Pengetahuan Keluarga Berperan terhadap Keterlambatan Kedatangan Pasien Stroke Iskemik Akut di Instalasi Gawat Darurat
DOI:
https://doi.org/10.21776/ub.jkb.2017.029.04.15Keywords:
Faktor risiko, keterlambatan, peringatan gejala strokeAbstract
Keberhasilan tindakan dan peningkatan outcome pada stroke sangat bergantung pada kecepatan pasien dibawa ke instalasi gawat darurat namun sebagian besar pasien stroke iskemik akut datang terlambat. Tujuan penelitian ini adalah untuk mengetahui pengaruh pengetahuan tentang faktor risiko dan peringatan gejala stroke terhadap keterlambatan kedatangan pasien post serangan stroke iskemik akut di instalasi gawat darurat di RSUD Ngudi Waluyo Wlingi. Desain penelitian yang digunakan adalah cross sectional. Pengumpulan data dilakukan dengan memberikan kuesioner pada anggota keluarga pasien stroke iskemik akut yang dipilih secara consecutive sejumlah 58 orang dengan pertimbangan mengetahui dan terlibat langsung membawa pasien ke instalasi gawat darurat. Analisis data dilakukan dengan menggunakan analisis univariat dan regresi linier berganda untuk mengetahui pengaruh pengetahuan terhadap keterlambatan. Hasil penelitian menunjukkan rata-rata skor pengetahuan responden adalah 8,55±SD 4,551 dan koefisien korelasi -0,303 (p=0,041). Dapat disimpulkan bahwa pengetahuan tentang faktor risiko dan peringatan gejala stroke menurunkan keterlambatan kedatangan pasien post serangan stroke iskemik akut.
Downloads
References
Biswas M, Sen S, and Simmons J. Etiology and Risk Factors of Ischemic Stroke in Indian-American Patients from a Hospital-Based Registry in New Jersey, USA. Neurology Asia. 2009; 14(2): 81-86.
Sweileh WM, Sawalha AF, Al-Aqad SM, Zyoud SH, and Al-Jabi SW. Predictors of in-Hospital Mortality after Acute Stroke: Impact of Gender. International Journal of Clinical and Experimental Medicine. 2009; 2(1): 41-47.
Kumar AJ, Nambiar V, Vaidynathan, et al. Stroke Progression. Universal Journal of Medical Science. 2015; 3(3): 60–64.
Mozaffarian D, Benjamin E, Go AS, et al. Heart Disease and Stroke Statistics—2015 Update A Report from the American Heart Association. Circulation. 2015; 131: e29-e322.
Johnston SC, Mendis S and Mathers CD. Global Variation in Stroke Burden and Mortality: Estimates from Monitoring, Surveillance and Modelling. Lancet Neurology. 2009;8:345-354
Yayasan Stroke Indonesia. Indonesia Tempati Urutan Pertama Didunia dalam Jumlah Terbanyak Penderita Stroke. (Online) 04 Agustus 2009. di http://www.yastroki.or.id/read.php?id=341. [diakses tanggal 26 Januari 2016]
World Health Organization. World Health Rankings Live Longer Live Better. (Online) 2014. di http://www.worldlifeexpectancy.com/country-health-profile/indonesia. [di akses tanggal 20 Juli 2016]
Global Burden of Diseases, Injuries, and Risk Factors Study 2010. The Global Burden of Disease Study Profile: Indonesia. Seattle, USA: Institute for Health Metrics and Evaluation. 2010: pp. 1-4
Suryati T. Beban penyakit Stroke di Indonesia DALYs Lost dengan Analisis Kontrafaktual Faktor Risiko Utama. [Disertasi]. Universitas Indonesia, Jakarta. 2013.
Aly Z, Abbas K, Kazim SF, et al. Awareness of Stroke Risk Factors, Signs and Treatment in a Pakistani Population. The Journal of the Pakistan Medical Association. 2009; 59(7): 495-499.
Putu N, Widayu A, Irbantoro D. Unit Stroke di Rumah Sakit: Arti Penting dan Model Pelayanan. Jurnal Kedokteran Brawijaya. 2016; 29(3): 273-278.
