PENGARUH EDUKASI PERIOPERATIF TERHADAP SELF-EFFICACY PASIEN POST OPERASI LAPAROTOMI DI RSUP DR. SARDJITO YOGYAKARTA

MELINDA DIAH ASMORO, Christantie Effendy, S.Kp., M.Kes, Ph.D; Totok Harjanto, S.Kep., Ns., M.Kes

2017 | Skripsi | S1 ILMU KEPERAWATAN

Latar belakang : Laparotomi merupakan jenis operasi mayor yang dapat menimbulkan berbagai reaksi stres baik fisiologi maupun psikologi. Kurangnya pengetahuan mengenai bagaimana cara penyembuhan dan bagaimana melakukan self-care atau perawatan diri baik di rumah sakit maupun di rumah dapat memiliki dampak yang signifikan pada pemulihan pasca operasi dan juga salah satu alasan yang memicu terjadinya morbiditas psikologis yang menjadi sumber pengaruh terbesar dalam self-efficacy pasien. Apabila tingkat self-efficacy tinggi maka berdampak pada hasil pelaporan kesehatan pasien yang baik. Tujuan Penelitian : Mengetahui pengaruh edukasi perioperatif terhadap self-efficacy pasien post operasi laparotomi di RSUP Dr. Sardjito Yogyakarta. Metode : Penelitian ini merupakan quasi experiment dengan rancangan one group pretest and posttest design. Responden adalah pasien laparotomi berjumlah 30 orang dengan purposive sampling. Instrumen yang digunakan adalah SUPPH-29 yang dianalisis dengan Uji Repeated Anova untuk membandingan tatal skor self-efficacy dan faktor stress reduction, dan Uji Fredman Post Hoc Wilcoxon untuk membandingkan faktor making decision dan positive attitude karena data terdistribusi tidak normal. Hasil : Hasil selisih rerata pada ketiga pengukuran total self-efficacy sebesar pretest-posttest1 10,00±11,5; posttest1-posttest2 5,03±6,2; dan pretest-pottest2 15,03±10,5. Terdapat signifikansi perbedaan yang bermakna antara ketiga pengukuran dengan p<0,05 dan selisih lebih dari 0,65. Kesimpulan : Ada perbedaan selisih rerata antara pretest dan posttest, sehingga edukasi perioperatif mempengaruhi self-efficacy pasien perioperatif laparotomi.

Background : Laparotomy is a kind of major surgery that can cause various stress reactions both physiology and psychology. Lack of knowledge such as how to cure and how to self-care in both hospital and at home can have a significant impact on postoperative recovery. That is one of the reasons that triggered the psychological morbidity that was the greatest source of influence in self-efficacy patient. If the level of self-efficacy is high then it affects the results of patient’s health reporting. Objective : To know the effect of perioperative education on self-efficacy of postoperative patient of laparotomy in RSUP Dr. Sardjito Yogyakarta. Method : This research is a quasi experiment with one group pretest and posttest design. Respondent was laparotomy patients amounted to 30 people with purposive sampling. The instrument used was SUPPH-29 analyzed by Repeated Anova Test to compare the score pretest posttest of self-efficacy score and pretest posttest stress reduction factor, and Fredman Post Hoc Wilcoxon Test to compare the score pretest posttest of decision making and score pretest posttest positive attitude factors because the data was not normally distributed. Results : The mean difference in the three measurements of total self-efficacy was pretest-posttest1 10.00 ± 11.5; posttest1-posttest2 5.03 ± 6.2; and pretest-pottest2 15.03 ± 10.5. There was significant difference between the three measurements with p <0.05 and the difference of more than 0.65. Conclusion : There are some differences in mean difference between pretest and posttest, thus perioperative education affects the self-efficacy of laparotomy perioperative patients.

Kata Kunci : Edukasi perioperative, laparotomi, self-efficacy