scholarly journals HUBUNGAN ANTARA KUALITAS TIDUR DENGAN KEPARAHAN STROKE

e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Sekplin A. S. Sekeon ◽  
Mieke A. H. N. Kembuan
Keyword(s):  
Sleep Quality ◽  
Acute Stroke ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
P Value ◽  
Poor Sleep ◽  
Stroke Patients ◽  
Chi Square ◽  
Nihss Score ◽  
Chi Square Test

Abstract: Sleep problems are commonly found in stroke patients. The risk for stroke is higher in patients with sleep disorders. Sleep-awake disorders prevalence is 20-40% among stroke patients. Sleep quality could influence the level of severity of stroke. In Indonesia, there is limited publication about the influence of sleep quality to the severity of acute stroke. This study aimed to obtain the relationship between sleep quality before stroke and the severity of acute stroke. This was a cross-sectional study. All stroke patients treated in Neurological wards were selected with inclusion and exclusion criteria. Sleep quality was measured with Pittsburgh Sleep Quality Index (PSQI). Levels of severity of acute stroke were determined with NIHSS score. Univariate data were descriptively analysed. Bivariat data were conducted to compare sleep quality (good/poor) and level of severity (mild/moderate/severe). Chi square test was applied with a p<0.05 of significancy level. The results showed that of 102 patients, the average age was 59.4 year (SD 11.6), age range was 28-87 years old. Male patients were 55% of all cases. The average of GCS score was 13.31 (SD 2.6). Based on PSQI criteria, we found 21.8% of patients with good sleep quality and 78.2% with poor sleep quality. Based on NIHSS score we found 25.5% of patients with mild, 58.8% with moderate, and 15.7% with severe disability. The chi-square test showed a p value 0.762 (>0.05). Conclusion: There was no significant relationship between sleep quality and the severity of acute stroke.Keywords: sleep quality, NIHSS, acute strokeAbstrak: Stroke merupakan masalah besar bagi kesehatan masyarakat. Risiko terkena stroke lebih besar terjadi pada pasien dengan gangguan tidur. Prevalensi gangguan tidur-bangun dilaporkan sebesar 20-40% pada pasien yang terkena stroke. Kualitas tidur memengaruhi keparahan dan prognosis stroke. Di Indonesia, masih sedikit data yang dipublikasi mengenai pengaruh kualitas tidur terhadap keparahan stroke akut. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas tidur sebelum stroke dengan tingkat keparahan stroke akut. Desain penelitian ini ialah potong lintang. Seluruh pasien yang dirawat di seluruh ruang Neurologi dijadikan subyek penelitian dengan kriteria inklusi dan eksklusi. Kualitas tidur diukur dengan Pittsburgh Sleep Quality Index (PSQI). Tingkat keparahan stroke akut dinilai dengan skor NIHSS. Metode statistik deskriptif dikerjakan pada data-data univariat. Analisis bivariat dilakukan untuk mendapatkan hubungan kualitas tidur (baik/buruk) dengan derajat defisit neurologi (ringan/sedang/berat). Digunakan uji Chi square dengan acuan signifikansi p<0.05. Hasil penelitian memperlihatkan rerata usia pasien 59,46 tahun (SD 11,6) dengan kisaran usia 28-87 tahun. Pasien laki-laki ditemukan sebesar 55%. Rerata GCS 13,31 (SD 2.6). Pada pengukuran kualitas tidur menurut kriteria PSQI didapatkan kualitas tidur baik sebesar 21,8% dan kualitas tidur buruk sebesar 78,2%. Berdasarkan derajat defisit neurologik menurut nilai NIHSS didapatkan defisit neurologik ringan sebesar 25,5%, sedang 58,8%, dan berat 15,.7%. Uji Chi-square menunjukkan nilai p 0,762 (>0.05). Simpulan: Tidak ditemukan hubungan bermakna antara kualitas tidur sebelum stroke dengan tingkat keparahan stroke akut.Kata kunci: kualitas tidur, NIHSS, stroke akut

scholarly journals Clinical Efficacy of a New Robot-assisted Gait Training System for Acute Stroke Patients

2021 ◽  
Author(s):  
Andy Chien ◽  
Fei-Chun Chang ◽  
Nai-Hsin Meng ◽  
Pei-Yu Yang ◽  
Ching Huang ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Acute Stroke ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Gait Training ◽  
Training System ◽  
Control Group ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Significant Difference

