Tingkat Resiliensi Dengan Kualitas Hidup Pasien Tb Paru Yang Menjalani Rawat Jalan
DOI:
https://doi.org/10.32584/jikj.v5i3.2003Keywords:
resiliensi; kualitas hidup; TB paruAbstract
ABSTRAK
Pasien TB paru kebanyakan tidak teratur dalam berobat karena tidak adekuatnya motivasi terhadap kepatuhan berobat, sehingga pasien harus mampu bertahan dan menyesuaikan diri meskipun berada dalam keadaan yang sulit. Proses penyesuaian diri dalam bertahan terhadap keadaan tersebut disebut resiliensi. Fenomena yang terjadi pada pasien TB paru cenderung mengalami penurunan resiliensi karena merasa cemas penyakitnya menular pada orang lain, sikap pasif, merasa rendah diri dan penerimaan diri rendah. Tujuan penelitian ini untuk mengetahui hubungan resiliensi dengan kualitas hidup pasien TB Paru yang menjalani rawat jalan. Metode penelitian yang digunakan yaitu cross sectional dengan menggunakan alat ukur Brief Resilience Scale (BRS) untuk mengukur resiliensi dan alat ukur Short Form–36 (SF-36) untuk mengukur kualitas hidup. Uji statistik yang digunakan untuk mengetahui hubungan anatara variabel yaitu uji korelasi gamma. Hasil penelitian ini menunjukkan bahwa mayoritas pasien berusia lebih dari 60 tahun, jenis kelamin perempuan, tingkat pendidikan SMA, dan mayoritas tidak bekerja. Mayoritas pasien memiliki tingkat resiliensi kurang (48%) dan kualitas hidup kategori sedang (45,3%). Hasil analisa data menunjukkan terdapat hubungan yang tinggi antara tingkat resiliensi dengan kualitas hidup pada pasien TB paru. Sebaiknya perawat mampu mengkaji tingkat resiliensi pasien sebagai dasar dalam memberikan intervensi keperawatan agar pasien dapat meningkatkan kualitas hidupnya.
Kata kunci: resiliensi; kualitas hidup; TB paru
ABSTRACT
Pulmonary TB patients are mostly irregular in taking treatment because of inadequate motivation for adherence to treatment, so patients must be able to survive and adapt even when they are in difficult circumstances. The process of self-adjustment in surviving these circumstances is called resilience. The phenomenon that occurs in pulmonary TB patients tends to experience a decrease in resilience because they feel worried that their disease will spread to others, passivity, feel inferior and have low self-acceptance. The purpose of this study was to determine the relationship between resilience and the quality of life of pulmonary TB patients undergoing outpatient care. The research method used was cross sectional using the Brief Resilience Scale (BRS) to measure resilience and the Short Form–36 (SF-36) to measure quality of life. The statistical test used to determine the relationship between variables is the gamma correlation test. The results of this study indicated that the majority of patients were over 60 years old, female, high school education level, and the majority did not work. The majority of patients have less resilience (48%) and moderate quality of life (45.3%). The results of data analysis showed that there was a high relationship between the level of resilience and quality of life in pulmonary TB patients. Nurses should be able to assess the patient's resilience level as a basis for providing nursing interventions so that patients can improve their quality of life.
Keywords: resilience, quality of life, TB paru
References
Aran, Maria L. B. (2021). Resiliensi dan Kualitas Hidup Pasien TB Paru dalam masa Pandemi Covid-19. Journal of Nursing Care & Biomolecular. Volume 6. Nomor 2 Tahun 2021.
Babic, R., Babic, M., Rastovic, P., Curlin, M., Simic, J., Mandic, K., & Pavlovic, K. (2020). Resilience in Health and Illness. Medicinska Naklada, 32, 226–232.
Blewitt, J and Tilbury, D. (2014). Searching for Resilience in Sustainable Development. Ney York: Fish Books Ltd, Enfield
Cao, Q., Qian, Y., & Yang, C. (2020). Resilience and quality of life among empty nesters in China: the mediating role of the source of support. Journal of General Psychology, 147(3), 261–276.
Dewi, N. L. P. T., Wati, N. M. N., & Juanamasta, I. G. (2019). Dukungan Caregiver Berdampak Terhadap Penerimaan Diri Pasien TBC. Jurnal Kesehatan Masyarakat, 9(2), 192–198
Dinas Kesehatan Kota Semarang. (2017). Profil Kesehatan Kota Semarang Jawa Tengah Tahun 2017. Dinkes Kota Semarang
Dinas Kesehatan Jawa Tengah. (2020). Profil Kesehatan Provinsi Jawa Tengah Tahun 2020. Semarang: DKK
Fikri, L.A. (2021). Hubungan antara resiliensi dan kualitas hidup lansia selama pandemic covid-19. Repository Universitas Islam Indonesia
Kementrian Kesehatan RI. (2017). Pusat Data dan Informasi. Jakarta Selatan KEPMENKES RI NOMOR: 812/MENKES/SK/VII/2007. Tentang kebijakan perawatan paliatif, Menteri Kesehatan Republik Indonesia.
Nafsi, A. Y., & Rahayu, S. R. (2020). Analisis Spasial Tuberkulosis Paru Ditinjau dari Faktor Demografi dan Tingkat Kesejahteraan Keluarga di Wilayah Pesisir. 1(1), 72–82.
Rosyidi, Asmuji & Komarudin (2020). Hubungan Resiliensi dengan Kepatuhan Terapi Obat Pada Pasien TB Paru di Wilayah Puskesmas Sumbersari Kabupaten Jember. Universitas Muhammadiyah Jember.
Sihotang, Lampus & Pandelaki. (2012). Gambaran Penderita Tuberculosis Paru yang Berobat Menggunakan DOTS di Puskesmas Bahu Malalayang. Jurnal Kedokteran Komunitas dan Tropik. Volume 1. Nomor 1. Februari 2013.
Suriya, Melti. (2018). Faktor – Faktor yang Berhubungan dengan Kualitas Hidup Pasien TB Paru di Rumah Sakit Khusus Paru Lubuk Alung Sumatera Barat. Jurnal Keperawatan Abdurrab. Volume 2. Nomor 1. Tahun 2018
Wang, C., Zhang, B., Oláh, J., & Hasan, M. (2021). Factors influencing the quality of life of empty nesters: Empirical evidence from southwest China. Sustainability (Switzerland), 13(5), 1–15
World Health Organization. (2018). WHO Global Tuberculosis report. http://www.who.int/tb/publication/global_report/en/
Xu, J., & Ou, L. (2014). Resilience and quality of life among Wenchuan earthquake survivors: The mediating role of social support. Public Health, 128(5), 430– 437
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Jurnal Ilmu Keperawatan Jiwa

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

This work is licensed under a Creative Commons Attribution 4.0 International License.

