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Jurnal Keperawatan Indonesia
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VIEWS: 1797
10.7454/jki.v15i3.3
Submitted: 2014-04-24
Published: 2012-11-24

Kesiapan pulang Pasien Penyakit Jantung Koroner Melalui Penerapan Discharge Planning

STIKES Fort De Kock Bukittinggi Keperawatan Medikal Bedah, Bukittinggi 26181, Indonesia; Program Studi Magister Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia
discharge planning kesiapan pulang penyakit jantung koroner

Abstract

Abstrak

Penyakit Jantung Koroner (PJK) adalah suatu bentuk gangguan pembuluh darah koroner yang termasuk dalam ketegori
arterosklerosis. Ketidaksiapan pasien PJK pulang dari rumah sakit akan berdampak terhadap rawatan ulang sebagai akibat dari
pelaksanaan program discharge planning yang belum efektif selama dirawat. Penelitian ini bertujuan untuk mengetahui pengaruh
penerapan discharge planning terhadap kesiapan pulang pasien penyakit jantung koroner. Penelitian ini menggunakan
desain quasi experiment dengan pendekatan non-equivalent post test only control group design. Jumlah sampel 32 orang yang
terbagi atas 16 orang kelompok kontrol dan 16 orang kelompok intervensi dan dilakukan di tiga rumah sakit di Kota Bukittinggi.
Hasil penelitian didapatkan adanya pengaruh penerapan discharge planning terhadap kesiapan pulang pasien penyakit jantung
koroner yang terdiri dari status personal, pengetahuan, kemampuan koping, dan dukungan (p= 0,001; α= 0,05). Penelitian ini
merekomendasikan discharge planning yang baik dapat dilakukan untuk meningkatkan kualitas asuhan keperawatan dan kualitas
hidup pasien penyakit jantung koroner.

Kata Kunci: discharge planning, kesiapan pulang, penyakit jantung koroner


Abstract

Coronary Heart Disease (CHD) is a form of blood vessel disorder that belongs to the category of coronary atherosclerosis. An
unreadiness of patients with CHD to go home from the hospital will have an impact on readmission as a result of ineffective
discharge planning program during hospitalized. The purpose of this study was to examine the effect of the implementation of
discharge planning program on the readiness to be discharged from the hospital. A quasi experiment with non-equivalent post
test only control group design was employed. The participant of the study was 32 respondents devided into control and
intervention groups, each had 16 respondents who were taken from three hospitals in Bukittingi. The result showed that
discharge planning program has significance influence on patient’s perception of their readiness to be discharged from the
hospital, it consisting of personal status, knowledge, coping ability, and support (p= 0.001; α= 0.05). This study recommends
that a good discharge planning program can be implemented to improve the quality of nursing care, to reduce the risk of
readmission to the hospital and the quality of life of patients with coronary heart diseases.

Keywords: coronary heart disease, discharge planning, readiness to be discharged

References

  1. Bagheri, H., Memarian, R., & Alhani, F. (2007). Evaluation of the effect of group counselling on post myocardial infarction patient: Determined by an anlysis of quality of life. Journal Of Clinical Nursing, 16 (2), 402–406. Doi: 10.1111/j.1365-2702.2005.01498.x
  2. Bomar, P.J. (2004). Promoting health in families: Applying family research and theory to nursing practice. Philadelphia: WB. Saunders Company.
  3. Bulecheck, G.M., Butcher, H.K., & Dochterman, J.M. (2008). Nursing interventions classification (NIC) (5th Ed.). St. Louis, Missouri: Mosby, Inc.
  4. Cawthorn, L. (2005). Discharge planning under the umbrella of advanced nursing practice case manager. Canada: Longwoods Publishing.
  5. Daly, J., Elliot, D., Cameron-Traub, E., Salamonson, Y., Davidson, P., Jackson, D., et al. (2000). Health status, perceptions of coping, and so- cial support immediately after discharge of sur-vivors of acute myocardial infarction. American Journal Of Critical Care, 9 (1), 62–70.
  6. Hasymi, Y. (2009). Pengaruh dukungan sosial keluarga dan intimasi terhadap persepsi tingkat nyeri pada pasien miokard infark di RSUD Dr. M.Yunus Bengkulu (Master tesis, tidak dipublikasikan). Program Pascasarjana Fakultas Ilmu Keperawatan Universitas Indonesia, Jakarta.
  7. Kaakinen, J.R., Duff, V.G., Coehlo, D.P., & Hanson, S.M.H. (2010). Family health care nursing: Theory, practice, & research (4th Ed.). Philadephia: F.A Davis Company.
  8. Khan, M.S., Jafary, F.H., Jafar, T.H., Faruqui, A.M., Rasool, S.I., Hatcher, J., & Chaturvedi, N. (2006). Knowledge or modifiable risk factors of heart diseases among patients with acute myocardial infarction in Karachi, Pakistan: A cross sectional study. Researcher Article, BMC Cardiovascular Disorder, 6 (18). doi:10.1186/1471-2261-6-18.
  9. Moser, D.K., & Riegel, B. (2008). Cardiac nursing: A companion braunwald’s heart disease. Philadelphia: Saunders Elsevier.
  10. Orem, D.E. (2001). Nursing concepts of practice (6th Ed.). St. Louis, Missouri: Mosby.
  11. Phillips, C.O., Wright, S.M., Kern, D.E., Singa, R.M., Shepperd S., & Rubin, H.R. (2004). Comprehensive discharge planning with post-discharge support for cardiac patient. Journal American Medical Association, 291 (11), 1358–1367. Doi:10.1001/jama.291.11.1358.
  12. Potter, P.A., & Perry, A.G. (2005). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik (Edisi 4, Vol. 1). (Yasmin, dkk., Alih Bahasa). Jakarta: Penerbit Buku Kedokteran EGC.
  13. Potter, P.A., & Perry, A.G. (2006). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik (Edisi 4, Vol 2). (Yasmin, dkk., Alih Bahasa). Jakarta: Penerbit Buku Kedokteran EGC.
  14. Weiss, M., & Piacentine, L. (2006). Psychometric properties of the readiness for hospital discharge scale. Journal of Nursing Measurement, 13 (3), 163–180.
  15. Yahya, A.F. (2010). Menaklukkan Pembunuh No.1: Mencegah dan mengatasi penyakit jantung koroner secara tepat dan cepat. Bandung: PT. Mizan Pustaka.

How to Cite

Wahyuni, A., Nurrachmah, E., & Gayatri, D. (2012). Kesiapan pulang Pasien Penyakit Jantung Koroner Melalui Penerapan Discharge Planning. Jurnal Keperawatan Indonesia, 15(3), 151–158. https://doi.org/10.7454/jki.v15i3.3