Analisis Faktor yang Memengaruhi Self Management Behaviour pada Pasien Hipertensi

1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Lia Mulyati ◽  
Krisna Yetti ◽  
Lestari Sukmarini

Hipertensi merupakan penyakit kronik yang penanganannya diperlukan kemampuan untuk mengelola perilaku diri sendiri (self management behaviour) dalam kehidupan sehari-hari seperti; pengaturan diet, olah raga, minum obat serta kemampuan mengelola stres. Self management behaviour (SMB) merupakan landasan untuk dapat mengontrol hipertensi dan mencegah terjadinya komplikasi hipertensi. Tujuan dari penelitian ini adalah mengidentifikasi faktor-faktor yang memengaruhi SMB dan menganalisis faktor yang paling dominan memengaruhi SMB pada pasien hipertensi di Rumah Sakit Umum Daerah 45 Kuningan. Penelitian ini menggunakan metode penelitian deskriptif analitik studi cross sectional, dengan menggunakan uji chi squaredan regresi logistik. Hasil penelitian didapatkan ada hubungan antara keyakinan terhadap efektivitas terapi (p=0.005; OR=3,48), self-efficacy(p=0.003; OR=3,67), dukungan sosial (p=0.015; OR=2,87) dan komunikasi antar petugas pelayanan kesehatan dengan pasien (p=0.002; OR=3,27) dengan SMB. Komunikasi antar petugas kesehatan dengan pasien merupakan faktor paling dominan memengaruhi kesuksesan SMB sehingga kemampuan komunikasi sangat diperlukan dalam implementasi asuhan keperawatan.Kata kunci:Hipertensi, kontrol hipertensi, self management behaviour AbstractHypertension is a chronic disease which requires to be controlled with self-management behaviour, such as diet, exercise, medication and stress management. Self-management behaviour (SMB) is the basis for controlling hypertension and preventing complications of hypertension. The purpose of this study was to determine several factors affecting the SMB and to identify the most dominant factor associated with the SMB in patient hypertension in General Hospital 45 Kuningan, West Java. The data were analyzed using chi square and logistic regression tests. The results showed that there were significant relationships between belief in the effectiveness of therapy (p=0.005;OR= 3.48), self-efficacy (p=0.003; OR=3.67), social support (p=0.015; OR=2.87), and communication between health professional and patient (p=0.008; OR=3.27) and the SMB. Communication between health care workers and patients was identified to be the dominant factor affecting the SMB. Therefore, the ability to communicate effectively is a requirement in the nursing care of patients with hypertension. Key words: Hypertension, control hypertension, self management behaviour

2021 ◽  
Vol 9 (1) ◽  
pp. 46
Author(s):  
Ake Royke Calvin Langingi

Masalah gizi lansia adalah meningkat karena  berbagai faktor seperti kurangnya pengetahuan tentang nutrisi lansia dan pemrosesan makanan yang baik untuk lansia yang kemudian langsung berefek status gizi lansia. Psikologis pengaruh, kesalahan diet, dan ekonomi rendah status keluarga juga dapat menyebabkan nutrisi yang tidak memadai di kalangan lansia. 4 Lansia dicirikan oleh kondisi unik mereka sebagai akibat dari perubahan fisiologis yang karakteristik penuaan, serta penyakit dan faktor psikososial dan diet yang mempengaruhi status gizi mereka. Hipertensi merupakan keadaan dimana tekanan darah yang sama atau melebihi 140 mmHg sistolik dan/atau sama melebihi 90 mmHg diastolik. Penelitian ini untuk mengetahui status gizi dengan derajat hipertensi pada lansia. Penelitian ini menggunakan metode deskritif dengan pendekatan cross sectional. Total populasi 155 lansia dengan hipertensi dan didapat 32  Sampel.  Instrument digunakan Lembar Observasi variabel independen adalah Status gizi, variabel dependen adalah derajat hipertensi, Analisis menggunakan uji Chi Square. Hasil:Terdapat hubungan status gizi dengan derajat hipertensi pada lansia, yaitu di peroleh nilai P=0,003 dimana nilai p lebih kecil dari p(0,05).Sebagai saran: Di harapkan, memberikan penyuluhan kesehatan kepada lansia untuk pengendalian status gizi yang seimbang, bagi masyarakat melakukan pencegahan dan penanggulangan hipertensi dengan cara memperbaiki pola makan dan mengurangi kebiasaan-kebiasaan yang dapat meningkatkan terjadinya hipertensi hipertensi. Kesimpulan : dari penelitian ini adalah ada hubungan antara status gizi dengan derajat hipertensi pada lansia di Desa Tombolango kecamatan Lolak. Kata Kunci: Hipertensi, Self-efficacy, Self-management behaviour


