Skip to main content Skip to main navigation menu Skip to site footer
Articles
VIEWS: 120
Published: 2023-07-27

Factors Determining Commitment to Health-Promoting Behavior During COVID-19

Nursing Science Study Program, Faculty of Health Science, Universitas Katolik Musi Charitas, Palembang 30114
Nursing Science Study Program, Faculty of Health Science, Universitas Katolik Musi Charitas, Palembang 30114
commitment behavior health promotion health promotion model new normal

Abstract

Forming new behaviors during the COVID-19 pandemic required individual commitment. Based on Pender’s health promotion model (HPM), factors affecting commitment to new behaviors include benefit perception, barriers, self-efficacy, related activities, as well as interpersonal and situational influences. This study aims to determine the determinant factors that affected commitment to health-promoting behavior and habits during the COVID-19 pandemic. This study randomly assigned online questionnaires to 186 people in Palembang. The instruments used in this study were developed by the author based on Pender’s HPM. Path analysis with the SEM-PLS approach was used to analyze determinant factors of community commitment. The results of the analysis showed that the following influenced commitment: benefit variables (β = 0.192; p = 0.011), previous activities (β = 0.134; p = 0.031), interpersonal influence (β = 0.214; p = 0.005) and situational influence (β = 0.326; p = 0.000), barriers (β = -0.068; p = 0.247), and self-efficacy (β = 0.079; p = 0.256). All the predictors contributed to a commitment value of 40.6%. It can be concluded that enhancing perceived benefits and focusing on previously completed activities, and external factors, interpersonal and situational influence, may strengthen commitment to developing healthy behavior. Moreover, good self-efficacy based on previous practice can lower perceived barriers, which hinder commitment. Therefore, nurses need to focus on identifying individual internal and external factors to bolster commitment while lowering barriers.

Abstrak

Faktor-faktor Penentu Komitmen terhadap Perilaku Promosi Kesehatan selama COVID-19. Membentuk perilaku baru di masa pandemi COVID-19 memerlukan komitmen individu. Berdasarkan Pender’s health promotion model (HPM), faktor-faktor yang mempengaruhi komitmen terhadap perilaku baru meliputi persepsi manfaat, hambatan, efikasi diri, aktivitas terkait, serta pengaruh interpersonal dan situasional. Penelitian ini bertujuan untuk mengetahui faktor-faktor penentu yang mempengaruhi komitmen terhadap perilaku dan kebiasaan promosi kesehatan selama pandemi COVID-19. Penelitian ini menyebarkan kuesioner online secara acak kepada 186 orang di Palembang. Instrumen yang digunakan dalam penelitian ini dikembangkan penulis berdasarkan Pender’s HPM. Path analysis dengan pendekatan SEM-PLS digunakan untuk menganalisis faktor-faktor penentu komitmen masyarakat. Hasil analisis menunjukkan bahwa komitmen dipengaruhi oleh hal-hal berikut: variabel manfaat (β = 0,192; p = 0,011), aktivitas sebelumnya (β = 0,134; p = 0,031), pengaruh interpersonal (β = 0,214; p = 0,005) dan pengaruh situasional (β = 0,326; p = 0,000), hambatan (β = -0,068; p = 0,247), dan efikasi diri (β = 0,079; p = 0,256). Seluruh prediktor menyumbang nilai komitmen sebesar 40,6% sehingga dapat disimpulkan bahwa meningkatkan manfaat yang dirasakan dan fokus pada aktivitas yang telah diselesaikan sebelumnya, dan faktor eksternal, pengaruh interpersonal dan situasional, dapat memperkuat komitmen untuk mengembangkan perilaku sehat. Selain itu, efikasi diri yang baik berdasarkan praktik sebelumnya dapat menurunkan hambatan yang dirasakan, yang menghambat komitmen. Oleh karena itu, perawat perlu fokus dalam mengidentifikasi faktor internal dan eksternal individu untuk meningkatkan komitmen sekaligus menurunkan hambatan.

