Uncertainty of Disease Process with Self Empowerment in Hypertension Patients

Authors

  • Kustin Kustin Universitas dr. Soebandi Jember, Indonesia
  • M. Elyas Arif Budiman Universitas dr. Soebandi Jember, Indonesia
  • Irwina Angelia Silvanasari Universitas dr. Soebandi Jember, Indonesia
  • Adinda Oktavia Putri Universitas dr. Soebandi Jember, Indonesia

DOI:

https://doi.org/10.33006/jikes.v6i2.545

Abstract

Abstrak

Ketidakpastian proses penyakit hipertensi menyebabkan stres karena ketidakpastian di sekitar penyakit, proses penyakit, pengobatan dan efek samping. Ketidakpastian ini disebabkan karena self empowerment yang buruk. Strategi self empowerment dikembangkan pada penyakit hipertensi untuk meningkatkan kontrol mereka terhadap penyakitnya dan meningkatkan kesehatan mental yang lebih baik dan sejahtera. Tujuan penelitian ini untuk mengetahui hubungan ketidakpastian proses penyakit dengan self empowerment pada pasien hipertensi di Klinik Silo Sehat Kabupaten Jember. Metode penelitian ini adalah cross-sectional dengan jumlah sampel dalam penelitian ini adalah 58 pasien penderita hipertensi diambil dengan teknik simple random sampling. Alat ukur yang digunakan pada variabel self empowertment menggunakan self empowerment questionnaire dan variabel ketidakpastian menggunakan kuesioner Uncertainty in Illness questionnaire dengan analisis data menggunakan contingency coefficient. Hasil analisis dengan uji contingency coefficient pada α=0,05 didapat  p-value 0,00 < α (0,05) sehingga dapat diambil kesimpulan bahwa terdapat hubungan ketidakpastian proses penyakit dengan self empowerment pada pasien hipertensi. Self empowerment dapat menurunkan ketidakpastian (uncertainty) dan dapat meningkatkan adaptasi psikososial sehingga sangat perlu bagi klien hipertensi dalam menangani potensi stressor dan ketidakpastian proses penyakit hipertensi.

Kata kunci: hipertensi, ketidakpastian, self empowerment

 

Abstract

The uncertainty of the hypertension disease process causes stress because of the uncertainty surrounding the disease, the disease process, treatment, and side effects. The uncertainty was caused by bad self empowerment. The self-empowerment strategies for hypertension patients were developed in order to improve disease control and promote better mental health and well-being. The purpose of this study was to determine the relationship between uncertainty of the disease process and self empowerment in hypertension patients at Silo Sehat Clinic, Jember. This research method was cross-sectional with the number of samples in this study were 58 patients with hypertension taken by simple random sampling technique. The measuring instrument used for the self empowerment variable is the self empowerment questionnaire and the uncertainty variable is the MUIS/Mishel Uncertainty in illness questionnaire. In this study, data analysis was performed using the contingency coefficient. The results of the analysis using the contingency coefficient test 0.05 obtained p-value (0.00 (0.05), indicating that there is a relationship between disease process uncertainty and self empowerment in hypertension  patients. With sufficient self empowerment, the information about the disease obtained from health workers was quite good and helped clients in dealing with potential stressors and increasing self empowerment.

Keywords: hypertension, uncertainty, self empowerment

Author Biographies

Kustin Kustin, Universitas dr. Soebandi Jember

Faculty of Health, University of dr. Soebandi, Jember, Indonesia

M. Elyas Arif Budiman, Universitas dr. Soebandi Jember

Faculty of Health, University of dr. Soebandi, Jember, Indonesia

Irwina Angelia Silvanasari, Universitas dr. Soebandi Jember

Faculty of Health, University of dr. Soebandi, Jember, Indonesia

Adinda Oktavia Putri, Universitas dr. Soebandi Jember

Faculty of Health, University of dr. Soebandi, Jember, Indonesia

References

Anderson, K., & Priebe, S. (2021). Concepts of Resilience in Adolescent Mental Health Research. Journal of Adolescent Health, 69(5), 689–695. https://doi.org/10.1016/j.jadohealth.2021.03.035

Arifuddin, A., & Nur, A. F. (2018). Pengaruh Efek Psikologis Terhadap Tekanan Darah Penderita Hipertensi di RSU Anutapura Palu. Jurnal Kesehatan Tadulako, 4(3), 48–53.