Duque AS, Fernandes L, Correia AF, et al. Awareness of Stroke Risk Factors and Warning Signs and Attitude to Acute Stroke. International Archives of Medicine. 2015; 8(195): 1-18.
Yang H, Zhang J, Xie J, et al. Factors Influencing Pre-Hospital Delay Among Acute Ischemic Stroke Patients in the Midlands of China. International Journal of Cardiology. 2014; 172(2): 533-534.
Fang J, Yan W, Jiang GX, Li W, and Cheng Q. Time Interval between Stroke Onset and Hospital Arrival In Acute Ischemic Stroke Patients in Shanghai, China. Clinical Neurology and Neurosurgery. 2011; 113(2): 85-88.
Fonarow GC, Smith EE, Saver JL, et al. Timeliness of Tissue-Type Plasminogen Activator Therapy in Acute Ischemic Stroke: Patient Characteristics, Hospital Factors, and Outcomes Associated with Door-To-Needle Times Within 60 Minutes. Circulation. 2011; 123(7): 750-758.
Lees KR, Bluhmki E, von Kummer R, et al. Time to Treatment with Intravenous Alteplase and Outcome in Stroke: An Updated Pooled Analysis of ECASS, ATLANTIS, NINDS, and EPITHET Trials. The Lancet Neurology. 2010; 375(9727): 1695–1703.
Menon B, Swaroop JJ, Deepika HK, Conjeevaram J, and Munisusmitha K. Poor Awareness of Stroke—A Hospital-Based Study from South India: An Urgent Need for Awareness Programs. Journal of Stroke and Cerebrovascular Diseases. 2014; 23(8): 2091-2098.
Philip-Ephraim EE, Charidimou A, Otu AA, Eyong EK, Williams UE, and Ephraim RP. Factors Associated with Prehospital Delay Among Stroke Patients in a Developing African Country. International Journal of Stroke. 2015; 10(4): E39.
De Silva DA, Ong S, Elumbra D, Wong MC, Chen CL, and Chang HM. Timing of Hospital Presentation after Acute Cerebral Infarction and Patients' Acceptance of Intravenous Thrombolysis. Annals of the Academy of Medicine Singapore. 2007; 36(4): 244-246.
Centers for Disease Control and Prevention (CDC). Prehospital and Hospital Delays After Stroke Onset - United States, 2005-2006. Morbidity and Mortality Weekly Report. 2007; 56(19): 474-478.
Pinzon R. Mengapa Pasien Stroke Datang Terlambat ke Rumah Sakit? Medicinus. 2012; 25(1): 18-23.
Memis S, Tugrul E, Evci ED, and Ergin F. Multiple Causes for Delay in Arrival at Hospital in Acute Stroke Patients in Aydin, Turkey. BioMed Central Neurology. 2008; 8: 1-6.
Sunaryo. Psikologi untuk Keperawatan. Jakarta: EGC; 2013.
Das S and Das SK. Knowledge, Attitude and Practice of Stroke in India Versus Other Developed and Developing Countries. Annals of Indian Academy of Neurology. 2013; 16(4): 488–493.
Song D, Tanaka E, Lee K, et al. Factors Associated with Early Hospital Arrival in Patients with Acute Ischemic Stroke. Journal of Stroke. 2015; 17(2): 159–167.
Fassbender K, Balucani C, Walter S, Levine SR, Haass A, and Grotta J. Streamlining of Prehospital Stroke Management: The Golden Hour. The Lancet Neurology. 2013; 12(6): 585–596.
Kim YD, Song D, Kim EH, et al. Long-Term Mortality According to the Characteristics of Early Neurological Deterioration in Ischemic Stroke Patients. Yonsei Medical Journal. 2014; 55(3): 669–675.
Ennen KA and Zerwic JJ. Stroke Knowledge: How is it Impacted by Rural Location, Age, and Gender. Journal of Rural Nursing and Health Care. 2010; 10(1): 9-21.
Siddiqui M, Siddiqui SR, Zafar A, and Khan FS. Factors Delaying Hospital Arrival of Patients with Acute Stroke. Journal Pakistan Medical Association. 2008; 58(4): 178-181.
