Factors Related about Family Delay Bring Stroke Patient to Emergency Departments of Labuha Hospital

  • Sarni J. Ishak Student of Magister Nursing, Medical Faculty, Universitas Brawijaya, Indonesia
  • Yuyun Yueniwati Medical Faculty, Universitas Brawijaya, Indonesia
  • Ns. Rinik Eko Kapti Medical Faculty, Universitas Brawijaya, Indonesia
Keywords: Knowledge, Awareness, Decision Making, Economy, Behavior, Family Delay in Carrying Stroke Patients

Abstract

The late arrival of stroke patients to the hospital is still a problem that still occurs in hospitals in several regions in Indonesia. Delay in treatment of stroke patients causes permanent disability and death. The time it takes for stroke patients is less than 3 hours to get thrombolytic therapy, which is started when an attack occurs. Where, the effectiveness of therapy is determined by the time the patient arrives at the hospital. Patient arrival to the hospital affects patient outcomes. Purpose: to analyze the factors associated with family delays in bringing stroke patients to the ER at Labuha Hospital. This study used an observational analytic study design with a cross sectional design approach. The research location is in the Emergency Room of the Labuha Hospital. Research time was September-November, 2020. The sampling technique used nonprobability sampling with purposive sampling technique totaling 42 stroke patients. The measuring instrument used is a questionnaire. Based on the Spearman test, it shows the relationship between the factors of knowledge (p = 0.01), awareness (p = 0.03), decision making (p = 0.00), economy (p = 0.00) and behavior (p = 0.00) with family delays in bringing stroke patients to the ER at Labuha Hospital. The multiple linear regression test shows that awareness is the most dominant factor associated with family delay with the coefficient value β -11.051 compared to other factors. The time delay of stroke patients decreased when knowledge, awareness, decision making, economy and family behavior were good.

References

Adam, J. R. (2011). Clinical scales to asses patients with stroke. An imprint of Elsevier, 5, 198-218

Allen, L. A., Stevenson, L. W., Grady, K. L., Goldstein, N. E., Matlock, D. D., Arnold, R. M., ... & Havranek, E. P. (2012). Decision making in advanced heart failure: a scientific statement from the American Heart Association. Circulation, 125, E587.

Alexandrov, A. (2009). Hyperacute Ischemic Stroke Management: Reperfusion and Evolving Therapies. Critical Care Nursing Clinics of North America, 21, 451-470. http://doi.org/10.1016/j.ccell.2009.08.001.

Andjelic, S. (2010). Chain of survival in acute stroke. Anestezjologia i Ratownictwo, 4, 193-197.

Ashraf, V. V., Maneesh, Praveenkumar, R., Saifudheen, K., & Girija, A. S. (2015). Factors delaying hospital arrival of patients with acute stroke. Ann Indian Acad Neurol, 166(162).

Bergman, K., Kindler, D., & Pfau, L. (2012). Assessment of Stroke: A Review for Ed Nurses. Journal of Emergency Nursing, 38(1), 36.

Blum, H. L. (1974). Planning for health, development and application of social changes theory. New York: Human Sciences Press.

Bray, J. E., Mosley, I., Bailey, M., Barger, B., & Bladin, C. (2011). Stroke public awareness campaigns have increased ambulance dispatches for stroke in Melbourne, Australia. Stroke, 42(8), 2154-2157.

Busby, S., Witucki-Brown, J., & Knoxville, N. 2011. Theory development for situational awareness in multi-casualty incidents. Emergency Nurses Association, 37(5), 444-452.

Camara, R., Gonzales-Bernal, J., Santos, J., Aguillar-Parra, J., Trigueros, R., & Lopez-Liria, R. (2020). Knowledge on signs and risk factors in stroke patients. Journal clinical medicine.

Chen, X. W., Shafei, M. N., Aziz, Z. A., Sidek, N. N., & Musa, K. I. (2019). Trend in Stroke Outcomes at Hospital Discharge in First-ever Stroke Patients: Observasions from The Malaysia National Stroke Registry (2009-2017). Journal of the Neurological Sciences.

Croco, & Goldstein, L. B. (2014). Modern Medical Management of Acute Ischemic Stroke. Debakey-Journal, x(2). Doi:10.14797/mdcj-10-2-99

Departemen Kesehatan Republik Indonesia. (2013). Laporan Hasil Riset Kesehatan Dasar Indonesia (Riskesdas). Jakarta: Departemen Kesehatan RI.

