Analysis of Dominant Factors Affecting Pre-Hospital Stroke Management in Kupang City
DOI:
https://doi.org/10.25159/2520-5293/15333Keywords:
Treatment, Stroke, pre-hospital, Kupang CityAbstract
The incidence of stroke is increasing every year, and effective management comprises both pre-hospital and hospital care. The key to successful management is for families to recognise the clinical symptoms and promptly seek medical attention. Delayed assistance frequently leads to complications, underscoring the importance of timely intervention to save lives and prevent long-term disabilities. The key to successful management is identifying a stroke and prompt transportation to a medical facility. This study used a quantitative approach with a cross-sectional design, and the total sample was 300 people, while data analysis was performed using the Chi-Square test and logistic regression. The results showed that the family decision-making time in taking a stroke patient to the hospital, individually or collectively, significantly affected the Accuracy of Pre-Hospital Stroke Patient Management with a value of P (Sig) < 0.05. The magnitude of the influence was indicated by the value of EXP (B), also known as ODDS RATIO (OR). Specifically, the Decision-Making Time by the family to take stroke patients to the hospital exhibited an OR of 20.714. This implied that respondents capable of making the right decision to take stroke patients to the hospital were 20.714 times more likely to be accurate in pre-hospital stroke patient management. Based on the results, it can be concluded that the dominant factor influencing pre-hospital stroke attack management is the family decision-making time to take the stroke patient to the hospital. Therefore, the Kupang City government needs to improve ambulance facilities for the public, making it easier to access services, specifically in emergencies.
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References
Ainiyah, N., Izzah, S. R., Zahroh, C., Bistara, D. N., and Faizah, I. 2021. "Family Knowledge on Prehospital Stroke Detection Correlates with Hospital Arrival Time in Stroke Patients at the Naval Hospital Dr. Ramelan, Surabaya." Nurse and Holistic Care 1 (2): 73–81. https://doi.org/10.33086/nhc.v1i2.2221
Bahnasy, W. S., Ragab, O. A. A., and Elhassanien, M. E. 2019. "Stroke Onset to Needle Delay: Where These Golden Hours are Lost? An Egyptian Center Experience." ENeurologicalSci 14: 68–71. https://doi.org/10.1016/j.ensci.2019.01.003
Bandura, A. 2012. "On the Functional Properties of Perceived Self-Efficacy Revisited." Journal of Management 38 (1): 9–44. https://doi.org/10.1177/0149206311410606
Boulanger, J., Lindsay, M., Gubitz, G., Smith, E., Stotts, G., Foley, N., Bhogal, S., Boyle, K., Braun, L., Goddard, T., Heran, M., Kanya-Forster, N., Lang, E., Lavoie, P., McClelland, M., O’Kelly, C., Pageau, P., Pettersen, J., Purvis, H., Shamy, M., Tampieri, D., vanAdel, B., Verbeek, R., Blacquiere, D., Casaubon, L., Ferguson, D., Hegedus, Y., Jacquin, G. J., Kelly, M., Kamal, N., Linkewich, B., Lum, C., Mann, B., Milot, G., Newcommon,N., Poirier, P., Simpkin, W., Snieder, E., Trivedi, A., Whelan, R., Eustace, M., Smitko, E., and Butcher, K. 2018. "Canadian Stroke Best Practice Recommendations for Acute Stroke Management: Prehospital, Emergency Department, and Acute Inpatient Stroke Care, 6th Edition, Update 2018." International Journal of Stroke 13 (9): 949–984. https://doi.org/10.1177/1747493018786616
Brunton, L., Boaden, R., Knowles, S., Ashton, C., and Parry-Jones, A. R. 2019. "Pre-Hospital Stroke Recognition in a UK Centralized Stroke System: A Qualitative Evaluation of Current Practice." British Paramedic Journal 4 (1): 31–39. https://doi.org/10.29045/14784726.2019.06.4.1.31
