HUBUNGAN SELF MANAGEMENT DENGAN KUALITAS HIDUP PASIEN RHEUMATOID ARTHRITIS DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2021

2021 ◽  
Vol 4 (1) ◽  
pp. 28-33
Author(s):  
Anita Gandaria Purba ◽  
Kuat Sitepu ◽  
Arfah May Sara ◽  
Jesiska Yolanda Sirait ◽  
Nur Hamida Pohan

Rheumatoid arthritis is a autoimmune that causes a long period of inflammation in the joints. This might cause a deprcrease in the quality of life of a person resulting in limited activity and depression. The purpose of this study was to determine the relationship between self management and the quality of life of patients with rheumatoid arthritis . the research method uses quantitative research by using descriptive correlation research methods. Then this research uses a Cross sectional approach design research method and correlation design with a sampling total sampling, and the number of sample in this study was 25 respondents. The measuring instrument used in this research in a questionnaire. Data analysis was carried out using the chi-square tets, the result of this study showed that 18 people (51%) had a good self management and 17 people  (49%) had a good quality of life. This show that there is a relationship between self managemnet and quality of life of rheumatoid arthritis patient at Grandmed Lubuk Pakam hospital in 2021 with the result of the chi-square test (p Value 0,001). Therefore, it is hoped that patients will be able to further improve self management so that the quality of life is getting better.  

2019 ◽  
Vol 51 (2) ◽  
pp. 107-111
Author(s):  
Vincensius Hans Kristian Pratama ◽  
Alwi Shahab ◽  
Nita Parisa

Kualitas hidup merupakan persepsi seseorang tentang dirinya sendiri dalam kaitannya dengan sistem tata nilai di tempat dirinya tinggal yang dapat dipengaruhi banyak faktor, seperti tingkat kemandirian. Tingkat kemandirian berbanding lurus dengan kualitas hidup. Tingkat kemandirian yang baik dapat mengoptimalkan kualitas hidup, serta mencegah komplikasi akut dan kronis dari penyakit diabetes melitus tipe 2. Penelitian ini bertujuan untuk menganalisis hubungan tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2. Penelitian ini adalah studi analitik observational dengan rancangan cross sectional. Sampel adalah pasien diabetes melitus tipe 2 di Poliklinik Penyakit Dalam dan Instalasi Rawat Inap di RSUP Dr. Mohammad Hoesin Palembang bulan November-Desember 2018. Sampel penelitian ini berjumlah 50 kasus. Hasil penelitian ini akan disajikan dalam bentuk tabel dan narasi.Dari 50 kasus pasien DM tipe 2 didapatkan penderita laki-laki berjumlah 27 orang (54%) dan perempuan 23 orang (46%), kelompok usia di bawah 40 tahun sebanyak 3 orang (6%), kelompok usia 40-50 tahun sebanyak 12 (24%), kelompok usia 50-60 tahun sebanyak 13 orang (26%)kelompok usia diatas 60 tahun sebanyak 22 orang (44%). Hasil uji Chi-square terdapat hubungan yang bermakna antara tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2 yang dinyatakan dalam p value=0.011. Hasil odd ratio pada pasien diabetes melitus tipe 2 menyatakan bahwa kemungkinan terjadi peningkatan kualitas hidup 5,271 kali lebih besar pada pasien yang bertingkat kemandirian baik. Tingkat kemandirian juga merupakan faktor yang mempengaruhi kualitas hidup (CI 95% = 1,380-20,138).Terdapat hubungan yang signifikan antara tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2.


