Hubungan Self Caredan Motivasi dengan Kualitas Hidup Pasien Gagal Jantung

1970 ◽  
Vol 2 (2) ◽  
Author(s):  
Aria Wahyuni ◽  
Ovta Sari Kurnia
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Self Care ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Heart Failure Patients ◽  
Failure Index ◽  
Heart Failure Questionnaire ◽  
The Relationship

Kualitas hidup secara umum bersifat subjektif dan bervariasi sesuai dengan persepsi individu terhadap kesehatan dan kemampuan untuk mempertahankannya. Adanya perubahan fisiologis dan kondisi kronis terhadap kesehatan sangat berpengaruh terhadap kualitas hidup seseorang khususnya pasien gagal jantung. Penelitian ini bertujuan untuk mengidentifikasi hubungan self caredan motivasi terhadap kualitas hidup pasien gagal jantung. Penelitian ini menggunakan metode analitis dengan desain studi potong lintang. Jumlah sampel penelitian sebanyak 73 sampel yang diambil secara purposive sampling. Self carediukur dengan self care of heart failure index (SCHFI), motivasi diukur dengan kuesioner yang dimodifikasi, dan kualitas hidup menggunakan minnesota living with heart failure questionnaire (MLHFQ). Uji statistik dilakukan dengan chi squaresehingga dihasilkan nilai p<0.05. Hasil penelitian didapatkan bahwa 41 (56,2%) responden memiliki self care yang kurang baik. Sebanyak 42 (57,5%) responden mempunyai motivasi yang rendah dan sebanyak 40 (54,8%) responden memiliki kualitas hidup pasien jantung yang kurang baik. Pada penelitian ini terdapat hubungan yang bermakna antara self caredan motivasi terhadap kualitas hidup pasien jantung. Hubungan yang signifikan antara self caredan kualitas hidup (p=0.001;) dan OR=6,000. Hubungan yang signifikan antara motivasi dan kualitas hidup (p=0.009) dan OR=4,056. Penelitian ini dapat disimpulkan bahwa self caredan motivasi berhubungan dengan kualitas hidup pasien jantung. Dapat disarankan untuk pasien gagal jantung untuk lebih memperhatikan kesehatan dan meningkatkan kualitas hidup melalui perawatan diri, dukungan, dan motivasi.Kata kunci:Gagal jantung, kualitas hidup, motivasi, self care AbstractIn general, the quality of life is subjective. It based on individual perceptions related to the ability of individual to keep their body healthy. The changes of physiological and chronical health conditions have influenced to the quality of life especially in heart failure patients. This study aimed to identify the relationship of self-care, motivation, and quality of life in heart failure patients. This study applied a cross sectional design. The samples were 73 subjects recruited by purposive sampling. Self-care was measured by self care of heart failure index (SCHFI), motivation was measured using a questionnaire. Quality o life (QoL) was assessed using minnesota living with heart failure questionnaire (MLHFQ). The data were analyzed using chi square test and set at p<0.05. The findings have shown that 41 (56.2%) of subjects performed a poor self-care, 42 (57.5%) of subjects had low motivation, and 40 (54.8%) of cardiac patient’s quality of life were poor. There were significant relationships among self-care, motivation, and the quality of life of heart failure patients. There were significant relationship between practices of self-care and QoL (p=0,001) and OR=6.00. The relationship between motivation and QoL were significant (p=0.009) and OR=4.056 . This research can be concluded that the self-care and motivation had contribute positively to QoL in heart failure patients. It can be suggested that cardiac patients should pay attention to their health condition and improving QoL through self care, support and motivation.Key words: Heart failure, motivation, quality of life, self care

scholarly journals Perawatan Diri Pada Pasien Gagal Jantung

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Dwi Prihatiningsih ◽  
Tiwi Sudyasih
Keyword(s):  
Heart Failure ◽  
Care Management ◽  
Financial Burden ◽  
Self Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Low Frequencies ◽  
Heart Failure Patients ◽  
Failure Index ◽  
Care Behavior

