skip to main content

Efektivitas Konseling dengan Pendekatan Motivational Interviewing Terhadap Penurunan Depresi pada Pasien Post Stroke Depression

*Baiq Nurainun Apriani  -  Master Program in Nursing, Faculty of Medicine, Muhammadiyah University of Jakarta, Indonesia
Irwan Hadi  -  School of Health Science Yarsi Mataram, Indonesia
Anwar Wardi Warongan  -  Faculty of Medicine, Muhammadiyah University of Jakarta, Indonesia
Nana Supriyatna  -  Faculty of Nursing, Muhammadiyah University of Jakarta, Indonesia
Received: 10 Jul 2018; Accepted: 10 Oct 2018; Published: 15 Nov 2018.
Open Access Copyright 2018 Holistic Nursing and Health Science

Citation Format:
Abstract

Background : Stroke is a serious global health problem, strokes can be threatening and result in morbidity and mortality and increase the length of days of treatment that cause maintenance costs to increase, stroke prevalence increases every year, followed by increased post-stroke depression. Motivational interviewing (MI) is a patient-focused counseling technique designed to help individuals explore and overcome ambivalence in behavior.

Purpose : This study aims to determine the effectiveness of counseling with a motivational interviewing approach to reducing depression in post-stroke depression patients in NTB Province Hospital.

Method : Quasi Experiment Pre-test design Post-test control group design with a sample of 32 respondents selected by purposive sampling technique.

Results: The results of bivariate analysis with paired t test there were significant differences in post-stroke depression in the control group and the intervention group with a value of 0.028, in the intervention group the average depression was 2.25 with a value of 0.000 < α (0.05).

Conclusion: Counseling with a motivational interviewing approach is effective in decreasing depression in post stroke depression patients at NTB Hospital. Suggestions for the next researchers can research with different places with more samples and qualitative and quantitative methods (mixed methods) so that research results are more optimal.

Fulltext View|Download
Keywords: Counseling; depression; motivational interviewing; stroke.

Article Metrics:

