DSpace Collection:http://localhost:8080/xmlui/handle/123456789/123282026-04-18T16:49:19Z2026-04-18T16:49:19ZDevelopment and Preliminary Validation of NIHSS-SDKI and CNS-SDKI Tools for Nursing Diagnosis in Stroke CareEka Fitriana, ErlisHaryanto, HaryantoSupriadi, SupriadiHastuti, LidiaSurtikanti, Surtikantihttp://localhost:8080/xmlui/handle/123456789/123292025-07-28T03:09:32Z2025-01-01T00:00:00ZTitle: Development and Preliminary Validation of NIHSS-SDKI and CNS-SDKI Tools for Nursing Diagnosis in Stroke Care
Authors: Eka Fitriana, Erlis; Haryanto, Haryanto; Supriadi, Supriadi; Hastuti, Lidia; Surtikanti, Surtikanti
Abstract: Introduction: Accurate assessment of stroke severity is a critical
component of nursing care. The NIHSS and CNS are standardized
neurological instruments commonly used to evaluate stroke
severity. Integrating NIHSS and CNS with the Indonesian nursing
diagnosis standard (SDKI) offers practical benefits for nurses, as
SDKI is tailored to the conditions of patients in Indonesia.
Objective : The objective of this study is to evaluate the
effectiveness of combining NIHSS and CNS severity assessments
with SDKI in improving the accuracy of nursing diagnoses and
determining stroke severity in patients. Methods: The research
design used was Randomized Controlled Trial (RCT), single blind.
The sample consisted of 55 stroke patients admitted to the
neurological care unit using probability sampling technique with a
simple random sampling approach, where sampling was carried out
in accordance with predetermined inclusion criteria: non
hemorrhagic stroke patients, respondents' age > 18 years, and
willing to become research subjects. Assessment of severity was
carried out using the NIHSS and CNS instruments, which were
combined with the SDKI to determine nursing diagnoses.
Assessment was carried out for 5 days of patient care. Results:
Mann-Whitney test analysis in the NIHSS group and CNS group
showed a p-value> (0.05), meaning that there was no difference
between the application of NIHSS and CNS assessment on
determining the degree of severity and the number of nursing
diagnoses in stroke patients. Conclusions: This study shows that
both NIHSS-SDKI and CNS-SDKI are effective in detecting
changes in the clinical condition of stroke patients from day one to
day five2025-01-01T00:00:00Z