Skoring outcome pasien cedera kepala menggunakan functional independence measure

Abstract

Head injury is the most common case and is a major cause of death and disability due to trauma. The incidence of disability or disability as an outcome in head injury patients reaches 5.3 million people. Outcome is a post-injury condition of the patient after getting medical treatment at the hospital. Disability that occurs is 1 year after injury. Functional Independence Measure or FIM is an instrument that can be used to measure the level of independence of a person or patient. In addition, FIM is also used to assess the level of dependence of post-traumatic patients. This study uses an observational analytic design with a retrospective cohort approach. Post-injury patients and the level of independence or dependence of head injury patients was measured using Functional Independence Measure or FIM in the months 1 to 6. The sample in this study was 104 patients. The results showed 67 patients experienced improvement for 2 months with a level of independence without the help of others for daily activities (FIM score 6). There were 12 patients who experienced dependence until the 6th month (FIM score 2). This is caused by the severity of the injury suffered and is accompanied by complications of other diseases such as hypertension and diabetes mellitus and fractures. The conclusion from this study is that FIM can be used to assess the level of independence of patients after head injury from the first to the sixth month. More detailed specifications are needed regarding FIM parameters, namely cognitive communication and social cognition