Kata Kunci: model promosi kesehatan, new normal, perilaku komitmen, promosi kesehatan

References

  1. Afro, R.C., Isfiya, A., & Rochmah, T.N. (2020). Analisis faktor yang mempengaruhi kepatuhan terhadap protokol kesehatan saat pandemi Covid-19 pada masyarakat Jawa Timur: Pendekatan health belief model. Journal of Community Mental Health and Public Policy, 3(1), 1–10. doi: 10.51602/cmhp.v3i1.43.
  2. Akbar, K.R., Wilastiara, E.B., Noviyanti, R., Ardiani, R., & Sudinadji, M.B. (2021). Analisis perilaku masyarakat selama pandemic Covid-19 dan new normal. JIRA: Jurnal Inovasi dan Riset Akademik, 2(1), 65–78. doi: 10.47387/jira.v2i1.74.
  3. Alligood, M.R. (2014). Nursing theorists and their work (8th ed.). Elseiver.
  4. Ashgar, R.I. (2021). Health-promoting behaviour during the COVID-19 pandemic among Saudi Adults: A cross-sectional study. Journal of Advanced Nursing, 77(8), 3389–3397. doi: 10.1111/jan.14863.
  5. Corpuz, J.C.G. (2021). Adapting to the culture of “new normal”: An emerging response to COVID-19. Journal of Public Health, 43(2), e344–e345. doi: 10.1093/pubmed/fdab057.
  6. Dehdari, T., Rahimi, T., Aryaeian, N., & Gohari, M.R. (2014). Effect of nutrition education intervention based on Pender’s health promotion model in improving the frequency and nutrient intake of breakfast consumption among female Iranian students. Public Health Nutrition, 17(3), 657–666. doi: 10.1017/S1368980013000049.
  7. Fikriana, R., Fahrany, F., & Rusli, S.A. (2021). Health belief associated with adherence to health protocol in preventing coronavirus diseases on patients’ family. Open Access Macedonian Journal of Medical Sciences, 9, 1011–1015. doi: 10.3889/oamjms.2021.6762.
  8. Ghozali, I., & Latan, H. (2020). Partial least square: Konsep, teknik, dan aplikasi menggungakan program SmartPLS 3.0 untuk penelitian empiris (2nd ed.). Badan Penerbit Universitas Diponegoro.
  9. Hallo Palembang. (2020). Palembang tanggap #COVID19. Communication and Information Service Palembang. Retrieved from: https://hallo.palembang.go.id/covid19/
  10. Haryono, S. (2017). Metode SEM untuk penelitian manajemen: AMOS, LISREL, PLS. Luxima Metro Media.
  11. Johansson, H., Weinehall, L., & Emmelin, M. (2010). “If we only got a chance.” Barriers to and possibilities for a more health-promoting health service. Journal of Multidisciplinary Healthcare, 3, 1–9. doi: 10.2147/JMDH.S8104.
  12. Junias, M.S., & Toy, S.M. (2021). Kepatuhan praktik protokol kesehatan COVID-19 pada penyintas. Jurnal Keperawatan Silampari, 5(1), 420–429. doi: 10.31539/JKS.V5I1.3057.
  13. Khodaveisi, M., Omidi, A., Farokhi, S., & Soltanian, A.R. (2017). The effect of Pender’s health promotion model in improving the nutritional behavior of overweight and obese women. International Journal of Community Based Nursing and Midwifery, 5(2), 165–174.
  14. Klemelä, J. (2018). Multivariate data analysis. In J. Klemelä (Eds.), Nonparametric finance (pp. 95-120). John Wiley & Sons, Inc. doi: 10.1002/9781119409137.ch4.
