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Abstrak :
Spinal Cord Injury (SCI) dengan neurogenic bladder menyebabkan penurunan quality of life (QOL). Model konseptual QOL mengemukakan bahwa faktor karakteristik individu, karakteristik lingkungan, fungsi biologis, gejala, status fungsional dan persepsi kesehatan umum dapat mempengaruhi QOL. Penelitian ini bertujuan menganalisis faktor-faktor yang mempengaruhi QOL. Penelitian ini menggunakan desain deskirptif korelasional pada 55 pasien SCI dengan neurogenic bladder di Indonesia. QOL dinilai dengan menggunakan WHOQOL-BREF. Rerata total skor QOL adalah 47,55. Hasil penelitian menunjukkan faktor yang memiliki hubungan signifikan dengan QOL adalah pengetahuan (p=0,006), dukungan sosial (0,000), kondisi lingkungan (p=0,000), status fungsional (p=0,001) dan persepsi kesehatan (0,000). Faktor yang paling berpengaruh adalah persepsi kesehatan. Berdasarkan hasil penelitian optimalisasi proses adaptasi dan rehabilitasi akan membantu persepsi pasien SCI dengan neurogenic bladder untuk dapat hidup normal atau mendekati normal dengan kondisinya. ...... Spinal cord injury (SCI) with neurogenic bladder lead to decrease of quality of life (QOL). Conceptual model of QOL propose there are several factors influencing QOL. There are characteristics of individual, characteristics of environment, biological function, symptom, functional status, and general health perception. The objective of this study was to analyze factors influencing to QOL. This was descriptive correlational study to 55 SCI with neurogenic bladder patients in Indonesia. QOL was measured by WHOQOL-BREF. Total mean score of QOL was 47,55. Study showed that factor that significantly correlating with QOL were knowledge (p=0,006), social support (p=0,000), environtment condition (p=0,001), functional status (p=0,001) and heatlh perception (p=0,000). The most influencing factor was health perception. Based on the study result it is necessary to optimize adaptation and rehabilitation process which could help SCI with neurogenic patient perception to life normaly.

Abstrak :
Latar Belakang Di masa pandemi COVID-19, terjadi peningkatan suatu isu kesehatan yaitu swamedikasi obat bebas di kalangan masyarakat. Hal ini dikaitkan dengan persepsi sehat yang dimiliki oleh setiap individu sehingga memicu perilaku swamedikasi. Hingga saat ini, belum diketahui hubungan antara persepsi kesehatan umum dengan swamedikasi obat bebas pada subjek pasca COVID-19. Metode Di masa pandemi COVID-19, terjadi peningkatan suatu isu kesehatan yaitu swamedikasi obat bebas di kalangan masyarakat. Hal ini dikaitkan dengan persepsi sehat yang dapat diukur menggunakan The Short Form 36 Health Survei Questionnaire (SF-36) dan dimiliki oleh setiap individu sehingga memicu perilaku swamedikasi. Hingga saat ini, belum diketahui hubungan antara persepsi kesehatan umum dengan swamedikasi obat bebas pada subjek pasca COVID-19. Hasil Sebagian besar persepsi kesehatan umum pada subjek pasca COVID-19 di Kelurahan Panjunan, Cirebon adalah baik. Pada penelitian ini diketahui proporsi responden pasca COVID-19 yang pernah melakukan swamedikasi obat bebas selama 6 bulan terakhir adalah 61 responden (71,8%). Analisis antara persepsi kesehatan umum dan perilaku swamedikasi obat bebas subjek pasca COVID-19 di Kelurahan Panjunan Cirebon dan sekitarnya dengan Uji Fisher yang menunjukkan nilai p=0,029 (OR 5,647; 95% CI 0,693- 45,973) yang menunjukkan adanya hubungan signifikan. Kesimpulan Terdapat hubungan signifikan antara persepsi kesehatan umum dan perilaku swamedikasi obat bebas subjek pasca COVID-19 di Kelurahan Panjunan Cirebon dan sekitarnya dengan Uji Fisher yang menunjukkan nilai p=0,029 (OR 5,647; 95% CI 0,693-45,973). Alasan utama responden melakukan swamedikasi adalah karena hemat waktu. ......Introduction During the COVID-19 pandemic, an increasing of a health issue is detected which causes an increasing of self-medication behavior of over-the-counter drugs among the public. This is associated with the decreased quality of life in post COVID-19 patients which can be measured by The Short Form 36 Health Survei Questionnaire (SF-36) about the perception of health that each individual has, thus triggering self-medication behavior. Until now, there is no known relationship between general health perceptions and over- the-counter drug self-medication in post-COVID-19 subjects. Method This research was conducted by collecting samples using consecutive sampling method and cross-sectional methods with 85 respondents which fulfilled the inclusion criterias in Panjunan Village, Cirebon, and surrounding areas. Results In this study, it was found that the proportion of post-COVID-19 respondents who had self-medicated over-the-counter medications during the last 6 months was 61 respondents (71.8%). Analysis of general health perceptions and over-the-counter self-medication behavior of post-COVID-19 subjects in Panjunan Village Cirebon and its surroundings with Fisher's test showing a p value = 0.029 (OR 5.647; 95% CI 0.693-45.973) which indicates a significant relationship. Overall, the general health perceptions in Panjunan Village, Cirebon and its surroundings is good. Conclusion There is a significant relationship between general health perceptions and self-medication behavior of the post-COVID-19 subjects in Panjunan Village, Cirebon and its surroundings with the Fisher Test showing a value of p=0.029 (OR 5.647; 95% CI 0.693- 45.973). The main reason respondents carry out self-medication is because it saves time.