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Ibnu Fajariyadi Hantoro
Abstrak :
In up to 80% of dyspepsia patients who consult a physician in the hospital, dyspepsia is considered to be functional dyspepsia. Although not associated with increased mortality, functional dyspepsia is a burden at both the community and national levels because it can cause physical, mental, and social ditress that can affect a patients quality of life. Health-related quality of life (HRQOL) is a multidimensional construct comprising at least three broad domains-physical, psychological, and social functioning-which can all be affected by a disease and its treatment. It is important to assess HRQOL in patients with functional dyspepsia to identify the effects of the disease and its treatment on patients. Both disease-specific and generic instruments can be used to assess HRQOL in patients with functional dyspepsia. Each instrument has it own advantages and limitations. The selection of instrument to assess HRQOL is determined by the study population, research questions, disease entities, and researcher preferences. The purpose of this article is to explain the concept of HRQOL and the use of HRQOL assessment in patients with functional dyspepsia.
Jakarta: Interna Publishing, 2018
610 IJIM 50:1 (2018)
Artikel Jurnal  Universitas Indonesia Library
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Suci Nugraha
Abstrak :
Kualitas hidup terkait kesehatan merupakan penilaian yang bersifat subyektif. Persepsi pasien dalam menilai aspek-aspek kehidupan yang terdampak oleh penyakit dan prosedur perawatan yang dijalani ini dipengaruhi oleh budaya dimana pasien hidup. Pada masyarakat yang kehidupannya dipengaruhi agama, penilaian pasien ini diprediksi dipengaruhi oleh agama yang dianutnya. Model kualitas hidup terkait kesehatan yang memasukan unsur budaya belum menjelaskan mekanisme hubungan agama terhadap kualitas hidup terkait kesehatan pasien SLE yang hidup dalam konteks budaya Indonesia. Untuk mengenali dan menjelaskan mekanisme pembentukan kualitas hidup ini, perlu ada suatu model teoretis yang dibangun berdasarkan perspektif pasien dan teruji secara empiris. Penelitian ini di laksanakan dengan metode mixed-methods exploratory sequential design. Penelitian terdiri dari 2 tahap, yaitu: tahap penelitian kualitatif dengan metode FGD pada 18 pasien SLE ini dan penelitian cross sectional untuk menguji model teoretis yang dibangun berdasarkan hasil penelitian pertama. Penelitian tahap kedua dilakukan terhadap 328 pasien SLE yang direkrut melalui convenience sampling strategy. Hasil analisis analisis dengan model struktural memperlihatkan bahwa model teoretis yang terdiri dari variabel religiusitas, spiritual support dan depresi sebagai pembentuk kualitas hidup terkait kesehatan psien SLE sesuai dengan data empirik. ......Health-related quality of life is a subjective appraisal. The patient's perception to about effect of disease and its treatment procedures to their life are influenced by the culture in which the patient lives. In a religious society, such as Indonesia, this appraisal is affected by the religion they adhere to. The health-related quality of life model that incorporates cultural aspects has not yet explained the relationship mechanism between religion and health-related quality of life of patients with SLE who live in Indonesian culture. To identify and explain this mechanism, it is necessary to have a theoretical model that is built based on patient’s perspective and tested empirically. This research was conducted using a mixed-exploratory sequential design method. The study consisted of 2 stages, namely: a qualitative research phase using the FGD method on 18 patients with SLE and a cross-sectional study to test the theoretical model that was built based on the results of the first study. The second phase of the study was conducted on 328 SLE patients who were recruited through a convenience sampling strategy. The analysis by the structural model suggested that the theoretical model consisting of religiosity, spiritual support, and depression variables as determinants of health-related quality of life on patients with SLE was consistent (fit) with the empirical data.
