Exploring Stroke Therapy in Non-Urban Area: A Qualitative Descriptive Study

  • Kartika Setia Purdani Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur
  • Somporn Rungreangkulkij Faculty of Nursing, Khon Kaen University
Keywords: non-urban, stroke therapy, survivor


Someone who survives a stroke attack with live change is called a stroke survivor. Several limitations both of physics and psycho as an impact from stroke attack need attention, with no expectation in a non-urban area. The most common intervention for it is complementary therapy, which combines conventional medicine and non-conventional treatments. Sociodemographics, beliefs, values, and culture are considered for use. This study aims to explore stroke therapy in non-urban areas—methods: A qualitative descriptive study supported by 17 participants. Participants’ observations and in-depth interviews are collecting data methods. Content analysis is used to analyze data for this research. The setting area for this research is Samarinda, East Kalimantan, Indonesia. The study results are three themes that represent the participants interviewed. These were 1)preventing joint stiffness and muscle weakness, 2)cooking, and 3)seeking spiritual support. Stroke disease has the golden period for acute care and rehabilitation training times; when optimizing this time, the loss of body function is controlled. Long-term care for stroke survivors needs several supports, including complementary therapy. Instruction, instructor, and right, safe guidance are necessary for continued recovery in a community setting.


Venketasubramanian N, Yudiarto FL, Tugasworo D. Stroke Burden and Stroke Services in Indonesia. Cerebrovasc Dis Extra. 2022;12(1):53–7.
Bettger H&. Parenting after stroke: a systematic review. Top Stroke Rehabil [Internet]. 2018;25(5):384–92. Available from: https://doi.org/10.1080/10749357.2018.1452366
Broussy S, Rouanet F, Lesaine E, Domecq S, Kret M, Maugeais M, et al. Post-stroke pathway analysis and link with one year sequelae in a French cohort of stroke patients: The PAPASePA protocol study. BMC Health Serv Res. 2019;19(1):1–13.
Krishnan, Pappadis, Weller et all. Needs of stroke survivors as perceived by their caregivers: A scoping review. Physiol Behav [Internet]. 2018;176(1):139–48. Available from: http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5604322&blobtype=pdf
Fryer, Baxter and B. The meaning of participation to stroke survivors: a qualitative study. Int J Med Inform [Internet]. 2017;103(November 2016):103–8. Available from: http://dx.doi.org/10.1016/j.ijmedinf.2017.04.018
Jerofke. Concept analysis of empowerment from survivor and nurse perspectives within the context of cancer survivorship. Res Theory Nurs Pract. 2013;27(3):157–72.
Torregosa, Sada P. Dealing with stroke : Perspectives from stroke survivors and stroke caregivers from an underserved Hispanic community. 2018;(August 2016):361–9.
Philp I, Brainin M, Walker MF, Ward AB, Gillard P, Shields AL, et al. Development of a poststroke checklist to standardize follow-up care for stroke survivors. J Stroke Cerebrovasc Dis [Internet]. 2013;22(7):e173–80. Available from: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2012.10.016
Somerville E, Minor B, Keglovits M, Yan Y, Stark S. Effect of a Novel Transition Program on Disability After Stroke: A Trial Protocol. JAMA Netw open. 2019;2(10):e1912356.
Feinberg W. Critical Pragmatism and the Appropriation of Ethnography by Philosophy of Education. Stud Philos Educ. 2015;34(2):149–57.
Hickey A, Mellon L, Williams D, Shelley E, Conroy RM. Does stroke health promotion increase awareness of appropriate behavioural response? Impact of the face, arm, speech and time (FAST) campaign on population knowledge of stroke risk factors, warning signs and emergency response. Eur Stroke J. 2018;3(2):117–25.
Legg & Penn. A stroke of misfortune : Cultural interpretations of aphasia in South Africa A stroke of misfortune : Cultural interpretations of aphasia in South Africa. 2012;(April 2015).
