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Meta-Analysis: The Effect of HIV/AIDS in Pregnant Women Against the Incidence of Low Birth Weight and Preterm Birth Neti Husaeni; Cusmarih Cusmarih
Proceedings of the International Conference on Nursing and Health Sciences Vol 4 No 1 (2023): January-June 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v4i1.1800

Abstract

Pregnancy poses a major challenge to immune system regulation. Immune function is suppressed in both HIV-infected and non-HIV-infected women. Transmission of the virus has also been reported to occur between mothers to fetuses. So that HIV infection can reduce the quality of pregnancy outcomes such as low birth weight babies (low birth weight) and premature birth (preterm) The purpose of this meta-analysis is to estimate the strength of the effect of HIV infection on the incidence of low birth weight babies and preterm delivery. This study is a systematic review and meta-analysis. Primary data is retrieved through the electronic databases PubMed, Science Direct, Web of Science, Springer Link and Cochrane Database. search keywords "HIV AND AIDS", "HIV AND pregnancy", "HIV AND pregnancy AND adjusted odds ratio", and "HIV AND Pregnancy AND adjusted odds ratio". Articles taken between 2013-2023. Statistical analysis was performed using the RevMan 5.3 application. 6 articles qualified quantitatively for analysis. women who have HIV infection during pregnancy can increase the risk of giving birth to babies with low birth weight 3.32 times and statistically significant Odds Ratio (OR 3.32; 95% CI: 2.24 – 4.93; p value < 0.001). Results also reported women who have HIV infection during pregnancy were 4.79 times more likely to giving before the due date (premature) than women who were not infected with HIV during pregnancy and had a statistically significant odds ratio (OR 4.79; 95% CI: 2.50 – 9.19; p value 0.008). HIV infection in pregnancy can increase the risk of low birth weight babies and premature birth
Meta-Analysis of Determinants of the Incidence of Polycystic Ovarian Syndrome (PCOS) in Indonesia Nira Khayati; Cusmarih Cusmarih
Proceedings of the International Conference on Nursing and Health Sciences Vol 4 No 1 (2023): January-June 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v4i1.1801

Abstract

In 2013 the infertility rate in Indonesia has increased to 15-25% of all married couples or 4 to 6 million couples require infertility treatment to get offspring. Infertility in women is generally caused by ovulation disorders, one of the causes of ovulation disorders is Polycystic Ovary Syndrome (PCOS). PCOS is caused by various factors or determinants. The purpose of this study was to analyze the influence of determinants of obesity, stress and employment status factors on the incidence of PCOS in women in Indonesia. This study was conducted with systematic review and meta-analysis. Research data is searched from: PubMed and google scholar. By using the search keywords "determinant AND PCOS", " risk factor AND PCOS", " Factor associated AND PCOS AND adjusted odds ratio", and "Risk Factors AND PCOS AND adjusted odds ratio", "obesity AND PCOS", "stress AND PCOS", "Occupation AND PCOS". Indonesian women who are obese will increase the risk of PCOS incidence by 34 times and statistically significant Odds Ratio (OR 34.32; 95% CI: 10.45 – 112.67; p value < 0.001). Severe stress increases the risk of PCOS by 75 times (OR 75.84; 95% CI: 6.91 – 832.00; p value = 0.0004). and women who have jobs will increase the risk of PCOS events up to 35 times (OR 35.41; 95% CI: 2.81 – 446.69; p value = 0.006). In Indonesian women factors Obesity, stress and employment status can increase the risk of PCOS.
Pengaruh Terapi Musik terhadap Tingkat Kecemasan pada Pasien Pre Operasi di RSUD Kabupaten Bekasi Widhi Widiawati; Cusmarih Cusmarih
Malahayati Nursing Journal Vol 5, No 9 (2023): Volume 5 Nomor 9 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i9.10943

