PENGARUH BIMODAL STIMULASI SENSORI TERHADAP NILAI GCS PADA PASIEN STROKE DENGAN PENURUNAN KESADARAN
DOI:
https://doi.org/10.31004/jkt.v5i4.36801Keywords:
Bimodal Stimulasi Sensori, Glasgow Comma Scale (GCS), StrokeAbstract
Penurunan fungsi sensorik merupakan efek yang merugikan yang terjadi pada pasien stroke yang mengalami penurunan kesadaran, 70% pasien yang menderita stroke mengalami penurun kesadaran. Penurunan kesadaran merupakan akibat yang terjadi jika rangsang sensorik spesifik pada forebrain dihentikan atau terputus sehingga akan mempengarui ascendence retricular activating system (ARAS). Salah satu penyebab terhenti atau terputusnya sensorik spesifik adalah serangan stroke. Stimulasi sensorik merupakan salah satu tindakan keperawatan yang bisa dilakukan untuk meningkatkan kesadaran pasien. Penelitian ini bertujuan untuk mengindentifikasi pengaruh bimodal stimulasi sensorik terhadap nilai GCS pada pasien stroke dengan penurunan kesadaran. Desain penelitian ini adalah Quasi Experiment with Pretest-posttest control group. Sampel pada kelompok kontrol dan intervensi diambil dengan metode Non Probality Sampling Secara Conscecutive Sampling dengan jumlah 44 responden, kelompok intervensi (n: 22) dan kelompok kontrol (n:22). Kelompok intervensi diberikan bimodal stimulasi sensori (auditory dan gustatory) sebanyak 5 kali sehari dengan durasi 10 menit setiap sesi dan dilakukan selama 3 hari. Kelompok kontrol mendapatkan perawatan rutinitas dari rumah sakit tanpa diberikan intervensi. Hasil penelitian menunjukkan peningkatan yang signifikan pada nilai GCS post test pada kelompok intervensi yaitu dari nilai 9,5 menjadi 13,5 dengan p value = 0,001 dan untuk kelompok kontrol tidak terjadi peningkatan yang signifikan yaitu dari 10,09 menjadi 10,54 dengan p value = 0,85. Kesimpulan penelitian ini adalah bimodal stimulasi sensori adalah tindakan keperawatan yang dapat meningkatkan nilai GCS pasien stroke dengan penurunan kesadaran.References
Ali, M., & Gorji, H. (2014). Effect of auditory stimulation on traumatic coma duration in intensive care unit of Medical Sciences University of Mazandarn, Iran. 8(1). https://doi.org/10.4103/1658-354X.125940
Amein, M. S. M., Shady, N. A. E.-R. A., & Ragab, O. A. A. A. M. (2024). Effect of Early Coma Arousal Therapy on Conscious Level Recovery and Cognition in Traumatic Brain Injury. African Journal of Biological Sciences (South Africa), 6, 255–264. https://doi.org/10.33472/AFJBS.6.Si3.2024.255-264
Appelros, P., Stegmayr, B., & Terent, A. (2009). Sex differences in stroke epidemiology: A systematic review. Stroke, 40(4), 1082–1090. https://doi.org/10.1161/STROKEAHA.108.540781
Article, O. (2009). Effect of a regular family visiting program as an affective , auditory , and tactile stimulation on the consciousness level of comatose patients with a head injury. 21–26. https://doi.org/10.1111/j.1742-7924.2009.00117.x
Camacho, E., Lopresti, M. A., Bruce, S., Lin, D., Abraham, M., Appelboom, G., Taylor, B., McDowell, M., Dubois, B., Sathe, M., & Sander Connolly, E. (2015). The role of age in intracerebral hemorrhages. Journal of Clinical Neuroscience, 22(12), 1867–1870. https://doi.org/10.1016/j.jocn.2015.04.020
Cao, Q. (2024). Effect of Family Participation in Sensory Stimulation for Patient with consciousness disorder after TBI Prognosis?: Randomized Controlled Trial Protocol.
