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All Journal Jurnal Keperawatan Journal of Islamic Medicine Jurnal Keperawatan Muhammadiyah Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Jurnal Keperawatan (JKEP) Indonesian Journal of Emphirical Nursing Study (IJENS)
Rif'atul Fani
Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Jurnal Keperawatan

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The Effect of teach-back educational method on self-management in hemodialysis patients Fani, Rif'atul; Wahyusari, Shinta; Hastuti, Apriyani Puji; Al Husna, Chairul Huda
Jurnal Keperawatan Vol. 16 No. 1 (2025): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v16i1.35754

Abstract

Introduction: Patients with chronic kidney disease undergoing hemodialysis may experience a decline in physical and psychological conditions such as increased risk of depression and non-compliance in undergoing therapy. Therefore, proper self-management is needed so that patients can control their disease. Teach-back education is one interactive method that can be used to improve self-management of hemodialysis patients. Objectives: The purpose of this study was to determine the effect of the teach-back educational method on self-management in hemodialysis patients. Methods: This study used a quasi-experimental design with a pre-test and post-test design, for 137 end-stage renal disease patients undergoing hemodialysis at Wava Husada Hospital. The duration of the training was 3 sessions and the time of each session ranged from 45 minutes to one hour. To collect data from patients, a demographic questionnaire and the Hemodialysis Self-management Instrument-18 (HDSMI-18) were used to assess patient self-management before and after the intervention. A significance level of 5% was established for the analysis. Results: The overall self-management score before intervention was 53.47 ± 8.59. The total score of self-management after intervention was 57.15 ± 8.94. Data analysis indicated that the difference in the mean score of self-management before and after teach-back education was significant (p = 0.000). Among the dimensions of self-management, there was a significant difference for two dimensions including self-care and problem-solving before and after teach-back education (p = 0.000).Conclusions: The teach-back educational method was effective in improving self-management in hemodialysis patients. It improved self-management in the dimensions of self-care and problem-solving. It is recommended that nurses in hemodialysis units implement teach-back education as a routine practice in caring for hemodialysis patients.
Co-Authors AA Sudharmawan, AA Amin Zakaria Apriyani Puji Hastuti Chairul Huda Al Husna Dahlia, Debie - Dian Pitaloka Priasmoro, Dian Pitaloka Dina Nurpita Suprawoto Hanim Mufarokhah Islamia Mei Andista Lestari Sukmarini Maulinda, Nandha Dela Putri, Sinta Aci Penggalih Roesardhyati, Ratna Wahyusari, Shinta