LAPORAN ANALISIA JURNAL

THE ROLL OF SOCIAL SUPPORT ON SPECIFIC QUALITY OF LIFE IN

PATIENTS WITH ANGINA PECTORIS

OLEH:

VITA AMILIA RIFAI

201810420311020

PROGRAM STUDI ILMU KEPERAWATAN

FAKULTAS ILMU KESEHATAN

UNIVERSITAS MUHAMMADIYAH MALANG

2020
 LEMBAR PENGESAHAN

THE ROLL OF SOCIAL SUPPORT ON SPECIFIC QUALITY OF LIFE IN

PATIENTS WITH ANGINA PECTORIS

OLEH:

VITA AMILIA RIFAI

201810420311020

Telah Dipresentasikan

Hari : …..

Tanggal : …..

Dan dinyatakan layak oleh :

FASILITATOR KELOMPOK

Zahid Fikri, M.Kep.

5
 KATA PENGANTAR

Dengan memanjatkan puji dan syukur kehadirat Allah Subhanahu Wa

Ta’ala, sehingga melalui rahmat-Nya lah penulis dapat menyelesaikan tugas
laporan analisa jurnal ini yang berjudul The Roll Of Social Support On Specific
Quality Of Life In Patients With Angina Pectoris

Jurnal ini diajukan untuk memenuhi tugas mata kuliah pada Blok
Keperawatan Anak. selama penyusunan laporan jurnal ini, penulis banyak
mendapatkan dukungan dari berbagai pihak. Oleh karena itu penulis
menyampaikan mendukung dalam penyelesaiaan analisa jurnal ini dan
terimakasih saya ucapkan kepada bapak Zahid Fikri, M.Kep. selaku fasilitator
dari kelompok 2.

Penulis menyadari bahwa dalam penyususnan laporan analisa jurnal ini

masih banyak kekurangan. Semoga laporan analisa jurnal ini dapat memberikan
manfaat khususnya bagi penulis dan para pembacanya yang senantiasa tidak
pernah putus dalam mengembangkan ilmu pengetahuan khususnya dibidang
kesehatan untuk menambah wawasan.

Malang, Maret 2020

Penyusun

5
 DAFTAR ISI

KATA PENGANTAR............................................................................................ii

DAFTAR ISI.........................................................................................................iii

BAB I “PENDAHULUAN”

1.1 Latar Belakang.................................................................................................1

1.2 Tujuan Penulisan .............................................................................................2

BAB II “JURNAL PENELITIAN”.........................................................................4

BAB III “PEMBAHASAN”

3.1 Profil Penelitian...............................................................................................5

3.2 Deskripsi Penelitian Berdasarkan Metode PICO.............................................6

BAB IV “PENUTUP”

4.1 Kesimpulan.....................................................................................................10
4.2 Saran..............................................................................................................10

