Hubungan Dukungan Keluarga Dengan Self-Efficacy Pasiesn dalam Menjalani Program Fisioterapi Pasca Cedera Anterior Cruciate Ligament (ACL) Di Poli Fisio Rumah Sakit Khusus Bedah Dharma Usadha Sidhi

ABSTRAK
Disti Puspita Sari , Sang Ayu Ketut Candrawati, Dewa Putu Arwidiana
Latar Belakang: Cedera Anterior Cruciate Ligament (ACL) merupakan cedera lutut serius yang memerlukan rehabilitasi panjang, seringkali memengaruhi self-efficacy pasien dalam kembali beraktivitas. Dukungan keluarga diyakini berperan penting dalam proses pemulihan psikologis ini. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan keluarga dengan self-efficacy lutut pada pasien pasca-cedera ACL di Rumah Sakit Khusus Bedah Denpasar.
Metode: Penelitian kuantitatif dengan desain korelasional cross-sectional ini melibatkan 30 responden yang dipilih melalui teknik consecutive sampling. Data dikumpulkan menggunakan kuesioner Dukungan Keluarga (24 item, Ya/Tidak) dan Knee Self-Efficacy Scale (K-SES, 11 item, skala 0-10), serta data demografi termasuk lama cedera. Analisis data meliputi univariat (distribusi frekuensi) dan bivariat (uji korelasi Spearman Rank).
Hasil: Mayoritas responden adalah laki-laki (60%) dengan lama cedera > 6 bulan (40%). Hasil univariat menunjukkan sebagian besar responden memiliki self-efficacy lutut dalam kategori Rendah (66,7%) dan merasakan dukungan keluarga dalam kategori Sedang (76,7%). Uji korelasi Spearman menunjukkan adanya hubungan positif yang signifikan antara dukungan keluarga dengan self-efficacy lutut (rho = 0,728; p = 0,000). Selain itu, lama cedera juga menunjukkan pola hubungan, di mana responden dengan lama cedera yang lebih panjang cenderung memiliki self-efficacy lutut yang lebih tinggi.
Kesimpulan: Terdapat hubungan yang signifikan antara dukungan keluarga dan self-efficacy lutut pada pasien pasca-cedera ACL. Dukungan keluarga yang kuat, bersama dengan proses adaptasi seiring lama cedera, berkontribusi pada peningkatan keyakinan diri pasien dalam menjalani rehabilitasi. Penelitian ini merekomendasikan penguatan peran keluarga dalam program rehabilitasi untuk mengoptimalkan self-efficacy pasien.
Kata Kunci: Dukungan Keluarga, Self-Efficacy Lutut, K-SES, Cedera ACL, Lama Cedera.

ABSTRACT
The Relationship Between Family Support and Patients' Self-Efficacy in Undergoing a Post-Anterior Cruciate Ligament (ACL) Injury Physiotherapy Program at the Physiotherapy Clinic of Rumah Sakit Khusus Bedah Dharma Usadha Sidhi
Disti Puspita Sari , Sang Ayu Ketut Candrawati, Dewa Putu Arwidiana
Background: Anterior Cruciate Ligament (ACL) injury is a serious knee injury requiring lengthy rehabilitation, often affecting patients' self-efficacy in returning to activity. Family support is believed to play a crucial role in this psychological recovery process. This study aimed to analyze the relationship between family support and knee self-efficacy in post-ACL injury patients at Rumah Sakit Khusus Bedah Denpasar.
Methods: This quantitative correlational cross-sectional study involved 30 respondents selected through consecutive sampling. Data were collected using a Family Support questionnaire (24 items, Yes/No) and the Knee Self-Efficacy Scale (K-SES, 11 items, 0-10 scale), as well as demographic data including injury duration. Data analysis included univariate (frequency distribution) and bivariate (Spearman Rank correlation test).
Results: The majority of respondents were male (60%) with an injury duration of > 6 months (40%). Univariate results showed that most respondents had low knee self-efficacy (66.7%) and perceived moderate family support (76.7%). Spearman correlation test indicated a significant positive relationship between family support and knee self-efficacy (rho = 0.728; p = 0.000). Furthermore, injury duration also showed a relational pattern, where respondents with longer injury durations tended to have higher knee self-efficacy.
Conclusion: There is a significant relationship between family support and knee self-efficacy in post-ACL injury patients. Strong family support, along with the adaptation process over the duration of the injury, contributes to an increase in patients' self-confidence in undergoing rehabilitation. This study recommends strengthening the role of families in rehabilitation programs to optimize patient self-efficacy.
Keywords: Family Support, Knee Self-Efficacy, K-SES, ACL Injury, Injury Duration.