AKURASI NIHSS SCORE DALAM MEMPREDIKSI TERJADINYA ULKUS DEKUBITUS PADA PENDERITA STROKE DI RS DR. MOHAMMAD HOESIN PALEMBANG

MUHAMMAD, WAHYUDO IMAMI and Junaidi, Achmad and Bahar, Erial (2025) AKURASI NIHSS SCORE DALAM MEMPREDIKSI TERJADINYA ULKUS DEKUBITUS PADA PENDERITA STROKE DI RS DR. MOHAMMAD HOESIN PALEMBANG. Undergraduate thesis, Sriwijaya University.

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Abstract

Latar belakang: Ulkus dekubitus merupakan suatu cedera kulit yang sering terjadi pada penderita stroke sewaktu di rawat inap untuk waktu yang lama. The National Institus of Health Stroke Scale (NIHSS) dapat menjadi salah satu prediktor dalam memprediksi terjadinya ulkus dekubitus. Tujuan: Mengetahui akurasi NIHSS dalam memprediksi kejadian ulkus dekubitus pada pada penderita stroke di RS Dr Mohammad Hoesin Palembang. Metode: Studi penelitian prognostik yang bersifat observasional prospektif dengan pendekatan cohort inception menggunakanan data primer penderita stroke di RS dr. Mohammad Hoesin Palembang. Hasil: dari 267 pasien stroke yang dirawat di RS dr. Mohammad Hoesin, didapatkan 52 pasien (19,5%) mengalami ulkus dekubitus, didapatkan bahwa NIHSS berpengaruh signifikan terhadap terjadinya ulkus dekubitus (p=0,000). Dimana rata-rata nilai NIHSS 13,27±9,01, pada nilai Area Under the Curve sebesar 0,810 dengan nilai cut off NIHSS setinggi 16, dengan sensitivitas 80% dan spesifisitas 73%. Kesimpulan: NIHSS dapat menjadi salah satu faktor dalam memprediksi kejadian ulkus dekubitus pada penderita stroke. Kata kunci: Stroke, NIHSS, ulkus dekubitus. Background: Pressure ulcer is a skin injury that often occurs in stroke patients when hospitalized for a long time. The National Institute of Health Stroke Scale (NIHSS) can be used as one of the predictors in predicting the occurrence of pressure ulcer. Objective: To determine the accuracy of NIHSS in predicting the incidence of pressure ulcers in stroke patients at Dr. Mohammad Hoesin Hospital, Palembang. Method: Prognostic research study with observational prospective with cohort inception approach using primary data of stroke patients in dr. Mohammad Hoesin Hospital Palembang. Result: A total of 267 stroke patients treated at Dr. Mohammad Hoesin Hospital were included in this study, The incidence of Pressure Ulcers in stroke patients is 52 patients (19.5%), it was found that NIHSS had a significant effect on the occurrence of decubitus ulcers (p = 0.000). Where the average NIHSS value was 13.27 ± 9.01, at the Area Under the Curve value of 0.810 with a cut off value of NIHSS as high as 16, with a sensitivity of 80% and a specificity of 73%. Conclusion: NIHSS can be a factor in predicting the occurrence of pressure ulcers in stroke patients. Keyword: Stroke, NIHSS, pressure ulcers.

Item Type:	Thesis (Undergraduate)
Subjects:	R Medicine > RC Internal medicine > RC346-429 Neurology. Diseases of the nervous system. Including speech disorders
Divisions:	04-Faculty of Medicine > 11703-Neurology (Sp
Depositing User:	Wahyudo Imami Muhammad
Date Deposited:	23 May 2025 07:01
Last Modified:	23 May 2025 07:01
URI:	http://repository.unsri.ac.id/id/eprint/173726

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