HUBUNGAN LETAK LESI STROKE TERHADAP SIMTOM DEPRESI PADA PASIEN PASCA STROKE DI RSUD DELI SERDANG
Abstract
Stroke is a sudden functional focal and global brain disorder and can cause sudden death caused by impaired cerebral
blood flow due to reduced blood supply (ischemic stroke) or spontaneous rupture of blood vessels (bleeding strokes).
Depression is a neuropsychiatric syndrome that is most often associated with stroke. To determine the relationship of
the location of the stroke lesion on depressive symptoms in post-stroke patients at Deli Serdang Regional Hospital
which was conducted from August to December 2019. Categorical analytic using cross sectional design.
Outpatient stroke patients are classified as patients with left or right hemisphere lesions. The research data were
obtained from primary data in the form of direct interviews with patients using the Beck Depression Inventory-II (BDI-II)
questionnaire and also from secondary data in the form of patient medical records at the Hospital which included 64
patients and then analyzed using the Chi Square test. Chi Square test results showed that there was a significant
relationship between the location of the stroke lesion on the incidence of depression with a value of P = 0.006 (p
<0.05).
References
Junaidi I. Stroke Waspadai Ancamannya. I. Yogyakarta: ANDI; 2011.
PERDOSSI. Standar Pelayanan Medik (SPM) Perhimpunan Dokter Spesialis Saraf Indonesia. 2016:11- 13.
Hasil Utama Riset Kesehatan Dasar. Kementrian Kesehat Republik Indones. 2018:55-111. doi:1 Desember 2013.
Hilton C. The Clinical Psychiatry of Late Life in Britain from 1950 to 1970. Int J Geriatry Psychiatry UK; 2005.
Robinson R G JRE. Post-Stroke Depression : Clinics, Etiopathogenesis and Therapeutics. Arch Clin Psychiatry Brazil;
2014.
Nickel A, Thomalla G. Post-stroke depression: Impact of lesion location and methodological limitations-a topical
review. Front Neurol. 2017;8(SEP):1-8.
American Heart Association. Women And Stroke. 2018.http://www.stroke.org/understand-stroke/impact-of stroke/womanand-
stroke
Ballo I R et al. Profil Lanjut Usia Dengan Depresi Yang Tinggal Di Balai Penyantunan Lanjut Usian Senja Cerah
Manado. J Biomedik. 2012:4-9.
Hardianto H. Prevalensi Dan Faktor- Faktor Risiko Yang Berhubungan Dengan Tingkat Depresi Pada Mahasiswa
Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Tanjung Pura. 2014:10-15.
Peltzer K PS. High Prevalence Of Depressive Symptoms In a National Sample Of Adults In Indonesia: Childhood
Adversity, Sociodemographic Factors And Health Risk Behaviour. South Africa; 2018.
Sutinah M. Hubungan Pendidikan, Jenis Kelamin Dan Status Perkawinan Dengan Depresi Pada Lansia. J Endur.
2017:4-6.
Badaru U. Variation In Functional Independence Among Stroke Survivors Having Fatigue And Depression. Neurol Res
Int. 2013:4-5.
Yuliami R. Pengaruh Depresi Pada Awal Stroke (Minggu 1) Terhadap Waktu Perbaikan Defisit Neurologis Penderita
Post Stroke Non Hemoragik. Semarang: Universitas Diponegoro; 2006.
Hedna et al. Hemispheric Differences in Ischemic Stroke: Is Left Hemisphere Stroke More Common. Jcn; 2013.
Rajashekaran P, Pai K, Thunga R, Unnikrishnan B. Post-stroke depression and lesion location: A hospital based
cross-sectional study. Indian J Psychiatry. 2013;55(4):343- 348.
Feng C et al. The Neurobiological Pathogenesis of Post Stroke Depression. Am Neurosci Assoc USA. 2014:24-30.