scholarly journals The Effect of Self-Efficacy Based Education on the Daily Care of Stroke Patients and its Implications with Counseling

2021 ◽  
Vol 8 (2) ◽  
pp. 241-250
Author(s):  
Rizaldi Nanda Wiguna ◽  
Kiking Ritarwan ◽  
Nur Asnah Sitohang ◽  
M. Harwansyah Putra Sinaga

Stroke patients generally experience daily self-care disorders due to old age (elderly), so that motor skills are low. One factor affecting the ability to take care of oneself every day and be motivated to be independent is self-efficacy. The purpose of this study was to analyze the effect of self-efficacy-based education on the daily self-care of stroke patients at the Haji Adam Malik General Hospital and its implications with counselling guidance. The type of research used is a quasi-experimental design using the nonequivalent control group pre- post-test only design method. The population in this study were all ischemic stroke patients at Haji Adam Malik Hospital Medan and a sample of 36 people. Researchers provided educational interventions based on self-efficacy using visual media, discussions, motor skills training, and occupational exercises for three meetings per week with a duration of 30 minutes each session for six weeks. Data collection with primary and secondary data and analyzed by statistical test Paired Sample t-Test. The results showed an effect of self-efficacy-based education on the daily care of stroke patients at Haji Adam Malik Hospital Medan (p-value = 0.000 0.05) such as motor function and improving their daily activities.

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Rasdiyanah Rasdiyanah ◽  
Wiwin Wiarsih ◽  
Sukihananto Sukihananto

ABSTRACTHealth education is one of intervention strategies in nursing. Optimization in its implementation requires media support, health promotion media that can be used are booklet and diary. Booklet provides more information and diary records daily activities. This research aimed to identify the effect of health education using booklet and diary on the self-efficacy of housewives with hypertension in Depok. This quasi experimental research used pre-post design with control group. The sampling technique used non probability sampling with consecutive sampling method. The total of samples were 66 respondents. Data were collected using an Indonesian version of the High Blood Pressure – Self Care Profile and analyzed using descriptive statistics. The result of independent t test showed significant effect in the mean of self-efficacy value after health education using booklet and diary (p value = 0.002 0.05). In conclusion, health education using booklet and diary media could increase the self-efficacy of housewives. This health education needs to be applied to clients with hypertension to increase self-efficacy in conducting self-management.                                                ABSTRAKPendidikan kesehatan merupakan salah satu strategi intervensi dalam keperawatan. Optimalisasi dalam pelaksanaannya  memerlukan dukungan  media, media promosi kesehatan yang dapat digunakan diantaranya adalah booklet  dan diary. Booklet memuat lebih banyak informasi dan diary mencatat aktivitas sehari-hari. Tujuan penelitian ini adalah untuk mengidentifikasi pengaruh pendidikan kesehatan menggunakan booklet dan diary terhadap efikasi diri ibu rumah tangga dengan hipertensi di Kota Depok. Penelitian quasi eksperiment ini menggunakan pre-post design with control group. Teknik sampling menggunakan non probability sampling dengan metode consecutive sampling. Total sampel sebanyak 66 responden. Data dikumpulkan menggunakan versi Indonesia High Blood Pressure – Self Care Profile dan dianalisis menggunakan statistik deskriptif. Hasil Independent t test menunjukkan pengaruh signifikan pada rata-rata nilai efikasi diri setelah pendidikan kesehatan menggunakan booklet dan diary (p value= 0,002 0,05). Sebagai kesimpulan bahwa pendidikan kesehatan menggunakan booklet dan diary dapat meningkatkan efikasi diri ibu rumah tangga. Pendidikan kesehatan ini perlu diterapkan pada klien dengan hipertensi untuk meningkatkan keyakinan diri dalam melakukan manajemen diri. 


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Uun Nurjanah

Diabetes mellitus merupakan penyakit kronis yang membutuhkan perawatan jangka panjang sehingga memerlukan pendidikan pengelolaan mandiri untuk mencegah komplikasi akut dan kronis. Salah satu bentuk pendidikan kesehatan yang dapat diberikan adalah diabetes self management education (DSME) yang dapat memfasilitasi pengetahuan, ketrampilan dan perawatan diri. Penelitian ini bertujuan untuk membuktikan pengaruh Self Care Management Education dalam Discharge Planning terhadap self efficacy pada pasien DM tipe 2 di Rawat Inap RSUD Bayu Asih Purwakarta. Rancangan penelitian menggunakan quasi experiment dengan randomized pre test - post test control group design. Sampel berjumlah 32 orang yang diambil melalui teknik accidential dengan terdiri dari 16 kelompok intervensi dan 16 kelompok kontrol. Uji statistik menggunakan paird t test untuk memperoleh nilai rata-rata (mean) intervensi  pre test efikasi diri dengan hasil 31,00 dan hasil post test 36,19 sedangkan pada kelompok kontrol nilai mean pre test 27,69 dan post test 32.13. Hasil penelitian menunjukkan terdapat perbedaan self Efficacy yang signifikan antara kelompok perlakuan dan kelompok kontrol dengan p value 0,002 < α 0,05. Penelitian ini menjadi salah satu pertimbangan rumah sakit dalam menyusun discharge planning menggunakan konsep DSME. Perawat diharapkan dapat memberikan DSME untuk mencegah komplikasi pada pasien DM tipe 2 dan menggunakan DSME sebagai suatu program promosi kesehatan.


