Development of a self-care guideline to prevent rehospitalization in stroke patients: a modified Delphi study

Development of a self-care guideline to prevent rehospitalization in stroke patients: a modified Delphi study

guidelines, readmission, self-care, stroke

Introduction: Since 2007, the number of stroke cases in Indonesia has continued to increase. Stroke patients who
have passed the acute phase of stroke still have a risk of recurrent stroke and rehospitalization. This study aimed to
develop self-care guidelines to prevent the rehospitalization of stroke patients.
Methods: A three-round modified Delphi study was applied to a panel of 24 experts with different fields of expertise,
consisting of doctors, nurses, families, and patients. In the first round, data were collected through a literature review
and semi-structured interviews. In the second and third rounds, data were collected using a survey questionnaire on
a 9-point Likert scale.
Results: The first round produced seven themes around self-care activities, including drug therapy, physical exercise,
diet and nutrition, stress management, self-motivation, functional status screening, and control for risk factors. In the
second round, all types of self-care in the first round were agreed upon for content in preparing the guidebook. The
third round resulted in agreement on the guidebook that had been designed, with scores of 8 and above by 100% of
the expert panel.
Conclusions: The development of a self-care guidebook to prevent rehospitalization of stroke patients through a
three-round Delphi study has reached a consensus among the entire panel of experts. Further research by testing
guidebooks in the healthcare system is needed to determine their effectiveness in preventing re-hospitalization in
stroke patients.

Komang Ardidhana Nugraha Putra1

, I Gede Putu Darma Suyasa1

* , Ni Putu Kamaryati1
, and

Ni Wayan Kesari Dharmapatni1

http://dx.doi.org/10.20473/jn.v19i1.48937

February 2024,

peri irawan

pdf

english

text