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All Journal Jendela Nursing Journal (JNJ)
Ahmad Apriannor
RSUD Dr. H. Moch. Ansari Saleh Banjarmasin
Health Professions Nursing

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The Effectiveness of the Siriraj Stroke Score (SSS) and National Institute of Health Stroke Scale (NIHSS) Assessment Methods in Determining the Actual Nursing Diagnosis of Stroke Patients in the Emergency Room M Sobirin Mohtar; Subhannur Rahman; Ahmad Apriannor; Gustin Restu Auliyah
JENDELA NURSING JOURNAL Vol 6, No 2 (2022): DECEMBER 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v6i2.8873

Abstract

Background: stroke is a disease of the brain in the form of focal nerve function disorders caused by disruption of blood circulation to the brain and causing symptoms in the form of neurological deficits. As the number of stroke patients increases, the assessment needs to focus on neurology and is an emergency.Purpose: analyzing the effectiveness of the assessment method NSSS and NIHSS in determining the number of diagnoses actual nursing and the speed of time to determine the diagnosis of stroke patients in the Emergency Room.Methods: this study used a pre-experimental approach. Theerty sample were used from a new patient with a medical diagnosis of stroke, while the sampling technique in this study was accidental sampling. Data collection on each sample was directly carried out using two assessment methods. The SSS assessment consists of 5 components and the NIHSS 11 components. Data analysis used sperm correlation and correlation coefficient interpretation test.Results: the results of the sperm correlation test in the SSS and NIHSS methods both show p=0.000. The level of closeness were analyzed using the correlation coefficientthere is a very strong relationship is NIHSS to the length of the duration of determination (r = 0.858).Conclusion: the SSS and NIHSS assessment methods are effective in establishing the diagnosisactual nursingin stroke patients in the Emergency Department, however, in terms of duration of assessment and determination of the number of diagnoses, SSS is more effective, while from the duration of determining nursing diagnoses, NIHSS is more effective.
The Gadjah Mada Stroke Algorithm Scoring System (ASGM) and Guy's Hospital Stroke Score (GHSS) in Determining the Type of Stroke Emergency as A Substitute for the CT-Scan in the Emergency Room M Sobirin Mohtar; Cynthia Eka Fahyuning Tjomiadi; Ahmad Apriannor
JENDELA NURSING JOURNAL Vol 8, No 1 (2024): JUNE 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i1.10293

Abstract

Background: Nurses need a diagnostic tool in the form of a simple scoring system including the Gadjah Mada Stroke Algorithm (ASGM) and Guy's Hospital Stroke Score (GHSS) in determining the type of stroke and preventing delays.Purpose: Analyzing the comparison of the ASGM and GHSS scoring systems in determining the type of stroke emergency.Methods: This research method was a quantitative pre-experimental design (posttest only design). The population was all stroke patients in the emergency room with 30 samples and the sampling technique is accidental sampling. As for the stages for each respondent, an ASGM assessment was carried out which consisted of 3 components and GHSS 9 components. The statistical test used is the Paired Sample T-test.Results: Based on the results of the Paired Sample T-test was the value of Sig. of 0.000 0.05. The average difference in the duration of determining the type of emergency and nursing diagnoses on the assessment system and ASGM and GHSS is 7.6 minutes. Furthermore, it also shows lower data of 7.066 and upper 8.134. This shows that the duration range for determining the type of emergency using ASGM is around 7.1 – 8.1 minutes faster compared to GHSS. Based on the accuracy test that ASGM has a sensitivity level of 86.66% and a specificity of 96.66%, while GHSS has a sensitivity level of 56.66% and a specificity of 63.33%.Conclusion: ASGM and GHSS assessment methods are effective in determining the type of emergency in stroke patients in the emergency department.
Co-Authors Cynthia Eka Fahyuning Tjomiadi Gustin Restu Auliyah M Sobirin Mohtar M. Sobirin Mohtar Subhannur Rahman