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All Journal PROSIDING SEMINAR NASIONAL JURNAL ILMIAH KESEHATAN KEPERAWATAN BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Jurnal Keperawatan BSI Jurnal Keperawatan Padjadjaran Belitung Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Medika Malahayati Media Karya Kesehatan Jurnal Medika Cendikia (e-Journal) Indonesian Journal of Global Health research Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) SENTRI: Jurnal Riset Ilmiah Prosiding University Research Colloquium Padjadjaran Acute Care Nursing Journal (PACNJ) Bagimu Negeri : Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmiah Kesehatan Keperawatan

Anastasia Anna

Faculty Of Nursing, Universitas Padjadjaran, Bandung, Indonesia

Author-ID : 229463

Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Pelatihan Manajemen Bencana Bagi Anggota Padjadjaran Nursing Corps (PNC) Anna, Anastasia; Prawesti, Ayu; Emaliyawati, Etika; Mirwanti, Ristina
BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Vol 1, No 2 (2017)
Publisher : BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT

The high and varied disasters occur in Indonesia, requiring the government and the whole community to be ready for disaster. In the Faculty of Nursing Universitas Padjadjaran (Unpad), there is a group of students who do extracurricular activities to provide health aid called PNC. Training needs to be done to enhance the role of PNC as well as increasing the participation of students in the disaster relief program. This training resulted in increased knowledge and attitudes of PNC members on disaster management, and also increased the knowledge and attitude related to the role and function of students in disaster management effort. In addition, other additional results related to the effectiveness of training methods for PNC members successfully obtained. The methods compared were lecture and discussion (LD) compared with LD plus simulation and FGD methods. It is measured by using the quasi experimental method with pretest-posttest control group design. Data analysis used Mann Whitney test. The result showed that there was no difference in knowledge and attitude (p = 1,000) in both treatment groups (p = 0,424). Which means that there was no difference between LD method and LD plus simulation and FGD method.Keywords: Training, Disaster Management, Padjadjaran Nursing Corps (PNC)

PENGARUH STIMULASI SENSORI TERHADAP NILAI GLASLOW COMA SCALE PADA PASIEN CEDERA KEPALA DI RUANG NEUROSURGICAL CRITICAL CARE UNIT RSUP DR. HASAN SADIKIN BANDUNG Lumbantobing, Valentina B.M; Anna, Anastasia
KEPERAWATAN Vol 3, No 2 (2015): Jurnal KEPERAWATAN
Publisher : LPPM BSI Bandung

