Sehat Masada Jurnal Penelitian Kesehatan Dharma Husada Bandung · Feb 16, 2026
Family support as a determinant of independence in activities of daily living among older adults after stroke
By Fazriana E, Susanti D
BACKGROUND: Stroke causes a decline in older adults' functional abilities, particularly in daily activities (Activity Daily Living/ADL), thereby increasing the risk of dependence; family support plays an important role in restoring independence, with stroke prevalence among older adults according to SKI 2023 being 3.54 per mille (aged 65–74 years) and 4.13 per mille (aged ≥75 years). METHODS: A quantitative correlational study with a cross-sectional approach involving 50 older adults after stroke selected through purposive sampling in the service area of Babakan Sari Community Health Center, Bandung City; the instruments used were a family support questionnaire and the Barthel Index, and associations were analyzed using the Chi-Square test. RESULTS: Respondents generally had good family support, and their level of ADL independence fell within the mild to moderate dependence categories; the Chi-Square test showed a significant association between family support and the level of ADL independence (p < 0.05). CONCLUSIONS: There is a significant association between family support and ADL independence among older adults after stroke, so active family involvement needs to be strengthened by enhancing informational support (nutrition and care for older adults) and appraisal/motivational support during the recovery process to improve quality of life.