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All Journal Nusantara Hasana Journal Indonesian Journal of Global Health Research
Anita Setyawati
Universitas Muhammadiyah Jakarta
Agriculture, Biological Sciences & Forestry Humanities Economics, Econometrics & Finance Education Nursing

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The Effect of Multimedia-Based Education on Treatment Adherence, Self-Efficacy, and Readmission Rates in Post-Percutaneous Coronary Patients Anita Setyawati; Ninik Yunitri; Yani Sofiani; Yuni Shahro; Rohman Azzam
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.336

Abstract

Patients with coronary heart disease (CHD) who undergo Percutaneous Coronary Intervention (PCI) experience faster recovery and a short hospital stay of up to three days. A short hospitalization process requires nursing interventions that are easily understood by patients and families, namely multimedia education, which aims to provide motivation so that patients become stronger when continuing their normal lives and returning to productivity. If patients do not carry out this behavior, the risk of myocardial infarction, stroke, and even death increases. to evaluate the effectiveness of multimedia-based education on medication adherence, self-efficacy and readmission rates of post PCI patients. Using quantitative research parallel Randomized controlled trial with a sample size of 100 people, by comparing the intervention group who received multimedia-based educational treatment and the control group who received standard therapy / leaflet at Gatot Soebroto Army Hospital. This study employed block randomization with a four-combination design in a 1:1 ratio. When all combinations were exhausted, the sequence returned to the initial combination. The randomization, therapists, data collectors, and data analysts were blinded to the study hypothesis. Data allocation was performed using random numbers, with odd and even numbers serving as the basis for assignment. Independent sample t-test in the intervention group on treatment compliance obtained a p-value of 0.441 with an effect size of 0.0168 (1.68%). While the measurement of self-efficacy is p-value 0.060 with an effect size of 0.1608 (16.08%). The Fisher Exact test showed that there was a significant difference between the two groups and the measurement of readmission rates decreased by 87.6% after being given multimedia education and a post-test of treatment adherence and self-efficacy. This study shows that the intervention of the effect of multimedia education on treatment compliance, self-efficacy and readmission rates in post PCI patients has a significant effect p-value> 0.05, there is an increase in treatment compliance, self-efficacy and a decrease in readmission rates in patients who have undergone PCI at RSPAD Gatot Soebroto.
MODEL KONSEP TEORI KEPERAWATAN MADELEINE LEININGER DENGAN FRAKTUR Anita Setyawati; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1071

Abstract

Madeleine Leininger's Nursing Theory Concept Model, known as Transcultural Nursing Theory or Cultural Nursing Theory, provides a foundation for providing nursing care that focuses on the patient's cultural diversity. In the context of fractures, application of this theory can increase nurses' understanding of the influence of culture on patient perceptions, experiences, and responses to fracture injuries. This theory emphasizes the importance of care that is sensitive to cultural diversity in planning, implementing, and evaluating nursing care. In the case of fractures, cultural aspects can influence how patients view the disease, treatment options, and tolerance for pain. Therefore, nurses need to integrate patient cultural knowledge into nursing care planning to ensure the delivery of care that is effective and focused on individual needs. This conceptual model includes four subsystems of transcultural nursing, namely the ethnohistorical subsystem, kinetic-dynamic subsystem, linguistic subsystem, and social subsystem. In the context of fractures, nurses can use this approach to understand how cultural values, norms, and beliefs may influence the patient's healing and recovery process.
Co-Authors Irna Nursanti Rohman Azzam Yani Sofiani Yuni Shahro Yunitri, Ninik