Di Indonesia stroke penyebab kematian dan kecacatan nomor satu. Stroke berisiko tinggi berulang. Stroke berulang menyebabkan risiko kematian dan kecacatan lebih besar. Rumah Sakit Pusat Otak Nasional Prof. Dr. dr. Mahar Mardjono Jakarta (RSPON) merupakan rumah sakit pusat rujukan penyakit otak dan saraf. Data tahun 2018 hingga 2024 trimester 1 menunjukkan sebagian besar pasien RSPON adalah pasien stroke. Sebagian besar pasien stroke RSPON merupakan kasus stroke berulang. Stroke berisiko berulang. Pasien stroke harus menerapkan perilaku pencegahan stroke berulang agar tidak terjadi stroke berulang. Penelitian ini bertujuan untuk menganalisis determinan perilaku pencegahan stroke berulang di RSPON. Penelitian menggunakan metode kuantitatif dengan desain cross sectional study pada 190 pasien stroke pertama yang dipilih dengan convenience sampling. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner online. Data penelitian dianalisis menggunakan regresi logistik ganda. Hasil penelitian diperoleh rata-rata nilai perilaku pencegahan stroke berulang di RSPON sudah baik yaitu 71,4 (skala 100). Sebanyak 63% pasien stroke di RSPON memiliki perilaku pencegahan stroke berulang baik. Hasil akhir analisis multivariat menunjukkan pendidikan terakhir, kontrol perilaku, dan norma subjektif memiliki hubungan signifikan dengan perilaku pencegahan stroke berulang di RSPON. Norma subjektif merupakan variabel paling dominan dan paling signifikan yang mempengaruhi perilaku pencegahan stroke berulang (p-value = 0,001 ≤ 0,05) dengan OR sebesar 16,838 (95% CI: 4,673 – 60,659). Dukungan keluarga, tenaga kesehatan, dan komunitas stroke sangat dibutuhkan untuk meningkatkan perilaku pencegahan stroke berulang.
In Indonesia stroke is the number one cause of death and disability. Stroke is at high risk of recurrence. Recurrent stroke causes a greater risk of death and disability. The National Brain Centre Hospital Prof. Dr. dr. Mahar Mardjono Jakarta (RSPON) is a referral centre for brain and neurological diseases. Data from 2018 to 2024 trimester 1 shows that the majority of RSPON patients are stroke patients. Most of RSPON stroke patients are recurrent stroke cases. Stroke is at risk of recurrence. Stroke patients must implement recurrent stroke prevention behaviour to prevent recurrent stroke. This study aims to analyse the determinants of recurrent stroke prevention behaviour in RSPON. The study used quantitative methods with a cross sectional study design on 190 first stroke patients selected by convenience sampling. Data collection was conducted by interview using an online questionnaire. The data were analysed using multiple logistic regression. The results showed that the average value of recurrent stroke prevention behaviour in RSPON was good, namely 71,4 (scale 100). A total of 63% of stroke patients in RSPON have good recurrent stroke prevention behaviour. The final results of multivariate analysis showed that the latest education, behavioural control, and subjective norms had a significant relationship with recurrent stroke prevention behaviour in RSPON. Subjective norms were the most dominant and most significant variable influencing recurrent stroke prevention behaviour (p-value = 0,001 ≤ 0,05) with an OR of 16,838 (95% CI: 4,673 – 60,659). Support from family, health professionals, and the stroke community is needed to improve recurrent stroke prevention behaviour.
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