Faktor-Faktor yang Mempengaruhi Self Care Agency pada Pasien Fraktur Ekstremitas Bawah Post Operasi di RSD dr. Soebandi Jember

Abstract

Fracture patients experience various limitations in carrying out daily activities due to damage to the bone structure due to trauma which affects self-care agency. This study aimed to analyze the factors (age, gender, marital status, income level, education level, access to health services, motivation, coping, self-efficacy, and family support) that affect a self-care agency in postoperative lower extremity fracture patients at RSD dr. Soebandi Jember. The research design is descriptive-analytic with a cross-sectional approach. The sample size in this study was 69 postoperative lower extremity fracture patients using a simple random sampling technique. There are two variables in this study, the dependent variable is self-care agency. The independent variables in this study are age, gender, marital status, income level, education level, access to health services, motivation, coping, self-efficacy, and family support. The results of the study with a significance technique of p < α = 0.05, showed that the majority of postoperative lower extremity fracture patients had self-care agency in the sufficient category (53,6%) and factors that significantly influenced self-care agency were age (p-value 0.033), income level (p-value 0.015), an education level (p-value 0.016), coping (p-value 0.000), and family support (p-value 0.005) with R2 = 0.583. The most dominant factor influencing self-care agency in postoperative lower extremity fracture patients at dr. Soebandi Jember Hospital is coping. Effort to improve self-care agency are important they can increase self-confidence, and independence in patients, and improve patients' quality of life.