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Intervensi Multifaset dalam Peningkatan Kepatuhan Menjalani Program Pengobatan Pasien Hemodialisa Widianti, Anggriyana Tri; Irawati, Diana; Anggraini, Dewi; Ukim, Ukim; Wilandika, Angga; Dewi, Inggriane Puspita
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.18031

Abstract

ABSTRACT Hemodialysis is one of the common treatments performed by patients with CKD in Indonesia. The physical consequences of hemodialysis can affect the patient's psychology which ultimately results in non-compliance with the hemodialysis treatment program. This requires management to improve patient adherence to the hemodialysis program, namely multifaceted interventions in the form of education and cognitive behavioral therapy. This study aims to apply and prove a Multifaceted Intervention in increasing adherence of hemodialysis patients. This study was carried out on 12 hemodialysis patients intervention group and 12 patient control group. The level of adherence was measured using The End-Stage Renal Disease Adherence Questionnaire. A multifaceted intervention was provided over 3 weeks. The results of the application of EBN obtained an average pre-intervention score of 792 with a standard deviation of 126, a post-intervention score of 846 with a standard deviation of 127. Intradialytic weight gain pre-intervention 5.96 decreased to 5.39 in post-intervention, the p value of compliance was 0.002 and the p value of IDWG was 0.009. Every nursing action must be based on existing evidence so that it can improve the quality of nursing services, so it is suggested that multifaceted interventions can be used as non-pharmacological interventions for nurses to help increase adherence and reduce IDWG in hemodialysis patients. Keywords: Adherence, Cognitive Behavioral Therapy, Hemodialysis, Multifaset Intervention, Intradialytic Wight Gain.  ABSTRAK  Hemodialisis menjadi salah satu penatalaksanaan yang umum dilakukan oleh pasien dengan penyakit ginjal kronis di Indonesia. Konsekuensi fisik akibat hemodialisis ini dapat mempengaruhi  psikologis pasien yang akhirnya berdampak pada ketidakpatuhan terhadap program pengobatan hemodialisis. Hal tersebut membutuhkan manajemen dalam peningkatan kepatuhan pasien terhadap program hemodialisis yaitu intervensi multifaset berupa edukasi dan cognitive behavioral therapy. Penelitian ini bertujuan untuk mengetahui  Intervensi Multifaset dalam kepatuhan pasien hemodialisis dan intradialytic wight gain (IDWG). Penelitian menggunakan desain quasi experiment terhadap 12 orang intervensi dan 12 kontrol pasien hemodialisis. Tingkat kepatuhan diukur menggunakan The End-Stage Renal Disease Adherence Questionnaire  . Intervensi multifaset diberikan selama 3 minggu. Hasil didapatkan rerata skor pre intervensi (Mean ± SD) 792±126, skor post intervensi (Mean ± SD) 846±127. Intradialytic wight gain (IDWG) pre intervensi 5,96 turun menjadi 5,39 pada post intervensi, dengan uji Wilcoxon p value IDWG  yaitu 0,009 dan uji T-Test p value kepatuhan yaitu 0,002 dan Intervensi multifacet terbuti menurunkan IDWG dan meningkatkan kepatuhan  pada pasien yang menjalani HD Kata Kunci: Cognitive Behavioral Therapy, Hemodialisis, Intervensi Multifaset, Kepatuhan, Intradialytic Wight Gain.
Self-Efficacy in Prevention of COVID-19 in Teenagers through Islamic-Based Animation Videos Angga Wilandika; Fatiah Handayani; Suzana Yusof
Khazanah Theologia Vol. 4 No. 3 (2022): Khazanah Theologia
Publisher : UIN Sunan Gunung Djati Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15575/kt.v4i3.21624

Abstract

Implementation of health protocols in preventing the transmission of COVID-19 infection in adolescents is still lacking. Although teenagers' knowledge regarding the implementation of health protocols is adequate, the attitude of teenagers, sometimes indifferent and less concerned, causes this health protocol not to be implemented. The way to handle this problem is by increasing self-efficacy for implementing the COVID-19 prevention protocol. The study aims to identify the impact of health education through Islamic-based COVID-19 prevention animation videos on teenagers' self-efficacy. This study was using a one-group pretest-post-test in the research design. The sampling technique used purposive sampling as many as 47 teenagers participated in this study. The teenager in this study is an individual who active in activities in the mosque environment. The intervention carried out in this study was health education through an Islamic-based animated video on COVID-19 prevention. Teenager self-efficacy measurements were measured using the 22-items Self-Efficacy Questionnaire for Implementing the COVID-19 Prevention Protocol. The paired t-test examines the difference between self-efficacy scores before and after health education. Significant differences were found in self-efficacy in implementing COVID-19 prevention protocols after health education (t = -2.596; p-value = 0.013). The present study suggests that health education using Islamic-based animated videos increases self-efficacy in teenagers. Therefore, health education through animated videos could improve teenagers' self-efficacy in efforts to implement COVID-19 prevention protocols, especially in mosque environments.