Gambaran demensia vaskular pada pasien stroke nonhemoragik dengan diabetes melitus tipe 2 di poli saraf UPTD RSUD Sultan Syarif Mohamad Alkadrie Pontianak
DOI:
https://doi.org/10.26418/jc.v6i2.45303Keywords:
demensia vaskular, diabetes melitus tipe 2, stroke nonhemoragikAbstract
Latar belakang: Demensia vaskuler (VaD/vascular dementia) menempati peringkat kedua penyebab utama demensia atau dikenal dengan istilah pikun. Demensia berkembang sekitar 15-30% dalam kurun waktu 3 bulan setelah serangan stroke. Diabetes melitus tipe 2 merupakan faktor risiko independen stroke nonhemoragik yang dapat dimodifikasi. Sekitar 90% kasus lebih sering terjadi pada individu dengan diabetes melitus tipe 2. Indonesia menempati urutan ke-6 dengan angka penderita diabetes sebanyak 10,3 juta jiwa di tahun 2017. Penelitian ini bertujuan untuk mengetahui gambaran demensia vaskular pada pasien stroke nonhemoragik dengan diabetes melitus tipe 2 di Poli Saraf RSUD Sultan Syarif Mohamad Alkadrie Pontianak. Metode: Penelitian deskriptif dengan pendekatan cross sectional. Pengambilan sampel dilakukan dengan teknik purposive sampling. Data diperoleh dari wawancara dan kuesioner penelitian MoCA-INA, HIS, ADL dan IADL. Hasil: Pasien stroke nonhemoragik lebih banyak laki-laki (57,9%), kelompok umur 55-64 tahun (47,4%), ibu rumah tangga (IRT) (34,2%), tingkat pendidikan SMA (50%). Dijumpai gangguan kognitif ringan sebesar 47,4%, ADL tingkat ketergantungan ringan sebesar 57,9%, IADL tingkat mandiri sebesar 42,1% dan 94,7% terdiagnosis VaD. Kesimpulan: Demensia vaskular banyak dijumpai pada pasien stroke nonhemoragik dengan diabetes melitus 2.References
World Health Organization. Dementia [Internet]. 2017 [cited 2018 Dec 12]. Available from: http://www.who.int/news-room/fact-sheets/detail/dementia
Riyanto R, Brahmadhi A. Pengaruh Subtype Stroke Terhadap Terjadinya Vascular Pada Pasien Post Stroke di RSUD Prof. Dr. Margono Soekarjo. Medisains. 2017;15(1):23–30.
O’Brien JT, Thomas A. Vascular Dementia. Lancet. 2015;386(10004):1698–706.
Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: A Global Response is Needed. Bulletin of the World Health Organization. 2016;634-634A.
Hu X, Michael De Silva T, Chen J, Faraci FM. Cerebral Vascular Disease and Neurovascular Injury in Ischemic Stroke. Circ Res. 2017;120(3):449–71.
Chen R, Ovbiagele B, Feng W. Diabetes and Stroke: Epidemiology, Pathophysiology, Pharmaceuticals and Outcomes. Am J Med Sci. 2016;351(4):380–6.
International Diabetes Federation. IDF Diabetes Atlas. 8th ed. International Diabetes Federation; 2017. p. 18,44,46.
Onwuegbuzie GA, Reng RS. Diabetes As A Risk Factor For Ischemic Stroke In A Tertiary Health Care Center, Abuja. N Niger J Clin Res. 2018;7(11):16–20.
Iso H, Imano H, Kitamura A, Sato S, Naito Y, Ohira T, et al. Type 2 Diabetes and Risk Of Non-Embolic Ischaemic Stroke In Japanese Men and Women. Diabetologia. 2004;47(12):2137–44.
10.Tumeleng P, Runtuwene T, Kembuan M. Sebaran Kebiasaan Merokok Pada Pasien Stroke Iskemik Yang di Rawat Inap Di Bagian Neurologi RSU Prof. Dr. R. D. Kandou Manado. e-CliniC. 2015;3(1):262–6.
Kabi GYCR, Tumewah R, Kembuan MAHN. Gambaran Faktor Risiko Pada Penderita Stroke Iskemik Yang Dirawat Inap Neurologi RSUP Prof. Dr. R. D. Kandou Manado Periode Juli 2012 - Juni 2013. e-CliniC. 2015;3(1):1–6.
Patricia H, Kembuan MAHN, Tumboimbela MJ. Karakteristik Penderita Stroke Iskemik Yang di Rawat Inap di RSUP Prof. Dr. R. D. Kandou Manado Tahun 2012-2013. e-Clinic. 2015;3(1):445–51.
Totting S, Pinzon RT, Widiasmoko B. Hubungan Diabetes Mellitus dengan Gangguan Fungsi Kognitif Post Stroke Iskemik di Rumah Sakit Bethesda. J Kesehat Andalas. 2017;6(3):647–53.
Andrade FCD, Guevara PE, Lebrão ML, De Oliveira Duarte YA. Correlates of The Incidence of Disability And Mortality Among Older Adult Brazilians With And Without Diabetes Mellitus And Stroke. BMC Public Health. 2012;12:361.
Kusumaningsih W, Rachmayanti S, Werdhani RA. Relationship between Risk Factors and Activities of Daily Living Using Modified Shah Barthel Index in Stroke Patients. J Phys Conf Ser. 2017;884(1):1–16.
Synhaeve NE, Arntz RM, van Alebeek ME, van Pamelen J, Maaijwee NAM, Rutten-Jacobs LCA, et al. Women Have A Poorer Very Long-Term Functional Outcome After Stroke Among Adults Aged 18–50 Years: The Future Study. J Neurol. 2016;263(6):1099–105.
Surawan J, Areemit S, Tiamkao S, Sirithanawuthichai T, Saensak S. Risk Factors Associated With Post-Stroke Dementia: A Systematic Review and Meta-Analysis. Neurol Int. 2017;9(3):63–8.
Vijayan M, Reddy PH. Stroke, Vascular Dementia, and Alzheimer’s Disease: Molecular Links. J Alzheimer’s Dis. 2016;54(2):427–43.
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