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ABSTRAKPerawatan mandiri merupakan bagian integral dalam keberhasilan manajemen
pasien gagal jantung. Peneliti menggunakan 3 pendekatan model terintegrasi yaitu
transtheoretical, orem dan motivational interviewing model yang disebut model
?PrOMiSe?. Tujuan penelitian adalah untuk meningkatkan perilaku perawatan
mandiri pasien gagal jantung. Kuasi-eksperimental disain digunakan dalam
penelitian ini. Sejumlah 100 pasien gagal jantung didaftar selama rawat inap.
Kelompok intervensi diberikan intervensi model ?PrOMiSe selama tiga bulan dari
perawat kardiovaskular terlatih. Uji statistik menggunakan independent t-test, chi
square, uji Mann Whitney, regresi logistik, Kaplan Meier dan Cox regresi. Hasil:
terdapat perbedaan bermakna perawatan mandiri, indek pengetahuan dan tahap
perubahan, readmission dan atau kematian pasien gagal jantung setelah intervensi
model antar kelompok kontrol dan kelompok intervensi. Kesimpulan, Model
?PrOMiSe?: integrasi edukasi dan konseling efektif dalam meningkatkan
perawatan mandiri, pengetahuan, tahap perubahan dan menurunkan peluang
readmission dan atau kematian pasien gagal jantung. Rekomendasi: diperlukan
kebijakan penerapan model dan penelitian lanjutan tentang konseling perawatan.
ABSTRAKSelf-care is an integral part in the successful management of heart failure patients.
The aims of research was to increase self-care behavior of patients with heart
failure. We used a three model integrated approach, the transtheoretical, orem and
motivational interviewing model, or simply termed ?PrOMiSe?. Quasiexperimental
design was used in this study. One hundred patients with heart
failure enrolled during hospitalization. Intervention group received intervention
?PrOMiSe? model over a three month period from nurse trained. Statistical tests
used independent t-test, chi square, Mann Whitney test, multiple logistic
regression, Kaplan Meier and Cox regression. Results: there were significant
differencesin heart failure self-care, knowledge heart failure index and stages of
change and readmission and/ or death after the intervention ?PrOMiSe? model
between the control and intervention group. Conclusion, the ?PrOMiSe? model
was effective in increasing heart failure self-care, knowledge heart failure index,
stages of change and reducing survival readmission and/ or death in heart failure
patients. Recommendation: necessary policy and further research related with
counseling heart failure self care is needed.;Self-care is an integral part in the successful management of heart failure patients.
The aims of research was to increase self-care behavior of patients with heart
failure. We used a three model integrated approach, the transtheoretical, orem and
motivational interviewing model, or simply termed ?PrOMiSe?. Quasiexperimental
design was used in this study. One hundred patients with heart
failure enrolled during hospitalization. Intervention group received intervention
?PrOMiSe? model over a three month period from nurse trained. Statistical tests
used independent t-test, chi square, Mann Whitney test, multiple logistic
regression, Kaplan Meier and Cox regression. Results: there were significant
differencesin heart failure self-care, knowledge heart failure index and stages of
change and readmission and/ or death after the intervention ?PrOMiSe? model
between the control and intervention group. Conclusion, the ?PrOMiSe? model
was effective in increasing heart failure self-care, knowledge heart failure index,
stages of change and reducing survival readmission and/ or death in heart failure
patients. Recommendation: necessary policy and further research related with
counseling heart failure self care is needed., Self-care is an integral part in the successful management of heart failure patients.
The aims of research was to increase self-care behavior of patients with heart
failure. We used a three model integrated approach, the transtheoretical, orem and
motivational interviewing model, or simply termed “PrOMiSe”. Quasiexperimental
design was used in this study. One hundred patients with heart
failure enrolled during hospitalization. Intervention group received intervention
“PrOMiSe” model over a three month period from nurse trained. Statistical tests
used independent t-test, chi square, Mann Whitney test, multiple logistic
regression, Kaplan Meier and Cox regression. Results: there were significant
differencesin heart failure self-care, knowledge heart failure index and stages of
change and readmission and/ or death after the intervention “PrOMiSe” model
between the control and intervention group. Conclusion, the “PrOMiSe” model
was effective in increasing heart failure self-care, knowledge heart failure index,
stages of change and reducing survival readmission and/ or death in heart failure
patients. Recommendation: necessary policy and further research related with
counseling heart failure self care is needed.]