BAB V “DAFTAR PUSTAKA”............................................................................iv

5
5
 BAB I
PENDAHULUAN

1.1 Latar Belakang

Penyakit kardiovaskuler menjadi pembunuh nomor satu di dunia. Badan kesehatan Dunia (WHO)
menyebutkan 29% atau 17,1 juta pasien meninggal setiap tahun di dunia karena sakit jantung. Diprediksi bahwa
pada tahun 2020 lebih dari 80% kasus akan menyebar di seluruh Negara di dunia (Xie et al. 2014). 2 Dalam
Survey Kesehatan Rumah Tangga (SKRT [1992] dalam Andarmoyo & Nurhayati [2014]) menyebutkan
bahwa total kematian di Indonesia 16,4 % adalah penyakit kardiovaskular dan pembuluh darah. Total kematian
seluruhnya yang telah ditemukan adalah sebanyak 1.235 jiwa. Lonjakan terjadi hingga 26,4%. Angka
kematian akibat Penyakit Jantung Koroner diperkirakan mencapai 53,5 per 100.000 penduduk Indonesia
(Prestiwi, 2011). Salah 1 dari penyakit kardiovaskular adalah angina pectoris.
Angina yaitu rasa sakit yang muncul setelah mengeluarkan tenaga atau berolahraga tetapi akan
membaik jika beristirahat dan terjadi akibat adanya sumbatan disebagian arteri sehingga jumlah darah
yang membawa oksigen ke otot jantung tidak memadai sewaktu kebutuhan. (Anies. 2015). Angina
pektoris timbullah kebutuhan oksigen miokardium lebih besar dari suplainya. Sekalipun angina
biasanya digunakan oleh aterosklerosis pada arteria koronaria, tetapi juga angina pektoris tinggi juga
terkait pada individu dengan hipertensi, diabetes melitus, tromboangitis obliterans, polisitemia vera,
pengaturan aortik karena sifilis, atau reaksi kesehatan. Serangan angina pektoris dicetuskan oleh
kegiatan yang melelahkan atau apa saja yang dapat membuat kebutuhan oksigen miokardium
meningkat. (Baradero, Mary. 2010)
Kualitas hidup adalah tingkat kepuasan atau ketidakpuasan yang diterima seseorang tentang berbagai
aspek dalam kehidupannya. Kualitas hidup termasuk kemandirian, privasi, pilihan, penghargaan dan
kebebasan keputusan. Kualitas hidup pada lansia dikategorikan menjadi tiga bagian yaitu kesejahteraan
fisik, kesejahteraan psikologis dan kesejahteraan interpersonal. Kualitas hidup adalah hasil dari
penilaian yang dapat diterima dari kehidupan mereka. Keunggulan individu tersebut, yang lebih disukai
dari tujuan lolos, kontrol pribadinya, hubungan interpersonal, perkembangan pribadi, kecerdasan dan
kondisi materi (Cohen & Lazarus dalam Larasati, 2011).
Kualitas hidup didefinisikan sebagai kapasitas untuk melakukan kegiatan sehari-hari sesuai dengan
usia seseorang dan/atau peran utamanya di masyarakat. World Health Organization (WHO)
memerintahkan pengukuran kualitas hidup sebagai salah satu tolak ukur pengukuran kesehatan dan
keberhasilan terapi, selain perubahan frekuensi dan derajat keparahan penyakit. Kualitas hidup mengacu
pada aspek kompleks kehidupan yang tidak bisa diungkapkan hanya dengan menggunakan indikator
yang bisa diukur, tetapi kualitas hidup menggambarkan evaluasi subjektif dari kehidupan pada
umumnya (WHO, 2012).
Pada pasien penderita penyakit kronik, informasi kualitas hidup dapat memberikan gambaran penting
tentang pengaruh penyakit dalam kehidupan pasien sehari-hari. Telah banyak studi yang menilai faktor
yang mempengaruhi kualitas hidup pasien gagal jantung, tetapi masih terdapat beberapa faktor yang
meninggalkan pro dan kontra. Pasien sindrom koroner akut yang menjalani rawat jalan kemungkinan
5
 sudah memiliki strategi koping yang baik. Hal tersebut dapat dilihat dari segi kesehatan fisik, keyakinan
atau pandangan positif, keterampilan sosial, dan dukungan sosial (Lazarus dan Folkman, 1984 dalam
Nasir dan Muhith, 2011).
Berdasarkan masalah diatas, penulis memilih judul The Roll Of Social Support On Specific Quality
Of Life In Patients With Angina Pectoris dikarenakan untuk mengetahui pengaruh dari dukungan sosial
untuk meningkatkan kualitas hidup pada angina stabil.

1.2 Tujuan Penulisan

Dalam melakukan analisa jurnal dengan judul The Roll Of Social Support On Specific Quality Of Life In
Patients With Angina Pectoris adapun tujuan dari penulisan makalah ini adalah
1) Memaparkan informasi terkini dengan evidence based di area keperawatan terkait pengaruh dari
dukungan sosial untuk meningkatkan kualitas hidup pada angina stabil.
2) Meningkatkan critical thinking tentang manfaat hasil penelitian bagi dunia keperawatan.

