Published date: Feb 07 2022

Journal Title: KnE Life Sciences

Issue title: 5th International Conference in Nursing (IVCN)

Pages: 240–253

DOI: 10.18502/kls.v7i2.10319

Agianto Agiantoagianto@ulm.ac.idSchool of Nursing, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarbaru, South Kalimantan, Indonesia

Ainun KamilahSchool of Nursing, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarbaru, South Kalimantan, Indonesia

Rismia AgustinaSchool of Nursing, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarbaru, South Kalimantan, Indonesia

Stroke is a major cause of death and disability which must be treated quickly and appropriately. Use of complementary and alternative Medicine is high for stroke patients. The purpose of this study was to explore the use of stroke traditional therapy in the community setting. This study was an ethnographic study, and it aimed to identify social interactions, behaviors, and perceptions. This study involved seven key informants (families of stroke patients), recruited through a purposive sampling technique until data saturation was reached. Participant observation, in-depth interviews, and focus group discussions were employed in this study from December 2018 to February 2019. Data analysis involved content analysis. There were five themes identified in this study: family, traditional healer, neighbors, other people, and friends. The family refers to their spouse, children, nieces/nephews, sons-in-law, siblings, and grandchildren. Other people are also involved such as masseurs, neighbors, parking attendants, pedicab drivers, and friends. People who are involved in stroke traditional therapy should also be able to provide conventional treatments such as medicines, and carry out therapy with physiotherapists.

Keywords: stroke, community, traditional therapy, ethnography

[1] Roth GA, Johnson C, Abajobir A, et al. Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. Journal of the American College of Cardiology. 2017;70(1);1-25.

[2] Hankey GJ. Stroke. Lancet. 2017;389(10069):641-654.

[3] Feigin VL, Roth GA, Naghavi M, et al. Global burden of stroke and risk factors in 188 countries, during 1990-2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2016;15(9):913-924.

[4] Thrift AG, Thayabaranathan T, Howard G, et al. Global stroke statistics. International Journal Stroke. 2017;12(1):13-32.

[5] Ojaghihaghighi S, Vahdati SS, Mikaeilpour A, Ramouz A. Comparison of neurological clinical manifestation in patients with hemorrhagic and ischemic stroke. World Journal Emergency Medicine. 2017;8(1):34-38.

[6] Rajsic S, Gothe H, Borba HH, et al. Economic burden of stroke: A systematic review on post-stroke care. Eur J Health Econ. 2018. DOI:10.1007/s10198–018–0984–0

[7] GBD 2015 Neurological Disorders Collaborator Group. Global, regional, and national burden of neurological disorders during 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet Neurology. 2017;16:877–897.

[8] GBD 2016 Lifetime Risk of Stroke Collaborators. Global, regional, and countryspecific lifetime risks of stroke 1990 and 2016. New England Journal of Medicine. 2018;379:2429-2437.

[9] Venketasubramanian N, Yoon BW, Pandion J, Navarro JC. Stroke epidemiology in South, East, and South-East Asia: A review. Journal of Stroke. 2017;19(3):286-294.

[10] Laily SR. Hubungan karakteristik penderita dan hipertensi dengan kejadian stroke iskemik. Jurnal Berkala Epidemiologi. 2017:48-59.

[11] American Stroke Assossiation. Life after stroke. 2019.

[12] GBD 2016 Stroke Collaborators. Global, regional, and national burden of stroke, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology. 2019;18:439-458.

[13] Basic Health Research. Badan penelitian dan pengembangan kesehatan kementrian republik Indonesia. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia; 2018.

[14] Purnomo S, Nabawiyah S, Makiyah N. Terapi berbasis membaca (reading-based therapy) pada afasia: Literatur review. Abstrack termasuk infark serebral, intracerebral otak mempunyai peran penting dalam hematoma (ICH), Subarachn. 2019;10(1).

[15] Cook LK, Clement SL. Stroke recognition and management: Early identification and treatment are the keys. The American journal of nursing. 2011;5:111.

[16] Kadir AA, Hamid AHA, Mohammad M. Pattern of complementary and alternative medicine use among Malaysian stroke survivors: A hospital-based prospective study. Journal of Traditional and Complementary Medicine. 2015;5:157-160.

[17] Pengpid S, Peltzer K. Utilization of traditional and complementary medicine in Indonesia: Results of a national survey in 2014-15. Complementary Therapies in Clinical Practice. 2018;33:156-163.

[18] Blackmer J, Jefromova L. The use of alternative therapies in the Saskatchewan stroke rehabilitation population. BMC Complementary and Alternative Medicine. 2002;2:1–6.

[19] Zhuang L, He J, Zhuang X, Lu L. Quality of reporting on randomized controlled trials of acupuncture for stroke rehabilitation. BMC Complementary and Alternative Medicine. 2014;14:1-8.

[20] Weng SW, Chen TL, Yeh CC, et al. An investigation of the use of acupuncture in stroke patients in Taiwan: a national cohort study. BMC Complementary and Alternative Medicine. 2016;16(321):1-8.

[21] Ministry of Health. General secretariat. Indonesia health pro?le 2013. Jakarta: Ministry of Health RI; 2014.

[22] Chuthaputti A, Boonterm B. Traditional medicine in ASEAN. Bangkok: Medical Publisher; 2010.

