ii ABSTRAK
Penyakit Tidak Menular (PTM) merupakan penyebab utama kematian secara menyeluruh. Hipertensi sebagai penyakit The Sillent Killer, apabila tidak terkendali dapat menimbulkan komplikasi yaitu Penyakit Jantung Koroner (PJK), GagaI Ginjal dan Stroke. Hipertensi sebagai penyumbang kematian terbanyak pada penderita stroke (51%) sedangkan pada penderita PJK (45%). Di Indonesia data prevalensi kompilkasi hipertensi terbesar yaitu penderita stroke (12,1%), penderita PJK (1,5%), penderita GGK (0,2%).
Untuk mengetahui karakteristik penderita hipertensi dengan stroke yang dirawat inap di Rumah Sakit Umum Kabanjahe tahun 2011-2015, dilakukan dengan penelitian deskriptif, desain case series dilanjutkan analisis statistik. Jumlah populasi sam dengan sampel yaitu 115 data penderita hipertensi dengan stroke yang dirawat inap.
Dari data yang tercatat diperoleh hasil proporsi penderita terbanyak pada
umur ≥55 tahun (72,2%), perempuan (51,3%), Kristen Protestan (65,2%), petani
(45,2%), kawin (80,0%), derajat 2 (62,6%), stroke non hemoragik (70,4%), hemiparesis sinistra (54,8%), lama rawatan rata-rata 6,99 hari, dan keadaan sewaktu pulang yaitu PBJ (Pulang Berobat Jalan) (74,8%). Tidak ada perbedaan proporsi umur berdasarkan derajat hipertensi (p=0,382), umur berdasarkan tipe stroke (p=0,505), jenis kelamin berdasarkan derajat hipertensi (p=0,257), jenis kelamin berdasarkan tipe stroke (p=0,062), derajat hipertensi berdasarkan keadaan sewaktu pulang (p=0,501), lama rawatan rata-rata berdasarkan tipe stroke (p=0,772). Ada perbedaan proporsi tipe stroke berdasarkan keadaan sewaktu pulang (p=0,008), dan tipe stroke berdasarkan derajat hipertensi (p=0,005).
Diharapkan kepada pihak Rumah Sakit Umum Kabanjahe memberikan pemahaman kepada keluarga pasien yang menderita hipetensi dengan stroke tentang kondisi pasien yang sebenarnya, faktor-faktor risikonya dan pencegahan yang bisa dilakukan. Serta melengkapi data-data rekam medik seperti riwayat penyakit keluarga, tinggi dan kebiasaan ada tidaknya faktor risiko merokok atau tidak merokok.
Kata Kunci : Hipertensi dengan Stroke, Karakteristik Penderita
iii ABSTRACT
Non Communicabke Disease (NCD) is the priming cause of death globally. Hypertension is called as The Silent Killer Disease, if it cant be controlled, will envolve and give rising to complication which are Coronary Disease, Chronic Renal Failure (CRF), and Stroke. Hypertension was the biggest cause death of stroke (51%), while coronary disease (45%). In Indonesian the highest prevalence complication of hypertension is stroke (12,1%), then coronory disease (1,5%), CRF (0,2%) (In Kemenkes RI, 2015).
The objective study is to know the characteristic of patient Hypertension with Stroke which was hospitalized at Kabanjahe General Hospital in 2011-2015. This study was adopted descriptive research with case series design. The population was as same as with the sample were 115 patients.
The result of this study obtained that the highest proportions of suffers result in the age group ≥ 55 years old (72,2%), sex woman (51,3%), Protestant (62,5%), farmer (45,2%), married (80,0%), degree 2 (62,6%), stroke non haemorragic (70,4%), hemiparese sinistra (54,8%), the length of average treatment was 6,99 days, and coming home condition was by PBJ (74,8%). There are no significant differences between the age based on the degree of hypertension (p=0,382), type of stroke (p=0,062), between sex based on the degree of hypertension (p=0,257), type of stroke (p=0,772),between degree of hypertension based on the coming home condition (p=0,501), there is a significant differences between type of stroke based on the coming home condition (p=0,008), and between type of stroke based on the degree of hypertension (p=0,005).
Recommended to the staff of Kabanjahe General Hospital to give conseling to the family of the patients about the real condition of the patients, the risky factors of Hypertension with Stroke and the preventions of it that can be done, and write medical record data such as family history of disease, smoking or not.
Keywods : Hypertension of Stroke, Characteristic of patients
