MINISTRY OF EDUCATION, CULTURE, RESEARCH, AND TECHNOLOGY
SYIAH KUALA UNIVERSITY FACULTY OF NURSING
MASTER OF NURSING STUDY PROGRAM
25th of January 2022
V Chapters + 64 pages + 6 tables + 1 schematics + 18 appendixs
Determinants of Psychosocial Problems in Stroke Patients at
Stroke is a complex neurovascular disorder and is often a public health issue. Stroke has an impact on aspects of life, such as experiencing psychosocial problems due to physical changes in him. The purpose of this study was to identify the most dominant determinants of psychosocial problems in stroke patients at Lhokseumawe City Hospital. This research is of the quantitative type with a cross-sectional approach. The sampling technique used was the total sampling technique. There were 113 respondents in this study. The research instrument used was the Emotional Intelligence (EI) questionnaire, Robson Scale Concept (RSCQ), Stroke Motivation Rehabilitation Scale (SMRS), Coping Scale, Multidimensional Scale of Perceived Social Support (MSPSS), Helplessness (LHS), Depression Anxiety and Stress Scale 21 (DASS 21). The results of the bivariate test obtained six independent variables related to psychosocial problems in the scope of depression p-value = 0,019, anxiety p-value = 0,000, and stress p- value= 0,000 in stroke patients, namely emotional intelligence, self-concept, motivation, coping mechanisms, social support, and helplessness. The results of logistic regression analysis using the Backward Stepwise method can be concluded that the stress problem is helplessness with p-value = 0.003, Odds Ratio (OR) 24,129. The factor that dominates psychosocial problems is helplessness. This study recommends treatment by providing life support to stroke patients to prevent psychosocial problems.
Keywords: Stroke, psychosocial problems, depression, anxiety, stress