2021 ◽  
Vol 2 (2) ◽  
pp. 58-68
Author(s):  
Dherma Wati Bangun ◽  
Dherma Wati Bangun ◽  
Vivi Eulis Diana

Patients in health services have different behaviors in deciding to take advantage of health services. Patients used various considerations to make decisions based on the health products or services for re-treatment. The study aimed to analyze the factors that influence the patient's decision in using health services for re-treatment. This research was quantitative with cross-sectional design and conducted at Tanjung Pura Regional Hospital. The population was 3.946 people, and the sample were 247 respondents taken by using purposive sampling. Data analysis was univariate and bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level (a= .05). The results showed that the factors that influenced the patient's decision to use health services for re-treatment at the Tanjung Pura Regional Hospital were the service quality of doctors / nurses (p= .000), distance (p=.049), facilities (p=0.000), and service speed (p = .000). The factors that did not influence we age (p=.461). gender (p=.895), education (p=.371), occupation (p=.593). The most dominant factor influencing is facilities with Exp (B)/OR =14.477, meaning that respondents who stated that the hospital facilities were good, had the opportunity to use health services for re-treatment by 14.4 times higher the respondents who stated that the hospital facilities were not good. It is suggested to Tanjung Pura Regional Hospital to propose and allocate a budget for improving hospital facilities that are still lacking and adding new service facilities so that it can increase public confidence for repeat treatment


2020 ◽  
Vol 4 (1) ◽  
pp. 94
Author(s):  
Chika Meidiana Amelia ◽  
Adhila Fayasari

Vegetables and fruit are generally food groups that are consumed by many people because many contains of benefits. Even though, in Indonesia consumption of vegetables and fruit still less than recommendation. The purpose of this research is to identify the factors affecting the consumption of vegetables and fruit adolescent at SMP NEGERI 238 Jakarta. This research uses design cross sectional and sampling using system random sampling that gets 107 students class VII, VIII, and IX in January 2020. The data obtained is based on the result of the questionnaire, form SQ-FFQ and Recall 24hour. Statistic data analysis used chi-square  and logistic regression test. The result of this study indicate that adolescent who consumed vegetables and fruit according to recommendations per day are 24,3%. Bivariate result indicate there were significant relationship between self efficacy (p = 0,034), availability vegetables and fruit (p = 0,048), parental influence (p = 0,032), and there is no significant relationship between knowledge (p= 0,063). Multivariate result indicate there were signification relationship between knowledge, self efficacy, availability vegetables and fruit, and parental influence to consumption of vegetables and fruit, with highest OR value 5,634 on parental influence.


2019 ◽  
Vol 24 (4) ◽  
pp. 1317-1326 ◽  
Author(s):  
Gulnaz Karatay ◽  
Nazan Gürarslan Baş

Abstract This descriptive cross-sectional research sample was consisted of 613 high school students in Eastern Turkey. Data were collected by using the Questionnaire on Substance Use and its Causes and Self-Efficacy in the Prevention of Substance Abuse Scale (SEAPSAS). Data were analyzed with percentiles, Chi-Square, ANOVA, Kruskal Wallis, correlation and regression. Almost 40% of the students had tried smoking and 21.7% of them smoked sometimes or regularly. The mean age of students’ first cigarette use was 13.5. More than 60% of the students had tried alcohol and almost 50% of them drink alcohol sometimes or regularly. The mean score of SEAPSAS was 93.61 ± 18.99. Lower self-efficacy scores were found in males, in students who perceived themselves as unsuccessful at school, in those with negative family and friendship relations, in students who smoked, drank alcohol, who had a drug user in the family and who experienced traumatic events in a lifetime.