ABSTRAKGagal jantung merupakan salah satu penyakit kardiovaskuler yang paling sering terjadi di seluruh dunia yang mengakibatkan tingginya angka mortalitas, morbiditas dan juga berdampak secara finansial terutama bagi lanjut usia. Rehospitalisasi merupakan masalah umum yang sering terjadi pada pasien gagal jantung yang sebagain besar disebabkan oleh keterlambatan dalam pengenalan gejala, pengobatan dan ketidakpatuhan diet serta kurangnya pengetahuan dan keterampilan dalam melakukan perawatan diri. Panduan penanganan gagal jantung menekankan pentingnya perilaku perawatan diri untuk menurunkan kekambuhan dan rehospitalisasi pada pasien gagal jantung. Penelitian ini bertujuan untuk menggambarkan perilaku perawatan diri pada pasien gagal jantung yang mengunjungi poliklinik jantung di RSUD Panembahan Senopati Bantul. Penelitian ini merupakan penelitian deskriptif quantitatif dengan menggunakan pendekatan cross sectional. Sampel berjumlah 74 responden yang merupakan pasien rawat jalan di poliklinik jantung pada bulan Juni hingga Juli 2018. Alat ukur yang digunakan adalah Self-Care of Heart Failure Index (SCHFI), (skor ≥70 poin=adekuat). Uji statistik chi-square digunakan untuk mengetahui hubungan antara factor sosiodemografi dengan perilaku perawatan diri pada pasien gagal jantung. Hasil penelitian ini menunjukkan bahwa perilaku perawatan diri pada sebagian besar responden masih belum adekuat dengan frekuensi perilaku perawatan diri adekuat yang masih rendah (pemeliharaan: 45±13.1 (7.7%), pengelolaan: 46±20.4 (13.0%) dan kepercayaan: 69±16.5 (38.5%)). Hanya satu faktor yaitu penyakit penyerta yang berhubungan dengan perilaku perawatan diri pada pasien gagal jantung pada dimensi kepercayaan diri. Hasil penelitian ini menunjukkan bahwa sebagian besar responden memiliki perilaku perawatan diri yang tidak adekuat seperti juga pada negara-negara lainnya sehingga diperlukan upaya untuk meningkatkan perilaku perawatan diri pada pasien gagal jantung. ABSTRACTHeart failure (HF) is one of the most prevalent cardiovascular diseases in the world which associated with significant mortality, morbidity, and huge financial burden, particularly among aging population. Rehospitalization remain a concern in the care of the heart failure patient which largerly associated with delay in symptoms recognition, treatment, diet non-compliance and also lack of knowledge and skills in heart failure self-care. Guideline on HF emphasize the important of self care in preventing symptoms and hospital readmission. This study aims to describe self-care behavior in a sample of heart failure patients. This is a descriptive cross-sectional study with non-probabilistic sample of 74 in an out-patient heart clinic from June-July 2018. Self-care was measured using the Self-Care of Heart Failure Index (SCHFI), (scores ≥70 points=adequate self-care). Chi-square test was conducted to test whether participant’s characteristics associated with self-care behavior among heart failure patients in three scales. The result shows that self-care was inadequate in most scales (self-care maintenance: 43.4±11.8, self-care management: 49.4±18.5 and self-care confidence: 68,6±14.5. Low frequencies of participants with adequate self-care also observed in the study (self-care maintenance: 5.4%, self-care management: 15.4%) and self-care confidence: 36.5%)). In self-care confidence subscale, higher scores of the SCHFI were associated with no comorbid conditions (p=0.01). None of the sociodemographic and clinical characteristics of the sample were associated with increased self-care in other 2 sub-scales. In conclusion, study shows that self-care in HF is inadequate, interventions aimed at improving self-care espescially in self-care maintenance sub-scale are greatly needed. Additional studies are needed to determine the best approach for this. 

scholarly journals Association between depressive symptoms and quality of life in outpatients and inpatients with heart failure

2021 ◽  
Vol 55 ◽  
Author(s):  
Juliana de Melo Vellozo Pereira Tinoco ◽  
Beatriz Paiva e Silva de Souza ◽  
Samara Xavier de Oliveira ◽  
Josiana Araujo de Oliveira ◽  
Evandro Tinoco Mesquita ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Depressive Symptoms ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Ventricular Ejection Fraction ◽  
Outpatient Group ◽  
Heart Failure Questionnaire ◽  
Assess Quality

ABSTRACT Objective: To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms. Method: A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory). Results: The sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions. Conclusion: Inpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions.