2019 ◽  
Vol 4 (2) ◽  
pp. 402
Author(s):  
Iskim Luthfa ◽  
Nurul Fadhilah

<p><em>People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus.</em></p><p> </p><p><em>Penderita </em><em>Diabetes mellitus </em><em>beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bert</em><em>ujuan </em><em>untuk</em><em> menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. </em><em>Jenis p</em><em>enelitian ini </em><em>adalah</em><em> deskriptif korelasi</em><em> dengan desain cross sectional</em><em>. Teknik pengambilan sampel menggunakan non probability </em><em>sampling </em><em>dengan pendeka</em><em>t</em><em>an consecutive sampling</em><em>.</em><em> </em><em>J</em><em>umlah </em><em>sampel sebanyak</em><em> </em><em>118 responden.</em><em> </em><em>Instrumen </em><em>penelitian </em><em>untuk mengukur self management </em><em>menggunakan</em><em> </em><em>diabetes self management questionnaire</em><em> (DSMQ), </em><em>dan instrumen untuk mengukur kualitas hidup menggunakan </em><em>quality of life </em><em>WHOQOL-BREEF.</em><em> Analisis data menggunakan spearman rank dan didapatkan hasil nilai </em><em>p value 0,000</em><em> dan r 0,394.Terdapat </em><em>hubungan </em><em>antara </em><em>self management</em><em> dengan kualitas hidup pasien diabetes mellitus</em><em> dengan arah korelasi positif.</em></p>


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Patrícia De Castro Rodrigues ◽  
Julia Carvalho Galiano ◽  
Virginia Fernandes Moça Trevizani ◽  
Fania Cristina Santos

Introduction: Locomotion is a determinant of intrinsic capacity ofolder people and can be limited by dysfunction in locomotory organs,characterizing Locomotive Syndrome (LoS). Knowledge on locomotiveproblems and sarcopenia, and their interface with quality of life, in theoldest old in the literature is scarce.Objective: To evaluate the correlation between LoS and sarcopenia andtheir influence on quality of life in oldest old.Methods: A cross-sectional study of an observational, descriptive andanalytical epidemiological survey in independent older adults aged 80and over from São Paulo, Brazil and who participated in the third waveof the LOCOMOV Project, was carried out. Sociodemographic data,comorbidities, functioning in activities of daily living, physical functioning,quality of life, and presence of sarcopenia and LoS were assessed. Thestatistical analyses included the Test-for-Comparing-Two-Proportions,Pearson's Correlation Coefficient, the chi-Square test and Student´s t-test.Results: Thirty oldest old with a mean age of 89.1 years were evaluated.The prevalence of LoS was high (53.3%) and correlated significantly withchronic pain (p-value 0.024), worse performance on the SPPB and Gaitspeed (p-value <0.001). Sarcopenia was not correlated with LoS, but worsequality of life on the physical domain was significantly associated with LoS(p-value <0.001) regardless of the presence of sarcopenia.Conclusions: LoS was highly prevalent among the oldest old studied andnegatively impacted their quality of life, regardless of the presence ofsarcopenia. 


Author(s):  
Etty Rekawati ◽  
Junaiti Sahar ◽  
Dwi Nurviyandari Kusuma Wati

The transition of elderly lives from productive periods to non-productive makes them need support from relatives, friends or family. The purpose of this study was to look at the relationship between family appreciation support with quality and life satisfaction of the elderly in the city of Depok, West Java, with a cross-sectional design. The subjects of this study were 135 elderly people> 60 years old, living with family, do not have infectious diseases, able to communicate in Indonesian; selected by purposive sampling technique. Data were analyzed using Chi square test. The results of the study indicate that there was a relationship between family appreciation support with the quality of life of the elderly (p-value = 0.022) and life satisfaction of the elderly (p-value = 0.014). The results of this study are expected to support the development of nursing science in the future, especially regarding the quality and satisfaction of life of the elderly. Keywords: elderly; award support; quality of life; life satisfaction ABSTRAK Transisi kehidupan lansia dari masa produktif menjadi non produktif membuat mereka memerlukan dukungan dari kerabat, teman atau keluarga. Tujuan penelitian ini adalah untuk melihat hubungan antara dukungan penghargaan keluarga dengan kualitas dan kepuasan hidup lansia di Kota Depok, Jawa Barat, dengan desain cross-sectional. Subyek penelitian ini adalah 135 lansia yang berusia >60 tahun, tinggal bersama keluarga, tidak memiliki penyakit menular, mampu berkomunikasi dengan bahasa Indonesia; yang dipilih dengan teknik purposive sampling. Data dianalisis menggunakan uji Chi square. Hasil peneltian menunjukkan bahwa ada hubungan antara dukungan penghargaan keluarga dengan kualitas hidup lansia (p-value = 0,022) dan kepuasan hidup lansia (p-value = 0,014). Hasil penelitian ini diharapkan dapat mendukung perkembangan ilmu keperawatan di masa mendatang, khususnya tentang kualitas dan kepuasan hidup lansia. Kata kunci: lansia; dukungan penghargaan; kualitas hidup; kepuasan hidup


