PENGARUH INTERVENSI SELF-MANAGEMENT TERHADAP PENINGKATAN KEMAMPUAN ACTIVITIES OF DAILY LIVING (ADL) PADA PASIEN STROKE: SISTEMATIC REVIEW

Introduction: Physical problems encountered in stroke patients such as:physical
disorders, facial paralysis and speech disorders. The problem requires selfmanagement as a form of adaptation to new conditions. The self-management
program is very necessary because it is a provision for stroke patients and their
families to prepare for self-management and post-stroke disease management.
Methods: Using the systematic review methodby assessing the quality of Critical
Appraisal Tools from the Joanna Briggs Institute (JBI)using 2 databases: ProQuest
and EbscoHost publications 2015-2021. keywords to search Nursing intervention,
Stroke, Activities of Daily Living, Self-Management.
Results: From the database search, 6,749 articles were identified, then 5 articles
that met the review requirements were identified. From the results of the review, it
was found that self-management interventions by empowering patients through
knowledge and skills of self-management, problem solving, the importance of
physical activity can help patients to increase their activity of daily living (ADL).
Conclusion: Of the 5 articles reviewed, one article reported an increase in ADL
ability in walking activities. Then 4 other articles, reported an increase in ADL
ability with assessment instruments using the Barthel index, Functional
independent measure (FIM), Stroke impact scale (SIS). The time needed to carry
out self-management interventions is 3 weeks to 6 months