PERBEDAAN FUNGSI KOGNITIF PASIEN PASCA STROKE HEMORAGIK DAN STROKE NON HEMORAGIK DENGAN SKORING

MOCA-INA DI POLIKLINIK SARAF RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO

ABSTRAK

Latar Belakang : Stroke adalah suatu manifestasi klinis gangguan peredaran darah otak yang menyebabkan defisit neurologis baik fokal maupun global. Disabilitas yang diakibatkan oleh stroke diantaranya gangguan fungsi kognitif.Tujuan : Untuk mengetahui perbedaan fungsi kognitif pasien pasca stroke hemoragik dan stroke non hemoragik di poliklinik RSUD Prof. Dr. Margono Soekarjo PurwokertoMetode : Penelitian ini menggunakan metode analitik observasional dengan desain cross sectional. Subjek adalah pasien pasca stroke hemoragik dan stroke non hemoragik yang memenuhi kriteria inklusi. Penelitian ini dilakukan di poliklinik saraf RSUD Prof. Dr. Margono Soekarjo Purwokerto bulan April-Mei 2014. Gangguan fungsi kognitif diukur dengan skoring MoCA-Ina. Analisis data menggunakan analisis bivariat dengan Chi-square.Hasil : Jumlah sampel pada penelitian ini 60 responden yang terdiri dari 28 pasien stroke hemoragik dan 32 pasien stroke non hemoragik. Didapatkan fungsi kognitif normal sebanyak 25 (41,7%) dan tidak normal sebanyak 35 (58,3%). Hasil uji chi-square perbedaan fungsi kognitif pasien pasca stroke hemoragik dan stroke non hemoragik didapatkan nilai p=0,005.Kesimpulan : Terdapat perbedaan yang signifikan fungsi kognitif pasien pasca stroke hemoragik dan stroke non hemoragik dengan skoring MoCA-Ina di poliklinik saraf RSUD Prof. Dr. Margono Soekarjo Purwokerto.

Kata kunci : gangguan fungsi kognitif, stroke.

DIFFERENCES COGNITIVE FUNCTION POST HEMORRHAGIC STROKE AND NON HEMORRHAGIC STROKE PATIENTS BY SCORING

MOCA-INA AT NEUROLOGY POLYCLINIC PROF. DR. MARGONO SOEKARJO HOSPITAL PURWOKERTO

ABSTRACT

Background : Stroke is clinical manifestation of brain blood circulation disorder that causes both focal and global neurological deficits. Disability caused by stroke include impaired cognitive function.Purpose : To determine differences in cognitive function post hemorrhagic stroke and non hemorrhagic stroke patients at neurology polyclinic Prof. Dr. Margono Soekarjo hospital Purwokerto.Method : This study is an analytic observational study with cross sectional design. Subjects were patients with post hemorrhagic stroke and non hemorrhagic stroke within certain inclusion criteria. This research was conducted at neurology polyclinic Prof. Dr. Margono Soekarjo hospital Purwokerto in April-May. Cognitive impairment was measured by scoring MoCA-Ina. Analysis of the data using bivariate analysis with Chi-square.Results : Total sampels were 60 respondent, composed of 28 hemorrhagic stroke patients and 32 non hemorrhagic stroke. Normal cognitive function obtained by 25 persons (41,7%) and 35 persons (58,3%) have abnormal cognitive function. The result of chi square differences test in cognitive function post hemorrhagic stroke patiens and non hemorrhagic stroke obtained value of p=0,005.Conclusion: There are significant differences in cognitive function post hemorrhagic stroke and non hemorrhagic stroke patients by scoring MoCA-Ina at neurology polyclinic Prof. Dr. Margono Soekarjo hospital Purwokerto.

Keywords : cognitive impairment, stroke.