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Efektivitas model promise integrasi edukasi dan konseling terhadap perawatan mandiri pengetahuan tahap perubahan readmssion dan atau kematian pasien gagal jantung = The effectiveness of promise model integration of education and counseling to heart failure self care knowledge stages of change and readmission and or death

Rita Sekarsari; Elly Nurachmah, promotor (Fakultas Ilmu Keperawatan Universitas Indonesia, 2014)

 Abstrak

Perawatan 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.

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 differences􀀁in 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.

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 Metadata

No. Panggil : D1458
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Entri tambahan-Nama badan :
Subjek :
Penerbitan : Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
Program Studi :
Bahasa : ind
Sumber Pengatalogan : LibUI ind rda
Tipe Konten : text
Tipe Media : unmediated ; computer
Tipe Carrier : volume ; online resource
Deskripsi Fisik : xvi, 202 pages : illustration ; 28 cm. + appendix
Naskah Ringkas :
Lembaga Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 3
  • Ketersediaan
  • Ulasan
No. Panggil No. Barkod Ketersediaan
D1458 07-17-637387103 TERSEDIA
Ulasan:
Tidak ada ulasan pada koleksi ini: 20364567