Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKTujuan : Mengetahui perubahan kadar vitamin A plasma dan hubungannya dengan keadaan klinis penderita stroke iskemikMetodologi : Penelitian dengan desain potong lintang dilakukan pada 26 pasien stroke iskemik dengan onset kurang dari 48 jam. Pengambilan subyek penelitian dilakukan dengan cara consecutive sampling. Pemeriksaan kadar vitamin A dengan metode high performance liquid chromatography (HPLC), dilakukan pada saat pasien masuk, hari kedua, ketiga dan kelima perawatan. Data yang dikumpulkan meliputi : karakteristik demografi, faktor-faktor risiko, asupan nutrisi dengan metode recall 1 x 24 jam, food frequency questionnaire (FFQ) semik antitatif dan selama dirawat dg food record, indeks massa tubuh (IMT) serta penilaian klinis dengan National Institutes of Health Stroke Scale (NIHSS).Hasil : Jumlah subyek penelitian 26 orang (20 laki-laki dan 6 perempuan) dengan rerata usia 60.58 + 9.36 tahun. Faktor risiko terbanyak adalah hipertensi yaitu 80.1%. Berdasarkan WIT, 53.9% subyek masuk dalam kategori berat badan lebih. Tidak didapatkan hubungan yang bermakna antara asupan vitamin A, lemak dan vitamin E dengan kadar vitamin A plasma Rerata kadar vitamin A plasma masuk dalam kategori nominal dan menunjukkan peningkatan yang bermakna pada hari kelima perawatan (p: 0,035). Perjalanan klinis penyakit berdasarkan NIHSS menunjukkan perbaikan yang bermakna (p: 0,045 - 0,005). Terdapat korelasi negatif dan bermakna antara peningkatan kadar vitamin A plasma dengan penilaian NIHSS pada hari kelima perawatan (r:0,391, p: 0,049).Kesimpulan : Terdapat perbedaan yang bermakna antara kadar vitamin A plasma pada hari pertama dengan hari kelima perawatan. Terdapat perbedaan yang bermakna pada penilaian NIHSS selama lima hari perawatan. Terdapat korelasi negatif bermakna antara kadar vitamin A plasma dengan penilaian NIHSS pada hari kelima perawatan.Kata kunci : Vitamin A, stroke iskemik

---

ABSTRACT

Levels Of Vitamin A In Ischemic Stroke Patients

Objective : The purpose of this study was to investigate the time course of plasma vitamin A changes and its relation with clinical state in ischemic stroke patients.

Metodology : A cross sectional study was carried out among 26 patients with ischemic stroke of recent onset (< 48 hours). Consecutive sampling method was used to obtain the subject. Plasma vitamin A level was measured using high performance liquid chromatography (HPLC) on admission, and days 2, 3, and 5. Data collected were demographic characteristics, risk factors of stroke, nutrient intake using 24 hours recall, semi quantitative food frequency questionnaire (FFQ) and food record method when hospitalized, body mass index (BMI), and clinical condition using National Institutes Health Stroke Scale (NIHSS).

Result, : The subjects consist of 26 patients (20 males and 6 females) with a mean of age 60.58 + 9.36 years. Hypertension was the most modifiable risk factors (80.1%) that found. Based on SMI, 53.9% subjects had overweight. There were no relationship between nutrient intake (vitamin A, fat and vitamin E) and plasma vitamin A level. Plasma vitamin A level was still in the normal range and gradually increased in the following days, it showed a significant increase on day 5 since admission (p: 0.035). The score of NIHSS was significantly decreased along hospitalized (p: 0.045 - 0.005)_ A significant negative correlation between plasma vitamin A levels and NIHSS score on day 5 was found (r: -0.391, p: 0.049).

Conclusion : There was significant difference in plasma vitamin A level between day 5 and at admission. Scores of NIHSS were significantly different in the following days. A significant negative correlation between plasma vitamin A levels and scores of NIHSS on day 5 was found."

