The Improvement of The Self-Care Agency for Patients with Ischemic Stroke After Applying Self–Care Regulation Model in Nursing Care

AV. Sri Suhardingsih, Moh. Hasan Mahfoed, Rahmat Hargono, Nursalam Nursalam

Abstract views = 1592 times | downloads = 14473 times


Introduction: The patiens with ischemic stroke caused a dependence in a need of self-care for the aspect of physically, psychologically, socially and spiritually. Nursing care approach will encourage patiens to became independence in self-care. The purpose of this research was to examine the improvement of the self care agency of the patients with ischemic stroke after aplying a nursing care of self care regulation model.
Method: An experimental research with quasy experimental design was applied in the study. The study was conducted in the area of Surabaya by selecting 40 patients of ischemic stroke being hospitalized in stroke Unit IRNA MEDIK RSUD Dr. Soetomo Surabaya and selected by consecutive sampling. Sample of 40 patients were divided equally into two groups, namely treatment and control groups. The selection of sample was matching based on age and sex. Independent variable in the study were self-care regulation: interpretation coping and appraisal. While dependent variable was self-care agency of the patients with ishemic stroke. Data was analysed by wilcoxon signed rank, Mann-Whitey test and modeling by SEM - PLS.
Result: The result showed that there were significant differences on the increase of self care agency between the groups. The group model that aplying a nursing care of self-care regulation gained the value of R2 = 0.857 and the standart nursing care gained the value of R2 = 0.614, so it could be inferred that the best model was self care regulation model, with the differentiation R2 = 0.243.
Discussion: It was concluded that the nursing care of self care regulation model could self-care agency up to 24.3% than the standard of nursing care. It is recomended that Self-care regulation model can be used as a standard of nursing care in health care institutions both in hospitals and in clinics.


the nursing care of self-care regulation model; self-care agency; self-care deficit; ischemic stroke

Full Text:



Bandura, A., 1997. Self effi cacy: toward a unifying theory of behavior change, Psychological Review, 84: 191–215.

Jane, Ogden., 2007. Health Psychology 4th Ed. Open University: England

Karen, Glanz, dan Barbara, K.R., 2008. Health Behavior and Health Education, Theory, Research, and Practice, Fourth Edition. Yossey-Bass. Inc: San Francisco.

Lau, R., 1995. Cognitive Representations of Health and Illness, in D. Gochman (ed.), Handbook of Health Behavior Research, Vol. I. New York: Plenum.

Lazarus, R.S. dan Cohen, F., 1973. Active Coping Processes, Coping Dispositions, and Recovery from Surgery, Psychosomatic Medicine, 35, 375–89.


  • There are currently no refbacks.

Copyright (c) 2017 Jurnal NERS

This journal is indexed by:





This journal is published by:


          Faculty of Nursing Universitas Airlangga in Collaboration with Indonesian National Nurses Association


Creative Commons License

This journal (p-ISSN:1858-3598; e-ISSN:2502-5791) is licensed under a Creative Commons Attribution 4.0 International License


Current Stats

Previous Stats