Self-Care dan Kualitas Hidup Pasien Sindrom Koroner Akut
Keywords:
Kualitas hidup, self-care, Acute coronary syndromeAbstract
Sindrom Koroner Akut (SKA) merupakan penyebab utama mortalitas global dengan beban kasus tinggi di Indonesia. Kemajuan teknologi berhasil meningkatkan harapan hidup pada fase akut, namun memicu transisi penyakit menjadi kondisi kronis. Kondisi ini menurunkan kualitas hidup pasien. Meningkatakan kualitas hidup dibutuhkan self-care yang baik. Penelitian ini bertujuan menjelaskan hubungan self-care dan kualitas hidup pasien SKA. Penelitian ini merupakan penelitian analitik korelasi dengan desain cross sectional. Sampel sebanyak 40 orang yang diambil sesuai kriteria penelitian dan menggunakan purposive sampling. Penelitian dilaksanakan pada bulan April hingga Mei tahun 2026 di Poli Jantung. Mengukur self-care menggunakan kuesioner self-care of coronary heart disease inventory (SC-CHDI). Mengukur kualitas hidup menggunakan kuesioner World Health Organization Quality of Life - Abbreviated Version (WHOQOL-BREF). Data dianalisis dengan uji kolerasi pearson. Hasil penelitian menunjukkan ada hubungan self-care dengan kualitas hidup pasien SKA (p 0.034). Arah hubungan yaitu positif yang berarti semakin tinggi nilai self-care maka semakin tinggi juga kualiats hidup, begitupun juga sebaliknya. Semakin rendah nilai self-care maka kualitas hidup semakin kurang. Keeratan hubungan yaitu 0.336 (kategori lemah). Oleh karena itu, pengembangan perilaku self-care perlu menjadi perhatian oleh perawat, karena merupakan salah satu strategi efektif untuk mencapai kualitas hidup yang optimal.
References
D. L. Bhatt, R. D. Lopes, and R. A. Harrington, “Diagnosis and Treatment of Acute Coronary Syndromes: A Review,” JAMA, vol. 327, no. 7, pp. 662–675, Feb. 2022, doi: 10.1001/jama.2022.0358.
S. Stiles et al., “Trends in acute coronary syndrome hospitalisation, incidence and mortality rates in young adults: an Australian linked data study,” J. Epidemiol. Community Heal., vol. 79, pp. 580–587, 2025, doi: 10.1136/jech-2024-223615.
O. Segal, I. Dobrecky-Mery, O. Muslavi, Y. Meir, and F. Koppel, “Trends in risk factor prevalence in young adults experiencing acute coronary syndrome,” Eur. Heart J., 2024, doi: 10.1093/eurheartj/ehae666.2673.
U. Ralapanawa and R. Sivakanesan, “Epidemiology and the Magnitude of Coronary Artery Disease and Acute Coronary Syndrome: A Narrative Review,” J. Epidemiol. Glob. Health, vol. 11, no. 2, pp. 169–177, 2021, doi: 10.2991/jegh.k.201217.001.
A. Timmis, D. Kazakiewicz, N. Townsend, R. Huculeci, V. Aboyans, and P. Vardas, “Global epidemiology of acute coronary syndromes,” Nat. Rev. Cardiol., vol. 20, no. 11, pp. 778–788, 2023, doi: 10.1038/s41569-023-00884-0.
B. Kaambwa, H. A. Gesesew, M. Horsfall, and D. Chew, “Quality of life changes in acute coronary syndromes patients: a systematic review and meta-analysis,” Int. J. Environ. Res. Public Health, vol. 17, no. 18, p. 6889, 2020.
D. Candelaria, S. Randall, L. Ladak, and R. Gallagher, “Health-related quality of life and exercise-based cardiac rehabilitation in contemporary acute coronary syndrome patients: a systematic review and meta-analysis,” Qual. Life Res., vol. 29, no. 3, pp. 579–592, 2020.
K. Zaben and A. Khalil, “Health Literacy, Self-Care Behavior and Quality of Life in Acute Coronary Syndrome Patients: An Integrative Review,” Open J. Nurs., vol. 09, no. 04, pp. 383–395, 2019, doi: 10.4236/ojn.2019.94035.
