Analysis between cognitive impairment with the level of disability post-stroke patients: A cross-sectional study

Siti Nur Hasina; Nur Ainiyah; Anggy Dyayu Nur  Wardhini; Lono Wijayanti

doi:10.15562/bmj.v11i2.3406

Analysis between cognitive impairment with the level of disability post-stroke patients: A cross-sectional study

Siti Nur Hasina ,

Nur Ainiyah ,

Anggy Dyayu Nur Wardhini ,

Lono Wijayanti ,

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DOI: https://doi.org/10.15562/bmj.v11i2.3406 |
Published: 2022-08-05

Abstract

Introduction: The condition that appears in patients who have had a stroke is cognitive impairment. Cognitive impairment can worsen the condition of stroke patients so that it can slow down the recovery process and have a high risk of disability. This study aims to analyze the correlation between cognitive impairment and the level of disability in post-stroke patients.

Methods: This study uses a correlational analytical design with a cross sectional technique design with a population of 70 participants and a sampling technique using consecutive sampling obtained a sample of 64 participants. The independent variable in this study is cognitive impairment of post-stroke patients while the dependent variable is the level of disability of post-stroke patients. The instrument for collecting data on cognitive impairment was using the MoCA-Ina questionnaire and the level of disability using the WHODAS questionnaire. The data were analyzed using the Spearman Rank test with significance < 0.05.

Results: The results of this study showed that most of the 52 (81.2%) participants had cognitive impairment and most of the 42 (65.6%) participants had moderate disabilities and a small portion of 10 (15.6%) participants had severe disabilities. The results of statistical tests on the relationship between cognitive impairment and the level of disability in post-stroke patients through the Spearman Rank test showed p = 0.000 with coefficient correlation 0.665.

Conclusions: The analysis test showed a strong correlation between cognitive impairment and the level of disability in post-stroke patients. Post-stroke patients with cognitive impairment must be treated properly so that it does not result in disability in patients that has a direct impact on the psychosocial and quality of life of the patient.

References

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Sun JH, Tan L, Yu JT. Post-stroke cognitive impairment: Epidemiology, mechanisms and management. Ann Transl Med. 2014;2(8).
Gottesman RF, Hillis AE. Predictors and assessment of cognitive dysfunction resulting from ischaemic stroke. Lancet Neurol. 2010;9(9):895–905.
Purba MM, Utama NR. Disabilitas Klien Pasca Stroke terhadap Depresi. J Kesehat. 2019;10(3):346.
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[1] Black J, Hawks J. Keperawatan Medikal Bedah: Manajemen klinis untuk Hasil yang Diharapkan. 8th ed. Jakarta: Salemba Medika; 2014.

[2] Sun JH, Tan L, Yu JT. Post-stroke cognitive impairment: Epidemiology, mechanisms and management. Ann Transl Med. 2014;2(8).

[3] Gottesman RF, Hillis AE. Predictors and assessment of cognitive dysfunction resulting from ischaemic stroke. Lancet Neurol. 2010;9(9):895–905.

[4] Purba MM, Utama NR. Disabilitas Klien Pasca Stroke terhadap Depresi. J Kesehat. 2019;10(3):346.

[5] Putri M, Mutiawati E, Mahdani W. Hubungan Derajat Stroke Terhadap Status Kognitif Pada Pasien Stroke Iskemik Di Poliklinik Saraf Rumah Sakit Umum Daerah dr . Zainoel Abidin Banda Aceh Relationship Degree Stroke on The Cognitive Status Patients Ischemic Stroke. J Ilm Mhs Kedokt Medisia. 2017;2:61–7.

[6] Prakoso K, Vitriana, Ong A. Correlation between Cognitive Functions and Activity of Daily Living among Post-Stroke Patients. Althea Med J. 2016;3(3):329–33.

[7] Carvalho-Pinto BPB, Faria CDCM. Health, function and disability in stroke patients in the community. Brazilian J Phys Ther. 2016;20(4):355–66.

[8] Kementerian Kesehatan Republik Indonesia. Infodatin Disabilitas.Dalam Buletin Jendela Data & Informasi Kesehatan. Jakarta; 2014.

[9] Danovska M, Peychinska D. Post-Stroke Cognitive Impairment – Phenomenology and Prognostic Factors. J IMAB - Annu Proceeding (Scientific Pap. 2012;18, 3(2012):290–7.

[10] Rahayu S, Utomo W, Utami S. Hubungan Frekuensi Stroke Dengan Fungsi Kognitif Di RSUD Arifin Achmad. J Med PSIK. 2014;1 No.2(Oktober):1–10.

[11] Donkor ES. Stroke in the 21(st) Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2018;2018:3238165.

[12] Avicenna. Perubahan Fisiologis Pasca Stroke. Jakarta: Rineka Cipta; 2010.

[13] Panentu D, Irfan M. Uji Validitas Dan Reliabilitas Butir Pemeriksaan Dengan Moteral Cognitive Assessment Versi Indonesia ( MoCA- INA ) Pada Insan Pasca Stroke Fase Recovery. J Fisioter. 2013;13(April):55–67.

[14] Kusumawardhany A. Validitas Dan Reliabilitas Who Disability Assessment Schedule 2.0 (WHODAS 2.0) Tipe 12 Pertanyaan Versi Bahasa Indonesia Pada Nyeri Punggung. Universitas Airlangga; 2015.

[15] Mellon L, Brewer L, Hall P, Horgan F, Williams D, Hickey A, et al. Cognitive impairment six months after ischaemic stroke: A profile from the ASPIRE-S study. BMC Neurol. 2015;15(1):1–9.

Analysis between cognitive impairment with the level of disability post-stroke patients: A cross-sectional study

Abstract

References

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