scholarly journals FAKTOR-FAKTOR INTERNAL YANG MEMPENGARUHI SELF CARE MANAGEMENT PADA PASIEN DIABETES MELLITUS TIPE 2 DI POLI KLINIK KHUSUS PENYAKIT DALAM RSUP DR. M. DJAMIL PADANG

2020 ◽  
Vol 3 (1) ◽  
pp. 54-65
Author(s):  
Lola Despitasari
Keyword(s):  
Diabetes Mellitus ◽  
Self Efficacy ◽  
Care Management ◽  
Self Care ◽  
P Value ◽  
Diabetes Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Agency

Diabetes Mellitus tipe 2 merupakan hasil dari kegagalan atau penolakan tubuh mnggunakan zat insulin (resistensi insulin). Pada orang dengan diabetes tipe 2 diperlukan self care management untuk mengelola penyakitnya. Diabetes knowledge, self efficacy, self care agency merupakan faktor internal yang mempengaruhi self care management. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor internal yang mempengaruhi self care management pada pasien diabetes mellitus tipe 2 di poli klinik khusus penyakit dalam RSUP. Dr. M. Djamil Padang. Jenis penelitian ini bersifat deskriptif analitik melalui pendekatan cross sectional. Penelitian ini  dilakukan di Poli Klinik Khusus Penyakit Dalam RSUP Dr. M. Djamil Padang. Sampel berjumlah 60 orang dengan teknik accidental sampling, dan instrumen penelitian menggunakan kuesioner SDSCA, ASAS-R, DMSES, dan kuesioner diabetes knowledge. Analisis data bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa 56.7% responden memiliki self care management yang kurang baik, 50% responden dengan self care agency kurang baik, 46.7% responden dengan self efficacy kurang baik, dan 61.7% responden dengan diabetes knowledge kurang baik. Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management dengan nilai p value (≤ 0.05). Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management di poli klinik khusus penyakit dalam RSUP Dr. M. Djamil Padang. Disarankan kepada pasien diabetes mellitus tipe 2 untuk meningkatkan self care agency, self efficacy, dan diabetes knowledge nya. Kata Kunci : Diabetes mellitus tipe 2, self care management, self care agency, self efficacy, diabetes knowledge

Testing a Conceptual Framework for Diabetes Self-Care Management

2004 ◽  
Vol 18 (4) ◽  
pp. 293-316 ◽  
Author(s):  
Valmi D. Sousa ◽  
Jaclene A. Zauszniewski ◽  
Carol M. Musil ◽  
Patricia E. McDonald ◽  
Sharon E. Milligan
Keyword(s):  
United States ◽  
Social Support ◽  
Self Efficacy ◽  
Care Management ◽  
Care Center ◽  
Self Care ◽  
The United States ◽  
Diabetes Knowledge ◽  
Cross Sectional ◽  
Care Agency

Diabetes is a major source of morbidity, mortality, and economic expense in the United States. The majority of researchers and clinicians believe that diabetes is a self-care management disease, and that patients should be reliable, capable, and sufficiently responsible to take care of themselves. However, individuals with diabetes may or may not have diabetes knowledge, social support, self-care agency (an individual’s capability to perform self-care actions), and self-efficacy (an individual’s beliefs in his or her capability to perform self-care actions) that would help them to engage in diabetes self-care management. Therefore, this study examined the relationship among those factors using a cross-sectional model testing design. A convenient sample of 141 insulin-requiring individuals with either diabetes type 1 or type 2, 21 years old and over, was recruited from an outpatient diabetes care center located in a Southeast region of the United States. Simple linear regression, multiple standard regression, and multiple hierarchical regression were used to analyze the data. Individuals with greater diabetes knowledge had greater self-care agency and self-efficacy. Those with a higher score in social support had greater self-care agency and better diabetes self-care management, and those with greater self-efficacy had better diabetes self-care management. In addition, self-care agency mediated the effects of diabetes knowledge on self-efficacy and the effects of social support on diabetes self-care management. Self-efficacy mediated the effects of self-care agency on diabetes self-care management. Furthermore, the linear combination of diabetes knowledge, social support, self-care agency, and self-efficacy, taken together, positively affected diabetes self-care management. Enhancing an individual’s diabetes knowledge, social support, self-care agency, and self-efficacy may be a strategy which can promote better engagement in diabetes self-care.