Ashe, M. (2016). Self-Empowerment. Probation Journal, 38(2), 104. https://doi.org/10.1177/026455059103800221.

Caruso, V., Giammanco, M. D., & Gitto, L. (2014). Quality of life and uncertainty in illness for chronic patients. Mediterranean Journal of Clinical Psychology, 2(2). https://doi.org/ 10.6092/2282-1619/2014.2.990

Choi, H. S., Lee, S. M., Eun, H., Park, M., Park, K. I., & Namgung, R. (2018). The impact of a quality improvement effort in reducing admission hypothermia in preterm infants following delivery. Korean Journal of Pediatrics, 61(8), 239–244. https://doi.org/10.3345/kjp.2018.61.8.239

Davies, M. (2019). Psychological aspects of diabetes management. Medicine (United Kingdom), 47(2), 131–134. https://doi.org/10.1016/j.mpmed.2018.11.003

Goutzamanis, S., Doyle, J. S., Thompson, A., Dietze, P., Hellard, M., & Higgs, P. (2018). Experiences of liver health related uncertainty and self-reported stress among people who inject drugs living with hepatitis C virus: A qualitative study. BMC Infectious Diseases, 18(1), 1–8. https://doi.org/10.1186/s12879-018-3057-1

Kementerian Kesehatan. (2018). Hasil Utama Riset Kesehatan Dasar 2018. Kementrian Kesehatan Republik Indonesia, 1–100.

Kusnanto, Iqlima Dwi Kurnia, D. I. P. (2015). Penerapan “Health Action Process Approach” Untuk Meningkatkan Kepatuhan Diet Penderita DM Tipe 2. 2. Jurnal Ners, 10 (2), 272-278.

Larionov, P. (2021). Psychological methods in treatment of essential hypertension. Arterial Hypertension (Poland), 25(2), 53–62. https://doi.org/10.5603/AH.a2021.0002

M Elyas Arif Budiman, Said Mardijanto, A. Y. (2020). Peningkatan Self Empowerment Klien Diabetes mellitus Tipe 2 dengan Pendekatan Health Action Proces Approach. Jurnal Penelitian Kesehatan Suara Forikes, 11(April), 21–24.

Maulinda, I., Candrawati, E., & Adi, R. C. (2016). Pengaruh Terapi Relaksasi Benson Terhadap Kualitas Tidur Lansia di Posyandu Permadi Tlogomas Kota Malang. Journal Nursing News, 2(3), 518–587. https://doi.org/10.1021/ BC049898Y

Middleton, A. V., LaVoie, N. R., & Brown, L. E. (2012). Sources of Uncertainty in Type 2 Diabetes: Explication and Implications for Health Communication Theory and Clinical Practice. Health Communication, 27(6), 591–601. https://doi.org/ 10.1080/10410236.2011.618435

Nuari, N. A. (2018). Increasing Self Empowerment and Quality of Life of Patients With Type 2 Diabetes Mellitus With Diabetes Empowerment Education Based on Health Promotion Model. Indonesian Nursing Journal of Education and Clinic (Injec), 2(1), 52. https://doi.org/10.24990/injec.v2i1.9

Onoruoiza SI, Musa, Umar BD, K. (2015). Using Health Beliefs Model as an Intervention to Non Compliance with Hypertension Information among Hypertensive Patient. Journal Of Humanities And Social Science (IOSR-JHSS), 20.

Toblas, B. C. (2015). Hubungan pengetahuan tentang hipertensi dengan perilaku lansia dalam pencegahan hipertensi di posyandu lansia desa tegal wangi kecamatan umbulsari. Skripsi. Program Studi Ilmu Keperawatan STIKES Dr. Soebandi Jember.

Zinchenko, Y. P., Pervichko, E. I., & Ostroumova, O. D. (2013). Psychophysiological mechanisms of mental stress reactions in patients with “hypertension at work” and patients with essential Hypertension: A comparative analysis. Psychology in Russia: State of the Art, 6(3), 78–94. https://doi.org/10.11621/pir.2013.0308

Downloads

Published

2023-02-16

Citation Check