The Effect of “SELF-HELP Packages” on Post Stroke Depression among Ischemic Stroke Survivors

Fitria Handayani; Setyowati Setyowati; Dwi Pudjonarko; Dian Ratna Sawitri

doi:10.14710/nmjn.v10i3.31014

DOI: https://doi.org/10.14710/nmjn.v10i3.31014

The Effect of “SELF-HELP Packages” on Post Stroke Depression among Ischemic Stroke Survivors

*Fitria Handayani

- Universitas Diponegoro, Indonesia

Setyowati Setyowati - University of Indonesia, Indonesia

Dwi Pudjonarko - Universitas Diponegoro, Indonesia

Dian Ratna Sawitri - Universitas Diponegoro, Indonesia

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

BibTex Citation Data :

@article{NMJN31014,
    author = {Fitria Handayani and Setyowati Setyowati and Dwi Pudjonarko and Dian Ratna Sawitri},
    title = {The Effect of “SELF-HELP Packages” on Post Stroke Depression among Ischemic Stroke Survivors},
    journal = {Nurse Media Journal of Nursing},
  volume = {10},
    number = {3},
    year = {2020},
    keywords = {Ischemic stroke; post stroke depression; “SELF-HELP Packages” intervention},
    abstract = {  Background : There are several factors that contribute to Post Stroke Depression (PSD). Since a single intervention is proven ineffective to deal with PSD, an intervention which includes biological, psychological, social, and spiritual aspects (“SELF-HELP Packages”), therefore, needs to be established.   Purpose : The purpose of the study was to investigate the effect of “SELF HELP Packages” intervention on PSD among ischemic stroke survivors after three months from onset and its effect after confounding variables were controlled.   Methods : This study was a pre and post quasi-experiment with a control group involving 34 ischemic stroke survivors each group. The inclusion criteria were survivors after three months from ischemic stroke, no aphasia, having a good hearing, and having Mini Mental Status Examination (MMSE) score of ≥ 22. GRID-HAMD 17, Multidimensional Scale of Perceived Social Support (MSPSS), and Barthel-Index were used to measure PSD, social support, and functional status respectively. “SELF-HELP Packages” intervention was delivered in three sessions, namely information delivery, discussion and activity. Statistical analyses were conducted using McNemar test, Chi-square and logistic regression.   Results : The result showed that “SELF-HELP Packages” considerably decreased PSD in the intervention group ( p =0.004). There were also significant differences in PSD after the intervention between two groups ( p =0.008). Logistic regression showed that ‘SELF-HELP Package” had no effect on PSD when other confounding variables were controlled ( p =0.075, OR=0.288, 95% CI 0.073 – 1.135).   Conclusion : SELF-HELP Packages” should be applied in providing the nursing intervention among stroke ischemic survivors in clinical setting. A longer period of time for the intervention is also recommended for the next study in order to obtain a more robust result.      },
   issn = {2406-8799},   pages = {361--375}  doi = {10.14710/nmjn.v10i3.31014},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/31014}
}

Citation Format:

Abstract

Background: There are several factors that contribute to Post Stroke Depression (PSD). Since a single intervention is proven ineffective to deal with PSD, an intervention which includes biological, psychological, social, and spiritual aspects (“SELF-HELP Packages”), therefore, needs to be established.

Purpose: The purpose of the study was to investigate the effect of “SELF HELP Packages” intervention on PSD among ischemic stroke survivors after three months from onset and its effect after confounding variables were controlled.

Methods: This study was a pre and post quasi-experiment with a control group involving 34 ischemic stroke survivors each group. The inclusion criteria were survivors after three months from ischemic stroke, no aphasia, having a good hearing, and having Mini Mental Status Examination (MMSE) score of ≥ 22. GRID-HAMD 17, Multidimensional Scale of Perceived Social Support (MSPSS), and Barthel-Index were used to measure PSD, social support, and functional status respectively. “SELF-HELP Packages” intervention was delivered in three sessions, namely information delivery, discussion and activity. Statistical analyses were conducted using McNemar test, Chi-square and logistic regression.

Results: The result showed that “SELF-HELP Packages” considerably decreased PSD in the intervention group (p=0.004). There were also significant differences in PSD after the intervention between two groups (p=0.008). Logistic regression showed that ‘SELF-HELP Package” had no effect on PSD when other confounding variables were controlled (p=0.075, OR=0.288, 95% CI 0.073 – 1.135).

Conclusion: SELF-HELP Packages” should be applied in providing the nursing intervention among stroke ischemic survivors in clinical setting. A longer period of time for the intervention is also recommended for the next study in order to obtain a more robust result.

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Keywords: Ischemic stroke; post stroke depression; “SELF-HELP Packages” intervention

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In Vol 10, No 3 (2020): (December 2020)

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The Effect of “SELF-HELP Packages” on Post Stroke Depression among Ischemic Stroke Survivors

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