Electronic Theses and Dissertation

Fungsi kognitif merupakan proses berpikir yang mencakup kemampuan intelektual seperti pemahaman dan penggunaan bahasa, kemampuan berhitung, proses perhatian, memori, serta fungsi eksekutif seperti merencanakan, memecahkan masalah, dan self-monitoring. Gangguan pada fungsi kognitif merupakan hal yang umum terjadi setelah seseorang mengalami stroke, baik iskemik maupun hemoragik. Penelitian ini bertujuan untuk mengetahui perbedaan fungsi kognitif pasien pasca stroke iskemik dan hemoragik di RSUDZA Banda Aceh. Penelitian ini bersifat analitik observasional dengan pendekatan cross-sectional. Sampel penelitian ini adalah pasien pasca stroke iskemik dan hemoragik di poliklinik saraf RSUDZA Banda Aceh dengan total 44 responden, 22 responden stroke iskemik dan 22 responden stroke hemoragik. Teknik pengambilan sampel menggunakan metode consecutive sampling. Pengambilan data dilakukan menggunakan kuesioner Montreal Cognitive Assessment versi Bahasa Indonesia (MoCA-INA). Data dianalisis menggunakan uji t independen. Hasil penelitian menunjukkan bahwa dari 22 responden (50%) stroke iskemik, 19 orang (86,4%) mengalami gangguan fungsi kognitif dan dari 22 responden (50%) stroke hemoragik, 16 orang (72,7%) mengalami gangguan fungsi kognitif. Hasil uji t independen pada fungsi kognitif pasien stroke iskemik dan hemoragik didapatkan bahwa terdapat perbedaan fungsi kognitif pasien pasca stroke iskemik dan hemoragik di RSUDZA Banda Aceh (p value = 0,042). Didapatkan juga perbedaan yang signifikan pada fungsi atensi dan bahasa antara pasien stroke iskemik dan hemoragik (p value = 0,035 dan p value = 0,021).
Kata Kunci: Fungsi kognitif, stroke iskemik, stroke hemoragik

Cognitive function is a thought process that includes intellectual abilities such as understanding and use of language, numeracy, attention processes, memory, and executive functions such as planning, problem solving, and self-monitoring. Impairment in cognitive function is common after someone experiences a stroke, both ischaemic and haemorrhagic. This study aims to determine the differences in cognitive function of patients after ischaemic and haemorrhagic stroke at RSUDZA Banda Aceh. This study is an observational analytic with a cross-sectional approach. The samples of this study were post-stroke ischaemic and haemorrhagic patients in the neurological polyclinic of RSUDZA Banda Aceh with a total of 44 respondents, 22 ischaemic stroke respondents and 22 haemorrhagic stroke respondents. The sampling technique used was the consecutive sampling method. Data were collected using the Montreal Cognitive Assessment Indonesian version (MoCA-INA) questionnaire. Data were analysed using independent t test. The results showed that of the 22 respondents (50%) of ischaemic stroke, 19 people (86.4%) had impaired cognitive function and of the 22 respondents (50%) of haemorrhagic stroke, 16 people (72.7%) had impaired cognitive function. The results of the independent t test of cognitive function of ischemic and haemorrhagic stroke patients found that there were differences in cognitive function of patients after ischemic and haemorrhagic stroke at RSUDZA Banda Aceh (p value = 0.042). There were also significant differences in attention and language functions between ischaemic and haemorrhagic stroke patients (p value = 0.035 and p value = 0.021, respectively). Keywords: Cognitive function, ischaemic stroke, haemorrhagic stroke