Keterbatasan Mobilitas sebagai Prediktor Perubahan Body Image pada Pasien Pasca Stroke
Abstract
Background: Stroke is a leading cause of disability that results in mobility limitations and physical changes in patients. Mobility limitations experienced by post-stroke patients not only affect physical functioning but also have psychological impacts, one of which is changes in body image. Altered body perception can influence the adaptation process and quality of life of post-stroke patients. Objective: This study aimed to analyze mobility limitation as a predictor of body image changes in post-stroke patients. Methods: This study employed a quantitative analytic design with a cross-sectional approach. The study population consisted of post-stroke patients at Sultan Imanuddin Regional General Hospital, Pangkalan Bun. A purposive sampling technique was used, involving 30 respondents who met the inclusion criteria. Mobility limitation was measured using the Barthel Index, while body image changes were assessed using the Body Image Scale (BIS). Data analysis included univariate and bivariate analyses, as well as regression analysis to determine the role of mobility limitation as a predictor of body image changes. Results: The results showed that mobility limitation was significantly associated with body image changes in post-stroke patients. Higher levels of mobility limitation were associated with greater body image disturbance. Regression analysis indicated that mobility limitation played a predictive role in body image changes among post-stroke patients. Conclusion: Mobility limitation is a predictor of body image changes in post-stroke patients. Therefore, nursing interventions should focus not only on improving physical mobility but also on providing psychological support to help patients adapt to the physical changes they experience.References
1. Priyana DI, Sumarni T, Andini A. Penerapan Range of Motion (ROM) pada Asuhan Keperawatan Gangguan Mobilitas Fisik dengan Stroke. Journal of Language and Health. 2025;6(1):105-112.
2. Salmawanti Y, Siyamti D. Pengelolaan Gangguan Mobilitas Fisik dengan Range of Motion pada Stroke Non Hemoragik (Studi Kasus). Jurnal Keperawatan Berbudaya Sehat. 2025;3(1):20-27.
3. World Health Organization (WHO). Stroke. WHO Fact Sheets. 19 December 2025.
4. Badan Kebijakan Pembangunan Kesehatan (BKPK) – Kemenkes RI. Utilizing Disease Burden Data for Health Policy Transformation. Diakses 7 November 2025.
5. Davidson CE, Gordon C, Hackett M, Watkins C, Lightbody L. Exploring lived experiences of body image after stroke and the impact on wellbeing and recovery: A qualitative study. Clin Rehabil. 2025.
6. Diyakonova O, Habib V, Germanotta M, Taddei K, Bruschetta R, Pioggia G, et al. Body Representation in Stroke Patients: A Systematic Review of Human Figure Graphic Representation. J Clin Med. 2025;14(9):3098.
7. Herawati N. Studi fenomenologi pengalaman perubahan citra tubuh pada klien kelemahan pasca stroke di RSUP Dr M Djamil Padang. Ners J Keperawatan. 2014;10(1):75–83.
8. Cassrisa CN. Hubungan spiritual dengan citra tubuh pada pasien stroke di ruang rawat inap RSUD Dr. Zainoel Abidin Banda Aceh [dissertation]. Banda Aceh: Universitas Bina Bangsa Getsempena; 2022.
9. Purba MM, Aden C, Kusfriyadi MK. Mirror therapy combined with flashcards on the extremity function and stages of self-acceptance of stroke patients. Bali Med J. 2023;12(2):1601–1607.
10. Gallacher KI, Quinn TJ, Walters MR, Jani BD, Batty GD, Mair FS. Predictors of functional recovery after stroke: a systematic review. Stroke. 2020;51(5):1546–1554.
11. Liu Y, Yang Y, Wang J, Chen S, Liu M. Association between physical disability and psychosocial outcomes in stroke survivors: a cross-sectional study. BMC Neurol. 2021;21(1):1–9.
12. World Health Organization. Stroke: key facts. Geneva: WHO; 2023.
13. Sadanandan S, D’Silva F, Renjith V. Body cathexis among stroke survivors: a cross-sectional study. J Neurosci Rural Pract. 2020;12(1):33-38.
14. Robinson RG, Jorge RE. Post-stroke depression: a review. Am J Psychiatry. 2020;177(3):221-231.
15. Feigin VL, Stark BA, Johnson CO, et al. Global burden of stroke and risk factors in 2021. Lancet Neurol. 2023;22(10):915-935.
16. Barker RN, Brauer SG. Upper limb recovery after stroke: the role of body perception. Disabil Rehabil. 2021;43(10):1371-1378.5
17. Morris R, Eccles A, Ryan B, Kneebone I. Exploring the lived experiences of body image after stroke. Disabil Rehabil. 2022;44(15):3756-3764.
18. Pollock A, Baer G, Campbell P, et al. Physical rehabilitation approaches for the recovery of function after stroke. Cochrane Database Syst Rev. 2021;(10):CD001920.
19. Benjamin EJ, Muntner P, Alonso A, et al. Heart disease and stroke statistics—2023 update. Circulation. 2023;147(8):e93-e621.
20. Cruz VT, Pais J, Barbosa L, et al. Quality of life determinants in stroke patients. Neurol Sci. 2020;41(5):1087-1095.
