Pengaruh Penggunaan Booklet Discharge planning Terhadap Self-Management Pasien dengan Penyakit Kronis di Ruang Jimbaran Rumah Sakit Dr. Saiful Anwar Malang.

Eriprianto, Kukuh and Dr. Ahsan, S.Kp, M.Kes (2023) Pengaruh Penggunaan Booklet Discharge planning Terhadap Self-Management Pasien dengan Penyakit Kronis di Ruang Jimbaran Rumah Sakit Dr. Saiful Anwar Malang. Sarjana thesis, Universitas Brawijaya.

Abstract

Penyakit kronis memerlukan pengelolaan perawatan yang lama dan berkelanjutan. Kemampuan pasien mengelola kondisi penyakitnya secara mandiri atau Self-management penting dalam mencegah kekambuhan dan readmisi pasen kembali ke rumah sakit. Discharge planning prosedur rutin rumah sakit yang bertujuan untuk mempersiapkan pasien dan keluarga terkait perawatan mandiri pasien setelah pulang ke rumah. Pendekatan IDEAL melalui media booklet dalam discharge planning dinilai efektif untuk mempersiapkan pasien dan keluarga. Penelitian ini bertujuan untuk menganalisis pengaruh pemberian booklet discharge planning terhadap self-management pasien. Design penelitian ini menggunakan quasy – experiment dengan pendekatan pre post – tes control group design. Sebanyak 32 pasien baru dengan penyakit kronis yang direkrut sebagai sample secara random di grup kontrol dan intervensi. Instrument menggunakan kuesioner CanSmart Questionnaire untuk mengukur self-management. Intervensi dalam penelitian ini adalah penggunaan booklet discharge planning yang diisi secara mandiri oleh pasien untuk membatu proses perencanaan pulang. Data pre dan post intervensi dianalisis dengan dependent sample t-test, sedangkan independent sample t-test untuk membandingkan self-management antara kelompok kontrol dan intervensi. Hasil penelitian ini menunjukkan bahwa kelompok kontrol memiliki terdapat perubahan yang signifikan skor rata – rata self-management pre dan post discharge planning tanpa booklet yaitu dari 21,63 dan 26.19 (p-value<0.001). Sedangkan kelompok intervensi memiliki skor self-management rata-rata sebelum dan sesudah discharge planning dengan booklet adalah 18,63 dan 32,00(p-value<0.001). Terdapat perbedaan yang signifikan pada peningkatan skor self-management antara kelompok kontrol 4,56 dengan kelompok intervensi 13,38 (p-value<0.001). Penggunaan booklet discharge planning berpengaruh terhadap self-management pasien kronis. diharapkan booklet discharge planning bisa digunakan oleh semua pasien dan di seluruh ruang rawat inap.

English Abstract

Chronic diseases require long and continuous care management. It needs patient's ability to manage their disease condition independently or self-management to prevent recurrence and patient readmission to the hospital. Discharge planning is a routine hospital procedure that aims to prepare patients and families regarding patient self-care after returning home. The IDEAL approach through booklet media in discharge planning is considered effective for preparing patients and families. This study aims to analyse the effect of providing discharge planning booklets on patient self-management. This research uses a quasi-experimental design with a pre-post-test control group approach. A total of 32 new patients with chronic diseases were recruited and randomly assigned to control and intervention groups. CanSmart Questionnaire was used to measure self-management. The intervention in this study was the use of a discharge planning booklet which was filled out independently by the patient to help with the discharge planning process. Pre and post intervention data were analysed using the dependent sample t-test, while the independent sample t-test was to compare self-management between the control and intervention groups. The results of this study showed that the control group had a significant change in the average pre- and post-discharge planning self-management score without the booklet, namely from 21.63 and 26.19 (p-value <0.001). Meanwhile, the intervention group had mean self-management score before and after discharge planning with the booklet of 18.63 and 32.00 (p-value <0.001). There was a significant difference in the increase in self-management scores between the control group, 4.56 and the intervention group, 13.38 (p-value <0.001). The use of the discharge planning booklet affects the self-management of chronic patients. The use of discharge planning booklet in all inpatient rooms is a considerable strategy to improve discharge planning.

Item Type:	Thesis (Sarjana)
Identification Number:	0523160202
Uncontrolled Keywords:	Discharge planning, IDEAL, Self-management-Discharge planning, IDEAL, Self-management
Divisions:	Fakultas Ilmu Kesehatan > Profesi Keperawatan
Depositing User:	soegeng Moelyono
Date Deposited:	06 May 2024 07:36
Last Modified:	06 May 2024 07:36
URI:	http://repository.ub.ac.id/id/eprint/218883

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