BAB II
5
 JURNAL PENELITIAN
Original Article

The Roll of Social Support on Specific Quality of Life in

Patients with Angina Pectoris
Leila Rouhi-Balasi1,2, Ezzat Paryad1* and Arsalan Salari3
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran; 2Student Research
1

Committee, Department of Nursing, Faculty of Nursing And Midwifery, Ahvaz Jundishapur University of Medical Sciences,
Ahvaz, Iran; 3Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine,
Guilan University of Medical Sciences, Rasht, Iran

Corresponding author:
Abstract
Ezzat Paryad, Background: Patients with angina pectoris have poor quality of life. This study was done to
Cardiovascular Diseases Research
Center, Department of Cardiology, detect the social support effect on quality of life in patients with angina pectoris symptoms.
Materials and Methods: In this comparative descriptive analytical study, 106 patients with
Heshmat Hospital, School of Medicine,
angina pectoris were studied; 48 patients with low level and 58 patients with high level social
Guilan University of Medical Sciences,
Rasht, Iran, support. Gathering data was done by the Iranian version of Seattle angina questionnaire,
Tel: 09111358819; social support questionnaire and social readjustment rating scale. Results: Findings showed
E-mail: e_paryad@gums.ac.ir the mean score of Seattle angina questionnaire was 50.32 ± 17.65 and for social support was
50.32 ± 18.3. The majority of samples had desired score for perceived stress over the past year.
Multiple liner regression showed any one of items could not predict quality of life in high
level social support patients, but this model showed in patients with low and high social
support only perceived stress is predictor of quality of life. Conclusion: It is obvious stress
can effect on all aspect of life and decrease quality of life in each person especially in patients
with coronary artery disease.
Keywords: Social support; Quality of life; Angina pectoris; Patients
of social protection for these patients in different cultures and
countries and their impact on quality of life.
Introduction
Coronary artery disease is the most common cardiac disease and a
cause of death in the entire world. [1,2] This disease is a one of the
most expensive disease in the world. [3] American Heart
Association (AHA) says one of each 3 American will catch
coronary artery disease to 2020 [4] and based on published reports
of Iranian health ministry, 93.3% of all death in Iran is related to
CAD. [1] Angina pectoris is a common symptom of coronary
artery disease [5,6] that was shown by sense of pain in thoracic
cage. [7] The ability to perform Activity of Daily Living (ADL) in
patients with angina decreases while fear and anxiety increase. [5]
These patients disability can effect on their quality of life. [5,6,8,9]
Based on findings from some studies, patients with angina
pectoris experience physical, emotional and social disability in
their life. [10-13] This point emphasizes on social support
importance for these patients, [14,15] because sufficient social
support for these patients can effect on their ability and quality of
life. [16] In other words, inadequate social support can reduce the
quality of life and the well-being of these patients.
Reducing the quality of life and feeling the health of the
patient exacerbate the signs and symptoms of coronary artery
disease and consequently the number of hospital admissions in
the treatment centers increases. [18] Different studies showed
different variables related to quality of life in these patients.
[12,18-20] Social support is a one of these factors. [20,21] Because the

social support provided to patients with chronic diseases varies

from country to country, it is necessary to examine the status

5

Objectives
This study was done to detect the social support effect on
quality of life in patients with angina pectoris symptom.
Materials and Methods
In this comparative descriptive analytical study, the quality of life
of patients with angina pectoris has been studied in two groups of
patients with high and low social support. Randomized sampling
was done based on random numbers table. The first patients with
angina pectoris was entered in study and with K interval, other
patient was entered based on inclusion criteria. Sample size for
each group (with low and high level of social support) was
calculated by results of Bucholz study [16] and by 80% power of
44
test and p<0.05 (standard deviation of quality of life score in 2
group were 12.3 and 12.1). By the way at least 48 sample was
detected in each group. The criteria for entry into the research
include the ability to speak Persian, having angina pectoris
symptoms and symptoms at least a month ago, having no history
of psychiatric disorders, and satisfaction to participate in the
research.
106 patients with angina pectoris were entered in study, 48
This is an open access article distributed under the terms of the Creative Commons
Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix,
tweak, and build upon the work non-commercially, as long as the author is credited
and the new creations are licensed under the identical terms.
How to Cite this Article: Rouhi-Balasi L, et al. The Roll of Social Support
on Specific Quality of Life in Patients with Angina Pectoris. Ann Med
Health Sci Res. 2018;8:44-47
© 2018 Annals of Medical and Health Sciences Research
5
 Rouhi-Balasi L, et al.: Social Support and Specific Quality of Life

