HUBUNGAN NILAI ANKLE BRACHIAL INDEKS DENGAN FUNGSI KOGNITIF PADA LANJUT USIA

Lydia Susanti, Yuliarni Syafrita

Abstract


Peningkatan angka harapan hidup menyebabkan pergeseran pola penyakit dari penyakit infeksi ke penyakit degeneratif seperti hipertensi, diabetes melitus, serta aterosklerosis. Aterosklerosis pada tahap awal yang dikenal dengan atherosclerosis asimptomatis sering ditandai dengan adanya Peripheral Arterial Disease (PAD). Ankle Brachial Index (ABI) adalah ratio tekanan sistolik ankle dan brachial yang dapat digunakan untuk menilai severitas oklusi arteri perifer yang merupakan gambaran penyumbatan arteri secara umum. Tujuan penelitian adalah untuk mengetahui hubungan antara nilai ABI dengan fungsi kognitif. Penelitian dilakukan pada 75 pasien lanjut usia yang berobat ke poliklinik saraf RS DR M Djamil Padang dengan metode consecutive sampling. Pemeriksaan fungsi kognitif menggunakan Indonesia Montreal Cognitive Assessment (InaMoCA). Data dianalisa dengan uji χ2 dengan nilai p<0,05. Hasil penelitian didapatkan gangguan sebanyak 48 orang (64%). Nilai ABI yang rendah sejumlah 31 orang (41,3%), normal 44 orang (58,7%). Tidak didapatkan hubungan langsung antara nilai ABI dengan fungsi kognitif (p>0,05). Namun setelah sampel dispesifikasikan berdasarkan jenis kelamin, hubungan antara ABI dengan fungsi kognitif pada wanita bermakna secara statistik (p<0,05). Kesimpulannya, tidak terdapat hubungan antara nilai ABI dengan fungsi kognitif pada lanjut usia, namun terdapat hubungan antara nilai ABI dengan fungsi kognitif pada lanjut usia berjenis kelamin wanita.

Keywords


Peripheral Arterial Disease; Indonesia Montreal Cognitive Assessment (InaMoCA); fungsi kognitif; lanjut usia

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References


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DOI: http://dx.doi.org/10.22338%2Fmka.v39i2.488

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