Hubungan lokasi lesi stroke terhadap tingkat depresi pasca stroke pada pasien stroke iskemik di Rumah Sakit Siloam Karawaci = The association between site of lesion to the degree of depression among ischemic stroke patients in Siloam Hospitals Karawaci

Dharmaraja, Fernando (2020) Hubungan lokasi lesi stroke terhadap tingkat depresi pasca stroke pada pasien stroke iskemik di Rumah Sakit Siloam Karawaci = The association between site of lesion to the degree of depression among ischemic stroke patients in Siloam Hospitals Karawaci. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Stroke merupakan penyakit penyebab kematian kedua terbanyak di dunia. Menurut Riset Kesehatan Dasar (RISKESDAS) jumlah penderita stroke di Indonesia berkisar 10,9 ‰ pada tahun 2018. Depresi terjadi pada satu dari tiga penderita stroke (Depresi pasca Stroke). Terdapat penelitian yang menyatakan terdapat hubungan antara lokasi infark terhadap tingkat depresi yang dialami. Namun terdapat penelitian yang menyatakan sebaliknya. Mengetahui hubungan antara lokasi lesi stroke terhadap tingkat depresi pada pasien stroke iskemik di Rumah Sakit Siloam Karawaci. Penelitian yang dilakukan dengan desain studi potong lintang ini, dilaksanakan pada Rumah Sakit Siloam Karawaci. Penelitian berjalan dari bulan Januari 2020 hingga bulan Maret 2020. Data dan informasi penelitian diambil melalui kuisioner BDI – II untuk menilai tingkat depresi dan Lokasi lesi stroke berdasarkan hasil pemeriksaan penunjang radiologis. Pengolahan data dianalsis melalui metode chi-square menggunakan aplikasi SPSS versi 25. Dari jumlah total 62 pasien stroke iskemik, terdapat 27 (43,5%) subjek mengalami lesi pada lobus frontalis, 23 (37,1%) pada lobus temporalis, 9 (14,5%) pada lobus parietalis, dan 3 (4,9%) pada lobus ossipitalis. Terdapat 35 (56,4%) subjek yang mengalami depresi minimal, 22 (35,5%) subjek depresi ringan, dan 5 (8,1%) depresi moderat. Terdapat hubungan yang signifikan antara lokasi lesi stroke terhadap tingkat depresi (OR = 5,368, p-value = 0,013) . Lesi pada lobus frontalis merupakan lokasi lesi yang paling berhubungan dengan tingkat depresi. / Stroke is known to be the second deadliest disease in the world. According to the Riset Kesehatan Dasar (RISKESDAS), there are around 10,9 ‰ stroke survivor in Indonesia by 2018. Depression is present as one of the complications in Ischemic Stroke patient. Depression occurs in one-third of stroke patients (Post Stroke Depression). Site of lesion in stroke has been associated to the degree of depression. However some studies suggest otherwise, thus requiring further clarifications. To investigate the relationship between site of lesion to the degree of depression Ischemic Stroke Patient in Siloam General Hospitals Karawaci. This Cross-sectional study is conducted in Siloam Hospitals Karawaci. This study collect data from January until March 2020. Sample for this study are Ischemic Stroke patients in Siloam Hospitals Karawaci. Data are collected using the Beck’s Depression Inventory II (BDI-II) to record the degree of depression and site of lesion will be based on radiological imaging interpretation. The result is then analyzed with Chi Square using SPSS version 25 software. Out of the 62 patient with ischemic stroke, There are 27 (43,5%) subject with the site of lesion in the frontal lobe, 23(37,1%) in the Temporal Lobe, 9(14,5%) in the Parietal Lobe , dan 3 (4,9%)in the Occipital Lobe. There are 35 (56,4%) subjects with minimal depression, 22 (35,5%) with mild depression and 5 (8,1%) had moderate depression. Significant association is found between site of lesion and the degree of depression (OR = 5,368, p-value = 0,013). Lesion in the Frontal lobe shows the most associated with the degree of depression.

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