HUBUNGAN ANTARA SOCIAL DETERMINANT OF HEALTH DENGAN PERILAKU SELF MANAGEMENT PADA PASIEN HEMODIALISIS

Abstrak

Latar Belakang : Perilaku self management mempengaruhi metaforasi karakter yang berkaitan pada penyakit dan menyertakan penyesuaian dan pengendalian peralihan pola hidup sebab penyakit. Sebagai patokan atas peralihan gaya hidup, hal superfisial sebagai tolak ukur penting mengetahui social determinant of health. Tujuan penelitian ini untuk mengetahui apakah ada hubungan antara social determinant of health dengan self management pada pasien hemodialisis. Metode : Penelitian observasional analitik dengan pendekatan cross sectional. Sampel pada penelitian ini yaitu pasien hemodialisis di RSD KRMT Wongsonegoro sebanyak 50 responden yang sesuai kriteria inklusi dengan teknik total sampling. Instrument penelitian ini aplikasikan kuisioner data demografi dan Hemodialysis Patient Self Care Measurement Scale. Data ini diuji dengan menggunakan analisis chi square. Hasil : Mayoritas responden penelitian ini berusia 45-49 tahun sebanyak 36 responden (72%), berjenis kelamin pria sebanyak 31 responden (62 %),  pendidikan SMA sebanyak 24 responden (48 %), tidak bekerja sebanyak 32  responden (64 %), menikah sebanyak 42  responden (84 %), self management cukup sebanyak 32 responden (64 %). Hasil uji bivariat antara social determinant of health dengan self management pada usia nilai p 0.538 , jenis kelamin nilai p 0.273, pendidikan nilai p 0.035, pekerjaan nilai p 0.031, pernikahan nilai p 0.048. Kesimpulan : Terdapat hubungan antara pendidikan, pekerjaan, pernikahan pada self management pasien hemodialisis.

Background: Self-management behavior affect the metaphor of character related to the disease includes adjustment and control of lifestyle changes due to disease. As a benchmark for lifestyle changes, superficial things as an important benchmark for knowing the social determinants of health. The purpose of this study was to determine whether there is a relationship between social determinants of health and self-management in hemodialysis patients. Method: Analytical observational study with a cross-sectional approach. The sample in this study were hemodialysis patients at RSD KRMT Wongsonegoro, Semarang City, as many as 50 respondents who met the inclusion criteria with a total sampling technique. The research instrument used a demographic data questionnaire and the Hemodialysis Patient Self Care Measurement Scale. This data was tested using chi square analysis. Results: The majority of respondents in this study were aged 45-49 years (36 respondents (72%), male (31 respondents (62%), high school education (24 respondents (48%), unemployed (32 respondents (64%), married (42 respondents (84%), sufficient self-management (32 respondents (64%). The results of the bivariate test between social determinants of health and self-management at age p value 0.538, gender p value 0.273, education p value 0.035, employment p value 0.031, marriage p value 0.048.