Systematic Review: Efektivitas Program Inovasi Pelayanan Stroke terhadap Kepuasan Keluarga Pasien di Rumah Sakit

Authors

  • Vera Dwi Arijani Universitas Pesantren Tinggi Darul Ulum
  • Herin Mawarti Universitas Pesantren Tinggi Darul Ulum
  • Nasrudin Nasrudin Universitas Pesantren Tinggi Darul Ulum
  • Masruroh Masruroh Universitas Pesantren Tinggi Darul Ulum
  • Siti Urifah Universitas Pesantren Tinggi Darul Ulum

Keywords:

inovasi pelayanan stroke, kepuasan keluarga, literature review, stroke unit, telestroke, telerehabilitasi

Abstract

Inovasi pelayanan stroke berkembang pesat dalam satu dekade terakhir untuk meningkatkan kualitas layanan, efisiensi sistem, serta pengalaman pasien dan keluarga. Kepuasan keluarga menjadi indikator penting dalam evaluasi mutu pelayanan stroke berbasis patient- and family-centered care. Tujuan penelitian ini adalah untuk menganalisis berbagai bentuk inovasi pelayanan stroke di rumah sakit serta dampaknya terhadap kepuasan keluarga/caregiver. Literature review ini dilakukan dengan menelusuri artikel ilmiah dari ScienceDirect, PubMed, dan Sage dalam rentang waktu 2015–2025. Strategi pencarian menggunakan kombinasi kata kunci terkait pelayanan stroke, kepuasan keluarga, dan inovasi. Kriteria inklusi meliputi artikel penelitian asli dengan desain kuantitatif atau mixed-method, membahas inovasi pelayanan stroke di rumah sakit, serta mengukur kepuasan keluarga sebagai outcome. Proses seleksi dilakukan melalui identifikasi, penyaringan, dan telaah teks lengkap. Delapan artikel memenuhi kriteria. Inovasi meliputi telestroke, telerehabilitasi, mobile stroke unit, integrated stroke ward, high-quality nursing, dan sistem peningkatan mutu berbasis kinerja. Inovasi tersebut terbukti meningkatkan kepuasan keluarga melalui percepatan respons, peningkatan koordinasi multidisiplin, kontinuitas perawatan, dan komunikasi efektif. Beberapa studi juga menunjukkan penurunan lama rawat inap serta perbaikan luaran klinis. Inovasi pelayanan stroke yang terintegrasi dan berbasis teknologi berpotensi meningkatkan kualitas layanan dan kepuasan keluarga secara menyeluruh.

References

Ackerson, T., Adeoye, O. M., Brown, M., Demaerschalk, B. M., Leslie-mazwi, T. M., Ovbiagele, B., Scott, P. A., Sheth, K. N., Southerland, A. M., & Summers, D. V. (2019). AHA / ASA Guideline Guidelines for the Early Management of Patients With Acute Ischemic Stroke : 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke. https://doi.org/10.1161/STR.0000000000000211

Adeoye, O., Nyström, K. V, Yavagal, D. R., Luciano, J., Nogueira, R. G., Zorowitz, R. D., Khalessi, A. A., Bushnell, C., Barsan, W. G., Panagos, P., Alberts, M. J., Tiner, A. C., Schwamm, L. H., & Jauch, E. C. (2019). Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update: A Policy Statement from the American Stroke Association. Stroke, 50(7), e187–e210. https://doi.org/10.1161/STR.0000000000000173

Awal, M., Durahim, D., Halimah, A., Supriatna, A., Islam, F., & Ikbal, M. (2025). Early diagnosis of stroke risk factors in high school students in Makassar, South Sulawesi, Indonesia. Healthcare in Low-Resource Settings, 13(1). https://doi.org/10.4081/hls.2024.11961

Barber, M., Frieslick, J., Maclean, A., Williams, J., & Reoch, A. (2015). The western isles stroke telerehabilitation (Specialist medical consultation) service-implementation and evaluation. European Research in Telemedicine, 4(1), 19–24. https://doi.org/10.1016/j.eurtel.2015.01.001