Depok: Fakultas Psikologi Universitas Indonesia, 2022
D-pdf
UI - Disertasi Membership  Universitas Indonesia Library
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Rian Septian
Abstrak :
Pendahuluan : Adolescent Idiopathic Scoliosis (AIS) adalah jenis skoliosis yang paling umum terjadi pada populasi pediatrik, mencakup 80% dari total kasus, dan seringkali mengakibatkan morbiditas serta hendaya kepada penderitanya. Parameter evaluasi Health Related Quality of Life (HRQL) menjadi penting karena AIS mempengaruhi kondisi klinis, sosial, dan psikologis penderitanya. Salah satu kuesioner evaluasi HRQL yang populer adalah Short Form-36 (SF-36), yang bersifat general dan telah diadaptasikan ke bahasa Indonesia. Namun, kuesioner ini tidak spesifik untuk skoliosis. Scoliosis Research Society (SRS) telah mengembangkan kuesioner HRQL spesifik untuk skoliosis, yaitu SRS-22r, yang terdiri dari 5 domain penilaian. Kuesioner ini telah diadaptasi ke berbagai bahasa, tetapi belum ada versi berbahasa Indonesia yang terdaftar di SRS. Oleh karena itu, peneliti berupaya melakukan adaptasi lintas budaya kuesioner SRS-22r agar dapat diaplikasikan pada praktik klinis di Indonesia. Metode : Penelitian ini merupakan studi potong lintang untuk adaptasi lintas budaya, uji validitas dan reliabilitas kuesioner SRS-22r berbahasa Indonesia (SRS-22r INA) pada pasien dengan Adolescence Idiopathic Scoliosis. Penelitian ini menggunakan metode consecutive sampling hingga terpenuhinya kuota sampel, berdasarkan perhitungan besar sampel untuk adaptasi kuesioner menggunakan sampel minimal untuk uji pra final, uji validitas dan uji reliabilitas. Hasil : Terdapat 50 responden perempuan (75.8%) dan 16 responden laki-laki (24.2%). Kurva utama yang paling umum adalah thorasic (75.8%), sedangkan yang paling jarang ditemukan adalah thoracolumbar (3.0%). Sebanyak 69.7% responden dikategorikan sebagai skoliosis dengan sudut berat (Cobb angle >450). Nilai rerata kurva utama adalah 57.33, dengan nilai minimum 10.7 dan maksimum 100.2. Standar deviasi yang relatif tinggi (22.73) menunjukkan besarnya variabilitas data. Kelima domain kuesioner SRS- 22r INA tidak terkena floor effect dan ceiling effect lebih dari 15%. Uji validitas konstruksi menunjukkan bahwa domain SRS-22r INA memiliki korelasi yang tinggi dengan domain SF-36 INA. Hasil Chronbach’s alpha menunjukkan bahwa butir pertanyaan pada domain SRS-22r INA sangat reliabel. Kesimpulan : Berdasarkan hasil adaptasi lintas budaya, uji validitas dan uji reliabilitas kuesioner, SRS-22r INA merupakan kuesioner yang valid dan reliabel. Kuesioner ini dapat digunakan sebagai parameter HRQL untuk evaluasi penderita AIS di Indonesia. ......Introduction : Adolescent Idiopathic Scoliosis (AIS) is the predominant form of scoliosis observed in the pediatric patient, constituting approximately 80% of all reported cases, this condition frequently leads to adverse health outcomes and functional impairments among affected patient. The assessment of Health Related Quality of Life (HRQL) is paramount due to the impact of AIS on the clinical, social, and psychological aspects of affected patient. The Short Form-36 (SF-36) is a widely used questionnaire for evaluating HRQL. It is a comprehensive tool that has been developed for use in various populations, including the Indonesian population. Nevertheless, this questionnaire lacks specificity in relation to scoliosis. The Scoliosis Research Society (SRS) has devised a dedicated HRQL survey for scoliosis, known as the SRS-22r. This questionnaire encompasses five distinct domains for evaluation. The present questionnaire has been modified and translated into other languages; nevertheless, it is worth noting that an Indonesian version is not yet included in the SRS. This study aims to conduct a cross-cultural adaptation of the SRS- 22r questionnaire to facilitate its implementation in therapeutic settings within Indonesia. Method : This study aims to achieve cultural adaptation, validity and reliability evaluation of the SRS-22r INA questionnaire in patients with Adolescence Idiopathic Scoliosis through a cross-sectional design. The present study employs the consecutive sampling technique to achieve the desired sample size, as determined by sample size calculations. The questionnaire is adapted through a preliminary testing phase followed by validity and reliability test. In addition, inclusion and exclusion criteria are established to choose participants for the study. Result : There were 50 female respondents (75.8%) and 16 male respondents (24.2%). The most common main curve was thoracic (75.8%), while the least common was thoracolumbar (3.0%). A total of 69.7% of respondents were categorized as scoliosis with a severe angle. The average value of the main curve was 57.33, with a minimum value of 10.70 and a maximum value of 100.20. A relatively high standard deviation (22.73) indicates the amount of data variability. The five domains of the SRS-22r INA questionnaire were not affected by the floor effect and ceiling effect of more than 15%. The construct validity test showed that the SRS-22r INA domain had high correlation with the SF-36 INA domain. Chronbach’s alpha results showed that the question items in the SRS-22r INA domain were highly reliable. Conclusion : Based cross cultural adaptation, validity testing and reliability testing, SRS- 22r INA questionnaire is valid and reliable. This questionnaire can be used as an HRQL parameter for AIS patient in Indonesia.
