Karakteristik Penderita Stroke Hemoragik Rawat Inap Di Rumah Sakit Santa Elisabeth Medan Tahun 2015-2016
| Main Author: | Tondang, Ronny Mardianto |
|---|---|
| Other Authors: | Siregar, Fazidah A., Lubis, Sri Novita |
| Format: | Bachelors application/pdf |
| Bahasa: | ind |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
http://202.0.107.133/handle/123456789/1621 |
Daftar Isi:
- 131000307
- Stroke occupies the third position in the order of causes of death, after heart disease and cancer. Stroke can be classified into two types, namely hemorrhagic stroke and nonhemoragik stroke (ischemic).The incidence of hemorrhagic stroke between 15% - 30% and non hemorrhagic stroke between 70% - 85%.Proportion of hemorrhagic stroke patients in Santa Elisabeth Hospital Medan in 2015-2016 based on stroke of 23,37%. To identify the characteristics of hemorrhagic stroke patients in the Hospital Santa Elisabeth Medan, conducted descriptive research with case series design. The population of this study were all hemorrhagic stroke patients with the same sample size as the population (total sampling). In Santa Elisabeth Hospital Medan was found 165 stroke haemorragic patients in 2015-2016. The highest sociodemographic proportions: age group 55-64 years with male gender 20.6%, Batak tribe 86.7%, Protestant Christianity 71.5%, 95.2% married, civil servant / TNI / POLRI / pensioner 32 , 1%, and outside of Medan 58.8%. Hypertensive factors 66.1%, intracerebral hemorrhage 66.7%, hexiparesis dextra 47.9%, cerebral hemisphere 41.8%, conservative action 82.4%, average treatment duration 10.87 days (11 days) own cost 61,2%, go home with 57,6% street treatment, bleeding location and highest position of paralysis in cerebral hemisphere with paralysis location at dextra hemiparesis equal to 20,6%. Case fatality rate based on the highest age is>60 years 27,66%, male 25,25%, brain stem 80,0%, operative action 34,48%. For inpatients who have a history of hypertension to perform routine control and apply a healthy lifestyle to prevent stroke and subsequent stroke. For hospitals it is expected to complete the recording of hemorrhagic stroke patient data on status cards especially those related to education, and handling stroke.
- Stroke menempati kedudukan ketiga dalam urutan penyebab kematian, setelah penyakit jantung dan kanker. Stroke dapat diklasifikasikan menjadi dua jenis, yaitu stroke hemoragik dan stroke nonhemoragik (iskemik).Insiden stroke hemoragik antara 15% - 30% dan stroke non hemoragik antara 70% - 85%.Proporsi penderita stroke hemoragik di Rumah Sakit Santa Elisabeth Medan tahun 2015-2016 berdasarkan stroke sebesar 23,37%. Untuk mengetahui karakteristik penderita stroke hemoragik rawat inap di Rumah Sakit Santa Elisabeth Medan, dilakukan penelitian deskriptif dengan desain case series. Populasi penelitian ini adalah seluruh penderita stroke hemoragik dengan besar sampel sama dengan populasi (total sampling). Jumlah penderita stroke hemoragik di Rumah Sakit Santa Elisabeth Medan pada tahun 2015-2016 sebanyak 165 orang. Proporsi sosiodemografi tertinggi: kelompok umur 55-64 tahun dengan jenis kelamin laki-laki 20,6%, suku Batak 86,7%, Kristen Protestan 71,5%, kawin 95,2%, PNS/TNI/POLRI/Pensiunan 32,1%, dan luar Medan 58,8%. Faktor risiko hipertensi 66,1%, perdarahan intraserebral 66,7%, hemiparesis dextra 47,9%, hemisfer serebri 41,8%, tindakan konservatif 82,4%, lama rawatan rata-rata 10,87 hari (11 hari), biaya sendiri 61,2%, pulang dengan berobat jalan 57,6%, lokasi perdarahan dan letak kelumpuhan tertinggi pada hemisfer serebri dengan letak kelumpuhan pada hemiparesis dextra sebesar 20,6%.Case Fatality Rate (CFR) berdasarkan umur tertinggi yaitu >60 tahun 27,66%, laki-laki 25,25%, batang otak 80,0%, tindakan operatif 34,48%. Bagi penderita rawat inap yang memiliki riwayat hipertensi untuk melakukan kontrol rutin serta menerapkan pola hidup sehat untuk mencegah stroke dan serangan stroke berikutnya. Bagi pihak Rumah Sakit diharapkan untuk melengkapi pencatatan data penderita stroke hemoragik pada kartu status khususnya yang berkaitan dengan pendidikan, dan penanganan stroke.