scholarly journals HUBUNGAN DISFAGIA DAN PENURUNAN KESADARAN TERHADAP PNEUMONIA ASPIRASI PADA PASIEN STROKE RS ATMA JAYA

2018 ◽  
Vol 36 (1) ◽  
Author(s):  
Michael Nathaniel Budiarso ◽  
Linda Suryakusuma ◽  
Luse Luse ◽  
Vetinly Vetinly
Keyword(s):  
Aspiration Pneumonia ◽  
Stroke Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Altered Level ◽  
Stroke Registry ◽  
Level Of Consciousness ◽  
Chi Square Test ◽  
Life Habits ◽  
Risk Of Aspiration

   THE CORRELATION BETWEEN DISHAGIA AND ALTERED LEVEL OF CONSCIOUSNESS WITH ASPIRATION PNEUMONIA IN STROKE PATIENTS AT ATMA JAYA HOSPITALABSTRACTIntroduction: Approximately 40-96% of stroke patients will develop complications; the most frequent is pneumonia (33%). This is due to the underlying clinical manifestation of stroke such as dysphagia, immobilization, altered level of consciousness, and immune suppression which increases the risk of aspiration, therefore increases the risk for aspiration pneumonia. Early detection of aspiration pneumonia and its risk factors in stroke patients are essential, but the number of researches regarding this in Indonesia is still limited.Aims: To study the correlation between dysphagia and altered level of consciousness in stroke patients with aspiration pneumonia in Atma Jaya Hospital, Jakarta.Methods: This is a retrospective cohort research with a cross sectional approach towards 263 stroke patients in Atma Jaya Hospital, February 2016 until October 2017. Data was taken from the stroke registry and medical records, and analized with Chi-square test (α=0.05).Results: The incidence for aspiration pneumonia was 16% in the study population, most of which being male (57.8%), age <65 years old (79.5%), and length of education <9 years (71.5%). Age >65, dysphagia and altered level of consciousness were statistically significant with Odds ratio (OR) 2.26, 3.92, and 8.67, respectively.Discussion: Male, age <65 years old, and length of education <9 years were correlated with poor daily life habits which increases the risk of getting a stroke. Age >65 years old, dysphagia and altered level of consciousness can disturb the coordination and swallowing reflex which makes patients more vulnerable to aspiration and develop aspiration pneumonia.Keywords: Altered level of consciousness, aspiration pneumonia, dysphagia, strokeABSTRAKPendahuluan: Sebanyak 40-96% pasien stroke akan mengalami komplikasi, terutama pneumonia (33%). Hal ini dimungkinkan oleh adanya kecenderungan disfagia, imobilitas, penurunan kesadaran, dan supresi imunitas yang mempermudah terjadinya aspirasi hingga terjadi pneumonia aspirasi. Deteksi awal faktor risiko pneumonia aspirasi pada pasien stroke sangat penting, namun penelitiannya masih terbatas di Indonesia.Tujuan: Mengetahui hubungan antara disfagia dan penurunan kesadaran terhadap kejadian pneumonia aspirasi pada pasien stroke di RS Atma Jaya, Jakarta.Metode: Penelitian kohort retrospektif dengan pendekatan potong lintang terhadap 263 pasien stroke di RS Atma Jaya. Penelitian dilakukan mulai Februari 2016-Oktober 2017. Data diperoleh melalui data register stroke dan rekam medis. Analisis dilakukan menggunakan uji Chi-square dengan nilai α=0,05.Hasil: Insiden pneumonia aspirasi pada pasien stroke adalah 16%. Didapatkan mayoritas populasi laki-laki (57,8%) berusia <65 tahun (79,5%), dan berpendidikan <9 tahun (71,5%). Usia >65 tahun, disfagia, dan penurunan kesadaran memiliki hubungan yang bermakna secara statistik terhadap kejadian pneumonia aspirasi dengan rasio Odds (RO) 2,26, 3,92, dan 8,67 kali lipat.Diskusi: Laki-laki, usia <65 tahun, dan pendidikan <9 tahun berkaitan dengan pola kesehatan hidup buruk yang meningkatkan faktor risiko terjadinya stroke. Usia >65 tahun, disfagia, dan penurunan kesadaran dapat mengganggu koordinasi dan refleks menelan, sehingga pasien stroke lebih rentan terjadi aspirasi dan mengalami pneumonia aspirasi.Kata kunci:  Disfagia, penurunan kesadaran, pneumonia aspirasi, stroke

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.

scholarly journals Pneumonia risk factors in stroke patients

Revista CEFAC ◽  
2020 ◽  
Vol 22 (6) ◽  
Author(s):  
Paulo Mateus Madureira Soares Mariano ◽  
Mateus de Sousa Rodrigues ◽  
Leonardo Fernandes e Santana ◽  
Manoel Pereira Guimarães ◽  
Paulo Adriano Schwingel ◽  
...  
Keyword(s):  
Univariate Analysis ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Older Age ◽  
Stroke Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Stroke Registry ◽  
Post Stroke

ABSTRACT Purpose: to assess the demographic and clinical characteristics associated with the development of pneumonia in post-stroke patients hospitalized in a tertiary hospital, located in the Vale do São Francisco, that covers the states of Pernambuco and Bahia, Brazil. Methods: a unicentric, observational, analytical, cross-sectional study, based on the medical records of patients diagnosed with stroke and included in the Stroke Registry (RAVESS study). The statistical analysis was made with the chi-square test, Fisher’s exact test, and the analysis of variance, with the Bonferroni’s post-test, and P≤0.05. Results: data from 69 patients presented with acute stroke were collected, aged 63.2±16.8 years; 37 (53.6%) were females; the prevalence of pneumonia during hospital stay was estimated at 31.9% (95% confidence interval: 21.2-44.2%). In the univariate analysis of predictors for post-stroke pneumonia, the following were identified: older age (72.6±17.9 vs. 58.8±14.5; P = 0.001), lower response signal to the Glasgow Coma Scale at admission (11.3±1.8 vs. 13.3±2.1; P = 0.001), and higher frequency of dysarthria at admission (61.9% vs. 27.9%; P = 0.009). Conclusion: pneumonia was a prevalent complication in post-stroke patients at a Brazilian tertiary hospital. It was related to the patient’s older age and the severity of the cerebral event.

scholarly journals Hubungan Diabetes Melitus dengan Gangguan Fungsi Kognitif Post Stroke Iskemik di Rumah Sakit Bethesda

2018 ◽  
Vol 6 (3) ◽  
pp. 647
Author(s):  
Satrianti Totting ◽  
Rizaldy Taslim Pinzon ◽  
Bowo Widiasmoko
Keyword(s):  
Diabetes Mellitus ◽  
Chi Square ◽  
Cross Sectional ◽  
Stroke Registry ◽  
Post Stroke ◽  
Chi Square Test ◽  
Diabetes Melitus

Ada setengah pasien post stroke mengalami gangguan fungsi kognitif. Diabetes mellitus merupakan salah satu factor risiko stroke sekaligus factor risiko terjadinya gangguan fungsi kognitif. Tujuan penelitian adalah mengukur pengaruh diabetes mellitus terhadap gangguan fungsi kognitif post stroke iskemik. Penelitian ini menggunakan metode cross sectional. Data diambil dengan melakukan pengukuran fungsi kognitif pasien post stroke iskemik menggunakan instrument MoCA-INA dan CDT, data sekunder diambil dari Stroke Registry di RumahSakit Bethesda Yogyakarta pada tahun 2010-2017. Data dianalisis dengan chi-square test untuk analisis bivariat, serta regresi logistic untuk analisis multivariat. Dari 110 subjek penelitian terdapat pasien dengan gangguan fungsi kognitif (MoCA-INA < 26 dan CDT > 1) sebanyak 75 (68.2%) pasien, dan fungsi kognitif baik (MoCA-INA >= 26 dan CDT = 1) sebanyak 35 (31.8%) pasien. Analisis bivariat menunjukkan bahwa diabetes mellitus tidak berhubungan dengan gangguan fungsi kognitif post stroke iskemik (OR: 1.506, 95% CI: 0.654-3.466, p: 0.334). Analisis multivariate dengan regresi logistik didapatkan usia, onset, serangan stroke berulang, lesi temporal dan parietal sebagai faktor yang paling berpengaruh terhadap terjadinya gangguan fungsi kognitif post stroke iskemik. Simpulan penelitian ini adalah diabetes mellitus tidak mempengaruhi terjadinya gangguan fungsi kognitif post stroke iskemik.

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT SELF ESTEEM (HARGA DIRI) PADA PENDERITA STROKE DI RUMAH SAKIT UMUM ROYAL PRIMA MEDAN 2019

2019 ◽  
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. 

scholarly journals Depression and chronic renal patients on hemodialysis: associated factors

2020 ◽  
Vol 73 (suppl 1) ◽  
Author(s):  
Carolina Renz Pretto ◽  
Marina Brites Calegaro da Rosa ◽  
Cátia Matte Dezordi ◽  
Sabrina Azevedo Wagner Benetti ◽  
Christiane de Fátima Colet ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Functional Dependence ◽  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Inventory Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Effective Care ◽  
Chi Square Test ◽  
Life Habits

ABSTRACT Objective: to verify the association of sociodemographic and clinical variables, life habits and functional capacity with symptoms indicative of depression in chronic renal patients on hemodialysis. Method: cross-sectional study developed from February to October of 2017 with 183 patients undergoing hemodialysis in two renal units located in the state of Rio Grande do Sul. Data collected with clinic and sociodemographic questionnaire and Beck Depression Inventory. Analysis with descriptive and analytical statistics and the chi-square test. Results: 55.2% of participants were elderly, 66.4% men, 90.7% retired, and 60.3% presented depressive symptoms. An association was found between symptoms indicative of depression and the female sex, greater number of comorbidities and post-hemodialysis intercurrences, emotional and physical symptoms, inactivity, failing to perform usual activities and the need for assistance in day-to-day. Conclusion: depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy.

scholarly journals HUBUNGAN SELF EFFICACY DENGAN PERILAKU SELF CARE PASIEN PASCA STROKE DI RUMAH SAKIT ISLAM SURABAYA

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Ismatika Ismatika ◽  
Umdatus Soleha
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Sampling Technique ◽  
Stroke Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Post Stroke ◽  
Difficult Time ◽  
Chi Square Test ◽  
Care Behavior

The post-stroke can be regarded as the most difficult time for patients with post-stroke, they will experience a disability and inability to move as usual so that they will have difficulty in self care. The research was purposed to analyze the relationship of self-efficacy with self-care behavior of patients with post-stroke Islamic Hospital A Yani Surabaya. This study design was analytic correlation with cross sectional approach. The population of 36 people and a large sample of 36 respondents using purposive sampling technique. The independent variable of this research is self-efficacy and the dependent variable was self care behaviors. Instruments of research using questionnaires. Data analysis using the chi square test, significance value of α = 0.05. The results showed that the majority of the 36 respondents, or 26 respondents (72.2%) had good self efficacy and mostly or 27 respondents (75%) had good self-care behaviors. The results of statistical test Chi Square ρ = 0.03 <α = 0.05 showed relationship between self-efficacy with self-care behavior of patients with post-stroke. The better self efficacy post-stroke patients, the better self-care behavior. Post-stroke patients should be able to prepare and improve the behavior of self care, so that patients can independently live aww life in the social environment well. The role of nurses in improving self-efficacy by preparing the skills, motivation and health education about self care.

scholarly journals Hubungan Diabetes Melitus dengan Gangguan Fungsi Kognitif Post Stroke Iskemik di Rumah Sakit Bethesda

2018 ◽  
Vol 6 (3) ◽  
pp. 647
Author(s):  
Satrianti Totting ◽  
Rizaldy Taslim Pinzon ◽  
Bowo Widiasmoko
Keyword(s):  
Diabetes Mellitus ◽  
Chi Square ◽  
Cross Sectional ◽  
Stroke Registry ◽  
Post Stroke ◽  
Chi Square Test ◽  
Diabetes Melitus

Ada setengah pasien post stroke mengalami gangguan fungsi kognitif. Diabetes mellitus merupakan salah satu factor risiko stroke sekaligus factor risiko terjadinya gangguan fungsi kognitif. Tujuan penelitian adalah mengukur pengaruh diabetes mellitus terhadap gangguan fungsi kognitif post stroke iskemik. Penelitian ini menggunakan metode cross sectional. Data diambil dengan melakukan pengukuran fungsi kognitif pasien post stroke iskemik menggunakan instrument MoCA-INA dan CDT, data sekunder diambil dari Stroke Registry di RumahSakit Bethesda Yogyakarta pada tahun 2010-2017. Data dianalisis dengan chi-square test untuk analisis bivariat, serta regresi logistic untuk analisis multivariat. Dari 110 subjek penelitian terdapat pasien dengan gangguan fungsi kognitif (MoCA-INA < 26 dan CDT > 1) sebanyak 75 (68.2%) pasien, dan fungsi kognitif baik (MoCA-INA >= 26 dan CDT = 1) sebanyak 35 (31.8%) pasien. Analisis bivariat menunjukkan bahwa diabetes mellitus tidak berhubungan dengan gangguan fungsi kognitif post stroke iskemik (OR: 1.506, 95% CI: 0.654-3.466, p: 0.334). Analisis multivariate dengan regresi logistik didapatkan usia, onset, serangan stroke berulang, lesi temporal dan parietal sebagai faktor yang paling berpengaruh terhadap terjadinya gangguan fungsi kognitif post stroke iskemik. Simpulan penelitian ini adalah diabetes mellitus tidak mempengaruhi terjadinya gangguan fungsi kognitif post stroke iskemik.

scholarly journals Hubungan Kerasionalan Peresepan Obat Antihipertensi Dengan Outcome Klinis Pada Pasien Stroke Iskemik Rawat Inap RSUD Dr. Soegiri Lamongan

2021 ◽  
Vol 18 (1) ◽  
pp. 47-59
Author(s):  
Muhammad Muhlis ◽  
Luthfiyya Iffa Muslimah
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Clinical Outcomes ◽  
Antihypertensive Drugs ◽  
P Value ◽  
Stroke Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Appropriate Treatment ◽  
Chi Square Test

Ischemic stroke is a disruption of blood supply to the brain caused by the blockage of blood vessels. Hypertension is a comorbid disease in ischemic stroke. Appropriate treatment can affect the success of therapy and the achievement of the desired blood pressure. This study aims to evaluate the rationale for using antihypertensive drugs to achieve clinical outcomes in the form of blood pressure. This study was designed in an observational analytic manner with a cross-sectional approach, retrospective in nature with a purposive sampling method in ischemic stroke patients who received antihypertensive prescriptions in RSUD Dr. Soegiri Lamongan. The sample used was 100 patients. The results showed that the most widely used antihypertensive drugs were CCB with a percentage of 41.8%, ARB with a percentage of 27.6%. The rationale for prescribing was obtained: 100% correct indication, 100% correct patient, 91% correct drug, and 100% correct dose. The results of the Chi-Square test have obtained an expected value of 5, so that it is followed by the Fisher's Test, which obtained a p-value of 0.021 (p 0.05). The conclusion of this study is that patients who received a rational antihypertensive prescription were 91%, for patients who achieved clinical outcomes as much as 86% and there was a relationship between the rationality of prescribing antihypertensive drugs with clinical outcomes in the form of achieving target blood pressure in ischemic stroke patients at RSUD Dr. Soegiri Lamongan.