patients with low level social support and 58 patients with high multiple liner regression was done to predict effective factors on
level social support. quality of life in patients with angina pectoris. All of factors had
relationship with quality of life with p<0.2 entered in model. The
The tool of this study was a questionnaire with four sections. findings showed that none of the variables in the high social
First section was about socio-demographic data, the second support group could predict the quality of life [Table 3], but in
part was Iranian version of Seattle angina questionnaire that patients with low and high social support showed only perceived
determined the score of specific quality of life in patient with stress was predictor of quality of life [Table 4].
angina pectoris. The third section was social support Table 1: Distribution of subjects according to demographic
questionnaire and the last section was Social Readjustment factors. Frequency
Rating Scale (SRRS). Questionnaire validity was confirmed by Perce Freque
content validity. By the way in first step social support Characteristi nt ncy
questionnaire and SRRS offered to 10 nursing instructor and cs
clinical nurse. They filled Content Validity Ratio (CVR) and Male 70 66
Content Validity index (CVI) detecting form of questionnaires. Gender
The CVR and CVI score for two questionnaires were above Female 36 34
Single 1 0.9
80%. Cronbach’s alpha coefficient test was used to detecting
Marital Status Married 91 85/8
internal consistency of questionnaires and α was 0.9.
Widow 14 32.2
Psychometric study for Seattle angina questionnaire was done
Education Illiterate 46 43.4
in Iran and it did not need to validity and reliability detecting. Attainment Following Diploma 47 44.3
Diploma 11 10.4
Gathering data was done from the first day of May to last day
of September in 2015. In this time, based on inclusion criteria College 2 1.9
106 patients entered in study.
Familial History of Yes 42 39.6
Data analysis was done by descriptive and inferential statistics Heart Disease No 64 60.4
History of High Blood Yes 59 55.7
(independent T test, Pearson and ANOVA) in SPSS version 16.
Pressure Disease No 47 44.3
Kolmogrove Smirnov test was used to detect normal
Yes 38 35.8
distribution of data. Quality of life predictors were determined
History of DM
by multiple liner regression models.
No 68 64.2
Ethical considerations History of HLP Yes 47 44.3

Data collection was carried out after approval by the Ethics No 59 55.7
Committee of Guilan University of Medical Sciences and History of Other Yes 35 33
obtaining a code of ethics. Patients with angina pectoris who Context Disease No 71 67
were admitted to the heart wards due to exacerbation of Yes 29 27.4
symptoms and signs of their disease were investigated using History of MI
random sampling method. After the introduction of the No 77 72.6
researcher, the research objectives and signature of the History of Yes 84 79.2
informed consent by the patient, all the terms of the instrument Angiography No 22 20.8
Yes 38 35.8
were read by the researcher for the research samples and their
History of Angioplasty No 68 64.2
opinion was recorded in the questionnaire.
Yes 14 13.3
Results History of CABG
No 92 86.8
The findings of this study showed mean age of samples was 64.5
Less Than 1 years 52 49.1
± 10.83. Other socio-demographic data was summarized in Table Duration of Angina 1-2 Year 14 13.2
1. Other findings showed the mean score of Seattle angina More Than 2 years 40 37.7
questionnaire was 50.32 ± 17.65 and social support was 50.32 ± Alone 10 9.4
18.3. The majority of samples had desired score for perceived With Spouse 28 26.4
stress over the past year. The score of quality of life, perceived Living Conditions With Spouse and
stress events separately in two group of study (with low and high 62 58.5
level of social support) is in Table 2. Independent T test showed in Children
group with high level of social support only sex had significant With Children 6 5.7
relationship with quality of life score (p<0.05). ANOVA was used Retired 16 15.1
to declare the relationship level social support to quality of life Worker 3 2.8
score and perceived stress. This test showed low level social Clerk 3 2.8
support had significant relationship to quality of life score and Farmer 25 23.6
perceived stress (p<0.05). After that Job
Free 10 9.4

