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HOME CARE HOLISTIC TERHADAP PERUBAHAN KECEMASAN DAN DEPRESI PADA PASIEN STROKE ISKEMIK (Home Care Holistic on the Change of Anxiety and Depression for the Patietnt with Stroke Ischemic) The prevalence of stroke and the association between stroke and depression among a very old population. Authors: Hornsten C ; Molander L ; Gustafson Y Author Address: Department of Community Medicine and Rehabilitation, Geriatric Medicine, Ume University, SE90185 Ume, Sweden. carl.hornsten@germed.umu.se Source: Archives Of Gerontology And Geriatrics [Arch Gerontol Geriatr] 2012 Nov-Dec; Vol. 55 (3), pp. 555-9. Date of Electronic Publication: 2012 May 28. Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English Journal Information: Publisher: Elsevier Biomedical Press Country of Publication: Netherlands NLM ID: 8214379 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6976 (Electronic) Linking ISSN: 01674943 NLM ISO Abbreviation: Arch Gerontol Geriatr Subsets: MEDLINE Imprints: Original Publication: Amsterdam : Elsevier Biomedical Press, c1982MeSH Terms: Depression/*epidemiology Stroke/*epidemiology Activities of Daily Living ; Age Factors ; Aged, 80 and over ; Cross-Sectional Studies ; Depression/etiology ; Depression/psychology ; Female ; Finland/epidemiology ; Geriatric Assessment/statistics & numerical data ; Humans ; Incidence ; Male ; Prevalence ; Psychiatric Status

Rating Scales/statistics & numerical data ; Stroke/complications ; Stroke/psychology ; Sweden/epidemiology Abstract: There are few studies comparing those who have had and have not had a stroke among those aged 80 years and over, the very old. The aim of this paper was to investigate the prevalence of stroke and the association between stroke and depression in a very old population. This paper is based on crosssectional data from a population-based study performed between 2005 and 2007. Half of those aged 85 years, all 90-, and 95-year-olds and older in eight urban and rural municipalities in northern Sweden and Finland were invited to participate. A sample of 601 individuals who participated fully in the study was selected. Data were collected through assessments, structured interviews and investigation of medical charts. A specialist in geriatric medicine determined disease status for depression based on medical records and results from the Geriatric Depression Scale (GDS)-15, the Montgomery sberg Depression Rating Scale (MADRS) and the Organic Brain Syndrome (OBS) scale, and for stroke based on medical records and reported disease. The prevalence of stroke was 21.5%. The prevalence of depression was 50.4% among those with stroke compared to 34.3% among those without stroke (OR 1.944, p<0.001). In a logistic regression model adjusted for several demographic variables, diseases and functional level, stroke was independently associated with depression (OR 1.644, p=0.038). A large proportion of those with depression, both with and without stroke, were not receiving antidepressant medication. In conclusion, the stroke prevalence was high and stroke showed a strong association with depression among very old people. (Copyright 2012 Elsevier Ireland Ltd. All rights reserved.) Entry Dates: Date Created: 20120904 Date Completed: 20130211 Update Code: 20130211 DOI: 10.1016/j.archger.2012.04.012 PMID: 22647381 Database: MEDLINE with Full Text Higher stroke unit volume associated with improved quality of early stroke care and reduced length of stay.

Authors: Svendsen ML ; Ehlers LH ; Ingeman A ; Johnsen SP Author Address: Department of Clinical Epidemiology, Aarhus University Hospital, Olof Palmes All 43-45, DK-8200 Aarhus N, Denmark. mls@dce.au.dk Source: Stroke; A Journal Of Cerebral Circulation [Stroke] 2012 Nov; Vol. 43 (11), pp. 3041-5. Date of Electronic Publication: 2012 Sep 13. Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English Journal Information: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0235266 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1524-4628 (Electronic) Linking ISSN: 00392499 NLM ISO Abbreviation: Stroke Subsets: MEDLINE

Imprints: Publication: 1998- : Baltimore, Md. : Lippincott Williams & Wilkins Original Publication: New York. MeSH Terms: Hospital Units/*standards Hospital Units/*statistics & numerical data Length of Stay/*statistics & numerical data Stroke/*therapy Cohort Studies ; Denmark ; Humans ; Prognosis ; Stroke/mortality Abstract:

