KUALITAS HIDUP PASIEN STROKE DI POLIKLINIK RAWAT JALAN RUMAH SAKIT SWASTA YOGYAKARTA

2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life

2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension. Keywords: Hemorrhagic stroke, ischemic stroke, quality of life


2019 ◽  
Vol 5 (2) ◽  
pp. 107
Author(s):  
Suwanti Suwanti ◽  
Abdul Wakhid ◽  
Taufikurrahman Taufikurrahman

Kualitas hidup merupakan keadaan dimana seseorang mendapatkan kepuasan atau kenikmatan dalam kehidupan sehari-hari. Indikator dari kualitas hidup diantaranya yaitu, dimensi kesehatan fisik, dimensi kesejahteran pisikologis, dimensi hubungan sosial, dan dimensi kesehatan lingkungan. Tujuan penelitian untuk mengetahui gambaran kualitas hidup pada pasien gagal ginjal kronis yang menjalani terapi hemodialisa di RSUD Ambarawa. Metode penelitian menggunakan metode deskriptif dengan populasi81 respondendan jumlah sampel 41 responden diambil menggunakan metode accidental sampling. Alat pengambilan data menggunakan skala kualitas hidup dari WHOQOL-BREF. Analisa data menggunakan analisis univariat. Hasil penelitian didapatkan gambaran kualitas hidup pasien gagal ginjal kronik dilihat dari dimensi kesehatan fisik memiliki kualitas hidup buruk, yaitu sebanyak 23 orang (56,1%). Dimensi kesehatan psikologi memiliki kualitas hidup buruk, yaitu sebanyak 24 orang (58,5%). Dimensi hubungan sosial memiliki kualitas hidup baik, yaitu sebanyak 21 orang (51, 2%). Dimensi lingkungan memiliki kualitas hidup baik, yaitu sebanyak 22 orang (53,7. Gambaran kualitas hidup pasien gagal ginjal yang menjalani hemodialisa memiliki kualitas hidup buruk sebanyak 25 orang (61,0%), sedangkan 16 orang responden (39, 0%) memiliki kualitas hidupbaik. Keluarga lebih mengetahui pentingnya dukungan dan motivasi keluarga maupun kerabat selama terapi hemodialisa sehingga dapat meningkatkan harapan dan kualitas hidup pasien yang lebih tinggi. Kata kunci: kualitas hidup, gagal ginjal kronik, hemodialisa DESCRIPTION OF LIFE QUALITY OF THE PATIENTS SUFFERING FROM CHRONIC RENAL FAILURE WHO WENT UNDERHEMODIALYSIS ABSTRACTQuality of life is a codition where a person gainssatisfaction or enjoyment in everyday life. The indicators of the quality of life, are dimension of physical health, dimension of psychological, social dimension, dimension of environmental health. The aim of the study to knowthe description of life quality of the patients suffering from chronic renal failure who went underhemodialysis inAmbarawa General Hospital. Method of the study used a descriptive method with population 81 respondent and 41 respondents as the samples taken by using accidental sampling method. The data collecting tool used the life quality scale of WHOQOL-BREF. Data analysis used SPSS version 23. 0. Finding of the study the description of the quality of life of patients with chronic renal failure seen from the physical health dimension had a poor quality of life, as many as 23 people (56.1%). Thedimension of psychology health had a poor quality of life, namely as many as 24 people (58.5%). The dimensions of social relations have a good quality of life, as many at 21 people (51.2%). The environmental dimension has a good quality of life, as many at 22 people (53.7%). The description of the quality of life of patients suffering from chronic renal failure undergoing hemodialysis have a poor quality of life of 25 people (61.0%). It is hoped that the family will be more aware about the importance of family support and motivation during hemodialyisistherapy so that it can improve the quality of life for the patients. Keywords: Quality of life, chronic renal failure, hemodialysis


2018 ◽  
Vol 3 (3) ◽  
pp. 237-245 ◽  
Author(s):  
Benjamin Hotter ◽  
Inken Padberg ◽  
Andrea Liebenau ◽  
Petra Knispel ◽  
Sabine Heel ◽  
...  

