Hubungan antara Tekanan Darah dengan Prognosis Stroke Iskemik Akut di Rumah Sakit Umum UKI

Tan, Janice Eloise (2021) Hubungan antara Tekanan Darah dengan Prognosis Stroke Iskemik Akut di Rumah Sakit Umum UKI. S1 thesis, Universitas Kristen Indonesia.

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Abstract

Stroke adalah defisit neurologis fokal yang disebabkan oleh lesi pada pembuluh darah otak, biasanya terjadi tiba-tiba dengan gejala yang bertahan lebih dari 24 jam. Stroke iskemik adalah defisit fokal yang disebabkan karena penyumbatan pembuluh darah. Stroke iskemik disebabkan oleh banyak faktor salah satunya adalah tekanan darah tinggi.Tekanan darah yang tinggi sering ditemui pada stroke iskemik dan bisa menyebabkan prognosis yang buruk. Penelitian ini bertujuan untuk mencari hubungan antara tekanan darah dengan prognosis stroke iskemik. Penelitian dilakukan di RSU UKI periode 2019. Desain penelitian ini adalah retrospektif dengan jumlah sampel 95 pasien. Analisis data yang digunakan univariat dan bivariat menggunakan program computer SPSS/Statistical Package for Social Sciences. Analisis data menggunakan tes regresi kuadratik, didapatkan tekanan darah datang berhubungan dengan prognosis stroke iskemik dengan skor NIHSS dan indeks Barthel saat pasien keluar dan tekanan darah keluar tidak berhubungan. Perubahan tekanan darah dari hipertensi stage 1 ke tekanan darah pra-hipertensi atau normal dan hipertensi stage 2 ke hipertensi stage 1 memberikan prognosis yang baik pada pasien. Terdapat faktor risiko lain yang bisa mempengaruhi stroke iskemik seperti umur, jenis kelamin dan tekanan darah. Kesimpulan didapat adanya hubungan tekanan darah dan prognosis stroke iskemik. Kata kunci: Stroke, stroke iskemi, tekanan darah, hipertensi, hipotensi, skor NIHSS, index Barthel. / Stroke is an acute focal neurological deficit cause by lesion in cerebral vascular, usually the onset is sudden with symptoms that last longer than 24 hours. Ischemic stroke is an acute focal deficit cause by vascular occlusion. Stroke ischemic is cause by many factor one of them is high blood pressure. High blood pressure is common in stroke ischemic and could be associated with poor outcome. This research aims to determind the relationship between blood pressure and stroke ischemic outcome in RSU UKI in 2019. This research is using retrospective design with sampling using 95 patients. Data analysis is using SPSS/ Statistical Package for Social Sciences. Data analyzed using Quadratic regression test, blood pressure addmison and clinical outcome in ischemic stroke was positively associated and blood pressure discharge was negatively associated with clinical outcome. Changed in blood pressure from hypertension stage 1 to prehypertension or normal and from hypertension stage 2 to hypertension stage 1 give better clinical outcome. There are risk factors that affecting stroke ischemic such as age, gender, and blood pressure. The conclusion is blood pressure is associated with clinical outcome in stroke ischemic. Keyword: Stroke Ichemic, blood pressure, hypertension, hypotension, NIHSS score and index Barthel.

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