Bukan, M., Limbu, R., and Ndoen, E. M. 2020. "Gambaran Perilaku Pencarian Pengobatan Penyakit Tuberkulosis (TB) pada Masyarakat di Wilayah Kerja Puskesmas Uitao Kecamatan Semau Kabupaten Kupang." Media Kesehatan Masyarakat 2 (3): 8–16. https://doi.org/10.35508/mkm.v2i3.2816
Hariyanti, T., and Prabandari, Y. S. 2015. "Health Seeking Behaviour pada Pasien Stroke Health Seeking Behavior on Stroke Patients." Jurnal Kedokteran Brawijaya,28 (3): 242–246. https://jkb.ub.ac.id/index.php/jkb/article/view/720 https://doi.org/10.21776/ub.jkb.2015.028.03.15
Hidayat, R., Agianto, A., and Agustina, R. 2020. "Transportasi Pasien Stroke ke Instalasi Gawat Darurat Rumah Sakit." Journal of Holistic Nursing Science 7 (2): 142–156. https://doi.org/10.31603/nursing.v7i2.3140
Hisni, D., Saputri, M. E., and Jakarta, N. 2022. "Faktor-Faktor Yang Berhubungan Dengan Kejadian Stroke Iskemik Di Instalasi Fisioterapi Rumah Sakit Pluit. Jakarta Utara Periode Tahun 2021.” Jurnal Penelitian Keperawatan Kontemporer 2 (1). https://jurnal.ikbis.ac.id/JPKK/article/view/333 https://doi.org/10.59894/jpkk.v2i1.333
Jusuf, M. I., Pomalango, Z. B., and Suleman, I. 2023. "Factors Associated with Family Delays in Bringing Stroke Patients to Aloei Saboe Hospital, Gorontalo City." Jambura Nursing Journal 5 (1): 26–38. https://doi.org/10.37311/jnj.v5i1.17429
Kemenkes R. I. 2018. "Stroke Dont Be The One" (Kemkes, 2018). Accessed 23 April 2023. https://www.kemkes.go.id/article/view/20030900004/stroke-don-t-be-the-one.html
Kemenkes R. I. 2021. Profil Kesehatan Indonesia Tahun 2020. "Dalam" (Kemkes, 2021) Accessed 25 April 2023. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf
Kementerian Kesehatan RI. 2019. "Laporan Nasioanl Riskesdas 2018." Dalam Kemenkes RI. https://doi.org/10.12688/f1000research.46544.1
Kholis, A. H. 2019. "Pembentukan Ems (Emergency Medical System) Sederhana Melalui 3d (Detection, Dispatch, Delivery) Dalam Meningkatkan Manajemen Pra- Hospital Pasien Stroke Di Desa Grogol Wilayah Kerja Puskesmas Cukir Kabupaten Jombang." Jurnal Pengabdian Masyarakat Kesehatan 5 (1): 13–18. https://doi.org/10.33023/jpm.v5i1.225. https://journal.stikespemkabjombang.ac.id/index.php/jpm/article/view/225
Lianto, L. 2019. "Self-Efficacy: A Brief Literature Review." Jurnal Manajemen Motivasi, 15 (2): 55. https://doi.org/10.29406/jmm.v15i2.1409
Muskananfola, I. L., Tahu, S. K., Febriyanti, E., and Lekitoo, J. B. 2021. "Hubungan Antara Deteksi Dini Pengenalan Gejala Awal Stroke Dengan Pengetahuan Tentang Cara Penanganan Stroke Pada Masyarakat Dalam Tindakan Pertolongan Pra Rumah Sakit di wilayah kerja Puskesmas Bakunase Kota Kupang." Jurnal Keperawatan Malang 6 (2), 67–75. https://garuda.kemdikbud.go.id/documents/detail/2443070 https://doi.org/10.36916/jkm.v6i2.132
Permatasari, N. 2020. "Perbandingan Stroke Non Hemoragik dengan Gangguan Motorik Pasien Memiliki Faktor Resiko Diabetes Melitus dan Hipertensi." Jurnal Ilmiah Kesehatan Sandi Husada 11 (1) 298–304. https://doi.org/10.35816/jiskh.v11i1.273
Phipps, M. S., and Cronin, C. A. 2020. "Management of Acute Ischemic Stroke." The BMJ 368. https://doi.org/10.1136/bmj.l6983
Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., Biller, J., Brown, M., Demaerschalk, B. M., Hoh, B., Jauch, E. C., Kidwell, C. S., Leslie-Mazwi, T. M., Ovbiagele, B., Scott, P. A., Sheth, K. N., Southerland, A. M., Summers, D. V., and Tirschwell, D. L. 2018. "2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association." Stroke 49 (3). https://doi.org/10.1161/STR.0000000000000158
Pusat Perencanaan dan Pendayagunaan SDM, Kesehatan, B. P., and RI, K. K. 2018. "Provinsi Nusa Tenggara Timur." Profil Keluarga Sehat Provinsi Nusa Tenggara Timur Tahun 2017, 1–164. http://202.70.136.161:8107/124/2/Buku%20Profil%20Keluarga%20Sehat%20Prov%20NTT.pdf
Rachmawati, D., Andarini, S., and Ningsih, D. K. 2017. "Pengetahuan Keluarga Berperan terhadap Keterlambatan Kedatangan Pasien Stroke Iskemik Akut di Instalasi Gawat Darurat." Jurnal Kedokteran Brawijaya 29 (4): 369–376. https://doi.org/10.21776/ub.jkb.2017.029.04.15