Lehnerer S, Hotter B, Padberg I, Knispel P, Remstedt D, Liebenau A, et al. Social work support and unmet social needs in life after stroke: A cross-sectional exploratory study. BMC Neurol. 2019;19(1):1–10.
Northcott, Moss, Harrison and H. A systematic review of the impact of stroke on social support and social networks : Associated factors and patterns of change. 2015;
Yaowapanon N, Buddhirakkul P, Srisuphan W, Senaratana W, Potempa K, Chontawan R. Situational Analysis : Community Care for Survivors of Stroke and Suggestions for Improving the Provision of Care. 2018;(December):372–85.
Kohl-Heckl WK, Koch AK, Cramer H. Complementary medicine use in stroke survivors: a US nationally representative survey. BMC Complement Med Ther [Internet]. 2022;22(1):1–7. Available from: https://doi.org/10.1186/s12906-022-03525-0
The Health Minister of the Republic Indonesia. The Regulation of the Ministry of Health of the Republic Indonesia, number HK.02.02/MENKES/148/I/2010, about permit and nurse practic [Internet]. 2010. Available from: http://publications.lib.chalmers.se/records/fulltext/245180/245180.pdf%0Ahttps://hdl.handle.net/20.500.12380/245180%0Ahttp://dx.doi.org/10.1016/j.jsames.2011.03.003%0Ahttps://doi.org/10.1016/j.gr.2017.08.001%0Ahttp://dx.doi.org/10.1016/j.precamres.2014.12
The President of the Republic of Indonesia. The Constitution of the Republic of Indonesia, number 38 on 2014 years about nursing. 2014.
Tangkiatkumjai M, Boardman H, Walker DM. Potential factors that influence usage of complementary and alternative medicine worldwide: a systematic review. BMC Complement Med Ther. 2020;20(1):1–15.
Pucciarelli, Lee, Lyons et. al. Quality of Life Trajectories Among Stroke Survivors and the Related Changes in Caregiver Outcomes: A Growth Mixture Study. Arch Phys Med Rehabil [Internet]. 2019;100(3):433-440.e1. Available from: https://doi.org/10.1016/j.apmr.2018.07.428
Nweke and Eze. The Place of Spiritual and Traditional Beliefs in Stroke Rehabilitation in Sub-Saharan Africa: A Scoping Review. J Complement Altern Med Res. 2019;8(2):1–16.
Peltzer K, Pengpid S. Traditional Health Practitioners in Indonesia: Their Profile, Practice and Treatment Characteristics. Complement Med Res. 2018;
Pengpid and Peltzer. Utilization of traditional and complementary medicine in Indonesia: Results of a national survey in 2014–15. Complement Ther Clin Pract [Internet].2018;33(October):156–63. Available from: https://doi.org/10.1016/j.ctcp.2018.10.006
Peltzer and Pengpid. Traditional health practitioners in Indonesia: Their profile, practice and treatment characteristics. Complement Med Res. 2019;26(2):93–100.
Thompson SG, Barber PA, Gommans JH, Cadilhac DA, Davis A, Fink JN, et al. Geographic Disparities in Stroke Outcomes and Service Access: A Prospective Observational Study. Neurology. 2022;0:10.1212/WNL.0000000000200526.
Kamalakannan S, Gudlavalleti Venkata M, Prost A, Natarajan S, Pant H, Chitalurri N, et al. Rehabilitation Needs of Stroke Survivors After Discharge From Hospital in India. Arch Phys Med Rehabil [Internet]. 2016;97(9):1526-1532.e9. Available from: http://dx.doi.org/10.1016/j.apmr.2016.02.008
Field MJ, Gebruers N, Sundaram TS, Nicholson S, Mead G. Physical activity after stroke: a systematic review and meta-analysis. 2013;2013.
Fryer, Luker, McDonnell and H. Self management programmes for quality of life in people with stroke ( Review ). Cochrane Database Syst Rev [Internet]. 2016;(8):1–2. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010442.pub2/full
Hreha K, Wong J, Molton I, Nelson IK, Lee D. The impact of stroke on psychological and physical function outcomes in people with long-term physical disability. Disabil Health J. 2020;13(4):100919.
