Determinan Faktor-Faktor yang Memengaruhi Kualitas Hidup Pasien Stroke Iskemik di RSUD dr. H. Abdul Moeloek Bandar Lampung

Adilla Dwi Nur Yadika, Fitria Saftarina, Reni Zuraida, Dyah Wulan Sumekar, Susianti Susianti

Sari


ABSTRACT

 

Stroke is a cerebral blood circulation disorder lasting for 24 hours or more. Stroke is a leading cause of disability and death in Indonesia and causes functional disability and mental disorders that can reduce quality of life. Quality of life is an individual's perception of their position. In Lampung, 66.7% of stroke patients have poor quality of life. This study aims to determine the factors that influence ischemic stroke patients’ quality of life at RSUD dr. H. Abdul Moeloek Bandar Lampung. This study used an observational analysis and cross-sectional design. The dependent variable was ischemic stroke patients’ quality of life and the independent variables were age, gender, education level, employment status, marital status, comorbidities, duration after stroke, stroke recurrence, and family support. Primary data were obtained through interviews using questionnaire and secondary data from medical records. Bivariate analysis used Chi Square and multivariate used logistic regression. There were relationship between age (p=0.014), employment status (p<0.001), marital status (p=0.016), and stroke recurrence (p=0.012), there were no relationship between gender (p=0.209), education level (p=0.071), comorbidities (p=0.158), duration after stroke (p=0.184), and family support (p=0.700) with the ischemic stroke patients’ quality of life at RSUD dr. H. Abdul Moeloek Bandar Lampung. The most dominant factor was employment status (p<0.001; PR=29.9). Active roles from health institutions, government, and families are essential to improve ischemic stroke patients’ quality of life.

 

Keywords: Ischemic Stroke, Quality of Life, Factors, Comorbidities, Family Support.

 

 

ABSTRAK

 

Stroke adalah gangguan sirkulasi darah otak selama 24 jam atau lebih. Stroke menjadi penyebab utama kecatatan dan kematian di Indonesia dan menyebabkan disabilitas fungsional dan gangguan mental sehingga dapat menurunkan kualitas hidup. Kualitas hidup adalah persepsi individu mengenai posisinya dalam kehidupan. Sebanyak 66,7% pasien stroke memiliki kualitas hidup yang tidak baik di Provinsi Lampung. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi kualitas hidup pasien stroke iskemik di RSUD dr. H. Abdul Moeloek Bandar Lampung. Penelitian ini menggunakan metode analisis observasional dengan rancangan cross sectional. Variabel dependen berupa kualitas hidup pasien stroke iskemik dan variabel independen berupa usia, jenis kelamin, tingkat pendidikan, status pekerjaan, status pernikahan, komorbiditas, lama waktu pasca stroke, status serangan, dan dukungan keluarga. Data primer diperoleh melalui wawancara menggunakan kuesioner dan data sekunder dari data rekam medis. Analisis statistik bivariat menggunakan uji Chi Square dan multivariat berupa regresi logistik. Terdapat hubungan antara usia (p= 0,014), status pekerjaan (p <0,001), status pernikahan (p=0,016), dan status serangan (p=0,012), serta tidak terdapat hubungan antara jenis kelamin (p=0,209), tingkat pendidikan (p=0,071), komorbiditas (p=0,158), lama waktu pasca stroke (p=0,184), dan dukungan keluarga (p=0,700) dengan kualitas hidup pasien stroke iskemik di RSUD dr. H. Abdul Moeloek Bandar Lampung. Faktor yang paling dominan adalah status pekerjaan (p <0,001; PR=29,9). Diperlukan peran aktif instansi kesehatan, pemerintah, dan keluarga dalam meningkatkan kualitas hidup pasien stroke iskemik.

 

Kata Kunci: Stroke Iskemik, Kualitas Hidup, Faktor-Faktor, Komorbiditas, Dukungan Keluarga.


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DOI: https://doi.org/10.33024/mahesa.v6i2.24575

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