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Tugas Akhir  Universitas Indonesia Library
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Siti Julaeha
Abstrak :
ABSTRAK
Tuberkulosis (TB) masih menjadi masalah kesehatan di Indonesia dan di Kabupaten Pesawaran. Pelaksanaan tugas kesehatan keluarga dapat mempengaruhi kualitas hidup pasien TB di Kabupaten Pesawaran. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik klien dan pelaksanaan tugas kesehatan keluarga dengan kualitas hidup klien TB paru. Desain deskriptif korelatif dengan pendekatan cross-sectional digunakan dalam penelitian pada 41 pasien TB berumur 18-59 tahun pada fase intensif pengobatan dari bulan April sampai Mei 2014. Hasil penelitian menunjukkan kualitas hidup klien TB terganggu. Ada hubungan yang signifikan antara pekerjaan (p = 0,034), tugas kesehatan keluarga (p = 0,005), pendapatan (p = 0,030) dan dukungan keluarga (p = 0,012) dengan kualitas hidup klien TB. Pengembangan program yang terintegrasi antara program TB dan perawatan kesehatan masyarakat dan program lainya untuk meningkatkan kemampuan keluarga melaksanakan tugas kesehatan keluarga.
ABSTRACT
Tuberculosis (TB) is a major public health problem in Indonesia as well as in Pasawaran. The family health tasks implementation may affect Health Related Quality Of Life (HRQOL) among TB patients in Pesawaran. This study aims to determine the corelation of characteristics of patients and family health tasks to HRQOL TB patients. The descriptive correlative design with cross-sectional approach was applied to this study to 41 patients. The inclusion criteria for the respondents are aged range at18-59 years old and under the initial phase of TB treatment from April to May 2014. The results showed that HRQOL among TB patients generally were impaired. The characteristics associated to HRQOL among TB patients were occupation (p = 0.034), family health tasks (p = 0.002), income (p = 0.034) and family support (p = 0.012) . An integrated program need to be developed to increase family’s ability to improve family health tasks.
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
T42012
UI - Tesis Membership  Universitas Indonesia Library
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Effita Piscesiana
Abstrak :
Pandemi COVID-19 berdampak pada penurunan jumlah pasien ST-Elevation Miocard Infarct (STEMI) tetapi terdapat peningkatan presentasi pasien dengan tindakan reperfusi yang mengalami penundaan. Penundaan ini berakibat pada pemanjangan waktu reperfusi yang memengaruhi Health Related Quality of Life (HRQOL). Penelitian cross-sectional ini bertujuan untuk mengidentifikasi faktor-faktor yang memengaruhi HRQoL pada pasien STEMI yang menjalani terapi reperfusi selama masa pandemi. Sampel penelitian berjumlah 110 responden dengan teknik consecutive sampling. Analisa bivariat menunjukkan jenis kelamin, status hubungan pernikahan, ketepatan waktu reperfusi, tingkat depresi, dan persepsi sakit berhubungan signifikan dengan HRQoL. Analisis multivariat menunjukkan persepsi sakit, ketepatan waktu reperfusi dan status pernikahan merupakan faktor dominan yang memengaruhi HRQoL. Ketiga faktor tersebut menjelaskan variabel HRQoL sebesar 32,6% dan selebihnya 67,4% dijelaskan oleh faktor lain. Peneliti menyarankan untuk dilakukan penelitian lanjutan dengan menggunakan jumlah sampel yang lebih representatif untuk mendapatkan hasil prediktor R2 yang lebih baik dalam mengidentifikasi faktor-faktor lain yang berkontribusi terhadap HRQoL, evaluasi paska tindakan reperfusi menggunakan HRQoL yang multidimensional, edukasi kepada pasien maupun pasangannya, serta evaluasi secara berkala terhadap efektivitas screening COVID-19 untuk pasien STEMI yang datang ke IGD dalam mempertahankan target terapi reperfusi. ......The COVID-19 pandemic has resulted decreasing in the number of ST-Elevation Myocardial Infarct (STEMI) patients but there