Literature Review Faktor yang Mempengaruhi Pneumonia Aspirasi pada Pasien Stroke dengan Disfagia
Abstract
Komplikasi penyakit stroke menjadi penyebab terbesar prevalensi kematian di suatu negara. Secara global sekitar 60% penderita stroke berisiko tinggi mengalami komplikasi seperti disfagia dan pneumonia aspirasi. Tujuan penelitian ini adalah untuk mengetahui lebih dalam lagi faktor yang mempengaruhi pneumonia aspirasi pada pasien stroke dengan disfagia melalui literatur. Dari pencarian literatur, terdapat 5 artikel yang memenuhi kriteria dari 3 database yaitu ScienceDirect, PubMed, dan Google Scholar. Protokol dan evaluasi literatur menggunakan JBI (Joanna Briggs Institute) Critical Appraisal Checklist. Berdasarkan dari 5 artikel, didapatkan hasil analisis yaitu 3 faktor yang mempengaruhi. Pertama, faktor komorbiditas; infark miokard, gagal jantung kongestif, penyakit pembuluh darah perifer dan aneurisma, stroke iskemik, demensia, penyakit paru obstruktif kronis, Diabetes dengan kerusakan organ, serta tumor padat metastatik. Kedua, faktor jenis stroke iskemik (infark serebral dan leukoaraiosis (materi putih), dan yang ketiga faktor pemasangan alat medis khususnya nasogastric tube dalam jangka waktu yang lama. Diharapkan dari hasil penelitian literatur ini dapat lebih meningkatkan caring, pengetahuan tentang stroke yang berhubungan dengan pneumonia aspirasi dan disfagia oleh perawat yang difasilitasi oleh institusi pelayanan dan dipersiapkan oleh institusi pendidikan serta dari keluarga sebagai support system pasien.
References
Adrees, M., Rasool, S., & Ahmad, N. (2017). Frequency of Stroke Associated Pneumonia in Stroke Patients. 11(2), 154–157.
Bornstein, Natan M. (Ed) (2009). Stroke Practical Guide for Clinicians. Israel. Karger
Feng, M. C., Lin, Y. C., Chang, Y. H., Chen, C. H., Chiang, H. C., Huang, L. C., Yang, Y. H., & Hung, C. H. (2019). The Mortality and the Risk of Aspiration Pneumonia Related with Dysphagia in Stroke Patients. Journal of Stroke and Cerebrovascular Diseases, 28(5), 1381–1387. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.02.011
Gomes, G. F., Pisani, J. C., Macedo, E. D., & Campos, A. C. (2003). The nasogastric feeding tube as a risk factor for aspiration and aspiration pneumonia. Current Opinion in Clinical Nutrition and Metabolic Care, 6(3), 327–333. https://doi.org/10.1097/01.mco.0000068970.34812.8b
Huang, S. Te, Chiou, C. C., & Liu, H. Y. (2017). Risk factors of aspiration pneumonia related to improper oral hygiene behavior in community dysphagia persons with nasogastric tube feeding. Journal of Dental Sciences, 12(4), 375–381. https://doi.org/10.1016/j.jds.2017.06.001
Johnson, W., Onuma, O., Owolabi, M., & Sachdev, S. (2016). Stroke: A global response is needed. Bulletin of the World Health Organization, 94(9), 634A-635A. https://doi.org/10.2471/BLT.16.181636
Kementrian Kesehatan RI, (2018). Laporan_Nasional_RKD2018_FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan (p. 198). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Kemenkes. (2019). Keputusan Menteri Kesehatan Republik Indonesia Nomor Hk.01.07/Menkes/394/2019 Tentang Pedoman Nasional Pelayanan Kedokteran. Tata Laksana Stroke.
