[ABSTRAK
Perawatan mandiri merupakan bagian integral dalam keberhasilan manajemenpasien gagal jantung. Peneliti menggunakan 3 pendekatan model terintegrasi yaitutranstheoretical, orem dan motivational interviewing model yang disebut model?PrOMiSe?. Tujuan penelitian adalah untuk meningkatkan perilaku perawatanmandiri pasien gagal jantung. Kuasi-eksperimental disain digunakan dalampenelitian ini. Sejumlah 100 pasien gagal jantung didaftar selama rawat inap.Kelompok intervensi diberikan intervensi model ?PrOMiSe selama tiga bulan dariperawat kardiovaskular terlatih. Uji statistik menggunakan independent t-test, chisquare, uji Mann Whitney, regresi logistik, Kaplan Meier dan Cox regresi. Hasil:terdapat perbedaan bermakna perawatan mandiri, indek pengetahuan dan tahapperubahan, readmission dan atau kematian pasien gagal jantung setelah intervensimodel antar kelompok kontrol dan kelompok intervensi. Kesimpulan, Model?PrOMiSe?: integrasi edukasi dan konseling efektif dalam meningkatkanperawatan mandiri, pengetahuan, tahap perubahan dan menurunkan peluangreadmission dan atau kematian pasien gagal jantung. Rekomendasi: diperlukankebijakan penerapan model dan penelitian lanjutan tentang konseling perawatan.
ABSTRAK
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 heartfailure. We used a three model integrated approach, the transtheoretical, orem andmotivational interviewing model, or simply termed ?PrOMiSe?. Quasiexperimentaldesign was used in this study. One hundred patients with heartfailure enrolled during hospitalization. Intervention group received intervention?PrOMiSe? model over a three month period from nurse trained. Statistical testsused independent t-test, chi square, Mann Whitney test, multiple logisticregression, Kaplan Meier and Cox regression. Results: there were significantdifferencesin heart failure self-care, knowledge heart failure index and stages ofchange and readmission and/ or death after the intervention ?PrOMiSe? modelbetween the control and intervention group. Conclusion, the ?PrOMiSe? modelwas effective in increasing heart failure self-care, knowledge heart failure index,stages of change and reducing survival readmission and/ or death in heart failurepatients. Recommendation: necessary policy and further research related withcounseling 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 heartfailure. We used a three model integrated approach, the transtheoretical, orem andmotivational interviewing model, or simply termed ?PrOMiSe?. Quasiexperimentaldesign was used in this study. One hundred patients with heartfailure enrolled during hospitalization. Intervention group received intervention?PrOMiSe? model over a three month period from nurse trained. Statistical testsused independent t-test, chi square, Mann Whitney test, multiple logisticregression, Kaplan Meier and Cox regression. Results: there were significantdifferencesin heart failure self-care, knowledge heart failure index and stages ofchange and readmission and/ or death after the intervention ?PrOMiSe? modelbetween the control and intervention group. Conclusion, the ?PrOMiSe? modelwas effective in increasing heart failure self-care, knowledge heart failure index,stages of change and reducing survival readmission and/ or death in heart failurepatients. Recommendation: necessary policy and further research related withcounseling 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 heartfailure. We used a three model integrated approach, the transtheoretical, orem andmotivational interviewing model, or simply termed “PrOMiSe”. Quasiexperimentaldesign was used in this study. One hundred patients with heartfailure enrolled during hospitalization. Intervention group received intervention“PrOMiSe” model over a three month period from nurse trained. Statistical testsused independent t-test, chi square, Mann Whitney test, multiple logisticregression, Kaplan Meier and Cox regression. Results: there were significantdifferencesin heart failure self-care, knowledge heart failure index and stages ofchange and readmission and/ or death after the intervention “PrOMiSe” modelbetween the control and intervention group. Conclusion, the “PrOMiSe” modelwas effective in increasing heart failure self-care, knowledge heart failure index,stages of change and reducing survival readmission and/ or death in heart failurepatients. Recommendation: necessary policy and further research related withcounseling heart failure self care is needed.] |
D1458-Rita Sekarsari.pdf :: Unduh