Hubungan antara Tingkat Keparahan Obstructive Sleep Apnea dan Fungsi Kognitif pada Pasien Rumah Sakit Angkatan Laut Dr. Mintohardjo

Eko Satrio Bahari, Nurfitri - Bustamam, Maria Selvester Thadeus

Abstract


Hubungan antara Tingkat Keparahan Obstructive Sleep Apnea dan Fungsi Kognitif pada Pasien Rumah Sakit Angkatan Laut Dr. Mintohardjo. Prevalensi obstructive sleep apnea (OSA) pada populasi dewasa diperkirakan berkisar antara 5-14%. Sebagian besar pasien OSA di Rumah Sakit Angkatan Laut (Rumkital) Dr. Mintohardjo, Jakarta diukur tingkat keparahannya menggunakan polisomnografi. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat keparahan OSA dan fungsi kognitif. Penelitian menggunakan desain cross sectional dan teknik consecutive sampling. Data diambil dari 60 pasien OSA Rumkital Dr. Mintoharjo pada bulan April-Mei 2018. Data tingkat keparahan OSA diambil dari rekam medis, sedangkan data fungsi kognitif diukur menggunakan kuesioner Montreal Cognitive Assessment Indonesia version (MoCA-Ina). Subjek penelitian sebagian besar adalah pasien OSA laki-laki dengan usia rata-rata 43 tahun, berpendidikan tinggi, dan bekerja sebagai pegawai swasta. Berdasarkan data apnea-hypopnea index didapatkan  25 pasien OSA berat, 23 pasien OSA sedang, dan 12 pasien OSA ringan. Pada penelitian didapatkan pula sebanyak 45 pasien dengan fungsi kognitif terganggu dan 15 pasien dengan fungsi kognitif normal. Hasil uji Chi-square menunjukkan hubungan antara tingkat keparahan OSA dan fungsi kognitif (p = 0,000). Perlu diberikan edukasi kepada pasien OSA agar patuh mengikuti tatalaksana yang dianjurkan dokter, sehingga penurunan fungsi kognitif lebih lanjut dapat dicegah.

Keywords


fungsi kognitif; obstructive sleep apnea; polisomnografi

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DOI: https://doi.org/10.32539/V8I1.11073

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