Hubungan National Institute of Health Stroke Scale dengan Index of Cardioelectrophysiological Balance dan Heart Rate pada Pasien Stroke Iskemik Akut

Abstract

Background Stroke is a global health problem whose incidence is increasing every year throughout the world. Stroke can cause disorders of the autonomic system in sufferers including cardiovascular disorders. Several studies examining cardiovascular disorders after acute stroke using electrocardiography (ECG), one of which is the Index of cardioelectrophysiological balance (iCEB) and heart rate. Objective This study aims to examine the relationship between the National Institute of Health Stroke Scale and the Index of Cardioelectrophysiological Balance and Heart Rate in Acute Ischemic Stroke Patients. Methods This research is analytic correlation with cross-sectional design. The study sample consisted of 35 acute ischemic stroke patients. Index Of Cardioelectrophysiological Balance and Heart Rate were assessed based on the results of the ECG examination on the first day of treatment. Stroke outcome assessment using the NIHSS score was assessed on the first day of treatment. Results The mean age of the 35 subjects is 59.74±10.46 years, the majority were male (60%), the majority were Batak (74.3%), the last education was high school (62.9%), and the majority occupation are housewives (31.4%). The mean iCEB value obtained was 4.77±0.81 and the mean of heart rate was 82.31±14.70 beats/minute. The mean of NIHSS was 12,06±7,20. There is a positive and direct relationship between NIHSS and iCEB with p < 0.001 and r = 0.746. There is a positive and direct relationship between NIHSS and iCEB with p < 0.044 and r = 0.343. Conclusion There was a significant relationship between NIHSS scores and Index of Cardioelectrophysiological Balance and heart rate in acute ischemic stroke patients.

Latar Belakang Stroke merupakan masalah kesehatan global yang kejadiannya meningkat setiap tahunnya di seluruh dunia. Stroke dapat menyebabkan gangguan sistem otonom pada penderitanya diantaranya gangguan kardiovaskular. Beberapa studi yang meneliti gangguan kardiovaskular setelah stroke akut menggunakan Elektrokardiografi (EKG) salah satunya adalah Index of cardioelectrophysiological balance (iCEB) dan heart rate. Tujuan Penelitian ini bertujuan untuk melihat hubungan antara National Institute Of Health Stroke Scale Dengan Index Of Cardioelectrophysiological Balance dan Heart Rate Pada Pasien Stroke Iskemik Akut. Metode Penelitian ini bersifat analitik korelatif dengan desain potong lintang. Sampel penelitian terdiri dari 35 pasien stroke iskemik akut. Index Of Cardioelectrophysiological Balance dan Heart Rate dinilai berdasarkan hasil pemeriksaan EKG hari pertama rawatan. Penilian outcome stroke dengan menggunakan skor NIHSS dinilai pada hari pertama rawatan. Hasil Dari 35 subjek penelitian rerata usia subjek adalah 59,74±10,46 tahun, mayoritas berjenis kelamin laki-laki (60%), mayoritas suku Batak (74,3%), pendidikan terakhir SMA (62,9%), dan pekerjaan mayoritas adalah ibu rumah tangga (31,4%). Rerata nilai iCEB yang diperoleh adalah 4,77±0,81 dan rerata heart rate adalah 82,31±14,70 beat/menit. Rerata NIHSS adalah 12,06±7,20. Terdapat hubungan positif dan searah antara NIHSS dan iCEB dengan nilai p <0,001 dan r=0,746. Terdapat hubungan positif dan searah antara NIHSS dan iCEB dengan nilai p <0,044 dan r=0,343 Kesimpulan Terdapat hubungan yang signifikan antara skor NIHSS dengan Index of Cardioelectrophysiological Balance dan heart rate pada pasien stroke iskemik akut.