Kombinasi Pemberian Terapi Okupasi Pasien Pasca Stroke: A Scoping Review

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ABSTRACT

Occupational therapy for stroke patients is an important phenomenon in rehabilitation, which emphasizes the restoration of the patient's functional and social abilities through a structured and evidence-based therapeutic approach. Occupational therapy for stroke patients aims to restore their abilities in daily activities and improve their quality of life through holistic therapeutic interventions. The aim of this research is to map the results of literature findings regarding the effectiveness of occupational therapy interventions for stroke patients in improving independence in daily activities and improving their overall quality of life. The search databases for this study were PubMed, ScienceDirect, and Google Scholar. Article identification was carried out based on the criteria of year of publication (2014-2024), Randomized Control Trials (RCTs), Multicenter, Prospective, Qualitative study, and Longitodinal study, English and Indonesian, and full text. Using the PRISMA Flow Chart diagram, data extraction was carried out by including keywords (in English): "Post-Stroke OR Stroke AND Occupational Therapy AND Combined" and keywords in Indonesian: "Post-Stroke OR Stroke AND Occupational Therapy AND Combined"". The study results found that of the 8 articles that met the criteria, the main findings showed that the use of occupational therapy with other interventions could provide significant benefits in increasing patient independence and quality of life. This study found that occupational therapy with various types of additional interventions, such as co-careldopa treatment, physical therapy, Prism adaptation training, and Mirror Therapy, can improve the independence and quality of life of post-stroke patients. The importance of client-centred activities in daily living (CADL) based approaches and interventions such as Task-Based Mirror Therapy (TBMT) are also highlighted as effective methods in motor rehabilitation. This study concludes that occupational therapy in combination with various other interventions shows the potential to improve post-stroke rehabilitation outcomes, including independence in daily activities and motor function. The importance of integrating a client-centric approach and therapies such as Mirror Therapy emphasizes the need for a holistic approach in the care of stroke patients.

Keywords: Pasca Stroke, Occupational Therapy, Combined

ABSTRAK

Occupational therapy pada pasien stroke merupakan fenomena penting dalam rehabilitasi, yang menekankan pemulihan kemampuan fungsional dan sosial pasien melalui pendekatan terapeutik yang terstruktur dan berbasis bukti. Occupational therapy pada pasien stroke bertujuan memulihkan kemampuan mereka dalam aktivitas sehari-hari serta meningkatkan kualitas hidup mereka melalui intervensi terapeutik yang holistik. Tujuan dari penelitian ini adalah untuk memetakan hasil temuan literature tentang efektivitas intervensi occupational therapy terhadap pasien stroke dalam memperbaiki kemandirian dalam aktivitas sehari-hari dan meningkatkan kualitas hidup mereka secara keseluruhan. Database pencarian untuk studi ini adalah PubMed, ScienceDirect, dan Google Scholar. Identifikasi artikel dilakukan berdasarkan kriteria tahun publikasi (2014-2024), Randomized Control Trials (RCTs), Multy center, Prospective, Qualitative study, and Longitodinal study, bahasa Inggris dan bahasa Indonesia, serta full text. Menggunakan diagram PRISMA Flow Chart, ekstraksi data dilakukan dengan mencakup kata kunci (dalam bahasa Inggris): "Pasca Stroke OR Stroke AND Therapy Occupation AND Combined" dan kata kunci dalam bahasa Indonesia: " Pasca Stroke OR Stroke AND Terapi Pekerjaan AND Gabungannya"". Hasil studi menemukan bahwa dari 8 artikel yang memenuhi kriteria, temuan utamanya menunjukkan bahwa penggunaan terapi okupasi dengan intervensi lain dapat memberikan manfaat signifikan dalam meningkatkan kemandirian dan kualitas hidup pasien. Studi ini menemukan bahwa terapi okupasi dengan berbagai jenis intervensi tambahan, seperti co-careldopa treatment, Physical Therapy, Prism adaptation training, dan Mirror Therapy, dapat meningkatkan kemandirian dan kualitas hidup pasien pasca stroke. Pentingnya pendekatan berbasis client-centred activities in daily living (CADL) dan intervensi seperti Task-Based Mirror Therapy (TBMT) juga disorot sebagai metode yang efektif dalam rehabilitasi motorik. Studi ini menyimpulkan bahwa terapi okupasi dalam kombinasi dengan berbagai intervensi lainnya menunjukkan potensi untuk meningkatkan hasil rehabilitasi pasca stroke, termasuk kemandirian dalam aktivitas sehari-hari dan fungsi motorik. Pentingnya integrasi pendekatan klien-centris dan terapi seperti Mirror Therapy menekankan perlunya pendekatan holistik dalam perawatan pasien stroke.

Kata Kunci: Pasca Stroke, Okupasi Terapi, Kombinasi