Nursing Journal Volume 10.
Issue 2.
Page 123Ae 130 e-ISSN: 2354-6050 https://ejurnal.
id/index.
php/JKep DOI: https://doi.
org/10.
32668/jkep.
THE IMPACT OF VIDEO-BASED DISCHARGE PLANNING ON THE
FULFILLMENT OF DAILY ACTIVITIES AND JOINT RANGE OF
MOTION EXERCISES ON FAMILY READINESS TO CARE FOR
STROKE PATIENTS
1st Fitri Arofiati1* 2nd Novia Tri Hidayati2
1, 2
School of Nursing.
Universitas Muhammadiyah Yogyakart.
Bantul.
Yogyakarta.
Indonesia email: fitri.
arofiati@umy.
Keywords:
discharge planning family readiness range of motion Abstract Discharge planning is a systematic and methodical process.
Family readiness is crucial and entails preparation in caregiving, educational provision, delineation of roles within the home, and the anticipation of obligations prior to the patient's departure.
Video serves as a medium via which families can make informed decisions, enhance abilities, adjust to new circumstances, and refine cognitive patterns.
Object.
To assess the impact of video-based discharge planning on fulfilling daily demands and joint range of motion exercises on familial preparedness to care for stroke patients.
Methods: This study employed a quantitative methodology with a pretest-posttest control group design.
This study utilized a sample of 60 family members who will subsequently provide home care for stroke patients, employing a complete sampling technique.
The subjects of this study were family members of stroke patients treated at PKU Muhammadiyah Gamping Hospital.
The utilized instrument was a knowledge and skills questionnaire modified from prior research employing bivariate analysis methodologies.
Results: The Mann Whitney U Test yielded a p-value of 0.
001, which is less than .
indicating significant differences in preparedness outcomes between the intervention and control groups.
In conclusion, video-based discharge planning for daily activity needs and joint range of motion exercises is deemed effective in enhancing family preparedness to care for stroke patients.
p value .
< .
means that there are differences in readiness results in the intervention group and control group.
Video-based discharge planning on fulfilling daily activity needs and joint range of motion exercises is considered capable of increasing family readiness to care for stroke patients Received: March2025 Accepted: July 2025 Published: November 2025 A year The Authors.
Published by Published Jurusan Keperawatan.
Politeknik Kesehatan Kemenkes Jakarta i.
This is Open Access article under the CC-BY-SA License .
ttp://creativecommons.
org/licenses/by-sa/4.
0/).
DOI:
https://doi.
org/10.
32668/jkep.
INTRODUCTION
Stroke causes the most impairment and hospitalization worldwide, with 204 per 100,000 people hospitalized The World Stroke Organisation (WSO) describes stroke as a disorder in which brain cells are deprived of oxygen due to blood circulation disruption, causing brain damage and functional disability.
thrombus in the oxygen artery blocks the cerebral A blood artery rupture may cause brain This stroke may cause permanent paralysis, speech problems, cognitive difficulties, and memory issues.
According to the 2023 Riskesdas figures from the Indonesian Ministry of Health, there were 638.
strokes in Indonesia, with DIY having prevalence at 15%, or 8.
988 patients.
The national prevalence was 3 per thousand.
Research from 2023 shows 14 per thousand Sleman citizens had strokes by 20.
The prevalence is from Sleman, a Special Region of Yogyakarta, with a population of 1,300,361 in 2023 .
Preventive, acute, and post-stroke rehabilitation are Post-stroke rehabilitation helps stroke victims .
Patients experience limb weakening, facial sagging, cognitive JKEP (Jurnal Keperawata.
Vol 10 Issue 2.
November 2025.
Page 123-130
e-ISSN: 2354-6050
METHODS
sensitivity, feelings of alienation, worthlessness, family This research employs a quasi-experimental design dependency, and perhaps dementia .
Stroke patients utilizing a nonequivalent control group approach, with disabilities depend on their families since their sampling all families of patients accompanying their physical limitations affect their daily lives.
The lack of relatives during treatment at RS PKU Muhammadiyah information makes the family unaware of how to care Gamping .
otal samplin.
who meet the specified for the ill family member, leaving them uncertain about inclusion criteria, resulting in a total of 60 participants.
stroke patients' daily needs, family substitutes, and The research instrument employed was a 13-minute and muscle rehabilitation exercises for post-hospitalization 40-second educational video, created by the researcher, stroke patients.
encompassing content on stroke comprehension, signs and symptoms, risk factors, first aid for stroke patients.
Improved patient satisfaction, shorter hospital stays, care for individuals with limb weakness, and challenges and reduced readmission rates need discharge planning in performing daily activities.
The film emphasizes .
, while utilizing community resources and services skills or talents related to training individuals with limb will help patients and families with self-care at home.
This weakness, aiding in mobility, clothing, and toileting.
Family members can view and download educational physiological, psychological, and social concerns.
resources via the RS PKU Muhammadiyah Gamping Nurses provide discharge preparation processes and This study employs a questionnaire requiring materials for patients and families.
