Faktor-Faktor yang Memengaruhi Kualitas Hidup Pasca-Perawatan ICU

Ika Jati Setya Andriani, Dr. dr. Juni Kurniawaty, M.Sc., SpAn-TI, Subsp.An.KV(K.; Dr. dr. Akhmad Yun Jufan, M.Sc., SpAn-TI, Subsp.An.TI(K)

2026 | Tesis-Subspesialis | SUBSPESIALIS ANESTESIOLOGI DAN TERAPI INTENSIF

Latar Belakang: Penyintas perawatan intensif berisiko mengalami gangguan fisik, kognitif, dan psikologis yang menurunkan kualitas hidup. Identifikasi faktor risiko diperlukan untuk menentukan pasien yang membutuhkan tindak lanjut dan rehabilitasi pasca-ICU.

Tujuan: Menganalisis faktor-faktor yang berhubungan dengan kualitas hidup pasien 30–60 hari pasca-perawatan ICU di RS Sardjito dan RS Kariadi.

Metode: Penelitian analitik observasional dengan desain kohort ambispektif dilakukan pada 101 penyintas ICU. Kualitas hidup diukur menggunakan EQ-5D-5L dan EQ-VAS. Hubungan variabel kategoris dianalisis dengan uji Chi-Square atau Fisher’s Exact, sedangkan variabel numerik dianalisis menggunakan Mann– Whitney. Variabel dengan p < 0>

Hasil: Sebanyak 101 pasien yang memenuhi kriteria penelitian. Terdiri dari laki- laki 42 orang, perempuan 59 orang, dengan kelompok < 65> 65 tahun sebanyak 10 orang (9,9%). Median Utility Index adalah 0,74 (-0,41–1,00) dan median EQ-VAS 80 (30–100). Sebanyak 83 pasien (82,2%) dikategorikan kualitas hidup baik dan 18 pasien (17,8%) dikategorikan kualitas hidup buruk. Pada model multivariat, dukungan kardiovaskular merupakan satu-satunya prediktor independen kualitas hidup buruk (aOR = 5,102; IK 95% 1,417–18,368; p = 0,013). Lama rawat ICU menunjukkan kecenderungan asosiasi (aOR = 1,316; p = 0,059). Utility Index berkorelasi kuat dengan EQ-VAS (r? = 0,764; p < 0>

Kesimpulan: Kebutuhan dukungan kardiovaskular selama perawatan ICU merupakan faktor yang signifikan memengaruhi kualitas hidup pasca-perawatan ICU.

Background: Survivors of intensive care are at risk of persistent physical, cognitive, and psychological impairments that reduce health-related quality of life. Identifying risk factors is essential to determine which patients require structured post-ICU follow-up and rehabilitation.

Objective: To analyze factors associated with quality of life 30–60 days after ICU treatment at Sardjito General Hospital and Kariadi General Hospital.

Methods: This observational analytic study used an ambispective cohort design and included 101 ICU survivors. Quality of life was assessed using the EQ-5D-5L and EQ-VAS. Categorical variables were analyzed using the Chi-square or Fisher’s exact test, and non-normally distributed numerical variables using the Mann– Whitney test. Variables with p < 0>

Results: A total of 101 patients met the study criteria. The sample comprised 42 males and 59 females, with 91 subjects (90.1%) aged <65>65 years. The median Utility Index was 0.74 (?0.41 to 1.00), and the median EQ-VAS was 80 (30–100). Eighty-three patients (82.2%) had categorized good quality of life and 18 (17.8%) had categorized poor quality of life. In the multivariable model, cardiovascular support was the only independent predictor of poor quality of life (aOR 5.102; 95% CI 1.417–18.368; p = 0.013). ICU length of stay showed a borderline association (aOR 1.316; p = 0.059). The Utility Index correlated strongly with EQ-VAS (r? = 0.764; p < 0>

Conclusion: The need for cardiovascular support during ICU care was the factor most strongly associated with post-ICU quality of life.

Kata Kunci : kualitas hidup, EQ-5D-5L, EQ-VAS, unit perawatan intensif, dukungan kardiovaskular.