Resilience Level of Stroke Survivors

Authors

  • Rufaida Nur Fitriana Universitas Kusuma Husada Surakarta
  • Steffania Enos Universitas Kusuma Husada Surakarta

Keywords:

Resilience, Stroke, Survivor

Abstract

A stroke attack has both physical and psychological impacts on sufferers. Resilience in stroke survivors refers to an individual's ability to recover and adapt after experiencing a stroke, both physically, psychologically, and socially. This study aims to identify the level of resilience of stroke survivors. The number of samples in this study was 44 respondents taken using the Purposive Sampling technique. This is a descriptive study. The research tool used the Connor Davidson Resilience Scale-25 (CD-RISC-25). The results showed that the mean resilience score was 95.11 (SD 5.487), indicating high resilience. The level of resilience in stroke survivors shows above-average results. Some implications for healthcare providers or clinical practice are integrating psychological and social support into rehabilitation, empowering survivors to build self-efficacy and adaptive coping, and family and caregiver inclusion with long-term continuity of care.  

References

Béjot, Y., Bailly, H., Graber, M., Garnier, L., Laville, A., Dubourget, L., Mielle, N., Chevalier, C., Durier, J., & Giroud, M. (2019). Impact of the ageing population on the burden of stroke: The dijon stroke registry. Neuroepidemiology, 52(1–2). https://doi.org/10.1159/000492820

Castor, N., & El Massioui, F. (2020). Resilience after a neurological pathology: What impact on the cognitive abilities of patients with brain damage? Neuropsychological Rehabilitation, 30(5). https://doi.org/10.1080/09602011.2018.1512873

Chen, M., Li, J., Chen, C., Zhao, Q., & Huang, H. (2024). The relationships between quality of life with health literacy, social support and resilience in older stroke survivors: A structural equation model. In Nursing Open (Vol. 11, Issue 9). https://doi.org/10.1002/nop2.70020

Dinas Kesehatan Kota Surakarta. (2023). Profil Kesehatan Surakarta 2023. 87. https://dinkes.surakarta.go.id/profil-kesehatan/

Feigin, V. L., Brainin, M., Norrving, B., Martins, S. O., Pandian, J., Lindsay, P., F Grupper, M., & Rautalin, I. (2025). World Stroke Organization: Global Stroke Fact Sheet 2025. In International Journal of Stroke (Vol. 20, Issue 2, pp. 132–144). https://doi.org/10.1177/17474930241308142

Gyawali, P., Chow, W. Z., Hinwood, M., Kluge, M., English, C., Ong, L. K., Nilsson, M., & Walker, F. R. (2020). Opposing Associations of Stress and Resilience With Functional Outcomes in Stroke Survivors in the Chronic Phase of Stroke: A Cross-Sectional Study. In Frontiers in Neurology (Vol. 11). https://doi.org/10.3389/fneur.2020.00230

Gyawali, P., Chow, W. Z., Ong, L. K., Nilsson, M., & Walker, R. F. (2019). Abstract TP176: Increased Resiliency is Associated With Better Recovery Trajectory Among Community Dwelling Stroke Survivors. In Stroke (Vol. 50, Issue Suppl_1). https://doi.org/10.1161/str.50.suppl_1.tp176

Han, Z. T., Zhang, H. M., Wang, Y. M., Zhu, S. S., & Wang, D. Y. (2021). Uncertainty in illness and coping styles: Moderating and mediating effects of resilience in stroke patients. In World Journal of Clinical Cases (Vol. 9, Issue 30, pp. 8999–9010). https://doi.org/10.12998/wjcc.v9.i30.8999

Hildon, Z., Montgomery, S. M., Blane, D., Wiggins, R. D., & Netuveli, G. (2010). Examining resilience of quality of life in the face of health-related and psychosocial adversity at older ages: What is “right” about the way we age? In Gerontologist (Vol. 50, Issue 1, pp. 36–47). https://doi.org/10.1093/geront/gnp067

Indonesia, K. K. R. (2023). Survei Kesehatan Indonesia (SKI): dalam angka. Jakarta: Badan Kebijakan Pembangunan Kesehatan. In Badan Kebijakan Pembangunan Kesehatan (p. 263).

Kaffatan, N. N. S., Suhariadi, F., & Sugiarti, R. (2022). Gambaran resiliensi pada pasien pasca stroke. Psikoislamika?: Jurnal Psikologi Dan Psikologi Islam, 19(2), 476–495. https://doi.org/10.18860/psikoislamika.v19i2.17102

Li, A. le, Ji, Y., Zhu, S., Hu, Z. hao, Xu, X. jin, Wang, Y. wei, & Jian, X. zhi. (2022). Risk probability and influencing factors of stroke in followed-up hypertension patients. BMC Cardiovascular Disorders, 22(1). https://doi.org/10.1186/s12872-022-02780-w

Lima, P. V., Valença, T. D. C., & Reis, L. A. (2016). Envelhecer comdependência funcional: construindo estratégias de enfrentamento. Rev Pesq Saúde, 17(2).

