HUBUNGAN CLINICAL PATHWAY STROKE ISKEMIK TERHADAP AVERAGE LENGTH OF STAY DI RS PKU MUHAMMADIYAH YOGYAKARTA

KD ADELIA VIRGONITA, M. Syairaji, SKM., M.P.H.

2018 | Tugas Akhir | D3 REKAM MEDIS SV

Latar Belakang : Stroke merupakan penyumbang kematian terbesar di seluruh dunia, ditinjau dari angka kematian stroke di D.I. Yogyakarta yang menduduki urutan kedua terbanyak di Indonesia. Kasus stroke iskemik merupakan kasus yang masuk dalam daftar 10 besar penyakit rawat inap di RS PKU Muhammadiyah Yogyakarta. Implementasi clinical pathway yang telah diterapkan perlu diukur kegunaannya dalam menurunkan rata-rata lama dirawat. Tujuan : Mengidentifikasi hubungan clinical pathway stroke iskemik terhadap average length of stay di RS PKU Muhammadiyah Yogyakarta. Metode : Jenis penelitian ini adalah penilitian kuantitatif dengan metode cross sectional analitik. Populasi pada penelitian ini yaitu berkas rekam medis dan lembar clinical pathway dengan jumlah sampel 84. Instrumen penelitian yaitu lembar observasi dan ceklis dokumentasi. Analisis bivariat menggunakan cross sectional design yaitu chi square. Hasil : Penelitian ini menunjukan rata-rata penderita stroke iskemik diderita oleh usia > 55tahun dengan jenis kelamin laki-laki, mayoritas tingkat pendidikan SMA, menggunakan jamkesmas. Berdasarkan analisis bivariat menggunakan chi square, Odds Ratio hubungan implementasi clinical pathway stroke iskemik terhadap AvLOS 9,4 dengan p-value = 0,00. Kesimpulan : Terdapat hubungan antara implementasi clinical pathway stroke iskemik dengan AvLOS. Saran yang dapat diberikan yaitu melakukan penelitian lebih lanjut dengan variabel yang lebih bervariasi dan sampel lebih banyak. Kata kunci : Clinical Pathway, Stroke Iskemik, Average Length of Stay.

Background : Stroke is the largest contributor to death worldwide, in terms of stroke mortality in D.I. Yogyakarta, which ranks second most in Indonesia. The case of ischemic stroke is a case that is included in the list of 10 major inpatient diseases in RS PKU Muhammadiyah Yogyakarta. Implementation of clinical pathway that has been applied needs to be measured its usefulness in reducing the average length of treatment. Objective : To identify the effect of ischemic stroke clinical pathway on the average length of stay in RS PKU Muhammadiyah Yogyakarta. Methods : The type of this research is quantitative research with cross sectional analytic method. The population in this research are medical record file and clinical pathway with sample number 84. The research instrument is documentation sheet and observation checklist. Bivariate analysis using cross sectional design is chi square. Results : The study noted that the average ischemic stroke sufferer suffered by more than 55 years with male gender, high school education level, using Jamkesmas. Bivariate analysis using chi squared, Odds Ratio relationship of implementation clinical pathway stroke ischemic to AvlOS 9.4 with p-value = 0,00. Conclusion : There is a link between the implementation of stroke iskemik’s clinical pathway with AvlOS. Reecommendation that can be given is to conduct further research with more variables and more samples. Keywords : Clinical Pathway, Ischemic Stroke, Average Length of Stay.

Kata Kunci : Clinical Pathway, Stroke Iskemik, Average Length of Stay