Peningkatan Self-Efficacy Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis melalui Therapeutic Patient Education

Authors

DOI:

https://doi.org/10.30643/jiksht.v19i2.395

Keywords:

Hemodyalisis, Self-efficacy, Therapeutic Patient Education

Abstract

Introduction: Self-efficacy is reported as the factor that most influences hemodialysis patient adherence. Interventions to improve self-efficacy have been developed, including through education. The education provided must be structured and include psychosocial aspects to increase self-efficacy, one of the interventions that can be done is Therapeutic Patient Education (TPE). Objectives:  This study aims to determine the effectiveness of therapeutic patient education in Increasing the self-efficacy of patients with chronic kidney disease who are undergoing hemodialysis. Methods: This type of research is a Quasy-Experiment with a pre-test and post-test without a control group approach. 63 respondents were involved in the study. The inclusion criteria in this study were patients who regularly attended hemodialysis sessions, aged 18-65 years, and underwent hemodialysis for more than 3 months, while the exclusion criteria included patients who experienced intradialytic complications and patients who were not willing to become respondents. Data collection used the General Self-Efficacy Scale. Bivariate analysis used paired t-test. Results: Bivariate analysis using the paired t-test found that there was a difference in mean self-efficacy between before (mean 26.70, SD 5.732) and after the Therapeutic Patient Education (TPE) intervention (mean 33.24, SD 4.102, t = 16.393, df 62). The value of p=0.000 (<0.05) indicates that the Therapeutic Patient Education (TPE) intervention is effective in increasing the self-efficacy of chronic kidney disease patients undergoing hemodialysis. Conclusions:  Therapeutic Patient Education (TPE) effectively increases the self-efficacy of chronic kidney disease patients undergoing hemodialysis.

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References

Abbassi, A., Ben Rejeb, R., & Chihaoui, M. (2022). The Effect of a Therapeutic Education Program on the Feeling of Self-Efficacy, Self-Care Behaviors and Glycemic Control in Type 2 Diabetic Patients: Literature Review. OALib, 09(11), 1–12. https://doi.org/10.4236/oalib.1109448

Agustina, F., Yetti, K., & Sukmarini, L. (2019). Contributing factors to hemodialysis adherence in Aceh, Indonesia. Enfermeria Clinica, 29, 238–242. https://doi.org/10.1016/j.enfcli.2019.04.028

Ahmadi, Z., Abolhassani, S., Hasheminia, A., & Kheiri, S. (2022). The effects of multimedia education on self-efficacy and self-esteem among patients with acute coronary syndrome: A clinical randomized trial. Iranian Journal of Nursing and Midwifery Research, 27(3), 181–187. https://doi.org/10.4103/ijnmr.IJNMR_92_20

Alemu, H., Hailu, W., & Adane, A. (2020). Prevalence of Chronic Kidney Disease and Associated Factors among Patients with Diabetes in Northwest Ethiopia: A Hospital-Based Cross-Sectional Study. Current Therapeutic Research - Clinical and Experimental, 92, 100578. https://doi.org/10.1016/j.curtheres.2020.100578

Alhawery, A., Aljaroudi, A., Almatar, Z., Alqudaimi, A. A., & Al Sayyari, A. A. (2019). Nonadherence to dialysis among Saudi patients - Its prevalence, causes, and consequences. Saudi Journal of Kidney Diseases and Transplantation : An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 30(6), 1215–1221. https://doi.org/10.4103/1319-2442.275465

Asnaniari, W. O. S., Bakhtiar, S. Z., & Safruddin. (2020). Efikasi diri berhubungan dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisis. Journal of Holistic Nursing Science, 2(2), 56–63. https://garuda.kemdikbud.go.id/documents/detail/2117877

Correia, J. C., Waqas, A., Aujoulat, I., Davies, M. J., Assal, J. P., Golay, A., & Pataky, Z. (2022). Evolution of Therapeutic Patient Education: A Systematic Scoping Review and Scientometric Analysis. International Journal of Environmental Research and Public Health, 19(10). https://doi.org/10.3390/ijerph19106128

ElGerges, N. S. (2020). Effects of therapeutic education on self-efficacy, self-care activities and glycemic control of type 2 diabetic patients in a primary healthcare center in Lebanon. Journal of Diabetes and Metabolic Disorders, 19(2), 813–821. https://doi.org/10.1007/s40200-020-00567-4

IRR. (2018). 11th report Of Indonesian renal registry 2018. Indonesian Renal Registry, 14–15.

