THE DEVELOPMENT OF A HOPE-BASED SPIRITUAL SELF-CARE PRACTICE MODEL FOR RESILIENCE IN PATIENTS WITH DIABETIC FOOT ULCER Endang Sri Purwanti Ningsih1, Ah. Yusuf 2, Rizky Fitryasari2, Nursalam2, Ifa Hafifah3
Poltekkes Kemenkes Banjarmasin, Indonesia
Abstract
Background: Building resilience in DFU patients is, essential, one way of doing this is by enhancing spiritual self-care practices (SSCP). A healthy spiritual life can be a key motivator, influencing how a person adapts to life^s difficulties and even guiding them in life decisions. Several factors, known in the Resilience Illness Model theory as risk and protective factors, can influence a person^s level of resilience in the face of illness.
Purpose: The purpose of this study was to investigate the various factors that influence SSCP and resilience are: patient factors, support factors, health service factors, religious coping, and hope.
Methods: The design of this study was a cross-sectional study. Sample selection used a purposive sampling method involving 173 DFU patients in two public hospitals in Banjarmasin city. Statistical analyses were conducted using SEM-PLS.
Results: The result showed that the patient^s SSCP was predominantly influenced by support factors ( t-value= 2,836), religious coping (t-value =2,724), health care ( t-value = 2,467), and hope (t-value= 2,005). Furthermore, this study demonstrated that in building resilience, were strongly influenced by social support ( t-value= 4,581), SSCP (t-value= 4,515), and health care (t-value= 2,632). The resilience variable can be explained and supported by these factors, accounting for 42.3% of the variance.
Conclusion: The patient^s SSCP was predominantly influenced by support factors, religious coping, health services, and hope. Furthermore, in building resilience, patients were strongly influenced by hope, SSCP, support, and health services. Nurses help improve patients^ ability to perform SSCP by taking spiritual meaning in every care activity to strengthen the hope dimension of DFU patients.