Das, K., Mondal, G. P., Dutta, A. K., Mukherjee, B., & Bansi, B. M. (2010). Awareness of warning symptoms and risk factors of stroke in the general population and in survivor stroke. Journal of Clinical Neuroscience, 14(12).

Dharma, K. K. (2018). Pemberdayaan Keluarga Untuk Mengoptimalkan Kualitas Hidup Pasien Paska Stroke. Yogyakarta: Deepublish.

Duque, A. S., Fernandes, L., Correia, A. F., Calvinho, I., Cardoso, G., Pinto, M., ... & Campos, L. (2015). Awareness of stroke risk factors and warning signs and attitude to acute stroke. International Archives of Medicine, 8.

Effendi, Nasrul. (1998). Dasar-dasar Keperawatan Keluarga. Jakarta: EGC

Effendi, F., & Makhfudli. (2009). Keperawatan Kesehatan Komunitas: Teori dan Praktik Dalam Keperawatan. Jakarta: EGC

Endsley, M. R. (2017). Toward a Theory of Situation Awareness in Dynamic Systems. Human Factors Journal, 37(1), 32-64.

Faiz, E. W., Sundseth, A., Thommessen, B., & Ronning, O. M. (2014). Faktors related to discussion delay in acute stroke. Journal of Stroke and Cerebrovascular Disease, 23(3), 534-539.

Fang, J., Yan, W., Jiang, G., Li, W., & Cheng, Q. 2011. Time interval between stroke onset and hospital arrival in acute ischemic stroke patients in shanghai, china. Clinical neurology and neurosurgery, 113, 85-88.

Fassbender, K., Balucani, C., Walter, S., Levine, S. R., Haass, A., & Grotta, J. (2013). Streamlining of prehospital stroke management: the golden hour. The Lancet Neurology, 12(6), 585-596.

Friedman, M. (2010). Keperawatan Keluarga: Teori dan Praktik. Jakarta: EGC.

Fussman, C., Rafferty, A. P., Lyon-Callo, S., Morgenstern, L. B., & Reeves, M. J. (2010). Lack of association between stroke symptom knowledge and intent to call 911 a population-based survey. Aha journals, 1501(41).

Geller, E. (2000). The physchology of safety hardbook. New York: Lews Publisher

Gonzales-Aquines, A., Cordero-Perez, A.C., Cristobal-Nino, M., Perez-Vazquez, G., & Gongora-Rivera, F. (2019). Contribution of Onset-to-Alarm Time to Prehospital Delay in Patients with Ischemic Stroke. Journal of Stroke and Cerebrovaskular Diseases.

Green, L. (1980). Health education planning a diagnostic approach. Baltimore. John Hopkins University: Mayfield Publishing Co

Hariyanti, T., Harsono, & Prabandari, Y. S. (2015). Health seeking behavior on stroke patients. Jurnal kedokteran Brawijaya, 28(3).

Hasan, I. (2002). Pokok-pokok materi teori pengambilan keputusan. Jakarta: Ghalia Indonesia.

Hickey, A., Holly, D., McGee, H., Conroy, R., & Shelley, E. (2011). Knowledge of stroke risk factors and warning signs in Ireland: development and application of the Stroke Awareness Questionnaire (SAQ). International journal of stroke.

Howard, V.J. (2018). Stroke, Epidemiology. Doi:https://doi.org/10.1016/B978-0-12-809324-5.03904-3

Isaksson, U., Hajdarevic, S., Jutterstrom, L., & Hornsten, A. 2014. Validity and reliability testing of the Swedish version of Melbourne decision making questionnaire. Scandinavian journal of caring sciences, 28(2), 405-412.

Jacobson, E. U., Bayer, S., Barlow, J., Dennis, M., & MacLeod, M. J. (2015). The scope for improvement in hyper-acute stroke care in Scotland. Operations Research for Health Care, 6, 50-60.

Jauch, S., Adams, B., & Demaerschalk. (2013). Guidelines for the early management of patients with acute ischemic stroke a guideline for healthcare professionals from the American Harth Association/American Stroke Association Stroke. AHAjournals, 44, 1-87.

