Gambaran Gangguan Fungsi Kognitif pada Pasien Pasca Stroke di RSUP H. Adam Malik Medan Tahun 2015
ii
ABSTRAK
Stroke merupakan penyebab utama kecacatan.Kecacatan pascastroke yang
paling sering terjadi adalah gangguan fungsi kognitif atau disebut juga gangguan
fungsi luhur.Oleh karena itu, penelitian ini bertujuan untuk mengetahui gambaran
gangguan fungsi kognitif yang paling sering pada pasien pascastroke di RSUP H.
Adam Malik Medan.
Penelitian ini adalah penelitian deskriptif dengan metode wawancara
langsung pada pasien pascastroke di Instalasi Rehabilitasi Medik dan Instalasi
Rawat Jalan Departemen Neurologi pada bulan November 2015 dan didapatkan
total pasien sebanyak 20 orang yang terdiri dari 18 orang dengan tipe stroke
iskemik dan 2 orang dengan tipe stroke hemoragik.
Hasil yang didapatkan lebih banyak terjadi gangguan fungsi kognitif pada
laki-laki sebesar 65% dengan tingkat pendidikan tamatan sarjana sebesar 60%.
Pada tipe stroke iskemik didapatkan gangguan fungsi kognitif visuospatial
sebesar 60%, gangguan penamaan sebesar 35%, gangguan memori sebesar 90%,
gangguan atensi sebesar 85%, gangguan abstraksi sebesar 70%, gangguan bahasa
sebesar 80%, dan gangguan orientasi sebesar 45%, sedangkan pada stroke
hemoragik didapatkan gangguan visuospatial sebesar 10%, gangguan penamaan
sebesar 5%, gangguan memori sebesar 10%, gangguan atensi sebesar 10%,
gangguan abstraksi sebesar 10%, gangguan bahasa sebesar 5%, dan gangguan
orientasi sebesar 5%.
Kata kunci: karakteristik, stroke, gangguan fungsi kognitif
iii
ABSTRACT
Stroke is the mainly etiology of disability. The most common disability is
cognitive impairment. Therefore, this research aims to describe the most often
cognitive impairment due to post-stroke medical history at RSUP H. Adam Malik
Medan.This research is a descriptive study with direct interview to the post-stroke
patients at Instalasi Rehabilitasi Medik and Instalasi Rawat Jalan Departemen
Neurologi in November 2015 and obtained 20 people consist of 18 with ischemic
stroke and 2 with hemorrhagic stroke. The results show that the majority of
patients who had cognitive impairment was male with 65%, mostly was
undergraduated students with 60%. In ischemic stroke, mostly had visuospatial
impairment was 60%, naming impairment was 35%, memory impairment 90%,
attention impairment was 85%, abstract impairment was 70%, comprehensive
impairment was 80%, and orientation impairment was 45%, and with
hemorrhagic stroke mostly with visuospatial impairment was 10%, naming
impairment was 5%, memory impairment 10%, attention impairment was 10%,
abstract impairment was 10%, comprehensive impairment was 5%, and
orientation impairment was 5%
Key Words: characteristic, stroke, cognitive impairment
ABSTRAK
Stroke merupakan penyebab utama kecacatan.Kecacatan pascastroke yang
paling sering terjadi adalah gangguan fungsi kognitif atau disebut juga gangguan
fungsi luhur.Oleh karena itu, penelitian ini bertujuan untuk mengetahui gambaran
gangguan fungsi kognitif yang paling sering pada pasien pascastroke di RSUP H.
Adam Malik Medan.
Penelitian ini adalah penelitian deskriptif dengan metode wawancara
langsung pada pasien pascastroke di Instalasi Rehabilitasi Medik dan Instalasi
Rawat Jalan Departemen Neurologi pada bulan November 2015 dan didapatkan
total pasien sebanyak 20 orang yang terdiri dari 18 orang dengan tipe stroke
iskemik dan 2 orang dengan tipe stroke hemoragik.
Hasil yang didapatkan lebih banyak terjadi gangguan fungsi kognitif pada
laki-laki sebesar 65% dengan tingkat pendidikan tamatan sarjana sebesar 60%.
Pada tipe stroke iskemik didapatkan gangguan fungsi kognitif visuospatial
sebesar 60%, gangguan penamaan sebesar 35%, gangguan memori sebesar 90%,
gangguan atensi sebesar 85%, gangguan abstraksi sebesar 70%, gangguan bahasa
sebesar 80%, dan gangguan orientasi sebesar 45%, sedangkan pada stroke
hemoragik didapatkan gangguan visuospatial sebesar 10%, gangguan penamaan
sebesar 5%, gangguan memori sebesar 10%, gangguan atensi sebesar 10%,
gangguan abstraksi sebesar 10%, gangguan bahasa sebesar 5%, dan gangguan
orientasi sebesar 5%.
Kata kunci: karakteristik, stroke, gangguan fungsi kognitif
iii
ABSTRACT
Stroke is the mainly etiology of disability. The most common disability is
cognitive impairment. Therefore, this research aims to describe the most often
cognitive impairment due to post-stroke medical history at RSUP H. Adam Malik
Medan.This research is a descriptive study with direct interview to the post-stroke
patients at Instalasi Rehabilitasi Medik and Instalasi Rawat Jalan Departemen
Neurologi in November 2015 and obtained 20 people consist of 18 with ischemic
stroke and 2 with hemorrhagic stroke. The results show that the majority of
patients who had cognitive impairment was male with 65%, mostly was
undergraduated students with 60%. In ischemic stroke, mostly had visuospatial
impairment was 60%, naming impairment was 35%, memory impairment 90%,
attention impairment was 85%, abstract impairment was 70%, comprehensive
impairment was 80%, and orientation impairment was 45%, and with
hemorrhagic stroke mostly with visuospatial impairment was 10%, naming
impairment was 5%, memory impairment 10%, attention impairment was 10%,
abstract impairment was 10%, comprehensive impairment was 5%, and
orientation impairment was 5%
Key Words: characteristic, stroke, cognitive impairment