Changes in Anxiety and Depression in Patients with Ischemic Stroke

Abstract

Stroke is a disease that needs attention, given the increasing prevalence and cause of morbidity and mortality of patients. Model home care is an approach to holistic nursing care at home that emphasizes the intervention of bio-psycho-social-spiritual. Holistic model of home care as a learning process for all patients who are used to improve the psychological response that all patients be positive coping and modulate the immune system. This study aims to determine the differences in effect on anxiety and depression among groups holistic model of home care and group home care. This research study design experiments with a model of the pre-post test group design and subjects were measured psychological responses such as anxiety and depression. The sample in this study were all patients with ischemic stroke who had been allowed to go home after hospitalization in room Seruni A Hospital Dr. Soetomo in 2009 and settled in the city of Surabaya consisting of 40 patients. The results showed the difference in effect between the level of anxiety and depression in patients with ischemic stroke before to after the intervention homecare holistic and there are different levels of anxiety and depression in patients with ischemic stroke in the treatment group homecare models with group receiving homecare holistic model of care.

Keywords: homecare holistic, anxiety, depresion