ABSTRAK PENGEMBANGAN PANDUAN PERAWATAN MANDIRI GUNA MENCEGAH REHOSPITALISASI PASIEN STROKE: STUDI DELPHI Komang Ardidhana Nugraha Putra [email protected] Pendahuluan: Tingginya kasus stroke sampai saat ini masih terus mengalami peningkatan. Pasien stroke yang telah melewati fase akut stroke masih memiliki risiko stroke berulang dan rehospitalisasi. Perawatan mandiri merupakan salah satu intervensi yang penting untuk diterapkan dan telah terbukti efektif dalam proses rehabilitasi pasien stroke berdasarkan hasil penelitian sebelumnya. Tujuan: Penelitian ini bertujuan untuk melakukan pengembangan panduan perawatan mandiri guna mencegah rehospitalisasi pasien stroke. Metode: Modified delphi study 3 putaran diterapkan pada 24 panel ahli dengan bidang keahlian berbeda yang paham terkait dengan kebutuhan perawatan mandiri pada pasien stroke. Data dikumpulkan melalui literature review, wawancara semi terstruktur pada putaran pertama, kuesioner survei pada putaran kedua dan ketiga. Hasil: Berdasarkan tiga putaran dalam penelitian ini, putaran pertama menghasilkan tujuh tema atau sembilan jenis perawatan mandiri. Seluruh jenis perawatan mandiri seperti terapi obat, aktivitas fisik, diet/nutrisi, manajemen stress, motivasi diri, skrining status fungsional, kontrol tekanan darah, kontrol kolesterol, dan kontrol gula darah yang diperoleh pada putaran pertama telah mendapatkan kesepakatan pada putaran kedua untuk dimasukkan seluruhnya dalam penyusunan buku panduan. Hasil penyusunan buku panduan telah menghasilkan kesepakatan pada putaran ketiga dengan penilaian skor 8-9 >70% (Median 9, IQR=0, Rentang 1). Kesimpulan: Penyusunan buku panduan perawatan mandiri guna mencegah rehospitalisasi pasien stroke melalui studi delphi dengan tiga putaran telah mencapai konsensus oleh seluruh panel ahli. Dibutuhkan penelitian lebih lanjut dengan mengujicobakan buku panduan untuk mengetahui efektifitas terhadap pencegahan rehospitalisasi pada pasien stroke. Kata Kunci: Panduan, perawatan mandiri, rehospitalisasi, stroke berulang

ABSTRACT DEVELOPMENT OF A USEFUL SELF-CARE GUIDE PREVENTING REHOSPITALIZATION OF STROKE PATIENTS: A DELPHI STUDY Komang Ardidhana Nugraha Putra [email protected] Introduction: The high number of stroke cases continues to occur enhancement. Stroke patients who have passed the acute phase of stroke still have risk of recurrent stroke and rehospitalization. Self-care is one of them interventions that are important to implement and have been proven to be effective in the process rehabilitation of stroke patients based on the results of previous research. Objective: This research aims to develop treatment guidelines independently to prevent rehospitalization of stroke patients. Method: Modified Delphi The 3 round study was applied to a panel of 24 experts with different areas of expertise understand the need for self-care in stroke patients. Data collected through literature reviews, semi-structured interviews on rounds first, survey questionnaires in the second and third rounds. Results: Based on three rounds in this research, the first round produced seven themes or nine types of self-care. All types of self-care such as therapy medication, physical activity, diet/nutrition, stress management, self-motivation, screening status functional, blood pressure control, cholesterol control, and blood sugar control obtained in the first round have received an agreement in the second round to be included in its entirety in the preparation of the guidebook. Compilation results playbook has landed a third-round deal with assessment score 8-9 >70% (Median 9, IQR=0, Range 1). Conclusion: Drafting self-care guidebook to prevent rehospitalization of stroke patients through a Delphi study with three rounds, consensus was reached by all expert panel. Further research is needed by testing books guide to determine the effectiveness of preventing rehospitalization in stroke patient. Keywords: Guide, self-care, rehospitalization, recurrent stroke