HUBUNGAN ANTARA FAKTOR RISIKO DENGAN LAMA PERAWATAN PADA PASIEN GAGAL JANTUNG DI RSUD ULIN BANJARMASIN DENGAN PENDEKATAN TEORI SELF-CARE OREM'S

Bagus Rahmat Santoso, Djanggan Sargowo, Heri Kristianto

Abstract


 

ABSTRAK

Gagal jantung masih merupakan masalah kesehatan masyarakat global yang ditandai dengan angka kematian yang tinggi yang mencapai 10-50% pertahun. Tingginya angka kejadian gagal jantung sangat dipengaruhi oleh faktor risiko yang mempengaruhi terhadap lama perawatan dirumah sakit dan self-care pasien. Penelitian ini bertujuan untuk menganalisa hubungan faktor risiko terhadap self-care dan lama perawatan pasien .gagal jantung. Rancangan penelitian ini adalah obervasional analitik dengan pendekatan prospektif dengan cara mengumpulkan data rekam medis dan obervasi self-care pasien di IGD RSUD Ulin Banjarmasin dari bulan agustus sampai oktober 2013. Jumlah populasi adalah 118 pasien dan sampel yang memenuhi kriteria inklusi sebanyak 88 responden (laki-laki 46, perempuan 42). Faktor risiko gagal jantung yang gunakan pada penelitian ini usia, jenis kelamin, riwayat keluarga, hipertensi, diabetes melitus, dyslipidemia, obesitas, dan riwayat merokok, Dari hasil analisa dengan menggunakan uji path menunjukkan bahwa signifikan t hitung: 1,362 > (t tabel: 0,67732) yang bermakna faktor risiko mempengaruhi lama perawatan gagal jantung dengan faktor risiko yang paling berpengaruh berturut-turut yaitu hipertensi (p: 1,980), jenis kelamin (p: 1,950), riwayat.merokok (p: 1,931), diabetes melitus.(p: 1,802), obesitas (p: 1,762) dan dyslipidemia (p: 1,687). Faktor risiko juga mempengaruhi self-care pasien dengan hasil t hitung: 1,362 (t tabel: 0,67732). Disamping itu, self-care juga mempengaruhi  lama perawatan pasien gagal jantung dengan nilai t hitung: 6,946 (t tabel: 0,67732). Faktor risiko hipertensi, jenis kelamin, riwayat merokok, diabetes melitus, obesitas, dan dyslipidemia beserta self-care pasien memiliki hubungan bermakna terhadap lama perawatan pasien gagal jantung.

Kata-kata kunci: Faktor risiko, self-care, lama perawatan dan gagal jantung.

 

 ABSTRACT

Heart failure remains a global public health problem that is characterized by high mortality rates reaching 10-50% at one year. The high incidence of heart failure is influenced by risk factors that affect the long hospitalization and patient self-care.The aims of this research was to analyze the relationship risk factors with self-care and length of stay of heart failure patients.The design of this research was observational analytic with a prospective approach by collecting medical records and observation of self-care patients in IGD RSUD Ulin Banjarmasin from August to October 2013. Total population was 118 and sample consist in the inclusion criteria were 98 respondents (male 46, female 42).The risk factors of heart failure used in this research were age, gender, family history, hypertension, diabetes mellitus, dyslipidemia, obesity, and history of smoking. The results from path analysis showed that significant t value: 1.362 > (t table: 0.67732) were significant risk factors that affect the length of stay. Heart failure with most influential risk factors were hypertension (p: l. 980), gender (p: 1.950), history of smoking (p: 1.931), diabetes mellitus (p: 1.802), obesity (p: l.762) and dyslipidemia (p: 1.687). Respectively risk factors also affected self-care of patients with t value of 1,362 > (t table: 0.67732). In addition, self-care also affected the length of stay of heart failure patients with t value of 6.946 > (t table: 0.67732). Risk factors of heart failure such as hypertension, gender, smoking history, diabetes mellitus, obesity, and dyslipidemia along with self-care patients have related with length of stay of heart failure patients.

Keywords: Risk factor, self-care, length of stay, and heart failure.


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DOI: http://dx.doi.org/10.20527/dk.v2i2.3082

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