HUBUNGAN LETAK LESI STROKE DENGAN KEJADIAN DEPRESI PASCA STROKE PADA PASIEN STROKE DI RSUD PROF DR W Z JOHANNES KUPANG
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Jeanette Maureen Pongsilurang(1)
Universitas Nusa Cendana
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Herman Pieter Louis Wungouw(2*)
Fakultas Kedokteran, Universitas Nusa Cendana
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Kresnawati Wahyu Setiono(3)
Universitas Nusa Cendana
(*) Corresponding Author
Abstract
Stroke merupakan penyebab kematian tertinggi kedua dan penyebab disabilitas tertinggi ketiga di dunia. Stroke dapat mempengaruhi kondisi neuropsikiatri pasien, salah satu dampak paling umum ialah depresi pasca stroke yang dapat memperlambat proses pemulihan pasien pasca stroke. Lokasi lesi diduga merupakan salah satu faktor yang berhubungan dengan depresi pasca stroke, namun hal ini masih menjadi kontroversi. Tujuan penelitin ini untuk mengetahui hubungan letak lesi stroke dengan kejadian depresi pasca stroke pada pasien stroke di RSUD Prof. Dr. W. Z. Johannes Kupang. Metode penelitian ini bersifat analitik observasional dengan rancangan cross sectional. Sampel penelitian ini berjumlah 68 orang dan pengambilan sampel menggunakan teknik purposive sampling. Data primer didapat melalui wawancara dengan pasien menggunakan kuesioner Hamilton Depression Rating Scale (HDRS), sedangkan data sekunder didapatkan melalui rekam medik. Hasil dari 68 responden, didapati 31 responden (45,6%) dengan lesi hemisfer kiri dan 37 responden (54,4%) dengan lesi hemisfer kanan. Sebanyak 29 responden (42,6%) mengalami depresi pasca stroke. Terdapat 45,2% responden dengan lesi hemisfer kiri mengalami depresi, sedangkan responden dengan lesi hemisfer kanan yang mengalami depresi sebesar 40,5%. Analisis data dilakukan dengan uji chi square dan didapatkan nilai signifikansi p=0,701 (p>0,05). Kesimpulan penelitian ini tidak terdapat hubungan yang signifikan antara letak lesi stroke dengan kejadian depresi pasca stroke pada pasien stroke di RSUD Prof. Dr. W. Z. Johannes Kupang.
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