Evaluasi Status Fungsional Pasien Stroke Iskemik Di Ruang Rawat Inap Saraf RSUD Dr. Soetomo Menggunakan Instrumen Functional Independence Measure (FIM)

Abstract

Introduction:Stroke is a sudden and acute functional focal and global brain disorder that lasts more than 24 hours due to brain blood circulation disorders. Strokes can influence several aspects of life including ADL. Aim: To analyze the patients with ischemic stroke in Neurology Department of RSUD Dr. Soetomo by Functional Independence Measure (FIM) scale at the times of admission to hospital, discharge, and one month after follow-up. Methods:The design of study was cohort. Sample was 60 patients that suitable with the inclusion criteria and was selected by consecutive sampling. Patient's age, sex, length of stay, nutritional intake, compliance of drugs intake, and the ability of physical activity were recorded. After that, motor assessment and daily activities skills were evaluated by FIM scale. Data was collected by interview and examination for 5 months. Data was analyzed by t-test. Results: A sum of 60 patients are studied. Most frequent genders are male (53,3%), age ranging from 60-69 years old (36,7%), length of stay mostly less than a week (88,3%), nutritional intake is mostly balanced (31,7%), most of the patients take their drugs regularly (66,7%), and most of the patients are only need supervision (45%). The FIM score at admission ranged between 54-71 (40%), at discharged ranged between 72-89 (46,7%), and after one month follow-up ranged between 72-89 (48,3%). There were significant change at p=0,001 between FIM Score at discharged and admission and also between FIM score after one month follow-up and discharged. Conclusion: All patients' FIM scores were improved.There was a correlation between patient's length of stay and FIM score at admission and also the ability of physical activity. Significant correlation was found between patient's age and the ability of physical activity with the FIM score at discharge. Patient's age, length of stay, and the ability of physical activity have significant correlation with The FIM score after one month follow-up. 2 ABSTRAK Latar Belakang: Stroke merupakan gangguan fungsional otak fokal maupun global secara mendadak dan akut yang berlangsung lebih dari 24 jam akibat gangguan sirkulasi darah otak. Stroke dapat mempengaruhi beberapa aspek kehidupan termasuk activities daily living (ADL). Tujuan: Menganalisis pasien dengan stroke iskemik di Ruang Rawat Inap Saraf RSUD Dr. Soetomo menggunakan instrumen Functional Independence Measure (FIM) pada saat masuk rumah sakit (MRS), keluar rumah sakit (KRS), dan follow-up setelah satu bulan.Metode: Penelitian ini menggunakan desain kohor prospektif dengan besar sampel 60 pasien yang sesuai dengan kriteria inklusi, yang dipilih secara konsekutif. Usia, jenis kelamin, lama terapi, jenis makanan, kepatuhan meminum obat, dan kemampuan beraktivitas pasien dikumpulkan secara wawancara selama 5 bulan. Setelah itu, kemampuan motorik dan aktivitas sehari-hari dievaluasi menggunakan skala FIM. Data dianalisis menggunakan t-test.Hasil: Sebanyak 60 pasien telah diteliti. Jenis kelamin terbanyak adalah laki-laki (53,3%), usia berkisar an...