AbstrakPrevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Being dan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariate dengan regresi logistic. Diteliti pada 100 responden yang diambil secara random dalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio (OR) 4,736 (95% confidence interval (CI), 1,749 -12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 -16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 -9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planning ataupun rehabilitasi jantung.Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual. Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease AbstractCoronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual wellbeing. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD p...

INTRODUCTIONEmergency room is one of challenges rooms in regard to the resulting of distress and anxiety of patients and their relatives. The anxiety level in family members is varied, including depression. 1 The impact of distress and anxiety are destruction of communication among family members and these will result to inability to concentrate and insufficiency of coping mechanism.2 As a result, the changes of emotional status of the family members are ABSTRACT Background: Critical condition of patient is trigger to the increasing of anxiety of family members. This situation is vulnerable of ineffective nursing care services provide by nurses in emergency room. Communication is one of abilities which nurse have to performed, and is recognized not that simple in its implementation. This study aimed was to identify whether or not there is a relationship between communications performed by the nurses and the level of anxiety of family members of patient in Emergency Room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia. Methods: This study was cross-sectional study with non-parametric analysis data used was Spearman's Rho. Data were collected through direct observation by 4 numerators and observational sheet of nurse's communication. Level of anxiety of family members was measuring by using State Trait Anxiety Inventory Y-1. Data were collected from 47 family members and 47 nurses who were selected by using accidental sampling technique. Results: The study revealed that nurses performed eye contact, well informed consent, quick respond to the needs of patient and family members, clear voice, understandable language, introducing them self, active listening and emphatic, calm and friendly. Regarding anxiety of family members, 42.6% of them were showing moderate level of anxiety, whereas 34.0% of them were showing low level of anxiety. In bivariate analysis by using Spearman's Rho showed that p value was 0.000 and coefficient correlation -0.765. It was indicated that there was significantly relationship between communication of emergency nurses and the level of anxiety of family members. It was indicated that the more effective the communication performed by nurses, the less the anxiety level of family members. Conclusions: Nurse is required to be able to perform their therapeutic communication skill effectively so that the anxiety level of family members is decreasing. As a result, the stable emotion of family members affect to the appropriate decision making of medical treatment.

Background: Coronary Heart Disease (CHD) has a high recurrence in Indonesia. This condition may occur as a result of the failure of compliance with post-acute management following a heart attack by CHD patients. One of the causes is the lack of effective health education.Objective: The aim of this study was to identify the feasibility of the workbook in improving patients’ self-efficacy (SE) and quality of life (QoL).Methods: This research used a quasi-experimental with pretest-posttest control design. A pretest was done to the patients who were treated in the cardiac intensive unit, and a posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospitals in West Java, Indonesia. A purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The intervention group was given a health education using a workbook, and the control group was given a direct health education. Self-efficacy was measured using a questionnaire developed by the authors, with high validity and reliability. A SF-12 instrument was used for measuring the quality of life.  Data were analyzed using a descriptive quantitative analysis such as mean, Mann Whitney test, and Independent t-test. To estimate the effects of the intervention to QoL and SE, Kruskal Wallis test and One-way ANOVA were used.Results: The results showed that there was an increase in SE and QoL in both groups, either in the posttest 1 or posttest 2. The comparison of QoL in the pretest, posttest I and II obtained p=.452, .741, and .826, while SE between and within groups obtained p = .732, .220, and .009, respectively.Conclusions: Health education using the workbook was significantly more effective to increase SE than QoL of the CHD patients.