5
 Housewife 35 33
Unemployed 14 13.2
Other 13 12.3
City 49 46.2
Residence Area
Village 57 53.8
Mean ± SD
Income
6060000 ± 5730000

5
 Rouhi-Balasi L, et al.: Social Support and Specific Quality of Life

Table 2: The status of qualit y of life, perceived stress events in two group.
Groups Low level of
Low level of social support Test results
Variables social support
Quality of Life 50.09 ± 18.85 50.56 ± 16.86 T-test P<0.908
First level 29 (60.4%) 46 (79.3%)
Perceived stress events χ2 P<0.032
Second level 16 (33.3%) 12 (20.7%)
Third level 3 (6.3%) 0

Table 3: Regression coefficients of factors associated with quality of life in the patients with low social support based on multiple logistic
model.
Related factors of β SE P value (odd ratio) Confidence int erwall
quality of life <Mean >Mean
(Constant) 48.867 16.720 0.006 14.989 82.744
sex -4.526 5.347 0.403 -0.150 -15.359 6.308
History of high blood 5.938 5.260 0.266 0.200 -4.720 16.596
pressure disease
History of DM 3.241 4.515 0.477 0.110 -5.908 12.389
History of other -4.325 4.739 0.367 -0.145 -13.927 5.277
context disease
History of angioplasty 4.858 4.836 0.322 0.169 -4.940 14.656
Duration of angina 3.468 2.221 0.127 0.224 -1.032 7.968
Perceived stress -4.161 5.373 0.444 -0.121 -15.047 6.726
events
Ejection fraction -0.212 0.188 0.268 -0.178 -.593 .170

Table 4: Multiple liner regression model in patient with low and high social support.
Confidence interval
Related factors β SE P value (odd ratio)
<Mean >Mean
(Constant) 36.164 12.178 0.004 11.904 60.424
sex -4.391 3.800 0.252 -0.138 -11.961 3.180
History of DM 4.488 3.172 0.161 0.147 -1.831 10.806
Marital status -.135 4.543 0.976 -0.003 -9.185 8.915
Education level 3.772 2.319 0.108 0.186 -0.847 8.392
Living status 3.624 2.067 0.084 0.185 -0.494 7.743
Perceived stress events -7.968 3.138 0.013 -0.273 -14.219 -1.717
questionnaire cannot show exactly patients social support exactly.
Discussion In our study, we used a questionnaire to detect social support that
made in other country and many of its items may not applicable in
Based on the findings of this study quality of life in 2 groups with
our country, or maybe it needs to revise based on our culture. It
low and high social support did not have significant difference.
should also be noted that understanding social
This finding is not similar to finding of Heidari et al.’s study.
It seems weight of social support is not enough to support
patients with angina pectoris and the level of social support has
not been predictive of quality of life, either in a group that has a
high level or who has a low level of living. It should be noted that
Heidari et al.’s study on determining the relationship between
quality of life and social support in cancer patients has been
carried out. Considering the difference in the community, we may
find different findings in our study and Heidari’s study. [22] Social
support is a general term and consists of multiple factors. In
different countries based on socioeconomic status, there are
different viewpoints about social support and volume of support
services is different based on this viewpoint. Thus the meaning of
social support may different in different society. Social support is
dependent to cultural situation and the level of relationship
between people in different culture is different. It seems we need
to plan a specific social support tool for each culture and our

5
protection varies from person to person and is a very subjective
phenomenon. The lack of relevance to the quality of life in the
present research may be due to a different understanding of
individuals from the precise meaning of social support. We
chose our samples by randomized sampling method, though it
seems repetition of this study with another tools can show
effect of social support on quality of life in patient with cardiac
symptom. The answer to the questions may not be appropriate
at the patient’s bedside and the patient has not been adequately
focused and this has affected the responses.