2020 ◽  
pp. 15-21
Author(s):  
Safruddin Safruddin ◽  
Maryunis ◽  
Suhermi ◽  
Sunarti Papalia

Pasien pendertita kanker payudara akan mengalami perubahan fisik, psikologis (seperti tingkat depresi dan kecemasan), fungsi sosial, seksual serta aktifitas sehari-hari. sehingga akan berpengaruh terhadap kualitas hidup atau quality of life (QOL)  penderita. Akan tetapi dengan adanya Perawatan paliatif yang baik diharapkan mampu merubah kualitas hidup pasien kanker menjadi lebih baik. penelitian ini bertujuan untuk mengetahui hubungan  perawatan paliatif dengan kualitas hidup pada pasien kanker payudara di Rumah Sakit Ibnu Sina YW-UMI Makassar. Penelitian ini menggunakan desain penelitian survei analitik dengan pendekatan cross sectional study. pengambilan sampel dalam penelitain ini adalah  purposive sampling dengan besar sampel sebanyak 43 responden. Hasil penelitian ini  menunjukkan bahwa perawatan paliatif dengan kualitas hidup baik yaitu 26 pasien (83,9%) dan yang memiliki  perawatan paliatif dengan kualitas hidup kurang baik 5 pasien (16,1%) sedangkan yang memiliki perawatan palitif dengan kualitas hidup cukup baik 3 pasien (30,0%) dan yang memiliki perawatan paliatif dengan kualitas hidup kurang baik 7 pasien (70,0%) sedangkan perawatan paliatif dengan kualitas hidup Baik 0 pasien (0,0%)  dan yang memiliki perawatan paliatif dengan kualitas hidup kurang baik 2  pasien (4,7%). Hasil uji statistik Chi Square diperoleh nilai probabilitas (p value =0,001. Sehigga dapat disimpulkan bahwa ini adalah terdapat hubungan antara perawatan paliatif dengan kualitas hidup pada kualitas hidup pada pasien kanker payudara di Rumah Sakit Ibnu Sina YW-UMI Makassar.


2021 ◽  
Vol 5 (2) ◽  
pp. 8
Author(s):  
Riris Andriati ◽  
Fenita Purnama Sari Indah ◽  
Aisyah Aisyah

Compliance with hemodialysis therapy is one of the important things to note, if the patient is not compliant, it can cause a buildup of harmful substances in the body and if left unchecked, it can lead to death. The purpose of this study was to determine the relationship between adherence to undergo hemodialysis therapy with the quality of life of patients with chronic renal failure in the Hemodialysis Unit of the Jakarta Hajj Hospital. This research method is a quantitative study using primary data (questionnaires) and using cross-sectional research. Data collected by using questionnaires. The number of samples were 54 people who were in the hajodialysis unit at the Jakarta Hajj Hospital for the past three months. The results of the study of 54 respondents who have moderate compliance there are 11 people (20.4%), and good compliance a number of 43 people (79.%), in general patients obedient. While from the aspect of quality of life, there were 6 respondents (11.1%) who experienced less quality of life, 35 people had a moderate quality of life (75.%) and 13 people (24.1%) had a good quality of life, in general the quality of life of patients was moderate. After analyzing the relationship between adherence to undergo hemodialysis with quality of life using the Chi Square test p value = 0.468˃0.05, meaning that Ho is accepted, so it can be concluded that there is no relationship between adherence to hemodialysis with the quality of life of patients at Jakarta Hajj Hospital .ABSTRAKKepatuhan menjalani terapi hemodialisa merupakan salah satu hal yang penting untuk diperhatikan, jika pasien tidak patuh dapat menyebabkan terjadinya penumpukan zat-zat berbahaya dalam tubuh dan apabila hal tersebut dibiarkan maka dapat mengakibatkan kematian. Tujuan penelitian untuk mengetahui hubungan antara kepatuhan menjalani terapi hemodialisa dengan kualitas hidup pasien gagal ginjal kronik di Unit Hemodialisa RS Haji Jakarta. Metode penelitian ini merupakan penelitian kuantitatif dengan menggunakan data primer (kuisioner) dan memakai metode penelitian cross-sectional. Data yang dikumpulkan dengan cara menggunakan kuisioner. Jumlah sampel  sebanyak 54 orang yang berada di unit hemodialisa Rumah Sakit haji Jakarta selama tiga bulan terakhir. Hasil penelitian dari 54 responden yang memiliki kepatuhan sedang terdapat 11 orang (20.4 %), dan kepatuhan baik sejumlah 43 orang (79.6 %), secara umum pasien patuh. Sementara dari aspek kualitas hidup diperoleh  responden  yang  mengalami  kualitas  hidup  kurang sejumlah 6 orang (11.1%), kualitas hidup sedang sejumlah 35 orang (75.%)  dan  kualitas  hidup  baik  13 orang  (24.1%), secara umum kualitas hidup pasien sedang. Setelah dilakukan analisa hubungan antara kepatuhan menjalani hemodialisa dengan kualitas hidup dengan menggunakan uji Chi Square diperoleh p value = 0.468˃0.05,  artinya Ho diterima, sehingga dapat disimpulkan tidak ada hubungan antara kepatuhan menjalani hemodialisa dengan kualitas hidup pasien di Rumah Sakit Haji Jakarta.


