Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN, KEBUDAYAAN, RISET DAN TEKNOLOGI
UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
Juni 2023

xiv + V BAB + 100 Halaman + 18 Tabel + 2 Skema + 17 Lampiran

MAYA SYAFITRI
2112201010006

Determinan Perilaku Pencegahan Sekunder Penyakit Jantung Koroner di Poliklinik Jantung Rumah Sakit Kabupaten Aceh Tengah

ABSTRAK
Pasien Penyakit Jantung Koroner (PJK) beresiko tinggi mengalami serangan jantung berulang, untuk itu diperlukan upaya pencegahan yang baik agar tidak terjadi kekambuhan dan rehospitalisasi. Upaya tersebut dapat diimplementasikan dengan perilaku pencegahan sekunder PJK. Penelitian ini bertujuan untuk mengetahui determinan perilaku pencegahan sekunder pada pasien PJK. Desain penelitian ini adalah deskriptif korelasi dengan pendekatan cross sectional. Penelitian ini melibatkan 130 pasien PJK yang dipilih dengan teknik simple random sampling. Data dikumpulkan dengan menggunakan kuesioner self-reported, yang terdiri dari tiga kuesioner yaitu kuesioner sosiodemografi, Health Belief Related to Cardiovascular Disease (HBCVD), dan Perilaku Pencegahan Sekunder Penyakit Jantung Koroner. Data dianalisis dengan menggunakan uji chi square dan regresi logistik berganda, dengan hasil yang menunjukkan hubungan yang signifikan antara pendidikan (p=0,046), penghasilan (p=0,023), perceived susceptibility (p=0,017), perceived severity (p=0,034) dan self-efficacy (p=0,012) dengan perilaku pencegahan sekunder PJK. Determinan yang berhubungan dengan perilaku pencegahan sekunder PJK adalah penghasilan, perceived susceptibility dan self-efficacy, sedangkan determinan yang paling dominan adalah penghasilan (p=0,022) dengan nilai OR 2,65 (95% CI: 1,152-6,094). Dengan demikian dapat disimpulkan bahwa responden dengan penghasilan tinggi mempunyai kesempatan 2,65 kali lebih besar untuk melakukan perilaku pencegahan sekunder PJK dibandingkan dengan yang berpenghasilan rendah. Oleh karena itu, direkomendasikan kepada tenaga kesehatan agar memfokuskan pengembangan program promosi kesehatan terkait perilaku pencegahan sekunder PJK dengan melibatkan pasien dan keluarga/caregiver dengan penghasilan rendah, perceived susceptibility dan self-efficacy yang rendah karena paling beresiko memiliki perilaku pencegahan sekunder PJK yang lebih buruk.

Kata kunci : Pencegahan Sekunder, Penghasilan, Penyakit Jantung Koroner
Daftar Pustaka : 14 Buku, 2 Tesis, 42 Jurnal, 7 Sumber Online (2006-2022)

MINISTRY OF EDUCATION, CULTURE, RESEARCH, AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER PROGRAM OF NURSING SCIENCE THESIS June 2023 xiv + V chapters + 100 pages + 18 tables + 2 figures + 17 appendices MAYA SYAFITRI 2112201010006 Determinants of Secondary Prevention Behavior for Coronary Artery Disease in the Cardiac Polyclinic, Central Aceh District Hospital ABSTRACT Coronary Artery Disease (CAD) patients are at high risk of having recurrent heart attacks, which requires reasonable prevention efforts to prevent recurrence and rehospitalization. These efforts can be implemented with CAD secondary prevention behavior. This study aimed to identify the determinants of secondary prevention behavior in CAD patients. The design of this research is a descriptive correlation with a cross-sectional approach. The sample in this study was 130 CAD patients selected by a simple random sampling technique. Data were collected using a self-reported questionnaire consisting of three questionnaires: the sociodemographic questionnaire, Health Belief Related to Cardiovascular Disease (HBCVD), and Coronary Artery Disease Secondary Prevention Behavior. Data were analyzed using the chi-square test and multiple logistic regression, with the results showing a significant relationship between education (p=0.046), income (p=0.023), perceived susceptibility (p=0.017), perceived severity (p=0.034), and self-efficacy (p=0.012) with CAD secondary prevention behavior. The determinants associated with CAD secondary prevention behavior were income, perceived susceptibility, and self-efficacy, while the most dominant factor was income (p=0.022), with an OR value of 2.65 (95% CI: 1.152-6.094). Thus, it can be concluded that respondents with high income have 2.65 times greater opportunity to carry out CAD secondary prevention behavior compared to those with low income. Therefore, it is recommended that health workers focus on developing health promotion programs related to CAD secondary prevention behavior by involving patients and families/caregivers with low income, perceived susceptibility, and self-efficacy because they are most at risk of having worse CAD secondary prevention behavior. Keywords : Secondary Prevention, Income, Coronary Artery Disease Bibliography : 14 Books, 2 Theses, 42 Journals, 7 Online Resources (2006-2022)