Dewanggi, Rahmy Citra and Sujianto, Untung and Ma’arif, Samsul and Handayani, Fitria (2026) Studi Kasus: Efektivitas Familiar Auditory Sensory Training (FAST) pada Tingkat Kesadaran Pasien Stroke. [Experiment] (Unpublished)

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Abstract

Background: Stroke is a severe neurological condition that can lead to decreased consciousness due to impaired blood flow and damage to the Reticular Activating System (RAS). Reduced consciousness increases the risk of morbidity and mortality in stroke patients. Familiar Auditory Sensory Training (FAST) is a nonpharmacological intervention that uses family voices to stimulate patient awareness. This study aimed to evaluate the effectiveness of FAST in improving consciousness and stabilizing vital signs in stroke patients Methods: A case study design with a descriptive approach was employed. The sample consisted of three stroke patients admitted to the High Care Unit (HCU) at Dr. Kariadi Hospital in Semarang. FAST was administered three times daily for three consecutive days using recordings of the patients’ family voices. Consciousness levels were assessed using the Glasgow Coma Scale (GCS), and patients’ heart rate, respiratory rate, blood pressure, and mean arterial pressure (MAP) were monitored daily.. Results: The findings revealed that all patients exhibited improvements in GCS scores, particularly in motor and verbal responses. Patient 1’s score increased from 9 to 11, patient 2’s from 10 to 11, and patient 3’s from 3 to 5, with an average increase of 1.67 points. Vital signs remained generally stable, with some reductions in heart rate and respiratory rate observed. These results indicate that FAST not only enhances consciousness but also contributes to physiological stability. Conclusion: FAST is an effective, safe, and non-invasive intervention for improving consciousness in stroke patients. It also helps maintain stable vital signs and involves family participation, making it a recommended complementary therapy in neurological nursing care

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