The Effect Of Education Using Workbook On Self-Efficacy Of The Coronary Heart Disease Management In Acute Phase And Two Weeks Post Heart Attack

Adinda Utami; Aan Nur’aeni; Imas Rafiyah

doi:10.24198/jnc.v3i1.20106

The Effect Of Education Using Workbook On Self-Efficacy Of The Coronary Heart Disease Management In Acute Phase And Two Weeks Post Heart Attack

Adinda Utami, Aan Nur’aeni, Imas Rafiyah

Abstract

Background. Self-efficacy needed by Coronary Heart Disease (CHD) patients as a first step in managing the disease. Education is given as an effort to increase patients’ self-efficacy, but the media for education is limited. The workbook is an educational media that would encourage patients’ roles, overcome obstacles and increase the self-efficacy of CHD patients. Purpose. This study aimed to determine the differences in self-efficacy of CHD patients before and after the health education using a workbook. Method. This study was a quasi-experimental study with a pre-test post-test control group design. The samples were 19 patients in the CICU room at a hospital in the city of Bandung that chosen using a purposive sampling technique. The intervention group received health education using media workbooks (n=9) and then another group was the control group (n=10). Self-efficacy was measured using a questionnaire Self-efficacy CHD Management. Data were analyzed using frequency distribution and bivariate using Wilcoxon and Mann Whitney tests. Results. The study found p-value from the Wilcoxon test in the intervention group was 0.008 (p <0.05) while the control group was 0.102 (p> 0.05). The results of the Mann Whitney test showed that before the intervention, the p-value between the intervention group and the control group was 1,000 (p> 0.05), whereas after the intervention the p-value between the two groups was 0.040 (p <0.05). Conclusion. Based on the results of the study, there are significant differences in self-efficacy between the two groups. The health education method using a workbook can be used to improve the self-efficacy of CHD patients.

Keywords

Coronary Heart Disease, health education method, Self-efficacy, workbook.

Full Text:

PDF

References

Arovah, N. I. (2010). Program Latihan Fisik Rehabilitatif pada Penderita Penyakit Jantung. MEDIKORA, VI(1), 11–22. Retrieved from https://journal.uny.ac.id/index.php/medikora/article/view/4665/4014

Bandura, A. (1977). Self-efficacy: Toward a Unifying Theory of Behavioral Change. Psychological Review, 84(2), 191–215.

Bandura, A. (1997). Self-Efficacy: The Exercise of Control. New York: W. H. Freeman.

Gardiner, F. W., Regan, E., Nwose, E. U., Bwititi, P. T., Crockett, J., & Wang, L. (2017). Outpatient cardiac rehabilitation: Effects on patient improvement outcomes. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 11, S1025–S1030. https://doi.org/10.1016/j.dsx.2017.07.034

Greyson, B. (2015). Western Scientific Approaches to Near-Death Experiences. Humanities, 4(4), 775–796. https://doi.org/10.3390/h4040775

Haas, B. K., & Northam, S. (2010). Measuring Self-Efficacy: Development of the Physical Activity Assessment Inventory. Southern Online Journal of Nursing Research, 10(4).

Harun, H., Ibrahim, K., & Rafiyah, I. (2016). Hubungan Pengetahuan Terhadap Kepatuhan Menjalankan Pola Hidup Sehat pada Pasien Pasca Intervensi Koroner Perkutan di RSUP Dr. Hasan Sadikin Bandung. MEDISAINS, 14(1), 1–9. Retrieved from http://jurnalnasional.ump.ac.id/index.php/medisains/article/view/1040/965

Haryono, R., Effendy, C., & Aulawi, K. (2008). Gambaran Pelaksanaan Discharge Planning pada Pasien Diabetes Mellitus. Jurnal Ilmu Keperawatan, Vol. 3(No. 2), 98–103. Retrieved from https://journal.ugm.ac.id/jik/article/view/10294/7777

Indrawati, L. (2012). Analisis Faktor Yang Berhubungan Dengan Kemampuan Pasien PJK Melakukan Pencegahan Sekunder Faktor Risiko Di RSPAD Gatot Soebroto Jakarta. Universitas Indonesia. Retrieved from http://lib.ui.ac.id/file?file=digital/20313795-T 31743-Analisis faktor-full text.pdf

Kang, Y., Yang, I.-S., & Kim, N. (2010). Correlates of Health Behaviors in Patients With Coronary Artery Disease. Asian Nursing Research, 4(1), 45–55. https://doi.org/10.1016/S1976-1317(10)60005-9

Kementerian Kesehatan RI. (2013). Riset Kesehatan Dasar (RISKESDAS) 2013.