Abstract Purpose Robot-assisted gait rehabilitation has been proposed as a plausible supplementary rehabilitation strategy in stroke rehabilitation in the last decade. However, its exact benefit over traditional rehabilitation remain sparse and unclear. It is therefore the purpose of the current study to comparatively investigate the clinical benefits of the additional robot-assisted training in acute stroke patients compared to standard hospital rehabilitation alone. Methods Ninety acute stroke patients (< 3 month) were recruited. All participants received the standard hospital neurorehabilitation comprises 45–60 min sessions daily for 3 weeks. Sixty patients also received an additional 30 min of robot-assisted gait training with the HIWIN MRG-P100 gait training system after each of the standard neurorehabilitation session. Outcome measures included: 1. Berg Balance Scale (BBS); 2. Brunnstrom Stage; 3. Pittsburgh Sleep Quality Index and 4. Taiwanese Depression Questionnaire (TDQ) which were assessed pre-treatment and then after every five training sessions. Results Both groups demonstrated significant improvement pre- and post-treatment for the BBS (robotic group p = 0.023; control group p = 0.033) but no significant difference (p > 0.1) between the groups were found. However, the robotic training group had more participants demonstrating larger BBS points of improvement as well as greater Brunnstrom stage of improvement, when compared to the control group. No significant within and between group statistical differences (p > 0.3) were found for Pittsburgh Sleep Quality Index and Taiwanese Depression Questionnaire. Conclusion The addition of robotic gait training on top of standard hospital neurorehabilitation for acute stroke patients appear to produce a slightly greater improvement in clinical functional outcomes, which is not transferred to psychological status.

scholarly journals Hubungan tingkat kecemasan dengan kualitas tidur pada ibu hamil irimester III di Socokangsi Jatinom Klaten

2019 ◽  
Vol 3 (1) ◽  
pp. 27-32
Author(s):  
Piscolia Dynamurti Wintoro ◽  
Wiwin Rohmawati ◽  
Ana Sulistyowati
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Rating Scale ◽  
Pittsburgh Sleep Quality Index ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Hamilton Rating Scale

Latar Belakang: Seorang ibu hamil biasa mengalami kecemasan. Pada TM III kecemasan disebabkan oleh kekhawatiran menghadapi persalinan dan apakah bayinya lahir normal atau cacat. Kecemasan meningkatkan kadar norepinefrin dalam darah melalui stimulasi sistem saraf simpatis. Perubahan kimia ini menyebabkan kurangnya waktu tidur tahap IV NREM dan tidur REM serta lebih banyak perubahan dalam tahap tidur lain dan lebih sering terbangun. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat kecemasan dengan kualitas tidur pada ibu hamil trimester III di BPM Siti Sujalmi Socokangsi Jatinom. Metode: Desain penelitian deskriptif korelasional dengan pendekatan cross sectional. Populasi penelitian ini ibu hamil trimester III di BPM Siti Sujalmi Socokangsi Jatinom, sebanyak 40 responden dengan teknik total sampling. Alat pengambilan data menggunakan kuesioner Hamilton Rating Scale For Anxiety (HRS-A) untuk mengukur tingkat kecemasan dan Pittsburgh Sleep Quality Index (PSQI) untuk mengukur kualitas tidur. Analisis data yang digunakan chi square. Hasil : Penelitian ini menunjukkan ada hubungan tingkat kecemasan dengan kualitas tidur pada ibu hamil trimester III di BPM Siti Sujalmi Socokangsi dengan P value sebesar 0,021. Simpulan : Ibu hamil trimester III dapat memperbaiki kualitas tidur dengan mengurangi aktivitas dan istirahat yang cukup, perasaan cemas dengan cara relaksasi, senam ibu hamil, dan yoga.