Feigin, V. L., Lawes, C. M. M., Bennett, D. A., & Anderson, C. S. (2003). Stroke epidemiology: A review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurology, 2(1), 43–53. https://doi.org/10.1016/S1474-4422(03)00266-7
Feigin, V. L., Norrving, B., & Mensah, G. A. (2017). Global Burden of Stroke. 439–449. https://doi.org/10.1161/CIRCRESAHA.116.308413
Green, T. L., McNair, N. D., Hinkle, J. L., Middleton, S., Miller, E. T., Perrin, S., Power, M., Southerland, A. M., & Summers, D. V. (2021). Care of the Patient With Acute Ischemic Stroke (Posthyperacute and Prehospital Discharge): Update to 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association. Stroke. https://doi.org/10.1161/STR.0000000000000357
Grelli, K. N., Gindville, M. C., Walker, C. H., & Jordan, L. C. (2016). Association of blood pressure, blood glucose, and temperature with neurological outcome after childhood stroke. JAMA Neurology, 73(7), 829–835. https://doi.org/10.1001/jamaneurol.2016.0992
Gurgo, R. D., Bedi, K. S., & Nurcombe, V. (2002). Current concepts in central nervous system regeneration. Journal of Clinical Neuroscience, 9(6), 613–617. https://doi.org/10.1054/jocn.2002.1080
Howell, K., Vogler, J., Klein, A., Straube, A., & Bender, A. (2013). Traumatic Brain Injury Patients. 1483, 1476–1483. https://doi.org/10.1089/neu.2012.2735
Iii, J. C. H., Greenberg, S. M., Anderson, C. S., Becker, K., Bendok, B. R., Cushman, M., Fung, G. L., Mitchell, P. H., & Scott, P. A. (2015). AHA / ASA Guideline Guidelines for the Management of Spontaneous Intracerebral Hemorrhage A Guideline for Healthcare Professionals From the American Heart. 1–30. https://doi.org/10.1161/STR.0000000000000069
Indiyarti, R. (2002). Perbandingan kadar gula darah sewaktu pada kedua jenis stroke. J Kedokter Trisakti, 23(4), 115–121. https://doi.org/10.5465/AMBPP.2013.31
Joynt Maddox, K. E., Elkind, M. S. V., Aparicio, H. J., Commodore-Mensah, Y., de Ferranti, S. D., Dowd, W. N., Hernandez, A. F., Khavjou, O., Michos, E. D., Palaniappan, L., Penko, J., Poudel, R., Roger, V. L., Kazi, D. S., Bolger, A. F., Hsue, P. Y., Martin, S. S., & Moran, A. E. (2024). Forecasting the Burden of Cardiovascular Disease and Stroke in the United States Through 2050-Prevalence of Risk Factors and Disease: A Presidential Advisory From the American Heart Association. Circulation, 150(4), e65–e88. https://doi.org/10.1161/CIR.0000000000001256
Kanase, S. (2024). Effect Of Rood ’ s Approach and Coma Stimulation Techniques on Level of Consciousness in Traumatic Brain Injury Patients . Effect Of Rood ’ s Approach and Coma Stimulation Techniques on Level of Consciousness in Traumatic Brain Injury Patients . August. https://doi.org/10.48047/AFJBS.6.14.2024.6972-6982
Krause, D. N. (2006). Influence of sex steroid hormones on cerebrovascular function. Journal of Applied Physiology, 101(4), 1252–1261. https://doi.org/10.1152/japplphysiol.01095.2005
Långsjö, J. W., Lehtimäki, K., Ruohonen, J., Sajanti, A., Heikkilä, H. T., Brander, A., Saarinen, K., Herrala, L., Långsjö, J. W., Lehtimäki, K., Ruohonen, J., & Sajanti, A. (2016). Critical neural targets for ( the level of ) human consciousness?: Arousal arrest and unconsciousness after sumatriptan administration arrest and unconsciousness after sumatriptan administration. Brain Injury, 00(00), 1–6. https://doi.org/10.1080/02699052.2016.1199908
Lawrence, E. S., Coshall, C., Dundas, R., Stewart, J., Rudd, A. G., Howard, R., & Wolfe, C. D. A. (2001). Estimates of the Prevalence of Acute Stroke Impairments and Disability in a Multiethnic Population.
Li, J., Wang, D., Tao, W., Dong, W., Zhang, J., Yang, J., & Liu, M. (2016). Early consciousness disorder in acute ischemic stroke?: incidence , risk factors and outcome. BMC Neurology, 1–7. https://doi.org/10.1186/s12883-016-0666-4
Lumbantobing, V. B. M., & Anna, A. (2015). TERHADAP NILAI GLASLOW COMA SCALE DI RUANG NEUROSURGICAL CRITICAL CARE UNIT RSUP DR . HASAN SADIKIN BANDUNG. III(2), 105–111.