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Abstract - Level of consciousness is one of indicators of criticalness and prognosis of head injury. Decrease of consciousness in head injury patients is measured objectively by Glasgow Comma Scale (GCS). The decrease of consciousness might give an effect to patient basic need. Several studies show that sensory stimulation could give neuroprotective effect to avoid brain cells damage resulted from head injury. This study is aimed to identify the effect of sensory stimulation towards GCS among head injury patients in dr. Hasan Sadikin General Hospital Bandung. Type of this study is Quasi Experiment with Pretest-posttest control group design. Sampling technique used in this study was non-probability sampling with consecutive sampling. Thirty respondents was included, 15 in control group and 15 in intervention group. Intervention group respondents were given standard treatment and sensory stimulation (olfactory, auditory, tactile and gustatory) for 3 days. However, for respondents in control group, only standard treatment was given. Assessment of GCS was done in the first day before sensory stimulation intervention and 3 days post intervention. Different GCS score between intervention and control groups was analyzed by dependent t-test. Meanwhile, effect of sensory stimulation was analyzed by independent t-test. The results of the analysis show significant effect of sensory stimulation towards GCS score among primary head injury patients (p=0.041). It is implicated from the study that sensory stimulation as non-pharmacology treatment is expected to be considered as a complementary therapy in handling head injury patients. Keywords: Sensory stimulation, Glasgow Comma Scale (GCS), head injury.Â Abstrak - Tingkat kesadaran merupakan salah satu indikator kegawatan dan prognosis pada cedera kepala. Penurunan kesadaran pada cedera kepala di ukur secara objektif dengan Glasgow Comma Scale (GCS). Penurunan kesadaran tersebut dapat mempengaruhi pemenuhaan kebutuhan dasar pasien. Beberapa penelitian menunjukan bahwa stimulasi sensori mampu memberikan efek neuroprotektifÂ yang mencegah kerusakan sel-sel otak dari iskemik yang ditimbulkan cedera kepala. Penelitian ini bertujuan untuk mengidentifikasi pengaruh stimulasi sensori terhadap nilai GCS pada pasien cedera kepala di RSUP dr Hasan Sadikin Bandung. Jenis penelitian ini adalah Quasi Experimental Design dengan pendekatan Pretest-Posttest Control Group Design. Pengambilan sampel dilakukan dengan menggunakan non probability sampling jenis consecutive sampling. Jumlah sampel dalam penelitian ini adalah 30 responden yang terbagi dalam dua kelompok, yaitu kelompok kontrol (15 responden) dan perlakuan (15 responden). Kelompok perlakuan, selain mendapatkan terapi standar, ia juga mendapatkan stimulasi sensori (stimulasi olfaktori, auditori, taktil dan gustatori) selama 3 hari. Sedangkan kelompok kontrol hanya mendapatkan terapi standar saja. Penilaian GCS dilakukan di hari pertama sebelum pemberian stimulasi sensori dan dihari ketiga setelah pemberian stimulasi sensori. Perbedaan nilai GCS pada kelompok kontrol dan perlakuan dianalisis dengan dependent t test. Sedangkan pengaruh stimulasi sensori terhadap nilai GCS dianalisis dengan menggunakan independet t test. Hasil uji statistik menunjukkan adanya pengaruh stimulasi sensori terhadap nilai GCS pada pasien cedera kepala primer (p=0,041). Dampak dari penelitian ini adalah diharapkan stimulasi sensori sebagai terapi non-farmakologi bisa dipertimbangkan menjadi terapi komplementer dalam penanganan pasien cedera kepala. Â Kata kunci : Stimulasi Sensori, Glasgow Comma Scale (GCS), Cedera Kepala.

Upaya Pencegahan dan Perawatan Hipertensi di Rumah Melalui Media Pembelajaran Bagi Masyarakat di Kabupaten Pangandaran Nuraeni, Aan; Mirwanti, Ristina; Anna, Anastasia
BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Vol 2, No 1 (2018)
Publisher : BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT

Hypertension is a health problem that needs attention in Indonesia. To decrease the incidence of hypertension, we could give health education to the community. Provision of information and education through learning media such as booklet was one effort to empower the community in preventing and performing hypertension treatment at home. Increasing health promotion through the provision of information and education using learning media was expected to improve the knowledge and self-efficacy of the community that will affect the behavior of the community. Pangandaran Regency is one of the target areas of Padjadjaran University where hypertension is one of the highest prevalence diseases. The purpose of this activity was to improve knowledge of community self-efficacy about prevention and treatment of hypertension. This activity was carried out from community surveys, booklet preparation, booklet socialization, and evaluation. At the implementation stage, the activity was followed by 22 people and 13 of them had hypertension. People who had hypertension were given hypertension management booklet then their knowledge and self-efficacy evaluate after one to two weeks. The result showed that there was an increase in the average knowledge and self-efficacy of them after the program.Â Besides that, there were differences in an average score of public knowledge before and after the giving of booklets, but there was no difference in the average self-efficacy score. This booklet can be used to provide health education to the community related to prevention and treatment of hypertension, so hopefully, there will be changes in behavior to manage hypertension.Keywords: Booklet, learning media, hypertension, knowledge, self-efficacy

