The Effectiveness of the Siriraj Stroke Score (SSS) and National Institute of Health Stroke Scale (NIHSS) Assessment Methods in Determining the Actual Nursing Diagnosis of Stroke Patients in the Emergency Room
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Keywords

Stroke
NIHSS and SSS methods
determination of actual nursing diagnosis.

How to Cite

Mohtar, M. S., Rahman, S., Apriannor, A., & Auliyah, G. R. (2022). The Effectiveness of the Siriraj Stroke Score (SSS) and National Institute of Health Stroke Scale (NIHSS) Assessment Methods in Determining the Actual Nursing Diagnosis of Stroke Patients in the Emergency Room. Jendela Nursing Journal (JNJ), 6(2), 101–113. https://doi.org/10.31983/jnj.v6i2.8873

Abstract

Background: stroke is a disease of the brain in the form of focal nerve function disorders caused by disruption of blood circulation to the brain and causing symptoms in the form of neurological deficits. As the number of stroke patients increases, the assessment needs to focus on neurology and is an emergency.

Purpose: analyzing the effectiveness of the assessment method NSSS and NIHSS in determining the number of diagnoses actual nursing and the speed of time to determine the diagnosis of stroke patients in the Emergency Room.

Methods: this study used a pre-experimental approach. Theerty sample were used from a new patient with a medical diagnosis of stroke, while the sampling technique in this study was accidental sampling. Data collection on each sample was directly carried out using two assessment methods. The SSS assessment consists of 5 components and the NIHSS 11 components. Data analysis used sperm correlation and correlation coefficient interpretation test.

Results: the results of the sperm correlation test in the SSS and NIHSS methods both show p=0.000. The level of closeness were analyzed using the correlation coefficientthere is a very strong relationship is NIHSS to the length of the duration of determination (r = 0.858).

Conclusion: the SSS and NIHSS assessment methods are effective in establishing the diagnosisactual nursingin stroke patients in the Emergency Department, however, in terms of duration of assessment and determination of the number of diagnoses, SSS is more effective, while from the duration of determining nursing diagnoses, NIHSS is more effective.

https://doi.org/10.31983/jnj.v6i2.8873
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References

AANN. (2004). Guide to the care of the patient with ischemic stroke. USA:PDL BioPharma.

Adams, H. P., Zoppo, G. J., & Kummer, R. (2007). Management of stroke: A practical guide for the prevention, evaluation, and treatment of acute stroke. USA: Professional Comunications, Inc.

AHA (2018), Heart Disease and Stroke Statistics 2018 At-a-Glance. Retrieved from https://www.heart.org/-/media/data-import/downloadables/heart-disease-and-stroke-statistics-2018-at-a-glance-ucm_498848.pdf

Black, M.J & Hawks, H.J (2005). Medical-surgical nursing: Clinical management for positive outcome (7th Ed). St. Louis: Elsevier Inc.

Carpenito, L. J. (2007). Buku Saku Diagnosis Keperawatan. Edisi 10. Jakarta : EGC.

Feigin, N. (2017). Global Burden of Stroke. Stroke Compendium, 120, 439-448. Tersedia pada: https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.116.308413 [Diunduh: 15 Desember 2019].

Kogan, E. (2020). Assesing stroke saverity using electronic health record data: a mechine learning apporoach. BMS Medical Informatics and Decision Making. Vol. 20(8). Hal. 1-8. [Internet]. Tersedia pada: https://bmcmedinformdecismak.biomedcentral.com/track/pdf/10.1186/s12911-019-1010-x.pdf [diakses 12 Februari 2021].

Kolapo, K. O., Ogun, S. A., Daresi, M. A., Osalusi, B. A., & Odusote, K. A. (2006). Validation study of the Siriraj Stroke Score in African Nigerians and evaluation of the discriminant values of its parameters: A preliminary prospective CT-Scan study. Journal of the American Heart Association. 37. 1997-2000. doi: 10.1161/01. STR.0000229893.02732.02.

Li, Q, X. (2020). Aplication values of six scoring systems in the prognosis of stroke patients. Frontiers in Neorology. Vol. 10(1416). Hal. 1-7. [Internet]. Tersedia pada: https://www.frontiersin.org/articles/10.3389/fneur.2019.01416/full [diakses 12 Februari 2021].

Lyden, D. P. D (2018). NIH Stroke Scale/ Score (NIHSS). Retrieved from http:www.mdcale.com/nih-stroke-score-nihss.

McGee, S. (2012). Evidence-based physical diagnosa. 3rd Ed. Philadelphia: Saunders Elsevier.

Mohtar, M. S. (2019). Duration Relationship Help Damage of Patients with Stroke Neorological in Ulin Hospital Banjarmasin. Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan. Vol. 10 (1). Hal. 224-238.

Mohtar, M., S. (2021). Assessment Collection Stroke Focus Neurologic Deficit in Emergency and Critical Care. Vol. 1 (52). ISBN: 978-620-4-72501-7. LAP LAMBERT Academic Publishing, Ukraine.

Mohtar, M. S. (2022). e-Counseling Education Services (e-CES) Effect on Quality of Life Post-Stroke Patients During the Covid-19 Pandemic. Jendela Nursing Journal. Vol. 6 (1). Hal. 24-33.

Nyodu, T., Singh, K. B., Singh, J., Kenny, S., Singh, L. D., & Singh, M. K. (2013). A comparison of clinical diagnosis with computed tomography findings in stroke patients. Journal of Medicine Society. 27(3).

Pavan, Madi, Achappa, & Unnikrishnan. (2012). Comparison of Siriraj Stroke Score with computerized tomography in ascertaining stroke type among South Indians. Int. Journal of Biological & Medical Research. 3(3), 1930-1933.

Pujiastuti, D. (2017). Pentingnya siriraj stroke score di area keperawatan gawat darurat. Jurnal Kesehatan. Vol. 5 (1). Hal. 8-14. [Internet]. Tersedia pada: http://jurnal.stikesbethesda.ac.id/index.php/jurnalkesehatan/article/view/75/66 [diakses 05 Januari 2021].

Riskesdas. (2018). Riset Kesehatan Dasar. 91. Retrieved from http://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil Riskesdas 2018.pdf

Sacco Ralph L, Scott EK, Joseph PB, Louis R Caplan, et al. (2013). An Update Definition of Stroke for the 21st Century. AHA/ASA Expert Consesus Document. 2013:2064-2085.

Salawu, F., Umar, I., & Danburam, A. (2009). Comparison of two hospital stroke score with computerized tomography in ascertaining stroke type among Nigerians. Annals of African Medicine. 8(1), 14-18.

Saudin, D. (2020). Perbandingan Siriraj Skor (SS) dan Algoritma Gajah Mada (AGM) kasus stroke di IGD RSUD Dr. Soedono Madiun. Jurnal Edunursing. Vol. 4(1). Hal. 29-33. [Internet]. Tersedia pada: https://journal.unipdu.ac.id/index.php/edunursing/article/view/2303 [diakses 16 Juni 2021].

Smeltzer, S.C., Bare, B.G, Cheever, K.H., & Hinkle, J. (2008). Brunner & Suddarth’s textbook of medical-surgical nursing (11th Ed). Philadelphia: Lippincott and Wilkins.

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