Faktor-faktor yang mempengaruhi kualitas hidup perempuan dengan artritis reumatoid di Indonesia

Imanuelly, Michelle (2022) Faktor-faktor yang mempengaruhi kualitas hidup perempuan dengan artritis reumatoid di Indonesia. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Latar Belakang: Artritis reumatoid (AR) merupakan salah satu kontributor disabilitas tertinggi di dunia. Di Indonesia, jumlah AR terus meningkat seiring dengan peningkatan jumlah penduduk dan penuaan setiap tahunnya. AR menyebabkan gangguan terhadap fisik dan mental, yang tentunya dapat menyebabkan perburukan pada kualitas hidup penderitanya. Hingga saat ini, belum ada studi yang mengevaluasi faktor-faktor yang dapat mempengaruhi kualitas hidup perempuan dengan AR, terutama di Indonesia. Oleh karena itu, penelitian ini dilakukan dengan tujuan untuk mengetahui faktor-faktor apa saja yang dapat mempengaruhi kualitas hidup perempuan dengan AR di Indonesia. / Background: Rheumatoid arthritis (RA) is one of the highest contributors to disabilities in the world. In Indonesia, the total cases of AR keep increasing with the time the total population and aging increase each year. RA causes both physical and mental problems, which can lead to a worsening of their quality of life. To date, no study has evaluated factors associated with the quality of life of women with RA, especially in Indonesia. Hence, this study is conducted to determine the quality of life and factors influencing women with RA in Indonesia. Metode: Penelitian ini dilakukan secara potong lintang terhadap 90 subjek yang tergabung ke dalam komunitas Marisza Cardoba Foundation Jakarta dan/atau berobat di Poliklinik Alergi Imunologi Rumah Sakit Siloam Lippo Village, pada bulan Februari-Juli 2022, dengan menggunakan 12-items short form (SF-12). Analisis bivariat dengan uji Mann Whitney-U dan regresi linier untuk multivariat. / Method: This cross-sectional study towards 90 women who are members of Marisza Cardoba Foundation community in Jakarta and/or seek treatment in Allergy Immunology Polyclinic Siloam Hospitals Lippo Village, in February-July 2022, using 12-items short form (SF-12). The results were analyzed with Mann Whitney-U test for bivariate analysis and linier regression for multivariate. Hasil: Terhadap Physical Component Summary (PCS), hubungan yang signifikan ditemukan pada pemasukkan bulanan(p=0.002) dan keterkendalian penyakit AR (p=0.013). Sedangkan terhadap Mental Component Summary (MCS), hubunganyang signifikan hanya ditemukan pada keterkendalian penyakit AR (p=0.009). Selain itu, terdapat 8 variabel yang tidak signifikan terhadap PCS dan 9 variabel terhadap MCS, denganp>0.05. Setelah dilakukan penyesuaian dengan analisis multivariat, pemasukkan bulanan dan keterkendalianpenyakit AR tetap berpengaruh secara independen terhadap PCS (p=0.003 dan p=0.01) dan keterkendalian penyakit AR juga berpengaruh secara independen terhadap MCS (p=0.001). / Results: A significant relationship was found in monthly income (p=0.002) and AR disease control (p=0.013) variables toward Physical Component Summary (PCS). Meanwhile for Mental Component Summary (MCS), a significant relationship wasonly found in the control of AR disease (p=0.009). In addition, there were eight variables thatwere not significant to PCS and nine variables to MCS, with p>0.05. After an adjustment with multivariate analysis, monthly income and control of AR continued to have an independent effect on PCS (p=0.003and p=0.01) and control of AR also had an independent effect on MCS (p=0.001). Kesimpulan: Kualitas hidup perempuan dengan AR di Indonesia baik secara mental, namun buruk secara fisik. Pemasukkan bulanan memiliki pengaruh yang signifikan terhadap PCS dan berpengaruh secara independen terhadap PCS. Sementara itu, keterkendalian penyakit berpengaruh secara signifikan dan secara independen terhadap PCS dan MCS. / Conclusion: The quality of life of women with RA in Indonesia is good mentally, but physically poor. Monthly income has a significant effect on PCS and has an independent effect on PCS. In addition, disease control has a significant and independent effect on PCS and MCS.

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