[23] ASEAN Secretariat. Towards harmonization of traditional medicine practices. e- Health Bulletin. 2012;2:1–8.

[24] Peltzer K, Pengpid S. Utilization and practice of traditional/complementary/alternative medicine (T/CAM) in Southeast Asian nations (ASEAN) member states. Studies on Ethno-Medicine. 2015;9(2):209-218.

[25] Nurhayati L, Widowati L. The use of traditional health care among Indonesian family. Health Science Journal of Indonesia. 2017;8(1);30-35.

[26] Dewi AR. Faktor-faktor yang berhubungan dengan pemilihan pengobatan tradisional di Wilayah kerja puskesmas muara siberut kecamatan siberut selatan kabupaten kepulauan mentawai. Artikel Penelitian Universitas Andalas; 2012.

[27] Kwon CY, Chung SY, Kim JW. Herbal medicine for post-stroke anxiety: A systemactic review and meta-analysis of randomized controlled trials. Complementary Therapies in Clinical Practice. 2019.

[28] Atkinson P, Hammersley M. Ethnography: Principles in practice. 3rd ed. New York: Routledge; 2007.

[29] Reeves S, Kuper A, Hodges BD. Qualitative research methodologies: Ethnography. BMJ. 2008;337:1-3.

[30] Ayuningputri N, Maulana H. Persepsi akan tekanan terhadap kesejahteraan psikologis pada pasangan suami-istri dengan stroke. Jurnal Psikologi Integratif. 2014;2(2):27-34.

[31] Litman. Konsep keluarga. Kulimijit; 1974. Available from: http://kulimijit.blogspot.com/diktat-akper-konsep-keluarga.html

[32] Basic Health Research. Badan penelitian dan pengembangan kesehatan kementrian RI. Jakarta: Badan Litbangkes, Depkes RI; 2007.

[33] Suharni R, Indarwati. Tingkat pengetahuan keluarga dan kesiapan keluarga dalam merawat anggota keluarga yang menderita stroke di Desa Kebak Kramat Karang Anyar. GASTER. 2010;7(2):581-592.

[34] Ferrell BR, Mazanec P. Geriatric oncology: Treatment, assesment and management. New York: Spinger Dordrecht Heidelberg; 2009.

[35] Fetriyah UH, Firdaus S, Wulan L, Lestari S. Pengalaman keluarga dalam merawat anggota keluarga paska stroke di wilayah kerja puskesmas pekauman banjarmasin. Dinamika Kesehatan. 2016;7(1).

[36] Yuniarsih W. Pengalaman caregiver keluarga dalam konteks asuhana keperawatan pasien stroke tahap paska akut di RSUP Fatmawati [thesis]. Universitas Indonesia; 2010.

[37] Akosile CO, Okoye EC, Nwankwo MJ, Akosile CO, Mbada CE. Quality of life and it’s correlates in caregivers of stroke survivors from Nigerian population. Springer Science: Quality Life Research. 2011;20(9):1379-1384.

[38] Agianto, Nuntaboot K. The supportive care needs of stroke caregiver during hospital stay at ulin general hospital south Kalimantan Indonesia. Journal of Nursing Science & Health. 2013;36(3);136-148.

[39] Agianto, Setiawan H. Supportive care needs pada keluarga pasien stroke. Dunia Keperawatan. 2016;5(2):127-134.

[40] Williams LA. Whatever it takes: Informal caregiving dynamics in blood & marrow transplantation. Oncology Nursing Forum. 2007;34(2):379-387.

[41] Sarafino EP. Health psychology. 6th ed. New York: John Willey & Sons, Inc.; 2008.

[42] Setiawati B. Kesabaran anak dalam merawat orang tua yang sakit kronis [thesis]. Universitas Muhammdiyah Surakarta; 2009.

[43] Fitriani E. Pola kebiasaan makan penderita hipertensi lanjut usia pada orang Minangkabau di Jakarta [thesis]. Universitas Indonesia; 2005.

[44] Friedman MM. Keperawatan keluarga: Teori dan praktik. Jakarta: EGC; 2010.

[45] Hung et al. Factors associated with strain in informal caregivers of stroke patients. 2012.

[46] Thompson VLS, Cavazos-Rehg P, Jupka K. Evidential preferences: Cultural appropriateness strategies in health communications. Health Educaction Research. 2008;23:549-559.

[47] Ratnasari N. Gambaran keluarga dalam memutuskan tindakan kesehatan pada keluarga dengan stroke berulang di Wilayah Kerja Puskesmas Ciputat Timur [Thesis, Program Studi Ilmu Keperawatan]. Universitas Islam Negeri Syarif Hidayatullah; 2014.

[48] Agianto, Nuntaboot K. Role and function of family in care of patients with stroke in community. Dunia Keperawatan. 2018;6(2):134-143.

[49] Wurtiningsih B. Dukungan keluarga pada pasien stroke di ruang saraf RSUP Dr. Kariadi Semarang. Medica Hospitalia. 2012;1(1).

[50] World Health Organization. Traditional Medicine. Geneva: World Health Organization; 2013.

[51] Wirawan RP. Rehabilitasi stroke pada pelayanan kesehatan primer. Majalah Kedokteran Indonesia. 2009;59(2).

[52] Sembel R. Persiapan menuju pensiun bahagia. 2008. Available from: http://sinarharapanjaya.com