Faktor Pencetus Gejala dan Perilaku Pencegahan Systemic Lupus Erythematosus

Ni Putu Wulan Purnama Sari

= http://dx.doi.org/10.20473/jn.v11i2.2623

Abstract views = 5161 times | downloads = 13216 times


Introduction: Systemic Lupus Erythematosus (lupus) and its unpredictable flares have lowering the patients’ quality of life significantly. Precipitating factors’ exposures need to be reduced by doing preventive behaviors to reduce the frequency of lupus flare. This study aimed to analyze the correlation between precipitating factors and preventive behavior in lupus patients.

Method: This is a cros-sectional study. Population was all lupus patients doing regular check-up in Rheumatology Unit of Dr. Soetomo Public Hospital, Surabaya. Sample was lupus patients who did regular check-up in the period of October-December 2014 and matched to sample’s criteria. Sample size was 36 enrolled by means of total sampling. Independent variabel: precipitating factors of lupus flare; dependent variable: knowledge of lupus, attitude (self-efficacy) and preventive action towards exposures. Instruments used were questionnaire of lupus precipitating factors and ODAPUSHEBI (part 1,2,3). Data analysis used Spearman Rho correlation with α<0.05.

Result: Most respondents are late adulthood, get married, high school graduates and actively working. The majority had lupus for 1-2 years. Precipitating factors were mostly physical stres (66.7%). Symptom of lupus that most often relapse was joint pain. Knowledge of lupus in all respondents was high, as for attitude mostly were high and most respondents doing optimal preventive action. There was no correlation between the precipitating factors of lupus flare with lupus knowledge (p=0.342) and attitude (p=0.651). There was a weak but significant correlation between the precipitating factors with preventive action (r = 0.360; p=0.031).

Discussion: Precipitating factors of lupus flare vary among patients so that preventive actions taken adjust to the type of exposure. The preventive action taken optimally could minimize the recurrence of lupus flare. There is a correlation between the precipitating factors of flare with preventive action in lupus patients. 


systemic lupus erythematosus (sle); precipitating factors of lupus flare; preventive behavior

Full Text:



America, L.F. of, 2012. Understanding Lupus. Available at: www.lupus.org.

De Barros, B.P., De Souza, C.B. & Kirsztajn, G.M., 2012. The structure of the “livedexperience”: analysis of reports from women with systemic lupus erythematosus. Journal of Nursing Education and Practice, 2 (3), p.p 120. Available at: http://www.sciedu.ca/journal/index.php/jnep/ article/view/594 [Accessed October 28, 2016].

Dias, S.S. et al., 2014. Advances in systemic lupus erythematosus. Medicine, 42(3), pp.126–133. Available at: http://linkinghub.elsevier.com/retrieve/pii/ S1357303913003666 [Accessed October 28, 2016].

Ferenkeh-Koroma, A., 2012. Systemic lupus erythematosus: nurse and patient education. Nursing Standard, 26(39), pp.49–57. Available at: http://rcnpublishing.com/doi/abs/10.7748/ ns2012. [Accessed October 28, 2016].

Foundation, S.L.E.L., 2012. About lupus. Available at: www.lupusny.org.

Gallop, K. et al., 2012. Development of a conceptual model of health-related quality of life for systemic lupus erythematosus from the patient’s perspective. Lupus, 21(9), pp.934–43. Available at:

http://www.ncbi.nlm.nih.gov/pubmed/224 33917 [Accessed October 28, 2016].

Indonesia, Y.L., 2012. Info tentang Lupus. Available at: www.yayasanlupusindonesia.org.

Kannangara, L. et al., 2008. A study on aggravating factors for exacerbations, complications and hospital prevalence of systemic lupus erythematosus (SLE). Available at: http://pgimrepository.cmb.ac.lk:8180/handle/123456789/2862 [Accessed November 1, 2016].

L.W. Green & Kreuter, M.W., 1991. Health Promotion Planning: An Educational and Environmental Approach 2nd ed., Mountain View: Mayfield Publishing Company.

Laura K. DeLong, MD, M., 2012. Vitamin D Status, Disease Specific and Quality of Life Outcomes in Patients With Cutaneous Lupus-Full Text View-ClinicalTrials.gov, Atlanta, Georgia, United States, 30322. Available at:

https://clinicaltrials.gov/ct2/show/NCT01 498406.

Nadhiroh, F., 2007. Lupus: penyakit seribu wajah dominan menyerang wanita. Available at: http://surabaya.detik.com.

Nery, F.G. et al., Major depressive disorder and disease activity in systemic lupus erythematosus. Comprehensive psychiatry, 48(1), pp.14–9. Available at: http://www.ncbi.nlm.nih.gov/pubmed/171 45276 [Accessed October 28, 2016].

NIAMS, N.I. of A. and M. and S.D., 2012. Handout on health: systemic lupus erythematosus. Available at: www.niams.nih.gov.

Stichweh, D. & Pascual, V., 2005. Systemic lupus erythematosus in children. An Pediatr (Barc), 63(4), pp.321–329. Available at:

www.analesdepediatria.org/en/pdf/13079 815/S300/.

Utomo, Y.W., 2012. Tingkatkan Riset dasar Tentang Lupus. Available at: www.health.kompas.com.


  • There are currently no refbacks.

Copyright (c) 2016 Jurnal NERS

This journal is indexed by:





This journal is published by:


          Faculty of Nursing Universitas Airlangga in Collaboration with Indonesian National Nurses Association


Creative Commons License

This journal (p-ISSN:1858-3598; e-ISSN:2502-5791) is licensed under a Creative Commons Attribution 4.0 International License


Current Stats

Previous Stats