Burden Pada Family Caregiver Dalam Merawat Pasien Stroke Di RSU Tidar Magelang

SITI NA'IMAH, Dr. Christantie Effendy, S.Kp., M.Kes,

2020 | Tesis | MAGISTER KEPERAWATAN

Latar Belakang: Stroke merupakan penyakit penyebab kematian nomor lima di dunia, stroke tidak hanya menimbulkan dampak negatif pada pasien tetapi juga berdamapak pada family caregiver. Tujuan: Untuk mengetahui gambaran burden yang dilami oleh family caregiver dalam merawat pasien stroke. Metode: Penelitian ini menggunakan metode mixed method sequencial explanatory. Penelitian dilakukan di Unit Stroke dan Bangsal Aster 5 RSU Tidar Magelang pada bulan Agustus sampai Oktober 2019. Penelitian ini melibatkan 106 family caregiver dengan tekhnik purposive sampling. Burden yang dialami family caregiver diukur menggunakan kuesioner Zarit Burden Interview (ZBI). Wawancara dilakukan untuk mendukung data kuantitatif. Hasil : Burden yang dialami family caregiver berada pada tingkat ringan, terdapat hubungan yang signifikan pada variabel pendidikan (p = 0.007, r = -0.297), hubungan keluarga ( p = 0.001), jumlah pengasuh (p = 0.001, r=0.364), dan lama pasien menderita stroke (p= 0.006, r=-0.275). Terdapat empat tema dalam penelitian ini yaitu 1) kesulitan dalam merawat, 2) motivasi merawat, dan 3) sumber dukungan dan 4) Norma Subjektif Kesimpulan : Meskipun secara kuantitafif family caregiver mengalami burden yang ringan tetapi secara kualitatif family caregiver melaporkan adanya keluhan dalam merawat hampir pada semua aspek, sehingga dibutuhkan penanganan untuk mengatasi burden tersebut.

Background: Stroke is the fifth leading cause of death in the world, stroke not only has a negative impact on patients but also affects family caregiver. Objective: To find out the burden of burden faced by family caregiver in treating stroke patients. Methods: This study used a mixed method sequencial explanantory approach. The study was conducted in the Stroke Unit and Aster 5 Ward at Magelang Tidar General Hospital in August to October 2019. This research involved 106 family caregiver with purposive sampling technique. Burden experienced by family caregiver was measured by Zarit Burden Interview (ZBI) questionnaire. Interviews were conducted to support quantitative data. Results: Burden experienced by family caregiver was at a mild level, significant relationship between age of family caregivers (p 0.017, r 0.231) education (p = 0.007, r = -0.297), family relationships (p = 0.001, r = -0.364), amount of caregivers (p = 0.001, r = 0.364), and the patient's duration of stroke (p = 0.006, r = -0.275). There are four themes in this study, difficulty in caring, motivation to care for, source of strength and subjective norm. Conclusion: Although family caregiver experienced a mild burden quantitatively, family caregiver qualitatively reported complaints in caring for almost all aspects, so care was needed to overcome the burden.

Kata Kunci : Perawatan stroke, Burden dalam merawat, family caregiver, mixed method