scholarly journals Studi Epidemiologi Kualitas Hidup Penderita Paska Stroke di RSUD Propinsi Nusa Tenggara Barat

2019 ◽  
Vol 5 (1) ◽  
pp. 53
Author(s):  
Ilsa Hunaifi ◽  
Pujiarohman Pujiarohman

troke is a leading cause of mortality and morbidity in Indonesia.  Post stroke patients has a higher disability hence results in poor quality of life compared with normal population. In Indonesia, studies related to the quality of life of post-stroke patients are scarce, so studies are required to explore the quality of life of post-stroke patients, particularly in West Nusa Tenggara. Aim of this study is to determine the epidemiology of quality of life for post-stroke patients in West Nusa Tenggara. Methods of this study is An Observational with cross-sectional design was performed in population of post-stroke patients admitted to West Nusa Tenggara General Hospital. The quality of life of post stroke patient was evaluated with SSQOL (Stroke Specific Quality of Life) questionnaire. The collected data was analyzed by the appropriate test. Result of this study is the average age of subject is 60.33±10.68 years. Hypertension is a major risk factor of stroke. The average SSQOL score is 177.02±45.75. SSQOL assesses 4 dimension are physical, functional, psychological and social health. Based on the physical dimension, the average score is 17.00, the functional dimension, the average score is 14.91, the psychological dimension, the average score is 13.17 and the social health dimension  the average score is 13.44.  The quality of life for post-stroke patients in West Nusa Tenggara General Hospital is good.

Author(s):  
Hasanul Arifin ◽  
Alfansuri Kadri ◽  
Yuneldi Anwar

  A DESCRIPTION OF SEXUAL DYSFUNCTION, DISABILITY, AND QUALITY OF LIFE OF POST-STROKE PATIENTSABSTRACTIntroduction: Sexual function and disability are post-stroke complications that can affect the long-term quality of life. The problem is being neglected, thus cannot be intervened further. There are simple screenings that can be used to detect the disorder.Aim: To determine the characteristics  of sexual dysfunction, disability and quality of life, and also demographic profile of post stroke patients in Neurology Outpatient Clinic at General Hospital Haji Adam Malik, Medan.Method: A cross sectional descriptive study on poststroke patients in Neurology Outpatient Clinic of General Hospital Adam Malik, Medan between March and July 2018. Subjects were asked to fill three questionnaires; Changes in Sexual Functioning Questionnaire (CSFQ-14) to assess sexual dysfunction, Stroke-Specific Quality of Life (SS-QoL-12) to assess quality of life, and Barthel Index (BI) and modified Rankin Scale (mRS) to assess disability.Results: We identified 45 subjects and the mean of age was 60.27+10.12 years, mostly men (75.6%) and was suffered from ischemic stroke (95.6%). Majority of the subjects (93.3%) were reported of having sexual dysfunction, some have symptoms of disability (35.6%) and full dependence (44.5%). The quality of life was relatively better in male, especially in the physical domain.Discussion: In post stroke population, the prevalence of sexual dysfunction is 93.3%, mostly affected male patients. Majority of the subjects were independent and without significant disability. The quality of life was relatively better in male and the lowest value related to health was the power domain.Keywords: Disability, post-stroke, quality of life, sexual dysfunctionABSTRAKPendahuluan: Salah satu komplikasi pascastroke adalah gangguan fungsi dan disabilitas seksual yang dapat memengaruhi kualitas hidup jangka panjang. Namun hal ini masih terabaikan, hingga tidak dapat diintervensi lebih lanjut. Terdapat beberapa skrining sederhana yang dapat digunakan untuk mendeteksi gangguan tersebut.Tujuan: Untuk mengetahui gambaran disfungsi seksual, disabilitas, dan kualitas hidup pada penderita pascastroke di rawat jalan Neurologi RSUP Haji Adam Malik, Medan.Metode:  Penelitian  deskriptif  dengan  studi  potong  lintang  pada  pasien  pascastroke  di  Poliklinik  Neurologi RSUP Haji Adam Malik, Medan pada bulan Maret–Juli 2018. Subjek diminta mengisi 3 kuesioner, yaitu: Changes in Sexual Functioning Questionnaire (CSFQ-14) untuk menilai perubahan fungsi seksual, Stroke-Specific Quality of Life (SS-QoL-12) untuk menilai kualitas hidup, serta Indeks Barthel (IB) dan modified Rankin Scale (mRS) untuk  menilai disabilitas.Hasil: Didapatkan 45 subjek dengan rerata usia 60,27+10,12 tahun, terutama laki-laki (75,6%) dan menderita stroke iskemik (95,6%). Mayoritas subjek mengalami disfungsi seksual (93,3%), sebagian memiliki gejala disabilitas (35,6%) dan ketergantungan penuh (44,5%). Kualitas hidup relatif lebih baik pada laki-laki dan khususnya pada domain fisik.Diskusi: Didapatkan prevalensi disfungsi seksual sebanyak 93,3% pada pasien pascastroke, terutama laki-laki. Mayoritas subjek pada keadaan mandiri dan disabilitas yang tidak signifikan. Gambaran kualitas hidup secara keseluruhan relatif lebih baik pada laki-laki dengan nilai yang berhubungan dengan kesehatan yang relatif paling rendah adalah domain tenaga.Kata Kunci: Disabilitas, disfungsi seksual, kualitas hidup, pascastroke  


