TY - JOUR
T1 - The effect of “self-help packages” on post stroke depression among ischemic stroke survivors
AU - Handayani, Fitria
AU - Setyowati, Setyowati
AU - Pudjonarko, Dwi
AU - Sawitri, Dian Ratna
N1 - Funding Information:
However, after the confounding factors were controlled, the result found that the “SELF-HELP Packages” had no significant effect on PSD. The confounding factors included social support, functional status, cognitive function and BDNF. It was assumed that the intervention should be conducted in a long period to achieve an impactful result. This assumption is supported by Byrne et al. (2020) and Medical Research Council (2014). Mayo & Scott (2011) also points out that it may not be a good idea to evaluate a complex intervention though a single outcome. Stroke patients’ needs have wide spread and person-varying effects which may not be best represented by the changes on a single outcome variable. Future studies require a longer period of time for the intervention and to investigate more than one outcomes.
Funding Information:
The study was funded by the Ministry of Research, Technology and Higher Education, Indonesia.
Publisher Copyright:
Copyright © 2020, NMJN
PY - 2020/12
Y1 - 2020/12
N2 - 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 on 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 recommended for the next study to obtain a more robust result.
AB - 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 on 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 recommended for the next study to obtain a more robust result.
KW - Ischemic stroke
KW - Post stroke depression
KW - “SELF-HELP Packages” intervention
UR - http://www.scopus.com/inward/record.url?scp=85099927000&partnerID=8YFLogxK
U2 - 10.14710/NMJN.V10I3.31014
DO - 10.14710/NMJN.V10I3.31014
M3 - Article
AN - SCOPUS:85099927000
SN - 2087-7811
VL - 10
SP - 361
EP - 375
JO - Nurse Media Journal of Nursing
JF - Nurse Media Journal of Nursing
IS - 3
ER -
