The Analysis Of Stroke Patient’s Quality Of Life Based On Response Time In The Emergency Department

Authors

  • Hikmah Lia Basuni STIKES Hamzar Lombok Timur
  • Saifurrahman Saifurrahman STIKES Hamzar Lombok Timur

DOI:

https://doi.org/10.31965/jkp.v7i1.582

Keywords:

Stroke, Kualitas hidup, Waktu tanggap.

Abstract

Background: Stroke is a neurological emergency condition that requires immediate treatment. Response time in the emergency room is the initial stage of patient handling in an effort to prevent death and disability. Disability caused in stroke patients is one of the factors that affect the patient's quality of life. This study aims to analysis of stroke patient’s quality of life based on response time in the emergency department. Methods: This study used the Cross Sectional method. The population in this study was all stroke patients who visited the emergency department of Dr. R. Soedjono Selong Hospital with a total sample of 50 patients. The quality of life of patients was measured by EuroQol with good and bad categories, Response time was categorized into fast and slow, data were analyzed using Chi Square test. Results: The sexes of the respondents were male (42%), female (58%) with a dominant age of 51-60 years (26%). The onset of attacks in the morning (58%), the average response time in the emergency room was 134 minutes with the fast category (88%). The average quality of life is 9.22 in the poor category (82%). Chi Square test showed p value 0.111 > 0.05, which means that there is no relationship between response time and the quality of life of stroke patients. Conclusion: Knowledge and understanding of early stroke symptoms is important for the community to prevent delays in patients being taken to health facilities which have an impact on the delay time in handling stroke patients. The availability of Computerized Tomography Scan (CT Scan) in health care facilities is highly recommended to support the advanced management of stroke patients.

 

Latar Belakang: Stroke merupakan keadaan darurat neurologi yang memerlukan penanganan segera. Waktu tanggap di ruang IGD merupakan tahap awal penanganan pasien dalam upaya mencegah kematian dan kecacatan. Kecacatan yang di timbulkan pada pasien stroke menjadi salah satu faktor yang mempengaruhi kualitas hidup pasien. Tujuan penelitian ini menganalisis kualitas hidup pasien Stroke berdasarkan waktu tanggap di IGD. Metode: Penelitian ini menggunakan metode Cross Sectional. Populasi dari penelitian ini adalah semua penderita stroke yang berkunjung ke IGD RSUD Dr.R. Soedjono Selong dengan total sampel 50 pasien, kualitas hidup pasien di ukur dengan EuroQol dengan katagori baik dan tidak baik, Respon time dikategorikan menjadi cepat dan lambat, data di analisis menggunakan uji Chi Square. Hasil: Jenis kelamin responden laki-laki (42%), perempuan (58%) dengan usia dominan 51-60 tahun (26%). Timbulnya serangan pada waktu pagi (58%), rata-rata waktu tanggap di ruang emergensi 134 menit dengan kategori cepat (88%). Kualitas hidup rata-rata 9,22 pada kategori tidak baik (82%). Uji Chi Square dengan p value 0,111 > 0,05 yang berarti tidak ada hubungan waktu tanggap dengan kualitas hidup pasien stroke. Kesimpulan: Pengetahuan dan pemahaman tentang gejala dini Stroke penting diberikan bagi masyarakat guna mencegah keterlambatan pasien dibawa kefasilitas kesehatan yang berdampak terhadap delay time penanganan pasien stroke. Ketersediaan Computerize Tomography Scan (CT Scan) pada fasilitas pelayanan kesehatan sangat di sarankan untuk menunjang penatalaksanaan lanjut pasien Stroke.

 

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References

American Heart Association/American Stroke Association (2013). Guidelines for the Early Management of Patients With Acute Ischemic Stroke: Executive Summary A Guideline for Healthcare Professionals From the American Heart Association / American Stroke Association. AHA/ASA Guideline. http://stroke.ahajournals.org

Anderson, Laubscher & Burn. (1996) Validation of the Short Form 36 (SF-36) Health Survey Questionnaire Among Stroke Patients. Stroke Journal. https://doi.org/10.1161/01.STR.27.10.1812

Badan Penelitian & Pengembangan Kesehatan (Balitbangkes). (2014). Faktor Resiko Dominan Penyebab Stroke di Indonesia. http://ejournal.balitbangkes.kemenkes.go.id.