"Tujuan PenelitianUntuk mendapatkan data perubahan kadar vitamin C plasma dan faktor-faktor yang berhubungan pasien stroke iskemikTempat PenelitianRuang rawat inap B Rumah Sakit Umum Pusat Nasional Dr. Cipto MangunkusumoDesain PenelitianPenelitian dengan desain cross sectional dilakukan pada 29 pasien stroke iskemik dengan onset kurang dari 48 jam. Pengambilan subyek penelitian dengan Cara consecutive sampling. Pemeriksaan vitamin C dengan metode spektrofotometri. Data yang dikumpulkan meliputi: karakteristik demografi, faktor risiko, pola makan, asupan nutrisi berdasarkan recall I x24 jam, food frequency amount (FFA) dan food record, pemeriksaan antropometri (BB, TB), pemeriksaan klinis dengan National Institutes of Health Stroke Scale (NIHSS)Subyek PenelitianJumlah subyek penelitian 29 orang (22 laki-laki dan 7 perempuan). Rerata usia 60 ± 10,1 tahun. Sebanyak 56,7% mempunyai pola makan kurang. Asupan vitamin C selama observasi di bawah angka yang dianjurkan (55,8 ± 15,4 mg/dL ; 54,2 ± 14,2 mg/dL ; 56,1 ± 15,6 mg/dL ; 53,8 ± 16,7 mgldL) Berdasarkan FFA dan recall terdapat korelasi positif bermakna antara kadar vitamin C plasma dengan asupan vitamin C (r:1,42 - 0,43, p<0,05). Berdasarkan food record terdapat korelasi positif cukup antara kadar vitamin C plasma dengan asupan energi (r--0,33 - 0,35 p>0,05 ), dan asupan protein (r3,32 - 0,35, p>0,05)_ Korelasi positif bermakna antara kadar vitamin C plasma dengan asupan vitamin C (r- 0,39 - 0,43, p<0,05). Kadar vitamin C plasma perokok lebih rendah dibandingkan non perokok. Perubahan kadar "vitamin C plasma tidak berbeda menurut jenis kelamin (p-0,05). Demikian pula kadar kadar vitamin C plasma menurut usia (p > 0,05). Tidak terdapat perubahan bermakna nilai NIHSS ( 9,8 ± 6,9 ; 9,8 ± 7,1 ; 9,5 ± 7,1 ; 9,3 ± 7,6 ). Antara kadar vitamin C plasma dengan nilai NIHSS terdapat korelasi negatif (r 0,28 - -0,34, p>0,05).Hasil PenelitianPenelitian ini menunjukkan terdapat perubahan kadar vitamin C plasma pasien stroke iskemik. Penurunan bermakna kadar vitamin C plasma Mari ke 3 dan 5 terhadap kadar vitamin C plasma hari pertama. Persentase asupan energi, protein, serat dan vitamin C masih di bawah kebutuhan. Terdapat korelasi negatif antara kadar vitamin C plasma dengan nilai NIHSS.

---

Objective

To investigate the changes of vitamin C plasma level and associated factors in stroke ischemic paitents.

Place IRNA B, Cipto Mangunkusumo General Hospital, Jakarta

Methods

A cross sectional study was carried out among 29 patient with ischemic stroke of recent onset (< 48 hours). Consecutive sampling method was used to obtain the subject. Plasma vitamin C level was measured using spectrofotometry. Data collected were demographic characteristics include, risk factors, pattern food, nutrition intake using 24 hours recall, FFA and food record food, antropometri assessment, neurology examination using NIHSS.

Result

The subject consist of 29 patients (20 males and 6 females) with mean of age was 60 ± 10,1 years. There were 56,7% have less dietary profile. Vitamin C intake during observation was under recommendation (55,8 ± 15,4 mg/di. ; 54,2 + 14,2 mg/dL ; 56,1 ± 15,6 mg/dL ; 53,8 f 16,7 mg/dL). Based on FFA and recall, there was significant positive correlation between vitamin C plasma level with intake of vitamin C (r = 0,42 - 0,43 p<0,05). Based on record, there was positive correlation between the level of vitamin C plasma level with energy intake (r = 0,33 - 0,35 p50,05 ), and protein intake (r=0,32 - 0,35 p>0,05). There was significant correlation between level of vitamin C plasma with vitamin C intake (r=0,39 - 0,43, p<0,05) The plasma vitamin C Ievel of smoker lower than non smoker patients. There was no relationship between vitamin C plasma level and sex (p>0,05), age (p>0,05). During the observation there were no significant difference in score of NIHSS (9,8 ± 6,9 ; 9,8 ± 7,1 ; 9,5 ± 7,1 ; 9,3 ± 7,6 ). There was negative correlation between the level of vitamin C plasma and NIHSS score, as follows (r = -0,28 - -0,34, p>0,05).

Conclusion

This study showed that there were changes in the level of the vitamin C plasma of ischemic stroke patient. There was significant decrease in plasma vitamin C level between the third and fourth days and at admission The percentage of energy, protein, fiber and vitamin C intake under the recommendation. There was negative correlation between NIHSS and vitamin C plasma level."