Background and Purpose: Specialized stroke unit care improves outcome among patients with stroke, but it is unclear whether there are any scale advantages in costs and clinical outcome from treating a larger number of patients. We examined whether the case volume in stroke units was associated with quality of early stroke care, mortality, and hospital bed-day use. Methods: In a nationwide population-based cohort study, we identified 63 995 patients admitted to stroke units in Denmark between 2003 and 2009. Data on exposure, outcome, and covariates were collected prospectively. Comparisons were clustered within stroke units and adjusted for patient and hospital characteristics. Results: Patients in high-volume stroke units overall had a better prognostic profile than patients in low-volume stroke units. Patients in high-volume stroke units also received more processes of care in the early phase of stroke compared with patients in low-volume stroke units (unadjusted difference, 9.84 percentage points; 95% CI, 3.98-15.70). High stroke unit volume was associated with shorter length of the initial hospital stay (adjusted ratio, 0.49; 95% CI, 0.41-0.59) and reduced bed-day use in the first year after stroke (adjusted ratio, 0.79; 95% CI, 0.70-0.87). No association between volume and mortality was found. Conclusions: Patients admitted to high-volume stroke units received a higher quality of early stroke care and spent fewer days in the hospital compared with patients in low-volume units. We observed no association between volume and mortality. Entry Dates: Date Created: 20121023 Date Completed: 20130103 Update Code: 20130103 DOI: 10.1161/STROKEAHA.111.645184 PMID: 22984009 Database: MEDLINE with Full Text Association between socioeconomic status and functional impairment 3 months after ischemic stroke: the Berlin Stroke Register. Authors:

Grube MM ; Koennecke HC ; Walter G ; Thmmler J ; Meisel A ; Wellwood I ; Heuschmann PU Corporate Authors: Berlin Stroke Register Author Address: Center for Stroke Research Berlin, Charit-Universittsmedizin Berlin, Charitplatz 1, 10117 Berlin, Germany. maike.grube@charite.de Source: Stroke; A Journal Of Cerebral Circulation [Stroke] 2012 Dec; Vol. 43 (12), pp. 3325-30. Date of Electronic Publication: 2012 Oct 02. Publication Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Language: English Journal Information: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0235266 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1524-4628 (Electronic) Linking ISSN: 00392499 NLM ISO Abbreviation: Stroke Subsets: MEDLINE

Imprints: Publication: 1998- : Baltimore, Md. : Lippincott Williams & Wilkins Original Publication: New York. MeSH Terms: Recovery of Function* Social Class* Brain Ischemia/*epidemiology Registries/*statistics & numerical data Stroke/*epidemiology

Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Berlin/epidemiology ; Brain Ischemia/economics ; Brain Ischemia/rehabilitation ; Comorbidity ; Female ; Follow-Up Studies ; Humans ; Ischemic Attack, Transient/economics ; Ischemic Attack, Transient/epidemiology ; Ischemic Attack, Transient/rehabilitation ; Male ; Middle Aged ; Multivariate Analysis ; Questionnaires ; Stroke/economics ; Stroke/rehabilitation ; Young Adult Abstract: Background and Purpose: We aimed to analyze the association between patient socioeconomic status and functional impairment 3 months after ischemic stroke and to identify factors that influence this association. Methods: Data were obtained from the Berlin Stroke Register, a network of 14 stroke units in Berlin. Ischemic stroke patients consecutively admitted to 1 of the hospitals in the Berlin Stroke Register between June 2010 and September 2011, were followed-up 3 months after the index event by postal or telephone interview. We used multivariable logistic regression to examine the association between highest education as marker of socioeconomic status and functional impairment after stroke defined by Barthel Index categories. We adjusted for age, sex, prestroke dependency, stroke severity, functional deficit after stroke onset, and comorbidities as possible confounding factors. Results: A total of 1688 ischemic stroke patients who were alive at 3 months and completed the questionnaire were included in the analysis; 40% of the patients were female and 50% of the patients were 70 years or older. Age, prestroke dependency, stroke severity, and the absence of comorbidities were significantly associated with good functional outcome at 3 months. In multivariable analysis, a higher probability of good outcome was observed in patients with college or university degree (odds ratio, 2.18; 95% confidence interval, 1.39-3.42) compared with patients with no completed education. Conclusions: Patients with lower education have considerably lower rates of good functional outcome after stroke that cannot be fully explained by variations in the patients' clinical and demographic characteristics. Entry Dates: Date Created: 20121127 Date Completed: 20130205 Update Code: 20130205 DOI: 10.1161/STROKEAHA.112.669580 PMID: 23033351

Database: MEDLINE with Full Text Gambaran Pelaksanaan Discharge Planning pada Pasien Stroke di Rumah Sakit Umum Daerah Saras Husada Purworejo Undergraduate Theses from JTSTIKESMUHGO / 2012-03-14 14:30:32 Oleh : Maya Sari Dewi (A20800162), S1 Keperawatan Dibuat : 27-08-2010, dengan 0 file