2020 ◽  
Vol 1 (2) ◽  
pp. 65-72
Author(s):  
Salestin Rambu Malairu ◽  
Joko Pitoyo

Problems often faced by eldery is decreasing ability is like physical health, or decrease ability to socialize with others. Health Service Centre is one of  activities aimed to elderly to get health services easily.Objective aim to know differences from quality of life of  active elderly with inactive elderly on follow health service centre in Mojolangu Village Of Lowokwaru District, method is design research is used a Cross Sectional design. Sample are 40 elderly, taking sample is using purposive sampling. Samples divided to 2, that is 20 elderly who are active, and 20 elderly who are inactive Data analysis is using Chi Square test. The results showed there are 5 (25%) respondents who are actively follow elderly  Health Service Centre had a good quality of life, while 1 (5%) respondents who are inactively follow elderly Health Service Centre had a good quality of life. Respondents with a good quality of life average attendance participed in elderly  Health Service Centre by 7 times, while inactive elderly as much as 3/4 times. Chi Square test results obtained by the value of p = 0,002, so concluded there is a differences from quality of life of active elderly with inactive elderly on follow health service centre in Mojolangu Village of Lowokwaru. Suggestion from this study are further researchers can use this research and more developed. Keywords: Quality of Life, Elderly, Health Service Centre


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1466.1-1467
Author(s):  
G. Cavalli ◽  
M. Biggioggero ◽  
A. Cariddi ◽  
G. De Luca ◽  
E. Agape ◽  
...  

