Christina Yuliastuti, - (2012) Peningkatan Motivasi Untuk Sembuh Pasien Stroke Yang Dilakukan Komunikasi Terapeutik Di Ruang Saraf Rumkital Dr. Ramelan Surabaya. Thesis thesis, Universitas Airlangga.

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Abstract

Motivation to recover is the core of post-stroke recovery, as it may serve as the base of the patients actions toward recovery. The objective of this study was to analyze increased motivation to recover in stroke patients undergoing therapeutic communication. This study used experiment pre-test and post-test control group design. The experiment unit was stroke patients in Neurological Wards, Dr. Ramelan Navy Hospital, Surabaya, who met the inclusion criteria. Total replication was 21 respondents, comprising 11 respondents in treatment group and 1 0 respondents in control group. The independent variable was therapeutic communication, which was provided as intervention. The dependent variable was motivation to recover and HSP70 level. Data collection was undertaken using questionnaire and observation level. Data were analyzed with paired t-test and Independent t-test with significance level of0.05. Results showed that after therapeutic communication was given for stroke patients, there was increasing motivation to recover (p = 0.001), and there was an increase in Heat Shock Proteins 70 (HSP70) level (p = 0.007). There was significant difference in the motivation to recover between stroke patients with therapeutic communication and those undergoing communication according to ward standard (p = 0.022), and there was no significant difference in HSP70 level between stroke patients undergoing therapeutic communication and those undergoing communication according to ward standard (p = 0.850). In conclusion, with therapeutic communication nurses may direct the stroke patients toward positive spirituality. Spiritual power is a source of energy that increase motivation to recover and increase the HSP70 level as the healing repair process. It is suggested to improve nurses capability in therapeutic communication with training on the use of technique and models in therapeutic communication (spirituality aspect).

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