Kesehatan Kementrian Kesehatan Republik Indonesia. (2019). Riskesdas 2018. pdf. In Laporan Nasional Riset Kesehatan Dasar 2018.

Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003

Lai, P. C., Wu, S. F. V., Alizargar, J., Pranata, S., Tsai, J. M., & Hsieh, N. C. (2021). Factors influencing self-efficacy and self-management among patients with pre-end-stage renal disease (Pre-ESRD). Healthcare (Switzerland), 9(3), 1–12. https://doi.org/10.3390/healthcare9030266

Ortega Pacheco, Y. J. (2024). Therapeutic patient education (TPE): A field of research and practice for psychosocial health intervention. Atencion Primaria, 56(4), 0–1. https://doi.org/10.1016/j.aprim.2024.102874

Ozkan, İ., & Taylan, S. (2022). Diet and fluid restriction experiences of patients on hemodialysis: a meta-synthesis study. Revista de Nefrologia, Dialisis y Trasplante, 42(1), 22–40. https://doi.org/10.23751/pn.v23iS2.11985

Perdana, M., & Yen, M. (2021). Factors Associated With Adherence to Fluid Restriction in Patients Undergoing Hemodialysis in Indonesia. Journal of Nursing Research, 29(6), E182. https://doi.org/10.1097/jnr.0000000000000457

Ryan, D. K., & Banerjee, D. (2022). CVD in CKD Patients Management of Heart Failure in Patients with Chronic Kidney Disease Heart Failure and Chronic Kidney Disease Heart Failure Management in Patients with Chronic Kidney Disease Management of HF in Patients with CKD Renin – Angiotensin – A. Lv.

Safitri, D., Pahria, T., & Rahayu, U. (2023). Factors associated with dietary and fluid restriction adherence of chronic kidney disease patients undergoing hemodialysis. Media Keperawatan Indonesia, 6(3), 198. https://doi.org/10.26714/mki.6.3.2023.198-208

Sevick, M. ., K., W., A., M., S.D., K., H., L., D.E., S., R., J., L., H., M.L., P., L., G., Z., L., A., S., S.K., W., & Goldfarb, D. S. (2018). The Healthy Hearts and Kidneys (HHK) study: Design of a 2 x 2 RCT of technology-supported self-monitoring and social cognitive theory-based counseling to engage overweight people with diabetes and chronic kidney disease in multiple lifestyle changes. Contemporary Clinical Trials, 64, 265–273. https://doi.org/10.1016/j.cct.2017.08.020.The

Shorey, S., & Lopez, V. (2021). Self-efficacy in a nursing context. Health Promotion in Health Care - Vital Theories and Research, 1–380. https://doi.org/10.1007/978-3-030-63135-2

Thomas, N. (2019). Renal nursing. In John Wiley & Sons. https://doi.org/10.4324/9781315378589

Vadakedath, S., & Kandi, V. (2017). Dialysis: A Review of the Mechanisms Underlying Complications in the Management of Chronic Renal Failure. Cureus, 9(8). https://doi.org/10.7759/cureus.1603

Wasiah, A. (2020). Jurnal Surya. Media Komunikasi Ilmu Kesehatan, 12(02), 70–76.

Welfare, A. I. of H. and. (2022). Chronic Kidney Disease. Management of Chronic Kidney Disease, March, 3–13. https://doi.org/10.1007/978-3-642-54637-2_1

Published

2024-10-25

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