Further Evidence of Psychometric Performance of the Self-care of Diabetes Inventory in Adults With Type 1 and Type 2 Diabetes

2021 ◽  
Author(s):  
Maddalena De Maria ◽  
Diletta Fabrizi ◽  
Michela Luciani ◽  
Rosario Caruso ◽  
Stefania Di Mauro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Care Management ◽  
High Reliability ◽  
Self Care ◽  
The Self ◽  
Cross Sectional

Abstract Background The Self-care of Diabetes Inventory (SCODI) is a theory-based tool that measures self-care, a key strategy in the appropriate treatment of diabetes. However, despite the clinical differences between people with Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM), the psychometric properties of the SCODI were only tested in mixed samples. Purpose This study aims to test the psychometric performances of the SCODI in two separate groups of adults with T1DM and T2DM. Methods This is a secondary analysis from two previous multicentre cross-sectional observational studies involving patients with T1DM (n = 181) and T2DM (n = 540). We tested dimensionality with confirmatory factor analysis and reliability with a multidimensional model-based coefficient for every scale of the SCODI: self-care maintenance, self-care monitoring, self-care management, and self-care self-efficacy. Results We found that the SCODI showed the same dimensionality, with minimal variation in factor loadings for each factor and each scale among T1DM and T2DM groups. High reliability for each scale in both groups was also found (self-care maintenance: T1DM = 0.86, T2DM = 0.83; self-care monitoring: T1DM = 0.84, T2DM = 1.00; self-care management: T1DM = 0.87, T2DM = 0.86; self-care self-efficacy: T1DM = 0.88; T2DM = 0.86). Conclusion The SCODI can be used for measuring self-care in people with T1DM, T2DM, or mixed groups using identical scoring procedures. Considering the well-known differences between Type 1 and Type 2 diabetes diseases and patients’ characteristics, our results support the generalizability of the self-care theory on which the instrument is based.

Relationships Among Self-Care Agency, Self-Efficacy, Self-Care, and Glycemic Control

2005 ◽  
Vol 19 (3) ◽  
pp. 217-230 ◽  
Author(s):  
Valmi D. Sousa ◽  
Jaclene A. Zauszniewski ◽  
Carol M. Musil ◽  
Patricia J. Price Lea ◽  
Schenita A. Davis
Keyword(s):  
Glycemic Control ◽  
Self Efficacy ◽  
Care Management ◽  
Self Care ◽  
Hierarchical Regression ◽  
Design Data ◽  
Cross Sectional ◽  
Correlational Design ◽  
Care Agency

Costly complications of diabetes often arise from poor glycemic control. Appropriate diabetes self-care management may improve control. This study examined whether self-care management affects glycemic control and mediates relationships between self-efficacy and self-care agency with glycemic control. In a cross-sectional correlational design, data from a prior study of 141 insulin-requiring adults with type 1 or type 2 diabetes were examined using descriptive statistics, Pearson’s correlation, and multiple hierarchical regression. Findings indicated that greater self-care agency and self-efficacy lead to greater self-care management, in turn leading to better glycemic control. Self-care management did not mediate between self-efficacy or self-care agency and glycemic control. Thus, beliefs or capabilities for self-care are insufficient to improve glycemic control; doing so requires self-care management.

scholarly journals Hubungan Motivasi Dengan Self Eficasy Pada Pasien Dengan Diabetes Mellitus (DM) Di Rumah Sakit Umum Daerah Prabumulih Tahun 2017

2018 ◽  
Vol 1 (2) ◽  
pp. 44
Author(s):  
Anggi Pratiwi
Keyword(s):  
Diabetes Mellitus ◽  
Self Efficacy ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling

Diabetes Mellitus (DM) merupakan penyakit degeneratif yang memerlukan upaya penanganan yang tepat dan serius. Jika tidak diatasi, DM akan menimbulkan berbagai komplikasi penyakit serius lainnya. Penyakit DM merupakan salah satu ancaman terbesar bagi kesehatan manusia. Lebih dari 171 juta penduduk duniadiperkirakan menderita DM, pada tahun 2030, sebanyak 366 juta orang di dunia di proyeksikan akan menderita DM. Pengobatan DM dapat diberikan terapi suntik insulin atau obat hipoglikemik peroral. Usaha pengobatan tersebut dibutuhkan motivasi yang baik dari pasien. Self efficacy mempengaruhi bagaimana seseorang berfikir, merasa, memotivasi diri sendiri dan bertindak. Tujuan penelitian ini adalah untuk mengetahui hubungan motivasi dengan selfefficacy pada pasien dengan DM di RSUD Prabumulih 2017. Desain penelitian menggunakan studi cross sectional. Sampel dalam penelitian ini sebanyak 43 responden DM dengan teknik pengambilan sampling menggunakan teknik purposive sampling. Analisis data bivariat menggunakan Uji Chi-square. Hasil menunjukkan ada hubungan antara motivasi dengan self efficacy pada pasien dengan DM dengan p value 0,014. Motivasi yang baik pula maka akan membuat self efficacy pada pasien DM terbentuk sehingga muncul keyakinan pasien untuk mampu melakukan perilaku yang dapat mendukung perbaikan penyakitnya dan meningkatkan managemen perawatan dirinya seperti diet, latihan fisik, medikasi, kontrol glukosa, dan perawatan DM secara umum.