has been an increase in the presentation of patients with delayed reperfusion. This delay results in a prolonged reperfusion time which affects Health-Related Quality of Life (HRQOL). This cross-sectional study aims to identify the factors that influence HRQoL in STEMI patients undergoing reperfusion therapy during the pandemic. The research sample was 110 respondents with consecutive sampling techniques. Bivariate analysis showed that gender, marital relationship status, the timeliness of reperfusion, level of depression, and illness perception were significantly related to HRQoL. Multivariate analysis showed illness perception, timeliness of reperfusion and marital status were the dominant factors influencing HRQoL. These three factors explained the HRQoL by 32.6% and the remaining 67.4% was explained by other factors. Researcher suggests further research to be conducted using a more representative sample size to obtain better R2 predictor results in identifying other factors that more contribute to HRQoL, post-reperfusion evaluation using multidimensional HRQoL, educating patients and their partners, as well as comprehensive evaluation on the effectiveness of COVID-19 screening for STEMI patients who come to the ED to maintain the target of reperfusion therapy.
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2021
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UI - Tesis Membership  Universitas Indonesia Library
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Devi Nurwidhiyasari
Abstrak :
ABSTRAK
Penyakit paru obstruktif kronik PPOK menurut The Global Initiative for Chronic Obstructive Pulmonary Disease GOLD adalah salah satu penyakit saluran pernapasan yang tidak dapat menular. Klasifikasi pengelompokan ABCD terbaru didasarkan pada gejala dan penilaian risiko eksaserbasi. Tujuan dari penelitian ini adalah untuk menilai klasifikasi Pengelompokan ABCD pada kualitas hidup yang terkait dengan kesehatan pada pasien dengan PPOK. Metode: Desain penelitian ini menggunakan cross sectional dengan metode convenience sampling pada 200 pasien dengan PPOK stabil yang mengalami PPOK selama lebih dari 3 bulan dan tanpa gagal jantung kronis grade 3 dan 4 di Rumah Sakit Persahabatan, Rumah Sakit Budhi Asih dan Pasar Minggu RSUD. Gejala menggunakan COPD Assessment Test CAT dan kuesioner kualitas hidup menggunakan St George 39s Respiratory Questionnaire SGRQ. Hasil: Analisis Chi Square menunjukkan bahwa p = 0,000.
ABSTRACT
Chronic obstructive pulmonary disease COPD according to The Global Initiative for Chronic Obstructive Pulmonary Disease GOLD is one of the non communicable diseases of the respiratory tract. The latest ABCD Groupings classification is based on symptoms and risk assessment of exacerbations. The aim of this study was to assess the classification of ABCD Groupings on the quality of life associated with health in patients with COPD. Methods The design of this study used cross sectional with convenience sampling method in 200 patients with stable COPD who had COPD for more than 3 months and without chronic heart failure grade 3 and 4 at Persahabatan Hospital, Budhi Asih Hospital and Pasar Minggu Hospital. Symptoms use COPD Assessment Test CAT and quality of life questionnaires using St George 39s Respiratory Questionnaire SGRQ. Result Chi Square analysis shows that p 0,000.
2018
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Stevent Sumantri
Abstrak :

Latar Belakang: Perbaikan fungsi fisik, emosional dan kualitas hidup penderita LES harus menjadi bagian penting penatalaksanaan paripurna. Fungsi otot, yang merupakan kombinasi dari kekuatan otot dan performans fisik (Asian Working Group on Sarcopenia 2019), merupakan salah satu determinan penting kualitas hidup subyek LES. Belum ada penelitian evaluasi pengaruh fungsi otot terhadap kualitas hidup penderita LES menggunakan kuesioner Sarcopenia Quality of Life (SarQoL).

