The Use of TASC (Telenursing After Stroke Care) to Improve Family Preparedness to Care for Stroke Patients
DOI:
https://doi.org/10.37287/ijghr.v7i6.309Keywords:
caregiving, family preparedness, stroke, TASC, telenursingAbstract
Stroke is a non-communicable disease with a high incidence in Indonesia and is a major cause of disability and death. Families play an important role in post-stroke patient care at home but often feel unprepared due to limited knowledge, skills, and support. The use of technology through Telenursing After Stroke Care (TASC) is expected to improve family preparedness in caring for stroke patients at home. This study aims to analyze the effect of TASC on family preparedness in caring for stroke patients at home. The study used a pre-experimental design with a one-group pre-test post-test approach. The sample consisted of 35 families of stroke patients at RSUD Kota Mataram, selected using a total sampling technique. The TASC intervention was carried out for 1 month with two weekly sessions, including education on stroke concepts, family roles, basic home care, complication prevention, stress management, and daily care planning. The Preparedness for Caregiving Scale (PCS) was used as the instrument, The results of the validity and reliability test of this instrument, the validity test with Pearson product moment has a value of more than 0.320 and the results of the reliability test with Cronbach's alpha have a value of 0.9333. Data were analyzed using a paired t-test. The average family preparedness score before the intervention was 17.29 (SD = 3.47) and increased to 23.23 (SD = 4.35) after the intervention. The paired t-test showed a p-value of 0.000 (p < 0.05), indicating a significant difference in family preparedness after the TASC intervention. The use of TASC is effective in improving family preparedness in caring for stroke patients at home. This intervention can be an appropriate strategy to support discharge planning, prevent complications, and reduce rehospitalization rates.
References
Aji Muhawarman, ST M. Cegah Stroke dengan Aktivitas Fisik .Kementrian Kesehatan Republik Indonesia. [cited 2025 Mar 24]. Available from: https://kemkes.go.id/id/rilis-kesehatan/cegah-stroke-dengan-aktivitasfisik
Alsubiheen AM, Choi W, Yu W, Lee H. (2022). The Effect of Task-Oriented Activities Training on Upper-Limb Function, Daily Activities, and Quality of Life in Chronic Stroke Patients: A Randomized Controlled Trial. Int J Environ Res Public Health. 19(21).
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
Barbosa, A., Figueiredo, D., & Sousa, L. (2020). Differences in caregiving experiences between older and younger family caregivers of stroke survivors. Aging & Mental Health, 24(2), 211–218. https://doi.org/10.1080/13607863.2018.1525601
Chai, C., Zhang, L., Lu, Y., & Wang, Y. (2021). Effect of telemonitoring on rehospitalization in patients with stroke: A randomized controlled trial. Journal of Stroke and Cerebrovascular Diseases, 30(6), 105781. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105781
Chen, Y., Xu, X., Li, Y., & Wang, Y. (2021). The effectiveness of telehealth on self-care education and support of stroke patients and their family caregivers: A systematic review. International Journal of Nursing Sciences, 8(2), 213–227. https://doi.org/10.1016/j.ijnss.2021.03.004
Dewi YS. Penggunaan Telenursing Jadi Solusi Efektif Pelayanan Keperawatan. Univeritas Airlangga. 2021. Available from: https://news.unair.ac.id/id/2021/05/31/penggunaan-telenursing-jadi-solusiefektif-pelayanan-keperawatan/
Fadhila Rizkia, Afriani Tuti. (2020). Penerapan Telenursing Dalam Pelayanan Kesehatan : Literature Review. Jurnal Keperawatan Abdurrab : Volume 3 No 2 Januari 2020 : http://download.garuda.kemdikbud.go.id/article.php?article=1630003&val=13154&title=PENERAPAN%20TELENURSING%20DALAM%20PELAYANAN%20KESEHATAN%20%20Literature%20Review
Hidayat AA. Metode Penelitian Kuantitatif [Internet]. Surabaya: Health Books Publishing; 2015. 258 p. Available from: https://www.google.co.id/books/edition/Metode_Penelitian_Kesehatan_Paradigma_Ku/voATEAAAQBAJ?hl=id&gbpv=1&dq=desain+quasi+eksperimen+one+group+pre+dan+post+test&pg=PA42&printsec=frontcover
Indrarini, R., Sulistyowati, T., & Widodo, A. (2023). Peran perawat dalam pemanfaatan telenursing pada pelayanan kesehatan komunitas di Indonesia. Jurnal Keperawatan Indonesia, 26(1), 45–53. https://doi.org/10.7454/jki.v26i1.1641
Ismail, F. R., Abdullah, S. H., & Dewi, R. L. (2022). Adaptive Strategies in Long-Term Stroke Care at Home. Retrieved from https://doi.org/10.1016/j.apnr.2022.102944
Kaddumukasa, M., Nakibuuka, J., Kaddumukasa, M. N., Ddumba, E., & Mugenyi, L. (2020). Caregiver burden among family caregivers of stroke survivors in sub-Saharan Africa. BMC Research Notes, 13(1), 178. https://doi.org/10.1186/s13104-020-05022-4
Kim, H., & Kim, K. (2020). Family caregivers of stroke survivors: Predictors of caregiving burden and quality of life. Journal of Clinical Nursing, 29(21–22), 4003–4013. https://doi.org/10.1111/jocn.15487
Kobewka DM, Mulpuru S, Chassé M, Thavorn K, Lavallée LT, English SW, et al. Predicting the need for supportive services after discharged from hospital : a systematic review. 2020;6:1–10.