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Daniel Gams Massi ◽  
Gervais Ngoupayou Mountap ◽  
Hervé Edouard Moby ◽  
Frantz Guy Epoupa Ngalle ◽  
Sidick Mouliom ◽  
...  

Background. Stroke is a severe disease due to its morbidity-mortality. It is the first cause of acquired disability including erectile dysfunction (ED). The purpose of this study was to determine the prevalence of ED in stroke patients at the Douala General Hospital, to identify associated factors and to evaluate their quality of life. Materials and Methods. A cross-sectional study was conducted over a period of seven months from November 2016 to May 2017 on two groups of patients in neurology, cardiology, and endocrinology units of the Douala General Hospital (Cameroon): stroke patients (stroke+) and nonstroke patients (stroke-). We collected sociodemographic and clinical data using a preestablished questionnaire. Erectile function was assessed using International Index of Erectile Function (IIEF-5). Associated and predictive factors were determined using univariate and multivariate analyses. Results were significant for a p value < 0.05. Results. A total of 269 patients were included, among them 87 stroke+ (32.34%) and 182 stroke- (67.66%) (controlled group). The mean age was 56.37 ± 12.89 years and 57.18 ± 10.24 years of stroke+ and stroke-, respectively ( p = 0.608 ). Prevalence of poststroke ED was 64.4% ( OR = 3.41 , 95% CI: 1.99-5.82, p < 0.001 ). The average time of occurrence of the poststroke ED was 5 ± 5.85 months. Diabetes and dyslipidemia were the predictive factors of occurrence of poststroke ED. Depression was found both in stroke+ with ED and stroke+ without ED with no difference ( p = 0.131 ). Conclusion. About two-thirds of stroke patients developed ED. Diabetes and dyslipidemia were predictive factors of ED in stroke patients.


