Hubungan Kepatuhan Diet dengan Kualitas Hidup pada Pasien Congestif Heart Failure
DOI:
https://doi.org/10.37287/jppp.v8i2.1762Keywords:
congestive heart failure, kepatuhan diet, kualitas tidurAbstract
Congestive Heart Failure (CHF) merupakan penyakit kronis akibat ketidakmampuan jantung memompa darah secara optimal yang menimbulkan gejala sesak napas, kelelahan, dan keterbatasan aktivitas sehingga memengaruhi kualitas hidup pasien. Kepatuhan diet merupakan bagian penting dari self care pada pasien CHF untuk mengontrol gejala dan mencegah perburukan penyakit. Rendahnya kepatuhan terhadap pembatasan garam dan cairan dapat meningkatkan risiko kekambuhan dan rawat ulang yang berdampak pada penurunan kualitas hidup. Penelitian ini bertujuan mengetahui hubungan kepatuhan diet dengan kualitas hidup pada pasien CHF. Penelitian ini menggunakan desain kuantitatif dengan pendekatan korelasi dan metode cross sectional. Populasi penelitian berjumlah 1657 pasien CHF dengan sampel 105 responden yang dipilih menggunakan teknik probability sampling dan dihitung dengan rumus Slovin. Instrumen yang digunakan adalah Dietary Salt Reduction Self-Care Behavior Scale untuk mengukur kepatuhan diet dan Minnesota Living with Heart Failure Questionnaire untuk mengukur kualitas hidup yang telah telah teruji valid dan reliabel. Penelitian dilakukan di RS Hermina Galaxy dan dianalisis menggunakan uji Chi-Square. Hasil penelitian menunjukkan sebagian besar responden tidak patuh terhadap diet yaitu 66 orang (62,9%), sedangkan yang patuh 39 orang (37,1%). Mayoritas responden memiliki kualitas hidup baik yaitu 86 orang (81,9%). Hasil uji korelasi menunjukkan nilai p-value 0,123 (p>0,05) sehingga tidak terdapat hubungan signifikan antara kepatuhan diet dengan kualitas hidup pada pasien CHF.
References
Al-sutari, M. M., & Abdalrahim, M. S. (2024). Symptom Burden and Quality of Life Among Patients With Heart Failure. SAGE Open Nursing, 10, 1–11. https://doi.org/10.1177/23779608241242023
Almeida-Neto, O. P. de, Marchiori, G. F., Araújo, I. V., Alcântara, M. E. de P., Rabelo-Silva, E. R., Mendes, D. de S., & Vellone, E. (2025). Quality of life, sodium intake and cardiorespiratory fitness in heart failure: a longitudinal study. Longit Life Course Stud, 16(4), 495–506. https://doi.org/10.1332/17579597Y2025D000000061
Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Das, S. R., Delling, F. N., Djousse, L., Elkind, M. S. V, Ferguson, J. F., Fornage, M., Jordan, L. C., Khan, S. S., Kissela, B. M., Knutson, K. L., … Subcommittee, A. H. A. C. on E. and P. S. C. and S. S. (2019). Heart Disease and Stroke Statistics-2019 Update: A Report From the American Heart Association. Circulation, 139(10), e56–e528. https://doi.org/10.1161/CIR.0000000000000659.
Chen, S., Qiu, X., Dai, Y., Deng, Z., Liu, N., Xie, R., Qiu, X., & Zhang, L. (2026). Factors influencing sodium restriction behavior among patients with chronic heart failure : a cross-sectional study based on the value co- creation theory. BMC Cardiovascular Disorders. https://doi.org/10.1186/s12872-026-05652-9
Colin-Ramirez, E., McAlister, F. A., Zheng, Y., Sharma, S., Armstrong, P. W., & Ezekowitz, J. A. (2015). The long-term effects of dietary sodium restriction on clinical outcomes in patients with heart failure. The SODIUM-HF (Study of Dietary Intervention Under 100 mmol in Heart Failure): a pilot study. Am Heart J, 169(2), 274–281. https://doi.org/10.1016/j.ahj.2014.11.013
Fauzi, A. H., & Hudiyawati, D. (2021). Gambaran Kualitas Hidup pada Penderita Gagal Jantung. Univeritas Muhammadiyah Surakarta.