Other findings showed in patients with high social support only

sex had significant effect on quality of life and the score of quality
of life in men was higher than women. In Heshmati and
Kristofferzon study, findings showed men had better quality of life
score than women. [23,24] In this study, we asked the patients how
much support they had get from others and men’ jobs and social
situation may influence on this finding. They have greater
communication and it may cause their better score of quality of
life and social support. The majority of our female patients didn’t
have any job and it may effect on our findings.

Conclusion
We found only perceived stress influenced on quality of life score,
after assessing quality of life score in each low and high social
support. It is obvious stress can effect on all aspect of life

5
 Rouhi-Balasi L, et al.: Social
and decrease quality of life in each person especially in
patients with coronary artery disease. Our findings are similar
to Nohi study that showed stress influenced on quality of life
in patients with coronary artery disease. [25]
We did not have a psychometric social support questionnaire
that conforms to Iranian culture, thus a foreign tool was used.
This questionnaire can effect on our findings. We think in
conditions that social support is not enough, care delivery team
and rehabilitation system can help to patients to achieve
support in better manner.
Acknowledgments
Researchers offer their thanks to social determinants of health
research center (SDHRC) in Guilan University of Medical
Sciences for supporting of this research.
Conflict of Interest
All authors disclose that there was no conflict of interest.
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19. Kristofferzon M-L, Löfmark R, Carlsson M. Perceived coping, social
support, and quality of life 1 month after myocardial infarction:a
com-parison between Swedish women and men. Heart & Lung:The
Journal of Acute and Critical Care. 2005;34:39-50.
20. Nohi E, Abdolkarimi M, Rezaeian M. Quality of life and its rela-
tionship with stress and coping strategies in coronary heart disease
patients. Journal of Rafsanjan University of Medical Sciences.
2011;10:127
5
 -BAB III
PEMBAHASAN

3.1 Profil Penelitian

1. Judul Penelitian : The Roll Of Social Support On Specific Quality Of Life
In Patients With Angina Pectoris
2. Pengarang : Leila Rouhi Balasi, Ezzat Paryadi, Arsalan Salari
3. Sumber : Annals of Medical and Health Sciences Research 2018
4. Keywords: Social support; Quality of life; Angina pectoris; Patients
5. Abstract :
Background: Patients with angina pectoris have poor quality of life. This
study was done to detect the social support effect on quality of life in
patients with angina pectoris symptoms.
Materials and Methods: In this comparative descriptive analytical study,
106 patients with angina pectoris were studied; 48 patients with low level
and 58 patients with high level social support. Gathering data was done by
the Iranian version of Seattle angina questionnaire, social support
questionnaire and social readjustment rating scale.
Results: Findings showed the mean score of Seattle angina questionnaire
was 50.32 ± 17.65 and for social support was 50.32 ± 18.3. The majority
of samples had desired score for perceived stress over the past year.
Multiple liner regression showed any one of items could not predict
quality of life in high level social support patients, but this model showed
in patients with low and high social support only perceived stress is
predictor of quality of life.
Conclusion: It is obvious stress can effect on all aspect of life and
decrease quality of life in each person especially in patients with coronary
artery disease.
6. Publikasi : 2018

5
3.2 Deskripsi Penelitian Berdasarkan Metode PICO
1) Analisis PICO:

Desain Comparative descriptive analytical study

penelitian
Problem Permasalahan dari jurnal ini adalah meskipun ada kemajuan
dalam pengobatan namun kualitas hidup pada pasien angina
sangat rendah.
Purpose Penelitian ini bertujuan untuk mengetahui pengaruh dari
dukungan sosial untuk meningkatkan kualitas hidup pada
angina stabil.
Population Dilakukan pada 106 pasien dengan Angina yang dibagi
menjadi 2 kelompok, yaitu kelompok intervensi (dukungan
social tinggi) n=58 dan kelompok control (dukungan social
rendah) n=48.
Kriteria inklusi :
a. Mampu berbahasa Persia
b. Masih memiliki gejala Angina
c. Tidak memiliki gangguan kejiwaan
d. Mau berpartisipasi dalam penelitian
Kriteria eksklusi : -
Intervensi Pada kelompok intervensi diberikan dukungan sosial tinggi
dengan mengisi kuesioner yang terdiri dari 4 kuesioner
a. Kuesioner demografi sebelum diberikan dukungan social
yang tinggi. Antara lain:
 Jenis kelamin
 Status pernikahan
 Pendidikan
 Riwayat Keluarga tentang Penyakit Jantung
 Riwayat darah tinggi, DM, HLP
 Riwayat MI, Angiografi, Angioplasti, CABG
 Berapa lama menderita Angina

