Perbandingan Tingkat Kemandirian (Bartel Indeks) dan Defisit Neurologis (NIHSS) Pasien Stroke Hemoragik dan Non-Hemoragik di Rawat Inap Unit Stroke RS Swasta Kota Palembang

Hardika, Bangun Dwi (2019) Perbandingan Tingkat Kemandirian (Bartel Indeks) dan Defisit Neurologis (NIHSS) Pasien Stroke Hemoragik dan Non-Hemoragik di Rawat Inap Unit Stroke RS Swasta Kota Palembang. Project Report. AIPNI. (Unpublished)

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Abstract

Background: Stroke is a sudden neurological disorder which occurs quickly and the most frequent cause of death and disability. Stroke is classified into Non-Hemorrhagic Stroke (NHS) and Hemorrhagic Stroke (HS). Both classifications can cause neurological deficit and activity limitations. Method: This analytic observational research by retrospective approach using patient medical record data at Stroke Unit of RK Charitas Hospital Palembang, from January until December 2017 with 204 respondents. Results: On the average, level of HS independence increased from 119.32 at first day to 122.08 at discharge. Meanwhile, level of NHS independence reduced from 95.66 at first day to 94.53 at discharge. HS neurological deficit reduced from 125.34 at the first day to 116.07 at discharge. Whereas, NHS neurological deficit increased from 93.21 at the first day to 96.98 at discharge. Furthermore, the significant difference between independence level of HS and NHS patients at the first day (p-value: 0.001) and at discharge (p-value: 0.002). In addition, the significant difference between neurological deficit level of NHS and HS patients at the first day (p-value: 0.001) and at discharge (p-value: 0.012). Conclusion: There were increment of HS independence level, reduction of NHS independence level, reduction of HS neurological deficit, and increment of NHS neurological deficit. Suggestion: Improving and developing rehabilitation program for HS and NHS in short and long terms in order to help patients to gain optimal health status level.

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