FAMILY SUPPORT AS A DETERMINANT OF ACTIVITIES OF DAILY LIVING INDEPENDENCE IN POST-STROKE OLDER ADULTS

Abstract

Background: Stroke contributes to functional decline in older adults, particularly in performing Activities of Daily Living (ADL), thereby increasing the risk of dependency. Family support plays a critical role in promoting recovery and restoring independence. According to the 2023 Indonesian Health Survey, the prevalence of stroke was 3.54 per 1,000 among individuals aged 65–74 years and increased to 4.13 per 1,000 among those aged ≥75 years. Methods: This quantitative correlational study employed a cross-sectional design involving 50 post-stroke older adults selected through purposive sampling in the working area of Babakan Sari Public Health Center, Bandung City. Data were collected using a family support questionnaire and the Barthel Index. The Chi-square test was used to examine the association between variables. Results: Most respondents reported good family support and demonstrated mild to moderate levels of dependency in ADL. Statistical analysis revealed a significant association between family support and ADL independence (p < 0.05). Conclusion: There is a significant relationship between family support and ADL independence among post-stroke older adults. Strengthening active family involvement, particularly through informational support related to nutrition and elderly care as well as motivational and appraisal support during the recovery process, is recommended to improve quality of life.