PENGETAHUAN TIM REAKSI CEPAT TENTANG BANTUAN HIDUP DASAR Wiliastuti, Ulfah Nasti; Anna, Anastasia; Mirwanti, Ristina
Jurnal Keperawatan Komprehensif Vol 4, No 2 (2018): Jurnal Keperawatan Komprehensif
Publisher : STIKep PPNI Jawa Barat

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Cardiac arrest termasuk kejadian kegawatdaruratan yang membutuhkan bantuan hidup dasar dengan resusitasi jantung paru. Upaya pertolongan bantuan hidup dasar yang terlambat diberikan dapat berdampak kematian pada pasien. Tim reaksi cepat sebagai tenaga kesehatan yang dibentuk khusus untuk menangani pasien kegawatdaruratan dituntut mampu memberikan pertolongan pada pasien gawat darurat dengan cepat dan tepat. Tim reaksi cepat membutuhkan pengetahuan dalam melakukan tindakan bantuan hidup dasar. Tujuan penelitian ini untuk mengidentifikasi pengetahuan Tim Reaksi Cepat tentang Bantuan Hidup Dasar. Penelitian ini menggunakan metode deskriptif kuantitatif pada 37 anggota tim reaksi cepat yang dipilih menggunakan total sampling. Instrumen penelitian menggunakan kuesioner pengetahuan yang disusun dan dikembangkan peneliti. Hasil penelitian menunjukkan bahwa pengetahuan sebagian besar dalam kategori kurang yaitu sebanyak 36 responden (97,3%) dan satu responden (2,7%) memiliki pengetahuan baik. Responden dengan katergori pengetahuan yang kurang memiliki kategori kurang di semua indikator seperti, pada pengetahuan konsep dasar, pengkajian respon dalam BHD, resusitasi paru dalam BHD, resusitasi jantung dalam BHD, dan AED dalam BHD. Perlu adanya peningkatan pengetahuan tentang bantuan hidup dasar dengan mengadakan pelatihan, evaluasi serta pembaharuan standar prosedur operasional BHD.

PEMBERDAYAAN MASYARAKAT JATINANGOR: PEDULI KEGAWATDARURATAN JANTUNG – SUDDEN CARDIAC ARREST Nur'aeni, Aan; Mirwanti, Ristina; Anna, Anastasia
BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Vol 2, No 2 (2018)
Publisher : BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT

There are many cases of Sudden Cardiac Arrest (SCA) in the community that cannot be rescued, because they did not get the proper and fast action due to ignorance and incompetence of the community. The purpose of this training was increasing the knowledge, attitudes, intentions, and abilities of the community in identifying and handling SCA in Cileles Village, Jatinangor District. The community service activities were integrated with student’s KKN activities. This activity was carried out starting from the initial assessment related to the CPR ability of the community, socialization to KKN students, preparation of materials and learning media, the implementation of socialization and training activities for the community, and also this evaluation. At the implementation stage, 33 training participants participated. Pre-test and post-test measurements were carried out with the response rate as much as 90.9%. As much as 53.3% of respondents had never received information about cardiac arrest, and 93.3% had never received information about CPR before. After training, the respondents' average knowledge score was 75.7. On the attitude aspect, before training, 90% of respondents supported the implementation of CPR and after training, 96.7% of participants supported the implementation of CPR. Meanwhile, before the training, no participants intended to do CPR if they found victims of SCA, but 100% of participants intended to do CPR after training. There was an increase in knowledge, attitudes, and community intentions related to the handling of cardiac emergencies, especially cardiac arrest. This was an indication that CPR will be carried out by respondents if they found victims of SCA. Similar training needs to be conducted periodically to prevent the decline in knowledge or skills related to CPR actions.Keywords: Pemberdayaan Masyarakat, Kegawatdaruratan, Sudden Cardiac Arrest.

ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME EKSTUBASI DI ICU RSUD Prof. Dr. MARGONO SOEKARDJO PURWOKERTO Waladani, Barkah; Mediani, Henny Suzana; Anna, Anastasia
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 3 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Management airways become one important part in an act of care in patients with critical conditions due to disease. One attempt to keep the airway is to intubate, is inserting a pipe into the upper respiratory tract. The main requirement that must be considered is to keep the airway is always free and breath can run smoothly and orderly. The final stage of intubation was extubated. The purpose of this study was to determine what factors are associated with outcome of extubation in ICU Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a cohort retrospective withÂ analytic correlational design.The sample in this study amounted to 96 people. Bivariate test results that there is a relationship between age (p = 0.000), tidal volume (p = 0.001), systolic blood pressure (p = 0.000), FiO2 (p = 0.007) and PEEP (p = 0.014) with outcome of extubation. There is no associated GCS (p = 0.358) with outcome of extubation. Therefore, nurses need to give special attention regarding the condition of the patient, such as age characteristics, the value of tidal volume, systolic blood pressure, FiO2 and PEEP before extubation.Â Keywords: outcome, extubation, ICU

PERBANDINGAN ENTERAL DAN PARENTERAL NUTRISI PADA PASIEN KRITIS : A LITERATURE REVIEW Setianingsih -; Anastasia Anna
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2014: PROSIDING SEMINAR NASIONAL HASIL - HASIL PENELITIAN & PENGABDIAN
Publisher : Universitas Muhammadiyah Semarang

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Almost all critically ill patients undergo an incapable to eat because of the reduced level ofconsciousness, sedation giving, intubated and malnutrition. The disturbance of nutrition will influence the immunity system, infection risk, mortality, healing process, length of ICU stay, andlength of mechanical ventilation. The precise nutrition given with enteral nutrition (EN) and parenteral nutrition (PN) will determine the full filment dose of nutrition according to thepatient’ needs. This Literature Review aimed to give the appropriate summary and development the method of enteral and parenteral nutrition given to critically ill patients in ICU. Theresearch conducted by doing reviews on the results of research published from year 2009 until 2013 obtained from several journal database such as CINAHL, EBSCO, Proquest and Google Scholar. The data searching done by using these key words, among them were enteral nutrition,parenteral nutrition, ICU, critically ill patients. The concept obtained refered to the given ofenteral nutrition, parenteral nutrition, the advantages and disadvantages of EN and PN,complication happened during the given of EN and PN, also the appropriate method forcritically ill patients surgery and medical. In critically ill patients, EN has always been the firstchoice and PN into alternative method. The supportive nutrition is very important in thetreatment of critically ill patient that can be given enterally, parenterally, or both of them canbe used together. Thus, the given of nutrition need to be conducted as a focus of nursing studyin the area of critical care nursing.Keyword: enteral nutrition, parenteral nutrition, ICU, critically ill patients