Groenewegen, A., Rutten, F. H., Mosterd, A., & Hoes, A. W. (2020). Epidemiology of heart failure. Eur J Heart Fail, 22(8), 1342–1356. https://doi.org/10.1002/ejhf.1858
Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S. M., Evers, L. R., Fang, J. C., Fedson, S. E., Fonarow, G. C., Hayek, S. S., Hernandez, A. F., Khazanie, P., Kittleson, M. M., Lee, C. S., Link, M. S., … Members, A. J. C. (2022). 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 145(18), e895–e1032. https://doi.org/10.1161/CIR.0000000000001063
Jaarsma, T., Hill, L., Bayes-genis, A., Rocca, H. B. La, Castiello, T., Celutkien, J., Marques-sule, E., Plymen, C. M., Piper, S. E., Riegel, B., Rutten, F. H., Gal, T. Ben, Bauersachs, J., Coats, A. J. S., Chioncel, O., Lopatin, Y., Lund, L. H., Lainscak, M., Moura, B., … Strömberg, A. (2020). Self-care of heart failure patients : practical management recommendations from the Heart Failure Association of the European Society of Cardiology e. European Journal of Heart Failure, 23, 157–174. https://doi.org/10.1002/ejhf.2008
Jiménez-Torres, J., Jiménez-Juan, C., Villa-Martínez, A., Gutiérrez-García, M., Moreno-Gaviño, L., Aparicio-Santos, R., Romero-Muñoz, Á., Goncet-Cansino, M. J., Barón-Franco, B., & Bernabeu-Wittel, M. (2024). The Influence of Adherence to a Mediterranean Diet on Decompensation in Patients with Chronic Heart Failure. Nutrients, 16(9), 1–6. https://doi.org/10.3390/nu16193278
Kang, K., Wang, Q., Li, Y., Liu, C., Yu, H., & Li, N. (2025). Global and Chinese perspectives on the growing burden of heart failure : trends , gender , and age-related differences ( 1990 – 2021 ) based on GBD 2021 data. BMC Cardiovascular Disorders, 25(519), 1–11. https://doi.org/10.1186/s12872-025-04954-8
Kementerian Kesehatan Republik Indonesia. (2018). Laporan Nasional Riskesdas 2018. In Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
Kementerian Kesehatan RI. (2023). SURVEI KESEHATAN INDONESIA. https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
Lam, C. S. P., Arnott, C., Beale, A. L., Chandramouli, C., Hilfiker-Kleiner, D., Kaye, D. M., Ky, B., Santema, B. T., Sliwa, K., & Voors, A. A. (2019). Sex differences in heart failure. Eur Heart J, 40(47), 3859–3868. https://doi.org/10.1093/eurheartj/ehz835.
Ling, R. Z. Q., Jiao, N., Hassan, N. B., He, H., & Wang, W. (2020). Adherence to diet and medication and the associated factors among patient with chronic heart failure in a multi-ethnic society. Heart Lung, 49(2), 144–150. https://doi.org/10.1016/j.hrtlng.2019.11.003
Mangunkusumo, R. C. (2024). Faktor-Faktor yang Memengaruhi Kualitas Hidup Pasien Gagal Jantung Kronik Fraksi Ejeksi Terjaga ( HFpEF ) Rawat Jalan di RSUPN Dr. Cipto Mangunkusumo. Jurnal Penyakit Dalam Indonesia, 11(1). https://doi.org/10.7454/jpdi.v11i1.1553
McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Bo¨hm, M., Burri, H., Butler, J., Celutkiene, J., Chioncel, O., Cleland, J. G. F., Coats, A. J. S., Crespo-Leiro, M. G., Farmakis, D., Gilard, M., & Heymans, S. (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology ( ESC ). European Society of Cardiology, 42(36), 3599–3726. https://doi.org/10.1093/eurheartj/ehab368
Mulugeta, H., Sinclair, P. M., & Wilson, A. (2024). Health-related quality of life of people with heart failure in low- and middle-income countries: a systematic review and meta-analysis. Qual Life Res, 33(5), 1175–1189. https://doi.org/10.1007/s11136-023-03563-2.
Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G. F., Coats, A. J. S., Falk, V., González-Juanatey, J. R., Harjola, V.-P., Jankowska, E. A., Jessup, M., Linde, C., Nihoyannopoulos, P., Parissis, J. T., Pieske, B., Riley, J. P., Rosano, G. M. C., Ruilope, L. M., Ruschitzka, F., … Mee, P. van der. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology ( ESC ) Developed with the special contribution. European Heart Journal, 37(27), 2129–2200. https://doi.org/10.1093/eurheartj/ehw128
Powell-Wiley, T. M., Baumer, Y., Baah, F. O., Baez, A. S., Farmer, N., Mahlobo, C. T., Pita, M. A., Potharaju, K. A., Tamura, K., & Wallen, G. R. (2022). Social Determinants of Cardiovascular Disease. Circ Res, 130(5), 782–799. https://doi.org/10.1161/CIRCRESAHA.121.319811
Qadir, C. S. (2020). Heart Failure Patients’ Knowledge and Barriers of Low Sodium Diet Adherence in Erbil City. Erbil Journal of Nursing and Midwifery, 3(1), 47–55. https://doi.org/https://doi.org/10.15218/ejnm.2020.06
Rumah Sakit Hermina Galaxy. (2023). Data Rekam Medik Rumah Sakit Hermina Galaxy.
Savarese, G., & Lund, L. H. (2017). Epidemiology Global Public Health Burden of Heart Failure. Epidemiology, 3(1), 7–11. https://doi.org/10.15420/cfr.2016:25:2
Sembiring, E. (2015). Hubungan Antara Kepatuhan Diet Rendah Garam, Kepatuhan Minum Obat, Riwayat Hipertensi Dengan Kejadian Rehospitalisasi Pada Pasien Gagal Jantung Kongestif. UNIVERSITAS SUMATERA UTARA.
Shams, P., Malik, A., & Chhabra, L. (2025). Heart Failure (Congestive Heart Failure). StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430873/
Song, E. K., Moser, D. K., Kang, S., & Lennie, T. A. (2015). Self-reported Adherence to a Low-Sodium Diet and Health Outcomes in Patients With Heart Failure. Journal of Cardiocascular Nursing, 31(6), 529–534. https://doi.org/10.1097/JCN.0000000000000287
Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Cheng, S., Delling, F. N., Elkind, M. S. V, Evenson, K. R., Ferguson, J. F., Gupta, D. K., Khan, S. S., Kissela, B. M., Knutson, K. L., Lee, C. D., Lewis, T. T., … Subcommittee, A. H. A. C. on E. and P. S. C. and S. S. (2021). Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation, 143(8), e254–e743. https://doi.org/10.1161/CIR.0000000000000950
Wahyuni, E., Irwan, A. M., & Kadar, K. S. (2021). Model Intervensi Pengurangan Garam Pada Penderita Hipertensi. Jurnal Keperawatan STIKes Kendal, 13(1), 35–48. https://doi.org/10.32583/keperawatan.v13i1.933
Wahyuni, E., Rahmawati, L., Hidhayanti, H. N., Dewi, N. V., & Mayasari, D. (2024). PENINGKATAN PENGETAHUAN DIET NUTRISI DAN CAIRAN MELALUI EDUKASI KESEHATAN. 5(2), 181–190.
Wickman, B. E., Enkhmaa, B., Ridberg, R., Romero, E., Cadeiras, M., Meyers, F., & Steinberg, F. (2021). Dietary Management of Heart Failure : DASH Diet and Precision Nutrition Perspectives. Nutrients, 13(12), 1–24. https://doi.org/10.3390/nu13124424
Witte, K. K., Patel, P. A., Walker, A. M. N., Schechter, C. B., Drozd, M., Sengupta, A., Byrom, R., Kearney, L. C., Sapsford, R. J., Kearney, M. T., & Cubbon, R. M. (2018). Socioeconomic deprivation and mode-specific outcomes in patients with chronic heart failure. Heart, 104(12), 993–998. https://doi.org/10.1136/heartjnl-2017-312539
Zhu, C., Cheng, M., Su, Y., Ma, T., Lei, X., & Hou, Y. (2022). Effect of Dietary Sodium Restriction on the Quality of Life of Patients With Heart Failure A Systematic Review of Randomized Controlled Trials. Journal of Cardiovascular Nursing, 37(6), 570–580. https://doi.org/10.1097/JCN.0000000000000880
Ziaeian, B., & Fonarow, G. C. (2016). Epidemiology and aetiology of heart failure. Nat Rev Cardiol, 13(6), 368-378. https://doi.org/10.1038/nrcardio.2016.25.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Jurnal Penelitian Perawat Profesional
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
![88+ Daftar Jurnal Sinta 5 Gratis Yang Terbit Bulan Ini? [Update 2022]](https://stiqwalisongo.ac.id/wp-content/uploads/2020/10/sinta-5.jpg){kind=small}
