Sitompul, dr. Boyke and Dr. dr. Zamroni Afif, Sp.S (K), M. Biomed and dr. Eko Arisetijono, Sp.S (K) and Dr. dr. Nanik Setijowati, M. Kes (2024) Hubungan Faktor Determinan Stroke Dengan Kualitas Tidur Pada Pasien Pasca Stroke Di Rs Dr. Saiful Anwar. Magister thesis, Universitas Brawijaya.
Abstract
Stroke merupakan kondisi serius yang dapat menyebabkan kehilangan fungsi neurologis secara tiba-tiba, dengan dampak yang signifikan secara global. Gangguan tidur seperti insomnia, hipersomnia, sleep apnea, dan restless leg syndrome, seringkali terjadi pada pasien stroke dan dapat memperburuk proses rehabilitasi pasca-stroke, terutama pasien dengan riwayat diabetes melitus (DM), hipertensi, dan perokok berat. Manajemen efektif pasien pasca stroke memerlukan identifikasi dan penanganan gangguan kualitas tidur serta faktor risiko terkait untuk meningkatkan kualitas hidup dan mengurangi komplikasi yang terkait. Tujuan: Penelitian ini bertujuan untuk mengeksplorasi hubungan antara DM, hipertensi, dan merokok pada pasien pasca stroke dengan kualitas tidur. Metode: Penelitian cross-sectional dilakukan pada pasien kontrol pasca stroke di Klinik Neurologi RS DR. Saiful Anwar, Jawa Timur, dari Desember 2023 hingga Februari 2024. Gangguan kualitas tidur diukur dengan menggunakan Pittsburgh Sleep Quality Index (PSQI) dalam waktu satu bulan setelah perawatan di klinik rawat jalan. Data tambahan dianalisis menggunakan uji chi-square dan regresi logistik biner. Hasil: Dari 74 partisipan, 25 pasien (25,7%) memiliki riwayat diabetes mellitus, 68 (91,9%) riwayat hipertensi, dan 20 (27%) adalah perokok berat. Terdapat 34 pasien (45,9%) mengalami gangguan kualitas tidur. Terdapat hubungan signifikan antara diabetes mellitus dan gangguan kualitas tidur (p=0,005), sementara hipertensi dan merokok tidak menunjukkan korelasi yang signifikan. Riwayat diabetes mellitus merupakan prediktor signifikan dari gangguan tidur (p=0,09 | OR 4,782, 95% CI 1,483–15,421). Kesimpulan: Penelitian ini menunjukkan adanya korelasi antara riwayat diabetes mellitus pada pasien pasca stroke dengan kualitas tidur berdasarkan PSQI
English Abstract
Stroke is a serious condition can cause sudden loss of neurological function. Sleep disorders, such as insomnia, hypersomnia, sleep apnea, and restless leg syndrome, often occur in stroke patients and can worsen the post-stroke rehabilitation process, especially who have a history of diabetes mellitus (DM), hypertension, and heavy smoker. Effective management of post-stroke patients requires identifying and treating sleep quality disorders and associated risk factors to improve quality of life. Objective: This study aims to explore the association between DM, hypertension, and smoking in post-stroke patients and sleep quality. Methods: A cross-sectional study was conducted on post-stroke control patients at the Neurology Clinic at Dr. Saiful Anwar Hospital, East Java, from December 2023 to February 2024. Sleep quality disorder were measured using the Pittsburgh Sleep Quality Index (PSQI) within one month after outpatient treatment. Additional data were analyzed using the chi-square test and binary logistic regression. Results: Among the 74 participants, 25 patients (25.7%) had a history of DM, 68 (91.9%) with hypertension, and 20 (27%) were heavy smokers. There were 34 patients (45.9%) who experienced sleep quality disorders. There was a significant association between DM and sleep disorders (p=0.005), while hypertension and smoking did not show a significant correlation. History of DM was a significant predictor of sleep disorders (p=0.09 | OR 4.782, 95% CI 1.483–15.421). Conclusion: This study shows a significant association between history of DM in post-stroke patients and sleep quality based on PSQI.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 0424060039 |
| Uncontrolled Keywords: | Pasca stroke, Diabetes Mellitus, Hipertensi, Perokok Berat, Gangguan Kualitas Tidur |
| Divisions: | Profesi Kedokteran > Spesialis Neurologi, Fakultas Kedokteran |
| Depositing User: | Unnamed user with username nova |
| Date Deposited: | 16 Jul 2024 07:09 |
| Last Modified: | 16 Jul 2024 07:09 |
| URI: | http://repository.ub.ac.id/id/eprint/223569 |
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