Béjot, Y., & Garnier, P. (2014). Cerebral ischemia. In Hormesis in Health and Disease (pp. 185–200). https://doi.org/10.1201/b17042

Cheng, Y., Lin, Y., Shi, H., Cheng, M., Zhang, B., Liu, X., Shi, C., Wang, Y., Xia, C., & Xie, W. (2024). Projections of the Stroke Burden at the Global, Regional, and National Levels up to 2050 Based on the Global Burden of Disease Study 2021. Journal of the American Heart Association , 13(23). https://doi.org/10.1161/JAHA.124.036142

Fauziah, W., Kato, M., Shogenji, M., Tsujiguchi, H., & Taniguchi, Y. (2022). Factors Associated With Depression Among Family Caregivers of Patients With Stroke in Indonesia: A Cross-Sectional Study. Journal of Nursing Research, 30(5). https://doi.org/10.1097/jnr.0000000000000515

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke, 17(1), 18–29. https://doi.org/10.1177/17474930211065917

Feng, L., Zhu, L., & Wang, B. (2025). Psychological and neurological benefits of high-quality nursing for postoperative hypertensive intracranial hemorrhage patients. September, 1–11. https://doi.org/10.3389/fneur.2025.1627446

Finkelstein, E. A., Chay, J., & Bajpai, S. (2014). The economic burden of self-reported and undiagnosed cardiovascular diseases and diabetes on Indonesian households. PLoS ONE, 9(6). https://doi.org/10.1371/journal.pone.0099572

Greenberg, K., Hedayat, H. S., Binning, M. J., & Veznedaroglu, E. (2019). Breakthroughs In The Endovascular Management Innovations in Care Delivery of Stroke from Emergency Medical Services to the Neurointerventional Operating Room. 85(1), 18–22. https://doi.org/10.1093/neuros/nyz021

Herliani, Y. K. (2022). Risk Factors and Stroke Symptoms Knowledge among Hypertension, Diabetes Mellitus, and Congestive Heart Failure Patients: A Descriptive Quantitative Study. Malaysian Journal of Medicine and Health Sciences, 18, 192–197. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85125866649&partnerID=40&md5=9dd49a0118acda5c70944e35a7aafb9c

Johnson, C. O., Nguyen, M., Roth, G. A., Nichols, E., Alam, T., Abate, D., Abd-Allah, F., Abdelalim, A., Abraha, H. N., Abu-Rmeileh, N. M., Adebayo, O. M., Adeoye, A. M., Agarwal, G., Agrawal, S., Aichour, A. N., Aichour, I., Aichour, M. T. E., Alahdab, F., Ali, R., … Murray, C. J. L. (2019). Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(5), 439–458. https://doi.org/10.1016/S1474-4422(19)30034-1

Ke, L., Crotty, M., Na, L., George, S., Sherrington, C., Ke, L., Crotty, M., Na, L., George, S., & Sherrington, C. (2020). Telerehabilitation services for stroke ( Review ). https://doi.org/10.1002/14651858.CD010255.pub3.www.cochranelibrary.com

Lindsay, P., Furie, K. L., Davis, S. M., Donnan, G. A., & Norrving, B. (2014). Guidelines World Stroke Organization Global Stroke Services Guidelines and Action Plan. 9(October), 4–13. https://doi.org/10.1111/ijs.12371

Liu, Y.-X., Zhang, M.-M., Huang, X.-Y., Zheng, Y., Yu, X.-X., Li, X., Zhang, M., Zhang, Y.-Y., & Hu, F.-Y. (2025). Global burden of disease analysis of stroke due to high systolic blood pressure in different regions, 1990–2021. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-25026-8

Lofaro, D., & Conforti, D. (2024). Stroke 5.0: A Technology Ecosystem to Support Acute Stroke Integrated Clinical Management. Studies in Health Technology and Informatics, 314, 58–62. https://doi.org/10.3233/SHTI240057

Mesiano, T., Kurniawan, M., Saputri, K. M., Hidayat, R., Permana, A. P., Rasyid, A., & Harris, S. (2021). Endovascular Treatment in Acute Ischemic Stroke Adoption and Practice: A Single-Center Indonesian Experience. Cerebrovascular Diseases Extra, 11(2), 72–76. https://doi.org/10.1159/000517183

