Electronic Theses and Dissertation

Ulkus diabetik dapat menyebabkan dampak negatif pada psikologis penderitanya, dalam menanggulangi masalah tersebut dibutuhkan mekanisme koping yang adaptif agar lebih baik dalam menghadapi masalah yang dideritanya. Penelitian ini bertujuan untuk melihat hubungan kemampuan memecahkan masalah, keyakinan, dukungan sosial, keterampilan sosial, pendapatan terhadap mekanisme koping dan melihat determinan yang paling berpengaruh. Desain dalam penelitian ini menggunakan survey analitik dengan pendekatan cross-sectional, metode sampling dengan purposive sampling sebanyak 116 responden. Instrumen yang digunakan adalah Coping Scale Questionnaire (CSQ), Problem Solving Confident Questionnaire (PSCQ), General Self-Efficacy Scale (GES), Multidimensional Scale of Perceived Social Support dan Kuesioner Keterampilan Sosial. Data dianalisis dengan menggunakan uji chi-square test dan regresi logistic dengan metode stepwise. Hasil analisis deskriptif diketahui bahwa 79 responden (68,1%) memiliki mekanisme koping yang adaptif. Pada uji bivariat didapatkan keyakinan (p=0,036), kemampuan memecahkan masalah (p=0,001), dukungan sosial (p=0,004), keterampilan sosial (p=0,001), dan pendapatan (p=0,004) yaitu semua faktor mempunyai korelasi terhadap mekanisme koping. Hasil analisis multivariat ditemukan faktor kemampuan memecahkan masalah berhubungan dengan mekanisme koping pada pasien ulkus diabetik (p=0,003; OR=4,465). Dapat disimpulkan kemampuan memecahkan masalah, keyakinan, dukungan sosial, keterampilan sosial, pendapatan mempunyai hubungan terhadap mekanisme koping dan faktor yang determinan adalah kemampuan memecahkan masalah. Disarankan perlunya peningkatan kemampuan memecahkan masalah, keyakinan, dukungan dan keterampilan sosial agar mendapatkan mekanisme koping yang adaptif dalam menjalani perawatan ulkus diabetik.

Diabetic ulcers can cause a negative impact on the psychology of the sufferer, in tackling these problems, adaptive coping mechanisms are needed to better deal with the problems they suffer. This study aims to examine the relationship between problem-solving abilities, beliefs, social support, social skills, income and coping mechanisms and to see the determinant factors. The design in this study used an analytical survey with a cross-sectional approach, sampling method with purposive sampling of 116 respondents. The instruments used in this research are Coping Scale Questionnaire (CSQ), Problem Solving Confident Questionnaire (PSCQ), General Self-Efficacy Scale (GES), Multidimensional Scale of Perceived Social Support and Social Skills Questionnaire. Data were analyzed using the chi-square test and logistic regression using the stepwise method. The results of the descriptive analysis revealed that 79 respondents (68.1%) had adaptive coping mechanisms. The results of the bivariate test showed confidence (p=0.036), problem-solving ability (p=0.001), social support (p=0.004), social skills (p=0.001), and income (p=0.004). The results of multivariate analysis found that problem-solving skills were related to coping mechanisms in diabetic ulcer patients (p=0.003; OR=4.465). In conclusion, problem solving ability, belief, social support, social skills, income are related to coping mechanisms and the determinant factor is problem solving ability. Researchers suggest the need to improve problem-solving skills, confidence, support and social skills in order to obtain adaptive coping mechanisms in undergoing diabetic ulcer treatment.