Kim, D. H., Nah, H. W., Park, H. S., Choi, J. H., Kang, M. J., Huh, J. T., & Cha, J. K. (2016). Impact of Prehospital Intervention on Delay Time to Thrombolytic Therapy in a Stroke Center with a Systemized Stroke Code Program. Journal of Stroke and Cerebrovascular Diseases.

Kim, Y. S., Park, S. S., Bae, H. J., Cho, A. H., Cho, Y. J., Han, M. K., ... & Kim, G. M. (2011). Stroke awareness decreases prehospital delay after acute ischemic stroke in Korea. BMC neurology, 11(1), 2.

Kosasih, M. I., Firdausi, N., Yektiningsih, E., & Kusnul, Z. (2020). The effect of determinant factors in the family on the arrival time of patient stroke in emergency installation. Strada Jurnal Ilmiah Kesehatan, 9(1).

Kumar, A., Nambiar, V., Sreekrishnan, T.P., & Ajith, V. (2015). Stroke Progression. Universal Journal of Medical Science. http:doi.org/10.1093/qjmed/hcl082

Lees, K. R., Bluhmki, E., Kummer, R. V., Brott, T. G., Toni, D., Grotta, J. C., & Kaste, M. (2010). Time to treatment with intravenous alteplase and outcome in stroke; an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials. The Lancet Neurology, 375(15), 1695-1703.

Lundelin, K., Graciani, A., Garcia-Puig, J., Guallar-Castillon, P., Taboada, J. M., Rodriguez-Artalejo, F., & Banegas, J. R. (2012). Knowledge of Stroke Warning Symptoms and Intended Action in Response to Stroke in Spain: A Nationwide Population-Based Study. Cerebrovasc, 168(161).

Lutsep, H., & Clark, W. (20150. Neuroprotective Agent in Stroke.

Maldonado, N. J., Kazmi, S. O., & Suarez, J. I. (2014). Update in the management of acute ischemic stroke. Critical care clinics, 30(4), 673-697.

Mazighi, M., Derex, L., & Amarenco, P. (2010). Prehospital stroke care: potential, pitfalls, and future. Current opinion in neurology, 23(1), 31-35.

McGillivrey, B., & Considine, J. (2009). Implementation of evidence into practice: development of a tool to improve emergency nursing care of acute stroke. Australian Emergency Nursing Journal, 12, 110-119.

Mellor, R. M., Bailey, S., Sheppard, J., Carr, P., Quinn, T., Boyal, A., Sandler, D., Sims, D. G., Mant, J., Greenfield, S., & McManus, R. J. (2014). Decisions and delays within stroke patients route to the hospital: A qualitative study. Annals of Emergency Medicine, 3(65), 279-287.

Meschia, J. F., Bushnell, C., Boden-Albala, B., Braun, L. T., Bravata, D. M., Chaturvedi, S., ... & Goldstein, L. B. (2014). Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 45(12), 3754-3832.

Misbach, J., & Ali, W. (2001). Stroke in Indonesia: a first large prospective hospital-based study of acute stroke in 28 hospitals in Indonesia. Journal of Clinical Neuroscience, 8(3), 245-249.

Mosley, I., Morphet, J., Innes, K., & Braitberg, G. (2013). Triage assessments and the activation of rapid care protocols for acute stroke patients. Australiasian Emergency Nursing Journal, 16(1), 4-9.

Muengtaweepongsa, S., Hunghok, W., & Harnirattisai, T. (2014). Poor recognition of prompted treatment seeking even with good knowledge of stroke warning sign contribute to delayed arrival of acute ischemic stroke patients in Thailand. Journal of stroke and cerebrovascular diseases, 23(5), 948-952.

Muhlis, R. (2018). Analisis faktor yang berhubungan dengan outcome pasien stroke iskemik akut di Instalasi Gawat Darurat Rumah Sakit tipe C Malang Raya.

Notoadmodjo, S. (2007). Promosi kesehatan dan ilmu perilaku. Jakarta: Rineka Cipta

Notoadmodjo, S. (2010). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

Nursalam. (2015). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Jakarta: Salemba Medika.

Panício, M. I., Mateus, L., Ricarte, I. F., Figueiredo, M. M. D., Fukuda, T. G., Seixas, J. C., ... & Silva, G. S. (2014). The influence of patient’s knowledge about stroke in Brazil: a cross sectional study. Arquivos de Neuro-Psiquiatria, 72(12), 938-941.

