Effectiveness of An Physiological Basic Care Intervention on Stroke Survivors
DOI:
https://doi.org/10.37287/ijghr.v8i5.2101Keywords:
family-empowerment, functional-independence, strokeAbstract
Stroke remains a leading cause of mortality and disability in Indonesia, with high prevalence in East Kalimantan. Post-stroke patients often depend on family caregivers for daily activities, including basic care, which is frequently overlooked. Limited attention to physiological care (bath, nail, oral hygiene, hair, along with reduced mobility), may worsen patient outcomes. To evaluate the effectiveness of physiological basic care interventions in improving functional independence among stroke survivors. A pre- and post-test design was employed in this study, involving a total sampling of 89 respondents from medical records over a six-month period in the Teluk Dalam Primary Health Care, Kutai Kartanegara Regency. Data were collected between September 2025 and January 2026. All interventions education delivered to stroke caregivers. Functional independence was measured using the Barthel Index. Data were analysed using wilcoxon signed-rank test (p < 0.05). Result: The Wilcoxon signed-rank test indicated that was a significant increase in all interventions (p < .001). This study concludes that caregiver more specifict stroke’s family with education was highly effective for enhances the functional independence of stroke patients. The ROM exercise was most effective, based on that empowering caregivers is a vital-strategy for long-term stroke rehabilitation.
References
American Stroke Association. (2024). Personal Care for Stroke Survivors. In American Heart Association. https://www.stroke.org/en/life-after-stroke/recovery/daily-living/personal-care-for-stroke-survivors?utm_source=chatgpt.com
Cardoso, A. F., Ribeiro, L. E., Santos, T., Pinto, M., Magalh, J., Augusto, B., Santos, D., Duque, F. M., Fernandes, B. L., Silva, R., Ventura, F., & Cardoso, D. (2023). Oral Hygiene in Patients with Stroke : A Best Practice Implementation Project Protocol. Nursing Reports, 13, 148–156. https://doi.org/https"//doi.org/10.3390/nursrep13010016
DeLaune C. Sue, Ladner K. Patricia, McTier Lauren, Tollefson Joanne, L. J. (2020). fundamentals of nursing; Australia & New Zealand 2nd Edition. Cengage Learning Australia Pty Limited.
Dziewulska, A., Pawlukowska, W., Zawi, A., & Masztalewicz, M. (2024). Oral Health in Patients Hospitalized Because of Ischemic Stroke. Journal of Clinical Medicine, 15, 1–9. https://doi.org/https://doi.org/10.3390/jcm13154556
Handayani Fitria, Widyastuti Hadi Rita, E. D. (2019). Penantalaksanaan Stroke di Rumah. Fakultas Kedokteran Universitas Diponegoro. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://eprints.undip.ac.id/80790/1/Buku_panduan_penatalaksanaan_stroke.pdf
Huang, Y., Tang, C., Chung, C., & Chung, C. (2025). Effects of oral care combined with neuromuscular electrical stimulation on clinical outcomes in the acute phase of acute ischemic stroke : a pilot randomized controlled trial. Journal of NeuroEngineering and Rehabilitation, 6. https://doi.org/https://doi.org/10.1186/s12984-025-01652-6
Inamasu, J., Nakatsukasa, M., & Oshima, T. (2017). Clinical Characteristics of Stroke Occurring while Bathing. Journal of Stroke and Cerebrovascular Diseases, 1–5. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.03.013
Kissal Aygul, Kurt Gonca, Koc Medine, Citil Riza, Gulpinar Serhat, O. Y. (2019). Knowledge and skill needs of home caregivers and their care burden perceptions. Journal of Human Science, 16(3). https://doi.org/10.14687/jhs.v16i3.5610
Li, X., Zhang, C., Zhang, W., Xie, W., Liu, S., Xiao, W., & Huang, S. (2026). Health professionals ’ barriers to oral care provision for patients with stroke from multidisciplinary perspectives : a qualitative meta-synthesis using the COM-B model and theoretical domains framework. BMC Oral Health, 26.https://doi.org/https://doi.org/10.1186/s12903-026-07766-0
Okekunle, A. P., Jones, S., Adeniji, O., Watkins, C., Hackett, M., Luca, G., Tanna, D., Owolabi, M., & Akinyemi, R. (2024). Stroke in Africa: A systematic review and meta-analysis of the incidence and case-fatality rates. Int J Stroke, 18(6), 634–644. https://doi.org/10.1177/17474930221147164.Stroke
Pedoman Nasional Pelayanan Kedokteran Tata Laksana Stroke, Pub. L. No. HK.01.07/MENKES/394/2019, 1 (2019). https://www.perdosni.org/unduhan/kategori_download/PNPK-Perdosni
Potter A. Patricia, Perry G. Anne, Stockert A. Petricia, H. M. A. (2021). Fundamentals of Nursing; Eleventh Edition. Elsevier. https://z-library.im/book/Y5Ve1vDEZ3/fundamentals-of-nursing.html
Siregar, C. T., & Tanjung, D. (2019). Perception of Family as Caregiver about The Implementation of Oral Care in Caring for Stroke Patients in Medan City : A Preliminary Action. International Journal of Nursing and Health Services, 2(3), 150–157. https://doi.org/http://doi.org/10.35654/ijnhs.v2i3.179
Susanti Irma, Anang, K. E. (2024). The Effect of Dental Health Care on Family Knowledge and Oral Hygiene of Stroke Patients in The Inpatient Ward. Journal of Dental Hygiene and Therapy, 5(21), 32–38. https://doi.org/10.36082/jdht.v5i1.1512
Tunç Ismail, Tosun Betül, D. E. (2025). The effect of hygienic care practices given to stroke patients on vital signs of patients : A self-comparison pre-experimental study. Nursing in Critical Care, November 2024, 1–13. https://doi.org/10.1111/nicc.13283
Uhrin, E., Moldvai, J., Teutsch, B., & Domokos, Z. (2025). Effect of oral healthcare prevention program on oral hygiene in post-stroke patients : A systematic review and meta-analysis. Journal of Dentistry, 154. https://doi.org/10.1016/j.jdent.2025.105591.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research

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