Li Q. Authors : Ac ce d M us pt. 2D Mater [Internet]. 2018;0–23. Available from:https://iopscience.iop.org/article/10.1088/2053-1583/abe778
Li, J., Xiao, L. D., Luo, Y., & Wu, Y. (2021). The effectiveness of telehealth interventions on caregiver outcomes in stroke: A systematic review and meta-analysis. Patient Education and Counseling, 104(6), 1518–1530. https://doi.org/10.1016/j.pec.2020.12.034
Muhsinin SZ, Kusumawardani D. Pengaruh Pemberian Video Edukasi Terhadap Keterampilan Keluarga Melakukan ROM Pada Pasien Stroke. Penelit dan Kaji Ilm Kesehat [Internet]. 2020;6(2):209–14. Available from: http://www.lppm.poltekmfh.ac.id/index.php/JPKIK/article/view/150%0A
Muhsinin SZ, Melinda B, Rukandani F. Factors Affecting Family Knowledge About Pre-Hospital Handling of Patients Stroke. 2021;8(1):14–21.
Muhsinin SZ. (2019) Health education video project in discharge planning process improves family preparedness in caring stroke patients.;3(1):80–7.
Muzawi R. Fundamental SPSS Dalam Pengolahan Data [Internet]. Serasi Media Teknologi; 2024. 174 p. Available from: https://www.google.co.id/books/edition/Fundamental_SPSS_Dalam_Pengolahan_Data/0JETEQAAQBAJ?hl=id&gbpv=
Nazari E, Roumi A, Sabooteh T. The Effect of Telenursing on the Quality of Life in Elderly Stroke Survivors : A Triple-Blind Randomized Controlled Trial. 2024;0:8–13.
Norinder M, Student PHD. Increased preparedness for caregiving among family caregivers in specialized home care by using the Carer Support Needs Assessment Tool Intervention. 2024;
Purnell, M., Grimes, M., & Underwood, P. W. (2021). Family caregiver engagement through telehealth interventions post-stroke: A scoping review. Journal of Telemedicine and Telecare, 27(6), 365–374. https://doi.org/10.1177/1357633X20982888
Qiu, Y., Li, S., & Dong, Y. (2021). Early caregiving experiences and psychological outcomes among family caregivers of stroke survivors: A longitudinal study. Journal of Advanced Nursing, 77(6), 2917–2928. https://doi.org/10.1111/jan.14844
Radhakrishnan, K., Jacelon, C., & Roche, J. (2020). Perceptions on the use of telehealth by homecare nurses and patients with heart failure: A mixed method study. Home Health Care Management & Practice, 32(1), 23–29. https://doi.org/10.1177/1084822319876625
Riffin, C., Van Ness, P. H., Wolff, J. L., & Fried, T. R. (2021). Gender differences in the caregiving experience of older adults. The Gerontologist, 61(5), 695–703. https://doi.org/10.1093/geront/gnaa168
Scotia, C. of R. N. of. (2017). Telenursing, (2000), 1–14.
Septianingrum Y, Yusuf A, Widyawati IY, Sari RY, Wardani EM, Musfirah NR, et al. (2024). Factors associated with family caregiver readiness to care for post-stroke patients after hospital discharge. Discov Soc Sci Heal ;4(1). Available from: https://doi.org/10.1007/s44155-024-00064-6
Stewart PG, Tornquist EM, Champagne MT. Preparedness for Caregiving Scale The Preparedness for Caregiving Scale. 2018;56(28).
Teixeira MJC, Abreu W, Costa N, Maddocks M. Understanding family caregivers’ needs to support relatives with advanced progressive disease at home: An ethnographic study in rural Portugal. BMC Palliat Care. 2020;19(1):1–11.
Wang, Y., Wang, Y., Chen, H., & Li, X. (2022). Effectiveness of a nurse-led telehealth self-care program for stroke survivors and caregivers: A randomized controlled trial. Journal of Advanced Nursing, 78(1), 90–101. https://doi.org/10.1111/jan.15045
Wong, F. K. Y., Yeung, S. M., & Chan, S. K. C. (2022). Effectiveness of telenursing interventions on self-efficacy, caregiving competence, and burden among caregivers of stroke survivors: A randomized controlled trial. Journal of Advanced Nursing, 78(3), 782–794. https://doi.org/10.1111/jan.15071
Wuri, W.S Ike & Nirmalasari Novita. (2020). Modul Alat Ukur Kesiapan Cargiver (The Preparedness For Cargiving Scale) Dalam Perawatan Pasien Dengan Penyakit Tidak Menular Versi Indonesia. https://www.researchgate.net/publication/358520284_Modul_Alat_Ukur_Kesiapan_Caregiver_The_Preparedness_For_Caregiving_Scale_Dalam_Perawatan_Pasien_Dengan_Penyakit_Tidak_Menular_Versi_Indonesia
Xu, X., Zhang, W., & Xu, Z. (2020). Telehealth for family caregivers of patients with stroke: Improving skills and reducing burden. Cerebrovascular Diseases Extra, 10(1), 20–29. https://doi.org/10.1159/000506947
Zhang, L., Wang, Y., & Chai, C. (2022). Education level and preparedness of family caregivers of stroke patients: A cross-sectional study. BMC Nursing, 21(1), 1–9. https://doi.org/10.1186/s12912-022-00846-7.
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