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Rehabilitation-Based Education on Posture and Self-Management After a Stroke for Patients and Caregivers at Siloam Hospital Lippo Village

Year: 2026

Type: article

Abstract: Stroke is leading causes of disability, resulting in decreased Activities of Daily Living (ADL) independence and increased caregiver burden. Posture and self-management education is needed to support home rehabilitation. To evaluate the association between rehabilitation-based posture and self-management education with changes in knowledge, skills, ADL independence, and caregiver burden one week after the intervention. A one-group pre-test–post-test study was conducted on 13 post-stroke patient-caregiver dyads at the Medical Rehabilitation Installation of Siloam Hospital Lippo Village. The intervention consisted of 3 sessions of education delivered in 1 day, including lecture, demonstration, return demonstration, leaflet, video, and 4 weeks of WhatsApp follow-up. Outcomes were measured at baseline and 1 week after. Knowledge was assessed with a 20-item questionnaire. Skills were assessed with a return demonstration checklist. ADL independence was measured using the Barthel Index. Caregiver burden was measured using the Zarit Burden Interview. Data were analyzed using the Wilcoxon Signed-Rank Test. In 13 patients, mean knowledge score increased from 54.6 to 83.2, p < 0.001. In 13 caregivers, mean knowledge score increased from 51.3 to 85.7, p < 0.001. Skill competency was achieved by 10 of 13 patients [76.9%] and 12 of 13 caregivers [92.3%]. In patients, mean Barthel Index increased from 47.7 to 68.5, p < 0.001. The proportion of totally dependent patients decreased from 23.1% to 0%. In caregivers, mean ZBI score decreased from 29.8 to 20.1, p = 0.001. The proportion with heavy burden decreased from 53.8% to 23.1%. Rehabilitation-based posture and self-management education was associated with short-term improvements in knowledge, skills, ADL independence, and caregiver burden. The findings suggest feasibility, but further studies with a control group and longer follow-up are needed.

Source: JOURNAL OF COMMUNITY ENGAGEMENT IN HEALTH

DOI: 10.30994/jceh.v9i2.831

Authors: Rahmania Ambarika, Refience Gratia Nalanda, Juniarto Alexsander Hinonaung

Institution: Institut Ilmu Kesehatan STRADA Indonesia

Language: English

Topic: Stroke Rehabilitation and Recovery

Subfield: Rehabilitation

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7214905367

FWCI:

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