Hubungan Letak Lesi Strok Iskemik dengan Kualitas Tidur di RSAU dr. M. Salamun Bandung

Abstract

Prevalensi strok di Indonesia terus meningkat seiring dengan usia harapan hidup yang semakin meningkat dan menyebabkan banyak kematian. Pasien strok terutama strok iskemik dapat mengalami berbagai macam gangguan tidur. Macam gangguan tidur pada penderita strok bergantung pada defisit neurologis yang dialaminya. Tujuan penelitian ini mengetahui hubungan lokasi lesi strok iskemik daerah kortikal dan subkortikal dengan kualitas tidur menggunakan pemeriksaan Pittsburgh Sleep Quality Index (PSQI) di RSAU dr. M. Salamun Bandung. Penelitian ini merupakan penelitian observasional dengan rancangan penelitian potong lintang. Penelitian dilakukan terhadap 38 penderita yang pertama kali didiagnosis strok iskemik yang dirawat inap di Bagian Neurologi RSAU dr. M. Salamun Bandung pada bulan Juni sampai Oktober 2016. Instrumen penelitian berupa kuesioner PSQI yang dilakukan pada hari ke-7 pasien dirawat inap. Statistical for social science (SPSS) versi 17 digunakan untuk mengolah data. Hasil penelitian menunjukkan  terdapat hubungan bermakna lokasi lesi strok iskemik daerah kortikal dan subkortikal dengan kualitas tidur (p=0,215). Penderita strok iskemik dengan lokasi lesi hipodens subkortikal yang mengalami gangguan kualitas tidur sebesar 23 dari 28 subjek dan lokasi lesi hipodens kortikal sebesar 3 dari 9 subjek.

RELATIONSHIP BETWEEN ISCHEMIC STROKE LESIONS AND SLEEP QUALITY AT RSAU DR. M. SALAMUN BANDUNG 

The prevalence of stroke in Indonesia continues to increase with increasing life expectancy and it causes many deaths. Stroke patients, especially ischemic stroke can experience a variety of sleep disorders. The types of sleep disorders in stroke patients depend on the neurological deficits they experience. The purpose of this study was to study the relationship between the location of cortical and subcortical ischemic stroke lesions with the quality of sleep using Pittsburgh Sleep Quality Index (PSQI) examination in RSAU dr. M. Salamun Bandung. This study was an observational study with a cross sectional study design. The study was conducted on 38 patients who were first diagnosed with a stroke in the Neurology Department of RSAU Dr. M. Salamun Bandung in June to October 2016. The research instrument consisted of the PSQI questionnaire conducted on the 7th day of hospitalized patients. Version 17 of the social sciences statistics (SPSS) was used to process data. The results showed that there was a correlation between the location of cortical and subcortical ischemic stroke lesions with the quality of sleep (p=0.215). Ischemic stroke patients with subcortical hypodense lesions who experienced sleep quality disorders were 23 of 28 and patients with cortical hypodens lesions were 3 of 9 patients.