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Title: Karakteristik Penderita Stroke Hemoragik Pada Usia ≤ 40 Tahun yang Dirawat Inap di RSUP Haji Adam Malik Medan Tahun 2014-2015
Authors: Simarmata, Frista Novita
Advisors: Sarumpaet, Sori Muda
Rasmaliah
Issue Date: 17-Feb-2017
Abstract: Stroke is a disorder of blood circulation in the brain due to blocked or rupture of blood vessels. Stroke is divided into two parts based on the pathological namely, ischemic and hemorrhagic stroke. The entire number of stroke cases, 80% had ischemic stroke and 20% of stroke hemorrhagic. Stroke is the main cause of death in Indonesia. The aims of this study is to determine the characteristic of hemorrhagic stroke patients in ≤ 40 years old which were hospitalized at RSUP Haji Adam Malik Medan in 2014-2015. This study is descriptive with case series design. Population and the sample was 101 people in 2014-2015 which recorded in hospital medical records. Univariate data were analyzed descriptively while bivariate data were analyzed by using Chi-Square, Fisher Exact and Mann Whitney. The highest proportion based of sociodemographic in the age group 26-35 years based on sex of male and in the age group 36-40 year based on sex of female, senior high school education 48,5%, muslim 70,3%, self employed 33,7%, lives outside of Medan city 80,2%, not married 50,5%. Proportion based on the highest treatment status, decreased consciousness 72,3%, hemiparesis dextra 43%, hipertension 37,6%, intracerebral hemorrhage 83,8%, 25,7% cerebral hemifer, 78% of conservative measures, long maintainability average 8,06 days, insurance 77,2%, 39,6% of died. There is no difference of the age based on CT-Scan (p=0.441), medical measure based on CT-Scan (p=0,336), CT-Scan based on stay during the home state (p=0,997), and medical measure based on stay during the home state (p=0,060). Patients who have a history of hypertension to showed the routine control and healthy lifestyle. Medical treatment and maintainability for patients was done intensively to reduce mortality rate. Department of medical records of RSUP Haji Adam Malik Medan to complete patient datas of stroke patients such as ethnic, location of bleeding and CT-Scan results.
Abstract (other language): Stroke merupakan gangguan peredaran darah di otak akibat tersumbat atau pecahnya pembuluh darah. Stroke dibagi menjadi 2 berdasarkan patologisnya yaitu stroke iskemik dan stroke hemoragik. Dari seluruh jumlah kasus stroke, 80% menderita stroke iskemik dan 20% menderita stroke hemoragik. Stroke merupakan penyebab kematian utama di Indonesia. Untuk mengetahui karakteristik penderita stroke hemoragik yang dirawat inap, dilakukan penelitian di RSUP Haji Adam Malik Medan dengan desain case series. Populasi dan sampel penelitian berjumlah 101 orang pada tahun 2014-2015 yang tercatat di rekam medis rumah sakit. Data univariat dianalisis secara deskriptif sedangkan data bivariat dianalisis dengan chi-square, fisher exact dan mann whitney. Proporsi berdasarkan sosiodemografi tertinggi laki-laki pada umur 26-35 tahun 19,8% dan tertinggi perempuan pada umur 36-40 tahun 9,9%, tamat SLTA 48,5%, Islam 70,3%, wiraswasta 33,7%, luar kota Medan 80,2%, belum kawin 50,5%. Proporsi berdasarkan status rawatan tertinggi kedasaran menurun dan kejang 72,3%, hemiparesis dextra 43%, hipertensi 37,6%, Perdarahan Intraserebral (PIS) 67,3%, hemifer serebri 25,7%, tindakan konservatif 78%, lama rawatan rata-rata 8,06 hari, bukan biaya sendiri 77,2%, pulang berobat jalan dan meninggal 39,6%. Tidak ada perbedaan yang bermakna antara umur dengan hasil CT-Scan (p=0.441), penatalaksanaan medis berdasarkan hasil CT-Scan (p=0,336), hasil CT-Scan berdasarkan keadaan sewaktu pulang (p=0,997) dan tindakan medis berdasarkan keadaan sewaktu pulang (p=0,060). Penderita yang memiliki riwayat hipertensi untuk melakukan kontrol rutin serta menerapkan pola hidup sehat. Tindakan medis dan perawatan dilakukan secara intensif bagi penderita untuk menekan angka kematian. Bagi pihak rekam medik RSUP Haji Adam Malik Medan untuk melengkapi pencatatan data penderita seperti suku, lokasi perdarahan.
Keywords: Characteristics of Patient
Stroke Hemorrhagic
URI: http://repository.usu.ac.id/handle/123456789/64275
Appears in Collections:SP - Epidemiologi

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Abstract.pdfAbstract270.29 kBAdobe PDFView/Open
Chapter I.pdfChapter I292.49 kBAdobe PDFView/Open
Chapter II.pdfChapter II419.39 kBAdobe PDFView/Open
Chapter III-VI.pdfChapter III-VI669.35 kBAdobe PDFView/Open
Reference.pdfReference216.5 kBAdobe PDFView/Open
Appendix.pdfAppendix1.53 MBAdobe PDFView/Open
 

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