  15. Kommoss, F.K.F., Schwab, C., Tavernar, L., Schreck, J., Wagner, W.L., Merle, U., Jonigk, D., Schirmacher, P., & Longerich, T. (2020). The pathology of severe COVID-19-related lung damage. Deutsches Arzteblatt International, 117(29–30), 500–506. doi: 10.3238/arztebl.2020.0500.
  16. Kumar, A., Narayan, R.K., Kumari, C., Faiq, M.A., Kulandhasamy, M., Kant, K., & Pareek, V. (2020). SARS-CoV-2 cell entry receptor ACE2 mediated endothelial dysfunction leads to vascular thrombosis in COVID-19 patients. Medical Hypotheses, 145, 110320. doi: 10.1016/j.mehy.2020.110320.
  17. Kuntardjo, N., & Sebong, P.H. (2020). Pola interaksi dan kepatuhan protokol kesehatan oleh pedagang Di Pasar X Kota Semarang: Studi kualitatif eksploratif. Vitasphere, 1(1), 1. doi: 10.24167/vit.v1i1.2974.
  18. Li, W., Moore, M.J., Vasilieva, N., Sui, J., Wong, S.K., Berne, M.A., Somasundaran, M., Sullivan, J.L., Luzuriaga, K., Greeneugh, T.C., Choe, H., & Farzan, M. (2003). Angiotensin-Converting Enzyme 2 is a Functional receptor for the SARS coronavirus. Nature, 426, 450–454. doi: 10.1038/nature02145.
  19. Lumbanrau, R.E. (2020). Covid-19 Indonesia terus naik: “Orang yang tak taat protokol makin banyak” karena “masyarakat menengah bawah tidak paham”?. BBC News Indonesia. Retrieved from: https://www.bbc.com/indonesia/indonesia-53553408
  20. Mustafa, Z., & Wijaya, T. (2012). Panduan teknis statistik SEM & PLS dengan SPSS AMOS. Cahaya Atma Pustaka.
  21. Noorrizki, R.D., Suhanti, I.Y., & Pambudi, K.S. (2021). Disobeying government rules: A descriptive study of intention to apply health protocol during Covid-19. KnE Social Sciences, 215–223. doi: 10.18502/kss.v4i15.8207.
  22. Pakpahan, M., Hutapea, A.D., Siregar, D., Frisca, S., Sitanggang, Y.F., Manurung, E.I., Pranata, L., Daeli, N.E., Koerniawan, D., Pangkey, B.C.A., Ikasari, F.S., & Hardika, B.D. (2020). Keperawatan komunitas. Yayasan Kita Menulis.
  23. Pratiwi, M.S.A., Yani, M.V.W., Putra, A.I.Y.D., Mardiana, I.W.G., Adnyana, I.K.A., Putri, N.M.M.G., Karang, N.P.S.W.A., & Setiawan, I.P.Y. (2020). Hubungan karakteristik individu terhadap perilaku mengenai Covid-19 di Desa Gulingan, Mengwi, Bali. Jurnal Kesehatan, 13(2), 112–120. doi: 10.24252/KESEHATAN.V1I1.16340.
  24. Ringle, C.M., Sarstedt, M., Mitchell, R., & Gudergan, S.P. (2020). Partial least squares structural equation modeling in HRM research. The International Journal of Human Resource Management, 31(12), 1617-1643. doi: 10.1080/09585192.2017.1416655.
  25. Ringle, C.M., Wende, S., & Becker, J.-M. (2015). SmartPLS 3. SmartPLS GmbH. Retrieved from: http://www.smartpls.com
  26. Riyadi, R., & Larasaty, P. (2020). Faktor yang berpengaruh terhadap kepatuhan masyarakat pada protokol kesehatan dalam mencegah penyebaran Covid-19. Seminar Nasional Official Statistics, 2020(1), 45–54. doi: 10.34123/SEMNASOFFSTAT.V2020I1.431.
  27. Saehana, A., Sudirman, S., & Kadri, A. (2021). An analysis of compliance level of health protocol implementation at the population control and family agency in Central Sulawesi during the Covid-19 pandemic. International Journal of Health, Economics, and Social Sciences, 3(4), 250-256. doi: 10.56338/ijhess.v3i4.1897.
