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The Effect of Telenursing-Based Health Education on Self-Efficacy in Tuberculosis in Hospital Setting Patients Achmad Wahdi; Ah Yusuf; Eppy Setiyowati; Dewi Retno Puspitosari; Erik Irham Lutfi
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 15 No. 2 (2025): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Institut Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v15i2.489

Abstract

Pulmonary TB treatment, which takes a relatively long time with regular medication intake, causes patient boredom with the treatment. The informational and emotional support provided is also less than optimal; this can reduce self-efficacy. This research aims to determine the effect of telenursing-based health education on self-efficacy in tuberculosis patients at the Jemursari Islamic Hospital, Surabaya. This was a quasi-experimental pre-post test control group design approach. Population of 38 tuberculosis patients at Jemursari Islamic Hospital, Surabaya. The sample size was 38 patients, divided into 2 intervention and control groups, taken using random sampling techniques based on sample allocation. Data was collected using a questionnaire. Data analysis used the Paired t-test and Independent t-test with α = 0.05. The research results showed that the difference between the self-efficacy of the intervention group was X ± (SD) = 7.05 ± (4.47) and the control group, namely X ± (SD) 0.11 ± (0.315). The results of the Independent t-test¸ ρ = 0.000, meaning that there is an influence of telenursing-based health education on increasing self-efficacy in tuberculosis patients. Telenursing-based health education can increase self-efficacy. Hospitals and nurses can use telenursing (long distance care) to provide health education to patients with chronic diseases such as tuberculosis ABSTRAK Pengobatan TB Paru yang memakan waktu relatif lama dengan asupan obat yang teratur menyebabkan pasien bosan terhadap pengobatan, kemudian dukungan informasional dan emosional yang diberikan juga kurang optimal, hal ini dapat menurunkan efikasi diri. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan berbasis telenursing terhadap efikasi diri pada pasien tuberkulosis di Rumah Sakit Islam Jemursari Surabaya. Desain penelitian ini adalah quasi experimental dengan pendekatan pre post test control group design. Populasi 38 pasien tuberkulosis di Rumah Sakit Islam Jemursari Surabaya. Besar sampel sebanyak 38 pasien, dibagi menjadi 2 kelompok intervensi dan kontrol, diambil dengan menggunakan teknik random sampling berdasarkan alokasi sampel. Data dikumpulkan dengan menggunakan kuesioner. Analisis data menggunakan uji Paired t-test dan Independent t-test dengan α = 0,05. Hasil penelitian menunjukkan selisih efikasi diri kelompok intervensi yaitu X ± (SD) = 7,05 ± (4,47) dengan kelompok kontrol yaitu X ± (SD) 0,11 ± (0,315). Hasil uji t-independent ρ = 0,000, artinya ada pengaruh edukasi kesehatan berbasis telenursing terhadap peningkatan efikasi diri pada pasien tuberkulosis. Edukasi kesehatan berbasis telenursing dapat meningkatkan efikasi diri. Rumah sakit dan perawat dapat memanfaatkan telenursing (long distance care) untuk memberikan edukasi kesehatan pada pasien dengan penyakit kronis seperti tuberkulosis.
The Effect of Health Education Using Brainstorming and Audiovisual Methods on the Knowledge of Families of Tuberculosis Patients Achmad Wahdi; Moh. Alimansur; Erik Irham Lutfi; Dewi Retno Puspitosari
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 1 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Institut Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v16i1.561

Abstract

Tuberculosis is an infectious disease caused by the Mycobacterium tuberculosis bacteria. Poor family and community knowledge about pulmonary TB has a greater risk of increasing cases of pulmonary TB, while families and communities with good knowledge about pulmonary TB can reduce the incidence of pulmonary TB cases. This study aims to determine the Effect of Health Education Using Brainstorming and Audiovisual Methods on the Knowledge of Families of Tuberculosis Patients. This study is a pre-experimental study with a one-group pre-post-test design. The population is 35 families of tuberculosis patients at the Ngasem Community Health Center, Kediri Regency. The sample size is 35 families of patients selected using a non-probability sampling technique. The research instrument uses a knowledge level questionnaire. Data analysis uses the Wilcoxon test. The results of the Wilcoxon Signed Ranks Test in SPSS, with a significance value of p value = 0.000 <0.05, meaning H1 is accepted, which means there is an Effect of Health Education Using Brainstorming and Audiovisual Methods on the Knowledge of Families of Tuberculosis Patients. Health centers can use Health Education Using Brainstorming and Audiovisual Methods to increase the knowledge of families of tuberculosis patients.
Effect of Telenursing-Based Health Education on Quality of Life among Patients with Pulmonary Tuberculosis: A Quasi-Experimental Study: Tuberculosis Achmad Wahdi; Dewi Retno Puspitosari; Erik Irham Lutfi; Endang Mei Yunalia
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 2 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Institut Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The long duration of pulmonary tuberculosis treatment and the need to take medication regularly can cause treatment fatigue and emotional distress. Limited access to information and emotional support may further affect patients’ quality of life. This study examined whether telenursing-based health education could improve the quality of life of patients with tuberculosis at Jemursari Islamic Hospital, Surabaya. A quasi-experimental pretest–posttest study with a control group was conducted among 38 patients with pulmonary tuberculosis. Participants were randomly divided into an intervention group and a control group. The intervention group received health education through telenursing for four weeks, while the control group received routine care according to hospital standards. Quality of life was measured using a questionnaire. The data were analyzed using paired and independent t-tests, with a significance level of 0.05. Quality of life improved significantly in the intervention group after four weeks of telenursing-based health education (p < 0.001). No significant improvement was observed in the control group. A significant difference was also found between the intervention and control groups after the intervention (p < 0.001).  These findings suggest that telenursing-based health education can improve the quality of life of patients with pulmonary tuberculosis. Telenursing may therefore be a useful approach for providing continuous education and support to patients undergoing long-term treatment. This study used a quasi-experimental pre-post-test control group design. The population consisted of 38 tuberculosis patients at Jemursari Islamic Hospital, Surabaya. A sample size of 38 patients, divided into two groups, was selected using random sampling. Data were collected using a questionnaire. Data were analyzed using a t-test with α = 0.05. The paired t-test results showed a P-value of 0.000, indicating a difference in quality of life before and after the telenursing-based health education intervention. In the control group, there was no difference in quality of life before and after the intervention, according to hospital standards. The results of the independent t-test for the intervention and control groups showed a P=0.000, indicating that telenursing-based health education significantly improved quality of life. Telenursing-based health education can improve quality of life. Hospitals and nurses can utilize telenursing to provide health education to patients with chronic diseases.