Megha, M., Harpreet, S., & Nayeem, Z. (2013). Effect of frequency of multimodal coma stimulation on the consciousness levels of traumatic brain injury comatose patients. 1–8. https://doi.org/10.3109/02699052.2013.767937
Moattari, M., Shirazi, F. A., Sharifi, N., & Zareh, N. (2016). Effects of a Sensory Stimulation by Nurses and Families on Level of Cognitive Function , and Basic Cognitive Sensory Recovery of Comatose Patients With Severe Traumatic Brain Injury?: A Randomized Control Trial. 21(4). https://doi.org/10.5812/traumamon.23531.Research
Nakibuuka, J., Sajatovic, M., Nankabirwa, J., Ssendikadiwa, C., Furlan, A. J., Katabira, E., Kayima, J., Kalema, N., Byakika-Tusiime, J., & Ddumba, E. (2015). Early mortality and functional outcome after acute stroke in Uganda: prospective study with 30 day follow-up. SpringerPlus, 4(1). https://doi.org/10.1186/s40064-015-1252-8
Pangilinan, P. H., Giacoletti-argento, A., Shellhaas, R., Hurvitz, E. A., & Hornyak, J. E. (2010). Clinical Review?: Current Concepts Neuropharmacology in Pediatric Brain Injury?: A Review. PMRJ, 2(12), 1127–1140. https://doi.org/10.1016/j.pmrj.2010.07.007
Pape, T. L., Rosenow, J. M., Harton, B., Patil, V., Guernon, A., Parrish, T., Froehlich, K., Otr, L., Burress, C., Mcnamee, S., Herrold, A. A., Weiss, B., & Wang, X. (2012). provided during coma recovery. 49(7), 1137–1152.
Patrick, P. D., Wamstad, J. B., Mabry, J. L., Smith-janik, S., Gurka, M. J., Buck, M. L., & Blackman, J. A. (2009). Assessing the relationship between the WNSSP and therapeutic participation in adolescents in low response states following severe traumatic brain injury. 23(June), 528–534. https://doi.org/10.1080/02699050902926325
Raisa, M. (2014). Left Hemiparesis e . c Hemorhagic Stroke. Medula, 2 No 4(Juni), 70–79.
Rong-Fang, : Hu, Xiao-Ying, : Jiang, Junmin, : Chen, Zhiyong, : Zeng, Y, : Chen Xiao, Yueping, : Li, Xin, : Huining, & JW, : Evans David. (2015). : Non-pharmacological interventions for sleep promotion in the intensive care unit SO-: Cochrane Database of Systematic Reviews YR-: 2015 NO-: 10. 10. https://doi.org/10.1002/14651858.CD008808.pub2.www.cochranelibrary.com
Sargolzaei, K., Fallah, M. S., Aghebati, N., & Esmaily, H. (2017). Effect of a Structured Sensory Stimulation Program on the Sensory Function of Patients with Stroke- induced Disorder of Consciousness. 098 51, 6–17. https://doi.org/10.22038/ebcj.2017.23807.1505
Sinha, S., Gunawat, P., Nehra, A., & Sharma, B. S. (2013). Cognitive , functional , and psychosocial outcome after severe traumatic brain injury?: A cross ? sectional study at a tertiary care trauma center. 61(5). https://doi.org/10.4103/0028-3886.121920
Tsai, Y., Yuan, R., Huang, Y., Yeh, M., Lin, C., & Biswal, B. B. (2014). Disruption of brain connectivity in acute stroke patients with early impairment in consciousness. 4(January), 1–10. https://doi.org/10.3389/fpsyg.2013.00956
Wang, Y., De Weerd, P., Sack, A. T., & Ven, V. Van De. (2024). Distinct effects of slow and fast theta tACS in enhancing temporal memory. Imaging Neuroscience, 2(February). https://doi.org/10.1162/imag
Weimar, C., Roth, M. P., Zillessen, G., Glahn, J., Wimmer, M. L. J., Busse, O., Haberl, R. L., & Diener, H. C. (2002). Complications following acute ischemic stroke. European Neurology, 48(3), 133–140. https://doi.org/10.1159/000065512
Wijnen, V. J. M., Heutink, M., Boxtel, G. J. M. Van, Eilander, H. J., & Gelder, B. De. (2006). Autonomic reactivity to sensory stimulation is related to consciousness level after severe traumatic brain injury. 117, 1794–1807. https://doi.org/10.1016/j.clinph.2006.03.006
Y, P., M, D., S, D., & SK, G. (2015). A randomized controlled trial to assess the efficacy of auditory stimulation on selected parameters of comatose patients with traumatic brain injury. Indian Journal of Neurotrauma, 12(2), 128–134. https://doi.org/10.1055/s-0035-1569470
Zhuo, M. (2024). Cortical synaptic basis of consciousness. European Journal of Neuroscience, 59(5), 796–806. https://doi.org/10.1111/ejn.16198
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