  1. Agustina H.R. (2009). Kajian Kebutuan Perawatan di Rumah bagi Klien dengan Stroke di RSUD Cianjur. Universitas Padjajaran
  2. American Heart Asosciation/AHA, (2006). Primary prevention of ischemic stroke
  3. Arikunto, (2010). Prosedur Penelitian : Suatu Pendekatan Praktik (edisi revisi). Jakarta. Rineka Cipta
  4. Bararah, Jauhar T (2013). Asuhan Keperawatan Panduan Lengkap menjadi perawat profesional . Jakarta. Prestsi Pustaka Karya
  5. Berg, A. (2003). Depression and its assessment among stroke patient and their caregivers
  6. Brodaty & Santos (2009). Post stroke emotional and behaviour impairment A Narative Reveiw
  7. Burns & grove, (2001). The Practice of nursing research : Conduct, Critique and Utilization (4 th ed) Philadlphia. W.B Saunders
  8. Dahlin, F., Billing, E., Nasman, P., Martenson, B., Wreding, R., & Murray, V. (2006). Post-Stroke Depression Effect On The Life Situation Of The Significant Other. Scandinavian Journal Of Caring Sciences, 20(4): 412-6 (34 ref)
  9. Ghoge, H., sharma, S., Sonawalla, S., & Parikh, R. (2003). Cerebrovascular Diseases and Depression. Curr Psychiatry Rep.; 5: 231-8
  10. Ginkerl, D.M., Gooskens, F., Schuurmans, M.J., Lindeman, E., &Hafsteinsdottir, T.B. (2010). A systematic review of therapeutic interventions for post-stroke depression and the role of nurses. Journals Of Clinical Nursing, 19 (23/24):3274-90 (76 ref)
  11. Gisberg, L. (2007). Lecture Notes : Neurologi (Indah RetnoWardhani, Penerjemah) Edisi 8. Jakarta : PenerbitErlangga
  12. Hedegaard, U., Kjeldsen, L.J., Pottegard, A., Bak, S., & Hallas, J. (2014). Multifaceted intervention including motivational interviewing to support medication adherence after stroke/transient ischemic attack : A Randomized Trial
  13. Hettema,J.Stelle, Miller (2005). Motivational Intervewing: Anual Reviewe of Clinical Psychology
  14. Hickey, J.V. (2003). The Clinical Practice Of Neurological And Neurosurgical Nursing. (5th ed.). Philadelphia : J. B. Lippincott Company
  15. Hustings, S(2010) Are Adolescents Being Screened for Emotional Distress in Primery Care . Jurnal of Adolescent Health. Vol (44) Issue 6 June 2009 Pages (520-527)
  16. Jayanti, I.S., &Hadjam, M.N.R. (2015).Tata Laksana ‘Behavioural Activation’ Untuk Menurunkan Tingkat Depresi Pada Pasien Stroke. Gadjah Mada Journal Of Professional Psychology. Vol. 1 no. 2 agustus 2015 : 77-88 : 2407-7801
  17. Martini,S. (2002). Gangguan kognitif pasca stroke dan faktor resikonya. BeritaKedokteranMasyarakatXVIII (4) 2002 hal.195
  18. Mulyatsih, E., & Ahmad, A.A. (2010). Stroke : Petunjuk perawatan pasien pascastrokedirumah Cetakan 2. Jakarta : Balai Penerbit FKUI
  19. Murdiantasari, I., (2014). Perbedaan kejadian depresi pada pasien stroke iskemik lesi hemisfer kiri dan kanan di RSUD Kabupaten Kudus. Denpasar : FKUD
  20. Nurarif, Kusuma H (2015). Aplikasi auhan keperawatan bedasarkan diagnosa medis dan nanda NIC NOC . Jogjakarta. Mediaaction
  21. Nursalam, (2013). Metodelogi penelitian ilmu keperawatan edisi 3.Jakarta : Salemba Medika
  22. PDPERSI, (2010). Stroke peringkat pertama penyebab kematian di Indonesia
  23. Qamar, Z.K. (2011). Depression among stroke patients and relation with demographic and stroke characteristics
  24. Rasyd, A., &Soertidewi, L. (2007). Unit stroke. Manajemen stroke secara komprehensif. Jakarta : Balai Penerbit Fakultas Kedokteran Universitas Indonesia
  25. Rekam Medis RSUD Provinsi Nusa Tenggara Barat. (2016). Data rekam medik RSUD Provinsi NTB tahun 2016
  26. Renaldi, Maria, C, Farello. (2011). Eficacy of Physiootherapy intervention late after stroke : meta analysis
  27. Riskesdas, (2013). Badan penelitian dan pengebangan kesehatan kementrian kesetahan tahun 2013
  28. Robinson, W.D., (2013). Treatment of depression in primary care : A Motivational Interviewing, Stepped-Care Approach
  29. Rollnick, S., Miller, W.R., & Butler, C.C. (2013). Motivational interviewing in health care : Helping Patients Change Behavior. New York, London : The Guilford Press
  30. Salbiah, 2009. Konsep diri. Program studi ilmu keperawatan fakultas kedokteran universitas sumatra utara
  31. Sarafino, E.P. (2006). Health psychology : biopsychosocial interaction. (5th Ed). Unitet State Of America : John Wiiley& Sons, Inc
  32. Schub, E.,&Caple, C. (2010). Stroke compilation : post stroke depression. California : Cinahl information system
  33. Sit, J.W., Wong, T.K.S., Clinton., Li, L.S.W., & Fong, Y.M. (2007). Stroke care in the home : The impact of social support on the general health of family caregivers. Journal of clinical nursing, 13: 816-824
  34. Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (2008). Brunner &suddarth’s textbook of medical surgical nursing (11th Ed.). Philadelphia : Lippincott Williams & Wilkins
  35. Suwantara, J.R. (2004). Depresipasca-stroke : epidemiologi, rehabilitasi dan psikoterapi. Jurnal kedokteran trisakti. Oktober-desember 2004, vol. 23 No. 4
  36. Tommey, A.M &Alligood, M.R. (2014). Pakar teori keperawatan edisi Indonesia ke-8 vol. 1. Singapore : Elsevier Inc
  37. Whyte, E.M., &Mulsant, B.H. (2004). Post-stroke depression : epidemiology, pathophysiology, and biological treatment. Boil psychiatry; 52: 253-64
  38. Wolrd Health Organization (WHO). Global status report on noncommunicable desease 2014

Last update:

No citation recorded.

Last update:

No citation recorded.