"ABSTRAKMasalah utama pada stroke iskemik yaitu gangguan aliran darah serebral. Tindakankeperawatan yang dapat dilakukan diantaranya pemberian posisi dan aktivitas. Keduatindakan tersebut tujuannya adalah untuk memperbaiki hemodinamik serebral yang padaakhirnya meningkatkan hasil perawatan pasien stroke yang diukur dengan NationalInstitutes of Health Stroke Scale (NIHSS). Penelitian ini bertujuan mengidentifikasipengaruh posisi kepala dan PROM terhadap NIHSS pasien stroke iskemik. Penelitianini menggunakan metoda Quasi Experimental dengan rancangan the unthreated controlgroup design with pretest and posttest. Sampel diambil dengan teknik purposivesampling. Penelitian dilakukan di Ruang Rawat Inap (Ruang Mawar dan Ratna), RumahSakit Sanglah Denpasar, Bali, mulai minggu ketiga bulan Oktober sampai minggu keduabulan November 2008 dengan jumlah sampel sebanyak 20 orang. Perlakuan yangdilakukan adalah posisi kepala 150 dan latihan PROM yaitu fleksi kedua bahu 1500-1800dari posisi istirahat sampai lengan dan tangan kembali ke posisi netral yang dibantu olehperawat. Gerakan ini dilakukan 10 kali dalam 1 menit selama 2 menit. Dilakukan 3 kalidalam sehari (pukul 09.00, 11.00 dan 16.00 wita) selama 7 hari. Hasil penelitian inimenunjukkan bahwa rerata penurunan skor NIHSS pada kelompok perlakuan sebesar4,00 (p = 0,0001) dan kelompok kontrol rerata sebesar 2,60 (p = 0,0001). Beda reratapenurunan skor NIHSS antara kelompok perlakuan dengan kelompok kontrol adalah1,40 (p = 0,067). Penelitian ini dapat disimpulkan pemberian posisi kepala 150 danPROM ekstremitas atas berpengaruh pada perbaikan status neurologis pasien melaluipengukuran dengan NIHSS tetapi pengaruhnya tidak berbeda bermakna biladibandingkan dengan protap pemberian posisi dan PROM di RS Sanglah Denpasar yaitu300. Perawat dapat memberikan posisi 150 atau 300 dan PROM dapat diberikan kepadapasien stroke iskemik setelah fase akut untuk meningkatkan kualitas asuhankeperawatan dan proses pemulihan jangka pendek.

---

ABSTRACTThe main problem on stroke ischemic is impaired of cerebral blood flow. Provide headposition dan activity are one of nursing interventions for stroke ischemic patients. Theaim of the both interventions is to improve cerebral haemodinamic and stroke outcomewith National Institutes of Health Stroke Scale (NIHSS) measurement. The purpose ofstudy is to identified the effect of head position 150 and passive range of motion(PROM) on NIHSS on stroke ischemic patients, with quasi experimental study and theunthreated control group design with pretest and posttest. Twenty samples was takenwith purposive sampling in Mawar and Ratna ward at Rumah Sakit Sanglah Denpasar,Bali on third week of October until second week of November 2008. The intervention ofstudy is head elevated 150 of bed position and PROM of 1500 – 1800 shoulder flexionfrom rest position of arm to neutral position, 10 times per minute for two minutes.Three times a day at 09.00, 11.00 and 16.00 for seven days. The result of study showedthe mean of decrease of NIHSS score on intervention group is 4.00 (p = 0.0001) and2.60 on control group (p = 0.0001). The different of mean of decrease of NIHSS scorebetween intervention group and control group is 1.40 (p = 0.067). The concluded forthese study there is significant effect on neurological status stroke ischemic patiens withNIHSS measurment on provide of 150 of head position and PROM. Althougth, there isno different significant effect between provide of 150 of head position and PROM andhead position (300) (standard procedures of Rumah Sakit Sanglah Denpasar) and PROM.Therefore, it is important for the nurses to be able to choice both of head position (150 or300) and PROM in order to improve the quality of nursing care and shorten the recoveryprocess of the post acute stroke ischemic patients."

"Stroke iskemik menduduki urutan pertama dalam daftar 10 penyakit terbanyak di RS Pusat Otak Nasional (RSPON) tahun 2016-2017. Penelitian ini bertujuan untuk mengetahui probabilitas ketahanan hidup satu tahun pasien stroke iskemik yang dirawat di RSPON tahun 2016-2017 berdasarkan fase perawatan awal dan tingkat keparahan penyakit. Rancangan penelitian ini adalah kohort retrospektif. Populasi penelitian ini adalah pasien stroke iskemik yang dirawat di RSPON periode 1 Januari 2016 sampai 31 Desember 2017. Sampel terpilih sebanyak 232 pasien dengan memperhatikan kriteria inklusi dan eksklusi. Hasil penelitian menunjukkan bahwa probabilitas ketahanan hidup satu tahun pasien stroke iskemik di RSPON adalah 58,2%. Regresi cox ganda menunjukkan bahwa setelah dikontrol oleh status gangguan jantung maka pasien dengan tingkat keparahan penyakit mengancam jiwa memiliki risiko mengalami kematian 4,484 kali dibanding pasien yang tidak memiliki gejala stroke.

---

Ischemic stroke ranks first on the list of 10 most diseases at the National Brain Center Hospital (RSPON) in 2016-2017. This study aims to determine the probability of one-year survival of ischemic stroke patients admitted to RSPON in 2016-2017 based on the initial treatment phase and the severity of the disease. The design of this study was a retrospective cohort. The population of this study was ischemic stroke patients admitted to RSPON for the period of January 1, 2016, until December 31, 2017. A total of 232 patients were selected by observing the inclusion and exclusion criteria. The results showed that the probability of one-year survival of ischemic stroke patients at RSPON was 58.2%. Multiple cox regression showed that after being controlled by heart disease status, patients with life-threatening disease severity had a risk of experiencing 4,484 deaths compared to patients with no symptoms of stroke."