Introduction Detailed data on the long-term consequences and treatment of stroke are scarce. We aimed to assess the needs and disease burden of community-dwelling stroke patients and their carers and to compare their treatment to evidence-based guidelines by a stroke neurologist. Methods We invited long-term stroke patients from two previous acute clinical studies ( n = 516) in Berlin, Germany to participate in an observational, cross-sectional study. Participants underwent a comprehensive interview and examination using the Post-Stroke Checklist and validated standard measures of: self-reported needs, quality of life, overall outcome, spasticity, pain, aphasia, cognition, depression, secondary prevention, social needs and caregiver burden. Results Fifty-seven participants (median initial National Institutes of Health Stroke Scale score 10 interquartile range 4–12.75) consented to assessment (median 41 months (interquartile range 36–50) after stroke. Modified Rankin Scale was 2 (median; interquartile range 1–3), EuroQoL index value was 0.81 (median; interquartile range 0.70–1.00). The frequencies for disabilities in the major domains were: spasticity 35%; cognition 61%; depression 20%; medication non-compliance 14%. Spasticity ( p = 0.008) and social needs ( p < 0.001) had the strongest impact on quality of life. The corresponding items in the Post-Stroke Checklist were predictive for low mood ( p < 0.001), impaired cognition ( p = 0.015), social needs ( p = 0.005) and caregiver burden ( p = 0.031). In the comprehensive interview, we identified the following needs: medical review (30%), optimization of pharmacotherapy (18%), outpatient therapy (47%) and social work input (33%). Conclusion These results suggest significant unmet needs and gaps in health and social care in long-term stroke patients. Further research to develop a comprehensive model for managing stroke aftercare is warranted. Clinical Trial Registration: clinicaltrials.gov NCT02320994.


2009 ◽  
Vol 285 ◽  
pp. S117
Author(s):  
M. Sieminski ◽  
K. Chwojnicki ◽  
A. Ossowska ◽  
L. Wierucki ◽  
T. Zdrojewski ◽  
...  

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.


2015 ◽  
Vol 61 (2) ◽  
pp. 142-147 ◽  
Author(s):  
Zeynep Kilic ◽  
Belgin Erhan ◽  
Berrin Gunduz ◽  
Gulsun Iska Elvan

2020 ◽  
Vol 11 (04) ◽  
pp. 616-622
Author(s):  
Tarannum Ahmed ◽  
Rajesh Kumar ◽  
Yogesh Bahurupi ◽  

Abstract Background Stroke is one of the most debilitating conditions contributing to significant disability and death globally. Identifying risk factors for quality of life (QoL) will enable to improve home-based rehabilitation in post-stroke phase. Objective This study was aimed to identify the risk factors of QoL in stroke patients in the sub-Himalayan region. Materials and Methods A cross-sectional hospital-based study assessed the QoL among stroke patients within a week after the onset of acute stroke and then re-evaluated at 3 months. World Health Organization QoL-BREF, Beck Depression Inventory, the Barthel Index, and Montreal Cognitive Assessment (MOCA) were used to seek data on QoL, depression, cognitive, and functional dependence status, respectively. Appropriate statistics were used to compute the results. Results In total, 129 stroke patients recruited, out of which 102 returned to a 3-month follow-up. QoL, MOCA, disability index, and depression score were compared using Wilcoxon Singed-rank test. In multivariate analysis, depression and disability together predicted 60% of the variance for physical QoL (p < 0.0001). Similarly, poststroke depression and disability together predicted 61% of the variance for psychological QoL (p < 0.0001) in stroke patients. Conclusion Findings indicated that depression and disability are leading risk factors of QoL in stroke patients. Early identification of poststroke depression and functional dependence status is, therefore, essential to devise screening procedure and to develop targeted intervention to improve rehabilitation outcomes.


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