2021 ◽  
Vol 1 (1) ◽  
pp. 71
Author(s):  
Marcella Erwina Rumawas

Indonesia mengalami transisi demografis menuju struktur penduduk tua yang tidak hanya berdampak pada bidang kesehatan, namun juga pada berbagai aspek kehidupan. Kompleksitas proses penuaan dan kerentanan lansia menderita beberapa penyakit kronik, menyebabkan konsep “sakit vs sembuh” maupun indikator angka kesakitan sulit mencerminkan status kesehatan dan keberhasilan program kesehatan lansia. Walaupun digunakan untuk mengevaluasi keberhasilan terapi pada pasien dengan penyakit kronis tertentu, namun penggunaan pengukuran kualitas hidup sebagai indikator status kesehatan komprehensif pada masyarakat lansia masih sangat terbatas.  Mini survei deskriptif potong lintang ini adalah studi percontohan, dilakukan untuk memberikan gambaran preliminari perbandingan hasil penilaian kualitas hidup dengan penilaian kesehatan secara umum, dan keterkaitan antar aspek-aspek kehidupan lansia.  Sebanyak 28 responden lansia di Jakarta Barat, direkrut dengan metode convenient, mengisi kuesioner kualitas hidup lansia secara daring.  Dari 28 responden, 57,1% menilai tingkat kualitas hidupnya baik (skor 4), rerata skor tertinggi pada aspek spiritual (81,9), sedangkan rerata skor terendah pada aspek kesehatan fisik (64,7).  Didapatkan kecenderungan hasil penilaian tingkat kualitas hidup lebih baik (skor lebih tinggi) daripada tingkat kesehatan secara umum. Aspek kesehatan fisik menunjukkan korelasi paling kuat dengan aspek kesehatan mental (r=0,84; p<0,001), dan diikuti dengan aspek lingkungan (r=0,75; p<0,001).  Pengukuran kualitas hidup diharapkan dapat memberikan pemahaman komprehensif tentang status kesehatan lansia. Indonesia is undergoing a demographic transition towards an older population structure, which not only impacts on the health sector, but also on various aspects of life.  The complexity of the aging process and the vulnerability of the elderly to suffer from several chronic diseases, make the concept of "sick vs cured" and indicator of morbidity difficult to reflect the health status and the success of elderly’s health programs. Although it is used to evaluate the success of therapy in patients with certain chronic diseases, the use of quality of life as an indicator of comprehensive health status in the elderly community is still very limited. This cross-sectional descriptive mini survey was a pilot study, conducted to provide a preliminary description comparing the results between the quality of life and general health assessments, and the correlation between lives’s aspects of the elderly. A total of 28 elderly respondents in West Jakarta conveniently recruited, filled out an online quality of life questionnaire. Of the 28 respondents, 57.1% rated their quality of life as good (score 4), the spiritual aspect recevied the highest average score (81.9), whilst the physical health aspect received the lowest average score (64.7). There is a tendency for the quality of life level to be better (higher score) than the general health level.  Physical health aspects showed the strongest correlation with mental health aspects (r=0.84; p<0.001), followed by environmental aspects (r=0.75; p<0.001). Measuring the quality of life is expected to provide a comprehensive understanding of the elderly’s health status.