HUBUNGAN PELAKSANAAN SCREENING TEST MENELAN DENGAN KEJADIAN DISFAGIA PADA PASIEN BARU YANG MENDERITA STROKE AKUT

2017 ◽  
Vol 4 (2) ◽  
pp. 47-53
Author(s):  
Muhammad Arif
Keyword(s):  
Acute Stroke ◽  
Screening Test ◽  
P Value ◽  
Stroke Patients ◽  
Test Procedures ◽  
Chi Square ◽  
Chi Square Test ◽  
Relationship Of ◽  
The Relationship ◽  
Test Result

According to the NINDS 2015, States that a stroke occurs when the blood supply to brain fails suddenly interrupted due to a blockage or rupture of blood vessels were. Basic Health Research results that show an increase in the prevalence of stroke symptoms in Indonesia increased from 8.3 at 1000 in 2007 to 12.1 and at 1000 in 2013. One of the problems that arise due to stroke is a disorder of swallowing or dysphagia. According to the World Stroke Academy Learning Moduls in 2012 the prevalence of dysphagia in stroke sufferers range from 36 to 67%. In the year 2016 in RSSN dysphagia in stroke patients 22,94%. For early detection of dysphagia screening test required to swallow as a first step in identifying the risks due to dysphagia and aspiration in stroke patients. The purpose of this research is to know the relationship of the implementation of the screening test to swallow with dysphagia in acute stroke patients in the room just entered inpatient Neurology RSSN Bukittinggi in 2017. This research method using analytic, descriptive, then the data was processed using the Chi Square test. The sample in this study as many as 54 people respondents. Test result statistics retrieved value p value = 0.002 (p < α) then it can be inferred the existence of a relationship between the implementation of the screening test to swallow with dysphagia in acute stroke patients the new entry. Analysis of the results obtained OR = 9.281 meaning respondents who perform screening test procedures in accordance with the swallow has a chance of  9.281 times in detecting the occurrence of dysphagia. Suggestions in this study is the implementation of a screening test this swallow can be included in SPO for nurses in Bukittinggi in the room especially RSSN Neurology in detecting the onset of dysphagia in acute stroke patients.

scholarly journals Hubungan Kecemasan Dengan Kualitas Tidur Pada Mahasiswa Yang Menyusun Skripsi Di Stikes Surya Global Yogyakarta

2021 ◽  
Vol 6 (2) ◽  
pp. 129
Author(s):  
Arita Murwani ◽  
Husna Sri Utari
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Anxiety Scale ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Latar belakang : Kecemasan merupakan hal yang dialami oleh semua orang ketika mereka merasakan hal yang mengancam mereka, kecemasan sudah dianggap sebagai bagian dari kehidupan sehari-hari. Kualitas tidur adalah ukuran dimana seseorang itu dapat kemudahan dalam memulai tidur dan untuk mempertahankan tidur. Skripsi merupakan penyusunan tugas akhir mahasiswa dalam suatu proses pembelajaran yang digunakan untuk evaluasi kegiatan belajar mengajar pada suatu institusi. Kendala yang sering dihadapi pada mahasiswa adalah menuangkan ide kedalam bahasa ilmiah dan kesulitan dengan standar tata tulis ilmiah. Kesulitan tersebut pada akhirnya dapat mengakibatkan gangguan psikologis seperti stress, rendah diri, frustrasi, kehilangan motivasi, menunda penyusunan skripsi hingga ada yang memutuskan untuk tidak menyelesaikan skripsinya. Bahkan akibatnya kesulitan yang dirasakan tersebut berkembang menjadi sikap yang negatif yang akhirnya dapat menimbulkan suatu kecemasan. Tujuan : Mengetahui hubungan kecemasan dengan kualitas tidur pada mahasiswa yang menyusun skripsi di Sekolah Tinggi Ilmu Kesehatan Surya Global Yogyakarta. Metode : Penelitian ini merupakan peneitian kuantitatif dengan design cross sectional, populasi dalam penelitian ini adalah 44 mahasiswa  keperawatan angkatan 2016  di Sekolah Tinggi Ilmu Kesehatan Surya Global Yogyakarta. Teknik pengamblan sampel dalam penelitian ini menggunakan total sampling yaitu berjumlah 44 responden . Instrumen dalam penelitian ini menggunakan Zung SelfRating Anxiety Scale (SAS/SRAS) dan Pittsburgh Sleep Quality Index (PSQI). Data dianalisis menggunakan uji chi square. Hasil : Dengan menggunakan uji chi square p-value=0,001 (p<0,05). Dari hasil tersebut menunjukan bahwa terdapat hubungan yang signifikan antara kecemasan dengan kualitas tidur. Kesimpulan : Terdapat hubungan kecemasan dengan dengan kualitas tidur pada mahasiswa yang menyusun skripsi di Sekolah Tinggi Ilmu Kesehatan Surya Global Yogyakarta.