scholarly journals HUBUNGAN SELF CARE DENGAN KUALITAS HIDUP PASIEN GAGAL JANTUNG DI RSD MANGUSADA

2020 ◽  
Vol 8 (1) ◽  
pp. 39
Author(s):  
Ida Ayu Agung Laksmi ◽  
Made Ani Suprapta ◽  
Ni Wayan Surinten
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Functional Status ◽  
Service Providers ◽  
Self Care ◽  
Rank Test ◽  
Average Score ◽  
P Value ◽  
Heart Failure Patients

Long term of heart failure symptoms will affect the patient functional status and ability to do self-care appropriately. Decreasing functional status and self-care ability will certainly affect the quality of life of patients. This study aimed to determine the relationship of self-care with the quality of life of heart failure patients that undergoing treatment at Heart Polyclinic of Mangusada Hospital. The research design was descriptive correlational using cross sectional approach. The study was conducted in January-February 2019. Total respondent participated were 61 respondents and were taken using a purposive sampling technique. Self care of heart index (SCHFI) questionnaire and the Minnesota Living With Heart Failure Questionnaire (MLHFQ) were used. The results showed that the average of self-care score was 45.25 and the average score of the quality of life was 60.67. Analysis using the Spearman Rank test obtained p-value = 0,000 and r = 0.506. It can be concluded that self care had a significant correlation on quality of life patients with heart failure in Mangusada Hospital. We recommended that nursing service providers play an active role in providing education and motivation to heart failure patients to improve self-care abilities.

scholarly journals Key elements of interventions for heart failure patients with mild cognitive impairment or dementia: A systematic review

2019 ◽  
Vol 19 (1) ◽  
pp. 8-19
Author(s):  
Louise Hickman ◽  
Caleb Ferguson ◽  
Patricia M Davidson ◽  
Sabine Allida ◽  
Sally Inglis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Systematic Review ◽  
Working Memory ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Daily Living ◽  
Self Care ◽  
Heart Failure Patients

Background: The purpose of this systematic review was to (a) examine the effects of interventions delivered by a heart failure professional for mild cognitive impairment and dementia on cognitive function, memory, working memory, instrumental activities of daily living, heart failure knowledge, self-care, quality of life and depression; and (b) identify the successful elements of these strategies for heart failure patients with mild cognitive impairment or dementia. Methods and results: During March 2018, an electronic search of databases including CINAHL, MEDLINE, EMBASE and PsycINFO was conducted. All randomised controlled trials, which examined an intervention strategy to help heart failure patients with mild cognitive impairment or dementia cope with self-care, were included. An initial search yielded 1622 citations, six studies were included ( N= 595 participants, mean age 68 years). There were no significant improvements in cognitive function and depression. However, significant improvements were seen in memory ( p=0.015), working memory ( p=0.029) and instrumental activities of daily living ( p=0.006). Nurse led interventions improved the patient’s heart failure knowledge ( p=0.001), self-care ( p<0.05) and quality of life ( p=0.029). Key elements of these interventions include brain exercises, for example, syllable stacks, individualised assessment and customised education, personalised self-care schedule development, interactive problem-solving training on scenarios and association techniques to prompt self-care activities. Conclusions: Modest evidence for nurse led interventions among heart failure patients with mild cognitive impairment or dementia was identified. These results must be interpreted with caution in light of the limited number of available included studies.

scholarly journals Self-Management Intervention to Improve Self-Care and Quality of Life in Heart Failure Patients

2012 ◽  
Vol 19 (4) ◽  
pp. E9-E16 ◽  
Author(s):  
Heng-Hsin Tung ◽  
Chun-Yu Lin ◽  
Kuei-Ying Chen ◽  
Chien-Jung Chang ◽  
Yu-Ping Lin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Self Care ◽  
Self Management ◽  
Heart Failure Patients ◽  
Management Intervention

The Relationship Between Functional Capacity, Cardiac Function, and Quality of Life in Heart Failure Patients

2004 ◽  
Vol 36 (Supplement) ◽  
pp. S157???S158
Author(s):  
Luke S. Acree ◽  
Samantha A. Whitman ◽  
Scott R. Richmond ◽  
Charles B. Porter ◽  
Michael P. Godard
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Cardiac Function ◽  
Functional Capacity ◽  
Heart Failure Patients ◽  
The Relationship
Sign in / Sign up

Export Citation Format

Share Document