Ragoschke-Schumm, A., Walter, S., Haass, A., Balucani, C., Lesmeister, M., Nasreldein, A., Sarlon, L., Bachhuber, A., Licina, T., Grunwald, I. Q., and Fassbender, K. 2014. "Translation of the ‘Time is Brain’ Concept into Clinical Practice: Focus on Prehospital Stroke Management." International Journal of Stroke 9 (3): 333–340. https://doi.org/10.1111/ijs.12252
Rahmawati, D., Rosjidi, C. H., and Nurhidayat, S. 2018. "Hubungan Antara Persepsi Keluarga dengan Fast Respon Serangan Penyakit Jantung." Jurnal Vokasi Kesehatan 4 (2): 70. https://doi.org/10.30602/jvk.v4i2.115
Rosmary, M. T. N., and Handayani, F. 2020. “Hubungan Pengetahuan Keluarga Dan Perilaku Keluarga Pada Penanganan Awal Kejadian Stroke.” Holistic Nursing and Health Science 3 (1): 32–39. https://ejournal2.undip.ac.id/index.php/hnhs/article/download/9355/4713 https://doi.org/10.14710/hnhs.3.1.2020.32-39
Pali, T. S. S. P, Kenjam, Y., and Sirait, R. W. 2022. "Implementation Of Brigade Kupang Sehat Policy in Reducing Maternal and Child Mortality Ratio in Kupang City in Reducing Maternal and Child Mortality Ratio in Kupang City." Media Kesehatan Masyarakat 4 (1). https://ejurnal.undana.ac.id/index.php/MKM/article/view/4162/2953
Santosa, W. R. B., and Trisnain, A. N. S. 2019. "Pengaruh Pendidikan Kesehatan Pre-Hospital Stroke Terhadap Pengetahuan Dan Self-Efficacy Masyarakat Dalam Melakukan Tindakan Pertolongan Pre-Hospital Stroke." Jurnal Gawat Darurat 1 (1): 31–36. https://journal.stikeskendal.ac.id/index.php/JGD/article/view/506/302
Saraswati, D, R. 2021. "Transisi Epidemiologi Stroke Sebagai Penyebab Kematian Pada Semua Kelompok Usia Di Indonesia." Journal Kedokteran 2 (1): 81–86. https://conference.upnvj.ac.id/index.php/sensorik/article/viewFile/1001/842
Sari, L. M., and Yuliano, A. 2019. "Hubungan Pengetahuan Dan Sikap Keluarga Terhadap Kemampuan Deteksi Dini Serangan Stroke Iskemik Akut Pada Penanganan Pre Hopsital." Jurnal Kesehatan Perintis (Perintis’s Health Journal) 6 (1): 74–80. https://jurnal.upertis.ac.id/index.php/JKP/article/view/241/148 https://doi.org/10.33653/jkp.v6i1.241
Septiana, Romadoni, S., and YA, M. 2020. "Family Experience in Handling First Attack on Stroke Patients." JUKEMA (Jurnal Kesehatan Masyarakat Aceh) 6 (2): 141–153. http://ejournal.unmuha.ac.id/index.php/JKMA/article/view/905 https://doi.org/10.37598/jukema.v6i2.905
Setianingsih, S., Darwati, L. E., and Prasetya, H. A. 2019. "Study Deskriptif Penanganan Pre-Hospital Stroke Life Support Pada Keluarga." Jurnal Perawat Indonesia 3 (1): 55. https://doi.org/10.32584/jpi.v3i1.225
Tamburian, A. G., Ratag, B. T., and Nelwan, J. E. 2020. "Hubungan Antara Hipertensi, Diabetes Melitus Dan Hiperkolesterolemia Dengan Kejadian Stroke Iskemik." Journal of public health and community medicine 1: 27–33. https://ejournal.unsrat.ac.id/v3/index.php/ijphcm/article/view/27240
Triwijayanti, R. 2023. "Edukasi Sistem Penanggulangan Gawat Darurat Terpadu Pada Kegawatan Stroke Di Masyarakat." Khidmah 5 (1)" 93–100. https://doi.org/10.52523/khidmah.v5i1.445
Wahab, A. R. B. Z., and Sijid, ST. A. 2021. "Review: Perawatan Stroke Saat di Rumah." Prosiding Biologi Achieving the Sustainable Development Goals with Biodiversity in Confronting Climate Change 7 (1): 160–167. https://journal.uin-alauddin.ac.id/index.php/psb/article/view/23688
Yoon, S. S. 2002. "Perceptions of Stroke in the General Public and Patients with Stroke: A Qualitative Study." BMJ 324 (7345), 1065–1065. https://doi.org/10.1136/bmj.324.7345.1065
Yueniwati, Y. 2016. Pencitraan Pada Stroke. Google Books. Universitas Brawijaya Press. https://books.google.co.id/books/about/Pencitraan_pada_Stroke.html?id=iRrsDwAAQBAJ&redir_esc=y
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