Bath, P. & Less, K. (2000). ABC of arterial and venous disease: acute Stroke. British Medical Journal. 7. 48. 920-923

Carod, A. J. F. & Egido, A. J. (2009). Quality of life after Stroke: the importance of good recovery. Department of Neurology Sarah Hospital. Madrid Spain.

Carod, A. J. F., Egido, J. A., Gonzalez, J. L., & De saijes, E. V. (2000). Quality of life among Stroke survivors evaluated 1 year after Stroke: experience of Stroke unit. Stroke. 31. 29995-3000.

Dorman, P. J., Waddell, F., Slatttery, J., Dennis, M., & Sandercock, P. (1998). Is the EuroQol a valid measure of health related quality of life after Stroke?. ahajournal. 28: 1876-1882

Edward C. Jauch, Jeffrey L. Saver, Harold P. Adams, Askiel Bruno, J.J. (Buddy) Connors, Bart M. Demaerschalk, Pooja Khatri, Paul W. McMullan, Adnan I. Qureshi, Kenneth Rosenfield, Phillip A. Scott, Debbie R. Summers, David Z. Wang, Max Wintermark and Howard Yonas.(2013). Guidelines for the Early Management of Patients With Acute Ischemic Stroke. AHA/ASA Guideline. http://stroke.ahajournals.org

Ginsberg, L. (2005). Lecture Notes: Neurologi. Edisi Kedelapan. Alih Bahasa : Indah Retno Warahani. Jakarta : Erlangga.

Guyat, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health related quality of life. Ann Intern Med. 118. 622-629.

Hanger, H. C., Forgarty, B., Wilkinson, T. J., Sainsburg, R. (2000). Stroke patients views on Stroke outcomes: death versus disability. Clinical Rehabilitation. 4. 14. 417-424.

Hellen, W. (2007). Altered living: coping, hope, and quality of life after Stroke. British Journal of Nursing. 20. 16.

Kementerian Kesehatan Republik Indonesia. (2014). Riset Kesehatan Dasar . http://pusdatin.kemenkes.go.id.

Kotila, M., Numminen, H., Waltimo, O., & Kaste, M. (1998). Depression after Stroke : result of the FinnStroke study. Stroke. 29. 368-372.

Mason, S., Locker, T., Carter, A., Walters, S., Stride, C., & Casson, J. (2006). What are the organisational factors that influence waiting times in Emergency Departments?. Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO).

Meretoja, A., Strbian, D., Mustanoja, S., Tatlisumak, T., Lindsberg P. J., Kaste M.. (2012). Reducing in-hospital delay to 20 minutes in stroke thrombolysis. American Academy of Neurology.July 24,; 79 (4) . https://n.neurology.org/content/79/4/306.short

Oman, K. S. McLain, J. K. & Scheetz, L. S. (2008). Panduan Belajar Keperawatan Emergensi. Jakarta : EGC.

Sacco, R., Benjamin, E., Hrooderick, et al. (1997). Risk factor. Stroke. 7. 28. 1507-1517.

Setyopranoto, I. (2011). Stroke: gejala dan penatalaksanaan. Cermin Dunia Kedokteran. 4. 38. 247-250.
Smeltzer, C. S. & Bare, R. (2008). Brunner & Suddarth’s Textbook of Medical Surgical Nursing. 11th edition. Philadelphia : Lippincott Wiliam & Wilkins.

Stradling D, Yu W, Langdorf ML, Tsai F, Kostanian V, Hasso AN, Welbourne SJ, Schooley Y, Fisher MJ, Cramer SC. (2007). Stroke care delivery before vs after JCAHO stroke center certification. Neurology. 68:469–470.

World Health Organisation statistical Information System. (2008) WHO mortality database http://www.who.int/healthinfo/statistics/mortality

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Published

2022-05-12

How to Cite

Basuni, H. L., & Saifurrahman, S. (2022). The Analysis Of Stroke Patient’s Quality Of Life Based On Response Time In The Emergency Department. JURNAL KESEHATAN PRIMER, 7(1), 1–12. https://doi.org/10.31965/jkp.v7i1.582
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