Effect of Self Management Education on Quality of Life of Clients with Coronary Heart Disease

Abstract

Penyakit jantung koroner (PJK) masih menjadi penyebab kematian nomor satu di dunia dengan 17,3 juta kematian setiap tahun nya. PJK memberikan dampak berupa gejala fisik dan psikoemosional, hal tersebut akan mempengaruhi kualitas hidup klien dan self management merupakan faktor pengendali untuk meningkatkan kepuasan klien dalam menjalani hidup. Penelitian ini bertujuan untuk mengidentifikasi adanya pengaruh edukasi tentang self management terhadap kualitas hidup pada klien dengan penyakit jantung koroner di Poli Jantung RSUD dr. Drajat Prawiranegara Serang. Penelitian berjenis quasi eksperiment dengan pre-post test one-group design. Jumlah Sampel sebanyak 25 klien PJK dengan metode pengambilan menggunakan purposive sampling. Alat pengumpulan data untuk mengukur kualitas hidup menggunakan instrumen WHOQOL BREF. Analisis univariat disajikan dalam mean, Standar deviasi, persentasi dan distribusi frekuensi, sementara, analisis bivariat menggunakan uji t-dependent (paired sample t-test). Hasil analisis univariat didapatkan nilai mean±SD kualitas hidup sebelum diberikan edukasi self management 38,52 ± 5,53. Sementara nilai mean kualitas hidup setelah diberikan edukasi didapatkan 59,64±3,067. Hasil analisis bivariat didapatkan nilai selisih mean±SD sebesar 21,12±6,26 dengan p vaue=0,000. Ada pengaruh edukasi self management terhadap kualitas hidup pada klien dengan penyakit jantung koroner. Tenaga keperawatan sebaiknya dapat menerapkan edukasi kesehatan kepada klien PJK sebagai media untuk pengembangan intervensi pada kejadian penurunan kualitas hidup yang dialami oleh klien PJK.Coronary heart disease (CHD) is still the number one cause of death in the world with 17.3 million deaths every year, CHD has the effect of physical and psycho-emotional symptoms, this will affect the quality of life of the client and self management is a controlling factor to improve patient satisfaction in living life. This study aims to identify the influence of education about self management on the quality of life for clients with coronary heart disease at Cardiac Clinic of dr. Dradjat Prawiranegara General Hospital Serang. This study is a quasi-experimental with pre-post test one-group design. The samples size are 25 clients using selected by purposive sampling methode. Data collection tool to measure quality of life used  WHOQOL BREF instrument. Univariate analysis using mean, standard deviation, percentage and frequency distribution. Meanwhile, bivariat analysis used dependent T-test. (Paired sample t-test). The results of univariate analysis showed the mean±DS quality of life before being given self management education is 38.52±5.53. Meanwhile the mean value of quality of life after being given education is 59.64±3.067. The results of bivariate analysis obtained mean ± DS that are 21.12±6.26 with a p value = 0,000. There is an effect of self-management education on quality of life for clients with coronary heart disease. Nursing staff should be able to apply health education to CHD clients as a medium for the development of interventions in the quality decline life experienced by CHD clients