Kualitas Hidup berdasarkan Karekteristik Pasien Diabetes Melitus Tipe 2 Yuli Wahyuni; Nursiswati N; Anastasia Anna
Jurnal Keperawatan Padjadjaran Vol. 2 No. 1 (2014): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Karekteristik pasien diabetes melitus (DM) tipe 2 yang dapat memengaruhi kualitas hidupnya meliputi umur, jenis kelamin, tingkat pendidikan, sosial ekonomi, lama menderita DM, dan status pernikahan. Tujuan penelitian ini adalah mengetahui gambaran kualitas hidup berdasarkan karekteristik pasien DM tipe 2. Penelitian deskriptif kuantitatif ini melibatkan 89 responden yang diambil menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner karekteristik responden dan Quality of Life Instrument for Indian Diabetes Patients (QOLID)yang terdiri dari 34 pertanyaan. Data yang terkumpul dikategorikan menjadi kualitas hidup tinggi/rendah berdasarkan nilai mean. Hasil penelitian menunjukkan bahwa kualitas hidup (QoL) pasien DM tipe 2 secara keseluruhan adalah tinggi (56,18%). Berdasarkan umur, QoL tinggi terbesar adalah lansia (65,9%) dan QoL rendah terbesar adalah dewasa madya (53,84%). Jenis kelamin, QoL tinggi terbesar adalah laki-laki (58,97%) dan QoL rendah terbesar adalah perempuan (46%). Tingkat pendidikan, QoL tinggi terbesar berada pada perguruan tinggi (78,26%) dan QoL rendah terbesar berada pada SD (65%). Berdasarkan sosial ekonomi, QoL tinggi terbesar adalah penghasilan lebih dari >5 juta (87,5%) dan QoL rendah terbesar adalah <1 juta (66,67%). Berdasarkan lama menderita, QoL tinggi terbesar adalah >10 tahun (66,67%) dan QoL rendah terbesar adalah < 1 tahun (53,33%). Berdasarkan status pernikahan QoL tinggi terbesar adalah menikah (56,16%) dan QoL rendah terbesar adalah janda/duda (46,67%). Perawat diharapkan dapat membantu pasien dengan karekteristik tingkat pendidikan SD, usia dewasa madya, penghasilan <1 juta dan lama menderita <1 tahun dengan cara mengembangkan aktivitas yang dapat mendukung peningkatan QoL pasien DM tipe 2.Kata kunci:DM tipe 2, karekteristik pasien, kualitas hidup AbstractAges, sex, education levels, economic status, marital status, and the length of life with diabetes mellitus are characteristics of patient with type 2 DM that can affect to their quality of life. The purpose of this study was to describe type 2 diabetes mellitus patients’ quality of life based on patients’ characteristics. Descriptive quantitative approach with purposive sampling was applied to 89 respondents. Data were collected using Quality of Life Instruments for Indian Diabetes Patients (QOLID), which consists of 34 questions. Data were analyzed using means scores. The result showed that quality of life (QoL) of patients with type 2 diabetes were high (56.18%). Based on age categories, the highest QoL was the elderly group (65.9%) and the lowest was the middle adulthood group (53.84%). Men had higher QoL than women with (58.97%) and (46%), respectively. This study also found that university graduates had the highest QoL (78.26%) and the lowest were elementary school graduates (65%). Based on the economic status, people with income >5 million (50%) had the highest QoL and the lowest was people with income <1 million (35.90%). Diabetic patients who suffering for more than 10 years (66,67%) had the highest QoL and the lowest was people who suffer of type 2 DM for less than a year (53.33%). Based on marital status, the highest QoL was married people (56.16%) and the lowest was widow (46.67%). Nurses are expected to help patients with low level of QoL and develop some activities to enhance the QoL of patient with type 2 DM.Key words: Patient’s characteristic, quality of life, type 2 DM