N. Chaichana, A. Siripitayakunkit, and S. Duangbubpha, “Effectiveness of the Self-Care Support Program for People with Acute Coronary Syndrome: A Quasi-experimental Study,” Pacific Rim Int. J. Nurs. Res., vol. 28, no. 4, pp. 855–871, 2024.
L. S. La Sulu and M. Razak, “The relationship between self-care behavior and the quality of life of coronary heart disease sufferers in the Heart Clinic of Kendari General Hospital,” Indones. Nurs. J., vol. 2, no. 1, 2024, doi: 10.31962/inj.v2i1.193.
H. Li, Y. Wang, and Y. Yu, “Impact of continuous home care on quality of life and depression status in patients with acute coronary syndrome,” Front. Cardiovasc. Med., vol. 13, 2026, doi: 10.3389/fcvm.2026.1700557.
V. Vaughan Dickson, C. S. Lee, K. S. Yehle, A. Mola, K. M. Faulkner, and B. Riegel, “Psychometric Testing of the Self-Care of Coronary Heart Disease Inventory (SC-CHDI),” Res. Nurs. & Heal., vol. 40, no. 1, pp. 15–22, 2017, doi: https://doi.org/10.1002/nur.21755.
N. Ziaie, M. H. Tighi, I. Jafaripour, H. Shirafkan, and S. Moudi, “Depression, Anxiety and Quality of Life in Patients with Acute Coronary Syndrome and Their Relationship with Cardiac Functional Class,” Iran. J. Psychiatry Behav. Sci., 2025.
S. Sidaria, E. Huriani, and S. D. Nasution, “Self Care dan Kualitas Hidup Pasien Penyakit Jantung Koroner,” Jik J. Ilmu Kesehat., vol. 7, no. 1, pp. 41–50, 2023.
H. Saragih, M. S. D. Simanullang, and L. F. B. Karo, “Hubungan Self Care Dengan Kualitas Hidup Pasien Dm Tipe 2,” J. Ilm. Keperawatan IMELDA, vol. 8, no. 2, pp. 147–154, 2022.
B. Ingadóttir, M. H. Svavarsdóttir, C. Jurgens, and C. Lee, “Self-care trajectories of patients with coronary heart disease: a longitudinal, observational study,” Eur. J. Cardiovasc. Nurs., 2024, doi: 10.1093/eurjcn/zvae055.
Y. Wang et al., “Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease,” PLoS One, vol. 20, 2025, doi: 10.1371/journal.pone.0316551.
T. Rakhshani, S. Najafi, F. Javady, A. Taghian dasht bozorg, F. Mohammadkhah, and A. Khani Jeihooni, “The effect of Orem-based self-care education on improving self-care ability of patients undergoing chemotherapy: a randomized clinical trial,” BMC Cancer, vol. 22, no. 1, p. 770, 2022.
J. P. Auld, J. O. Mudd, J. M. Gelow, S. O. Hiatt, and C. S. Lee, “Self-care moderates the relationship between symptoms and health-related quality of life in heart failure,” J. Cardiovasc. Nurs., vol. 33, no. 3, pp. 217–224, 2018.
P. Asadi, S. Ahmadi, A. Abdi, O. H. Shareef, T. Mohamadyari, and J. Miri, “Relationship between self-care behaviors and quality of life in patients with heart failure,” Heliyon, vol. 5, 2019, doi: 10.1016/j.heliyon.2019.e02493.
A. Wiśnicka, K. Lomper, and I. Uchmanowicz, “Self-care and quality of life among men with chronic heart failure,” Front. Public Heal., vol. 10, 2022, doi: 10.3389/fpubh.2022.942305.
O. Irman, “Motivasi Sembuh dan Self Care Pasien Sindrom Koroner Akut,” JIMU J. Ilm. Multidisipliner, vol. 3, no. 4, 2025, doi: 10.70294/jimu.v3i04.1835.
S. S. Seid, J. Amendoeira, and M. R. Ferreira, “Self-care and quality of life among adult patients with heart failure: scoping review,” SAGE Open Nurs., vol. 9, p. 23779608231193720, 2023.

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