Hubungan dukungan keluarga dengan motivasi menjalani pengobatan pada pasien stroke
DOI: https://doi.org/10.33024/hjk.v20i6.3422
Family Support Stroke Treatment Motivation
Abstract
Background: Stroke is one of the leading causes of disability and mortality worldwide, requiring long-term treatment. Patient motivation is an important factor in the success of treatment and recovery processes. Family support may play a significant role in maintaining patients' motivation during treatment.
Purpose: To analyze the relationship between family support and motivation to undergo treatment among stroke patients.
Method: This study employed a cross-sectional design with a total sample of 85 respondents selected through consecutive sampling. The study was conducted at the Neurology Outpatient Clinic of Dr. Pirngadi Regional General Hospital, Medan, from February 9 to March 26, 2026. Data were collected using questionnaires and analyzed using the Spearman correlation test and multiple linear regression analysis.
Results: This study showed a significant relationship between family support and motivation to undergo treatment (r=0.488; p=0.000). In the multivariate analysis, instrumental support (β=0.325; p=0.007) and appraisal support (β=0.319; p=0.049) showed significant relationships, whereas emotional support (β=0.073; p=0.650) and informational support (β=-0.176; p=0.291) were not statistically significant.
Conclusion: Family support is associated with motivation to undergo treatment among stroke patients, with instrumental support being the most dominant dimension.
Suggestion: Structured family-based nursing interventions are therefore necessary to support treatment motivation among stroke patients.
Keywords: Family Support; Stroke; Treatment Motivation.
Downloads
References
Bagaskara, F., Indriyawati, N., & Suharto. (2021). Family support increases self-esteem in rehabilitation stroke patients. Jendela Nursing Journal, 5(1), 39–47.
Fan, X., Xia, Y., Wu, J., Jia, S., & Hu, J. (2025). Influencing factors related to stroke patients’ rehabilitation motivation: A scoping review. Frontiers in Neurology, 16, 1615905.
Feigin, V. L., Brainin, M., Norrving, B., Martins, S. O., Pandian, J., Lindsay, P., Grupper, M. F., & Rautalin, I. (2025). World Stroke Organization: Global Stroke Fact Sheet 2025. International Journal of Stroke, 20(2), 132–144.
Friedman, M. M., Bowden, V. R., & Jones, E. G. (2010). Buku ajar keperawatan keluarga: Riset, teori, praktik. Jakarta: EGC.
Gurusinga, R., Afrizal, A., Bachtiar, A., Firdawati, F., Machmud, R., Burhan, E., Jendrius, J., & Semiarty, R. (2024). The relationship between family support and treatment adherence in patients with tuberculosis in Deli Serdang Regency, Indonesia, 2022: A cross-sectional study. Nursing and Midwifery Studies, 13(3), 132–139.
Harmayetty, H., Ni’mah, L., & Firdaus, A. S. N. (2020). Hubungan dukungan keluarga dan kepatuhan rehabilitasi dengan kemandirian pasien pasca stroke. Critical Medical and Surgical Nursing Journal, 9(1), 26–33.
Ishida, S., Harashima, H., Miyano, S., & Kawama, K. (2023). Effect of rehabilitation motivation on improving activities of daily living in subacute stroke patients. Journal of Stroke and Cerebrovascular Diseases, 32(12), 107385.
Kaffatan, N. N. S., Winta, M. V. I., & Erlangga, E. (2023). Dukungan sosial pada pasien pasca stroke. Psikoislamika: Jurnal Psikologi dan Psikologi Islam, 20(2), 633–649.
Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia (SKI) 2023. Diakses dari https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/
Kurniawati, N. D., Bia, P. D., & Wahyuni, E. D. (2020). Relationship of family and self efficacy support to the rehabilitation motivation of stroke patients. EurAsian Journal of BioSciences, 14, 2427–2430.
Lee, Y., & Won, J. (2022). Mediating effects of rehabilitation motivation between social support and health-related quality of life among patients with stroke. International Journal of Environmental Research and Public Health, 19(3), 1384.
Nasution, S.Z. (2007). Family Support Perceived by Pulmonary TB patients in complying with the DOTS program in Medan, Indonesia (Doctoral dissertation, Prince of Songkla University).
Rahman, R., Dewi, F. S. T., & Setyopranoto, I. (2017). Dukungan keluarga dan kualitas hidup penderita stroke pada fase pasca akut di Wonogiri. Berita Kedokteran Masyarakat (BKM Journal of Community Medicine and Public Health), 33(8), 383–390.
Sari, D. K. (2024). Hubungan dukungan keluarga dengan motivasi rehabilitasi pada pasien pasca stroke iskemik di Puskesmas Tambun Kabupaten Bekasi. Universitas Muhammadiyah Jakarta.
Setyoadi, S., Anggraini, N. R., Fatmawati, D. A., & Purwaningsih, D. (2024). The relationship between family support and self-care among stroke patients. Journal of Nursing Practice, 7(1), 34–42.
Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press.
Verrienti, G., Raccagni, C., Lombardozzi, G., De Bartolo, D., & Iosa, M. (2023). Motivation as a measurable outcome in stroke rehabilitation: A systematic review of the literature. International Journal of Environmental Research and Public Health, 20(5), 4187.
Wurzinger, B., Gattringer, T., Ferrari, J., Lang, W., & Willeit, J. (2021). Dependency in activities of daily living during the first year after stroke. Frontiers in Neurology, 12, 736684.
Yamanie, N., Lamuri, A., Felistia, Y., Soedirham, O., Purnomo, W., Sjaaf, A. C., & Miftahussurur, M. (2022). Importance of social support for Indonesian stroke patients with depression. F1000Research, 11, 1484.
Yoshida, D., Kondo, K., Kanda, T., Uehara, M., Nagamine, Y., & Tanioka, T. (2022). Motivation as a measurable outcome in stroke rehabilitation: A systematic review of the literature. PLOS ONE, 17(3), e0265214.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Holistik Jurnal Kesehatan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