Koennecke, H. C., Belz, W., Berfelde, D., Endres, M., Fitzek, S., Hamilton, F., Kreitsch, P., Mackert, B. M., Nabavi, D. G., Nolte, C. H., Pöhls, W., Schmehl, I., Schmitz, B., Von Brevern, M., Walter, G., & Heuschmann, P. U. (2011). Factors influencing in-hospital mortality and morbidity in patients treated on a stroke unit. Neurology, 77(10), 965–972. https://doi.org/10.1212/WNL.0b013e31822dc795
Lo, W. L., Leu, H. B., Yang, M. C., Wang, D. H., & Hsu, M. L. (2019). Dysphagia and risk of aspiration pneumonia: A nonrandomized, pair-matched cohort study. Journal of Dental Sciences, 14(3), 241–247. https://doi.org/10.1016/j.jds.2019.01.005
Maeda, K., & Akagi, J. (2017). Muscle Mass Loss Is a Potential Predictor of 90-Day Mortality in Older Adults with Aspiration Pneumonia. Journal of the American Geriatrics Society, 65(1), e18–e22. https://doi.org/10.1111/jgs.14543
Ortega, O., Martín, A., & Clavé, P. (2017). Diagnosis and Management of Oropharyngeal Dysphagia Among Older Persons, State of the Art. Journal of the American Medical Directors Association, 18(7), 576–582. https://doi.org/10.1016/j.jamda.2017.02.015
Ortega, O., Parra, C., Zarcero, S., Nart, J., Sakwinska, O., & Clavé, P. (2014). Oral health in older patients with oropharyngeal dysphagia. Age and Ageing, 43(1), 132–137. https://doi.org/10.1093/ageing/aft164
P2PTM, Kemenkes RI. (2019). Buku Pedoman Penyakit Tidak Menular (Online), Tersedia:http://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2019/03/Buku_Pedoman_Manajemen_PTM.pdf [18 Agustus 2020]
Rofes, L., Vilardell, N., & Clavé, P. (2013). Post-stroke dysphagia: Progress at last. Neurogastroenterology and Motility, 25(4), 278–282. https://doi.org/10.1111/nmo.12112
Schwarz, M., Coccetti, A., Murdoch, A., & Cardell, E. (2017). The impact of aspiration pneumonia and nasogastric feeding on clinical outcomes in stroke patients: A retrospective cohort study. Journal of Clinical Nursing, 27(1-2), 235–241. doi:10.1111/jocn.13922
Tai, S., Chien, C., Chang, Y., & Yang, Y. (2017). Cilostazol Use Is Associated with Reduced Risk of Dementia : A Nationwide Cohort Study. 784–791. https://doi.org/10.1007/s13311-017-0512-4
Takeshita, T., Yasui, M., Tomioka, M., Nakano, Y., Shimazaki, Y., & Yamashita, Y. (2011). Enteral tube feeding alters the oral indigenous microbiota in elderly adults. Applied and Environmental Microbiology, 77(19), 6739–6745. https://doi.org/10.1128/AEM.00651-11
Toscano, M., Cecconi, E., Capiluppi, E., Viganò, A., Bertora, P., Campiglio, L., Mariani, C., Petolicchio, B., D’Elia, T. S., Verzina, A., Vicenzini, E., Fiorelli, M., Cislaghi, G., & Di Piero, V. (2015). Neuroanatomical, clinical and cognitive correlates of post-stroke dysphagia. European Neurology, 74(3–4), 171–177. https://doi.org/10.1159/000441056
Wu, Z., Song, B., Gao, Y., Fang, H., & Xu, Y. (2014). Leukoaraiosis and stroke. Life Science Journal, 11(6), 383–387. https://doi.org/10.1161/STROKEAHA.110.596056.Leukoaraiosis
Xu, Z., Gu, Y., Li, J., Wang, C., Wang, R., Huang, Y., & Zhang, J. (2019). Dysphagia and aspiration pneumonia in elderly hospitalization stroke patients:Risk factors, cerebral infarction area comparison. Journal of Back and Musculoskeletal Rehabilitation, 32(1), 85–91. https://doi.org/10.3233/BMR-170801
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