Philip-Ephraim, E. E., Charidimou, A., Otu, A. A., Eyong, E. K., Williams, U. E., & Ephraim, R. P. (2015). Factors associated with prehospital delay among stroke patients in a developing African country. International Journal of Stroke, 10(4), E39-E39.

Pinzon, R. (2012). Mengapa pasien stroke datang terlambat ke Rumah Sakit?. Medicines, 25(1), 18-23.

Pothiban, L., Khampolsiri, T., & Srirat, C. (2018). Knowledge and awareness of stroke impacts among northern Thai population. Pacific Rim International Journal of Nursing Research, 22(3), 212-222.

Priono, S., Andarini, S., & Kristianto, H. (2015). Faktor yang berpengaruh terhadap realisasi tindakan membawa penderita stroke ke Unit Gawat Darurat (UGD) Rumah Sakit Umum Karsa Husada Batu (RSKH). Jurnal ilmu keperawatan, 3(2).

Prasetyo, E. (2017). Faktor-faktor yang mempengaruhi keterlambatan pasien stroke akut datang lama ke Lima Rumah Sakit Pemerintah di DKI Jakarta. PharmaMedika, 1(9).

Putrid, N. N., Islam, M.S., & Subadi, I. (2018). Perbandingan Luaran Fungsional Pasien Stroke Iskemik Akut Pada Perokok dan Bukan Perokok yang Diukur dengan Canadian Neurologic Scale (CNS) dan NIHSS. http://dx.doi.org/1021776/ub.mnj.2018.004.02.4

Qona, A. (2018). Pemberdayaan masyarakat dalam aktivasi System Penanggulangan Gawat Darurat Terpadu (SPGDT).

Rachmawati, D. (2016). Faktor-Faktor Yang Mempengaruhi Keterlambatan Kedatangan Pasien Post Serangan Stroke Iskemik Akut Di Instalasi Gawat Darurat Rsud Ngudi Waluyo Wlingi (Doctoral dissertation, Universitas Brawijaya).

Rachmawati, D., Andarini, S., & Kartikawati, D. (2016). Pengetahuan Keluarga Berperan terhadap Keterlambatan Kedatangan Pasien Stroke Iskemik Akut di Instalasi Gawat Darurat. Jurnal Kedokteran Brawijaya, 29(4), 368-375.

Rahmawan, F. A. (2019). Analisis faktor yang berhubungan dengan interval waktu keberangkatan pasien stroke iskemik ke IGD RSUD Blambangan Banyuwangi.

Rahmawan, F. A., Yueniwati, Y., & Suharsono, T. (2020). Perception of severity level and decision making of family correlation toward departing interval of ischemic stroke patient. Malang Neurology Journal, 6(2).

Ratnawardani, D., Utomo, W., & Safri. (2018). Pengalaman keluarga dalam penanganan serangan pertama pada pasien stroke. Jom FKP, 5(2).

Reeves, M. J. (2012). Reducing the delay between stroke onset and hospital arrival: is it an achievable goal? Reducing the delay between stroke onset and hospital arrival: is it. American Heart Association Journal.

Sam, L. C., Awatara, P., Samatra, P., & Nuartha. (2018). Penentuan Stroke Hemorhagik dan Non-Hemorhagik Memakai Skor Stroke Nuartha. Callosum Neurology, 1(3), 95-100.

Kim, Y. S., Park, S. S., Bae, H. J., Cho, A. H., Cho, Y. J., Han, M. K., ... & Kim, G. M. (2011). Stroke awareness decreases prehospital delay after acute ischemic stroke in Korea. BMC neurology, 11(1), 2.

Sreeramareddy, C. T., Shankar, R. P., Sreekumaran, B. V., Subba, S. H., Joshi, H. S., & Ramachandran, U. (2006). Care seeking behaviour for childhood illness-a questionnaire survey in western Nepal. BMC international health and human rights, 6(1), 7.