Jones SP, Jenkinson AJ, Leathley MJ, and Watkins CL. Stroke Knowledge and Awareness: An Integrative Review of the Evidence. Age and Ageing. 2010; 39(1): 11-22.
Faiz KW, Sundseth A, Thommessen B, and Ronning OM. Factors Related to Decision Delay in Acute Stroke. Journal of Stroke and Cerebrovascular Diseases. 2014; 23(3): 534-539.
Faiz KW. Prehospital Delay and Patient Knowledge in Acute Cerebrovascular Disease. [Disertation]. University of Oslo, Oslo. 2014.
Gongora-Rivera F, Gutierrez-Jimenez E, and Zenteno MA: GEPEVC Investigators. Knowledge of Ischemic Stroke among a Mexico City Population. Journal of Stroke and Cerebrovascular Disease. 2009; 18 (3): 208-213.
Notoatmodjo S. Promosi Kesehatan & Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta; 2007; Hal. 38-209.
Johnson D. Behavioral System Model. In: Alligood MR (Ed). Nuring Theorists and Their Work 8 edition. Missouri: Mosby; 2010: pp. 332-355.
Fussman C, Rafferty AP, Lyon-Callo S, Morgenstern LB, and Reeves MJ. Lack of Association between Stroke Symptom Knowledge and Intent to Call 911: A Population-Based Survey. Stroke. 2010; 41(7): 1501-1507.
Alhazzani A, Abuhawi O, Aboelyazeed A, Asseri M, and Alshehri A. Does Awareness About Stroke and Stroke Severity Affect Stroke Arrival Time. Journal of the Neurological Sciences. 2015; 357(1): e363–e423.
Kim YS, Park S, Bae H, et al. Stroke Awareness Decreases Prehospital Delay after Acute Ischemic Stroke in Korea. BioMed Central Neurology. 2011; 11: 2.
Jae JL, Kim HW, and Kim JH. Influence of Stroke Knowledge on Pre-hospital Delay of Acute Ischemic Stroke Patients. Journal of the Korean Neurological Association. 2009; 27(2): 123-128.
Lee SH, Lee YW, Kim HS, and Lim JY. Factors Influencing the Hospital Presentation Time of Stroke Patients. Korean Journal of Adult Nursing. 2007; 19(2): 167-177.
Teuschl Y and Brainin M. Stroke Education: Discrepancies Among Factors Influencing Prehospital Delay and Stroke Knowledge. International Journal of Stroke . 2010; 5(3): 187-208.
Reeves MJ. Reducing the Delay between Stroke Onset and Hospital Arrival: Is It an Achievable Goal? Journal of the American Heart Association. 2012; 1(3): e002477.
Sullivan K and Katajamaki A. Stroke Education: Retention Effects in Those at Low- and High-Risk of Stroke. Patient Education and Counseling. 2009; 74(2): 205-212.
Zerwic J, Hwang SY, and Tucco L. Interpretation of Symptoms and Delay in Seeking Treatment by Patients Who Have Had a Stroke: Exploratory Study. Heart & Lung. 2007; 36(1): 25-34.
Obembe AO, Olaogun MO, Bamikole AA, Komolafe MA, and Odetunde M. Awareness of Risk Factors and Warning Signs of Stroke in a Nigeria University. Journal of Stroke and Cerebrovascular Diseases. 2014; 23(4): 749-758.
Hodgson C, Lindsay P, and Rubini F. Can Mass Media Influence Emergency Department Visits for Stroke? Stroke Stroke. 2007; 38(7): 2115-2122.
Fogle CC, Oser CS, Troutman TP, et al. Public Education Strategies to Increase Awareness of Stroke Warning Signs and the Need to Call 911. Journal of Public Health Management and Practice. 2008; 14(3): e17-e22.
Fogle CC, Oser CS, McNamara MJ, Helgerson SD, Gohdes D, and Harwell TS. Impact of Media on Community Awareness of Stroke Warning Signs: A Comparison Study. Journal of Stroke and Cerebrovascular Diseases. 2010; 19(5): 370-375.
Dumbrell D and Steele R. Social Media Technologies for Achieving Knowledge Management Amongst Older Adult Communities. Procedia-Social and Behavioral Sciences. 2014; 147: 229-236
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
