Pengaruh Dukungan Sosial dan Efikasi Diri terhadap Kualitas Hidup Dimediasi dengan Resiliensi pada Pasien Lansia Hipertensi di Puskesmas Nanggalo Padang
DOI:
https://doi.org/10.55606/khatulistiwa.v6i1.8948Keywords:
Elderly Hypertension, Quality of Life, Resilience, Self-Efficacy, Social SupportAbstract
This study is motivated by the high prevalence of hypertension among the elderly and the complexity of psychosocial factors that influence their quality of life. The purpose of this research is to analyze the influence of social support and self-efficacy on the quality of life of elderly individuals with hypertension, with resilience as a mediating variable. The research employed an explanatory quantitative design with a sample of 122 elderly individuals with hypertension at Puskesmas Nanggalo Padang selected through accidental sampling. Data were collected using a Likert-scale questionnaire that had been tested for validity and reliability, and then analyzed using SEM-PLS through SmartPLS to examine the structural relationships among variables. The results indicate that social support and self-efficacy positively affect quality of life, both directly and indirectly through resilience as a mediator, demonstrating that these three variables complement one another in enhancing the adaptive capacity of elderly individuals facing chronic conditions. These findings imply that psychosocial-based interventions, such as strengthening family support, enhancing self-efficacy, and providing resilience training, need to be developed in primary healthcare services to improve the quality of life of elderly individuals with hypertension.
References
Affandi, A. A., & Hamzah, P. N. (2025). Analisis faktor risiko terjadinya hipertensi: Literature review. Prepotif: Jurnal Kesehatan Masyarakat, 9(1), 837–848. https://doi.org/10.31004/prepotif.v9i1.43302
Amalia, N. N., & Pramusinto, H. (2020). Pengaruh persepsi, efikasi diri dan lingkungan keluarga terhadap minat menjadi guru. Business and Accounting Education Journal, 1(1), 84–94. https://doi.org/10.15294/baej.v1i1.38939
Athifahsari, H., Ardani, M. H., Mu'in, M., Warsito, B. E., & Sulisno, M. (2022). Resiliensi pada perawat di masa pandemi COVID-19. Jurnal Manajemen Asuhan Keperawatan, 6(2), 68–75. https://doi.org/10.33655/mak.v6i2.132
Ayunarwanti, R., & Maliya, A. (2020). Self-efficacy on intradialysis hypertension in kidney failure patients. Jurnal Berita Ilmu Keperawatan, 13(1), 54–61. https://doi.org/10.23917/bik.v13i1.11603
Aziz, M. R., & Noviekayati, I. (2016). Dukungan sosial, efikasi diri dan resiliensi pada karyawan yang terkena pemutusan hubungan kerja. Persona: Jurnal Psikologi Indonesia, 5(1). https://doi.org/10.30996/persona.v5i01.742
Bandura, A. (1997). Self-efficacy: The exercise of control. Freeman and Company.
Cahyani, S. T. C., Suarningsih, N. K. A., Jagat, N. A., & Widyanthari, D. M. (2025). Hubungan dukungan sosial dengan kemampuan perawatan diri pada penderita hipertensi di Unit Pelaksana Teknis Daerah Puskesmas II Denpasar Barat. Community of Publishing in Nursing (COPING), 13(3), 323–332.
Digdyani, N., & Kaloeti, D. V. S. (2020). Hubungan antara regulasi diri dan resiliensi dengan kualitas hidup pada perawat rumah sakit swasta X di Kota Semarang. Jurnal Empati, 7(3), 1013–1019. https://doi.org/10.14710/empati.2018.21848
Ding, Y., Zhang, H., Hu, Z., Sun, Y., Wang, Y., Ding, B., Yue, G., & He, Y. (2024). Perceived social support and health-related quality of life among hypertensive patients: A latent profile analysis. Risk Management and Healthcare Policy, 17, 2125–2139. https://doi.org/10.2147/RMHP.S476633
Ekasari, M. F., Riasmini, N. M., & Hartini, T. (2019). Meningkatkan kualitas hidup lansia: Konsep dan berbagai intervensi. Wineka Media.
Febria, D., & Lestari, R. R. (2024). Edukasi hipertensi dan senam sehat upaya penyehatan kesehatan pada lansia Desa Teluk Paman. NuCSJo: Nusantara Community Service Journal, 1(2), 86–90.
Firmiana, M. E. (2019). Dukungan sosial dan resiliensi pada pasien kanker dengan keterbatasan gerak. Proceeding National Conference Psikologi UMG 2018, 1(1), 47–66.
