Hubungan Antara Strategi Koping Dengan Kualitas Hidup Pasien Congestive Heart Failure (CHF) di RSUP DR. Sardjito Yogyakarta

Nathasya Angelliya, Dr. Heny Suseani Pangastuti, S.Kp., M.Kes. ; Arifin Triyanto, S.Kep,. Ns., M.Kep., Sp.Kep.MB.

2026 | Skripsi | ILMU KEPERAWATAN

Latar Belakang: Congestive Heart Failure (CHF) merupakan penyakit kronis yang berdampak terhadap aspek fisik, emosional, dan sosial pasien, sehingga berpotensi menurunkan kualitas hidup. Proses adaptasi terhadap kondisi ini sering disertai dengan tantangan psikologis seperti stres dan depresi, sehingga pasien membutuhkan strategi koping untuk mengelola permasalahan yang dihadapi. 

Tujuan Penelitian: Penelitian ini dilakukan untuk mengetahui hubungan strategi koping dengan kualitas hidup pasien CHF di RSUP Dr. Sardjito.

Metode: Penelitian ini merupakan penelitian kuantitatif korelasional dengan desain cross-sectional pada 96 pasien CHF. Strategi koping diukur menggunakan Brief Cope dan kualitas hidup diukur menggunakan Minnesota Living with Heart Failure Questionnaire (MLHFQ). Penelitian dilakukan pada bulan Desember 2025. Analisis univariat dan bivariat dilakukan untuk mengetahui gambaran variabel dan menentukan hubungan antarvariabel. 

Hasil: Strategi koping dibagi menjadi 3 dimensi, antara lain problem focused coping, emotional focused coping, dan avoiding coping. Mayoritas responden penelitian  menggunakan strategi koping berupa emotional focused coping (92,7%). Kualitas hidup pada pasien CHF memiliki nilai median 31 pada rentang skor kuesioner 20 hingga 80 yang berarti semakin rendah skor kualitas hidup menunjukkan semakin baik kualitas hidup pasien CHF. Dimensi problem focused coping dan emotional focused coping berhubungan dengan kualitas hidup dimensi emosional p  =<0 xss=removed>emotional focused coping tidak berhubungan dengan kualitas hidup pasien CHF  p = 0,086 dan r = 0,416.

Kesimpulan: Strategi koping berhubungan dengan kualitas hidup. Penggunaan problem focused coping dan avoiding coping berhubungan dengan kualitas hidup emosional pasien CHF, di mana penggunaan yang tinggi dari kedua strategi tersebut cenderung berkaitan dengan memburuknya kondisi emosional pasien.

Kata Kunci: Congestive heart failure, pasien congestive heart failure, strategi koping, kualitas hidup

Background: Congestive Heart Failure (CHF) is a chronic disease that affects the physical, emotional, and social aspects of patients, thereby potentially reducing quality of life. The adaptation process to this condition is often accompanied by psychological challenges, such as stress and depression, which makes coping strategies necessary to help patients manage the problems they face.

Objective: This study was conducted to determine the relationship between coping strategies and the quality of life of patients with congestive heart failure (CHF) at RSUP Dr. Sardjito.

Method: This study was a quantitative correlational study with a cross-sectional design involving 96 patients with congestive heart failure (CHF). Coping strategies were measured using the Brief COPE questionnaire, and quality of life was assessed using the Minnesota Living with Heart Failure Questionnaire (MLHFQ). The study was conducted in December 2025. Univariate and bivariate analyses were performed to describe the variables and to determine the relationships between variables. 

Results: Coping strategies were divided into three dimensions: problem-focused coping, emotional-focused coping, and avoiding coping. The majority of respondents used emotional-focused coping strategies (92.7%). Quality of life in patients with CHF had a median score of 31 within a questionnaire score range of 20 to 80, where lower quality-of-life scores indicated better quality of life. Problem-focused coping and avoiding coping were significantly associated with the emotional dimension of quality of life p  =<0 xss=removed xss=removed xss=removed>
Conclusion: Coping strategies are associated with quality of life. The use of problem-focused coping and avoiding coping is associated with the emotional dimension of quality of life in patients with CHF, where higher use of both strategies tends to be related to poorer emotional well-being. 

Keyword: Congestive heart failure, congestive heart failure patients, coping strategies, quality of life 

Kata Kunci : Congestive heart failure, pasien congestive heart failure, strategi koping, kualitas hidup