e-CliniC ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Sitti Qamariah

Abstract: the increasing age of the life expectancy of women led to an increased number of women in Indonesia. There is a major problem confronting the elderly woman is menopause. On menopausal women will develop a variety of complaints. Complaints arising in menopausal women is a result of lack of estrogen, the hormone treatment by administering hormone is also known as Hormone Replacement Therapy Dubbed. The above things that encourage writers to research about the quality of life of menopausal women who use Hormone Replacement Therapy Dubbed rated with MENQOL (The Menopause Specific Quality of Life Questionnaire) was General Hospital Prof. Dr. r. d. Kandou Manado. This research is a descriptive cross sectional design using a MENQOL questionnaire consists of four domains, namely vasomotor menopausal symptoms, psychosocial, physical and sexual abuse. This research was conducted on menopausal women who use hormone therapy in English was Prof. Dr. R.D. Kandou Manado in November 2012. Of the 19 Research Subjects, obtained 52,63% experienced disruption of quality of life. Based on the symptoms, physical disorder group is the largest intrusion on the natural subjects of 84,21%. There was 52,63% of women who use Hormone Replacement Therapy in English was General Hospital Prof. Dr. R. D. Kandou Manado still experiencing disruption of quality of life based on measurement results using MENQOL.Keywords: Quality of life, menopause, hormone replacement therapy, MENQOLAbstrak: Meningkatnya usia harapan hidup wanita Indonesia menyebabkan peningkatan jumlah wanita lanjut usia. Ada masalah pokok yang dihadapi wanita lanjut usia yaitu menopause. Pada wanita menopause akan timbul berbagai keluhan. Keluhan yang timbul pada wanita menopause adalah akibat dari kekurangan hormone estrogen, maka pengobatannya pun adalah dengan pemberian hormone pengganti yang dikenal dengan Terapi Sulih Hormon. Hal-hal diatas yang mendorong penulis untuk meneliti tentang kualitas hidup wanita menopause yang menggunakan Terapi Sulih Hormon dinilai dengan MENQOL (The Menopause Spesific Quality of Life Questionnaire) di RSU Prof. DR. R. D. Kandou Manado. Penelitian ini bersifat deskriptif dengan desain cross sectional menggunakan kuesioner MENQOL yang terdiri dari empat domain gejala menopause yaitu vasomotor, psikososial, fisik dan seksual. Penelitian ini dilakukan pada wanita menopause yang menggunakan terapi sulih hormon di RSU Prof. DR. R.D. Kandou Manado pada bulan November 2012. Dari 19 Subyek Penelitian, didapatkan 52,63% mengalami gangguan kualitas hidup. Berdasarkan kelompok gejala, gangguan fisik merupakan gangguan terbanyak yang di alami subyek 84,21%. Terdapat 52,63% Wanita yang menggunakan terapi sulih hormon di RSU Prof. Dr. R. D. Kandou Manado masih mengalami gangguan kualitas hidup berdasarkan hasil pengukuran menggunakan MENQOL.Kata Kunci : Kualitas hidup, wanita menopause, Terapi Sulih Hormon, MENQOL


Author(s):  
Jeando Khan Daidano ◽  
Amir Shahzad ◽  
Awais Basheer Larik ◽  
Haresh Kumar ◽  
Safdar Ali Parvez Tunio ◽  
...  

Objective: In this study we will determine risk and frequency of the depression in stroke patients associated with quality of life. Methodology: Study duration was from January 2020 to December 2020. An observational Cross Sectional Study was conducted on 105 patients. Study conducted in Medical units PUMHS Hospital Nawabshah. After the consent of patient, Detailed history, complete CNS examination CT Scan Brain was done. Data were analyzed by using SPSS 15 version Depression was assessed by instrument beck depression inventory. Results: Age ranged from 48-68 years, 58 males, 48 females, Education of the patient 66 were uneducated, 17 primary pass and 22 middle pass. occupation of the patient 41 were unemployed, 40 were housewife and 24 were self employed. Depression level was 20 patients with borderline depression, 59 with moderate depression and 26 with severe depression. Conclusion: Post stroke depression is major problem after survival. Proper Treatment of stroke and depression can be prevented from complications and quality of life can be improved. Antidepressant drugs after acute stroke cognitive function can be improved with decreased mortality. 


2019 ◽  
Vol 8 (2) ◽  
pp. 172-176
Author(s):  
Heri Saputro ◽  
Mariana Ina Camo ◽  
Budi Suraksono

The study design was cross-sectional descriptive correlative approach. Data collection tool is a questionnaire guide. Sample of 35 respondents using accidental sampling technique. The independent variable in this study is the family support and the dependent variable quality of life of patients with post-stroke. The results showed 16 respondents, or 45.8% of respondents received sufficient family support. Respondents who have a sufficient quality of life amounted to 15 respondents or 42.7%. By Spearman Rho obtained significance value (p value = 0.00) <(α = 0.05), which proved to be no family support relationships with the quality of life of the elderly after a stroke. Post-stroke patients have problems of physical health, psychological, level of dependence, social relationships, environment and personal beliefs. Therefore, they need emotional support, awards, instrumental and information, especially of the family as the people closest to them thus improving patient quality of life after stroke


2020 ◽  
Vol 8 ◽  
pp. 205031212097350
Author(s):  
Fahad Mohammed Shaikhan ◽  
Mohamed M Makhlouf