scholarly journals The Relationship Between Gadget Usage and Adolescent Sleep Quality

2021 ◽  
Vol 4 (1) ◽  
pp. 23-27
Author(s):  
Indi Ivana ◽  
Murniati Murniati ◽  
Noor Rochmah Ida Ayu Trisno Putri
Keyword(s):  
Sleep Quality ◽  
P Value ◽  
Poor Sleep ◽  
Quality Of Sleep ◽  
Chi Square ◽  
Cross Sectional ◽  
Adolescent Sleep ◽  
Chi Square Test ◽  
The Relationship

Introduction: Adolescent are very interested in gadgets that make it easier for them to carry out various social activities. One of the problems that can arise from gadget overuse is decreased quality of sleep. The purpose of this study was to determine the relationship between gadget usage behavior and adolescent sleep quality. Methods: Cross-sectional design was used in this study. Ninety-nine respondents had chosen with a proportionate stratified random sampling. Analysis was done by Chi square test. Results: Data analysis showed that 84.8% of the respondents were categorized as gadget addiction and 80.8% of the respondents experienced poor sleep quality. The relationship between gadget usage and sleep quality was significant with a p-value of 0.0001. Conclusion: There was a relationship between gadget usage and sleep quality in adolescents, in which gadget dependency had poorer quality of sleep.

scholarly journals COMPARISON OF OUTCOMES AND COGNITIVE FUNCTION IN ACUTE STROKE PATIENTS TREATED AT THE STROKE CORNER OF H. ADAM MALIK GENERAL HOSPITAL MEDAN WITH THOSE TREATED IN WARD OF KESDAM BUKIT BARISAN HOSPITAL MEDAN

2020 ◽  
Vol 7 (8) ◽  
pp. 87-93
Keyword(s):  
Cognitive Function ◽  
Acute Stroke ◽  
General Hospital ◽  
Patient Outcomes ◽  
Primary Data ◽  
Bivariate Analysis ◽  
P Value ◽  
Stroke Patients ◽  
Chi Square ◽  
Chi Square Test

Background: Stroke is a serious neurological problem that is mostly found in the world, and cognitive impairment is often found in the first few weeks after a stroke, where disturbances in the perception and executive functions are mostly found. Aim: To find out the comparison of outcomes and cognitive function in acute stroke patients treated at the Stroke Corner of H. Adam Malik General Hospital Medan with those treated in the Ward of Kesdam Bukit Barisan Hospital Medan. Methods: This research is descriptive analytic with cross sectional data collection method with primary data source obtained from 44 patients who suffered an acute stroke and was treated at the Stroke Corner of H.Adam Malik General Hospital in Medan and Ward at Kesdam Bukit Barisan Hospital. Then MMSE and CDT were examined to assess cognitive function and NIHSS at initial and day 14 to assess patient outcomes. To assess the comparison of cognitive functions and patient outcomes, a bivariate analysis was performed. Normality test with the Komogrov-Smirnov test, then the Chi Square test was performed and was declared significant if p values <0.05 were obtained. Results: After Chi Square test, it was seen that there were significant differences in cognitive function as measured by MMSE and CDT scores between patients treated at the two hospitals with p value = 0.012 (p <0.05) and p value = 0.004 (p < 0.05), respectively. Then, with the chi square test found significant differences in patient outcomes as measured by the initial NIHSS score and day 14 with p value = 0.018 (p <0.05) and p value = 0.011 (p <0.05), respectively. Conclusions: Significant differences in cognitive function and outcome in acute stroke patients were found between treatment at Stroke Corner H. Adam Malik General Hospital Medan and Ward at Kesdam Bukit Barisan Hospital Medan.

Abstract P68: Disrupted Electrophysiological Sleep in Critically ill Stroke Patients: Does it Matter?

