Faktor yang Memengaruhi Kualitas Hidup Pasien Paska Bedah Pintas Arteri Koroner
DOI:
https://doi.org/10.26630/jk.v12i1.2277Keywords:
Bypass grafting, Coronary artery, Pain, Quality of Life.Abstract
Coronary Artery Bypass Grafting (CABG) is aimed to improve the quality of life among post-CABG patients, there exist a large number of patients having a low level of quality of life. The study aimed to analyze factors that influenced the quality of life among post-CABG patients. The descriptive study was conducted using cross-sectional analysis with a consecutive sampling of 80 post CABG patients in Hasan Sadikin Hospital from 20 May-30 June 2019. Data were analyzed using multivariate linear regression. The independent variables in this study included age, gender, education level, pain, mental health, social support, spiritual well-being, and cardiac rehabilitation. The data were collected using three questionnaires which included Short-Form 36 (SF-36) to measure patient-reported pain, mental health, and the quality of life; Multidimensional Scale of Perceived Social Support (MSPSS) to provide information about the role of social support; and Spirituality Index of Well Being (SIWB) designed to measure the spiritual well-being of the patients. The results showed four factors had significantly influenced the quality of life among patients after CABG. The factors included age (p-value<0,001; r=0,521), pain level (p-value<0,001; r=0,666), mental health (p-value<0,001; r=0,426), and social support (p-value<0,001; r=0,345). Pain factor had the most significant effect on the patients (r=0,497). Pain could cause a stress response that influenced the recovery stage which eventually impacted the quality of life. This study implies that the management of post-CABG patients could be performed by applying pain and stress management in discharge planning.
References
lexander, J. H., & Smith, P. K. (2016). Coronary-artery bypass grafting. New England Journal of Medicine, 374(20), 1954-1964.
Aziza, W. (2010). Pengalaman Klien tentang Perawatan Post CABG terhadap Kualitas Hidup dalam Konteks Asuhan Keperawatan: Study Fenomenologi di Unit Pelayanan Jantung Terpadu RSUPN Dr. Cipto Mangunkusumo Jakarta. [Tesis]. Depok: Fakultas Ilmu Keperawatan, Universitas Indonesia.
Bak, E., & Marcisz, C. (2014). Quality of life in elderly patients following coronary artery bypass grafting. Patient preference and adherence, 8, 289.
Bjørnnes, A. K., Parry, M., Falk, R., Watt-Watson, J., Lie, I., & Leegaard, M. (2017). Impact of marital status and comorbid disorders on health-related quality of life after cardiac surgery. Quality of Life Research, 26(9), 2421-2434.
Cassar, S., & Baldacchino, D. R. (2012). Quality of life after percutaneous coronary intervention: part 1. British Journal of Nursing, 21(16), 965-971.
Department of Cardiothoracic Surgery. (2017). Coronary Artery Bypass Grafting (CABG). National Heart Centre Singapore. https://www.singhealth.com.sg/patient-care/conditions-treatments/coronary-artery-bypass-grafting.
Direk, F., Celik, S. S., & LefkoÅŸa, K. K. T. (2012). Postoperative problems experienced by patients undergoing coronary artery bypass graft surgery and their self-care ability after discharge. Turkish J Thorac Cardiovasc Surg, 20(3), 530-535.
Hlatky, M. A., Boothroyd, D. B., Bravata, D. M., Boersma, E., Booth, J., Brooks, M. M., ... & Pocock, S. J. (2009). Coronary artery bypass surgery compared with percutaneous coronary interventions for multivessel disease: a collaborative analysis of individual patient data from ten randomised trials. The Lancet, 373(9670), 1190-1197.
Khoueiry, G., Flory, M., Rafeh, N. A., Zgheib, M. H., Goldman, M., Abdallah, T., Wettimuny, S., Telesford, B., Costantino, T. & McGinn, J. T. (2011). Depression, Disability and Quality of Life After Off-Pump Coronary Artery Bypass Grafting: A Prospective 9 Month Follow-Up Study. Heart & Lung, 40(3), 217-225. doi: 10.1016/j.hrtlng.2010.03.001.
Mampuya, W. M. (2012). Cardiac rehabilitation past, present and future: an overview. Cardiovascular diagnosis and therapy, 2(1), 38.
Masoumi, S. Z., Kazemi, F., Khani, S., Seifpanahi-Shabani, H., Garousian, M., Ghabeshi, M., ... & Roshanaei, G. (2017). Evaluating the effect of cardiac rehabilitation care plan on quality of life of patients undergoing coronary artery bypass graft surgery. International Journal of Cardiovascular Practice, 2(2), 44-50.
