PERBANDINGAN INTERVENSI MANUAL LYMPHATIC DRAINAGE DAN INTERVENSI PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION PLUS AKUPUNKTUR TERHADAP TINGKAT DEPRESI PADA PASIEN STROKE DI RS RUJUKAN STROKE BUKIT TINGGI, PADANG, 2010

Abstract

Purpose:

The study was to examine the effect of MLD, compared to the one of PNF plus Acupuncture, on depression status of stroke patients as measured by the SADQ (Stroke Aphasic Depression Questionnaire). 

Method:

This was a quasi pre-and post-intervention study design and SADQ was administered at the beginning and the end of the intervention, which was for 12 times within a month of therapy, which was blinded to patient; grouping and matching variable, is not done yet. The study was conducted on stroke patients hospitalized in the Stroke Referral Hospital Bukittinggi, Padang. Sample patients were randomly selected from a total of 1,402 patients, with inclusion criteria: Stroke patient’s inwards and having stroke more than 2 days, male and female, aged over 37 years, with GCS score ​​above 9, the NIHSS score ​​below 25, are right-handed, especially for MMSE examination. In group 1, the MLD is given as an intervention for 12 times for a month. In group 2, PNF and Acupuncture are given also at the same time. Outcome variables were SADQ scores, while the independent variables are the age (< 55 and > = 55 years of age) and sex. 

Result:

There was a significant increase of the mean SADQ post-intervention both of MLD and PNF plus acupuncture on stroke patients for age categories < 55 and > = 55 years. MLD and PNF plus acupuncture intervention routine in stroke patients in a stroke patient rehabilitation program proved to reduce depression from moderate to mild. This study results can be applied in a stroke patient rehabilitation program at the Hospital, further analytical study needs to be done