clinical indicators
nursing diagnosis
Barthel index

How to Cite

Nurjannah, I., Zulfa, V. F., Harjanto, D., Fitriana, E., & Ngatini, N. (2017). CLINICAL INDICATORS OF FEEDING SELF-CARE DEFICIT BASED ON BARTHEL INDEX MEASUREMENT IN PATIENTS SUFFERING FROM STROKE. Belitung Nursing Journal, 3(6), 729–734.
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Accepted for publication: 2017-11-20
Peer reviewed: Yes

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Objective: This aim of this research is to describe clinical indicators of feeding self-care deficit based on Barthel Index measurement in patients with stroke.

Methods: The research used a quantitative description study with cross-sectional design. This research was conducted in one hospital in Yogyakarta, Indonesia on March – April 2017 with total sampling technique. Instrument was developed based on clinical indicators of NANDA-I nursing diagnosis of feeding self-care deficit.

Results: There were 28 respondents involved in this study, with males (60.7%) and females (39.3%) with an average age of 57 years. Respondents who suffered from non-hemorrhagic stroke were 60.7% and hemorrhagic stroke were 39.3%. Clinical indicator items for impaired ability to swallow sufficient amount of food (9.1%) was found in respondents with independency criteria on Barthel Index. Impaired ability to swallow sufficient amount of food item (25%) and impaired ability to prepare food (25%) were found in respondents with partial dependency criteria. The most items identified on respondents with severe dependency criteria were impaired ability to self-feed a complete meal item (53.8%) and impaired ability to prepare food item (53.8%).

Conclusion: There were different pattern of clinical indicators items found in different level of Barthel index level criteria.

Supporting Agencies

School of Nursing,Faculty of Medicine, Universitas Gadjah Mada, Indonesia


Copyright (c) 2017 Intansari Nurjannah, Vini Febriyani Zulfa, Dwi Harjanto, Erna Fitriana, Ngatini

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

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Chen, J., Jiang, H., Wu, L., Liao, X., Lu, Y., Tao, X., . . . Huang, H. (2017). Association of ischemic and hemorrhagic strokes hospital admission with extreme temperature in Nanchang, China—A case-crossover study. Journal of Clinical Neuroscience, 43, 89-93.

Dhiman, N., Shah, G., Joshi, D., & Gyanpuri, V. (2014). Relationship between side of hemiparesis and functional independence using activities of daily living index. Journal of the Anatomical Society of India, 63, S30-S35.

Feigin, V., Krishnamurthi, R., Barker-Collo, S., Norrving, B., Bennet, D., & Truelsen, T. (2015). Update on the global burden of ischemic and hemorrhagic stroke in 1990-2013: The GBD 2013 study. Neuroepidemiology, 45(3), 161-176.

Kementerian Kesehatan Kesehatan RI. (2013). Riskesdas Riset Kesehatan Dasar. Jakarta: Kesehatan Kementerian Kesehatan.

Klinke, M., Wilson, M., Hafsteinsdóttir, T., & Jónsdóttir, H. (2013). Recognizing new perspectives in eating difficulties following stroke: A concept analysis. Disability and Rehabilitation, 35(17), 1491-1500.

Mark, V. (2016). Stroke and behavior. Neurologic Clinics, 34(1), 205-234.

Maselko, J., Bates, L., Avendano, M., & Glymour, M. (2009). The intersection of sex, marital status, and cardiovascular risk factors in shaping stroke incidence: Results from the health and retirement study. Journal of the American Geriatrics Society, 57(12), 2293-2299.

Morone, G., Paolucci, S., & Iosa, M. (2015). In what daily activities do patients achieve independence after stroke? Journal of Stroke and Cerebrovascular Diseases, 24(8), 1931-1937.

Oyewole, O., Ogunlana, M., Oritogun, K., & Gbiri, C. (2016). Post-stroke disability and its predictors among Nigerian stroke survivors. Disability and Health Journal, 9(4), 616-623.

Pascoal, L., Lopes, M., da Silva, V., Beltrão, B., Chaves, D., de Santiago, J., & Herdman, T. (2014). Ineffective breathing pattern: defining characteristics in children with acute respiratory infection. International Journal of Nursing Knowledge, 25(1), 54-61.

Rachmawati, F., Utomo, W., & Nauli, F. (2013). Gambaran status fungsional pasien stroke saat masuk ruang rawat inap RSUD Arifin Achmad [Description of functional status in patients with stroke when admitted to inpatient ward of Arifin Achmad General Hospital]. Jurnal Online Mahasiswa Progam Studi Ilmu Keperawatan Universitas Riau, 1(2), 1-8.

Rakhman, A. (2014). Buku panduan praktek laboratorium ketrampilan dasar dalam keperawatan II (KDDK II) [Guideline book of laboratory practice of basic skills in nursing II (KDDK II)]. Yogyakarta: Deepublish.

Sabri, S. (2013). Item analysis of student comprehensive test for research in teaching beginner string ensemble using model based teaching among music students in public universities. International Journal of Education and Research, 1(12), 1-14.

Wang, X., Cao, Y., Hong, D., Zheng, D., Richtering, S., Sandset, E., . . . Salam, A. (2016). Ambient temperature and stroke occurrence: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 13(7), 698.

Woldemariam, Y. (2013). Exploring of stroke survivors’ information needs for an Information and Communication technology based home stroke rehabilitation plan to facilitate self-care. (Master thesis). Sweden: Karolinska Institutet.

World Health Organization. (2014). Stroke, Cerebrovascular accident. 2017, from

World Stroke Organization. (2016). Face the facts: Stroke is treatable. 2017, from

Xiong, L., Leung, H., Chen, X., Han, J., Leung, T., Soo, Y., . . . Wong, K. (2012). Preliminary findings of the effects of autonomic dysfunction on functional outcome after acute ischemic stroke. Clinical Neurology and Neurosurgery, 114(4), 316-320.

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