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  Status hidup
 Pekerjaan
 Alamat
 Pendapatan

b. Diberikan dukungan social

Dukungan sosial adalah pemberian dukungan kepada
pasien yang menunjukkan bahwa seseorang dicintai,
dihargai dan dihormati sehingga kualitas hidup pada
pasien angina meningkat.
Sarafino (dalam Winda, 2013) menyatakan bahwa
beberapa aspek yang harus dipenuhi sehingga tercipta
dukungan sosial yang baik:
 Dukungan emosional (ungkapan empati,
kepedulian dan perhatian).
Misalnya mengucapkan bela sungkawa terhadap
individu yang kehilangan salah satu keluarganya.
 Dukungan penghargaan (ungkapan hormat atau
penghargaan positif,dorongan maju atau persetujuan
dengan gagasan atau perasaan individu dan
perbandingan positif dengan orang lain),
Misalnya orang-orang yang kurang mampu atau
lebih buruk keadaannya (menambah penghargaan
diri).
 Dukungan instrumental.
Misalnya memberikan bantuan langsung kepada
pasien angina
 Dukungan informatif.
Misalnya memberikan masukan atau saran dan
umpan balik

c. Kuesioner Seattle Angina (SAQ) untuk menilai kualitas

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 hidup
SAQ merupakan kuesioner yang spesifik digunakan untuk
mengukur kualitas hidup pasien PJK termasuk ACS.
Kuesioner ini memiliki tujuh butir pertanyaan yang
meliputi lima domain kualitas hidup yaitu domain
 Keterbatasan fisik,
 Stabilitas angina,
 Frekuensi angina,
 Kepuasan terhadap pengobatan, dan
 Persepsi terhadap penyakit

d. Kuesioner Skala Penilaian Kesesuaian Sosial (SRSS)

untuk menilai dukungan sosial pada pasien
Evaluasi stres dengan kuesioner baku skala Holmes-Rahe
(the Social Readjustment Rating Scale) yang sudah
disesuaikan oleh Hawari meliputi 36 pernyataan mengenai
kejadian-kejadian dalam hidup (life events) yang dialami
oleh responden dalam satu tahun terakhir. Masing-masing
pernyataan memiliki skor tersendiri yang sudah ditetapkan.
Skor dari setiap pernyataan dijumlahkan dan menjadi nilai
total untuk alat ukur tingkat stres dengan interpretasi
sebagai berikut:
<149 = stres ringan,
150 – 299 = stres sedang,
300 = stres berat

e. Kuesioner CVR (Content Validity Ratio) dan CVI (Content

Validity Index)
Lawshe’s CVR (content validity ratio) merupakah salah
satu metode yang digunakan secara luas untuk mengukur
validitas isi. Lawshe (1975) mengusulkan bahwa setiap
penilai / subject matter experts (SME) yang terdiri dari

5
 panel ahli untuk menjawab pertanyaan untuk setiap item
dengan tiga pilihan jawaban yaitu
(1) esensial,
(2) berguna tapi tidak esensial,
(3) tidak diperlukan.
Salah satu pendekatan yang juga direkomendasikan untuk
mengevaluasi validitas isi adalah content validity index
(CVI). Pendekatan ini, sama dengan dua pendekatan
sebelumnya, juga melibatkan tim ahli untuk menentukan
apakah setiap item dalam skala susah sesuai atau relevan
dengan konstraknya, menghitung persentase item yang
dianggap relevan untuk setiap pakar, dan kemudian
mengambil rata-rata persentase di antara pakar.