Abstract

ABSTRACT  Surgery is an invasive procedure that involves opening the part of the body to be treated. The initial stage of this process involves an incision in the body. Meanwhile, surgery is an action performed in the operating room according to a predetermined procedure. The surgery is performed by a specialist doctor who acts as a surgical operator. In general, surgery can be classified into two types, namely minor surgery and major surgery. To determine the effect of music therapy on anxiety levels in preoperative patients at Bekasi District Hospital in 2023. This research is a quantitative type study with a pre-experimental design that uses the one group pretest-post test design, because this study aims to compare the results of the intervention group's pretest and posttest intervention. The results of data processing with SPSS obtained a sig (2-tailed) value of 0.001 <0.05. So it was concluded that there was a significant difference between the level of anxiety in the pretest and posttest data. Based on the research data and discussion, the researchers concluded that giving music therapy can have a significant effect on reducing anxiety levels in preoperative patients at Bekasi Regency Hospital in 2023. Keywords: Anxiety Level, Music Therapy, Surgery  ABSTRAK Operasi adalah sebuah tindakan invasif yang melibatkan pembukaan bagian tubuh yang akan diperlakukan. Tahap awal dari proses ini melibatkan sayatan pada tubuh. Sementara itu, pembedahan adalah suatu tindakan yang dilakukan di ruang operasi sesuai dengan prosedur yang telah ditetapkan. Pembedahan dilakukan oleh seorang dokter spesialis yang bertindak sebagai operator bedah. Secara umum, pembedahan dapat diklasifikasikan menjadi dua jenis, yaitu operasi kecil dan operasi besar. Mengetahui pengaruh terapi musik terhadap tingkat kecemasan pada pasien pre operasi di RSUD Kabupaten Bekasi Tahun 2023. Penelitian ini berjenis kuantitatif dengan desain pre-experiment rancangan yang menggunakan the one group pretest-post test desaign, karena penelitian ini bertujuan untuk membandingkan hasil pretest kelompok intervensi dan posttest intervensi. Hasil pengolahan data dengan SPSS maka diperoleh nilai sig (2-tailed) sebesar 0.001 < 0.05. Maka disimpulkan bahwa ada perbedaan yang signifikan antara tingkat kecemasan pada data pretest dan posttest. Berdasarkan data hasil penelitian dan pembahasan, maka peneliti menyimpulkan bahwa pemberian terapi musik dapat memberikan pengaruh yang signifikan dalam menurunkan tingkat kecemasan pada pasien pre operasi di RSUD Kabupaten Bekasi tahun 2023. Kata Kunci :Tingkat Kecemasan, Terapi Musik, Operasi
Hubungan Peran Tenaga Kesehatan, Pengetahuan Dan Dukungan Suami Terhadap Pemilihan Akseptor KB IUD Di Puskesmas Kelurahan Keagungan Tahun 2023 Vika Chita Via; Cusmarih Cusmarih
Jurnal Formil (Forum Ilmiah) Kesmas Respati Vol 9, No 1 (2024)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/formil.v9i1.534

Abstract

Masalah utama yang dihadapi di bidang kependudukan adalah pertumbuhan penduduk yang masih tinggi. Semakin tingginya pertumbuhan penduduk maka semakin besar usaha yang dilakukan untuk mempertahankan kesejahteraan rakyat. Dalam rangka menekan ledakan penduduk, pemerintah Indonesia mencanangkan suatu program Pembangunan Jangka Menengah Nasional (RPJMN) tahun 2015-2019, dengan arah kebijakan yaitu strategi program KB sebagai upaya peningkatan kesejahteraan Masyarakat. Penelitian ini bertujuan untuk mengetahui  hubungan peran tenaga kesehatan, pengetahuan dan dukungan suami terhadap pemilihan akseptor KB IUD di Puskesmas Kelurahan Keagungan. Penelitian ini menggunakan  menggunakan desain penelitian survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini 40 orang wanita PUS.  Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah Simple Random Sampling Variabel penelitian meliputi peran tenaga kesehatan, pengetahuan, dukungan suami  dan  akseptor KB IUD. Pengumpulan data menggunakan data primer dan data sekunder. Data dianalisis menggunakan uji Chi-square. Hasil penelitian menunjukkan bahwa  peran tenaga kesehatan tidak memiliki hubungan akseptor KB IUD dengan  nilai p  value  (0,385), sementara pengetahuan dan dukungan suami berhubungan terhadap pemilihan akseptor KB IUD dengan nilai p  value masing-  masing (0,000). Disarankan kepada tenaga kesehatan agar lebih mengupayakan dalam melakukan asuhan kebidanan keluarga berencana supaya wanita usia subur semakin mengetahui tentang KB dan mau memilih untuk menjadi Akseptor KB terutama KB IUD.
HUBUNGAN KECEMASAN DENGAN KUALITAS TIDUR MAHASISWA KEPERAWATAN TINGKAT 3 DI STIKES ABDI NUSANTARA TAHUN 2023 DALAM MENGHADAPI UJIAN OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) Arum, Annisa Sekar; Cusmarih, Cusmarih
Jurnal Medika Malahayati Vol 7, No 4 (2023): Volume 7 Nomor 4
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v7i4.10696