The Appraisal of Self-Care Agency Scale–Revised (ASAS-R): Reliability and Validity Among Older Chinese People

2016 ◽  
Vol 39 (11) ◽  
pp. 1459-1476 ◽  
Author(s):  
Lina Guo ◽  
Jaclene A. Zauszniewski ◽  
Xianfei Ding ◽  
Lin Zhang ◽  
Han Gao ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Goodness Of Fit ◽  
Self Care ◽  
Reliability And Validity ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Valid Instrument ◽  
Fit Index ◽  
Care Agency

The study aimed to test the reliability and validity of the Chinese version of the Appraisal of Self-Care Agency Scale–Revised (ASAS-R-CHI). A cross-sectional design was used to conduct this study, and the sample consisted of 1,219 older people, collected by a demographic questionnaire, ASAS-R-CHI and the Exercise of Self-Care Agency (ESCA) scale. The Cronbach’s alpha (α) of ASAS-R-CHI was .79, the test–retest correlation was 0.95, and the item-to-total correlations ranged from r = .41 to r = .74. Exploratory factor analysis (EFA) resulted in three factors that explained 65.31% of the total variance; all 15 items had strong factor loadings ranging from 0.54 to 0.91. Confirmatory factor analysis (CFA) indicated the three-factor solution of ASAS-R-CHI had a good fit (x2,chi-square/degree of freedom [CMIN/DF] = 2.61, goodness of fitness index [GFI] = 0.93, adjusted goodness of fit index [AGFI] = 0.92,, comparative fit index [CFI = 0.92], Tucker Lewis index [TLI] = 0.91, root mean square error of approximation [RMSEA] = 0.04, root mean residual [RMR] = 0.02, P-value for test of close fit [PCLOSE] = 0.68). ASAS-R-CHI is a short, reliable, and valid instrument for measuring self-care agency among Chinese older adults.

scholarly journals Faktor-faktor yang Mempengaruhi Self Care Agency pada Ibu Hamil dengan Preeklampsia

2019 ◽  
Vol 11 (4) ◽  
pp. 289-294
Author(s):  
Apolonia Antonilda Ina ◽  
Veronika Ririn Marwaningsih
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Self Care ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Total Correlation ◽  
History Of ◽  
Care Agency ◽  
In Pregnancy

