Hubungan Perilaku Perawatan Mandiri Dengan Resiko Kejadian Kardiovaskuler Pada Penyandang Diabetes Melitus tipe 2 Di Puskesmas Depok

PRATIWI LESTARI PUTRI, Anggi L. Wicaksana, S.Kep., Ns.,MS; Anita Kustanti, S.Kep., Ns., M.Kep

2021 | Skripsi | S1 ILMU KEPERAWATAN

Latar Belakang: Perilaku perawatan mandiri yang dilakukan penyandang berupa self care maintenance, self care monitoring, self care management dan self care confidence. Perilaku perawatan mandiri diabetes yang buruk dapat menyebabkan terjadinya peningkatan risiko kejadian kardiovaskuler. Tujuan Penelitian: Mengetahui hubungan perilaku perawatan mandiri berupa self care maintenance, self care monitoring, self care management dan self care confidence dengan risiko kejadian kardiovaskuler di Puskesmas Depok. Metode : penelitian cross sectional yang dilakukan di Puskesmas Depok Yogyakarta dengan 113 Responden. Data diambil dengan melihat data rekam medik, data demografi, dan pengecekan tekanan darah serta kolesterol total. Analisis data menggunakan uji korelasi point biserial. Hasil: Sebanyak 79,6 % penyandang diabetes memiliki tingkat risiko kardiovaskular tinggi. Perilaku perawatan mandiri diabetes memiliki tingkat cenderung tinggi pada domain self care maintenance dan self care confidence dimana rerata nilai secara berurutan sebesar 88,03 dan 81,36. Hasil analisis pada domain self care management dan self care monitoring cenderung berada di tengah-tengah dengan nilai rerata sebesar 59,99 dan 66,51. Terdapat hubungan bermakna antara self-care maintenance dengan risiko kejadian kardiovaskuler (p = 0,035) dan self-care monitoring dengan risiko kejadian kardiovaskuler (p=0,042). Tidak terdapat hubungan bermakna antara self-care management dengan risiko kardiovaskuler (p = 0,496). dan self-care confidence dengan risiko kejadian kardiovaskuler (p = 0,375). Kesimpulan : Semakin baik self-care maintenance dan self-care monitoring maka semakin rendah risiko kejadian kardiovaskuler pada penyandang diabetes melitus tipe 2.

Background: Self-care behavior is manifested in the form of self-care maintenance, self-care monitoring, self-care management, and self-care confidence. Poor self-care behavior of diabetes can lead to an increased risk of cardiovascular events. Objective: To determine the association between self-care behavior which is self-care maintenance, self-care monitoring, self-care management, and self-care confidence with the risk of cardiovascular events. Method: Cross-sectional research was conducted in Depok Primary Health Center Yogyakarta with 113 respondents. The data was taken by looking at medical records, demographic data, blood pressure and total cholesterol measurements. The data was analyzed with a point biserial correlation test. Result: 79.6% of diabetics had a high level of cardiovascular risk. Self-care behavior that had a high level tended to be found under the domain of self-care maintenance and self-care confidence where the average value was 88.03 and 81.36 respectively. The domain of self-care management and self-care monitoring tended to be in the middle with an average value of 59.99 and 66.51. There was a meaningful association between self-care maintenance and the risk of cardiovascular events (p = 0.035) and self-care monitoring with cardiovascular event risk (p=0.042). There was no meaningful relationship between self-care management and the cardiovascular risk (p = 0.496) and self-care confidence with the risk of cardiovascular events (p = 0.375). Conclusion: The better the self-care maintenance and self-care monitoring, the lower the risk of cardiovascular events in people with type 2 diabetes.

Kata Kunci : Perilaku Perawatan Mandiri, Risiko Kejadian Kardiovakuler, Diabetes Tipe 2