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ABSTRAK
Stroke merupakan penyebab utama kecacatan.Kecacatan pascastroke yang paling sering terjadi adalah gangguan fungsi kognitif atau disebut juga gangguan fungsi luhur.Oleh karena itu, penelitian ini bertujuan untuk mengetahui gambaran gangguan fungsi kognitif yang paling sering pada pasien pascastroke di RSUP H. Adam Malik Medan.
Penelitian ini adalah penelitian deskriptif dengan metode wawancara langsung pada pasien pascastroke di Instalasi Rehabilitasi Medik dan Instalasi Rawat Jalan Departemen Neurologi pada bulan November 2015 dan didapatkan total pasien sebanyak 20 orang yang terdiri dari 18 orang dengan tipe stroke iskemik dan 2 orang dengan tipe stroke hemoragik.
Hasil yang didapatkan lebih banyak terjadi gangguan fungsi kognitif pada laki-laki sebesar 65% dengan tingkat pendidikan tamatan sarjana sebesar 60%. Pada tipe stroke iskemik didapatkan gangguan fungsi kognitif visuospatial sebesar 60%, gangguan penamaan sebesar 35%, gangguan memori sebesar 90%, gangguan atensi sebesar 85%, gangguan abstraksi sebesar 70%, gangguan bahasa sebesar 80%, dan gangguan orientasi sebesar 45%, sedangkan pada stroke hemoragik didapatkan gangguan visuospatial sebesar 10%, gangguan penamaan sebesar 5%, gangguan memori sebesar 10%, gangguan atensi sebesar 10%, gangguan abstraksi sebesar 10%, gangguan bahasa sebesar 5%, dan gangguan orientasi sebesar 5%.
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ABSTRACT
Stroke is the mainly etiology of disability. The most common disability is cognitive impairment. Therefore, this research aims to describe the most often cognitive impairment due to post-stroke medical history at RSUP H. Adam Malik Medan.This research is a descriptive study with direct interview to the post-stroke patients at Instalasi Rehabilitasi Medik and Instalasi Rawat Jalan Departemen Neurologi in November 2015 and obtained 20 people consist of 18 with ischemic stroke and 2 with hemorrhagic stroke. The results show that the majority of patients who had cognitive impairment was male with 65%, mostly was undergraduated students with 60%. In ischemic stroke, mostly had visuospatial impairment was 60%, naming impairment was 35%, memory impairment 90%, attention impairment was 85%, abstract impairment was 70%, comprehensive impairment was 80%, and orientation impairment was 45%, and with hemorrhagic stroke mostly with visuospatial impairment was 10%, naming impairment was 5%, memory impairment 10%, attention impairment was 10%, abstract impairment was 10%, comprehensive impairment was 5%, and orientation impairment was 5%