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Rebecca Dutta ◽  
Leslie Markun ◽  
Ajay Sampat ◽  
Kwan L Ng ◽  
Alan H Yee
Keyword(s):  
Acute Stroke ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Sleep Disturbances ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Poor Sleep ◽  
Stroke Patients ◽  
Chi Square ◽  
Chi Square Test ◽  
Ich Score

Mounting evidence suggest that poor sleep quality may impact outcome following stroke. While sleep disturbances are common among critically ill patients, little is known about sleep characteristics in neurocritical stroke patients. We examined sleep characteristics in acute stroke patients admitted to an intensive care unit (ICU) compared to those admitted for non-stroke conditions. Methods: Retrospective analysis of critically ill patients who underwent continuous electroencephalographic (cEEG) monitoring in the ICU from 2018-19. Sleep was scored based on American Academy of Sleep Medicine-defined EEG criteria. EEG and clinical characteristics [NIH Stroke Scale (NIHSS), Hunt and Hess (HH) Grade, and ICH Score] were collected. Primary outcomes were based on modified Rankin Scale (mRS) scores of which 2 or less was considered favorable. Differences were assessed using Chi-Square test. Results: 228 ICU patients underwent cEEG; mean age was 58 years (range 18-91) and 57% were male. 61 (27%) were admitted for acute stroke (16 ischemic, 17 aneurysmal subarachnoid hemorrhage (aSAH), 27 non-traumatic intracerebral hemorrhage (ICH)). The other 167 critically ill patients were admitted for medical, surgical, or non-stroke related neurological conditions. In those with stroke, mean NIHSS scores for ischemia, mean ICH Score for ICH, and mean HH for aSAH were 18.78, 2.12, and 3.36, respectively. Rates of attaining any sleep were similar between stroke (27.9%) and non-stroke patients (26.9%). 29.4% of stroke patients who achieved sleep had good outcomes compared to only 9.1% that did not (χ 2 (1)=2.79, p=0.095). In stroke patients that achieved sleep, 52.9% of patients reached Stage N1, 47.1% Stage N2 and none reached Stages N3 or REM. In the non-stroke cohort, 46.6% who achieved sleep had good outcomes compared to 26.2% who did not (χ 2 (1)=6.34, p=0.012). Of these, 37.8% reached Stage N1 sleep, 60% Stage N2, 2.22% Stage N3, and none reached Stage REM. Discussion: Critically ill stroke and non-stroke patients have disrupted electrophysiological sleep, and none reach REM stage. A trend towards improved outcome in stroke survivors was observed in those who slept. The association between sleep variability, stroke mechanism, and functional outcome needs further exploration.

scholarly journals The Relationship Between Physical Activity and Sleep Quality In Elderly

2021 ◽  
Vol 6 (1) ◽  
pp. 35-41
Author(s):  
Muh Hidayat Ashari ◽  
Yudi Hardianto ◽  
Riskah Nur Amalia
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Activity Scale ◽  
The Relationship ◽  
Physical Activity Scale

Proses menua merupakan suatu proses yang terjadi pada tubuh yang menyebabkan terjadinya penurunan berbagai fungsi tubuh, seiring semakin bertambahnya usia seseorang, akan menyebabkan bebagai perubahan pada struktur dan fungsi sel, jaringan, maupun sistem organ. Perubahan tersebut dapat menyebabkan menurunnya kekuatan otot yang berikutnya akan memengaruhi aktivitas fisik sehingga dapat menurunkan kualitas tidur seseorang. Tujuan dari penelitian ini adalah untuk mengetahui hubungan aktivitas fisik dengan kualitas tidur pada lansia di Desa Nisombali Kabupaten Maros. Penelitian ini merupakan korelasional dengan pendekatan cross-sectional. Teknik sampling yang digunakan dalam penelitian ini yakni purposive sampling sehingga diperoleh sampel 90 lansia. Subjek penelitian ini adalah lansia di Desa Nisombalia Kabupaten Maros yang berusia 60ᵗʰ keatas. Pengukuran aktivitas fisik menggunakan kuesioner Physical Activity Scale for Elderly (PASE) sedangkan pengukuran kualitas tidur menggunakan Pittsburgh Sleep Quality Index (PSQI). Berdasarkan hasil analisis uji hubungan dengan menggunakan uji Chi Square didapatkan nilai signifikansi hasil uji statistik didapatkan p-value 0,000 < 0,05 yang berarti ada hubungan antara aktivitas fisik dengan kualitas tidur pada lansia di Desa Nisombalia Kabupaten Maros.