Tujuan: Evaluasi hubungan fungsi otot dengan kualitas hidup menggunakan kuesioner SarQoL pada perempuan penderita LES.

Metode: Penelitian potong lintang ini merekrut 61 subyek LES perempuan di klinik Alergi Imunologi, RSCM, secara konsekutif, fungsi otot dinilai dengan dinamometer genggam tangan Jamar (kekuatan otot) dan uji kecepatan berjalan 6 meter (performans fisik), HRQoL dinilai dengan kuesioner Sarcopenia Quality of Life (SarQoL). Kriteria penerimaan perempuan dengan LES berusia ≥18 tahun, tanpa kondisi autoimun lain dan gangguan fungsional/anatomis yang mengganggu pemeriksaan. Analisis statistik menggunakan uji t untuk analisis beda dua rerata dan analisis multivariat regresi linier untuk penyesuaian terhadap perancu.

Hasil: Rerata skor total SarQoL subyek kekuatan otot baik dan rendah didapatkan berbeda signifikan, 74,86 (9,48) vs. 65,49 (15,51) (p=0,009), tetap signifikan setelah disesuaikan usia, asupan protein, tingkat aktivitas olahraga  dan aktivitas penyakit [B -7,12; IK 95% -14,58 –(-1,20)]. Rerata skor total SarQoL subyek dengan kecepatan berjalan baik dan rendah tidak didapatkan berbeda signifikan 70,67 (11,08) vs. 70,72 (13,56) (p=0,993).

Simpulan: Terdapat hubungan signifikan antara kekuatan otot dan kualitas hidup terkait kesehatan menurut SarQoL pada perempuan penderita LES

......

Background: Improvement of physical, emotional function and quality of life of SLE patients, should be an important part of holistic clinical management. Muscle function, a combination of muscle strength and physical performance (Asian Working Group on Sarcopenia 2019), was an important determinant of quality of life in lupus patients. There was no study aimed at evaluating the impact of mucscle function on SLE patient’s quality of life using Sarcopenia Quality of Life (SarQoL) questionnaire.

Aim: This study was conducted to evaluate the relationship of muscle function and SarQoL score in women with SLE.

Methods: This cross-sectional study recruited 61 women with SLE in Allergy-Immunology Clinic of Cipto Mangunkusumo Hospital consecutively, muscle function was measured with Jamar handheld-dynamometer and 6 meter walk test, HRQoL was measured with Sarcopenia Quality of Life (SarQoL) questionnaire. Acceptance criteria include women 18 years old with SLE, and not with other autoimmune disease nor functional/anatomical dysfunction that disturb measurements. Statistical analysis was conducted with t-test for mean difference and linier regression was used to adjust confounders.

Results: The difference of total SarQoL score in subjects with good and low muscle strength was found to be significant; 74.86 (9.48) vs. 65.49 (15.51) (p=0.009), statistically significant after adjusments with age, protein intake, physical acitvity level and disease activity [B -7.12; 95% CI -14.58 –(-1.20)]. The difference of total SarQoL score in subjects with good and low physical performance was found to be not significant 70.67 (11.08) vs. 70.72 (13.56) (p=0.993).

Conclusion: There was a significant association between muscle strength and HRQoL according to SarQoL in women with SLE

Jakarta: Fakultas Kedokteran Universitas Indonesia, 2020
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Abstrak :
Background: sarcopenia contributes to the development of frailty syndrome. Frailty syndrome is potentially improved by modifying insulin resistance, inflammation, and myostatin level. This study is aimed to investigate the effect of metformin on handgrip strength, gait speed, myostatin serum level, and health related quality of life (HR-QoL) among non diabetic pre frail elderly patients. Methods: a double blind randomized controlled trial study was conducted on non-diabetic elderly outpatients aged >60 years with pre frail status based on phenotype and/ or index criteria (Cardiovascular Health Study and/ or Frailty Index 40 items) consecutively recruited from March 2015 to June 2016 at Cipto Mangunkusumo Hospital. One hundred twenty subjects who met the research criteria were randomized and equally assigned into 3 x 500 mg metformin or placebo group. The study outcomes were measured at baseline and after 16 weeks of intervention. Results: out of 120 subjects, 43 subjects in metformin group and 48 subjects in placebo group who completed the intervention. There was a significant improvement on the mean gait speed of metformin group by 0.39 (0.77) second or 0.13 (0.24) meter/second that remained significant after adjusting for important prognostic factors (p = 0.024). There was no significant difference on handgrip strength, myostatin serum level, and HR QoL between both groups. Conclusion: 3 x 500 mg metformin for 16 weeks was statistically significant and clinically important in improving usual gait speed as one of the HR QoL dimensions, but did not significantly improve the EQ 5D index score, handgrip strength, nor myostatin serum level.