Abstract

Abstrak: Hubungan Kecemasan Dengan Kualitas Tidur Mahasiswa Keperawatan Tingkat 3 di STIKes Abdi Nusantara Tahun 2023 Dalam Menghadapi Ujian Objective Structured Clinical Examination (OSCE)Objective Structured Clinical Examination (OSCE) adalah model asesmen yang digunakan dalam ilmu kesehatan (kedokteran, keperawatan, farmasi, kedokteran gigi) untuk menilai keterampilan klinis dan kompetensi mahasiswa yang terdiri dari komunikasi, pemeriksaan klinis, prosedur medis, resep dan hasil. penafsiran OSCE juga merupakan metode objektif untuk menilai keterampilan klinis, teknis, dan praktis. Sebuah studi yang dilakukan di Cina tentang pengaruh kecemasan terhadap kinerja ujian OSCE dengan 226 siswa menemukan bahwa 78,8% siswa mengalami kecemasan selama ujian OSCE. Untuk mengetahui apakah ada hubungan kecemasan dengan kualitas tidur pada mahasiswa keperawatan tingkat 3 di STIKes Abdi Nusantara Tahun 2023 dalam menghadapi ujian Objective Structured Clinical Examination (OSCE). Penelitian ini menggunakan pendekatan crossectional dengan teknik pengumpulan sampel random sampling. Analisis yang digunakan dalam penelitian ini adalah univariat dan bivariat serta menggunakan uji chi square. Dengan jumlah sampel sebanyak 44 responden yang memenuhi kriteria inklusi dan ekslusi. Dari hasil analisis bivariat menggunakan chi square hubungan tingkat kecemasan dengan kualitas tidur di STIKes Abdi Nusantara Tahun 2023 didapatkan nilai p value = 0,004 ( < 0,05 ) atau Ho ditolak. Hasil penelitian menunjukkan bahwa terdapat hubungan antara tingkat kecemasan dengan kualitas tidur di STIKes Abdi Nusantara Tahun 2023.
Hubungan Pengetahuan Perawat terhadap Tindakan Pencegahan Infeksi Luka Operasi di Ruang Bedah Central Rumah Sakit Bhayangkara Brimob Depok Wirawan, Agum; Cusmarih, Cusmarih
Malahayati Nursing Journal Vol 6, No 12 (2024): Volume 6 Nomor 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i12.14351