Middel, B., Baz, N. E., Pedersen, S. S., Van Dijk, J. P., Wynia, K. & Reijneveld, S. A. (2014). Decline in Health-Related Quality of Life 6 Months After Coronary Artery Bypass Graft Surgery The Influence of Anxiety, Depression and Personality Traits. Journal of Cardiovascular Nursing. 29 (6), 544-554.
Mouch, C. A., & Sonnega, A. J. (2012). Spirituality and recovery from cardiac surgery: A review. Journal of religion and health, 51(4), 1042-1060.
National Heart, Lung and Blood Institute (NHLBI). (2014). Coronary Heart Disease. http://www.nhlbi.nih.gov/helth-topics/coronary-heart-disease
National Health Service (NHS). (2015). Coronary Artery Bypass Graft. https://www.nhs.uk/conditions/coronary-artery-bypass-graft-cabg/
Nazir, K. A., Kalim, H. & Radi, B. (2007). Penilaian Kualitas Hidup Pasien Pasca Bedah Pintas Koroner yang Menjalani Rehabilitasi Fase III. Jurnal Kardiologi Indonesia. (28)3.
Nuraeni, A., Mirwanti, R., Anna, A., Prawesti, A. & Emaliyawati, E. (2016). Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner. Jurnal Keperawatan Padjajaran. 4(2). 107-116.
Potter, P., & Perry, A. (2010). Fundamental of Nursing. Jakarta: EGC.
Pusat Data dan Informasi Kemenkes RI. (2012). Gambaran Penyakit Tidak Menular di Rumah Sakit di Indonesia Tahun 2009 dan 2010. Buletin Jendela Data dan Informasi Kesehatan, 2(2), 1-14.
Radi, B., Joesoef, A. H. & Kusmana, D. (2009). Rehabilitasi Kardiovaskular di Indonesia. Jurnal Kardiologi Indonesia. 30(2).
Rochmayanti. (2011). Analisis Faktor-faktor yang Mempengaruhi Kualitas Hidup Pasien Penyakit Jantung Koroner di Rumah Sakit PELNI Jakarta. [Tesis]. Depok: Universitas Indonesia.
Rosidawati, I., Ibrahim, K., Nuraeni, A. (2016). Kualitas Hidup Pasien Pasca Bedah Pintas Arteri Koroner (BPAK) di RSUP Dr. Hasan Sadikin Bandung. Jurnal Keperawatan Padjajaran. 4(2).
Smeltzer, S. C. & Bare B. G. (2008). Text Book of Medical Surgical Nursing. Lippincott. Philadelphia.
Staniute, M., Brozaitiene, J., & Bunevicius, R. (2013). Effects of social support and stressful life events on health-related quality of life in coronary artery disease patients. Journal of Cardiovascular Nursing, 28(1), 83-89.
Stillwell, S. (2011). Pedoman Keperawatan Kritis. Jakarta: EGC.
Taghipour, H. R., Naseri, M. H., Safiarian, R., Dadjoo, Y., Pishgoo, B., Mohebbi, H. A., Besheli, L. D., M Malekzadeh, M. & Kabir, A. (2011). Quality of Life One Year after Coronary Artery Bypass Graft Surgery. Iranian Red Crescent Medical Journal, 13(3), 171-7.
Urden, L. D., Stacy, K. M., Lough, M. E. (2010). Critical care nursing: Diagnosis and management. Canada: Mosby Elsevier.
Utama, T. A. (2015). Perbedaan Kesejahteraan Spiritual Pasien Sebelum Dan Sesudah Operasi Jantung Di RSUP Dr Hasan Sadikin Bandung. [Tesis]. Bandung: Universitas Padjajaran.
Ventegodt, S., Merrick, J., & Andersen, N. J. (2003). Quality of life theory I. The IQOL theory: an integrative theory of the global quality of life concept. TheScientificWorldJOURNAL, 3, 1030-1040.
Zahran, H. S., Kobau, R., Moriarty, D. G., Zack, M. M., Holt, J. & Donehoo, R. (2005). Health-Related Quality of Life Surveillance United States,1993-2002. Morbidity and Mortality Weekly Report: Surveillance Summaries. Vol. 54 No. 4, 1-35. Centers for Disease Control and Prevention (CDC).
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of personality assessment, 52(1), 30-41.
Zimet, G. (2016). Multidimensional Scale of Perceived Social Support (MSPSS)-Scale Items and Scoring Information. https://www.researchgate.net/publication/311534896
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