Analisis Dampak Penggunaan Varian Tekanan Suction terhadap Pasien Cedera Kepala Berat Hendy Lesmana; Tri Wahyu Murni; Anastasia Anna
Jurnal Keperawatan Padjadjaran Vol. 3 No. 3 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Penurunan kesadaran pada pasien cedera kepala berat akan menimbulkan risiko gangguan jalan napas sehingga perlu dilakukan intubasi endotrakeal untuk mempertahankan perfusi otak. Suctioning diperlukan untuk mempertahankan oksigenasi tetapi dapat menimbulkan penurunan saturasi oskigen, peningkatan TIK dan trauma jalan nafas. Tekanan suction yang tepat sangat diperlukan untuk mengatasi penurunan saturasi oksigen pada klien cedera kepala berat. Penelitian Quasi experiment ini bertujuan mengetahui perbedaan saturasi oksigen pada pasien cedera kepala setelah dilakukan suctioning pada tekanan 100 mmHg, 120 mmHg dan 150 mmHg. Desain penelitian menggunakan one group pre test and post test without control, yang dilakukan pengukuran berulang. Hasil penelitian didapatkan semakin tinggi penggunaan tekanan suction maka akan semakin terjadi penurunan saturasi oksigen. Hasil penelitian ini diharapkan menjadi panduan dalam melakukan suction pada pasien cedera kepala berat dengan memerhatikan saturasi oksigen.Kata kunci: Cedera kepala berat, hiperoksigenasi, suctioning, saturasi oksigen, & tekanan suction. The Use of Different Pressure of Suction and Its Impact on Oxygen Saturation among Patients with Head InjuryAbstractRather maintaining adequate airway patency, suctioning may pose risk of developing diminished oxygen saturation among patient with severe head injury. Patients may also experience intra cranial pressure (ICP) and airway trauma. Therefore, providing appropriate pressure of suction machine is needed to overcome those problems particularly to reduce risk of diminished oxygen saturation. This quasi-experimental study aimed to determine differences in oxygen saturation among patients with head injury after suctioning with three different pressures: 100 mmHg, 120 mmHg and 150 mmHg. The study design used one group pretest and post-test without control that performed with repeated measurements. Findings suggest higher pressure of suctioning tends to decrease their oxygen saturation. Results are expected to provide best practice to conduct suctioning for patients with severe head injury and maintaining oxygen saturation after hyper oxygenation action.Key words: Hyperventilation, oxygen saturation, severe head injury, suctioning, and suction pressure.

Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner Aan Nuraeni; Ristina Mirwanti; Anastasia Anna; Ayu Prawesti; etika emaliyawati
Jurnal Keperawatan Padjadjaran Vol. 4 No. 2 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Prevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Beingdan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariatedengan regresi logistic. Diteliti pada 100 responden yang diambil secara randomdalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio(OR) 4,736 (95% confidence interval(CI), 1,749 – 12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 – 16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 – 9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planningataupun rehabilitasi jantung.Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual.Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease AbstractCoronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual well-being. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD patients using a significance of ƿ-value < 0.005 were: anxiety (ƿ=0,002, OR = 4,736, 95% CI, 1,749 – 12,827); depression (ƿ=0,003; OR=5,450, 95% CI, 1,794 – 16,562); and revascularizations (ƿ=0,033; OR=3,232, 95% CI, 1,096 – 9,528). Depression was considered as the most significant factor; therefore, managing depression is a priority in the discharge planning or cardiac rehabilitation programme. Keywords: Anxiety, depression, quality of life, spiritual, well-being.

Co-Authors Aan Nur'aeni Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aldri Frinaldi Anita Setyawati Atlastieka Praptiwi Ayu Prawesti Priambodo Barkah Waladani Cecep Eli Kosasih Cecep Eli Kosasih Donny Mahendra Donny Nurhamsyah Endah Setianingsih Eryani, Theresia Etika Emaliyawati Evangelista, Gabriela Findhya Rachma Pravidanti Henny Suzana Mediani Ikeu Nurhidayah Irfandi Rahman Jessica Jessica Lesmana, Hendy Linlin Lindayani Linlin Lindayani Marlynda Triana Megawati, Sri Wulan Nai-Ying Ko Nehemia Simanjuntak Neli Hartini Nur'aeni, Aan Nuraeni, Aan Nursiswati Nursiswati Oktavia Nu razizah Jain Plita Muliahati Pravidanti, Findhya Rachma Puji Rahayu Rahmah Tresnala Reza Ariyanur Rian Nugraha Risnandar, Mochammad Wisnu Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rizki Mardhotulloh Syarief Rizkiani Tri Ramdani Rosi Handayani Septi Rizki Amaliyah Setianingsih - Shasqia Novelia Dingri Sheren Yolavia Sri Susilaningsih Sugiharto, Firman Syifanaurah, Salma Tri Wahyu M Tri Wahyu Murni Ulfah Nasti Wiliastuti Valentina B.M Lumbantobing, Valentina B.M Waladani, Barkah Wiliastuti, Ulfah Nasti Yanny Trisyani Ying-Chin Liao Yuli Wahyuni

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