Keyword : discharge planning, pendidikan kesehatan, informasi fasilitas kesehatan, informasi perubahan lingkungan rumah Subjek : discharge planning, pasien stroke Nomor Panggil (DDC) : RS 009/DEW/g/2010

Latar belakang: Discharge planning adalah proses antisipasi dan perencanaan yang dibutuhkan pasien dan keluarga setelah kembali ke rumah, yang meruapakan bagian penting dalam perawatan kesehatan secara komprehensif dan harus dilaksanakan pada setiap perencanaan perawatan pasien. Tujuan: Mendapatkan gambaran tentang pelaksanaan Discharge planning pada pasien stroke di RSUD saras Husada Purworejo. Metode Penelitian: Desain penelitian non eksperimental, bersifat deskriptif dengan pendekatan cross sectional yang merupakan penelitian kuantitatif. Sampel yang diambil menggunakan purposive sampling. Metode pengumpulan data menggunakan kuesioner dan hasil disajikan dalam distribusi frekuensi. Hasil penelitian: Pelaksanaan discharge planning pasien stroke meliputi aspek pendidikan kesehatan, informasi fasilitas kesehatan yang ada di masyarakat dan perubahan lingkungan rumah telah diberikan pada pasien dan keluarga sebanyak 56,61%. Perawat yang mengatakan telah memberikan discharge planning pada pasien dan keluarga pasien sebanyak 43,61%. Waktu pelaksanaan discharge selama dirawat di rumah sakit. Sedangkan hasil penelitian pada perawat menyatakan 75% memberikan penjelasan selama pasien dirawat di rumah sakit. pendokumentasian pelaksanaan discharge planning sebanyak 95%. Kesimpulan: Perawat telah memberikan discharge planning tetapi belum komprehensif, waktu pelaksanaan discharge planning cukup efisien, pelaksanaan discharge planning sudah terdokumentasi.

Perbedaan Aktifitas Kehidupan Fisik Sehari-hari Antara Penderita Stroke Hemoragik Dan Non Hemoragik Tino Rani, G 0000141, 2004

Abstrak

Stroke Hemoragik biasanya akibat perdarahan karena pecahnya aneurisma atau robeknya malformasi arteri-vena. Stroke non hemoragik didapatkan gangguan pemasokan darah ke sebagian jaringan otak sehingga aliran darah berkurang atau terhenti. Perawatan diri merupakan masalah pribadi mulai dari ritual, kebiasaan, pengaturan waktu dan metode pembelajaran dalam keluarga sejak dini. Semua hal itu mempengaruhi seseorang untuk mencapai perawatan diri dalam aktifitas kehidupan fisik sehari-hari (ADL). Pada penderita pasca stroke mengalami defisit neurologis yang mempengaruhi aktifitas kehidupan fisik sehari-hari. Permasalahan pada penelitian ini dapat dirumuskan sebagai berikut: Apakah ada perbedaan aktifitas fisik sehari-hari pada penderita pasca stroke hemoragik dan non hemoragik.

Penelitian ini bertujuan untuk mengetahui apakah ada perbedaan aktifitas kehidupan fisik sehari-hari penderita pasca stroke hemoragik dan non hemoragik. Jenis penelitian ini adalah survey analitik dengan pendekatan cross sectional dan mengambil lokasi di unit rawat jalan bagian saraf RSUD dr. Moewardi Surakarta. Penelitian dilaksanakan pada bulan Agustus Desember 2003. Sampel diambil secara purposive random sampling. Didapat 40 pasien post stroke, 21 pasien stroke hemoragik dan 19 pasien stroke non hemoragik. Data diolah dan dianalisis dengan menggunakan uji statistik Kai Kuadrat.

Dari uji statistik Kai Kuadrat diperoleh X2 hitung = 6.352 lebih besar dari X2 tabel = 3.841 dengan taraf signifikan 0.05 dan derajat bebas = 1. Sehingga dapat disimpulkan bahwa terdapat perbedaan aktifitas kehidupan fisik sehari-hari (Activity of Daily living/ADL) antara penderita pasca stroke hemoragik dan non hemoragik, dimana pasien pasca stroke jenis hemoragik mempunyai nilai lebih buruk dari pasien pasca stroke jenis non hemoragik.

Kata kunci: Stroke hemoragik, Stroke non hemoragik, Aktifitas kehidupan fisik sehari-hari (ADL).