FACTORS INFLUENCING THE ADHERENCE TO MEDICAL REHABILITATION IN POST STROKE PATIENT AT PROF. DR. MARGONO SOEKARJO HOSPITAL Fatkhul Ulum(1), Atyanti Isworo(2), Arif Imam Hidayat(2)
1) Student of Nursing Department, Faculty of Health and Sciences, Jenderal Soedirman University, Indonesia
2) Nursing Department, Faculty of Health and Sciences, Jenderal Soedirman University, Indonesia
Abstract
Objectives: Medical rehabilitation is one of the right strategies in managing stroke. Medical rehabilitation needed to be supported with good adherence that could reduce the level of disability in stroke patients. Adhere to medical rehabilitation was influenced by various factors. This study discussed factors that influenced the adherence to medical rehabilitation in post-stroke patients.
Methods: This study used a descriptive analytic with cross sectional design. The sampling technique in this study used accidental sampling with 84 respondents. The independent variables in this study were attitude, type of stroke, length of medical rehabilitation, utilization of health insurance, and severity of stroke. The dependent variable was the adherence of post-stroke patients in undergoing medical rehabilitation. Instruments that was used in this study were questionnaires and National Institutes of Health Stroke Scale (NIHSS) assessment form. Analysis in this study used Fisher^s Exact Test.
Results: There was a significant relationship between attitudes and adherence to medical rehabilitation (p=0.034. While type of stroke (p=0.232), length of medical rehabilitation (p=0.248), utilization of health insurance (p=1.000), and severity of stroke (p=0.568) had no significant relationship with adherence to medical rehabilitation.
Conclusions: There was a significant relationship between attitude with the adherence to medical rehabilitation. There were no significant relationship among the type of stroke, the length of medical rehabilitation, utilization of health insurance, and stroke severity with the adherence to medical rehabilitation.
Keywords: Adherence, Attitude, Medical Rehabilitation, NIHSS, Stroke