Comparation Pada kelompok control diberikan dukungan social rendah

Outcome Didapatkan hasil bahwa kelompok dukungan sosial tinggi

secara signifikan lebih rendah dari pada kelompok dukungan
sosial rendah (p<0.05) dan kualitas hidup pada kelompok
dukungan sosial tinggi dapat meningkat (p<0.02)
Kelebihan -
Kekurangan -

2) Manfaat Hasil Penelitian bagi Keperawatan

a. Manfaat Praktis:
Jurnal ini bermanfaat untuk mengetahui pengaruh dari dukungan sosial
untuk meningkatkan kualitas hidup pada angina stabil.
b. Manfaat Teoritis :
Jurnal ini bermanfaat bagi mahasiswa program studi ilmu keperawatan
sebagai bahan referensi dalam menambah ilmu pengetahuan mereka
dalam mengetahui pengaruh dari dukungan sosial untuk meningkatkan
kualitas hidup pada angina stabil.

5
 BAB IV
PENUTUP

4.1. Kesimpulan
Setelah melakukan kegiatan analisa jurnal terkait The Roll Of Social
Support On Specific Quality Of Life In Patients With Angina Pectoris penulis
dapat menarik kesimpulan bahwa setelah dilakukan intervensi dari dukungan
social sangat efektif untuk meningkatkan kualitas hidup pada angina stabil
bermanfaat bagi mahasiswa program studi ilmu keperawatan sebagai bahan
referensi dalam menambah ilmu pengetahuan mereka dalam mengetahui
pengaruh dari dukungan sosial untuk meningkatkan kualitas hidup pada
angina stabil.

4.2. Saran
Menyadari penulis masih jauh dari kata sempurna, kedepannya penulis
akan lebih fokus dan detail menjelaskan tentang makalah di atas dengan
menggunakan sumber sumber yang banyak dan tentunya dapat dipertanggung
jawabkan

5
 DAFTAR PUSTAKA

1. Anies. (2015). Kolesterol dan Penyakit Jantung Koroner. Surabaya:Ar-ruzz

Media.
2. Baradero, Mary. 2010. Klien Gangguan Kardiovaskular seri asuhan
keperawatan Jakarta: EGC
3. Ekasari, Mia Fatma, Ni Made Riasmini, dan Tien Hartini. 2018.
Meningkatkan Kualitas Hidup Lansia (Konsep dan Berbagai Strategi
Intervensi). Malang: Wineka Media.
4. Hendryadi, H. (2017). Validitas isi: tahap awal pengembangan
kuesioner. Jurnal Riset Manajemen dan Bisnis (JRMB) Fakultas Ekonomi
UNIAT, 2(2), 169-178.
5. Izzuddin, A., Dinianty, S. F., & Nazaahah, Z. (2020). STUDI LITERATUR:
FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS HIDUP
PASIEN PENDERITA GAGAL JANTUNG DI INDONESIA. Jurnal Ilmu
Kedokteran dan Kesehatan, 7(1).
6. Rosidawati, I., Ibrahim, K., & Nuraeni, A. (2016). Kualitas Hidup Pasien
Pasca Bedah Pintas Arteri Koroner (BPAK). Jurnal Keperawatan
Padjadjaran, 4(2).
7. Rouhi-Balasi, L., Paryad, E., & Salari, A. (2018). The Roll of Social Support
on Specific Quality of Life in Patients with Angina Pectoris. Annals of
Medical and Health Sciences Research.

5
 LEMBAR KONSULTASI JURNAL
BLOK KMB 1
KELOMPOK 2
VITA AMILIA RIFA’I
201810420311020

JUDUL JURNAL :
The Roll Of Social Support On Specific Quality Of Life In Patients With
Angina Pectoris
N Hari/Tanggal Materi Konsultasi TTD Dosen
O Konsultasi Pembimbing
ACC
1. Jumat / 24 April 2020 JUDUL JURNAL 24 April 2020

2. ANALISIS JURNAL
PICO

3. LAPORAN ANALISIS
PICO

4. POWER POINT
PRESENTASI JURNAL

TTD ACC PRESENTASI JURNAL

Zahid Fikri, M.Kep.