TINGKAT KETERGANTUNGAN ACTIVITY DAILY LIVING (ADL) PADA PASIEN STROKE (ISKEMIK DAN HEMORAGIK) BERDASARKAN INDEKS BARTHEL DI RSUD DR. HARJONO S. PONOROGO
DOI:
https://doi.org/10.36053/mesencephalon.v7i1.271Abstract
Ketergantungan yang ditimbulkan akibat stroke bervariasi yang dapat dimanifestasikan dalam aktivitas sehari-hari (Activity Daily Living/ADL). Indeks Barthel merupakan salah satu alat ukur yang digunakan untuk mengukur tingkat kemandirian aktivitas dasar sehari hari. Pengukuran ADL dengan Indeks Barthel membantu mengidentifikasi dini tingkat kemandirian klien dalam pemenuhan ADL nya. Jenis penelitian ini adalah penelitian non eksperimental, penelitian ini merupakan penelitian analitik komparatif observasional dengan pendekatan cross sectional. Tujuan Penelitian ini untuk mengetahui tingkat ketergantungan ADL pada pasien stroke iskemik dan hemoragik berdasarkan indeks bartel yang dilakukan di Ruang Rawat Inap Pasien Stroke RSUD Dr Harjono S Ponorogo, dengan sampel sejumlah 30 responden sesuai dengan kriteria inklusi dan diambil secara Consecutive Sampling. Sampling dianalisis menggunakan uji statistik independent sample t test jika kedua sampel berdistribusi normal, tetapi data salah satu sampel atau keduanya tidak berdistribusi normal, maka uji hipotesis menggunakan Uji Mann Whitney. Instrumen untuk pengumpulan data menggunakan kuesioner dan lembar observasi dengan hasil penelitian dari 30 responden terdiri dari 16 pasien stroke iskemik dan 16 pasien stroke hemoragik. Penilaian ADL pada pasien stroke iskemik sebagian besar mengalami ketergantungan total, pasien stroke hemoragik hampir seluruhnya mengalami ketergantungan total. Hasil uji Mann Whitney U Test, nilai sig (2 tailed) adalah 0,440 maka nilai ini > 0,05, dengan kesimpulan bahwa tidak ada perbedaan tingkat ketergantungan Activity Daily Living pada pasien stroke iskemik dan stroke hemoragik berdasarkan indeks barthel.References
Bermawi M., Meliala L., Asmedi A. 2000. Nilai Prognostik Tekanan Darah Waktu Masuk Rumah Sakit pada Penderita Stroke Infark Akut. Berkala Neuro Sains Vol. 1 No. 3. FK UGM. Yogyakarta
Carlo A Di, Lamassa M, Franceschini M, Bovis F, Cecconi L, Pournajaf S, dkk. Impact of acute-phase complications and interventions on 6-month survival after stroke. A prospective observational study. PLoS One. 2018;13(3):1–16.
Departemen Kesehatan Republik Indonesia. Laporan Hasil Riset Kesehatan Dasar Indonesia (Riskesdas). 2013
Fandri, Sherly., Utomo, Wasisto., & Dewi, Ari P. (2014). Perbedaan Status Fungsional Pasien Stroke saan Masuk dan Keluar Ruang Rawat Inap RSUD Arifin Achmad. JOM PSIK Vol. 1 No.2 Oktober 2014. Diakses 30 Mei 2020 dari http://jom.unri.ac.id/index.php/JOMPSIK/article/download/3412/3308
Junaidi I. 2003. Panduan Praktis Pencegahan Dan Pengobatan Stroke. Jakarta: Bhuana Ilmu Populer, Kelompok Gramedia.
Kemenkes RI. 2013. Riset Kesehatan Dasar; RISKESDAS. Jakarta: Balitbang Kemenkes RI
Khan J and Rehman A. Comparison of clinical diagnosis with computed tomography in ascertaining type of stroke. J Ayub Medical Abbottabad 2005;17(3): 65-7.
Khasanah N. 2012. Lokasi Infark Berdasarkan Vaskularisasi Sebagai Faktor Prognosis Outcame Fungsional Stroke Infark. Diperoleh dari : https://repository.ugm.ac.id/id/eprint/99956
Lingga, Lanny. 2013. All About Stroke. Jakarta: PT. Elex Media Komputindo
Marjoko, Bibing R., Utomo, Wasisto., & Hasanah, Oswati. (2012) Analisis Status Fungsional Pasien Stroke Saat Keluar Ruang Merak II RSUD Arifin Achmad Pekanbaru. E – Journal Universitas Riau. Diakses 27 Mei 2020 dari http://repository.unri.ac.id/xmlui/bitstream/handle/123456789/4826/Jurnal%20Bibing%20Rahmano%20M.,%20S.Kep.pdf?sequence=1
McCormack J, Reay H. Acute strok research: challenges and opportunities for nurses. Nurs Stand. 2013;27(32):39–45.
Murthi, Bhisma, 2003. Prinsip dan Metode Riset Epidemiology, gajah mada University Press, Jakarta
Pinzon, Rizaldy. 2010. AWAS STROKE! Pengertian, Gejala, Tindakan, Perawatan, dan Pencegahan. Yogyakarta: Penerbit ANDI.
Prakoso, K., Vitriana, V., & Ong, A. (2016). Correlation between Cognitive Functions and Activity of Daily Living among Post-Stroke Patients. Althea Medical Journal, 3(3), 329-333
Rachmawati, F., Utomo,W., Nauli, F.A. 2013. Gambaran Status Fungsional Pasien Stroke Saat Masuk Ruang Rawat Inap Rsud Arifin Achmad Pekanbaru.[Skripsi]. PSIK Universitas Riau.
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