Jakarta: University of Indonesia. Faculty of Medicine, 2017
616 UI-IJIM 49: 2 (2017)
Artikel Jurnal  Universitas Indonesia Library
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Devi Wulandari
Abstrak :
Meskipun kualitas hidup terkait kesehatan telah diteliti secara luas, namun faktor kontekstual pasien cenderung diabaikan. Tujuan dari disertasi ini adalah untuk menguji model kontekstual kualitas hidup terkait kesehatan (health related quality of life-HRQoL) yang diajukan oleh Ashing-Giwa (2005) pada pasien paska infark miokard (IM) dan meneliti peranan prediktor-prediktor yang memengaruhi HRQOL. Variabel yang masuk ke dalam level individual adalah kecemasan, left ventricular ejection fraction (LVEF) dan komorbiditas. Kepuasan pernikahan dan coping religius Islami termasuk dalam level sistemik. Penelitian ini menggunakan desain metode penelitian mixed method explanatory. Pada studi 1, penelitian cross sectional dilakukan terhadap 170 pasien paska IM. Pasien mengisi empat kuesioner (MacNew Health Related Quality of Life, Couple Satisfaction Index, Cardiac anxiety Questionnaire, coping religius Islami). Data LVEF dan komorbiditas pasien didapatkan dari catatan medis. Model teoritis diuji dengan menggunakan structural equation modelling (SEM). Hasil penelitian menujukan bahwa kecemasan memiliki pengaruh langsung yang negatif terhadap HRQOL. Tidak terdapat hubungan yang signifikan antara komorbiditas pasien, coping religius Islami dan LVEF terhadap HRQOL. Kepuasan pernikahan adalah moderator yang signifikan terhadap hubungan antara kecemasan dengan HRQOL. Pada studi 2 dilakukan penelitian kualitatif dengan menggunakan metode multiple case study (studi kasus ganda). Hasil penelitian menujukkan bahwa responden mengalami kecemasan terhadap kecemasan terhadap kematian, kecemasan terhadap bertambah parahnya penyakit dan efek samping pengobatan. IM dihayati sebagai kesempatan kedua untuk menebus kesalahan masa lalu dan adanya dukungan dari pasangan membuat responden lebih mudah untuk menjalani kehidupan paska IM. Aspek lain yang muncul dalam penelitian kualitatif adalah komunikasi antara pasien - dokter dan adanya peran jender terhadap HRQOL responden.
Although health related quality of life (HRQOL) has been studied extensively, the role of patient’s contextual factors tended to be neglected. The purpose of this dissertation is to test contextual model of health related quality of life proposed by Ashing-Giwa (2005)in post myocardial infarction (MI)  patients and to examine roles of health related quality of life predictors. Variables include in the individual level are anxiety, left ventricular ejection farction and comorbidity. Marital satisfaction and Islamic religious coping are included in the systemic level. An explanatory mixed method study was conducted for this dissertation. For study 1, a cross sectional study included 170 post myocardial infarction (MI) patients was conducted. The patients filled out four questionnaires (MacNew Health Related Quality of Life, Couple Satisfaction Index, Cardiac Anxiety Questionnaire, Islamic Religious Coping. Data regarding patients left ventricular ejection fraction (LVEF) and comorbidity were gathered from patient’s medical status. The theoretical model was tested using structural equation modelling. Structural equation modelling revealed that anxiety had a negative direct relationship to HRQOL. There were no significant relationships among patient’s comorbidity, Islamic religius coping, LVEF and HRQOL Marital satisfaction was a significant moderator of the relationship between anxiety and HRQOL. In study 2, a multiple case study revealed that respondents had anxiety toward death, severity of their disease and medication’s side effects. MI was experienced as a second chance given by God to redeem their misdeed in the past. Supports from spouse made respondents feel at ease to live their daily life after MI. Other aspects emerged in the qualitative study were patients-doctor communication and role of jender in respondents HRQOL.