Kwok, C. S., Wong, C. W., Shufflebotham, H., Brindley, L., Fatima, T., Shufflebotham, A., … Mamas, M. A. (2017). Early Readmissions After Acute Myocardial Infarction. American Journal of Cardiology, 120(5), 723–728. https://doi.org/10.1016/j.amjcard.2017.05.049

Lin, C. J., Cheng, S. J., Shih, S. C., Chu, C. H., & Tjung, J. J. (2012). Discharge planning. International Journal of Gerontology, 6(4), 237–240. https://doi.org/10.1016/j.ijge.2012.05.001

McMahon, S. R., Ades, P. A., & Thompson, P. D. (2017). The role of cardiac rehabilitation in patients with heart disease. Trends in Cardiovascular Medicine, 27(6), 420–425. https://doi.org/10.1016/j.tcm.2017.02.005

Mufarokhah, H., Putra, S. T., & Dewi, Y. S. (2016). Self Management Program Meningkatkan Koping, Niat, dan Kepatuhan Berobat Pasien PJK. Jurnal Ners, 11(1), 56–62.

Notoatmodjo, S. (2012). Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.

Nur’aeni, A., Anna, A., & Mirwanti, R. (2017). Efektifitas Metode Pendidikan Kesehatan Holistik dan Berkelanjutan untuk Meningkatkan Illness Cognition dan Quality of Life pada Pasien Penyakit Jantung Koroner. Bandung.

Nur’aeni, A., & Mirwanti, R. (2017). Hubungan Cemas dan Depresi pada Pasien dengan Penyakit Jantung Koroner (PJK). MEDISAINS, 15(1), 10–16.

Nur’aeni, A., Mirwanti, R., & Anna, A. (2018). Coronary Heart Disease Patients’ Learning Needs. Belitung Nursing Journal, 4(3), 287–294.

Peterson, J. C., Link, A. R., Jobe, J. B., Winston, G. J., Marina Klimasiewfski, E., & Allegrante, J. P. (2014). Developing self-management education in coronary artery disease. Heart and Lung: Journal of Acute and Critical Care, 43(2), 133–139. https://doi.org/10.1016/j.hrtlng.2013.11.006

Pradono, J., & Sulistyowati, N. (2013). Hubungan Antara Tingkat Pendidikan, Pengetahuan tentang Kesehatan Lingkungan, Perilaku Hidup Sehat dengan Status Kesehatan. Buletin SPenelitian Sistem Kesehatan, 17(1), 89–95. Retrieved from https://media.neliti.com/media/publications/20885-ID-correlation-between-education-level-knowledge-of-environmental-health-healthy-be.pdf

Sari, R. D. P. A. (2017). Kajian Kebutuhan Belajar Klien dengan Penyakit Jantung Koroner di RSUP Dr. Hasan Sadikin Bandung. Universitas Padjadjaran.

Schoenthaler, A., Ogedegbe, G., & Allegrante, J. P. (2009). Self-Efficacy Mediates the Relationship Between Depressive Symptoms and Medication Adherence Among Hypertensive African Americans. Health Education & Behavior, 36(1), 127–137. https://doi.org/10.1177/1090198107309459

Smeltzer, S. C., & Bare, B. G. (2013). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. (E. Pakaryaningsih & M. Ester, Eds.) (8th ed.). Jakarta: EGC.

Svavarsdóttir, M. H., Sigurardóttir, Á. K., & Steinsbekk, A. (2016). Knowledge and Skills Needed for Patient Education for Individuals with Coronary Heart Disease: The Perspective of Health Professionals. European Journal of Cardiovascular Nursing, 15(1), 55–63. https://doi.org/10.1177/1474515114551123

Timmins, F., & Kaliszer, M. (2003). Information needs of myocardial infarction patients. European Journal of Cardiovascular Nursing, 2(1), 57–65. https://doi.org/10.1016/S1474-5151(02)00089-0

Triatma, I. N. (2016). Minat Baca pada Siswa Kelas VI Sekolah Dasar Negeri Delegan 2 Prambanan Sleman Yogyakarta. E-Jurnal Prodi Teknologi Pendidikan, V(6), 166–178.

Yusyaf, S. R. (2013). Efektifitas Pendidikan Kesehatan Menggunakan Metode Pendidikan Individual Terhadap Peningkatan Pengetahuan Keluarga Tentang Demam Berdarah Dengue. Universitas Riau.

DOI: https://doi.org/10.24198/jnc.v3i1.20106