Abstract

ABSTRAK Infeksi luka operasi adalah infeksi pada daerah operasi atau organ atau ruang yang terjadi dalam 30 hari pasca operasi atau dalam kurun 1 tahun apabila terdapat implant. Strategi pencegahan dan pengendalian infeksi luka operasi meliputi pencegahan preoperasi dan Pencegahan Intra Operasi. Pengetahuan perawat adalah cara pandang perawat dalam menjalankan asuhan keperawatan terhadap pasien berdasarkan ilmu yang diperoleh dalam pendidikan formal dan berfokus pada perawatan untuk pasien. Tujuan Penelitian adalah untuk mengetahui hubungan pengetahuan perawat terhadap Tindakan pencegahan infeksi luka operasi di Ruang Bedah Central Rumah Sakit Bhayangkara Brimob Depok. Metode PenelitianDeskriptif Analitik menggunakan rancangan Cross Sectional. Analisis data menggunakan uji Kendal Tau C. Hasil Penelitian menunjukkan terdapat hubungan antara pengetahuan perawat tentang tindakan pencegahan infeksi luka operasi di Ruang Bedah Central Rumah Sakit Bhayangkara Brimob Depok Tahun 2024 dengan nilai (p-value 0,036). Kesimpulan dan saran dalam penelitian ini adalah ada hubungan antara pengetahuan perawat tentang tindakan pencegahan infeksi luka operasi di Ruang Bedah Central Rumah Sakit Bhayangkara Brimob Depok Tahun 2024. Diharapkan penelitian ini sebagai masukan dibidang profesi keperawatan sebagai referensi dan pengetahuan perawat terhadap tindakan pencegahan infeksi luka operasi di Ruang Bedah Central Rumah Sakit Bhayangkara Brimob Depok. Kata Kunci: Pengetahuan, Infeksi Luka Operasi  ABSTRACT Surgical wound infection is an infection in the surgical area or organ or space that occurs within 30 days after surgery or within 1 year if there is an implant. Strategies for preventing and controlling surgical wound infections include preoperative prevention and intraoperative prevention. Nursing knowledge is the nurse's perspective in carrying out nursing care for patients based on the knowledge obtained in formal education and focuses on patient care. The aim of the research was to determine the relationship between nurses' knowledge of measures to prevent surgical wound infections in the Central Operating Room at Bhayangkara Brimob Hospital, Depok. Descriptive Analytical Research Method using a Cross Sectional design. Data analysis used the Kendal Tau C test. The research results showed that there was a relationship between nurses' knowledge about measures to prevent surgical wound infections in the Central Surgery Room at Bhayangkara Brimob Hospital, Depok in 2024 and the value (p-value 0.036). The conclusion and suggestion in this research is that there is a relationship between nurses' knowledge about measures to prevent surgical wound infections in the Central Operating Room at Bhayangkara Brimob Hospital, Depok in 2024. It is hoped that this research will provide input in the field of the nursing profession as a reference and nurses' knowledge of measures to prevent surgical wound infections in Central Surgical Room at Bhayangkara Hospital Brimob Depok. Keywords: Knowledge, Surgical Wound Infection
Efektivitas Slow Deep Breathing untuk Menurunkan Tekanan Darah Pada Penderita Hipertensi di Klinik Pratama Fatwa Medika Cikarang Fauzan, Joan Fatwa; Cusmarih, Cusmarih
Malahayati Nursing Journal Vol 6, No 12 (2024): Volume 6 Nomor 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i12.14373

Abstract

ABSTRAK Tindakan Slow Deep Breathing menimbulan efek rileks sehingga memungkinkan seseorang merasa lebih tenang, meningkatkan relaksasi yang dapat menurunkan tingkat kecemasan. Mengetahui efektivitas Slow Deep Breathing untuk menurunkan tekanan darah pada penderita hipertensi di Klinik Pratama Fatwa Medika Cikarang 2024. Metode kuantitatif Quasy Eksperiment, dangan personal pre dan post test design. Teknik yang digunakan total sampling dengan jumlah responden 35. Hasil uji paired samples t-test Slow Deep Breathing nilai rata pre- test 1.6857  dan post- test 9143. Di dapat nilai sig. ( 2-tailed) adalah 0.000 < 0.05. Ada efektivitas Slow Deep Breathing untuk menurunkan tekanan darah pada penderita hipertensi di Klinik Pratama Fatwa Medika Cikarang 2024. Kata Kunci: Slow Deep Breathing, Hipertensi, Rileks  ABSTRACT The action of Slow Deep Breathing causes a relaxing effect that allows a person to feel calmer, increasing relaxation which can reduce anxiety levels. Knowing the effectiveness of Slow Deep Breathing to lower blood pressure in people with hypertension at the Pratama Fatwa Medika Cikarang Clinic 2024. . Quantitative methods Quasy Experiment, with personal pre and post test design. The technique used was total sampling with a total of 35 respondents. The paired samples test results t-test Slow Deep Breathing average value pre-test 1.6857 and post-test 9143. In get the sig value. ( 2-tailed) is 0.000 < 0.05. There is an effectiveness of Slow Deep Breathing to lower blood pressure in people with hypertension at Pratama Fatwa Medika Cikarang Clinic 2024. Keywords: Slow Deep Breathing, Hypertension, Relax
THE EFFECT OF A COMBINATION OF SHEN-MEN EAR POINT ACUPRESSURE AND BABY MASSAGE ON BABY SLEEP QUALITY Engkus, Nurhayati Binti; Cusmarih, Cusmarih
HEARTY Vol 12 No 4 (2024): DESEMBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v12i4.16161