Introduction: Chronic paediatric diseases, as bronchial asthma, affect the quality of life, which can be defined as the ability to preserve personal well-being despite sickness. These diseases have a huge impact on the quality of life of both the children, their parents and or caregivers. Methodology: A cross-sectional study using convenient sampling was conducted in the paediatric pulmonology clinics at Hamad General Hospital in Qatar aiming to evaluate the quality of life among caregivers of asthmatic children. The quality of life of caregivers was assessed using the standard Paediatric Asthma Caregiver Quality of Life questionnaire. Depression and asthma control were assessed using the Beck Depression Inventory; second edition and the Paediatric Asthma Control and Communication Instrument, respectively. Results: Total number of the caregivers was 330. Majority of the asthmatic children had controlled or partially controlled asthma (47% and 44%, respectively). Most of the caregivers had either very good or good quality of life (63% and 31%, respectively). Mean quality of life score was 5.55 ± 1.14. Males, married and father caregivers had significantly higher mean quality of life. In addition, gender, getting bothered about child’s asthma, asthma control score and depression score were significant predictors of quality of life among the caregivers. Conclusion: Most of the caregivers had either very good or good quality of life. Being a female, degree of asthma control and depression were important determinants of the quality of life of the caregivers. Provision of needed support to caregivers and effective approach to controlling asthma are recommended to improve the quality of life of caregivers.


2021 ◽  
Vol 24 (3) ◽  
pp. 165-172
Author(s):  
Gitalia Putri Medea ◽  
Elly Nurachmah ◽  
Muhamad Adam

The quality of life (QOL) of post-stroke patients can be assessed from the reports of patients themselves obtained through a structured interview or a questionnaire. However, some individuals are unable to comprehensively describe their QOL because of language disorders, cognitive effects caused by stroke, or pre-existing conditions. This study aims to identify differences in post-stroke QOL perception between patients and caregivers. A cross-sectional design involving 115 stroke patients and 115 caregivers was adopted, and Mann–Whitney test was used for statistical analysis. Results showed no significant difference in QOL perception (p = 0.166; α < 0.05), particularly in the physical (p = 0.278; α < 0.05), psychological (p = 0.068; α < 0.05), social relationship (p = 0.976; α < 0.05), and environmental (p = 0.157; α < 0.05) domains between patients and caregivers. Therefore, information from caregivers can be used to assess QOL when patients are incapable of reporting their condition. AbstrakKualitas Hidup Pasca Stroke yang Dipersepsikan oleh Pasien dan Caregiver. Kualitas hidup pasien pasca stroke dapat diketahui berdasarkan laporan dari pasien stroke dengan wawancara terstruktur atau dengan pengisian kuesioner. Namun, beberapa dari pasien stroke tidak dapat menggambarkan kualitas hidup mereka karena adanya gangguan bahasa dan efek kognitif lainnya akibat stroke atau kondisi yang sudah ada sebelumnya. Penelitian ini bertujuan mengidentifikasi perbedaan persepsi kualitas hidup antara perspektif pasien pasca stroke dan  caregiver. Penelitian ini menggunakan desain cross sectional yang melibatkan 115 pasien dan 115 caregiver dengan menggunakan analisis statistik Mann Whitney. Hasil analisis menunjukkan tidak terdapat perbedaan secara signifikan antara persepsi kualitas hidup dari pasien dan caregiver (p = 0,166 ; α < 0,05), khususnya pada domain fisik (p = 0,278; α < 0,05), psikologis (p = 0,068; α < 0,05), hubungan sosial (p = 0,976; α < 0,05), dan lingkungan (p = 0.157; α < 0,05) dari kualitas hidup yang dipersepsikan oleh pasien dan yang dipersepsikan oleh caregiver. Informasi dari caregiver dapat digunakan saat pasien tidak dapat memberikan informasi terkait kualitas hidupnya.Kata Kunci: caregiver, kualitas hidup, persepsi, stroke


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