Relationship Of Functional Status With The Quality Of Life Of Post Stroke Patients In The Poly Of The Hospital Of Haji Adam Malik Medan Hospital

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Relationship of Functional Status with the Quality of Life of Post Stroke Patients in the Poly of the Hospital of Haji Adam Malik Medan Hospital

Introduction

Stroke is a disease that has a significant impact on a person's functional ability, as well as the quality of life of post-stroke patients. The quality of life is a complex and multifaceted concept that encompasses various aspects of an individual's life, including physical, emotional, and social well-being. In the Outpatient Poly Hospital Adam Malik Medan, a study was conducted to analyze the relationship between functional status and the quality of life of patients who had experienced a stroke. This study aims to explore the relationship between functional status and quality of life in post-stroke patients and to identify the factors that influence their quality of life.

Methodology

This study uses a quantitative approach involving 420 patients as a population, and a sample of 81 respondents was taken through convenience sampling techniques. Barthel’s Index is used to measure patient functional status, while SF-36 (short form-36) is used to assess the quality of life. The data obtained was then analyzed using the Spearman RHO test.

Results

The results showed that the functional status of the post-stroke patient was in the category of moderate dependence, with 75 respondents (92.6%) showing the level of dependence. On the other hand, the quality of life of post-stroke patients showed more positive results, where 78 respondents (96.3%) claimed to have high quality of life. However, the Spearman test results showed the value of the significance coefficient with a p-value of 0.53 and the correlation coefficient (R) of 0.07. This proves that there is no significant relationship between functional status and the quality of life of post-stroke patients.

Discussion

Although the data shows that most patients experience moderate dependence in daily activities, they still report high quality of life. This phenomenon can be explained from several points of view. First, the quality of life is not only influenced by physical functional status, but also psychological, social, and environmental factors. Patients who have good social support, supportive environment, and positive mindset may be able to increase their perception of the quality of life even though it is functionally still experiencing limitations.

Second, the data shows the possibility that the size used to assess the functional status and quality of life may not fully capture the reality experienced by patients. For example, Barthel’s Index focuses on physical daily activities, while SF-36 is wider and includes emotional and mental aspects. This highlights the importance of the use of comprehensive instruments to capture the health condition and quality of life of post-stroke patients more accurately.

Third, the results of this study provide insight for health workers in providing more holistic and individual care. The focus is not only on physical recovery but also on the emotional and social support of patients, so that they can achieve a better quality of life. Therefore, it is important to formulate an intervention strategy that not only improves functional status, but also increases social and mental support for stroke patients.

Conclusion

Although there are results that indicate the absence of a significant correlation between functional status and quality of life, this research opens opportunities for further studies about other factors that can affect the quality of life of post-stroke patients in the hospital and the community. The findings of this study suggest that the quality of life of post-stroke patients is influenced by various factors, including psychological, social, and environmental factors. Therefore, health workers should provide more holistic and individual care to post-stroke patients, including emotional and social support, to improve their quality of life.

Recommendations

Based on the findings of this study, the following recommendations are made:

  1. Use of comprehensive instruments: Health workers should use comprehensive instruments to capture the health condition and quality of life of post-stroke patients more accurately.
  2. Holistic and individual care: Health workers should provide more holistic and individual care to post-stroke patients, including emotional and social support, to improve their quality of life.
  3. Intervention strategy: Health workers should formulate an intervention strategy that not only improves functional status, but also increases social and mental support for stroke patients.
  4. Further studies: Further studies should be conducted to explore the relationship between functional status and quality of life in post-stroke patients and to identify the factors that influence their quality of life.

Limitations

This study has several limitations, including:

  1. Small sample size: The sample size of this study is relatively small, which may limit the generalizability of the findings.
  2. Convenience sampling: The study used convenience sampling techniques, which may introduce bias into the sample.
  3. Limited instruments: The study used limited instruments to assess functional status and quality of life, which may not fully capture the reality experienced by patients.

Future Directions

This study opens opportunities for further studies about other factors that can affect the quality of life of post-stroke patients in the hospital and the community. Future studies should explore the relationship between functional status and quality of life in post-stroke patients and identify the factors that influence their quality of life. Additionally, future studies should use more comprehensive instruments to capture the health condition and quality of life of post-stroke patients more accurately.
Q&A: Relationship of Functional Status with the Quality of Life of Post Stroke Patients

Q: What is the relationship between functional status and quality of life in post-stroke patients?

A: The study found that there is no significant relationship between functional status and quality of life in post-stroke patients. Despite experiencing moderate dependence in daily activities, most patients reported high quality of life.

Q: What factors influence the quality of life of post-stroke patients?

A: The quality of life of post-stroke patients is influenced by various factors, including psychological, social, and environmental factors. Patients who have good social support, supportive environment, and positive mindset may be able to increase their perception of the quality of life even though it is functionally still experiencing limitations.

Q: Why is it important to use comprehensive instruments to capture the health condition and quality of life of post-stroke patients?

A: The study highlights the importance of using comprehensive instruments to capture the health condition and quality of life of post-stroke patients more accurately. For example, Barthel’s Index focuses on physical daily activities, while SF-36 is wider and includes emotional and mental aspects.

Q: What is the role of health workers in providing care to post-stroke patients?

A: Health workers should provide more holistic and individual care to post-stroke patients, including emotional and social support, to improve their quality of life. The focus is not only on physical recovery but also on the emotional and social support of patients.

Q: What are the implications of the study's findings for healthcare providers?

A: The study's findings suggest that healthcare providers should adopt a more holistic approach to care, focusing on the emotional and social needs of post-stroke patients in addition to their physical needs.

Q: What are the limitations of the study?

A: The study has several limitations, including a small sample size, convenience sampling, and limited instruments used to assess functional status and quality of life.

Q: What are the future directions for research on the relationship between functional status and quality of life in post-stroke patients?

A: Future studies should explore the relationship between functional status and quality of life in post-stroke patients and identify the factors that influence their quality of life. Additionally, future studies should use more comprehensive instruments to capture the health condition and quality of life of post-stroke patients more accurately.

Q: How can healthcare providers improve the quality of life of post-stroke patients?

A: Healthcare providers can improve the quality of life of post-stroke patients by providing more holistic and individual care, including emotional and social support, and by using comprehensive instruments to capture the health condition and quality of life of post-stroke patients more accurately.

Q: What are the implications of the study's findings for patients and their families?

A: The study's findings suggest that patients and their families should be aware of the importance of emotional and social support in improving the quality of life of post-stroke patients. Patients and their families should also be involved in the care planning process to ensure that their needs are met.

Q: How can patients and their families advocate for their needs in the healthcare system?

A: Patients and their families can advocate for their needs in the healthcare system by being proactive and involved in the care planning process, asking questions, and seeking support from healthcare providers and support groups.