  28. Safitri, E. (2020). Doni Monardo: Warga tak patuh protokol kesehatan karena tak ada sanksi. Detik.Com. Retrieved from: https://news.detik.com/berita/d-5197073/doni-monardo-warga-tak-patuh-protokol-kesehatan-karena-tak-ada-sanksi
  29. Sanaeinasab, H., Saffari, M., Pakpour, A.H., Nazeri, M., & Piper, C.N. (2012). A model-based educational intervention to increase physical activity among Iranian adolescents. Jornal de Pediatria, 88(5), 430–438. doi: 10.2223/JPED.2223.
  30. Sari, D.K., & Fawzi, A. (2021). Determinants of compliance with the implementation of the Covid-19 health protocol in the community of Kediri City. Journal of Nursing Practice, 5(1), 189–195. doi: 10.30994/jnp.v5i1.171.
  31. Satuan Tugas (Satgas) Penanganan Covid-19. (2020). Peta sebaran Covid-19. Retrieved from: https://covid19.go.id/peta-sebaran
  32. Kamran, A., Azadbakht, L., Sharifirad, G., Mahaki, B., & Mohebi, S. (2015). The relationship between blood pressure and the structures of Pender′s health promotion model in rural hypertensive patients. Journal of Education and Health Promotion, 4, 29. doi: 10.4103/2277-9531.154124.
  33. Silvano, F., Yashifa, A., Saragih, D.S.P., Gunawan, C., Wuragil, A.I., Mandariska, R.P., & Supriyati, S. (2021). Barrier to health protocol adherence during exercise among youth in the COVID-19 pandemic era. Journal of Community Empowerment for Health, 4(1), 8-15. doi: 10.22146/jcoemph.58535.
  34. SoleimanvandiAzar, N., Irandoost, S.F., Ahmadi, S., Xosravi, T., Ranjbar, H., Mansourian, M., & Yoosefi Lebni, J. (2021). Explaining the reasons for not maintaining the health guidelines to prevent COVID-19 in high-risk jobs: A qualitative study in Iran. BMC Public Health, 21, 848. doi: 10.1186/s12889-021-10889-4.
  35. Supriyati, S., Anggraeny, D. K., Carissa, T. M., Sheila, A. P., Qisthi, S. A., Rianti, M., & Roshan, T. (2021). Preparing new normal: The health literacy assessment on the Covid-19. BKM Journal of Community Medicine and Public Health, 37(1), 27–32.
  36. World Health Organization (WHO). (2022). Therapeutics and COVID-19: Living guideline. World Health Organization. Retrieved from: https://www.who.int/publications/i/item/therapeutics-and-covid-19-living-guideline
  37. Wiranti, W., Sriatmi, A., & Kusumastuti, W. (2020). Determinants of Depok City Community compliance with large-scale social restrictions policy in prevention of Covid-19. Jurnal Kebijakan Kesehatan Indonesia (JKKI), 9(3), 117–124. doi: 10.22146/jkki.58484.
  38. Wong, K.K. (2013). Partial Least Squares Structural Equation Modeling (PLS-SEM) techniques using SmartPLS. Marketing Bulletin, 24.
  39. Zou, X., Chen, K., Zou, J., Han, P., Hao, J., & Han, Z. (2020). Single-cell RNA-seq data analysis on the receptor ACE2 expression reveals the potential risk of different human organs vulnerable to 2019-nCoV infection. Frontiers of Medicine, 14(2), 185–192. doi: 10.1007/s11684-020-0754-0.

How to Cite

Koerniawan, D., & Frisca, S. (2023). Factors Determining Commitment to Health-Promoting Behavior During COVID-19. Jurnal Keperawatan Indonesia, 26(2), 97–106. https://doi.org/10.7454/jki.v26i2.1130