Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN, KEBUDAYAAN, RISET DAN TEKNOLOGI UNIVERSITAS SYIAH KUALA FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
25 January 2022

V BAB + 64 halaman + 6 tabel + 1 skema + 18 lampiran

Erna Masdiana
NPM. 1712201010026

Determinan Masalah Psikososial Pada Pasien Stroke Di Rumah Sakit
Kota Lhokseumawe

ABSTRAK
Stroke merupakan gangguan atau kerusakan neurovaskular yang kompleks dan sering menjadi isu masalah kesehatan publik. Stroke mempunyai dampak pada aspek kehidupan, seperti mengalami masalah psikososial disebabkan terdapat nya perubahan fisik di dalam dirinya.Tujuan penelitian ini mengidentifikasi determinan masalah psikososial pada pasien stroke yang paling dominan di Rumah Sakit Kota Lhokseumawe. Penelitian ini adalah jenis kuantitatif dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan teknik total sampling. Responden dalam penelitian ini sebanyak 113 orang. Instrumen Penelitian yang digunakan adalah menggunakan kuesioner Emotional Intelegensia (EI), Robson scala Concept (RSCQ), Stroke Motivation rehabilitation scale (SMRS), Coping Scale, Multidimensional Scale of Percaived Sosial Support (MSPSS), Helplessnes (LHS), Depression Anxiety and Stress Scale 21 (DASS 21). Hasil uji bivariat diperoleh masalah psikososial dalam lingkup depresi p- value = 0,019, ansietas p- value = 0,000 dan stres p- value= 0,000 dengan enam variabel independen yang berhubungan pada pasien stroke yaitu kecerdasan emosional, konsep diri, motivasi, mekanisme koping, dukungan sosial dan ketidakberdayaan. Hasil analisis multiple logistic regression berganda menggunakan metode Backward Stepwise dapat disimpulkan yang mendominasi masalah stres yaitu ketidakberdayaan dengan p- value = 0,003 nilai OR 24,129. Faktor yang mendominasi masalah psikososial yaitu ketidakberdayaan. Penelitian ini merekomendasikan penanganan dengan memberikan life support pada pasien stroke untuk mencegah terjadinya masalah psikososial.

Kata kunci : Stroke, masalah psikososial, depresi, anxietas, stres.

MINISTRY OF EDUCATION, CULTURE, RESEARCH, AND TECHNOLOGY SYIAH KUALA UNIVERSITY FACULTY OF NURSING MASTER OF NURSING STUDY PROGRAM 25th of January 2022 V Chapters + 64 pages + 6 tables + 1 schematics + 18 appendixs Erna Masdiana NPM 1712201010026 Determinants of Psychosocial Problems in Stroke Patients at Lhokseumawe Hospital ABSTRACT Stroke is a complex neurovascular disorder and is often a public health issue. Stroke has an impact on aspects of life, such as experiencing psychosocial problems due to physical changes in him. The purpose of this study was to identify the most dominant determinants of psychosocial problems in stroke patients at Lhokseumawe City Hospital. This research is of the quantitative type with a cross-sectional approach. The sampling technique used was the total sampling technique. There were 113 respondents in this study. The research instrument used was the Emotional Intelligence (EI) questionnaire, Robson Scale Concept (RSCQ), Stroke Motivation Rehabilitation Scale (SMRS), Coping Scale, Multidimensional Scale of Perceived Social Support (MSPSS), Helplessness (LHS), Depression Anxiety and Stress Scale 21 (DASS 21). The results of the bivariate test obtained six independent variables related to psychosocial problems in the scope of depression p-value = 0,019, anxiety p-value = 0,000, and stress p- value= 0,000 in stroke patients, namely emotional intelligence, self-concept, motivation, coping mechanisms, social support, and helplessness. The results of logistic regression analysis using the Backward Stepwise method can be concluded that the stress problem is helplessness with p-value = 0.003, Odds Ratio (OR) 24,129. The factor that dominates psychosocial problems is helplessness. This study recommends treatment by providing life support to stroke patients to prevent psychosocial problems. Keywords: Stroke, psychosocial problems, depression, anxiety, stress