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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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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| author | Rif'atul Fani Shinta Wahyusari Apriyani Puji Hastuti Chairul Huda Al Husna |
| author_facet | Rif'atul Fani Shinta Wahyusari Apriyani Puji Hastuti Chairul Huda Al Husna |
| author_sort | Rif'atul Fani |
| collection | DOAJ |
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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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| format | Article |
| id | doaj-art-ff15c17cf60648bab6813849431b395d |
| institution | Kabale University |
| issn | 2086-3071 2443-0900 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Universitas Muhammadiyah Malang |
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| series | Jurnal Keperawatan |
| spelling | doaj-art-ff15c17cf60648bab6813849431b395d2025-01-31T08:21:26ZengUniversitas Muhammadiyah MalangJurnal Keperawatan2086-30712443-09002025-01-0116110.22219/jk.v16i1.35754The Effect of teach-back educational method on self-management in hemodialysis patientsRif'atul Fani0Shinta Wahyusari1Apriyani Puji Hastuti2Chairul Huda Al Husna3Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRWInstitut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRWInstitut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRWDepartment of Nursing, Universitas Muhammadiyah Malang 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. https://ejournal.umm.ac.id/index.php/keperawatan/article/view/35754 |
| spellingShingle | Rif'atul Fani Shinta Wahyusari Apriyani Puji Hastuti Chairul Huda Al Husna The Effect of teach-back educational method on self-management in hemodialysis patients Jurnal Keperawatan |
| title | The Effect of teach-back educational method on self-management in hemodialysis patients |
| title_full | The Effect of teach-back educational method on self-management in hemodialysis patients |
| title_fullStr | The Effect of teach-back educational method on self-management in hemodialysis patients |
| title_full_unstemmed | The Effect of teach-back educational method on self-management in hemodialysis patients |
| title_short | The Effect of teach-back educational method on self-management in hemodialysis patients |
| title_sort | effect of teach back educational method on self management in hemodialysis patients |
| url | https://ejournal.umm.ac.id/index.php/keperawatan/article/view/35754 |
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