AbstrakKarekteristik pasien diabetes melitus (DM) tipe 2 yang dapat memengaruhi kualitas hidupnya meliputi umur, jenis kelamin, tingkat pendidikan, sosial ekonomi, lama menderita DM, dan status pernikahan. Tujuan penelitian ini adalah mengetahui gambaran kualitas hidup berdasarkan karekteristik pasien DM tipe 2. Penelitian deskriptif kuantitatif ini melibatkan 89 responden yang diambil menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner karekteristik responden dan Quality of Life Instrument for Indian Diabetes Patients (QOLID) yang terdiri dari 34 pertanyaan. Data yang terkumpul dikategorikan menjadi kualitas hidup tinggi/rendah berdasarkan nilai mean. Hasil penelitian menunjukkan bahwa kualitas hidup (QoL) pasien DM tipe 2 secara keseluruhan adalah tinggi (56,18%). Berdasarkan umur, QoL tinggi terbesar adalah lansia (65,9%) dan QoL rendah terbesar adalah dewasa madya (53,84%). Jenis kelamin, QoL tinggi terbesar adalah laki-laki (58,97%) dan QoL rendah terbesar adalah perempuan (46%). Tingkat pendidikan, QoL tinggi terbesar berada pada perguruan tinggi (78,26%) dan QoL rendah terbesar berada pada SD (65%). Berdasarkan sosial ekonomi, QoL tinggi terbesar adalah penghasilan lebih dari >5 juta (87,5%) dan QoL rendah terbesar adalah <1 juta (66,67%). Berdasarkan lama menderita, QoL tinggi terbesar adalah >10 tahun (66,67%) dan QoL rendah terbesar adalah < 1 tahun (53,33%). Berdasarkan status pernikahan QoL tinggi terbesar adalah menikah (56,16%) dan QoL rendah terbesar adalah janda/duda (46,67%). Perawat diharapkan dapat membantu pasien dengan karekteristik tingkat pendidikan SD, usia dewasa madya, penghasilan <1 juta dan lama menderita <1 tahun dengan cara mengembangkan aktivitas yang dapat mendukung peningkatan QoL pasien DM tipe 2.Kata kunci: DM tipe 2, karekteristik pasien, kualitas hidup. The Quality of Life of Patient with Type 2 Diabetes Mellitus AbstracttAges, sex, education levels, economic status, marital status, and the length of life with diabetes mellitus are characteristics of patient with type 2 DM that can affect to their quality of life. The purpose of this study was to describe type 2 diabetes mellitus patients' quality of life based on patients' characteristics. Descriptive quantitative approach with purposive sampling was applied to 89 respondents. Data were collected using Quality of Life Instruments for Indian Diabetes Patients (QOLID), which consists of 34 questions. Data were analyzed using means scores. The result showed that quality of life (QoL) of patients with type 2 diabetes were high (56.18%). Based on age categories, the highest QoL was the elderly group (65.9%) and the lowest was the middle adulthood group (53.84%). Men had higher QoL than women with (58.97%) and (46%), respectively. This study also found that university graduates had the highest QoL (78.26%) and the lowest were elementary school graduates (65%). Based on the economic status, people with income >5 million (50%) had the highest QoL and the lowest was people with income <1 million (35.90%). Di...

No abstract

Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that  spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD  in Indonesia was still unknown.Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients.Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variabels were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and  Spirituality Index of Well-Being scale. Data were taken on 100 respondents within 3 months  in outpatient cardiac unit with the consecutive sampling technique and analyzed  by spearman correlation test.Results: The results showed mean of the anxiety; depression; and spiritual well-being respectively were 47.66; 43; and 60.   Based on spearman test, spiritual wellbeing correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571).Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with a negative correlation direction. The higher the spiritual well-being will be the lower the level of anxiety and depression. Thus nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.

Background. Depression has been related to poor quality of life and recurrence in CHD patients. It is important to explore factors associated with the depression to prevent problems and to assist with appropriate intervention. Furthermore, the determinants of depression in CHD patients in Indonesia are still unknown. Purpose. This study aimed to identify the determinants of depression in CHD patients in Indonesia. Method. This study was a quantitative study with a cross-sectional approach. Samples were recruited from outpatient care in a referral hospital in Bandung using a consecutive sampling technique for a-2 month period (n=101). Data were collected using a questionnaire package consisting of a demographic questionnaire, Beck Depression Index [BDI] (II), Zung Self-rating Anxiety Scale, Seattle Angina Questionnaire, and Spirituality Index of Well-Being. Data were analyzed using descriptive quantitative and logistic regression analysis. Findings. In terms of its association with depression in CHD patients, low spiritual well-being had the highest odds ratio [OR] (OR = 9.3, 95% CI = 2.968 - 29.451, p <0.01); non-anxious state and medication history had low ORs (sequentially OR = 0.2, 95% CI = 0.067 - 0.644, p < 0.01; OR=0.2 95% CI = 0.062 - 0.772, p < 0.01);  PCI (percutaneous coronary intervention) with medication had the lowest OR value (OR = 0.02, 95% CI = 0.002 - 0.278, p <0.01). On the other hand,  unmarried status and male gender were identified as confounding variables. Conclusions. Low spiritual well-being was a major predictor of depression in CHD patients, whereas no anxiety, and history of medication, consist of CHD medication and reperfusion therapy contributed to a lower risk of depression. It is recommended to include strategies in improving spiritual well being and managing anxiety to reduce the risk of depression among CHD patients.

Prevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Beingdan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariatedengan regresi logistic. Diteliti pada 100 responden yang diambil secara randomdalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio(OR) 4,736 (95% confidence interval(CI), 1,749 – 12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 – 16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 – 9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planningataupun rehabilitasi jantung.Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual.Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease AbstractCoronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual well-being. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD patients using a significance of ƿ-value < 0.005 were: anxiety (ƿ=0,002, OR = 4,736, 95% CI, 1,749 – 12,827); depression (ƿ=0,003; OR=5,450, 95% CI, 1,794 – 16,562); and revascularizations (ƿ=0,033; OR=3,232, 95% CI, 1,096 – 9,528). Depression was considered as the most significant factor; therefore, managing depression is a priority in the discharge planning or cardiac rehabilitation programme. Keywords: Anxiety, depression, quality of life, spiritual, well-being.