Stanhope, M., & Lancaster, J. (2004). Community & public health nursing. United states of America: Elsevier Mosby, 6, 132-133

Sunaryo. (2013). Psikologi untuk keperawatan. Jakarta:EGC

Suryati, T. (2013). Beban Penyakit Stroke di Indonesia DALYs Lost dengan Analisis Kontrafaktual Faktor Risiko Utama. Retrieved from lib.ui.ac.id/unggah?q=system/files/node/2012/2/tati.suryati81/tati_suryati-disertasi-fakultas_kesehatan_masyarakat-naskah_ringkas-2013.doc

Syamsi, I. (19950. Pengambilan keputusan dan system informasi. Jakarta: Bumi Aksara

Taylor, J., Uchino, K., Hussain, M. S., & Carlson, J. N. (2014). Factors associated with delayed evaluation of patients with potential stroke in US EDs. The American journal of emergency medicine, 32(11), 1373-1377.

Turanjanin, N., Jovicevic, M., Bozic, K., & Zarkov, M. (2012). Frequency of ischemia stroke subtypes in relation to risk factors for ischemia stroke. HealthMED, 10(6), 3463-8.

Waelveerakup, W., Lapvongwatana, P., Leelacharas, S., & Davison, J. (2019). Factors Predicting Stroke Pre-hospital Delay Behavior Intention among People with High Risk of Stroke. Pacific Rim International Journal of Nursing Research, 23(3), 271-284.

Wilhelm, L. O., Gellert, P., White, M., Araujo-Soares, V., Ford, G. A., Mackintosh, J. E., ... & Dombrowski, S. U. (2020). The Recognition-Response Gap in Acute Stroke: Examining the Relationship between Stroke Recognition and Response in a General Population Survey. Journal of Stroke and Cerebrovascular Diseases, 29(2), 104499.

Wawan & Dewi. 2010. Teori & pengukuran pengetahuan, sikpa, dan perilaku manusia. Yogyakarta: Nuha Medika

Williams, I., Mears, G., Raisor, C., & Wilson, J. (2009). An Emergency Medical Services Toolkit for Improving System of Care for Stroke in North Carolina. Centers for Disease Control and Prevention.

Wolf, P., & Kannel, W. (2011). Epidemiology of stroke. Philadelphia: Saunders an Imprints of Elsevier, 5, 198-218.

Wongwiangjunt, S., Komoltri, C., Poungvarin, N., & Nilanont, Y. (2015). Stroke awareness and factors influencing hospital arrival time: a prospective observational study. J Med Assoc Thai, 98(3), 260-4.

World Health Organization. (2006). The WHO STEP-wise Approach to Stroke Surveillance. Retrieved from: http://www.who.int/chp/steps/Manual.pdf

World Health Organization. (2015). Fact Sheet Cardiovascular Diseases 2015. Retrieved from: http.who.int/mediacentre/factsheets/fs317/en

World Health Organization. (2016). World Stroke Campaign. Retrieved from http://www/world-stroke.org/advocacy/world-stroke-campaign.

Yanagida, T., Fujimoto, S., Inoue, T., & Suzuki, S. 2014. Causes of prehospital delay in an urban aging society. Journal of clinical gerontology & geriatrics, 5(1). http://dx.doi.org/10.1016/j.jcgg.2014.02.001.

Yang, H., Zhang, J., Xie, J., Yang, C., Dong, X., Gong, Y., ... & Lu, Z. (2014). Factors influencing pre-hospital delay among acute ischemic stroke patients in the midlands of China. International journal of cardiology, 172(2), 533-534. https://doi.org/10.1016/j.ijcard.2014.01.047

Yayasan Stroke Indonesia. (2009). Indonesia Tempati Urutan Pertama di Dunia Dalam Jumlah Terbanyak Penderita Stroke.

Yueniwati, Y. (2015). Deteksi Dini Stroke Iskemia Dengan Pemeriksaan Ultrasonografi Vaskular dan Variasi Genetiknya. Malang: UB Press

Yueniwati, Y. (2016). Pencitraan Pada Stroke. UB Press.

Yuliana, P., Dewi, A. P., & Hasneli, Y. (2013). Hubungan karakteristik keluarga dan jenis penyakit terhadap pemanfaatan pelayanan kesehatan. Pekanbaru: Program Studi Ilmu Keperawatan Universitas Riau.

Zhang, S., Zhang, W., & Zhou, G. (2019). Extended Risk Factors for Stroke Prevention. Journal of National Medical Association, 111(4), 447-456. Doi: https://doi.org/10.1016/j.jnma.2019.02.004

Published
2020-12-21
How to Cite
Ishak, S. J., Yueniwati, Y., & Kapti, N. R. E. (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. https://doi.org/10.54783/ijsoc.v2i4.260