Analisis Faktor yang Mempengaruhi Kualitas Hidup Pasien Pasca Acute Coronary Syndrome

Sari

Acute Coronary Syndrome (ACS) is a collection of clinical symptoms resulting from coronary blood flow disorders that can affect patients' physical, psychological, social, and spiritual conditions, thereby impacting their quality of life. This study aims to analyze factors associated with the quality of life of patients’ post-ACS at Dr. H. M. Ansari Saleh General Hospital in Banjarmasin, including functional capacity, psychological factors, family support, and spiritual well-being. The research design employs a non-experimental quantitative method with a descriptive correlational cross-sectional approach. The sample consisted of 194 respondents’ selected using simple random sampling. The research instrument was a standardized questionnaire, with data analysis including univariate, bivariate using the Spearman Rank test, and multivariate using logistic regression. The results showed that the majority of respondents had functional capacity in the partially dependent category (68.0%), high psychological condition (89.2%), good family support (58.2%), and high spiritual well-being (83.0%). Overall, 84.0% of respondents had high quality of life. There was a significant relationship between the four independent variables and quality of life. Psychological factors were the most dominant determinant, followed by family support, spiritual well-being, and functional capacity. These results highlight the importance of implementing comprehensive interventions that include optimizing physical capacity, strengthening mental health, providing continuous family support, and enhancing spiritual well-being. This holistic approach is expected to maximize patients' adaptation post-ACS, reduce residual symptoms, improve adherence to treatment, and enhance patients' perception of their health condition, thereby sustaining quality of life in the long term.