EVALUASI PENANGANAN STROKE PADA MASA GOLDEN PERIODE DI RUMAH SAKIT INDONESIA
DOI:
https://doi.org/10.31004/jkt.v6i3.44240Keywords:
golden periode, Indonesia, penanganan stroke, rumah sakit, strokeAbstract
Pendahuluan: Stroke merupakan penyebab utama kecacatan dan kematian di Indonesia. Keberhasilan terapi sangat ditentukan oleh kecepatan penanganan dalam 4,5 jam pertama (golden period). Namun, masih banyak pasien yang terlambat mendapat penanganan karena kendala struktural dan sistemik. Penelitian ini bertujuan untuk mengevaluasi penanganan stroke selama golden period di rumah sakit Indonesia, serta mengidentifikasi faktor pendukung, hambatan utama, dan strategi perbaikannya. Metode: Penelitian ini merupakan literature review terhadap 14 artikel yang dipublikasikan dalam 10 tahun terakhir (2013–2023), diperoleh dari Google Scholar, PubMed, dan Scopus. Artikel dipilih berdasarkan kesesuaian topik, akses terbuka, dan keterkaitan dengan penanganan stroke dalam golden period. Data dianalisis secara deskriptif untuk mengidentifikasi pola temuan yang konsisten. Hasil: Sebagian pasien memiliki peluang mendapatkan intervensi dalam golden period, tetapi sebagian besar masih mengalami keterlambatan. Faktor pendukung mencakup edukasi keluarga dan kesiapan fasilitas kesehatan. Hambatan utama meliputi rendahnya kesadaran masyarakat terhadap gejala stroke, keterbatasan akses transportasi gawat darurat, serta kendala biaya. Simpulan: Penanganan stroke pada masa golden period belum berjalan optimal. Strategi perbaikan perlu diarahkan pada edukasi masyarakat, penguatan sistem rujukan dan transportasi darurat, serta peningkatan kesiapan fasilitas layanan stroke di rumah sakit.References
Aandarini, D., Susaldi, S., & Suryadi, B. (2024). Response time with successful handling on call patient stroke. Jurnal Keperawatan, 15(02). https://doi.org/10.22219/jk.v15i02.33977
Ainiyah, N., Izzah, S. R., Zahroh, C., Bistara, D. N., & Faizah, I. (2021). Family Knowledge on Prehospital Stroke Detection Correlates with Hospital Arrival Time in Stroke Patients. Nurse and Holistic Care, 1(2), 73–81. https://doi.org/10.33086/nhc.v1i2.2221
Ambarika, R., & Anggraini, N. A. (2022). Golden Period in Terms of Knowledge Family of Early Detection of Stroke for Stroke Patients in Installation of Emergency. Malaysian Journal of Medical Research, 06(03), 30–34. https://doi.org/10.31674/mjmr.2022.v6i03.004
Chrisstawati, E. R., Wijayanti, M. I. E., & Wibowo, T. A. (2023). Factors Associated With Administration of Antiplatelet Therapy on The NIHSS Score in Acute Ischemic Stroke. Jurnal Riset Kesehatan, 12(2), 86–92. https://doi.org/10.31983/jrk.v12i2.9731
Farida Tampubolon, L., Ginting, A., & Natalia, N. (2024). The Relationship Between The Response Time of The Family When Bringing The Patient to Hospital and Stroke Severity Patients. Interest : Jurnal Ilmu Kesehatan, 19–27. https://doi.org/10.37341/interest.v13i1.633
Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., Abady, G. G., Abbasifard, M., Abbasi-Kangevari, M., Abd-Allah, F., Abedi, V., Abualhasan, A., Abu-Rmeileh, N. M., Abushouk, A. I., Adebayo, O. M., Agarwal, G., Agasthi, P., Ahinkorah, B. O., Ahmad, S., Ahmadi, S., … Murray, C. J. L. (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 795–820. https://doi.org/10.1016/S1474-4422(21)00252-0
Hidayat, R., Agianto, A., & Agustina, R. (2020). Transportasi Pasien Stroke ke Instalasi Gawat Darurat Rumah Sakit. Journal of Holistic Nursing Science, 7(2), 142–156. https://doi.org/10.31603/nursing.v7i2.3140
Huttami, V. T., & Hidajah, A. C. (2020). The Utilization of Golden Period of Ischemic Stroke in Patients in Productive Ages. The Indonesian Journal of Public Health, 15(3), 258. https://doi.org/10.20473/ijph.v15i3.2020.258-265
Ivanka, M. N. P., Pratiwi, W., & Kusnandang, A. (2024). The Association between Family Knowledge and Response with Pre-hospital Delay among Stroke Patients: A Study from Rural Area of Cirebon, Indonesia. GHMJ (Global Health Management Journal), 7(4), 157–166. https://doi.org/10.35898/ghmj-741111
Kementerian Kesehatan RI. (2019). Laporan Provinsi Lampung, Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan (LPB) .
