Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN TINGGI, SAINS DAN TEKNOLOGI
UNIVERSITAS SYIAH KULA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
15 Juli 2026
xv + V BAB + 137 halaman + 19 tabel + 2 skema + 1 gambar + 34 lampiran

KASIHANI
NPM: 2412201010017

DETERMINAN KUALITAS HIDUP PADA PASIEN WANITA DENGAN CHRONIC LOW BACK PAIN DI RUMAH SAKIT PEMERINTAH ACEH

ABSTRAK

Pasien Chronic Low Back Pain (CLBP) mengalami nyeri kronik yang berdampak pada kualitas hidup. Berdasarkan data rumah sakit pemerintah Aceh, pada tahun 2024 tercatat 794 kasus CLBP. Penelitian ini bertujuan mengidentifikasi determinan kualitas hidup pada pasien wanita dengan CLBP di rumah sakit pemerintah Aceh. Penelitian ini menggunakan desain cross-sectional. Populasi penelitian berjumlah 250 pasien wanita dengan CLBP yang menjalani perawatan selama periode penelitian dan seluruhnya diikutsertakan sebagai sampel menggunakan teknik total sampling. Instrumen penelitian meliputi kuesioner sosiodemografi, Tampa Scale for Kinesiophobia (TSK), Fear Avoidance Beliefs Questionnaire (FABQ), Baecke Physical Activity Questionnaire (BPAQ), Beck Anxiety Inventory (BAI), dan World Health Organization Quality of Life-BREF (WHOQOL-BREF). Kualitas hidup diukur berdasarkan empat domain, yaitu fisik, psikologis, hubungan sosial dan lingkungan. Data dianalisis menggunakan uji chi-square dan regresi logistik. Hasil penelitian menunjukkan bahwa status pekerjaan tidak berhubungan dengan kualitas hidup pada pasien wanita dengan CLBP, sedangkan persepsi status kesehatan, kinesiophobia, fear avoidance beliefs, aktivitas fisik, dan ansietas berhubungan dengan kualitas hidup pada pasien wanita dengan CLBP. Kinesiophobia merupakan determinan yang paling berpengaruh terhadap kualitas hidup pada pasien wanita dengan CLBP (AOR = 0,105; 95% CI: 0,013–0,830), yang menunjukkan bahwa pasien dengan kinesiophobia tinggi memiliki peluang lebih rendah untuk memiliki kualitas hidup yang baik dibandingkan pasien dengan kinesiophobia rendah. Oleh karena itu, perawat di rumah sakit diharapkan dapat mengintegrasikan pengkajian, skrining, dan intervensi yang berfokus pada determinan kualitas hidup ke dalam praktik keperawatan.
Kata Kunci: Chronic low back pain, kualitas hidup, kinesiophobia, wanita
Daftar Pustaka: 4 Buku, 104 Artikel jurnal ilmiah, 6 Sumber online (2001-2026)

MINISTRY OF HIGHER EDUCATION, SCIENCE, AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER OF NURSING STUDY PROGRAM THESIS July 15, 2026 xv + V chapters + 136 pages + 19 tables + 2 schemes + 1 figure+ 32 appendices DETERMINANTS OF QUALITY OF LIFE IN WOMEN WITH CHRONIC LOW BACK PAIN AT A GOVERNMENT HOSPITAL IN ACEH ABSTRACT Patients with Chronic Low Back Pain (CLBP) experience persistent pain that adversely affects their quality of life. According to data from a government hospital in Aceh, 794 cases of CLBP were recorded in 2024. This study aimed to identify the determinants of quality of life among female patients with CLBP at a government hospital in Aceh. A cross-sectional study design was employed. The study population consisted of 250 female patients with CLBP who received treatment during the study period, all of whom were included using a total sampling technique. Data were collected using a sociodemographic questionnaire, the Tampa Scale for Kinesiophobia (TSK), the Fear-Avoidance Beliefs Questionnaire (FABQ), the Baecke Physical Activity Questionnaire (BPAQ), the Beck Anxiety Inventory (BAI), and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Quality of life was assessed across four domains: physical health, psychological health, social relationships, and environment. Data were analyzed using the chi-square test and logistic regression. The results showed that employment status was not associated with quality of life among female patients with CLBP, whereas perceived health status, kinesiophobia, fear-avoidance beliefs, physical activity, and anxiety were associated with quality of life. Kinesiophobia was identified as the strongest determinant of quality of life among female patients with CLBP (AOR = 0.105; 95% CI: 0.013–0.830), indicating that patients with high kinesiophobia were less likely to have a good quality of life than those with low kinesiophobia. Therefore, nurses are expected to integrate assessment, screening, and interventions targeting the determinants of quality of life into nursing practice. Keywords: Chronic Low Back Pain, quality of life, kinesiophobia, women References: 4 books, 104 journal articles, 6 online sources (2001–2026)