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All Journal International Journal of Public Health Science (IJPHS) Medical Journal of Indonesia MNJ (Malang Neurology Journal) Universa Medicina Jurnal Keperawatan Padjadjaran Smart Medical Journal Indonesian Journal of Medicine SEMAR Smart Society Empowerment Journal Magna Neurologica Plexus Medical Journal
Ristinawati, Ira
Sebelas Maret University
Humanities Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : Smart Medical Journal

 1 
Hubungan Derajat Berat Disfagia dengan Perbaikan Derajat Stroke pada Pasien Stroke Iskemik Akut di RSUD Dr. Moewardi Surakarta Ira Ristinawati; OS Hartanto; Hari Wujoso; Subandi Subandi
Smart Medical Journal Vol 4, No 2 (2021): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v4i2.42116

Abstract

Pendahuluan: Stroke masih merupakan penyebab mortalitas dan morbiditas yang tinggi di seluruh dunia. Pasien stroke sering mengalami disfagia terutama pada fase akut. Prosedur penilaian yang mudah diterapkan untuk menilai disfagia pada pasien stroke penting dilakukan untuk mencegah komplikasi yang bisa terjadi akibat disfagia, yaitu dengan menggunakan skor GUSS (Gugging Swalowing Screen).Metode: Penelitian ini adalah penelitian kuantitatif analitik observasional dengan pendekatan cross sectional, dengan populasi sampel pasien stroke iskemik akut yang rawat inap pada periode bulan Januari-Maret 2020, didapatkan jumlah subjek penelitian 33 yang sesuai dengan kriteria inklusi dan eksklusi yang telah ditentukan. Uji korelasi pearson dan spearman digunakan untuk menganalisis data dalam penelitian ini.Hasil: Terdapat hubungan yang signifikan secara statistik antara disfagia dengan perbaikan derajat stroke pada pasien stroke iskemik akut dengan nilai p=0,002 (p<0.05) yang mempunyai korelasi sedang (r=0,530) di RSUD Dr.Moewardi Surakarta. Selain itu juga terdapat hubungan yang signifikan secara statistik antara keparahan disfagia dengan pneumonia dengan nilai p=0.001 (p<0.005)Kesimpulan: Terdapat hubungan antara disfagia dengan perbaikan derajat stroke pada pasien stroke iskemik akut di RSUD Dr.Moewardi Surakarta. Kata Kunci: stroke iskemik akut, disfagia, NIHSS, skor GUSS, perbaikan derajat stroke.Introduction: Stroke has high mortality and morbidity rates in the world. Stroke patients often experience dysphagia, especially in the acute phase. An easy assessment procedure applied to assess dysphagia in stroke patients is important to prevent complications that can occur due to dysphagia, namely by using a GUSS (Gugging Swalowing Screen) score.Methods: This study was a quantitative observational analytic study with a cross sectional design, with a sample population of acute ischemic stroke patients who were hospitalized in the period January-March 2020, obtained the number of subjects 33 in accordance with the specified inclusion and exclusion criteria. Pearson and Spearman correlation tests were used to analyze the data in this study.Results: There was a statistically significant relationship between dysphagia and stroke improvement in patients with acute ischemic stroke with p value = 0.002 (p <0.05) which had a moderate correlation (r = 0.530) in Dr.Moewardi Hospital Surakarta. There was also a statistically significant relationship between the severity of dysphagia and pneumonia with p value = 0.001 (p <0.005)Conclusion: There is a relationship between dysphagia and improvement in the degree of stroke in patients with acute ischemic stroke in RSUD Dr.Moewardi Surakarta. Keywords: acute ischemic stroke, dysphagia, NIHSS, GUSS score, stroke improvement.
Comparison of Cognitive Function Examination Using Montreal Cognitive Assessment (MOCA-INA) with Telephone Moca (T-MOCA) Ira Ristinawati; Azmi Farah Fairuzya
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.66435

Abstract

Introduction: The prevalence of dementia tends to increase over time. MOCA assessment tool is a cognitive function screening test that has high sensitivity. Telephone-based MOCA assessment has potential of detection and monitoring dementia which can be widely applied.Methods: This is an observational study with cross-sectional approach in the Neurology Outpatient Department RSUD Dr. Moewardi. The aim of this study is to compare the effectiveness of MOCA-INA assessment tool with the T-MOCA.Results: There were 424 patients who underwent MOCA-INA examination during January-June 2022. After screening, 185 patients were able to complete the study. Subjects consisted of 67 males (36.2%) and 118 females (63.8%); aged 65-74 years (44.9%), 75-84 years (25.9%), and 85 years (29.2%). It was found that the conformity diagnosis of MOCA-INA to T-MOCA was 82.3% in the conversion test. There were significant differences between normal patients and MCI patients in age (p=0.000), education level (p=0.000), MOCA-INA score (p=0.000), and T-MOCA score (p=0.000). The relationship between MOCA-INA and T-MOCA has a strong positive correlation (p = 0.000; r = 0.789). Subsequent correlation test between MOCA-INA and T-MoCA showed a strong significant relationship in the direction of gender (p = 0.000; r = 0.438) and education level (p = 0.000; r = -0.323)Conclusion: Both MOCA-INA and T-MOCA could significantly determine the level of cognitive function with a strong correlation between the two assessments.
Co-Authors Azmi Farah Fairuzya Baarid Luqman Hamidi Bambang Purwanto Benedictus Benedictus Budianto, Pepi Desy Puspa Putri Diah Kurnia Mirawati Diah Kurnia Mirawati Diah Kurnia Mirawati Dono Indarto Ervina Arta Jayanti Hutabarat Firstiafina Tiffany Hafizhan, Muhammad Hambarsari, Yetty Hamidi, Baarid Luqman Hanindia Riani Prabaningtyas Hanindia Riani Prabaningtyas Hapsari, Maria Yosita Ayu Hari Wujoso Hutabarat, Ervina Arta Jayanti Ilhamsyah, Rudi Ilyas, Muhana Fawwazy Kenneth Tan Lawly Arrel Dionnie Greatalya Muhammad Hafizhan Muhammad, Faizal Novian Anindito Santosa Noviandini Diah Afiyati Novika, Revi Gama Hatta Nur Hanifa, Shafira Nurhasan Agung Prabowo OS Hartanto Prabaningtyas, Hanindia Riani Raden Andi Ario Tedjo Rivan Danuaji Rivan Danuaji Rivan Danuaji Soetrisno Stefanus Erdana Putra Stepvia, Stepvia Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi SUROTO Suroto Suroto Suroto Suroto Teddy Tejomukti Tedjo, Raden Andi Ario Tejomukti, Teddy Vitri Widyaningsih Vivienne Tjung Yetty Hambarsari