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Oemar Sri Hartanto
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Medicine & Pharmacology

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Hubungan Kadar Glukosa Darah dengan Skor Fungsi Kognitif pada Pasien Stroke Iskemik di RSUD Dr. Moewardi Surakarta Goretti Novianty Hutauruk, Maria; Sri Hartanto, Oemar; Murti, Bhisma; Soedomo, Agus
Nexus Kedokteran Klinik Vol 1, No 1 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Objective: The aim of the study is to determain the relation between blood glucose level and cognitive function score in stroke ischemic patient at RSUD Dr. Moewardi. Background: . An ischemic stroke is death of an area of brain tissue (cerebral infarction) resulting from an inadequate supply of blood and oxygen to the brain due to blockage of an artery. Cognitive impairments that may be experienced after the occurrence of strokeinclude difficulty concentrating for the amount of time, organization, forgetfulnessand being easily confused. The state of hyperglycemia is common in the acute phase of stroke caused by stress and an increase in serum catecholamines. This study aimed to proof that their blood glucose levels rise will increase infarct size, decreased cognitive function and clinical output effects are worse, especially in non-hemorrhagic stroke Methods: This analytic study was analytic observational with cross-sectional approach. A sample of 50 study subjects was selected by random sampling from outpatients with stroke ischemic visiting the Neurology Clinics, RSUD Dr. Moewardi Surakarta. The data were collected by interview using a set of questionnaire. The data was analyszed using multiple linear regression model on SPSS version 17 for Windows. Results: There is a negative significant association between blood glucose level and Patients stroke ischemic with blood glucose level ≥145mg/dL has MMSE score 5,39 point lower than blood glucose level <145mg/dL ( b= -5,39 ; CI 95% -6,98 sampai -3,81; p<0,001). This estimate has controlled for the effects of confounding variables such as level of education and age. Conclusion: There is a statistically significant association between blood glucose level and cognitive function score in stroke ischemic patient. This conclusion is drawn after controlling for the effects of confounding factors such as level of education and age.   Keywords: Stroke ischemic,blood glucose level, cognitive functional score.
Hubungan Jenis Kelamin dengan Kualitas Hidup Terkait Kesehatan Pasien Pasca Stroke Iskemik di RSUD Dr. Moewardi Martha Oktavia Dewi Savitri; Oemar Sri Hartanto; Bhisma Murti
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke has remained the top major killers during this last decade, actually as second leading cause of death in the world. Men suffers more stroke than women, yet the severity is worse in women. Based on some literatures, the outcome after stroke is estimated by sex, female patient has poor recovery with greater chance of depression and tends to have more disabilities, impairments and dependencies in functional activities, which these will deteriorate patients health related quality of life (HRQOL). This study aims to investigate whether there is any correlation between sex and health related quality of life of post ischemic stroke patients. Methods: This study was performed using analytic observational method with cross sectional approach. Subjects were post ischemic stroke patients at Public Hospital Dr. Moewardi. Forty five samples were taken by using fixed exposure sampling method. Instruments used in this study were Health Related Quality of Life (HR-QOL) SF-36 and Family Support Instrument. Statistic test used in this study was multiple linear regression analysis. Results: Twenty three samples (51.1 %) were men. The average age of patients is around 59 years, with an average score of HR-QOL= 353.35. It has been found that there is significant negative correlation between female patients and HR-QOL for b= -69.35, p=0.000 (p<0.05). It also has been found that the confounding factor of age is negatively and significantly correlated to the HR-QOL for b= -3.84, p= 0.000 (p<0.05) and the confounding factor of family support has significantly positive correlation to HR-QOL for b= 10.33, p=0.000 (p<0.05). Adjusted R2= 0.95 showing the suitability of the model by 95% in the population. Conclusion: Female patients averagely have lower HR-QOL score as much as 69.35 than male patients. One year increment in age will decrease HR-QOL score as much as 3.84 points. And each 1-score increase in family support will enhance HR-QOL score as much as 10.33 points. Keywords: sex, age, family support, health related quality of life, post ischemic stroke patients
Hubungan Kadar Glukosa Darah dengan Skor Fungsi Kognitif pada Pasien Stroke Iskemik di RSUD Dr. Moewardi Surakarta Maria Goretti Novianty Hutauruk; Oemar Sri Hartanto; Bhisma Murti; Agus Soedomo
Nexus Kedokteran Klinik Vol 1, No 1 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: The aim of the study is to determain the relation between blood glucose level and cognitive function score in stroke ischemic patient at RSUD Dr. Moewardi. Background: . An ischemic stroke is death of an area of brain tissue (cerebral infarction) resulting from an inadequate supply of blood and oxygen to the brain due to blockage of an artery. Cognitive impairmentsthat may be experiencedafter theoccurrenceof strokeincludedifficulty concentratingforthe amountof time, organization,forgetfulnessand being easilyconfused. The state of hyperglycemia is common in the acute phase of stroke caused by stress and an increase in serum catecholamines. This study aimed to proof that their blood glucose levels rise will increase infarct size, decreased cognitive function and clinical output effects are worse, especially in non-hemorrhagic stroke Methods: This analytic study was analytic observational with cross-sectional approach. A sample of 50 study subjects was selected by random sampling from outpatients with stroke ischemic visiting the Neurology Clinics, RSUD Dr. Moewardi Surakarta. The data were collected by interview using a set of questionnaire. The data was analyszed using multiple linear regression model on SPSS version 17 for Windows. Results: There is a negative significant association between blood glucose level and Patients stroke ischemic with blood glucose level ?145mg/dL has MMSE score 5,39 point lower than blood glucose level <145mg/dL ( b= -5,39 ; CI 95% -6,98 sampai -3,81; p<0,001). This estimate has controlled for the effects of confounding variables such as level of education and age. Conclusion: There is a statistically significant association between blood glucose level and cognitive function score in stroke ischemic patient. This conclusion is drawn after controlling for the effects of confounding factors such as level of education and age. Keywords: Stroke ischemic,blood glucose level, cognitive functional score.
Co-Authors Agus Soedomo Bhisma Murti Maria Goretti Novianty Hutauruk Martha Oktavia Dewi Savitri