Analisis Faktor yang Memengaruhi Self Management Behaviour pada Pasien Hipertensi

Lia Mulyati, Krisna Yetti, Lestari Sukmarini

Abstract


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

 

Abstract
Hypertension 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


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DOI: https://doi.org/10.24198/jkp.v1i2.59

DOI (PDF): https://doi.org/10.24198/jkp.v1i2.59.g56

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