PENGARUH INTERVENSI MANUAL LYMPHATIC DRAINAGE TERHADAP KADAR KORTISOL DARAH PADA PASIEN STROKE DI RS RUJUKAN STROKE BUKIT TINGGI, PADANG, 2010

Abstract

Purpose:

The study aims to assess the decrease in cortisol levels after administration of the Lymphatic Manual Drainage (MLD) intervention in patients with acute stroke. 

Method:

It was a quasi pre-and post-intervention design with the measurement of cortisol levels at the beginning and end of the intervention for 12 times within 1 month of therapy. With blinded patient grouping and matching variable not done, the study was conducted on stroke patients hospitalized in the Stroke Referral Hospital Bukit Tinggi, Padang in 2010. Sample patients were randomly selected from a total of 1402 patients, with inclusion criteria: stroke patients in wards and with stroke more than 2 days, Male and female, age above 37 years, GCS values​​above 9, the NIHSS under 25, are right-handed, especially for the MMSE examination. 20 people were in MLD intervention and none of them were reported resignations or drop-outs. MLD is given as an intervention for 12 times for 1 month. Outcome variables are the levels of cortisol in the blood before and after MLD intervention, while the independent variable is the age dichotomized to < 55 and ≥ 55 years of age, and sex. 

Result:

There was a significant increase in the mean cortisol levels after MLD intervention in stroke patients for age categories < 55 and ≥ 55 years. Routine MLD intervention in stroke patients in rehabilitation program proved to reduce stres, as measured by proxy cortisol levels in the blood.