Hubungan Health Locus of Control dengan Manajemen Diri pada Pasien Stroke

Authors

  • Ni Wayan Sumiari STIKES Wira Medika Bali
  • Ni Luh Putu Thrisna Dewi Stikes Wira Medika Bali
  • I Made Mahardika STIKES Wira Medika Bali
  • Ni Ketut Ayu Mirayanti STIKES Wira Medika Bali
  • Ketut Lisnawati STIKES Wira Medika Bali
  • Anak Agung Sri Sanjiwani STIKES Wira Medika Bali

DOI:

https://doi.org/10.36565/jab.v14i2.854

Keywords:

Health Locus Of Control, Stroke, self management

Abstract

Stroke is one of the leading causes of long-term disability and requires continuous management, including rehabilitation and routine follow-up, to prevent recurrence. Optimal recovery depends not only on medical interventions but also on the patient's ability to consistently engage in self-management. One of the psychological factors influencing self-management behavior is the health locus of control, which refers to an individual's belief in their ability to control their health status. This study aims to analyze the relationship between health locus of control and self-management among stroke patients. A descriptive correlational design with a cross-sectional approach was employed, involving 50 respondents selected through total sampling. Data were collected using a standardized questionnaire and analyzed using the Spearman Rank test. The results showed that the majority of respondents (48%) had a moderate level of self-management, and 44% had an internal health locus of control. A significant relationship was found between health locus of control and self-management among stroke patients (p = 0.000), with a correlation coefficient of 0.946 indicating a very strong positive relationship. These findings suggest that the higher an individual’s belief in their ability to control their health, the better their self-management. Therefore, nursing interventions that focus on enhancing health locus of control can serve as an important strategy in the rehabilitation of stroke patients. It is recommended that healthcare professionals, particularly nurses, develop educational programs and psychosocial interventions aimed at strengthening the health locus of control of stroke patients to support long-term success in self-management.

Author Biography

Ni Luh Putu Thrisna Dewi, Stikes Wira Medika Bali

kmb

References

Dewi, F., Mona, L., & Setiawati3, E. (2022). Hubungan Tingkat Stres dengan Tingkat Risiko Stroke pada Lansia di PSTW Sabai-Nan-Aluih Sicincin Tahun 2021. Jurnal Kedokteran Nanggroe Medika, 5(4), 10–21.

Dewi, N. L. P. T., Arifin, M. T., & Ismail, S. (2019). BUDAYA BERDAMPAK PADA PROSES PEMULIHAN LATAR BELAKANG. Jurnal Health Care Media, 3(6), 24–36.

Dewi, N. L. P. T., & Wati, N. M. N. (2022). Hubungan Tingkat Pengetahuan Keluarga dengan Efikasi Diri Pasien Pasca Stroke dalam Mencegah Serangan Berulang. Jurnal Akademika Baiturrahim Jambi, 11(2), 203. https://doi.org/10.36565/jab.v11i2.512

Dewi, N., Thrisna, L. P., & Ismail, S. (2020). A Qualitative Study: Quality of Life in Patient with Post Stroke Attack. Basic and Applied Nursing Research Journal, 1(1), 7–11. https://doi.org/10.11594/banrj.01.01.02

Dinas Kesehatan Provinsi Bali. (2018). Profil Kesehatan Provinsi Bali Tahun 2018. Bali: Dinas Kesehatan Provinsi Bali.

Fausi, A. A. (2022). Hubungan Health Locus Of Control Dengan Kualitas Hidup Pasien Pasca Stroke Di Poli Neurologi Rumah Sakit Umum Daerah Sultan Imanuddin Pangkalan Bun Tahun 2022. Bornio Cendekia Medika Pangkalan Bun, 8.5.2017, 2003–2005.

Ghaffari, A., Asadi, B., Zareian, A., Akbarfahimi, M., Raissi, G. R., & Fathali Lavasani, F. (2022). The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial Study. Stroke Research and Treatment, 2022, 1–9. https://doi.org/10.1155/2022/3155437

Hasanudin, Aini, F., & Yudanari, Y. G. (2020). Hubungan Manajemen Diri dengan Kualitas Hidup Pasien Pasca Stroke di RSUD Ungaran. Universitas Ngudi Waluyo, 1–9.