Background:Methotrexate (MTX) represents theanchor drugfor the treatment of rheumatoid arthritis (RA), as well as other rheumatological diseases such as psoriatic arthritis (PsA) and spondyloarthritides (SpA). Despite consolidated clinical efficacy, the use of MTX suffers from relevant limitations. Common issues include subjective intolerance, nausea, malaise, and fatigue, which negatively impact on quality of life and work/social participation.Objectives:In this study, we evaluated the frequency with which patients on MTX therapy opt for self-administration over the weekend or in the evening hours, in order to minimize interference with daily activities, work productivity, and social participation.Methods:A cross-sectional, prospective study was performed in two tertiary referral Rheumatology clinics, which included consecutive patients with RA, PsA, or SpA on MTX therapy. Enrolled patients had not previously received instructions by their healthcare provider as to when during the week or day MTX ought to be administered, and were free to choose or change the weekday and time for self-administration. Data on the route and timing of MTX self-administration was collected using dedicated questionnaires, which included queries on the dose and route of administration, day of the week and time of self-administration, reasons for the patient’s choice, use of folic acid supplementation, and concomitant therapies. Statistical analyses were conducted using a chi-square test; a p-value <0.05 was considered significant.Results:A total of 275 consecutive patients treated with MTX were included, mostly with RA (86%). Patients had an average age of 59.8 years (SD 14.0) and an average disease duration of 134.5 months (SD 127.3). The average MTX dose was 15 mg/wk (SD 4.4); MTX was administered subcutaneously in 68.2% of cases, orally in 17.8%, and intramuscularly in 5%. Regarding the timing of MTX self-administration, 157 patients (57.1%) took MTX in the evening and 119 patients (44.3%) took it during the weekend; even among patients taking MTX in the evening, weekend administration was preferred (93/157, 59.2%, p <0.001). The most frequent reasons leading to MTX self-administration during the evening or weekend were gastrointestinal side effects/nausea (85% of cases), fatigue (63%), interference with work activities (36%) and interference with social activities (29%). Patients who opted for MTX self-administration in the evening or over the weekend were significantly younger (p <0.001), with no significant gender differences or disease duration.Conclusion:The majority of patients with inflammatory arthritis opt for self-administration of MTX in the evening (absolute majority) or during the weekend (relative majority). This choice is dictated by the need to avoid side effects and detrimental repercussions on the individual’s social or working life. The adoption of these strategies for minimizing the adverse effects of MTX is more frequent among younger patients, and provides an indirect, yet powerful indicator of the impact of MTX therapy on patients’ quality of life.Disclosure of Interests:Giulio Cavalli Consultant of: SOBI, Pfizer, Sanofi, Novartis, Paid instructor for: SOBI, Novartis, Speakers bureau: SOBI, Novartis, Martina Biggioggero: None declared, adriana cariddi: None declared, Giacomo De Luca Speakers bureau: SOBI, Novartis, Celgene, Pfizer, MSD, Elena Agape: None declared, nicola boffini: None declared, Elena Baldissera Speakers bureau: Novartis, Pfizer, Roche, Alpha Sigma, Sanofi, Lorenzo Dagna: None declared, Ennio Giulio Favalli Consultant of: Consultant and/or speaker for BMS, Eli-Lilly, MSD, UCB, Pfizer, Sanofi-Genzyme, Novartis, and Abbvie, Speakers bureau: Consultant and/or speaker for BMS, Eli-Lilly, MSD, UCB, Pfizer, Sanofi-Genzyme, Novartis, and Abbvie


2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Desy Ayu Wardani

Background: Menopause phase in women is the time when menstrual cycle stops which is followed by obvious psychological and physical changes and occurs 3 – 4 years. The psychological and physical changes in menopause women will affect the quality of their life. Therefore, supports from the close people, especially from their husbands are needed. Objective: This study aimed to find out the correlation between husband support and the life quality of menopause women. The type of this research was quantitative research using correlation analysis with cross sectional approach with the total of 126 respondents. The technique used in taking the sample was Purposive sampling technique. Chi Square test was used as the bivariate test. Finding: The research finding showed that p-value was 0.032. Conclusion:  There was a correlation between husband support and the life quality of menopause women. Suggestion:  There should be a follow-up research about the factors which affect the life quality of menopause women such as psychological, physical aspects, social relationship and environment surrounding the menopause women.  


2021 ◽  
Vol 2 (2) ◽  
pp. 77-88
Author(s):  
Benedicta Asti Dwiyani ◽  
Maria Astrid

Background: Stroke often results in the burden and thus may affect the patient's quality of life. Objective: This study aims to determine the relationship between characteristics, type of stroke, family support, towards quality of life of stroke patients at UKI Hospital Jakarta. Methods: This study used correlative descriptive research method with cross sectional approach. There were 81 stroke patients choosen using purposive sampling technique. This study conducted from June to July 2020. This study used a questionnaire as a measuring tool. Result: The results revealed that most of the respondents were 25-65 years old (76,5%), male (67,9%), graduated from high school (71,8%), unemployee (63,0%), developed ischemic stroke (76,5%), good family support (79,0%) and good quality of life (86,4%). Chi-Square statistical test showed a significant relationship between work (p value 0.039), type of stroke (p value 0.000) to quality of life for stroke patients; however, there was no significant relationship between age (p value 0.777), gender (p value 0.307), education (p value 0.177), and family support (p value 0.582) to quality of life for stroke patients. Conclusion: A significant relationship between work, type of stroke to quality of life for stroke patients. There was no significant relationship between age, gender, education, and family support to quality of life for stroke patients. It is suggested that Hospital should provide health workers with counseling to the families of stroke patients in outpatient department such as reminding families through posters or leaflets about family support for stroke patients.


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