CONGESTIVE HEART FAILURE SELF‐MANAGEMENT EDUCATION AND READMISSION AFTER HOSPITALIZATION

Nurul Hidayah, Eka Sakti Wahyuningtyas, Iwan Shalahuddin

Abstract


Background: Congestive Heart Failure (CHF) is a condition where the heart can no longer pump blood to the body tissues either to the entire body (systemic circulation) or to the lungs (pulmonary circulation). CHF is a clinical syndrome in patients with structural abnormalities and heart function. Heart function impairment may be a systolic or diastolic function disorder, heart rhythm disturbance, or preload and after load mismatch. This condition can cause death to the patient. Deaths from CHF range from 20-50% per year, in addition CHF is a disease that requires readmission . Frequency of CHF patient readmission  by 45% per year.

Purpose: This study aims to analyze the relationship of congestive heart failure self‐management education and readmission after hospitalization

Methods: The study was conducted at ICCU Tidar Magelang hospital with 27 CHF patients who had readmission. The sampling technique was done by consecutive sampling technique. Data analysis in this study using Chi square. The result of statistical test (Chi Square) shows that 2 cells (50%) with expected value <5 means the cells (boxes) whose expected value is below 5 by 50%. The minimum expected value of 2.07 means no expected value <1. Continuity Correction with p = 0,000. Fisher's Exact Test p value = 0,000.

Resuts: The results of Symmetric Measure table (correlation test) obtained by the value of Contingency Coefficient (r) = 0.674 with p = 0,000.

Conclusion: The conclusion of this statistical test is that there is a correlation between Experience of Self-Management Education (SME)  and readmission  of CHF patients.


Keywords


Congestive Heart Failure; Self‐Management Education; Readmission; Hospitalization

Full Text:

PDF

References


Alves F., Souza G., Brunetto S., Perry, & Biolo A. (2012). Nutritional orientation, knowledge and quality of diet in heart failure: randomized clinical trial. Nutricion hospitalaria. 27(2): 441-448.

Andrianto. (2008). Nesiritide Intravena Suatu Peptida Natriuretik untuk Terapi Gagal Jantung Akut. Unair. Surabaya. Diakses pada 7 Desember 2017. Retrieved from: http://arekkardiounair.blogspot.com/2008_08_22_archive.html

Ardiansyah. (2012). Keperawatan Medikal Bedah. Yogyakarta: DIVA Press.

Bläuer, C., Frei, I. A., Schnepp, W., & Spirig, R. (2015). Implementation of a nurse-led education programme for chronic heart failure patients during hospitalisation, and strategies supporting their self-management at home: a practice development project in the context of the Swiss healthcare system. International Practice Development Journal, 5(1).

Bradke P. (2009). Transisi Depan Program mengurangi Readmissions untuk Pasien Gagal Jantung.

Hidayah, N., & Wahyuningtyas, E. S. (2018). Hubungan kepatuhan penggunaan obat dengan rehospitalisasi pasien congestive heart failure (chf) DI ICCU RSUD tidar Kota Magelang. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 4(1), 1-6.

Meng, K., Musekamp, G., Seekatz, B., Glatz, J., Karger, G., dan Kiwus, U. (2013). Evaluation of a Self-Management Patient Education Program for Patients with Chronic Heart Failure undergoing Inpatient Cardiac Rehabilitation: Study Protocol of a Cluster Randomized Controlled Trial. BMC Cardiovascular Disorders. 60 (13): 14712261.

Mosalpuria, K., Agarwal, S. K., Yaemsiri, S., Pierre-Louis, B., Saba, S., Alvarez, R., & Russell, S. D. (2014). Outpatient management of heart failure in the United States, 2006–2008. Texas Heart Institute Journal, 41(3), 253-261.

Mosterd, A., & Hoes, A. W. (2007). Clinical epidemiology of heart failure. Heart, 93(9), 1137-1146.

Padila. (2012). Buku Ajar Keperawatan Medikal Bedah. Yogyakarta: Nu Med.

Rodríguez-Gázquez, M. D. L. Á., Arredondo-Holguín, E., & Herrera-Cortés, R. (2012). Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Revista latino-americana de enfermagem, 20(2), 296-306.

Sabrian, F. (2015). Pengaruh Pendidikan Kesehatan Latihan Rehabilitasi Jantung terhadap pengetahuan dan kemampuan mobilisasi dini pada pasien congestive heart failure (chf). Jurnal online mahasiswa program studi ilmu keperawatan Universitas Riau, 2(1), 662-669.

Smeltzer, S. C., & Bare, B. G. (2002). Keperawatan medikal bedah (Brunner & Suddarth) edisi 8. Jakarta: Egc.

Stillwell. (2011). Pedoman Keperawatan Kritis Edisi 3. Jakarta: EGC.




DOI: https://doi.org/10.33024/minh.v1i2.1036

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 MALAHAYATI INTERNATIONAL JOURNAL OF NURSING AND HEALTH SCIENCE

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.