Hidayat, S. (2019). Hubungann Self-Management dengan Kualitas Hidup Pasien Paska Stroke di Poli Neurologi Rumah Sakit Tk.II dr. Soepraoen Malang. Repository Universitas Brawijaya, 2(1), 1–9.

Lei, T. T., Han, H. M., & Liu, X. J. (2020). Multiple mediation effects of health locus of control and hope on the relationship between stroke patients’ social support and self-management. Frontiers of Nursing, 7(1), 49–57. https://doi.org/10.2478/fon-2020-0005

Leonardi, S., Cacciola, A., De Luca, R., Aragona, B., Andronaco, V., Milardi, D., Bramanti, P., & Calabrò, R. S. (2018). The role of music therapy in rehabilitation: improving aphasia and beyond. International Journal of Neuroscience, 128(1), 90–99. https://doi.org/10.1080/00207454.2017.1353981

Meo, M. Y., Dikson, M., & Kewa, G. B. (2021). Activity of daily living pada pasien pasca stroke. Jurnal Keperawatan Dan Kesehatan Masyarakat, 8(2), 13–19. http://jkkmfikesunipa.nusanipa.ac.id/index.php/hlj-Unipa/article/view/78

Minfang Zhu,.et al. (2019). Stigma experienced by Chinese patients with stroke during inpatient rehabilitation and its correlated factors: a cross-sectional study. Topics in Stroke Rehabilitation, 26(5), 342–348. https://doi.org/10.1080/10749357.2019.1605759

Pernhyataan, L. (2017). Stroke Berulang Di Wilayah Kerja Ciputat Timur Puskesmas Pu. Skripsi.Sekolah Tinggi Ilmu Kesehatan AISYIYAH Yogyakarta.

Raihan Salsabila, Ahyana, N. S. (2023). Hubungan Self-Eficacy Dengan Self-Care pada Pasien Stroke Di Rumah Sakit Umum Daerah DR. Zainoel Abidin Banda Aceh. JIM FKep, VII, 150–159.

Reddin, C., Murphy, R., Hankey, G. J., Judge, C., Xavier, D., Rosengren, A., Ferguson, J., Alvarez-Iglesias, A., Oveisgharan, S., Iversen, H. K., Lanas, F., Al-Hussein, F., Członkowska, A., Oguz, A., McDermott, C., Pogosova, N., Málaga, G., Langhorne, P., Wang, X., … O’Donnell, M. (2022). Association of Psychosocial Stress with Risk of Acute Stroke. JAMA Network Open, 5(12), E2244836. https://doi.org/10.1001/jamanetworkopen.2022.44836

Riskesdas. (2018). Hasil Riset Kesehatan Dasar. Badan Penelitian Dan Pengembangan Kesehatan Kementrian Republik Indonesia.

Senja Putrisia Fajar Eldiningtyas. (2018). Analisis Faktor Yang Berhubungan dengan Perilaku Keluarga Dalam Merawat Pasien Pasca Stroke Di Rumah. In Skipsi.Universitas Airlangga (Vol. 372, Issue 2). http://www.ncbi.nlm.nih.gov/pubmed/7556065%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC394507%0Ahttp://dx.doi.org/10.1016/j.humpath.2017.05.005%0Ahttps://doi.org/10.1007/s00401-018-1825-z%0Ahttp://www.ncbi.nlm.nih.gov/pubmed/27157931

Smeltzer, S. C., & Bare, B. G. (2013). Buku Ajar Keperawatan Medikal-Bedah Brunner & Suddarth (12th ed.). EGC.

Yuniarti, I. I. (2022). Factors Affecting Self Management In Stroke Patients. Tesis. Universitas Indonesia.

Zirk, M., & Storm, V. (2019). Subjective Stroke Impact and Depressive Symptoms: Indications for a Moderating Role of Health-Related Locus of Control. Frontiers in Psychiatry, 10(December), 1–6. https://doi.org/10.3389/fpsyt.2019.00918

Downloads

Published

2025-09-29

Issue

Section

Articles