Hadi, F. W., & Handojo, I. (2017). Faktor-faktor yang mempengaruhi kualitas hidup. Jurnal Bisnis dan Akuntansi, 19(2). https://doi.org/10.34208/jba.v19i2.273
Harjali. (2019). Penataan lingkungan belajar: Strategi untuk guru dan sekolah. Seribu Bintang.
Kashani, A. K., Kooshki, S., Kazemi, A. S., & Khoshli, A. K. (2020). Structural equation modeling of relationships between social support, self-efficacy, and quality of life in patients with heart failure. Shahroud Journal of Medical Sciences. https://doi.org/10.22100/ijhs.v6i3.776
Kemendikbud. (2019). KBBI - Kamus Besar Bahasa Indonesia.
Kemenkes RI. (2023). Profil Kesehatan Indonesia 2022.
Lee, M. K., & Oh, J. (2020). Health-related quality of life in older adults and its association with health literacy, self-efficacy, social support, and behavior. Healthcare, 8(4), 407. https://doi.org/10.3390/healthcare8040407
Mawaddah, H. (2021). Analisis efikasi diri pada mahasiswa Psikologi Unimal. Jurnal Psikologi Terapan, 2(2), 19. https://doi.org/10.29103/jpt.v2i2.3633
Mersal, F. A., & Mersal, N. A. (2015). Effect of evidence-based lifestyle guidelines on self-efficacy of patients with hypertension. International Journal of Current Microbiology and Applied Sciences, 4(3), 244–263.
Mikkelsen, H. T., Haraldstad, K., Helseth, S., Skarstein, S., Småstuen, M. C., & Rohde, G. (2020). Health-related quality of life and associated factors in adolescents. Health and Quality of Life Outcomes, 18(1), 352. https://doi.org/10.1186/s12955-020-01585-9
Nuraini, T., Putri, Y. S. E., & Maria, R. (2025). Pengaruh pemberdayaan terhadap self-efficacy pada pasien kanker payudara: Systematic review. Faletehan Health Journal, 12(1), 59–67. https://doi.org/10.33746/fhj.v12i01.794
Pertiwi, T. L., & Kaloeti, D. V. S. (2021). The effect of resilience on quality of life and psychological symptoms on incarcerated women. Proceedings of ICPSYCHE 2020, 318–323. https://doi.org/10.2991/assehr.k.210423.046
Prastika, Y. D., & Siyam, N. (2021). Faktor risiko kualitas hidup lansia penderita hipertensi. Indonesian Journal of Public Health and Nutrition, 1(3), 407–419.
Sarafino, E. P., & Smith, T. W. (2011). Health psychology: Biopsychosocial interactions (7th ed.). John Wiley & Sons.
Sari, D. M. P., Lestari, C. Y. D., Putra, E. C., & Nashori, F. (2018). Kualitas hidup lansia ditinjau dari sabar dan dukungan sosial. Jurnal Ilmiah Psikologi Terapan, 6(2), 131–141. https://doi.org/10.22219/jipt.v6i2.5341
Sudaryono, A. (2019). Metodologi penelitian: Kuantitatif, kualitatif, dan mix method. Rajawali Pers.
Sugiyono. (2017). Metode penelitian bisnis. Alfabeta.
Sutanti, Y. C., & Widayati, N. (2022). Pengaruh efikasi diri, motivasi kerja, dan lingkungan kerja terhadap kepuasan kerja. E-Jurnal Manajemen TSM, 2(2). https://doi.org/10.34208/ejmtsm.v2i2.1537
Unger, T., Borghi, C., Charchar, F., et al. (2020). 2020 International Society of Hypertension global guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026
Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1(2), 165–178.
Wang, L., Li, L., Qiu, Y., Li, S., & Wang, Z. (2024). Social support, self-efficacy and quality of life in rural patients with diabetes. JMIR Public Health and Surveillance, 10, e54402. https://doi.org/10.2196/54402
WHO. (2023). Hypertension.
Yazdi-Ravandi, S., Taslimi, Z., Saberi, H., et al. (2013). The role of resilience and age on quality of life in patients with pain disorders. Basic and Clinical Neuroscience, 4(1), 24–30.
Yuda, H. T., Rahim, S. S. B. S. A., & Madrim, M. F. (2024). Improving quality of life of elderly hypertension with family empowerment approach. South Eastern European Journal of Public Health, 1408–1413. https://doi.org/10.70135/seejph.vi.2472
Zeng, H., Liu, Y., Zhang, C., Zhang, X., Shen, M., & Zhang, Z. (2024). Expectations regarding aging as a mediator of resilience and quality of life in rural elderly. Archives of Public Health, 82(1), 239. https://doi.org/10.1186/s13690-024-01470-7
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