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Identification Risk Factors of Stroke: Literature Review Agianto Agianto; Bellia Yulise; Rismia Agustina; Ichsan Rizany
Berkala Kedokteran Vol 18, No 2 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v18i2.14516

Abstract

State spending to deal with stroke is quite large every year due to the high incidence of stroke. Data from the Ministry of Health of Indonesia mentions an increasing number in health financing every year, the country financed stroke services by 2.56 trillion in 2018. The magnitude of the incidence of stroke can be lowered by controlling the risk factors of stroke. This study aimed to identify stroke risk factors, both those modifiable risk factors and irreversible risk factors. Research is conducted with a literature review using descriptive study methods or correlation analysis with cross sectional approaches. Sixteen articles identified from Google scholars and Garuda databases in the 2015-2020 range, and were analysed using JBI critical appraisal tools-checklist for analytical cross-sectional studies and JBI critical appraisal tools-checklist for prevalence studies.  Synthesis narrative was used to analyse the articles. Out of 16 articles examined the modifiable risk factors were hypertension, dyslipidemia, diabetes mellitus, lack of physical activity, blood sugar levels, cholesterol levels in blood, alcohol and drug consumption, kidney disease, tuberculosis, heart disease, heart failure, obesity, central obesity, atrial fibrillation and also smoking are declared associated with the incidence of stroke. The irreversible risk factors are age, gender, education, family history, income employment, previous stroke history, and rural and urban distribution. Risk factors divided into two categories modifiable risk factors and irreversible risk factors. It is important to know the risk factors of stroke in order prevent the occurrence of stroke as early as possible by avoiding modifiable stroke risk factors. Hypertension, smoking, diabetes mellitus obesity, dyslipidemia, and lack of activity are the most modifiable stroke risk factors identified in the articles. The most irreversible risk factors identified in the article are age, gender, and level of education
The Effectiveness of Motor Relearning Programmer (MRP) on Improving Motor Function Among Post Stroke Patients: Literature Review Agianto Agianto; Bellia Yulise; Rismia Agustina; Ichsan Rizany
Berkala Kedokteran Vol 19, No 1 (2023)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v19i1.15728

Abstract

Decreased motor function is one of the problems that often arises in stroke patients. One of the nursing interventions to overcome the decline in motor function in stroke patients is to provide a motor relearning program (MRP) intervention. The objective of this study was to determine the length, duration, and frequency of giving a MRP and the effectiveness of MRP on motor function in stroke patients. This study was conducted by means of a literature review. Eight pieces of literature were identified from three databases (Google Scholar, Pubmed and Science Direct) in the 2000-2020 range. The research design studied was true and quasi-experimental with stroke patient’s population who received MRP . There were eight articles that met the inclusion criteria with different durations and frequencies of motor relearning programs. The provision of MRP interventions in post- stroke patients is effective in improving motor function. There are varying durations and frequencies of giving MRP. Each article mentions that MRP is effective restoring motor function, although with different times, durations and frequencies. Several articles also combined this intervention with other therapies such as bobath therapy and electrical stimulation, the results showed better. The provision of MRP interventions in post- stroke patients is effective improving motor function.