Comprehensible respondents to complete 17 items assessing their media, such as movies, are essential because hospitals knowledge level and 19 items evaluating their use standardized discharge planning forms that patients competence in caring for stroke patients at home.
The and families must complete.
Training films will be instrument validity assessment was performed utilizing added to the hospital management information system the Content Validity Index (CVI) methodology, which developed by previous researchers .
engaged three experts.
The statistical analysis via Pearson Product Moment yielded valid results Many studies focus on medical treatment and physical .
ignificance value 0.
and demonstrated reliability rehabilitation after stroke, but few discuss how families following the Alpha Cronbach test, with a significance are prepared to care for patients at home.
In most value of 0.
Data analysis employs univariate hospitals, discharge planning is still limited to written analysis to ascertain the demographic characteristics of or verbal instructions, which are often difficult for respondents and bivariate analysis to evaluate their families to understand.
There is little use of easy and practical media, such as educational videos, to help influence, using the Mann-Whitney U Test and the families learn about home care and exercise after Wilcoxon Signed Rank Test for pre-post test findings.
This situation can slow down recovery and executed in SPSS .
The ethical clearance was increase the risk of complications or readmission.
This performed based on the number 014/KEP-PKU/I/2024 study seeks to assess the impact of video-based RESULTS discharge planning on the satisfaction of daily demands and joint range of motion exercises on the family's Table 1 Frequency Distribution of Respondent preparedness to care for stroke patients at RS PKU Characteristics (N= .
According to the mean values Muhammadiyah Gamping.
JKEP (Jurnal Keperawata.
Vol 10 Issue 2.
November 2025.
Page 123-130 Category Age Early Adulthood 15-40 tahun Interventi on group .
e-ISSN: 2354-6050 Control group .
Table 2.
The Readiness of Family Caregivers Based on Knowledge and Skills to Care for Stroke Patients Before and After Intervention (N = .
Late Adulthood 41-60 tahun Gender Male Female knowledge and skill readiness, whereas the control group exhibits a decline in these areas.
The preparedness Educational attaintment Low (Basic School-Junior high Schoo.
Middle (Senior High Schoo.
High (Bachelo.
Work Employed Unemployed Experience to care stroke Has experiences Unexperience According to the mean values presented in Table 2, the intervention group demonstrates an enhancement in score was derived from the aggregate of the knowledge and skills components identified in the intervention Table 1 presents the characteristics of respondents group respondents.
In the knowledge readiness pretest, categorized by age, gender, educational attainment, 16 respondents were classified as ready, while in the work experience, and experience in caring for stroke skill readiness pretest, 18 respondents were declared The age cohort of 15-40 years constituted 80% Subsequently, in the post-test of the intervention of the intervention group and 93.
3% of the control group, knowledge readiness rose, with 21 respondents The female demographic predominates in both prepared to care for stroke patients, and skill readiness groups, comprising 53.
5% of the intervention group and also climbed to 23 respondents.
60% of the control group.
The respondents with the educational attainment are high school Tabel 3 Wilcoxon Statistical Test Result Mean of graduates, categorized as medium, with 60% in the Knowledge and Skills Readiness of Family Caregiver of intervention group and 46.
7% in the control group.
Most Intervention Group.
participants are employed, with 70% from the Table 3 illustrates a disparity in the mean outcomes intervention group and 73.
3% from the control group.
between the pretest and posttest within the intervention the intervention group, 63.
3% of responders lacked group, as determined by the Wilcoxon Signed Rank experience in caring for stroke patients, whereas this Test, which yielded a p-value of 0.
005, less than the figure was 80% in the control group.
significance level of 0.
05, signifying an enhancement in family readiness following the intervention.
The Readiness of Family Caregivers to Care Stroke Intervention Pre-Test Post-Test Patients Before and After Intervention Mean JKEP (Jurnal Keperawata.
Vol 10 Issue 2.
November 2025.
Page 123-130 e-ISSN: 2354-6050 Tabel 4 Wilcoxon Statistical Test Result Mean of DISCUSSION Knowledge and Skills Readiness of Family Caregiver of This study demonstrated that a video-based discharge Control Group p-value performance in activities of daily living (ADL.
, adherence to joint range-of-motion (ROM) exercises.
Table 4 indicates that there is no significant difference and family preparedness for home care provision .
in the means of the pre-test and post-test findings, as The findings indicate that multimedia and technology- determined by the Wilcoxon Signed Rank Test, with a assisted discharge education can improve knowledge, p-value .
This suggests that skills, and confidence among patients and caregivers, there was no enhancement in family preparation ultimately enhancing post-discharge outcomes in stroke following the intervention in the control group.
Table 5 Mann Whitney U Test Result on Intervention Video integrates verbal explanations with visual and Control Group demonstrations, engaging dual learning channels and Control group Pre-Test Post-Test Mean enhancing the encoding of procedural knowledge.
Intervention Variable Control group The readiness of Family Caregiver to care for stroke patient p-value including positioning, transfers, and range of motion sequences .