Abstract

Background: Newborn babies spend more time sleeping with an average sleep duration of 16 – 17 hours a day. Low quality sleep can interfere with the baby's growth, make the body's immune function vulnerable, and disrupt the regulation of the endocrine system. Objective: to determine the effect of the combination of Shen-men ear point acupressure and baby massage on the quality of baby's sleep. Method: Design research used _ is pretest-posttest design. Population study This is all over mother who has baby aged 3-12 months with amount sample as many as 37 mothers. Variable data retrieval quality Sleep baby use Pediatric Sleep Questionnaire (PSQ) questionnaire. Data analyzed using the average comparison test paired sample t test statistics. Results: Average score quality Sleep baby before treatment k combination Shen-men ear acupressure and massage is 9.11. Average score quality Sleep baby after treatment k combination Shen-men ear acupressure and massage is 6.16. There is influence a combination of Shen-men ear point acupressure and baby massage on the quality of baby sleep in the working area Health Center Batujaya Subdistrict Batujaya Regency Karawang, p-value 0.000 < 0.05.
THE RELATIONSHIP BETWEEN LOW BIRTH WEIGHT AND THE INCIDENCE OF ASPHYXIA AT KRAMAT JATI HOSPITAL YEAR 2023 Rohmat, Liza Azizah; Cusmarih, Ns.
HEARTY Vol 13 No 2 (2025): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i2.16082

Abstract

Because the global infant mortality rate serves as a benchmark for a country's health, infant mortality remains a serious problem. Based on existing statistics, Africa has the highest incidence of newborn deaths, namely 39.6%, followed by Asia at 39.4%. to determine the relationship between low birth weight and the frequency of asphyxia at Kramat Jati District Hospital in 2023. This research is quantitative and uses case control methodology and correlation methods. The sample in this study consisted of 312 respondents, 156 of whom were LBW newborns and 156 of whom suffered from asphyxia. Kramat Jati Regional Hospital's medical record files were used as a research tool in this study. Univariate and bivariate data analysis was used. Research findings showed that 156 (or 50%) respondents were underweight at birth. 156 people, or 50% of the sample, reported suffering from asphyxia. With a p value of 0.003, the results of bivariate analysis show that there is a relationship between low body weight and the occurrence of hypoxia at Kramat Jati Regional Hospital. By further honing skills and abilities in providing client health services, nurses can prevent pregnancies with low birth weight babies by monitoring and providing prenatal care. They can also treat neonates and detect complications of pregnancy and childbirth early, because this is one of the factors that causes newborns to experience asphyxia.
Hubungan Self-Care dan Motivasi dengan Kualitas Hidup Pada Pasien : Gagal Jantung, Gagal Ginjal Kronis, Diabetes Melitus, dan Stroke di RS Anna Medika Nurhayati, Ela; Fitri, Elysa; Herman, Herman; Mugianto, Mugianto; Cusmarih, Cusmarih
MAHESA : Malahayati Health Student Journal Vol 5, No 1 (2025): Volume 5 Nomor 1 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i1.16501

