Electronic Theses and Dissertation

Stroke iskemik akut merupakan kegawatdaruratan neurologi yang membutuhkan tatalaksana yang cepat dan tepat. Waktu kedatangan pasien stroke iskemik akut di rumah sakit dapat dipengaruhi oleh berbagai faktor. Penelitian terkait faktor determinan yang memengaruhi kedatangan pasien stroke khususnya di Indonesia masih jarang dan belum pernah dilakukan di Aceh. Penelitian ini bertujuan untuk meneliti faktor determinan kedatangan pasien stroke iskemik akut di IGD RSUD dr. Zainoel Abidin Banda Aceh. Penelitian analitik observasional ini menggunakan rancangan penelitian cross sectional. Sampel adalah seluruh keluarga pasien stroke iskemik akut yang dirawat inap selama 21 September – 20 Oktober 2023 sesuai kriteria inklusi dan eksklusi secara total sampling. Hasil penelitian didapatkan responden 44 orang dengan mayoritas perempuan (61,4%), tingkat pendidikan tertinggi sarjana (43,2%), seluruh keluarga tahu akan kepemilikan jaminan kesehatan pasien, jarak rumah sakit terbanyak adalah 5-10 km (45,5%), transportasi paling banyak digunakan adalah kendaraan pribadi (61,4%), dengan mayoritas pengetahuan keluarga buruk (61,4%), mayoritas keluarga memiliki respon adekuat terhadap pengambilan keputusan pasien (52,3%), dan sebagian pasien datang tidak terlambat (50,0%). Analisa data didapatkan tingkat pendidikan berhubungan dengan waktu kedatangan pasien (p=0,016) sedangkan jenis kelamin (p=0,757), jarak rumah sakit (p=0,359), ketersediaan transportasi (p=0,946), pengetahuan keluarga (p=0,359), dan pengambilan keputusan tidak berhubungan dengan waktu kedatangan (p=0,763). Hubungan pengetahuan terhadap kepemilikan jaminan kesehatan pasien dengan waktu kedatangan tidak dapat dianalisis (variabel konstan). Penelitian ini menyimpulkan 50,0% pasien stroke iskemik akut datang tidak terlambat. Tingkat pendidikan berhubungan dengan waktu kedatangan namun tidak menjamin individu dengan tingkat pendidikan tinggi akan datang ke rumah sakit lebih awal.
Kata Kunci: Stroke iskemik akut, determinan kedatangan pasien, keterlambatan pra rumah sakit

Acute ischemic stroke is a severe neurological emergency that requires prompt and proper management. The time at which acute ischemic stroke patients arrive at the hospital may be influenced by multiple factors. However, there is limited research on the determinant factors that may affect the arrival of stroke patients, especially in Aceh, Indonesia. This observational analytic study aims to investigate the determinants that affect the arrival time of acute ischemic stroke patients at the emergency room of RSUD dr. Zainoel Abidin Banda Aceh. The study was conducted using a cross-sectional research design and included all families of acute ischemic stroke patients who were hospitalized between September 21 and October 20, 2023. The sample size was determined by total sampling, according to the inclusion and exclusion criteria, resulting in 44 respondents, with a majority of women (61.4%) and the highest level of education being undergraduate (43.2%). All families were aware of the patient's health insurance ownership. The majority of hospital distances were between 5-10 km (45.5%), and the most commonly used transportation was private vehicles (61.4%), with the majority of families having poor awareness (61.4%). Most families had an adequate response to patient decision-making (52.3%), and half of the patients arrived on time (50.0%). Data analysis revealed that education level was associated with patient arrival time (p=0.016), while gender (p=0.757), hospital distance (p=0.359), transportation availability (p=0.946), family awareness (p=0.359), and decision making (p=0.763) were not associated with arrival time. The relationship between knowledge of patient health insurance ownership and arrival time could not be analyzed due to their constant value. In conclusion, only 50.0% of acute ischemic stroke patients arrived on time, and education level was associated with patient arrival time, although it does not guarantee that individuals with higher education levels will come to the hospital earlier. Keywords: Acute ischemic stroke, determinants of patient arrival, prehospital delay.