Update Artikelilmiah: 39193

NIRMALA RUMAJA PUTRI

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Abstrak (Bhs. Indonesia)

Latar Belakang: Depresi pasien pasca stroke dapat mengakibatkan terhambatnya pemulihan dan penyembuhan stroke. Derajat keparahan stroke akan menyebabkan defisit neurologis yang dapat menjadi stresor yang akan memengaruhi mekanisme coping individu. Penelitian ini bertujuan untuk menganalisis hubungan mekanisme koping dan derajat keparahan stroke dengan depresi pasca stroke.
Metodologi: Observasional analitik dengan desain cross-sectional. Sampel berjumlah 104 responden. Instrumen yang digunakan untuk mengukur mekanisme koping adalah Brief COPE, NIHSS untuk mengukur derajat keparahan stroke, dan PHQ-9 untuk mengukur tingkat depresi pasca stroke.
Hasil Penelitian: Mayoritas responden berusia lansia, berjenis kelamin laki-laki, tingkat pendidikan SD/sederajat, berstatus kawin, tinggal bersama suami/istri dan anak, lokasi lesi hemisfer kiri, lama stroke >2 tahun, tidak mengalami stroke berulang, dan memiliki hipertensi. Mayoritas responden memiliki problem-focused coping, derajat keparahan stroke ringan, dan tidak depresi. Usia, jenis kelamin, status perkawinan, tinggal bersama, lokasi lesi, lama menderita stroke, frekuensi stroke, dan komorbid tidak berhubungan signifikan (p>0,05) sedangkan tingkat pendidikan berhubungan  signifikan dengan depresi pasca stroke (p=0,024). Mekanisme koping tidak berhubungan signifikan (p=0,891) sedangkan derajat keparahan stroke berhubungan dengan depresi pasca stroke (p=0,006).
Kesimpulan: Mekanisme koping tidak berhubungan dengan depresi pasca stroke sedangkan derajat keparahan stroke berhubungan dengan depresi pasca stroke.

Abtrak (Bhs. Inggris)

Background: Post-stroke depression can result in delays in stroke recovery and healing. Severity of stroke will cause neurological deficits which can become stressors that will affect individual coping mechanisms. This study aims to analyze the factors associated with non-hemorrhagic post-stroke depression.
Methods: Analytical observational with a cross-sectional approach. The research was conducted at the Neurology Clinic of RSUD dr. R. Goeteng Taroenadibrata Purbalingga. The sample is 104 respondents using consecutive sampling. The instruments used were the Brief COPE, NIHSS, and PHQ-9. Analysis used the Kendall-Tau correlation test.
Result: The majority were elderly, male, primary school education level/equivalent, married, live with husband/wife and children, left hemisphere lesion location, had stroke duration >2 years, first attack stroke, and had hypertension. The majority had problem-focused coping, mild stroke severity, and were not depressed. Age, gender, marital status, living together, location of the lesion, duration of stroke, stroke frequency, and comorbidities were not related (p>0.05) while education level was associated with post-stroke depression (p=0.024). There was no correlation between coping mechanisms (p=0.891) while stroke severity was associated with post-stroke depression (p=0.006).
Conclusion: There was no relationship between age, gender, marital status, living together, lesion location, stroke duration, frequency of stroke, comorbidities and coping mechanism. There is a relationship between education level and severity of stroke with post-stroke depression.

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