The Effect of teach-back educational method on self-management in hemodialysis patients
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...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Universitas Muhammadiyah Malang
2025-01-01
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| Series: | Jurnal Keperawatan |
| Online Access: | https://ejournal.umm.ac.id/index.php/keperawatan/article/view/35754 |
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| Summary: | 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.
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| ISSN: | 2086-3071 2443-0900 |