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Latipah, Siti
Universitas Muhammadiyah Tangerang
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Penerapan metode teach-back terhadap self-care pasien gagal jantung Aminah, Siti; Jumaiyah, Wati; Latipah, Siti; Rayasari, Fitrian; Anggraini, Dewi
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1702

Abstract

Background: Heart failure is a chronic disease that requires long-term management and active patient involvement in self-care. Non-adherence to medication, diet, and symptom monitoring increases the risk of recurrent hospitalization. The teach-back method is an effective educational approach to ensure patients’ understanding of medical instructions and improve self-care behaviors. Purpose: To analyze the effectiveness of implementing teach-back method-based education on self-care of heart failure patients. Method: This study implemented an Evidence-Based Nursing Practice (EBNP) approach using a one-group pretest–posttest design. The sample consisted of 13 heart failure patients who met the inclusion criteria. The intervention was delivered in three sessions during hospitalization, followed by two educational follow-ups via telephone after discharge. The instrument used to measure self-care was the European Heart Failure Self-care Behavior Scale (EHFScB-9). Data were analyzed using a paired t-test. Results: There was a significant improvement in patients’ self-care scores after the intervention (mean before = 48.49; after = 80.97; p = 0.000). This indicates that the teach-back method effectively enhanced the self-care abilities of patients with heart failure. Conclusion: The teach-back intervention effectively improved self-care among heart failure patients, demonstrating high validity, an applicable educational SOP, and positive patient responses.   Keyword: Heart Failure; Self-Care; Teach-Back Method.   Pendahuluan: Gagal jantung merupakan penyakit kronis yang membutuhkan manajemen jangka panjang dan keterlibatan aktif pasien dalam melakukan perawatan mandiri (self-care). Ketidakpatuhan pasien terhadap pengobatan, diet, dan pemantauan gejala dapat meningkatkan risiko rawat inap berulang. Metode teach-back merupakan salah satu pendekatan edukasi yang efektif untuk memastikan pemahaman pasien terhadap instruksi medis dan meningkatkan self-care. Tujuan: Untuk menganalisis efektivitas penerapan pendidikan berbasis metode teach-back terhadap self-care pasien gagal jantung. Metode: Implementasi Evidence-Based Nursing Practice (EBNP) dengan desain one group pretest post-test. Sampel terdiri dari 13 pasien gagal jantung sesuai kriteria inklusi. Intervensi diberikan dalam tiga sesi selama perawatan dan dilanjutkan dengan dua kali edukasi melalui telepon setelah pasien pulang. Instrumen pengukuran self-care menggunakan European Heart Failure Self Care Behavior Scale (EHFScB-9). Analisis data dilakukan dengan uji paired t-test. Hasil: Terdapat peningkatan signifikan skor self-care pasien setelah intervensi (mean sebelum 48.49; sesudah 80.97; p = 0.000). Hal ini menunjukkan bahwa metode teach-back mampu meningkatkan kemampuan perawatan mandiri pasien gagal jantung secara bermakna. Simpulan: Intervensi teach-back efektif meningkatkan self-care pasien gagal jantung dengan validitas tinggi, SPO edukasi aplikatif, dan respon positif pasien.   Kata Kunci: Gagal Jantung; Metode Teach-Back; Self-Care.
Relationship Between Knowledge and Perception with HIV/AIDS Prevention Efforts in Key Populations Latipah, Siti; Naryati, Naryati
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 10 Number 1 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v10i1.1234

Abstract

Background: HIV transmission often occurs through unsafe sex, particularly with sex workers, making key populations crucial in the spread of HIV/AIDS. One key strategy to reduce HIV/AIDS morbidity and mortality is implementing prevention programs targeting at-risk groups. The study aims to examine the relationship between knowledge and perception and HIV/AIDS prevention efforts among key populations in Tangerang City. Method: Quantitative with cross-sectional analytical correlation. A sample of 69 people was conducted by snowball technic sampling. This study used the HIV-KQ-18, HIV perceptions statements referring to the six components of the Health Belief Model theory and Behavioral Surveillance Survey (BSS). Data analysis was performed using the Chi-Square Test of Independence to assess the relationship between knowledge level, perception level. Results: respondent characteristics Age ≥ 21 years 59.4%, high school education 69.7%, length of work ≥ 3 years 59.3%. Relationship between knowledge level and HIV/AIDS prevention efforts: p-value 0.002. Relationship between perception level and HIV/AIDS prevention efforts: p-value 0.002. Relationship between knowledge and perception and HIV/AIDS prevention efforts: p-value < 0.001. Conclusion: The study found that knowledge and perception significantly influence HIV/AIDS prevention among female sex workers. However, consistent prevention is hindered by personal, social, and structural barriers, including negotiation difficulties, economic dependence, stigma, and limited-service access. Effective interventions must be comprehensive, combining knowledge improvement with skills training, stigma reduction, barrier removal, and supportive policies.
Co-Authors Ahmad, Shieva Nur Azizah Aisyah Aisyah Alpan Habibi Bhagya, Tombak Gapura Chairani An-nisa Dadang Dadang Dadang Hidayat Dewi Anggraini Dewi Prabawati Eka Mardiana Afrilia Elang Wibisana Eni Widiastuti, Eni Fadillah, Harif Firda Apriyanti Giri Widakdo Graha Prakarsa Hafipudin, Hafipudin Hendi, Oman Hidayanti, Lia Ika Oktaviani Inayati, Anik Jumaiyah, Wati Maulana, Sultan Aldy Milanda, Cabela Mulyatsih, MG Enny Naryati, Naryati Nashirotus Sa’adah Sa&#039;adah Nathasia, Dhea Nawawiyah, Aisyah Nugraha, Rizky Nulhakim, Ihsan Nuraenah, Nuraenah Nuralisa, Alis Nurlaela, Ilma Puarada, Sri Jumriani Rahman, Fadliany Aulia Rahmat Hidayat Rara Salsa Bilya, Ingee Rayasari, Fitrian Ria Nur Fiana Ridwanudin, Rafi Rully Angraeni Safitri Saini, Mukhamat Siska Ainun Nissa Siswandi, Iyar Siti Aminah Siti Nurhasanah Sucita Dwiana Lucky Sulistyorini, Cahyo Ismawati Sutiawati, Siti Taufik, Muhamad Ihsan Umara, Annisaa Fitrah Wibisanan, Elang Wibowo, Jati Arie Wilhelmus Hary Susilo Yani Sofiani Yuliawati Yunitri, Ninik