Kim, Y. S., Park, S.-S., Bae, H.-J., Cho, A.-H., Cho, Y.-J., Han, M.-K., Heo, J. H., Kang, K., Kim, D.-E., Kim, H. Y., Kim, G.-M., Kwon, S. U., Kwon, H.-M., Lee, B.-C., Lee, K. B., Lee, S.-H., Lee, S.-H., Lee, Y.-S., Nam, H. S., … Yoon, B.-W. (2011). Stroke awareness decreases prehospital delay after acute ischemic stroke in korea. BMC Neurology, 11(1), 2. https://doi.org/10.1186/1471-2377-11-2
Kosasih, M. I., Firdausi, N., Yektiningsih, E., & Kusnul, Z. (2020). The Effect of Determinant Factors in The Family on The Arrival Time of Patients Stroke in Emergency Installation. STRADA Jurnal Ilmiah Kesehatan, 9(1), 44–53. https://doi.org/10.30994/sjik.v9i1.227
Muhammad Arif, Nuria Okraini, & Aldo Yuliano Mas Putra. (2019). Hubungan Ketepatan “Golden Period” dengan Derajat Kerusakan Neurologi pada Pasien Stroke Iskemik di Ruang Instalasi Gawat Darurat Rumah Sakit Stroke Nasional Bukittinggi Tahun 2018. Prosiding Seminar Kesehatan Perintis, 2(1), 94–98.
Prayitno, U., Kristiyawati, S. P., & Yono, N. H. (2023). Long Relationship of Seeking Help with Severity of Stroke Patients. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 19(2). https://doi.org/10.31101/jkk.3112
Putu Jaya Kusuma, Lilik Djuari, Abdulloh Machin, & Asra Al Fauzi. (2021). Knowledge, Attitude and Practice of Primary Care Physicians in Dealing with Acute Stroke in Indonesia. Journal of Health Science and Medical Research, 39(5), 353–364.
Ria Anggraini, Nyoto Nursani, & Dwi Retnowati. (2021). The Effectiveness of Counseling on the Characteristics of Cerebro Vascular Accident Attack in Golden Period Stage to Quick Attitude to Family Response With Hypertension. Vol. 3 No. 1 (2021): The 3rd Joint International Conference (JIC) 2021, 3(1).
Sarni J. Ishak, Yuyun Yueniwati, & Rinik Eko Kapti. (2020). Factors Related about Family Delay Bring Stroke Patient to Emergency Departments of Labuha Hospital. International Journal of Science and Society, 2(4), 657–672.
Seah, S. S. Y., van Dam, R. M., Tai, B. C., Tay, Z., Wang, M. C., & Rebello, S. A. (2022). An evaluation of the healthier dining programme effects on university student and staff choices in Singapore: A cluster-randomized trial. Food Policy, 107, 102211. https://doi.org/10.1016/j.foodpol.2021.102211
Wang, P.-Y., Tsao, L.-I., Chen, Y.-W., Lo, Y.-T., & Sun, H.-L. (2021). “Hesitating and Puzzling”: The Experiences and Decision Process of Acute Ischemic Stroke Patients with Prehospital Delay after the Onset of Symptoms. Healthcare, 9(8), 1061. https://doi.org/10.3390/healthcare9081061
Wanichanon, W., Ananchaisarp, T., Tantarattanapong, S., & Chamroonkiadtikun, P. (2024). Prevalence and factors influencing pre-hospital delays in patients with acute stroke. Journal of Public Health and Emergency, 8, 23–23. https://doi.org/10.21037/jphe-24-30
Zauhani Kusnul, & Muhammad Ridwan. (2020). Faktor yang Mempengaruhi Rentang Waktu Pengambilan Keputusan Keluarga untuk Membawa Penderita Stroke ke Rumah Sakt. Jurnal Ilmiah Pemenang, 1–5.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Rachmad Prodjohadikusumo, Riswandy Wasir, Novita Dwi Istanti
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