scholarly journals Association of Vitamin-D levels with Sleep Disturbances

Esculapio ◽  
2021 ◽  
Vol 16 (4 (oct 2020 - dec 2020)) ◽  
Author(s):  
Samina Fida ◽  
Saba Saif ◽  
Hala Mansoor ◽  
Javed Iqbal
Keyword(s):  
Vitamin D ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Quality Index ◽  
Sleep Disturbances ◽  
Pittsburgh Sleep Quality Index ◽  
Vitamin D Insufficiency ◽  
P Value ◽  
Chi Square ◽  
Vitamin D Levels

Objective: Vitamin-D insufficiency and sleep disturbance, both are common problems worldwide and much more common in our part of world. Two problems are associated with each other, which make the situation worse especially locally where over the counter use of even sedatives is common. Vitamin D levels and sleep quality index has been measured and association recorded in our study. Methods: This cross-sectional analytic study was conducted in Division of Medicine, CMH Lahore from 5th April 2019 to 5th Sep 2019. A total of 106 patients presenting to medicine OPD with symptoms of Vitamin-D insufficiency& low Vitamin-D levels were included in the study. PSQI score was calculated. Post treatment follow up Vitamin-D levels and Pittsburgh Sleep Quality Index score were recorded. Data was entered and analyzed by using spss software version 20. Results: Following 106 patients presenting to medical OPDs with Vitamin-D insufficiency, Mean Vitamin-D levels at first visit were ±20.30 with standard deviation of ±13.14 (CI 95%) , PSQI score in first visit was 7(SD±2.66, CI 95%) Mean Vitamin-D levels in second visit after treatment was 83.5(SD±20, CI 95%). PSQI score mean 3.1(SD 1.8, CI 95%). Odds ratio of 3.9(95% CI: 1.20, 12.7), Chi-Square 5.62 with p value .018 was found in first visit and 8.3 (95% CI: 3.15, 22.0) ,Chi-Square 20.9 with p value <.001 for second visit indicating significant association of Vitamin-D deficiency with poor sleep score. Conclusion: Sleep disturbance is associated with low Vitamin-D levels depicting as high Pittsburgh score whereas score decreases with increasing Vitamin-D levels. Key Words: Pittsburgh Sleep Quality Index (PSQI), Vitamin D levels (Vitamin-D level), Sleep disturbances How to Cite: Fida S, Saif S, Mansoor H, Iqbal J. Association of Vitamins D level with Sleep disturbances. Esculapio.2021;16(1):105-109.

scholarly journals Hubungan Dukungan Keluarga dengan Tingkat Harga Diri pada Penderita Stroke di Rumah Sakit Umum Royal Prima Medan

2020 ◽  
Vol 4 (2) ◽  
pp. 66
Author(s):  
Yusmawarnita Zai ◽  
Kandrinus Bu’ulolo ◽  
Novy Fajariani ◽  
Yasozatulo Hulu ◽  
Ruslan Efendi Gulo ◽  
...  
Keyword(s):  
Family Support ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
P Value ◽  
Stroke Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Study Approach ◽  
Chi Square Test ◽  
Relationship Of

Stroke is a condition where a part of the brain is suddenly disturbed which is caused by a lack of blood supply, which causes an inhibition of metabolic processes. As a result of a stroke affects the psychological function of the patient, so the patient feels his level of self-esteem decreases or is low. The role and support of families play an important role in the rehabilitation process to provide health services for stroke patients. The aim is to find out the relationship of family support with the level of self esteem (self-esteem) in stroke patients at the Royal Prima Medan Hospital in 2019. The design used a "cross sectional study" approach with a population of 2,690 people. Samples were stroke patients at RSU Royal Prima medan, as many as 25 respondents using accidental sampling techniques and questionnaires as research instruments. The test used is the chi-square test. The results of the study Based on the chi-square test found p value (<0.05) statistically shows that there is a relationship between family support and the level of self esteem (self-esteem) in stroke patients specifically there is a relationship between informational support (p-value = 0.009), assessment support (p-value = 0.003), Instrumental support is obtained (p-value = 0.009), Emotional support (p-value = 0.004) with the level of self esteem (self-esteem) in stroke patients. This research shows that good family support will positively impact the level of self esteem (self-esteem) in stroke patients.

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