Author(s):  
Dian Permatasari ◽  
Emdat Suprayitno

Adolescents are considered as priority targets for reproductive health that will determine the quality of reproductive health in the future. The globalization of information has a big impact on adolescents. The great curiosity of adolescents about reproduction encourages adolescents to seek information from various sources, including peers, parents, schools and information media. This requires correct and responsible information so that adolescents can have healthy reproductive behavior. This study aims to analyze the factors that influence the behavior of peer counselors in the implementation of adolescent reproductive health counseling in Sumenep Regency. P enelitian uses quantitative methods to design cross-sectional. The population in this study is the total population, namely all peer counselors who have received training on Adolescent Reproductive Health in Sumenep Regency in 2020 as many as 66 people. Data analysis used chi-square statistical test and logistic regression. The results showed that the most dominant factor influencing was knowledge of KRR counseling, motivation towards the implementation of KRR counseling, support of officers for the implementation of KRR counseling, and the supervision of officers on the implementation of KRR counseling. This study recommends the Sumenep Regency BPMP & KB Office to organize and activate adolescent reproductive health counseling training and invite peer counselors who are active in Sumenep district, and facilitate any KRR counseling activities, namely in the form of facilities and infrastructure.


2020 ◽  
Vol 9 (2) ◽  
pp. 1006-1016
Author(s):  
Adhila Fayasari ◽  
Chika Meidiana Amelia ◽  
Tri Sari Wijayanti

Vegetables and fruit consumption contain many benefits. Even though, in Indonesia consumption of vegetables and fruit still less than a recommendation, especially in adolescent. The purpose of this research is to identify the factors affecting the consumption of fruit vegetables consumption (FV) adolescents in urban area (Jakarta) and Rural (Bogor). This research used cross-sectional design in 213 junior high school student in Jakarta and Bogor from January- Februari 2020. Knowledge, self-efficacy, parental influence and availability fruit vegetable were collected by self-questionnaire, and consumption of fruit and vegetable were collected by SQ-FFQ. Data were analysed  using chi-square test. Low vegetables and fruit consumption were 24.3% and 13,2%, in urban and rural, respectively. There were significant relationship between self -efficacy (p 0.034; OR 2,61), availability vegetables and fruit (p 0.048; OR 0,41), parental influence (p 0.032; OR 2,95), in urban but, there was no significant relationship between all factors to FV consumption


2019 ◽  
Vol 10 (1) ◽  
pp. 128
Author(s):  
Bri Novrika ◽  
Herni Susanti ◽  
Dewi Eka Putri

ABSTRAKKecemasan dapat menjadi faktor penting dalam keputusan mencari,  melanjutkan, ataupun menghentikan pengobatan infertilitas. Tingkat kecemasan pasangan infertil bervariasi dan dipengaruhi mekanisme koping dan penyesuaian yang dilakukan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kecemasan pasangan infertil yang sedang menjalani pengobatan infertilitas di Rumah Sakit Kota Jambi dan Padang. Jenis penelitian ini adalah cross secsional, dengan sampel 76 wanita infertil yang mengalami kecemasan dengan tehnik total sampling. Analisis data dengan uji chi square dan one sample t test.Hasil penelitian terdapat hubungan diagnosis infertilitas (p = 0,012) dan mekanisme koping (p = 0,000) dengan kecemasan pada pasangan infertil. Tidak ada hubungan karakteristik usia (p = 0.318), pendidikan (p = 0,595), pekerjaan (p = 0,824), durasi infertilitas (p = 0,987), riwayat pengobatan (p = 0,449), dukungan keluarga (p = 0,568), dan budaya terkait infertilitas (p = 0,401).Mekanisme koping merupakan faktor paling dominan mempengaruhi kecemasan wanita pasangan infertil yang sedang menjalani pengobatan infertilitas, yaitu wanita pasangan infertil yang memiliki mekanisme koping berfokus pada emosi mempunyai peluang 7,66 kali untuk mengalami kecemasanKata kunci                  : Kecemasan, Infertil, Pengobatan Infertilitas Analysis of Factors Affecting Anxiety in Infertile Couples Who Are Treating Treatment for Infertility in Jambi City Hospital and Padang ABSTRACTAnxiety can be an important factor in the decision to seek, continue, or stop infertility treatment. The level of anxiety of infertile couples varies and is influenced by coping mechanisms and adjustments made. This study aims to determine the factors that influence the anxiety of infertile couples who are undergoing infertility treatment in Jambi City Hospital and Padang.This type of research is cross sectional, with a sample of 76 infertile women who experienced anxiety with a total sampling technique. Data analysis with chi square test and one sample t test.The results of the study showed a correlation between infertility diagnosis (p = 0.012) and coping mechanism (p = 0.000) with anxiety in infertile couples. There was no correlation between the characteristics of age (p = 0.318), education (p = 0.595), employment (p = 0.824), duration of infertility (p = 0.987), medical history (p = 0.449), family support (p = 0.568), and culture related to infertility (p = 0.401).Coping mechanism is the most dominant factor affecting anxiety of infertile couples who are undergoing infertility treatment, ie infertile couples who have an emotional-focused coping mechanism have a chance of 7.66 times to experience anxietyKeywords: Anxiety, Infertility, Infertility Treatment