21. Kuppuswamy A. The fatigue conundrum after stroke. J Neurol Neurosurg Psychiatry. 2020;91(8):870-877.
22. Donnan GA, Fisher M, Macleod M, Davis SM. Stroke. Lancet. 2021;398(10299):795-810.
23. Campbell BCV, De Silva DA, Macleod MR, et al. Ischaemic stroke. Nat Rev Dis Primers. 2022;8(1):1-24.
24. van Dijk MJ, de Man-van Ginkel JM, Hafsteinsdóttir TB, et al. Psychosocial interventions for stroke survivors. Clin Rehabil. 2021;35(7):929-944.
2. Salmawanti Y, Siyamti D. Pengelolaan Gangguan Mobilitas Fisik dengan Range of Motion pada Stroke Non Hemoragik (Studi Kasus). Jurnal Keperawatan Berbudaya Sehat. 2025;3(1):20-27.
3. World Health Organization (WHO). Stroke. WHO Fact Sheets. 19 December 2025.
4. Badan Kebijakan Pembangunan Kesehatan (BKPK) – Kemenkes RI. Utilizing Disease Burden Data for Health Policy Transformation. Diakses 7 November 2025.
5. Davidson CE, Gordon C, Hackett M, Watkins C, Lightbody L. Exploring lived experiences of body image after stroke and the impact on wellbeing and recovery: A qualitative study. Clin Rehabil. 2025.
6. Diyakonova O, Habib V, Germanotta M, Taddei K, Bruschetta R, Pioggia G, et al. Body Representation in Stroke Patients: A Systematic Review of Human Figure Graphic Representation. J Clin Med. 2025;14(9):3098.
7. Herawati N. Studi fenomenologi pengalaman perubahan citra tubuh pada klien kelemahan pasca stroke di RSUP Dr M Djamil Padang. Ners J Keperawatan. 2014;10(1):75–83.
8. Cassrisa CN. Hubungan spiritual dengan citra tubuh pada pasien stroke di ruang rawat inap RSUD Dr. Zainoel Abidin Banda Aceh [dissertation]. Banda Aceh: Universitas Bina Bangsa Getsempena; 2022.
9. Purba MM, Aden C, Kusfriyadi MK. Mirror therapy combined with flashcards on the extremity function and stages of self-acceptance of stroke patients. Bali Med J. 2023;12(2):1601–1607.
10. Gallacher KI, Quinn TJ, Walters MR, Jani BD, Batty GD, Mair FS. Predictors of functional recovery after stroke: a systematic review. Stroke. 2020;51(5):1546–1554.
11. Liu Y, Yang Y, Wang J, Chen S, Liu M. Association between physical disability and psychosocial outcomes in stroke survivors: a cross-sectional study. BMC Neurol. 2021;21(1):1–9.
12. World Health Organization. Stroke: key facts. Geneva: WHO; 2023.
13. Sadanandan S, D’Silva F, Renjith V. Body cathexis among stroke survivors: a cross-sectional study. J Neurosci Rural Pract. 2020;12(1):33-38.
14. Robinson RG, Jorge RE. Post-stroke depression: a review. Am J Psychiatry. 2020;177(3):221-231.
15. Feigin VL, Stark BA, Johnson CO, et al. Global burden of stroke and risk factors in 2021. Lancet Neurol. 2023;22(10):915-935.
16. Barker RN, Brauer SG. Upper limb recovery after stroke: the role of body perception. Disabil Rehabil. 2021;43(10):1371-1378.5
17. Morris R, Eccles A, Ryan B, Kneebone I. Exploring the lived experiences of body image after stroke. Disabil Rehabil. 2022;44(15):3756-3764.
18. Pollock A, Baer G, Campbell P, et al. Physical rehabilitation approaches for the recovery of function after stroke. Cochrane Database Syst Rev. 2021;(10):CD001920.
19. Benjamin EJ, Muntner P, Alonso A, et al. Heart disease and stroke statistics—2023 update. Circulation. 2023;147(8):e93-e621.
20. Cruz VT, Pais J, Barbosa L, et al. Quality of life determinants in stroke patients. Neurol Sci. 2020;41(5):1087-1095.
21. Kuppuswamy A. The fatigue conundrum after stroke. J Neurol Neurosurg Psychiatry. 2020;91(8):870-877.
22. Donnan GA, Fisher M, Macleod M, Davis SM. Stroke. Lancet. 2021;398(10299):795-810.
23. Campbell BCV, De Silva DA, Macleod MR, et al. Ischaemic stroke. Nat Rev Dis Primers. 2022;8(1):1-24.
24. van Dijk MJ, de Man-van Ginkel JM, Hafsteinsdóttir TB, et al. Psychosocial interventions for stroke survivors. Clin Rehabil. 2021;35(7):929-944.
Published
2026-02-13
How to Cite
RAHAYU, Sri; SUCIPTO, Ade; NISMAWARDAH, Nismawardah.
Keterbatasan Mobilitas sebagai Prediktor Perubahan Body Image pada Pasien Pasca Stroke.
Jurnal Borneo Cendekia, [S.l.], v. 9, n. 2, p. 39-47, feb. 2026.
ISSN 2549-1822.
Available at: <https://journal.stikesborneocendekiamedika.ac.id/index.php/jbc/article/view/685>. Date accessed: 01 apr. 2026.
doi: https://doi.org/10.54411/jbc.v9i2.685.
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