skip to main content

Hubungan Koping Spiritual dengan Post Stroke Depression pada Pasien Stroke Iskemik setelah Tiga Bulan Serangan

*Fitria Handayani  -  Department of Nursing, Faculty of Medicine, Diponegoro University, Indonesia
Open Access Copyright 2019 Holistic Nursing and Health Science

Citation Format:

Background: The prevalence of Post Stroke Depression (PSD) among ischemic stroke survivor after three months onset is high. PSD is influenced by biological, psychological, and social factors. Spiritual coping was correlated with good mood among chronic illness patient. However, correlation study between spiritual and PSD was not exist. The aim of the study was to examine the correlation between spiritual coping and PSD among ischemic stroke survivor after three months onset.

Method: The design of the study was correlational design. There were 68 respondents involved. The inclusion criteria were ischemic stroke after three months onset, no aphasia, no hearing impairment, and the total score of Mini Mental Status Examination (MMSE) was more than 12. The tools were HAMD-GRID 17 (PSD) and Spiritual Coping Questionaire (SCQ). Validation language conducted in two cycles and the test reliability used alpha cronbach (.776). Ethical approval was conducted by ethical committee of Medicine Faculty. The data collection used was survey. The statistical analyze used the Spearman-rho.

Results: The results of the study show that demographic characteristic were equal between male and female. The age ranged 51 to 60 was 42.6%, unemployment patient was 61.8%, and the income less than Rp 1,000,000 was 63.2%. Statistical analyses showed that no correlation between spiritual and PSD (r -.155,  p .205).

Discussion: Spiritual transformation process is a complex process and diverse among social situation. Transformation in spiritual responses should be gained in advance study to identify the developing of PSD.
Fulltext View|Download
Keywords: Post Stroke Depression; Spiritual Coping

Article Metrics:

