Electronic Theses and Dissertation

ABSTRAK
Latar Belakang: Menelan merupakan proses kompleks dan terintegrasi yang melibatkan banyak saraf dan otot. Gangguan menelan dapat dipengaruhi oleh gangguan akibat lesi obstruktif, gangguan motorik atau akibat proses inflamasi. Stroke merupakan salan satu penyebab gangguan menelan. Deteksi dini disfagia sangat penting untuk dilakukan sehingga komplikasi disfagia pada pasien stroke iskemik dapat dicegah dan kualitas hidup pasien dapat meningkat. Instrumen yang dapat digunakan untuk penilaian dini gangguan menelan adalah Eating Assessment Tools (EAT-10).
Tujuan: Untuk mengetahui korelasi antara EAT-10 dengan PAS pada pasien stroke iskemik akut di RSUD dr. Zainoel Abidin Banda Aceh.
Metode: Penelitian analitik obervasional dengan desain potong lintang. Sampel penelitian diambil berdasarkan teknik consecutive sampling pada pasien stroke iskemik akut yang menjalani rawat inap di RSUD dr. Zainoel Abidin Banda Aceh pada Desember 2024 hingga Februari 2025. Diagnosis disfagia ditegakkan dengan penilaian Fiberoptic Endoscopic Evaluation of Swallowing (FEES) dan menggunakan skor Penetration-Aspiration Scale (PAS).
Hasil: Penelitian ini menunjukkan adanya hubungan antara skor EAT-10 terhadap derajat disfagia berdasarkan skor PAS (r=-0,777; p=0,000). EAT-10 merupakan modalitas yang baik dalam mendeteksi disfagia (area under curve (AUC) 0,960; cut-off 9 menunjukkan sensitivitas 79,2% dan spesifisitas 91,7%)
Kesimpulan: Kuesioner EAT-10 berkorelasi positif terhadap derajat disfagia yang dinilai dengan skor PAS, yang mengindikasikan bahwa kuesioner ini dapat dipertimbangkan sebagai alat skrining disfagia pada pasien dengan stroke iskemik akut.
Kata Kunci: stroke iskemik akut, EAT-10, PAS, FEES

ABSTRACT Background: Swallowing is a complex and integrated process involving many nerves and muscles. Swallowing disorders can be influenced by disorders due to obstructive lesions, motor disorders or due to inflammatory processes. Stroke is one of the causes of swallowing disorders. Early detection of dysphagia is very important so that post-stroke dysphagia complications can be prevented and the quality of life of patients with stroke can be improved. Eating Assessment Tools (EAT-10 is an instrument that can be used for early assessment of swallowing disorders. Objective: To determine the correlation between EAT-10 and PAS in acute ischemic stroke patients at RSUD dr. Zainoel Abidin Banda Aceh. Method: Observational analytical research with a cross-sectional design. The research sample was taken based on a consecutive sampling technique from acute ischemic stroke patients who were hospitalized at RSUD dr. Zainoel Abidin Banda Aceh from Desember 2024 to February 2025. The diagnosis of dysphagia is confirmed by assessment Fiberoptic Endoscopic Evaluation of Swallowing (FEES) and use the score Penetration-Aspiration Scale (PAS). Results: This study shows that there is a relationship between the EAT-10 score and the degree of dysphagia based on the PAS score (r=0,777; p=0.000). EAT-10 is a good modality in detecting dysphagia (area under curve (AUC) 0,960; cut-off 9 demonstrated sensitivity of 79,2% and specificity of 91,7%) Discussion: The EAT-10 questionnaire demonstrates a positive correlation with the severity of dysphagia as measured by the PAS score, suggesting its potential utility as a screening tool for dysphagia in patients with acute ischemic stroke. Keywords: acute stroke ischemic, EAT-10, PAS, FEES