Kematian ibu akibat hipertensi dalam kehamilan dapat dicegah dengan deteksi dini terjadinya peningkatan tekanan darah melalui antenatal care yang berkualitas. Preeklampsia masih menjadi masalah yang belum terselesaikan karena angka kejadian yang masih tinggi dan komplikasi kematian ibu dan anak yang terjadi. Hal ini menjadikan studi tentang preklampsia masih sangat dibutuhkan dengan harapan bisa memberikan kontribusi data untuk penelitian lanjutan. studi tentang self  agency pada ibu hamil dengan preeklampsia belum pernah dilakukan di Indonesia. Self agency yang kuat akan memberikan kontribusi ibu hamil dalam mencegah terjadinya komplikasi akibat preeklampsia. Tujuan penelitian yaitu menganalisis faktor-faktor yang mempengaruhi self care agency pada  ibu hamil dengan preeklampsia. Desain penelitian yaitu  cross sectional. Penelitian dilaksanakan pada bulan Juli sampai September 2019. Sampel pada penelitian ini  yaitu ibu-ibu hamil yang berada di Rumah Sakit dan Praktik Bidan Mandiri sebanyak 90 responden. Proses pengumpulan data yaitu responden mengisi kuesioner yang diberikan peneliti. Kuesioner tersebut telah dilakukan uji validitas dan reliabilitas dibuktikan dengan nilai corrected item-total correlation > 0,3 serta  nilai Cronbach alpha > 0,6. Data yang telah diperoleh kemudian dianalisis menggunakan uji chi square serta  regresi logistik. Hasil penelitian didapatkan tidak ada hubungan antara usia, paritas, riwayat keluarga, pekerjaan, pendidikan, frekuensi ANC dengan kejadian preeklampsia dengan p value > 0,05. Riwayat hipertensi merupakan faktor risiko preeklampsia. Bagi peneliti selanjutnya disarankan untuk menambah jumlah sampel dan melakukan analisis lebih lanjut mengenai faktor-faktor yag belum diteliti, seperti riwayat preeklampsia, jarak kelahiran, usia gestasi.  Kata kunci: AKI, preeklampsia, self care agency MULTIPLE FACTORS OF SELF CARE AGENCY IN PREGNANCY WOMEN WITH PREECLAMPSIA   ABSTRACT Maternal mortality due to hypertension in pregnancy can be prevented by early detection of increased blood pressure through quality antenatal care. Preeclampsia is still an unsolved problem because of the high incidence and complications of maternal and child deaths that occur. This makes the study of preeclampsia still very much needed in the hope that it can contribute data for further research. a study of self agency in pregnant women with preeclampsia has never been done in Indonesia. A strong self agency will contribute to pregnant women in preventing complications due to preeclampsia. The research objective was to analyze the factors that influence the self care agency in pregnant women with preeclampsia. The study design was cross sectional. The study was conducted in July to September 2019. Samples in this study were pregnant women who were in the Hospital and the Practice of Independent Midwives as many as 90 respondents. The process of collecting data is that respondents fill out questionnaires given by researchers. The questionnaire was tested for validity and reliability as evidenced by the corrected item-total correlation> 0.3 and Cronbach alpha> 0.6. The data obtained were then analyzed using the chi square test and logistic regression. The results showed there was no relationship between age, parity, family history, work, education, frequency of ANC with the incidence of preeclampsia with p value> 0.05. A history of hypertension is a risk factor for preeclampsia. Further researchers are advised to increase the number of samples and conduct further analysis of factors that have not been studied, such as a history of preeclampsia, birth spacing, gestational age.  Keywords: Maternal Mortality Rate, preeclampsia, self care agency

HUBUNGAN ANTARA PERAWATAN KAKI DENGAN RISIKO ULKUS KAKI DIABETES DI RUANG RAWAT INAP RSU KABUPATEN TANGERANG

Jurnal JKFT ◽  
2017 ◽  
Vol 1 (2) ◽  
pp. 8
Author(s):  
Imas Yoyoh ◽  
Imam Mutaqqijn ◽  
Nurjanah Nurjanah
Keyword(s):  
Diabetes Mellitus ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling

Diabetes mellitus (DM) merupakan salah satu penyakit kronik yang terus menerus mengalami peningkatan jumlah yang signifikan dari tahun ke tahun. Komplikasi jangka panjang dari DM baik mikrovaskular dan makrovaskular dapat menyebabkan insufiensi aliran darah ke tungkai, yang dapat berujung pada infeksi, ulkus dan berakhir pada amputasi. Tujuan penelitian adalah mengetahui hubungan perawatan kaki dengan risiko ulkus kaki diabetes di Ruang Rawat Inap RSU Kabupaten Tangerang. Desain penelitian ini adalah analitik korelasi dengan menggunakan pendekatan Cross Sectional dengan jumlah sampel 54 responden, pengambilan sampel menggunakan purposive sampling. Metode pengumpulan data menggunakan kuesioner yang berisi pertanyaan tentang perawatan kaki dan lembar observasi tentang risiko ulkus kaki diabetes. Uji analisis data menggunakan uji Chi-square. Hasil penelitian sebanyak 54 responden didapatkan data kategori perawatan kaki baik dengan risiko ulkus rendah sebanyak 14 responden (58,3%). Sedangkan kategori perawatan kaki kurang baik dengan risiko ulkus tinggi sebanyak 21 responden (70,0%). Hasil analisis diperoleh nilai OR = 3,267 artinya perawatan kaki yang kurang baik mempunyai peluang 3,267 kali untuk risiko tinggi ulkus. Hasil uji statistik menggunakan Chi-Square diperoleh p=0,036 dimana nilai p-value < 0,05, maka Ho ditolak artinya terdapat hubungan antara perawatan kaki dengan risiko ulkus kaki diabetes di Ruang Rawat Inap RSU Kabupaten Tangerang. Pasien DM dengan perawatan kaki yang kurang baik berpeluang untuk terjadinya risiko ulkus tinggi dibandingkan dengan pasien DM yang perawatan kakinya baik. 

