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Page 6 of 9 Neuroimmunol Neuroinflammation 2018;5:37 I http://dx.doi.org/10.20517/2347-8659.2018.45

Methods: Subjects in this retrospective study were 40 elderly people in Pucang Gading Nursing Home,
Semarang, Central Java, Indonesia. Twenty-seven elderly people were diagnosed with insomnia. Serum
serotonin level were measured in the elderly with and without insomnia. Bi-and multi-variate logistic
regression were used to evaluate the impact of serotonin to predict insomnia.

Results: The median age of the whole population was 70 years and 90.0% were female. The elderly with
serum serotonin level below 35.6 ng/mL have OR = 21.600 risk of developing insomnia compared with those
with serum serotonin level more than 35.6 ng/mL (P = 0.000). In bivariate analysis, low serotonin level was
significantly associated with insomnia. In multivariate analysis, serotonin was an independent prognostic
factor for insomnia (P = 0.001, OR = 0.046, 95% CI). The AUC for serotonin was 0.846 (95% CI = 0.708 s/d
0.958 P < 0.001).

Conclusion: We identified serum serotonin level predictive to insomnia in the elderly.

8. Chula Stroke self-help group: a tool for empowering stroke patient

Pakkawan Vongvasinkul, Niramon Punlainak, Naruchorn Kijpaisalratana, Nijasri Charnnarong
Suwanwela

King Chulalongkorn Memorial Hospital

Aim: After acute stroke treatment in the hospital, long term post-stroke care is essential in order to prevent
recurrent stroke and enhance quality of life. Stroke self-help groups engage patients, family members, and
caregivers with the health care team including stroke physicians, psychiatrists, nurses, nutritionists, and
social workers to help empower stroke survivors. The aim of this study is to evaluate the satisfaction among
participants in the Chula Stroke Self-Help Group.

Methods: The Chula Stroke Self-Help Group has been established since 2016. The group meeting is held
monthly at the outpatient department of King Chulalongkorn Memorial Hospital. The topic for each session
is carefully selected by the nursing staff such as “Stroke is treatable”, “Stroke is preventable”, “Life after
stroke”, and “Stroke Rehabilitation.” Each 90-min session is led by a stroke nurse, a social worker, and an
invited speaker with 10-15 participants who were stroke patients, family members, or caregivers. The session
begins with a brief introduction followed by extensive discussion among the participants to share their own
experiences. After the session, the participants are asked to rate their satisfaction towards the activity.

Results: Thirty sessions were held between January 2016-June 2018 with a total of 351 participants. Among
these, 220 (62.7%) participants were female. Most of the participants were stroke patients (49.8%), followed
by family members of stroke patients (44.7%) and caregivers (5.4%). Most of the participants had a high level
of satisfaction regarding self-empowerment (96.8%), knowledge (93.7%), and applicability to their situation
(91.6%).

Conclusion: Stroke self-help group at King Chulalongkorn Memorial Hospital can be considered as a tool for
empowering stroke patients, family members, and caregivers. Participants had high satisfaction toward the
activity held by the self-help group.