HUBUNGAN ANTARA RENTANG WAKTU TERJADINYA SERANGAN HINGGA TIBA DI RSUD DR. MOEWARDI DENGAN PROGNOSIS STROKE ISKEMIK

Pratami, Gia Noor (2012) HUBUNGAN ANTARA RENTANG WAKTU TERJADINYA SERANGAN HINGGA TIBA DI RSUD DR. MOEWARDI DENGAN PROGNOSIS STROKE ISKEMIK. Other thesis, Universitas Sebelas Maret.

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    Abstract

    Gia Noor Pratami, G0009092, 2012. The Association between Time Range from Stroke Attack until Arrive at Dr. Moewardi Hospital with Ischemic Stroke Prognosis. Mini Thesis. Faculty of Medicine, University of Sebelas Maret Surakarta. Background: Stroke is the third leading cause of death in the world, with a high prevalence of death in low-and middle-income countries. The awareness of early signs and symptoms of stroke and referral to hospital efforts should be made because the successful treatment of stroke is determined by the speed of action in the acute phase (therapeutic window). In ischemic stroke, restoration or improvement of perfusion to the ischemic area is a therapy key. This study is aimed to determine the relationship between time range from stroke attack until arrive at the hospital with ischemic stroke prognosis. Methods: This study was observational cohort analytic approach. A total of 48 subjects were selected by purposive sampling, they were ischemic stroke patients in the room Orchid II Dr. Moewardi Hospital. Data was collected by direct interview and examination of the patient by using NIHSS score. Data was analyzed by using multiple logistic regression models and processed with Statistical Product and Service Solutions (SPSS) 17.00 for Windows. Results: Multiple logistic regression showed the results OR = 1,890; CI 95% 0,395 – 9,035; and p = 0,425. This results has controlled the confounding variables of age, blood pressure, blood sugar levels, and colesterol levels. Patient who arrived at the hospital >24 hours after the stroke attack increases the risk of poor prognosis 1.890 times than that arrived at the hospital <6 hours and 6-24 hours. Conclusions: There is a moderate correlation between the time range from stroke attack until arrive at the Dr. Moewardi hospital with ischemic stroke prognosis, although in this study the relationship was not statistically significant. Keywords: time range, attack, Dr. Moewardi hospital, prognosis, ischemic stroke Gia Noor Pratami, G0009092, 2012. Hubungan antara Rentang Waktu Terjadinya Serangan Hingga Tiba di RSUD Dr. Moewardi dengan Prognosis Stroke Iskemik. Skripsi. Fakultas Kedokteran Universitas Sebelas Maret, Surakarta. Latar Belakang: Stroke merupakan penyebab utama ketiga kematian di dunia, dengan prevalensi kematian tertinggi di negara berpenghasilan menengah dan rendah. Pengenalan tanda dan gejala dini stroke dan upaya rujukan ke rumah sakit harus segera dilakukan karena keberhasilan terapi stroke sangat ditentukan oleh kecepatan tindakan pada fase akut (jendela terapi – therapeutic window). Pada stroke iskemik, restorasi atau perbaikan perfusi ke daerah iskemik merupakan kunci terapi. Penelitian ini bertujuan untuk mengetahui hubungan antara rentang waktu terjadinya serangan hingga tiba di RSUD Dr. Moewardi dengan prognosis stroke iskemik. Metode Penelitian: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cohort. Sebanyak 48 subjek penelitian yang dipilih dengan puposive sampling adalah pasien stroke iskemik di Ruang Rawat Inap Anggrek II RSUD Dr. Moewardi. Pengambilan data dilakukan dengan wawancara langsung dan pemeriksaan menggunakan skor NIHSS kepada pasien. Data hasil penelitian dianalisis menggunakan model regresi logistik ganda dan diolah dengan Statistical Product and Service Solution (SPSS) 17.00 for Windows. Hasil Penelitian: Uji regresi logistik ganda menunjukkan hasil OR = 1,890; CI 95% 0,395 – 9,035; dan p = 0,425. Hasil ini sudah mengontrol variabel perancu yaitu usia, tekanan darah, kadar gula darah sewaktu, dan kadar kolesterol. Pasien yang tiba di rumah sakit >24 jam sejak serangan meningkatkan risiko prognosis buruk 1,890 kali daripada yang tiba di rumah sakit <6 jam dan 6-24 jam. Simpulan Penelitian: Terdapat hubungan sedang antara rentang waktu terjadinya serangan hingga tiba di RSUD Dr. Moewardi dengan prognosis stroke iskemik, meskipun hubungan tersebut dalam penelitian secara statistik tidak bermakna. Kata Kunci: rentang waktu, serangan, RSUD Dr. Moewardi, prognosis, stroke iskemik

    Item Type: Thesis (Other)
    Subjects: R Medicine > RZ Other systems of medicine
    Divisions: Fakultas Kedokteran > Pendidikan Kedokteran
    Depositing User: Nur Anisah
    Date Deposited: 26 Apr 2014 00:01
    Last Modified: 26 Apr 2014 00:01
    URI: https://eprints.uns.ac.id/id/eprint/13257

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