THE UTILIZATION OF GOLDEN PERIOD OF ISCHEMIC STROKE IN PATIENTS IN PRODUCTIVE AGES
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The 2007 Basic Health Survey shows the highest number of deaths in Indonesia rural and urban areas was caused by stroke. In 2007-2013, the stroke prevalence in productive age increased up to 22"°. Stroke that attacks productive age can impairindividual's ability to do activities, and thus they might have family financial constraint. Disabilities can be prevented and minimized if patients utilize a golden period of an ischemic stroke. This study identified the utilization of golden period of ischemic stroke in patients and analyzed causes of delayed patient admission to the Neurology Clinic of Sidoarjo Hospital. This studywas a descriptive study conducted to 39 post-stroke ischemic patients in productive agesunderfurther therapy at the Neurology Clinic of Sidoarjo Hospital in 2016. The data were collected through interviewfrom January-February 2017. The results present 62% of stroke ischemic patients utilized the golden period of a ischemic stroke. The average respondents' admissiontook 29.87±47.46 hours after patients experienced first stroke ischemic attacks (ranging from 1-168 hours). The respondents were admitted to the hospital late or >4.5 hours after the stroke attacks because most of them did not know stroke signs and symptoms. Therefore, hospitals or health care providers have to provide counseling service to patients and family membersabout stroke signs and symptoms, as well as the importance of early admission for treatmentas soon aspatient gets the first stroke attack.
Keywords: utilization of the golden period, ischemic stroke, productive age.
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