Success Stories From Patient’s with Stroke Recurrence Prevention: A Qualitative Study

Heny Suseani Pangastuti, Yeni Rustina, Sudijanto Kamso, Ratna Sitorus

Abstract views = 146 times | views = 131 times


Introduction: Recurrence is an issue encountered by patients with stroke in Indonesia. Stroke recurrence might occur due to the patient’s inability to perform secondary prevention, particularly the non-pharmacological one, by changing their lifestyle. Many patients with stroke are known to survive longer with no recurrence. This research aimed to explore the experience of the patient with stroke and success in stroke recurrence prevention. Methods: This was a qualitative study using a descriptive exploratory method. Eight post-stroke patients who met the inclusion criteria participated in this research. The data were collected using an in-depth interview. The data were then analyzed using Giorgi method. Results: From the data analysis, it was found these stroke patients could survive without experiencing any recurrence in a certain period of time thanks to some reasons which could be classified in four themes, namely: 1) having a good food management habit, 2) having a good physical exercise/activity habit, 3) using traditional medicine instead of conventional medicine, and 4) there are some factors influencing successful management of stroke recurrence prevention. Conclusions: Patients with stroke, have a good experience and good habits to prevent their stroke recurrence, but they still have a misperception about convention medicine. This result shows the importance of the ability to manage recurrence risk factors in post-stroke patients, to prevent them from having a recurrence. Need further research on the use of traditional medicine in a stroke patient.


risk factor management; stroke; stroke recurrence; success story

Full Text:



Brinsden, H.C. & Farrand, C. E. (2012). Reducing salt; preventing stroke. Nutrition Bulletin, 37, 57–63.

Debas, H. T., Laxminarayan, R., & Straus, S. E. (2006). Complementary and Alternative Medicine. Disease Control Priorities in Developing Countries, 1281–1291.

Gofir, A. (2009). Manajemen stroke: Evidence based medicine. Pustaka Cendekia Press.

Hartanto, O. S. (2009). Pencegahan primer stroke iskemik dengan mengendalikan faktor risiko. Disampaikan pada Sidang Senat terbuka UNS, 14 Desember 2009.

Hu J.; Wang, Y.; Zhang, D.; & Qu, Y., D. . H. (2014). Fruits and vegetables consumption and risk of stroke: A meta-analysis of prospective cohort studies. . Stroke, 45, 0.

Intercollegiate Stroke Working Party, & Physicians, R. C. of. (2012). National clinical guideline for stroke (Issue 86016_314).

Johnstone, B.,Franklin, K.L., Yoon, D.P., Burris, J. & Shigaki, C. (2008). Relationship among religiousness, spirituality and health for individuals with stroke. J Clin Psychol Med Settings, 15, 308–313.

Jones, F., & Riazi, A. (2011). Self-efficacy and self management after stroke: a sytematic review. Disability and Rehabilitation, 33(10), 797–810.

Judd, S. E., Gutiérrez, O. M., Newby, P. K., Howard, G., Howard, V. J., Locher, J. L., Kissela, B. M., & Shikany, J. M. (2013). Dietary patterns are associated with incident stroke and contribute to excess risk of stroke in black americans. Stroke, 44, 3305–3311.

Kim, E.S., Park, N., Peterson, C. (2011). Dispositional optimism protects older adults from stroke. Stroke, 42, 2855–2859.

Kusuma, Y., Venketasubramanian, N., Kiemas, L.S. & Misbach, J. (2009). Burden of stroke in Indonesia. International Journal of Stroke, 4(5), 379-380.

National Stroke Foundation. (2010). Clinical guidelines for stroke management.

Orem, D. E. (2001). Nursing: Concepts of practice. Mosby.

Pender, N. . (1996). Health Promotion in Nursing Practice. Appleton & Lange A. Simon & Schuster Company.

Pinzon, R. & Asanti, L. (2010). Awas Stroke: Pengertian, Gejala, Tindakan, Perawatan, dan Pencegahan. ANDI.

Rodriguez, D. (2012). Alternative therapies for stroke treatment. Diakses pada tanggal 11 September 2015.

Sherzai L.T.; Boothby, C; & Sherzai, A.D., A. . H. (2012). Stroke, food groups, and dietary patterns: a systematic review. Nutrition Reviews, 70(8), 423–435.

Skolarus, L. E., et al. (2012). ). The Prevalence of Spirituality, Optimism, Depression, and Fatalism in a Bi-ethnic Stroke Population. J Relig Health, 51, 1293–1305.

Smeltzer, S. C. ., & Bare, B. G. (2004). Smeltzer, S.C.; Bare, B. G (9th ed.). WB Saunders Company.

Streubert, H., & Carpenter, D. (1999). Qualitative Research in Nursing: Advancing the Humanistic Perspective (2nd ed.). Lippincott Williams & Wilkins.

Sukartini, T., Theresia Dee, T. M., Probowati, R., & Arifin, H. (2020). Behaviour model for diabetic ulcer prevention. Journal of Diabetes & Metabolic Disorders.

van der Riet S.; & Srithong, K., P. . D. (2011). complementary therapies in rehabilitation: stroke patient’s narratives. Part 2. Journal of Clinical Nursing, 21, 668–676. 10.1111/j.1365-2702.2011.03726.x

WHO. (2001). Secondary prevention of communicable diseases in low- and middle- incomes countries through community based and health services intervention. Repport of WHO-wellcome trust meeting of Experts.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats