_JIKK_2024-2.pdf_.png)
1.png){kind=logo}
.png)
.png)
.png)
.jpg)
Karakteristik Fungsi Kognitif Pasien Pasca Stroke Hemoragik Berdasarkan Lokasi Dan Volume Perdarahan Di RSUD Inche Abdoel Moeis Samarinda
Sari
Stroke hemoragik terjadi ketika pembuluh darah pecah menyebabkan perdarahan otak dan disabilitas yang parah, salah satunya adalah gangguan fungsi kognitif. Tujuan penelitian ini adalah untuk mengetahui karakteristik fungsi kognitif, distribusi domain fungsi kognitif, dan karakteristik fungsi kognitif berdasarkan lokasi perdarahan, volume perdarahan, dan waktu pasca stroke pada pasien pasca stroke hemoragik di RSUD Inche Abdoel Moeis Samarinda. Penelitian ini menggunakan desain deskriptif obervasional dengan pendekatan cross-sectional yang dilaksanakan pada Agustus – Oktober 2024. Data diperoleh melalui wawancara menggunakan Montreal Cognitive Assessment-Indonesia (MoCA-Ina) dan rekam medik. Pengambilan sampel dilakukan dengan total sampling. Sebanyak delapan sampel memenuhi kriteria inklusi. Hasil penelitian ini menunjukkan bahwa seluruh responden mengalami gangguan fungsi kognitif (100%) dengan domain memori tertunda (100%) dan bahasa (100%) yang paling terpengaruh, sebagian besar lokasi perdarahan di hemisfer serebri sinistra (62,5%) dengan volume perdarahan 20-40 ml (62,5%), dan seluruhnya mengalami gangguan fungsi kognitif ³ 3 bulan pasca stroke (100%). Sebagai kesimpulan, semua responden mengalami gangguan fungsi kognitif dengan domain memori tertunda dan bahasa yang paling terdampak, mayoritas lokasi perdarahan di hemisfer serebri sinistra dengan volume perdarahan 20-40 ml, dan seluruhnya mengalami gangguan fungsi kognitif ³ 3 bulan pasca stroke.
Kata Kunci
Teks Lengkap:
PDFReferensi
Al-Qazzaz, N. K., Ali, S. H., Ahmad, S. A., Islam, S., & Mohamad, K. (2014). Cognitive impairment and memory dysfunction after a stroke diagnosis: A post-stroke memory assessment. Neuropsychiatric Disease and Treatment, 10, 1677–1691. https://doi.org/10.2147/NDT.S67184
An, S. J., Kim, T. J., & Yoon, B. W. (2017, January 1). Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: An update. Journal of Stroke, Vol. 19, pp. 3–10. Korean Stroke Society. https://doi.org/10.5853/jos.2016.00864
Anita, F., & Linggi, E. B. (2020). Gambaran Gangguan Fungsi Kognitif Pasien Paska Stroke Di Rumah Sakit Stella Maris Makassar. Jurnal Keperawatan Florence Nightingale (JKFN), 3(1), 7–11. https://doi.org/10.52774/jkfn.v3i1.50
Biffi, A., Bailey, D., Anderson, C. D., Ayres, A. M., Gurol, E. M., Greenberg, S. M., Rosand, J., & Viswanathan, A. (2016). Risk factors associated with early vs delayed dementia after intracerebral hemorrhage. JAMA Neurology, 73(8), 969–976.
https://doi.org/10.1001/jamaneurol.2016.0955
Dewi, A. T. P., & Zamroni. (2016). Pengaruh Letak Lesi Terhadap Gangguan Kognitif Pada Penderita Stroke. 1-10
Donkor, E. S. (2018). Stroke in the 21st Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Research and Treatment, Vol. 2018. Hindawi Limited. https://doi.org/10.1155/2018/3238165
Durfee, A. Z. (2024). Post-stroke Language Impairments. Neurotorium, 1-12
Elendu, C., Amaechi, D. C., Elendu, T. C., Ibhiedu, J. O., Egbunu, E. O., Ndam, A. R., Ogala, F., Ologunde, T., Peterson, J. C., Boluwatife, A. I., Okongko, A. O., Fatoye, J. O., Akpovona, O. L., Onyekweli, S. O., Temitope, A. Y., Achimugu, A. O., & Temilade, A. V. (2023). Stroke and cognitive impairment: understanding the connection and managing symptoms. Annals of Medicine & Surgery, 85(12), 6057–6066. https://doi.org/10.1097/ms9.0000000000001441
Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., Abady, G. G., … Murray, C. J. L. (2021). Global, regional, and national burden of stroke and its risk factors, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 1–26. https://doi.org/10.1016/S1474-4422(21)00252-0
Filho, A. B. de M., Rego, T. L. de H., Mendonça, L. de L., Almeida, S. S. de, Nóbrega, M. L. da, Palmieri, T. de O., … Guzen, F. P. (2021, August 1). The physiopathology of spontaneous hemorrhagic stroke: a systematic review. Reviews in the Neurosciences, Vol. 32, pp. 631–658. De Gruyter Open Ltd. https://doi.org/10.1515/revneuro-2020-0131
Hanas, M., Lestari, E., & Asni, E. K. (2016). Gambaran Fungsi Kognitif Pada Pasien Pasca Stroke Di Poliklinik Saraf Rsud Arifin Achmad Provinsi Riau. JOM FK, 3.
Husseini, N., Katzan, I. L., Rost, N. S., Blake, M. L., Byun, E., Pendlebury, S. T., … Smith, E. E. (2023, June 1). Cognitive Impairment After Ischemic and Hemorrhagic Stroke: A Scientific Statement From the American Heart Association/American Stroke Association. Stroke, Vol. 54, pp. E272–E291. Wolters Kluwer Health. https://doi.org/10.1161/STR.0000000000000430
Kemenkes RI. (2019). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/Menkes/394/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Stroke.
Maeshima, S., & Osawa, A. (2021). Memory Impairment Due to Stroke (S. Dehkharghani, Ed.). Exon Publications. https://doi.org/10.36255/exonpublications.stroke.2021
Masturoh, I., & Anggita, N. (2018). Metodologi Penelitian Kesehatan.
Mustafa, P. S. (2020). Implikasi Pola Kerja Telensefalon dan Korteks Cerebral dalam Pendidikan Jasmani. Media Ilmu Keolahragaan Indonesia, 10.
http://journal.unnes.ac.id/nju/index.php/mikiTerakreditasiSINTA4
Nanda, A. A., & Purwanti, O. S. (2023). Kadar Glukosa Darah Berhubungan dengan Fungsi Kognitif pada Pasien Diabetes Mellitus. Jurnal Keperawatan Silampari, 6(2), 1263–1273. https://doi.org/10.31539/jks.v6i2.5489
Nova, D. M. R., Hutahaean, Y. O., & Irawiraman, H. (2023). Profil Fungsi Kognitif Pasien Pasca Stroke Di Rawat Jalan Rsud Aji Muhammad Parikesit Tenggarong. Jurnal Medika Karya Ilmiah Kesehatan, 8.
https://doi.org/https://doi.org/10.35728/jmkik.v8i1.1213
O’Sullivan, M. J., Li, X., Galligan, D., & Pendlebury, S. T. (2023). Cognitive Recovery After Stroke: Memory. AHA Journals, 54(1), 44–54. https://doi.org/10.1161/STROKEAHA.122.041497
Padu, Y. F. Y., Safruddin, & Siokal, B. (2022). Hubungan Letak Lesi dengan Fungsi Kognitif pada Penderita Stroke. Window of Nursing Journal, 03(01), 19–27.
Pratiwi, S. H., Sari, E. A., & Mirwanti, R. (2024). Cognitive Disorders in Post-Stroke Patients. Majalah Kesehatan Indonesia, 5(1), 15–22. https://doi.org/10.47679/makein.2024203
Puppala, G. K., Gorthi, S. P., Chandran, V., Gandeti, R., & Rao, S. S. (2023). Prevalence of Cognitive Impairment and Dementia After Intracerebral Hemorrhage. Annals of Indian Academy of Neurology, 26(6), 952–956. https://doi.org/10.4103/aian.aian_731_23
Rost, N. S., Brodtmann, A., Pase, M. P., van Veluw, S. J., Biffi, A., Duering, M., … Dichgans, M. (2022). Post-stroke cognitive impairment and dementia. Circulation Research, 130(8), 1252–1271. https://doi.org/10.1161/CIRCRESAHA.122.319951
Sun, J. H., Tan, L., & Yu, J. T. (2014). Post-stroke cognitive impairment: Epidemiology, mechanisms and management. Annals of Translational Medicine, 2(8). https://doi.org/10.3978/j.issn.2305-5839.2014.08.05
Venketasubramanian, N., Yudiarto, F. L., & Tugasworo, D. (2022). Stroke Burden and Stroke Services in Indonesia. Cerebrovascular Diseases Extra, 12(1), 53–57. https://doi.org/10.1159/000524161
Watanabe, M., Takeda, K., Maeshima, S., Suzuki, T., & Sonoda, S. (2020). Influence of hematoma volume and age on cognitive functions and ADL after putaminal hemorrhage. Journal of Stroke and Cerebrovascular Diseases, 29(9). https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105063
Widyasari, V., Rahman, F. F., & Ningrum, V. (2023). The Incidence and Prevalence of Stroke by Cause in Indonesia Based on Global Burden of Disease Study 2019. In Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021) (pp. 435–446). Atlantis Press International BV. https://doi.org/10.2991/978-94-6463-048-0_50
Windani, M. (2016). Gambaran Fungsi Kognitif pada Pasien Stroke di RSUP . Haji Adam Malik Medan. Repositori Institusi USU, 1–42. http://repositori.usu.ac.id/handle/123456789/19788
Xu, Y., Chen, A., Wu, J., Wan, Y., You, M., Gu, X., … Hu, B. (2022). Nanomedicine: An Emerging Novel Therapeutic Strategy for Hemorrhagic Stroke. International Journal of Nanomedicine, Vol. 17, pp. 1927–1950. Dove Medical Press Ltd. https://doi.org/10.2147/IJN.S357598
Yuwanda, K., Laksmidewi, A. A. A. P., & Widyastuti, K. (2020). Hubungan Antara Lokasi Stroke Dengan Gangguan Kognitif Pada Penderita Stroke Di Rsup Sanglah Denpasar. Callosum Neurology Journal, 3
DOI: https://doi.org/10.33024/jikk.v12i8.18824
Refbacks
- Saat ini tidak ada refbacks.
##submission.copyrightStatement##
##submission.license.cc.by-nc4.footer##
Pendidikan Dokter Universitas Malahayati Lampung
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.