2020 ◽  
Vol 7 (3) ◽  
pp. 607
Author(s):  
Naveen Bansal ◽  
Manju Bala Goyal

Background: Enuresis is defined as involuntary urination beyond the age of 5 years. The present study was done to determine the prevalence of nocturnal enuresis and its associated risk factors in children in Baddi, Himachal Pradesh.Methods: This was a prospective observational cross-sectional study done in children in the age group of 5-11 years over a period of 18 months. Nocturnal enuresis was defined using the DSM IV criteria. Data analysis was done using chi square test.Results: The total sample size was 2144 and the prevalence of nocturnal enuresis was found to be 22.0% (n=472). There was statistically significant relationships between nocturnal enuresis and history of nocturnal enuresis in siblings (p=0.0018), history of deep sleep (p<0.05), history of perianal itching (p<0.05), history of urinary tract infection (p<0.05), poor academic performance (p<0.05).Conclusions: Nocturnal enuresis is a result of complex interplay of multiple physiological and psychological factors. Parents need to be sensitised and educated regarding these causation factors for better prevention and treatment of nocturnal enuresis.


2021 ◽  
Vol 9 (E) ◽  
pp. 336-339
Author(s):  
Arif Setyo Upoyo ◽  
Atyanti Isworo ◽  
Yunita Sari ◽  
Agis Taufik ◽  
Annas Sumeru ◽  
...  

Stroke is the leading cause of death in the World and in Indonesia. Hypertension is a major risk of stroke. Modified stroke risk factors are behavioral factors. The purpose of this study is to identify the factors that influence stroke prevention behavior in hypertensive patients. The research method uses cross sectional. Total participants were 461 hypertensive patients who came to Community Health Center. Sampling technique used  concecutive sampling. The questionnaire used contains demographics, knowledge, self efficacy, awareness of stroke risk and stroke prevention behaviors which include diet, exercise, smoking and drinking alcohol. Data analysis used chi-square and logistic regression. The results showed that 65.7% of respondents showed poor stroke prevention behavior. Factors related to stroke prevention behavior include self-efficacy (p = 0.043; 95%CI = 1.01-2.22; OR = 1.5), perception (p = 0.038; 95%CI = 0.45-0.98; OR = 0.663), and awareness of stroke risk (p = <0.001; 95%CI = 2.255-6.333; OR = 3.779). The dominant factor influencing stroke prevention behavior in hypertensive patients is awareness of stroke risk.


2017 ◽  
Vol 3 (1) ◽  
pp. 41-51
Author(s):  
Lely Lusmilasari ◽  
Akhmadi Akhmadi ◽  
Rochma Dwi Rahayu ◽  
Jeki Rahmawati ◽  
Ardhy Khartika ◽  
...  

Background: Quality of life includes the aspects of physical, emotional, social function, welfare and perceptions about life. Quality of life of children with tuberculosis is considered lower than the quality of life of healthy children. Little is known about the factors related to the quality of life of children with tuberculosis, especially in Yogyakarta, Indonesia.Objective: This study aims to examine the relationships of adherence, social support, quality of healthcare, self efficacy, and psychological response of parents towards quality of life of children with tuberculosis in Yogyakarta, Indonesia.Methods: This study employed a cross-sectional correlation design, which was conducted from April to November 2016, and involved 41 caregiver and children with tuberculosis according to research criteria. A consecutive sampling was applied to determine sample size. Data were analyzed by bivariat and multivariat analysis using SPSS with significant level p=0.05 and confidence interval = 95%.Results: Findings showed significant relationships between social support, psychosocial response, mainly anxiety and stress (p<0.05) with quality of life. While adherence, self-efficay, and quality of healthcare did not have significant relationship (p>0.05) with quality of life. The results of multivariat analysis showed significant relationships between social support with r =0.305 (CI95%:0.134-0.188; p=0.026), psychosocial response of caregiver, mainly level of stress with r= 0.425 (CI95%:-1.369-0.126; p=0.007) and anxiety with r= 0.378 (CI95%: -0.107-1.692; p=0.03) and quality of children life  (R square=0.278). The strongest variable related to quality of children life was psychosocial response (anxiety)  of parents (r=0.425).Conclusions: Quality of life in children with tuberculosis is related to social support and psychosocial response of parents. The dominant factor is psychosocial responses of anxiety.


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