Liu, Z., Zhou, X., Zhang, W., & Zhou, L. (2021). Resilience is an independent correlate of the course of quality of life in patients with first-ever ischemic stroke. In International Psychogeriatrics (Vol. 33, Issue 6, pp. 567–575). https://doi.org/10.1017/S1041610220000587

López Espuela, F., Portilla Cuenca, J. C., Leno Díaz, C., Párraga Sánchez, J. M., Gamez-Leyva, G., & Casado Naranjo, I. (2020). Sex differences in long-term quality of life after stroke: influence of mood and functional status. Neurología (English Edition), 35(7). https://doi.org/10.1016/j.nrleng.2017.10.002

Milky, G., Zheng, D., Huang, C. Y., & Thomas, J. (2020). Pmu11 association between depression and healthcare expenditures among stroke survivors. Value in Health, 23. https://doi.org/10.1016/j.jval.2020.04.789

Neils-Strunjas, J., Paul, D., Clark, A. N., Mudar, R., Duff, M. C., Waldron-Perrine, B., & Bechtold, K. T. (2017). Role of resilience in the rehabilitation of adults with acquired brain injury. In Brain Injury (Vol. 31, Issue 2). https://doi.org/10.1080/02699052.2016.1229032

Nishimi, K. M., Koenen, K. C., Coull, B. A., Chen, R., & Kubzansky, L. D. (2021). Psychological resilience predicting cardiometabolic conditions in adulthood in the Midlife in the United States study. In Proceedings of the National Academy of Sciences of the United States of America (Vol. 118, Issue 32). https://doi.org/10.1073/pnas.2102619118

Park, J. W., Mealy, R., Saldanha, I. J., Loucks, E. B., Needham, B. L., Sims, M., Fava, J. L., Dulin, A. J., & Howe, C. J. (2021). Multilevel Resilience Resources and Cardiovascular Disease in the United States: A Systematic Review and Meta-Analysis. In Health Psychology (Vol. 41, Issue 4, pp. 278–290). https://doi.org/10.1037/hea0001069

Poorthuis, M. H. F., Algra, A. M., Algra, A., Kappelle, L. J., & Klijn, C. J. M. (2017). Female-and male-specific risk factors for stroke a systematic review and meta-analysis. JAMA Neurology, 74(1). https://doi.org/10.1001/jamaneurol.2016.3482

Reivich, Karen & Shatte, A. (2022). The Resilience Factor: 7 Keys To Finding Your Inner Strength And Overcome Life’s Hurdle (p. 224). https://books.google.co.id/books?id=Ons_LmZYdyQC&hl=id

Sherer, M., Sander, A. M., Nick, T. G., Melguizo, M. S., Tulsky, D. S., Kisala, P., Hanks, R., & Novack, T. A. (2015). Key dimensions of impairment, self-report, and environmental supports in persons with traumatic brain injury. Rehabilitation Psychology, 60(2). https://doi.org/10.1037/rep0000030

Vos, L., Poritz, J. M. P., Ngan, E., Leon-Novelo, L., & Sherer, M. (2019). The relationship between resilience, emotional distress, and community participation outcomes following traumatic brain injury. Brain Injury, 33(13–14). https://doi.org/10.1080/02699052.2019.1658132

Yan, H. Y., & Lin, H. R. (2022). Resilience in Stroke Patients: A Concept Analysis. Healthcare (Switzerland), 10(11). https://doi.org/10.3390/healthcare10112281

Zhang, W., Liu, Z., Zhou, X., & Zhou, L. (2020a). Resilience among stroke survivors: A cohort study of the first 6 months. Journal of Advanced Nursing, 76(2). https://doi.org/10.1111/jan.14247

Zhang, W., Liu, Z., Zhou, X., & Zhou, L. (2020b). Resilience among stroke survivors: A cohort study of the first 6 months. In Journal of Advanced Nursing (Vol. 76, Issue 2, pp. 504–513). https://doi.org/10.1111/jan.14247

Zhang, W., Zhou, W., Ye, M., Gao, Y., & Zhou, L. (2022). Family resilience of stroke survivors within 6 months after a first-episode stroke: A longitudinal study. In Frontiers in Psychiatry (Vol. 13). https://doi.org/10.3389/fpsyt.2022.968933

Zhou, X., Liu, Z., Zhang, W., & Zhou, L. (2020). Resilience is associated with post-stoke depression in Chinese stroke survivors: A longitudinal study. In Journal of Affective Disorders (Vol. 273, pp. 402–409). https://doi.org/10.1016/j.jad.2020.04.042

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Published

2025-10-23

How to Cite

Fitriana, R. N., & Enos, S. (2025). Resilience Level of Stroke Survivors. Proceedings Series on Health & Medical Sciences, 8, 50–55. Retrieved from https://conferenceproceedings.ump.ac.id/pshms/article/view/1859