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 Hubungan Antara Aktivitas Fisik Dan Riwayat Keluarga Dengan Kejadian Penyakit Jantung Koroner Di Puskesmas Banjarsari Kota Metro

2021 ◽  
Vol 3 (2) ◽  
pp. 181-191
Author(s):  
Rika Yulendasari ◽  
Usastiawaty Cik Ayu Saadiah Isnainy ◽  
Rima Ary Pradisca
Keyword(s):  
Physical Activity ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Family History ◽  
Self Care ◽  
Care Quality ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

ABSTRACT: RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND FAMILY HISTORY WITH CORONARY HEART DISEASE AT PUSKESMAS  BANJARSARI METRO Introduction: Based on data in coronary heart events Metro City 2018 total which is 1,309 new cases. For new diseases 190 men and 22 for women cases,  for old cases 369 men and 528 women in 2019 have a very drastic decrease, with total of new and old 229 patients with heart disease , for new diseases which is 32 men and 57 cases and women, for an old cases which is 60 cases for men and 80 cases for women.Purpose:  to known relations between physical activity and family history with coronary heart disease at Puskesmas Banjarsari Metro in 2020.Method: quantitative research type, analytical survey research plan with cross sectional approach, population and sample in research patients with heart failure are22 respondents. Univariate and bivariate data analysis used chi square test.Result : From 23 respondents, 13 respondents (56,5%) with low activity, families at risk which is 14 respondents (55,0%),  12 respondent (52,2%) with coronary heart, results of statistical tests using the chi square test obtained p-value = 0,022(< 0.05) , p-value = 0,006(< 0.05).Conclusion : Results of using the chi square test obtained p-value = 0,022(< 0.05) that means there is a relations between physical actiivity with occurrence coronary heart disease in Puskesmas Banjarsari Kota Metro 2020. Results of using the chi square test obtained p-value = 0,006(< 0.05) that means there is a relations between history of family with occurrence coronary heart disease in Puskesmas Banjarsari Kota Metro 2020. For peoples who risk of coronary heart disease (CHD) to behave healthy living by maintaining a diet by consuming foods that conform to diet coronary heart patients, avoid smoking, not consuming alcohol beverages, maintain weight stability and exercise regulary. Keywords : Knowledge, Self Care, Quality of life.       INTISARI:HUBUNGAN ANTARA AKTIVITAS FISIK DAN RIWAYAT KELUARGA DENGAN KEJADIAN PENYAKIT JANTUNG KORONER DI PUSKESMAS RAWAT INAP BANJARSARI KOTA METRO  Pendahuluan: Berdasarkan data kejadian jantung koroner di Kota Metro tahun 2018 pada berdasarkan jumlah kasus baru dan lama  sebanyak 1.309 dengan pembagian penyakit baru, laki-laki sebanyak 190 orang, perempuan sebanyak 22 orang, dan kasus lama, laki-laki sebanyak 369 orang, perempuan sebanyak 528 orang, pada tahun 2019 mengalami penurunan yang sangat drastis, yaitu total pasien jantung baru dan lama sebanyak 229 orang, dengan pembagian penyakit baru, laki-laki sebanyak 32 orang, perempuan sebanyak 57 orang, dan kasus lama, laki-laki sebanyak 60 orang, perempuan sebanyak 80 orang.Tujuan: Diketahui hubungan antara aktivitas fisik dan riwayat keluarga dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro Tahun 2020.Metode: Jenis penelitian kuantitatif, rancangan penelitian survey analitik dengan pendekatan cross sectional, populasi dan sampel dalam penelitian ini adalah pasien gagal jantung sebanyak 22  responden, Analisa data menggunakan univariat dan bivariat menggunakan uji chi square.Hasil : Dari 23 responden dengan aktivitas kurang sebanyak 13 responden (56,5%), riwayat keluarga beresiko sebanyak 14 responden (55,0%),  jantung koroner sebanyak 12 responden (52,2%), Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,022 (< 0.05) , p-value = 0,006 (< 0.05).Kesimpulan : Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,022 (< 0.05) yang artinya terdapat hubungan antara aktivitas fisik dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro Tahun 2020. Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,006 (< 0.05) yang artinya terdapat hubungan antara riwayat keluarga dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro  Tahun 2020Bagi seseorang yang mempunyai resiko terhadap terjadinya Penyakit Jantung Koroner (PJK) untuk berperilaku hidup sehat dengan jalan menjaga pola makan dengan jalan mengkonsumsi makanan yang sesuai dengan pola diit penderita PJK, menghindari merokok, tidak mengkonsumsi minuman beralkohol, menjaga kestabilan berat badan dan berolah raga secara teratur. Kata Kunci      : Pengetahuan, Self Care, Kualitas Hidup 

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