Determinan Self Care Pasien Penyakit Jantung Koroner Setelah Intervensi Koroner Perkutan

Abstract

The intervention for coronary heart disease (CHD) is myocardial reperfusion with percutaneous coronary intervention (IKP). However, after the IKP procedure, there is a risk of recurrent myocardial infarction and so restenosis, self-care is an important part in efforts to improve the quality of life of patients who have undergone IKP. This study aims to identify the determinants of self-care in patients undergoing IKP. The research design used a cross-sectional survey on 300 respondents who were taken by consecutive sampling technique at the Heart Polyclinic at Hermina Bekasi Hospital. The study used the SC-CHDI (self-care coronary heart disease inventory) questionnaire, the CADE-Q SV (Coronary Artery Disease Education Questionnaire Short Version) questionnaire and the family support questionnaire. The results showed that factors related to self-care were gender (p=0.000), education (p=0.000), length of IKP (p=0.165), occupation (p=0.000), income (p=0.000), knowledge (p=0.000) and family support (p=0.000). Meanwhile, in multivariate analysis, the most dominant factor with self-care is family support (p=0.000) with OR 6.724. Respondents who have high family support have more adequate self-care. The implication in nursing is to provide education according to the needs of patients by identifying educational needs beforehand and involving families in providing education.