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Analysis of Factors Influencing Mortality in Patients with Intracerebral Hemorrhagic Stroke Nurlisa Naila Aulia; Shobihatus Syifak; Dyah Yuniati
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 12, No 2 (2023): September 2023
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v12i2.2880

Abstract

Stroke is a cerebrovascular disease that causes sudden neurological deficits due to the interruption of blood supply to the brain, resulting in the disruption of brain function. It is ranked as the second most common cause of death worldwide and leads to the highest number of disabilities globally. The incidence of this disease is 10-20 cases per 100,000 population, reaching 15% of all strokes worldwide yearly. The highest mortality rate was 20.3% after 48 hours and 18.3% less than 48 hours. This number is greater than the death rate in stroke infarction. This study aims to analyze the factors influencing mortality in patients with intracerebral hemorrhage (ICH). This type of research is observational analytic research. The design used is cross-sectional. This study was approved by the Health Ethics Committee of the Jemursari Islamic Hospital in Surabaya. The sampling technique uses total sampling. The total sample of this study was 65 patients. The sample in this study were all ICH stroke patients who were treated at RSI JS Surabaya from January 2019 to December 2021. Statistical analysis in this study used the chi-square correlation test. The results showed that the duration of hospitalization and bleeding volume had a significant correlation with the mortality in stroke patients (p-value<0.05) with OR (95% CI) are 0.243 (0.082-0.723) and 0.154 (0.048-0.500) respectively. Bleeding volume has a correlation with mortality in this study. However, this study has only fewer samples and it can’t be generalized.
STROKE SELF-MANAGEMENT PROGRAM SEBAGAI UPAYA PENINGKATAN KUALITAS HIDUP MASYARAKAT Imamatul Faizah; Yanis Kartini; Ratna Yunita Sari; Riska Rohmawati; Nurlisa Naila Aulia
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2023): Volume 4 Nomor 3 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i3.17707

Abstract

Pengelolaan manajemen diri pasien post stroke sangat dibutuhkan untuk meningkatkan keyakinan, motivasi dan kemampuan pasien dalam melakukan diet, pengobatan dan rehabilitasi berdasarkan pengaturan pola hidup yang sehat. Pengabdian Masyarakat ini diharapkan kualitas hidup pada masyarakat dapat meningkat melalui stroke self-management program. Metode yang digunakan dalam kegiatan pengabdian masyarakat ini adalah dengan memberikan penyuluhan kesehatan dan memberikan penyuluhan stroke self-management program, beserta pelatihan stroke self-management program. Kegiatan ini dilaksanakan selama satu bulan dan diikuti oleh 38 penderita hipertensi sebagai faktor resiko stroke. rata-rata kualitas hidup sebelum diberikan stroke self-management program 22.60 dan setelah diberikan stroke self-management program 24.40. Terdapat peningkatan rata-rata 1.80. Stroke self-management program efektif dalam menjaga kualitas hidup masyarakat.
Sleep Quality of Patient Hypertension with Obstructive Sleep Apnea (OSA) in the Elderly Shobihatus Syifak; Dyah Yuniati; Nurlisa Naila Aulia; Iis Noventi
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2071

Abstract

Background: Hypertension is a common chronic health problem in older adult and is often associated with sleep disorders, one of which is the risk of Obstructive Sleep Apnoea (OSA). OSA can cause sleep fragmentation and intermittent hypoxia, which can lead to a decline with hypertension, sleep disorders often go undetected early on requiring effective screening efforts. Purpose: This study aims to analyze the relationship between sleep quality and the risk of Obstructive Sleep Apnoea (OSA) in elderly people with hypertension. Methods: This study employed an analytical observational design with a cross-sectional approach. This study was conducted at the Neurology Clinic of RSI Jemursari Surabaya from May to August 2025 with a sample size of 30 elderly individuals selected using simple random sampling. Sleep quality was measured using the Pittsburgh Slee Quality Index (PSQI), while the risk of OSA was assessed using the Epworth Sleepiness Scale (ESS). The relationship between sleep quality and the risk of OSA was analysed usinhg Fisher’s exact test with a significance level of 0.05. Result: The result showed that most elderly people with hypertension had poor sleep quality (PSQI > 5). Elderly people with a poor sleep quality were significantly more likely to have an ESS score ≥10, indicating an increased risk of Obstructive Sleep Apnoea, compared to elderly people with good sleep quality (p = 0.021). Conclusion: There is a significant relationship between sleep quality and the risk of Obstructive Sleep Apnoea in elderly people with hypertension. Screening for sleep quality and OSA risk using the PSQI and ESS is important as an early detection measure to support the prevention of cardiovascular complications improve the quality of life of elderly people.