TINGKAT KETERGANTUNGAN PASIEN STROKE BERDASARKAN SKOR INDEKS BARTHEL DI RS PKU MUHAMMADIYAH YOGYAKARTA DAN RS PKU MUHAMMADIYAH GAMPING
Abstract
Stroke is the third leading cause of death in the world, including in Indonesia. Stroke causes the disruption of blood flow to the brain which has implications of disability such as extremity paralysis in the form of hemiplegia or hemiparesis so that patients become dependent in Activities of Daily Living (ADL). ADL assessment using Barthel Index instrument is an important point for determining appropriate nursing intervention and implementation.The aim of this study was to determine ADL dependency’s level of stroke patient based on Barthel Index score.
Method: This was a quantitative descriptive with prospective longitudinal design. Sample of this study were 42 respondents who selected through accidental sampling. This study using Barthel Index modification instrument to measures ADL dependency’s level. Data were analyzed by univariate analysis.
Results: Majority of hemorrhagic and ischemic stroke patients had total dependency when they were admitted to hospital with percentages on each stroke were 44,4% and 42,4%. Meanwhile, when they were discharged, severe dependecy was the most dependency that they had. Changes of dependency’s level of hemorrhagic and ischemic stroke patients dominated by decreased level of ADL dependency from total dependency becomes severe dependency in the amount of 33,3% by 9 hemorrhagic stroke patients and 24,2% by 33 ischemic stroke patients.
Conclusion and Suggestions: The dependency’s level of stroke patients when they were admitted to hospital until discharged was dominated by decreases from total dependency becomes severe. Nurses are expected to perform routine ADL assessments for stroke patients during hospitalization. The next researchers are expected to researching about ADL intervention for stroke patients