilhac DA, Kim J, Tod EK, Morrison JL, Breen SJ, Jaques K, et al. COVID-19 Pandemic Impact on Care for Stroke in Australia: Emerging Evidence From the Australian Stroke Clinical Registry. Front Neurol.2021;12(February):1–9. https://doi.org/10.3389/fneur.2021.621495
Alonso de Leciñana M, Castellanos M, Ayo-Martín Ó, Morales A. Stroke care during the COVID-19 outbreak in Spain: the experience of Spanish stroke units. Stroke Vasc Neurol [Internet]. 2021 Jun;6(2):267–73. Available from: https://svn.bmj.com/lookup/doi/10.1136/svn-2020-000678
Bersano A, Kraemer M, Touzé E, Weber R, Alamowitch S, Sibon I, et al. Stroke care during the COVID-19 pandemic: experience from three large European countries. Eur J Neurol. 2020;27(9):1794–800. https://doi.org/10.1111/ene.14375
Sylaja PN, Srivastava MVP, Shah S, Bhatia R, Khurana D, Sharma A, et al. The SARS-CoV-2/COVID-19 pandemic and challenges in stroke care in India. Ann N Y Acad Sci. 2020;1473(1):3–10. https://doi.org/10.1111/nyas.14379
An M, Shaughnessy M. The effects of exercise-based rehabilitation on balance and gait for stroke patients: A systematic review. J Neurosci Nurs. 2011;43(6):298–307. https://doi.org/10.1097/JNN.0b013e318234ea24
Junaidi I. Stroke : Wasapadai ancamannya. Yogyakarta: C.V Andi Offset; 2012.
Pisano F, Giachero A, Rugiero C, Calati M, Marangolo P. Does COVID-19 Impact Less on Post-stroke Aphasia? This Is Not the Case. Front Psychol. 2020;11(November):1–8. https://doi.org/10.3389/fpsyg.2020.564717
Whittemore R, Knafl K. The integrative review: updated methodology Robin. 2005; Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2648.2005.03621.x
Zhao J, Li H, Kung D, Fisher M, Shen Y, Liu R, et al. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information . Stroke. 2020;95(January):124–33. https://doi.org/10.1161/STROKEAHA.120.030225
Mukhti M, Ibrahim MI, Tengku Ismail TA, Nadal IP, Kamalakannan S, Kinra S, et al. Family Caregivers’ Experiences and Coping Strategies in Managing Stroke Patients during the COVID-19 Pandemic: A Qualitative Exploration Study. Int J Environ Res Public Health. 2022;19(2):1–20. https://doi.org/10.3390/ijerph19020942
Lee JJ, Tsang WN, Yang SC, Kwok JYY, Lou VWQ, Lau KK. Qualitative Study of Chinese Stroke Caregivers’ Caregiving Experience during the COVID-19 Pandemic. Stroke. 2021;(April):1407–14. https://doi.org/10.1161/STROKEAHA.120.032250
Sutter-Leve R, Passint E, Ness D, Rindflesch A. The caregiver experience after stroke in a covid-19 environment: A qualitative study in inpatient rehabilitation. J Neurol Phys Ther. 2021;45(1):14–20. https://doi.org/10.1097/NPT.0000000000000336
Kristoffersen ES, Jahr SH, Faiz KW, Storstein AM, Winsvold BS, Sandset EC. Acute stroke care during the first phase of COVID-19 pandemic in Norway. Acta Neurol Scand. 2021;143(4):349–54. https://doi.org/10.1111/ane.13392
Held JPO, Schwarz A, Pohl J, Thürlimann E, Porrtmann S, Branscheidt M, et al. Changes in Stroke Rehabilitation during the Sars-Cov-2 Shutdown in Switzerland. J Rehabil Med. 2022;54(4):jrm00272. https://doi.org/10.2340/jrm.v53.1118
Jasne AS, Chojecka P, Maran I, Mageid R, Eldokmak M, Zhang Q, et al. Stroke Code Presentations, Interventions, and Outcomes before and during the COVID-19 Pandemic. Stroke. 2020;(September):2664–73. https://doi.org/10.1161/STR.0000000000000347
Lee JJ, Tsang WN, Yang SC, Kwok JYY, Lou VWQ, Lau KK. Qualitative study of Chinese stroke caregivers’ caregiving experience during the COVID-19 pandemic. Stroke. 2021;(April):1407–14. https://doi.org/10.1161/STROKEAHA.120.032250
Zhao J, Li H, Kung D, Fisher M, Shen Y, Liu R. Impact of the COVID-19 Epidemic on Stroke Care and Potential Solutions. Stroke. 2020;(July):1996–2001.
Mardiyah RA, Nurwati RN. Dampak Pandemi Covid-19 Terhadap Peningkatan Angka Pengangguran di Indonesia. Hari Spektrum [Internet]. 2020;2:1–11. Available from: https://spektrumonline.com/2020/11/11/dampak-pandemi-covid-19-multidimensi/
Kent EE, Ornstein KA, Dionne-Odom JN. The Family Caregiving Crisis Meets an Actual Pandemic. J Pain Symptom Manage. 2020;60(1):e66–9. https://doi.org/10.1016/j.jpainsymman.2020.04.006
Friedman MM. Keperawatan Keluarga : Teori dan Praktik. Jakarta: EGC; 2013.
Setyoadi, Nasution TH, Kardinasari A. Hubungan Dukunngan Keluarga Dengan Kemandirian Pasien Stroke DI Instalasi Rehabilitasi Medik Rumah Sakit Dr. Iskak Tulungagung. 2017;4(3):139–48. https://doi.org/10.21776/ub.majalahkesehatan.2017.004.03.5
Kemenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 9 Tahun 2020 Tentang Pedoman Pembatasan Sosial Berskala Besar Dalam Rangka Penanganan Covid 19. 2020; Available from: http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No__9_Th_2020_ttg_Pedoman_Pembatasan_Sosial_Berskala_Besar_Dalam_Penanganan_COVID-19.pdf
Rohmah A, Rifayuna D. Kebutuhan family caregiver pada pasien stroke. J keperawtan Jiwa. 2021;9(1):143–52.
http://eprints.umm.ac.id/id/eprint/73022
Abu M, Arafat R, Syahrul S. The readiness of family in treating post-stroke patients at home: A literature review. Enferm Clin [Internet]. 2020;30:293–6. Available from: https://doi.org/10.1016/j.enfcli.2019.07.106
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