  1. Campbell, J. D., Yoon, D. P., & Johnstone, B. (2010). Determining relationships between physical health and spiritual experience, religious practices, and congregational support in a heterogeneous medical sample. Journal of Religion and Health, 49(1), 3–17. doi: 10.1007/s10943-008-927-5
  2. Cheng, S., Zhao, Y., Li, J., Chen, X., Wang, R., & Zeng, J. (2014). Plasma levels of glutamate during stroke is associated with development of post-stroke depression. Psychoneuroendocrinology, 47(183), 126–135. doi: 10.1016/j.psyneuen.2014.05.006
  3. Chow, E. O. W., & Nelson-Becker, H. (2010). Spiritual distress to spiritual transformation: Stroke survivor narratives from Hong Kong. Journal of Aging Studies, 24(4), 313–324. doi: 10.1016/j.jaging.2010.06.001
  4. Lang, U. E., & Borgwardt, S. (2013). Molecular mechanisms of depression: Perspectives on new treatment strategies. Cell Physiol Biochem, 31(6), 761–777. doi: 10.1159/000350094
  5. Feng, C., Fang, M., & Liu, X. (2014). The Neurobiological Pathogenesis of Poststroke Depression. The Scientific World Journal, 2014
  6. Gbiri, C. a, Akinpelu, a O., & Odole, a C. (2010). Prevalence, pattern and impact of depression on quality of life of stroke survivors. International Journal of Psychiatry in Clinical Practice, 14(March), 198–203
  7. Handayani, F., & Pudjonarko, D. (2015). Associated factor and Predictor of Post Stroke Depression after 3 month onset: A Literature Review. 3rd Java International Nursing Conference. semarang
  8. Husseini, N. El, Hackett, M. L., Jorge, R. E., Kissela, B. M., Mitchell, P. H., Skolarus, L. E., … Williams, L. S. (2017). AHA/SA Scientific statement poststroke depression. Stroke, 48, 30–43. doi: 10.1161/STR.0000000000000113
  9. Kielbergerova, L., Mayer, O.-J., Vanak, J., Bruthans, J., Wohlfahrt, P., & Ciffkova, R. (2015). Quality of life predictors in chronic stable post-stroke patients and prognostic value of SF-36 score as a mortality surrogate. Translational Stroke Research, 6(5), 375–383. doi: 10.1007/s12975-015-0418-6
  10. Kim, J.-T., Park, M.-S., Yoon, G.-J., Jung, H.-J., Choi, K.-H., Nam, T.-S., … Cho, K.-H. (2011). White matter hyperintensity as a factor associated with delayed mood disorders in patients with acute ischemic stroke. European Neurology, 66(6), 343–349. doi: 10.1159/000332585
  11. Kouwenhoven, S. E., Kirkevold, M., Engedal, K., & Kim, H. S. (2012). “Living a life in shades of grey”: Experiencing depressive symptoms in the acute phase after stroke. Journal of Advanced Nursing, 68(8), 1726–1737. doi: 10.1111/j.1365-2648.2011.05855.x
  12. Lerdal, A., Bakken, L. N., Rasmussen, E. F., Beiermann, C., Ryen, S., Pynten, S., … Kim, H. S. (2011). Physical impairment, depressive symptoms and pre-stroke fatigue are related to fatigue in the acute phase after stroke. Disability and Rehabilitation, 33(4), 334–342. doi: 10.3109/09638288.2010.490867
  13. Li, J., Zhao, Y., Zeng, J., Chen, X., Wang, R., & Cheng, S. (2014). Serum Brain-derived neurotrophic factor levels in post-stroke depression. Journal of Affective Disorders, 168, 373–379. doi: 10.1016/j.jad.2014.07.011
  14. McCarthy, M. J., Sucharew, H. J., Alwell, K., Moomaw, C. J., Woo, D., Flaherty, M. L., … Kissela, B. M. (2016). Age, subjective stress, and depression after ischemic stroke. Journal of Behavioral Medicine, 39(1), 55–64. doi: 10.1007/s10865-015-9663-0
  15. Moon, Y. S., & Kim, D. H. (2013). Association between religiosity/spirituality and quality of life or depression among living-alone elderly in a South Korean city. Asia-Pacific Psychiatry, 5(4), 293–300. doi: 10.1111/appy.12025
  16. Charzyńska, E. (2015). Multidimensional Approach Toward Spiritual Coping : Construction and Validation of the Spiritual Coping. Journal of Religion and Health, 54(5), 1629–1646. doi: 10.1007/s10943-014-9892-5
  17. Naess, H., Lunde, L., Brogger, J., & Waje-Andreassen, U. (2010). Depression predicts unfavourable functional outcome and higher mortality in stroke patients: The Bergen stroke study. Acta Neurologica Scandinavica, 122(SUPPL. 190), 34–38. doi: 10.1111/j.1600-0404.2010.01373.x
  18. Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J., Culebras, A., … Vinters, H. V. (2013). An updated definition of stroke for the 21st century: A statement for healthcare professionals from the American heart association/American stroke association. Stroke, 44(7), 2064–2089. doi: 10.1161/STR.0b013e318296aeca
  19. Saffari, M., Pakpour, A. H., Naderi, M. K., Koenig, H. G., Baldacchino, D. R., & Piper, C. N. (2013). Spiritual coping, religiosity and quality of life: A study on Muslim patients undergoing haemodialysis. Nephrology, 18(4), 269–275. doi: 10.1111/nep.12041
  20. Skolarus, L. E., Lisabeth, L. D., Sánchez, B. N., Smith, M. a, Garcia, N. M., Risser, J. M. H., & Morgenstern, L. B. (2012). The prevalence of spirituality, optimism, depression, and fatalism in a bi-ethnic stroke population. Journal of Religion and Health, 51(4), 1293–1305. doi: 10.1007/s10943-010-9438-4
  21. The Joanna Briggs Institute. (2010). The Joanna Briggs Institute best practice information sheet: The psychosocial and spiritual experiences of elderly individuals recovering from a stroke. Nursing and Health Sciences, 12(4), 515–518. doi: 10.1111/j.1442-2018.2010.00555.x
  22. Williams, J. B. W., Kobak, K. A., Bech, P., Engelhardt, N., Evans, K., Lipsitz, J., … Pearson, J. (2005). The GRID-HAMD: Standardization of the Hamilton Depression Rating Scale. Inernational Clinical Psychopharmachology, 23(3), 120–129. doi: 10.1097/YIC.0b013e3282f948f5
  23. Yuan, H. W., Wang, C. X., Zhang, N., Bai, Y., Shi, Y. Z., Zhou, Y., … Wang, Y. J. (2012). Poststroke depression and risk of recurrent stroke at 1 year in a Chinese cohort study. PLoS ONE, 7(10), e46906. doi: 10.1371/journal.pone.004690

Last update:

No citation recorded.

Last update:

No citation recorded.