Abstract NS18: Prevalence and Predictors of Depression among Elderly Stroke Patients in Korea

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Jeongha Sim ◽  
Cha-Nam Shin ◽  
Dongchoon Ahn
Keyword(s):  
Cognitive Impairment ◽  
Demographic Data ◽  
Depression Scale ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Chi Square Test ◽  
Predictors Of Depression

Background: Depression after stroke not only affects rehabilitation and recovery, but increases caregiver burden. With rapidly increasing aged population, stroke burden substantially increases in Korea, which makes depression after stroke an important concept to assess. Purpose: The purposes of this study were to (1) assess the prevalence of depression and (2) identify predictors of depression among elderly stroke patients in Korea. Methods: A cross-sectional, descriptive study was conducted in a convenience sample of 233 hospitalized elderly patients with acute ischemic stroke using a self-administered survey. We assessed depression using the Hospital Anxiety and Depression Scale (HADS) and collected demographic data and stroke severity (e.g., hemiparesis, dysphagia, cognitive impairment). Descriptive statistics, chi-square test, and logistic regression analyses were used for data analysis. Results: Of the total participants, 60.5% were men, 76.8% were aged ≥ 61 years, 70% were married, 80.3% lived with family, and 71.7% were depressed (HADS depression scale ≥ 8). Individuals who were women (χ 2 =10.32), lived alone (χ 2 =3.38), had symptoms of dysphagia (χ 2 =6.14), dysphasia (χ 2 =8.14), hemiparesis (χ 2 =5.61), cognitive impairment (χ 2 =4.86), or anxiety (χ 2 =54.53) were more likely to be depressed than those who were men, lived with family, had no symptoms of dysphagia, dysphasia, hemiparesis, cognitive impairment ( p < .05), or anxiety. The likelihood of being depressed was higher in individuals who had anxiety (OR=18.93, 95% CI=[6.88, 52.08]) or lived alone (OR=0.28, 95% CI=[0.06, 0.77]) than individuals who did not have anxiety or lived with family. Conclusions: In conclusion, the study findings suggest that clinicians who handle elderly stroke patients should pay attention to the individuals who have anxiety or live alone as the risk of depression after stroke seems to be higher in these groups. Further research focus should be given to (1) identifying underlying factors of anxiety, (2) developing preventive interventions for depression after stroke, including strategies to decrease anxiety and ensure social support, and (3) exploring the association of depression with other health outcomes, such as quality of life and mortality.

scholarly journals The Demographic Characteristics Affecting Fear of Falling Avoidance Behaviors in Older Adults

2021 ◽  
Author(s):  
Sohail Jamaati ◽  
Enayatollah Bakhshi ◽  
Hojjat A. Haghgoo
Keyword(s):  
Fear Of Falling ◽  
Social Activity ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Chi Square ◽  
Cross Sectional ◽  
Fall Efficacy Scale ◽  
Avoidance Behaviors ◽  
Chi Square Test ◽  
Life Habits

Abstract Purpose: Not only falling but also fear of falling deeply affects people's social participation and quality of life. We aimed to investigate the relationship between demographic characteristics and the fear of falling and consequently the life habits and satisfaction in elderly people.Methods: In a cross-sectional study, a total of 203 people aged over 60 years were recruited in Tehran, and assessed using the Fear of Falling Avoidance Behaviors Questionnaire, Falls Efficacy Scale (FES-1), and Life Habits tests (Life-H). Data were used to measure the prevalence of fear of falling and its correlation with life habits.Results:Correlation coefficient of total score of the questionnaire was directly correlated with Fall efficacy scale (p <0.001, r = 0.94), and inversely correlated with Activity (p = 0.004, r = -0.51), and Satisfaction levels (p = 0 (003, r = -0.53) of Life-Habits questionnaire.There were significant correlations between age and FFABQ scores (r=28%, P<0.001), educational level (p<0.000), and also significant relation between gender and fear of falling (p=0.006). The chi-square test showed a significant relationship between the history of falling with fear of falling (p<0.001).Conclusion: fear of falling severely affects life habits and decreases Iranian older people's social activity and participation. It is strongly affected by demographic characteristics such as gender, age, and education.Trial registration number: IR.USWR.REC.1398.093Date of registration: 4th August 2019

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