Universitas Indonesia, 2019
D2757
UI - Disertasi Membership  Universitas Indonesia Library
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Febrila Harmaini
Abstrak :
Latar Belakang. Kualitas hidup merupakan hal yang penting pada penyakit kronik, termasuk pada usia lanjut. Kualitas hidup yang dibahas di bidang kesehatan adalah kualitas hidup terkait kesehatan (health related quality of life). Salah satu kuesioner untuk mengukur kualitas hidup yang banyak digunakan adalah formulir European Quality of Life - 5 Dimensions (EQ-5D). Di Indonesia belum ada suatu alat mengukur kualitas hidup terkait kesehatan pada usia lanjut yang sudah diuji keandalan dan kesahihan. Tujuan. Membuktikan bahwa formulir EQ-5D merupakan alat pngukur yang andal dan sahib untuk menentukan kualitas hidup terkait kesehatan pada usia lanjut di Indonesia. Metodologi. Dirancang suatu studi validasi. Prosedur yang dilakukan adalah pada hari pertama kunjungan, semua pasien melakukan pengisian formulir European Quality of life - 5 Dimensions (EQ-5D) dan Short Form - 36 (SF-36) dan pada hari ke 7-14 kunjungan dilakukan pengisian ulang formulir EQ-5D. Hasil. Telah dilakukan pengambilan data terhadap 86 responden, nilai ICC EQ-5D masing-masing dimensi, EQ-5D indeks maupun VAS didapatkan sangat baik (>0,75), kecuali untuk rasa cemas/ depresi, dengan nilai ICC 0,611. Keandalan internal consistency penelitian ini didapatkan nilai Cronbach a 0,829. Uji kesahihan ekstemal EQ-5D-dibandingkan SF-36 dan dianalisis-dengan uji Pearson/ Spearman correlation coefficient. Terdapat hubungan bermakna (p<0,0I), yaitu antara dimensi EQ-5D, EQ-5D indeks, EQ-5D VAS dengan dimensi SF-36 maupun SF-36 nilai total, kecuali hubungan EQ-5D VAS dan kesehatan jiwa SF-36. Hasil uji kesahihan konstruksi EQ-5D, didapatkan semua dimensi berhubungan bermakna dengan EQ-5D indeks ( p<0,01). Simpulan. Fornulir EQ-5D merupakan alat pngukur yang andal dan sahih dan dianjurkan dapat digunakan untuk mengukur kualitas hidup terkait kesehatan usia lanjut di Indonesia.
Background. Quality of life is an important issue in chronic disease and elderly population. Quality of life discussed here is Health Related Quality of Life (HRQOL). HRQOL is an abstract variable. It contents two dimensions, subjective or perception and objective component. One of the HRQOL instrument most commonly used is European Quality of Life - 5 Dimensions (EQ-5D) form. So far there isn't any tool to measure HRQOL in elderly population in Indonesia, which has been validated consistently. Objectives. To verify that EQ-5D form is a reliable and valid instrument to measure health related quality of life in elderly population in Indonesia. Methods. A validation study was arranged. On the first day of visit, all patients filled in EQ-5D form and Short Form - 36 (SF-36), which was repeated on day 7 through day 14 of visits. Results. There were 86 respondents in this study. Interclass Correlation Coefficient (ICC) EQ-5D for each dimension, EQ-5D index and EQ-5D VAS were found to be excellent (>0.75) with the exception of anxiety/ depression with ICC 0.611. The internal consistency was found to have Cronbach a 0.829. Compared to SF-36, the external validity of EQ-SD was found to be significant (p<0.01) using Pearson/ Spearman correlation coefficient, except the correlation of EQ-5D VAS and mental health. The construct validity was found to be significant (p<0.01). Conclusions. EQ-5D form is a reliable and valid instrument which is recommended to measure health related of life in elderly population in Indonesia.
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2006
T21418
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