Abstract

ABSTRACT Noncommunicable Diseases Country Profiles, shows that the death rate due to NCDs reaches 71% of all deaths in the world or about 41 million people every year. The proportion of deaths in young adults (age 30-69 years) is higher due to the NCD factor, which is around 75%, which shows that the incidence of this disease is not only a problem in the older population of NCDs which has an increased prevalence based on the results of Riskesdas research in 2013 and 2018 in Indonesia, namely asthma, cancer, stroke, chronic kidneys, diabetes mellitus, and central obesity. Self care or self-care is a practical activity of a person in maintaining his health and maintaining his life. , motivation in patients undergoing terminal disease treatment plays an important role because it aims to relieve symptoms and achieve a good quality of life. A person's health condition can be affected by quality of life. Poor quality of life can worsen the condition of a disease, as well as a disease can worsen the quality of life of the sufferer.This study is a quantitative research with a correlation analysis design. The sampling method in this study uses a random sampling technique, with samples of patients with heart failure, chronic kidney failure, diabetes mellitus, and stroke who are treated at Anna Medika Hospital Bekasi. The results concluded that there was a significant relationship between self-care and quality of life in patients with heart failure (p: 0.000), there was a significant relationship between motivation and quality of life in patients with heart failure (p: 0.000), there was a significant relationship between self-care and quality of life in patients with chronic kidney failure (p: 0.001), there was a significant relationship between motivation and quality of life in patients with kidney failure Chronic (P: 0.003), there was a significant relationship between self-care and quality of life in patients with diabetes mellitus (P: 0.001), there was a significant relationship between motivation and quality of life in patients with diabetes mellitus (P: 0.024), there was a significant relationship between self-care and quality of life in stroke patients (P: 0.000), there was a significant relationship between motivation and quality of life in stroke patients (P: 0.016). It is hoped that with the results of this study, patients with heart failure, chronic kidney failure, diabetes mellitus, and stroke, can apply self-care regularly and have strong motivation so that it will improve their quality of life. Keywords: Self-Care, Motivation, Quality of Life, Heart Failure, Chronic Kidney Failure, Diabetes Mellitus, Stroke ABSTRAK Noncommunicable Diseases Country Profiles, menunjukkan bahwa angka kematian akibat PTM mencapai 71% dari semua kematian di dunia atau sekitar 41 juta orang setiap tahun. Proporsi kematian pada orang dewasa muda (usia 30-69 tahun) lebih tinggi karena faktor PTM yakni sekitar 75% yang menunjukkan bahwa kejadian penyakit ini tidak hanya menjadi masalah pada populasi yang lebih tua PTM yang mengalami peningkatan prevalensi berdasarkan hasil penelitian Riskesdas tahun 2013 dan 2018 di Indonesia yaitu asma, kanker, stroke, ginjal kronis, diabetes mellitus, dan obesitas sentral. self care atau perawatan diri merupakan aktivitas yang praktis dari seseorang dalam memelihara kesehatannya serta mempertahankan kehidupannya. , motivasi pada pasien yang menjalani pengobatan penyakit terminal  memegang peranan penting karena bertujuan untuk meredakan gejala dan mencapai kualitas hidup yang baik. Kondisi kesehatan seseorang dapat dipengaruhi oleh kualitas hidup. Kualitas hidup yang buruk bisa memperburuk kondisi suatu penyakit, begitu juga suatu penyakit dapat memperburuk kualitas hidup penderita. Penelitian ini merupakan penelitian kuantitatif dengan desain analitik korelasi. Metode sampling pada penelitian ini menggunakan teknik random sampling, dengan sampel pasien gagal jantung, gagal ginjal kronik, diabetes mellitus, dan stroke yang berobat ke RS Anna Medika Bekasi. Hasil penelitian menyimpulkan adanya hubungan signifikan antara self care dengan kualitas hidup pada pasien gagal jantung (p: 0,000), ada hubungan yang signifikan antara motivasi dengan kualitas hidup pasien gagal jantung (p: 0,000), ada hubungan signifikan antara self care dengan kualitas hidup pada pasien gagal ginjal kronik (p: 0,001), ada hubungan yang signifikan antara motivasi dengan kualitas hidup pada pasien gagal ginjal kronik (p: 0,003), ada hubungan signifikan antara self care dengan kualitas hidup pada pasien diabetes melitus (p: 0,001), ada hubungan yang signifikan antara motivasi dengan kualitas hidup pada pasien diabetes melitus (p: 0,024), ada hubungan signifikan antara self care dengan kualitas hidup pada pasien stroke (p: 0,000), ada hubungan yang signifikan antara motivasi dengan kualitaspada  hidup pasien stroke (p: 0,016). Adanya hubungan self care dan motivasi terhadap kualitas hidup pasien gagal jantung, gagal ginjal kronik, diabetes melitus, dan stroke di RS Anna Medika Tahun 2024. Diharapkan dengan hasil penelitian ini pasien dengan penyakit gagal jantung, gagal ginjal kronik, diabetes melitus, dan stroke, dapat menerapkan self care dengan rutin serta memiliki motivasi yang kuat sehingga akan meningkatkan kualitas hidup mereka. Kata Kunci: Self Care, Motivasi, Kualitas Hidup, Gagal Jantung, Gagal Ginjal Kronik, Diabetes Mellitus, Stroke