Francisco GE, McGuire JR. Poststroke spasticity management. Stroke. 2012;43(11):3132–6.
Pettman E. A history of manipulative therapy. J Man Manip Ther. 2013;
Eric S. Donkor. Stroke in the 21 Century: A Snapshot of the Burden, Edimeilloogy, and Quality of Life. Stroke Res Treat. 2018;
Cabanas-Valdés R, Calvo-Sanz J, Serra-Llobet P, Alcoba-Kait J, González-Rueda V, Rodríguez-Rubio PR. The effectiveness of massage therapy for improving sequelae in post-stroke survivors. A systematic review and meta-analysis. Int J Environ Res Public Health. 2021;18(9).
Kurnia Rohmah I, Sri Endang Pujiastuti R, Rumahorbo H, Kesehatan Kemenkes Semarang P, Artikel info I. The Effectiveness Massage Therapy on Motoric Status among Non-Hemorrhagic Stroke Patients. Int J Nurs Heal Serv [Internet]. 2021;4(5):575–83. Available from: http://ijnhs.net/index.php/ijnhs/homehttp://doi.org/10.35654/ijnhs.v4i5.481
Lämås K, Häger C, Lindgren L, Wester P, Brulin C. Does touch massage facilitate recovery after stroke? A study protocol of a randomized controlled trial. BMC Complement Altern Med [Internet]. 2016;16(1):1–9. Available from: http://dx.doi.org/10.1186/s12906-016-1029-9
Mead MN. Benefits of sunlight: a bright spot for human health. Environ Health Perspect. 2008;116(4).
Sivamani et al. The benefits and risks of utraviolet (UV) tanning and its alternatives: the role of prudent sun exposure. Dermatol Clin. 2010;23(1):1–7.
Elfahmi, Woerdenbag HJ, Kayser O. Jamu: Indonesian traditional herbal medicine towards rational phytopharmacological use. J Herb Med [Internet]. 2014;4(2):51–73. Available from: http://dx.doi.org/10.1016/j.hermed.2014.01.002
Purwono S, Nisa U, Astana PRW, Wijayaningsih RA, Wicaksono AJ, Wahyuningsih MSH, et al. Factors Affecting the Perception of Indonesian Medical Doctors on Herbal Medicine Prescription in Healthcare Facilities: Qualitative and Quantitative Studies. J Herb Med [Internet]. 2023;42(December 2021):100747. Available from: https://doi.org/10.1016/j.hermed.2023.100747
Muhamad Zulfatul et al. Kesejahteraan Spiritual Keluarga Pasien Stroke dan Kaitannya dengan Depresi. J ners dan Kebidanan Indones. 2015;129–33.
Rosyidah Arafat et al. Spiritual Coping in People Living with Stroke. Int J Caring Sci. 2018;11(2):658–62.
Viriyabubpa, Hatthakit, Subhadhirasakul et. al. An Ethnography of Thai Folk Healing in Patients Suffering from Lomammapart, a Stroke-like Condition. Pacific Rim Int J Nurs Res [Internet]. 2013;17(3):282–95. Available from: https://www.tci-thaijo.org/index.php/PRIJNR/article/view/6794
Bhide S. Interventional Cardiology How to heal your mind , body and spirit – a stroke survivor ’ s perspective. 2020;12:1–2.
Pratiwi SH, Sari EA, Mirwanti R. Spiritual Needs of Post-Stroke Patients in the Rehabilitation Phase. 2018;6(3):197–204.
How to Cite
Purdani, K. S., & Rungreangkulkij, S. (2024). Exploring Stroke Therapy in Non-Urban Area: A Qualitative Descriptive Study. Indonesian Journal of Global Health Research, 6(6), 3483-3492. https://doi.org/10.37287/ijghr.v6i6.3846