Family support and functional independence among post-stroke patients
DOI: https://doi.org/10.56922/msc.v6i2.3017
Family Support Functional Independence
Abstract
Background: Stroke frequently causes persistent disability and dependence in activities of daily living. Family support may facilitate rehabilitation by reinforcing treatment adherence, daily activity practice, continuity of care, and psychosocial adjustment.
Purpose: To examine the association between family support and functional independence among post-stroke patients attending a neurology outpatient clinic.
Method: This cross-sectional analytic study included 71 post-stroke patients recruited through purposive sampling at the neurology outpatient clinic of Jenderal Ahmad Yani Metro Regional General Hospital. Data were collected from May 21 to May 31, 2025. Descriptive statistics summarized participant characteristics and study variables, and the chi-square test was used to assess the association between family support and functional independence.
Results: High family support was the most frequently reported category, identified in 23 participants (32.4%), and 19 participants (26.8%) were classified as independent. Family support was significantly associated with functional independence (p = 0.002).
Conclusion: Family support was associated with functional independence among post-stroke patients. Because of the cross-sectional design, the findings indicate an association rather than a causal effect.
Downloads
References
Ashaie, S. A., & Castro, N. (2022). Complexity of participation post-stroke: longitudinal assessment of community participation, positive affect, social support and functional independence. Journal of rehabilitation medicine, 54, 2238.
Babkair, L. A., Chyun, D., Dickson, V. V., & Almekhlafi, M. A. (2022). The effect of psychosocial factors and functional independence on poststroke depressive symptoms: a cross-sectional study. Journal of Nursing Research, 30(1), e189.
Bakas, T., McCarthy, M. J., & Miller, E. L. (2022). Systematic review of the evidence for stroke family caregiver and dyad interventions. Stroke, 53(6), 2093-2102.
Blanton, S., Scheibe, D. C., Rutledge, A. H., Regan, B., O’Sullivan, C. S., & Clark, P. C. (2019). Family-centered care during constraint-induced therapy after chronic stroke: A feasibility study. Rehabilitation Nursing Journal, 44(6), 349-357.
Butsing, N., Tipayamongkholgul, M., Ratanakorn, D., Suwannapong, N., & Bundhamcharoen, K. (2019). Social support, functional outcome and quality of life among stroke survivors in an urban area. Journal of Pacific Rim Psychology, 13, e4.
Cheng, H. Y., Chair, S. Y., & Chau, J. P. C. (2018). Effectiveness of a strength-oriented psychoeducation on caregiving competence, problem-solving abilities, psychosocial outcomes and physical health among family caregiver of stroke survivors: A randomised controlled trial. International Journal of Nursing Studies, 87, 84-93.
Avci, Y. D., & Gözüm, S. (2023). Effects of Transitional Care Model–Based Interventions for Stroke Patients and Caregivers on Caregivers' Competence and Patient Outcomes: Randomized Controlled Trial. CIN: Computers, Informatics, Nursing, 41(10), 805-814.
Deyhoul, N., Vasli, P., Rohani, C., Shakeri, N., & Hosseini, M. (2020). The effect of family-centered empowerment program on the family caregiver burden and the activities of daily living of Iranian patients with stroke: a randomized controlled trial study. Aging clinical and experimental research, 32(7), 1343-1352.
Dharma, K. K., Damhudi, D., Yardes, N., & Haeriyanto, S. (2018). Increase in the functional capacity and quality of life among stroke patients by family caregiver empowerment program based on adaptation model. International journal of nursing sciences, 5(4), 357-364.
Erler, K. S., Sullivan, V., Mckinnon, S., & Inzana, R. (2019). Social support as a predictor of community participation after stroke. Frontiers in neurology, 10, 1013.
Feigin, V. L., Abate, M. D., Abate, Y. H., Abd ElHafeez, S., Abd-Allah, F., Abdelalim, A., & Arifin, H. (2024). Global, regional, and national burden of stroke and its risk factors, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet Neurology, 23(10), 973-1003.
Hartford, W., Lear, S., & Nimmon, L. (2019). Stroke survivors’ experiences of team support along their recovery continuum. BMC health services research, 19(1), 723.
Ifejika, N. L., Awosika, O. O., Black, T., Duncan, P. W., Harvey, R. L., Katz, D. I., & Reeves, M. J. (2025). Improving access to stroke rehabilitation and recovery: a policy statement from the American Heart Association/American Stroke Association. Stroke, 56(9), e218-e233.
Lima, R. J. D., Pimenta, C. J. L., Frazão, M. C. L. D. O., Ferreira, G. R. S., Costa, T. F. D., Viana, L. R. D. C., & Costa, K. N. D. F. M. (2019). Capacidad funcional y apoyo social de personas afectadas por accidente cerebrovascular. Revista Brasileira de Enfermagem, 72, 868-873.
Lindley, R. I., Anderson, C. S., Billot, L., Forster, A., Hackett, M. L., Harvey, L. A., & Sebastian, I. (2017). Family-led rehabilitation after stroke in India (ATTEND): a randomised controlled trial. The Lancet, 390(10094), 588-599.
Minshall, C., Castle, D. J., Thompson, D. R., Pascoe, M., Cameron, J., McCabe, M., & Ski, C. F. (2020). A psychosocial intervention for stroke survivors and carers: 12–month outcomes of a randomized controlled trial. Topics in stroke rehabilitation, 27(8), 563-576.
Mou, H., Lam, S. K. K., & Chien, W. T. (2023). The effects of a family-focused dyadic psychoeducational intervention for stroke survivors and their family caregivers: a randomised controlled trial. International Journal of Nursing Studies, 143, 104504.
National Institute of Health Research and Development. (2019). National report of the 2018 Basic Health Research. Publishing Agency of the National Institute of Health Research and Development. Retrieved from : https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
Quinn, E. B., LeLaurin, J. H., Eliazar-Macke, N. D., Orozco, T., Montague, M., Freytes, I. M., & Uphold, C. R. (2023). Effect of a telephone and web-based problem-solving intervention for stroke caregivers on stroke patient activities of daily living: A randomized controlled trial. Clinical rehabilitation, 37(8), 1062-1073.
Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., & Zorowitz, R. D. (2016). Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 47(6), e98-e169.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Sunarsih Sunarsih, Putik Octa Khotimi, Purwati Purwati, Sulastri Sulastri
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