Research in stroke populations < 0.
indicates that patient-centered educational videos enhance stroke literacy, satisfaction, and specific knowledge areas compared to traditional written or Table 5 indicates a p-value of less than 0.
001, which is below the level of 0.
05, signifying a statistically Favilla et al.
demonstrated that the MyStroke significant difference between the two groups.
Video- personalized video-based education platform markedly based discharge planning significantly influences daily enhanced patient and caregiver satisfaction, as well as demands and joint range of motion exercises, enhancing personalized stroke knowledge, relative to standard the family's preparedness to care for stroke patients.
This finding indicates that audiovisual modules The Mann Whitney U Test yielded a p-value of < 0.
offer greater engagement and retention compared to which is below the threshold of 0.
Video-based traditional information leaflets .
discharge planning focusing on daily requirements showed that an online stroke educational program fulfillment and collaborative range of motion exercises enhanced quality of life and decreased care burden for enhances family preparedness to care for stroke patients post-discharge.
The Wilcoxon Signed Rank Test reinforcing the importance of structured multimedia findings corroborated this finding, leading to the education in improving comprehension and long-term acceptance of the hypothesis, as the p-value .
was retention of essential self-care concepts .
In contrast less than .
, signifying a difference between the to traditional bedside teaching, video-based discharge pre-test and post-test in the intervention group.
planning allows families to access and review content contrast, the Wilcoxon test findings for the control repeatedly, particularly when they are engaged in care group revealed a p-value of 0.
968, which exceeds of This repetitive, on-demand access enables 05, signifying no significant difference between the caregivers to enhance their understanding, verify the pre-test and post-test values in that group.
correct sequence of steps, and rectify errors while .
Nazari et al.
assisting with activities of daily living (ADL) or JKEP (Jurnal Keperawata.
Vol 10 Issue 2.
November 2025.
Page 123-130 e-ISSN: 2354-6050 performing range of motion (ROM) exercises .
Wang et al.
demonstrated that a video-based teach-back consistently demonstrate that Orem-based educational method in continuous nursing enhanced the caring programs enhance self-care behaviors, self-efficacy, and abilities of family caregivers and the self-care abilities quality of life in individuals with chronic illness .
of stroke patients.
This finding illustrates that repeated Khademian et al.
found that self-care education exposure and active recall of audiovisual material grounded in OremAos theory notably enhanced the quality reinforce learning and facilitate the correct execution of of life for patients with hypertension.
Similarly, daily care activities .
Jandaghian-Bidgoli et al.
showed that an Orem self-care The notable enhancement in ADL fulfillment within the model alleviated symptoms and improved both quality video group suggests that the intervention not only of life and self-care among patients with diabetes.
augmented knowledge but also resulted in quantifiable 1819.
Torun and colleagues demonstrated that the behavioral change in the home environment.
Research application of SCDNT in adolescents with chronic indicates that structured discharge planning, particularly conditions improved self-care knowledge and skills, when led by nurses and supplemented with educational thereby affirming the theory's wide applicability across media, enhances functional status and engagement in various populations .
Orem initially characterized The supportive-educative systems as direct interactions enhancement in ROM exercise adherence noted in this between nurses and patients.
however, recent studies study corresponds with evidence that video or internet- indicate that these systems can also be implemented via based exercise instruction enhances compliance with digital technology.
Programs grounded in theory that home-based rehabilitation.
incorporate OremAos concepts into telehealth, algorithm- .
long-term Empirical driven training, and organized self-care modules have Family readiness to provide care is a critical factor demonstrated beneficial outcomes on independence and influencing safe discharge and effective recovery from quality of life across multiple chronic conditions.
stroke at home.
This study found that video-based Helttya et al.
utilized OremAos self-care deficit theory discharge planning markedly improved family readiness alongside the theory of human becoming to address scores in comparison to standard discharge procedures.
sleep disturbances in patients experiencing post-stroke This aligns with evidence indicating that structured and urinary symptoms, resulting in enhancements in self- audiovisual discharge training enhances discharge care and symptom management .
readiness, functional outcomes, and reduces caregiver This research presents limitations, including the follow- burden .
up period was limited, resulting in the absence of evaluation for long-term outcomes, including recurrent A study conducted by Rasmussen et al.
stroke, rehospitalization, and sustained caregiver that discharge training, when paired with telephone The effectiveness of the video intervention may counselling, enhanced functional status, self-efficacy, be affected by factors such as digital literacy, device and reintegration into normal living for stroke patients, access, and internet connectivity, which were not .
Imron and Arofiati reported that online stroke When conjunction with international evidence regarding educational programs improved patientsAo quality of life video-based education, telerehabilitation, and Orem- and decreased caregiver burden, underscoring the based self-care interventions, the findings provide importance of comprehensive educational support robust support for the integration of video-based during the transition from hospital to home in preparing JKEP (Jurnal Keperawata.
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November 2025.
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CONCLUSION
Based on statistical analysis .
<0.
, video-based discharge planning significantly improved family readiness compared to standard discharge procedures.
ACKNOWLEDGMENT
Innovation is essential in healthcare, particularly in hospitals, to use modern media of education such as video-based learning.
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