Øra, H. P., Kirmess, M., Brady, M. C., Sørli, H., & Becker, F. (2020). Technical Features, Feasibility, and Acceptability of Augmented Telerehabilitation in Post-stroke Aphasia—Experiences From a Randomized Controlled Trial. Frontiers in Neurology, 11. https://doi.org/10.3389/fneur.2020.00671

Purwono, J., Budiono, I., & Handayani, O. W. K. (2025). Lifestyle Activities That Contribute to The Risk of Stroke in Indonesia: Smoking, Consuming Fatty Foods and Soft Drinks. Media Kesehatan Masyarakat Indonesia, 21(2), 145–154. https://doi.org/10.30597/mkmi.v21i2.44605

Rilianto, B., Kurniawan, R. G., Rajab, N. M., & Prasetyo, B. T. (2024). Endovascular Thrombectomy for Acute Ischemic Stroke in Indonesia: Challenging and Strategic Planning. Neuropsychiatric Disease and Treatment, 20, 621–630. https://doi.org/10.2147/NDT.S453629

Riyadina, W., Pradono, J., Kristanti, D., & Turana, Y. (2020). Stroke in Indonesia: Risk factors and predispositions in young adults. Journal of Cardiovascular Disease Research, 11(2), 178–183. https://doi.org/10.31838/jcdr.2020.11.02.30

Sardar, P., Kundu, A., Nairooz, R., Chatterjee, S., Ledley, G. S., & Aronow, W. S. (2015). Health Resource Variability in the Achievement of Optimal Performance and Clinical Outcome in Ischemic Heart Disease. Current Cardiology Reports, 17(2). https://doi.org/10.1007/s11886-014-0551-y

Septian, R. B., Pangastuti, H. S., & Nisman, W. A. (2025). “As Caregivers, We Also Need Someone Who Listens”: Family Perspectives on Providing Palliative Care for Stroke Patients. Journal of Palliative Care. https://doi.org/10.1177/08258597251407761

Septian, R. B., & Wulandari, B. T. (2025). Home-based palliative care needs among caregivers of stroke patients in Yogyakarta, Indonesia: a qualitative phenomenology. Frontiers of Nursing, 12(3), 383–391. https://doi.org/10.2478/fon-2025-0042

Setyopranoto, I., Upoyo, A. S., Isworo, A., Sari, Y., & Vidyanti, A. N. (2022). Awareness of Being at Risk of Stroke and Its Determinant Factors among Hypertensive Patients in Banyumas, Indonesia. Stroke Research and Treatment, 2022. https://doi.org/10.1155/2022/4891134

Tay, S. S., Goh, T. K. E., Tun, M. H., Neo, E. J. R., & Lee, O. K. A. (2024). An integrated subacute stroke ward within a community hospital increases rehabilitation efficiency and reduces healthcare expenditure. Proceedings of Singapore Healthcare, 33. https://doi.org/10.1177/20101058241310620

Venketasubramanian, N., Yudiarto, F. L., & Tugasworo, D. (2022). Stroke Burden and Stroke Services in Indonesia. Cerebrovascular Diseases Extra, 12(1), 53–57. https://doi.org/10.1159/000524161

Xia, X., Yue, W., Chao, B., Li, M., Cao, L., Wang, L., Shen, Y., & Li, X. (2019). Prevalence and risk factors of stroke in the elderly in Northern China: data from the National Stroke Screening Survey. Journal of Neurology, 266(6), 1449–1458. https://doi.org/10.1007/s00415-019-09281-5.

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Published

2026-04-30

How to Cite

Arijani, V. D., Mawarti, H., Nasrudin, N., Masruroh, M., & Urifah, S. (2026). Systematic Review: Efektivitas Program Inovasi Pelayanan Stroke terhadap Kepuasan Keluarga Pasien di Rumah Sakit. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKes Kendal , 16(2), 137–146. Retrieved from https://journal3.stikeskendal.ac.id/index.php/JIPJISK/article/view/109

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