Author(s):  
Nooshin Peyman ◽  
Fateme Shahedi ◽  
Mahbubeh Abdollahi ◽  
Hassan Doosti ◽  
Zohre Zadehahmad

Background: Self-efficacy in self-care behaviors is an effective framework for measuring patients’ degree of ability to perform selfcare behaviors that significantly affect their recovery process and quality of life. This study was designed to investigate the effects of education based on self-efficacy strategies on self-care behaviors in heart failure patients. Methods: A semi-experimental study was conducted on 80 heart failure patients divided into 2 equal groups of test and control. The intervention group received three 60-minute practical and theoretical training sessions based on self-care and self-efficacy strategies, while the control group received the usual care services. Self-care behaviors and self-efficacy were evaluated before training, shortly after training, and 3 months after the training program using the Sullivan self-efficacy questionnaire for heart failure patients and the European self-care behaviors questionnaires. Results: The mean age of the patients was 55.00±8.48 and 51.61±8.51 years in the intervention and control groups, respectively. Women comprised 73.7% (n=59) of the study population. The mean score for the self-care and self-efficacy questionnaires in the experimental group was 23.50±6.58 and 18.57±6.64, correspondingly, before the intervention, which increased to 42.64±6.74 (P<0.014) and 32.29±7.06 (P<0.001), respectively, shortly after the intervention. A significant improvement also occurred at 3 months’ follow-up (P<0.001). Self-care behaviors also revealed a positive correlation with self-efficacy shortly after the intervention (r=0.82, P<0.001) and 3 months after the intervention (r=0.85, P<0.001). Conclusion: The implementation of educational interventions based on self-efficacy strategies could have positive effects on healthpromoting behaviors among heart failure patients.


Author(s):  
Ryuichi Ohta ◽  
Yoshinori Ryu ◽  
Jun Kitayuguchi ◽  
Chiaki Sano ◽  
Karen D. Könings

In this mixed-methods study, we hypothesized that social cognitive theory (SCT)-based educational interventions for healthcare participation can improve the self-efficacy of older rural citizens in participating in their health management without any difficulties. Quasi-experimental study before and after SCT-based educational interventions and semi-structured interviews were conducted. Participants were Japanese elderly (>65 years) from rural communities. Propensity score matching was performed to estimate the effectiveness of educational interventions on participants’ perception (intervention: n = 156; control: n = 121). Interview contents were transcribed verbatim and analyzed based on thematic analysis. The intervention group scored significantly higher than the control group for participation in planning and managing self-care. Interviews revealed three themes: ability to manage health conditions, relationship with medical professionals, and relationship among citizens. Participants reported difficulties in judging symptoms and communicating with medical professionals. Hierarchy and low motivation to participate in healthcare hindered collaboration. The findings suggest that SCT-based educational interventions can positively impact rural citizens’ self-efficacy in healthcare participation.


2021 ◽  
Vol 7 (5) ◽  
pp. 3168-3173
Author(s):  
NING Min ◽  
ZENG Hui

Objective To study the nursing effect of individualized health education combined with cognitive training in elderly stroke patients. Methods 112 elderly stroke patients treated in the Department of Neurology of our hospital from January to June 2017 were randomly divided into experimental group and control group. In the control group, routine treatment, nursing and rehabilitation exercises were carried out, and regular health education was carried out. The experimental group, on the basis of routine treatment, nursing and rehabilitation exercise, carried out individualized health education and cognitive training combining the content of individualized health education. The effect of intervention was evaluated by Montreal Cognitive Assessment Scale (MoCA), health education questionnaire, daily life self-care scale (ADL) and nurse job satisfaction questionnaire before intervention, at the end of intervention for 4 weeks and at the end of intervention for 12 weeks. Results At the end of 4th and 12th week after intervention, the scores o MoCA, the awareness rate of health education, ADL and job satisfaction of nurses were higher than those before intervention, and the observation group was higher than that of the control group (P<0.05), with statistical difference (P<0.05). Conclusion Individualized health education combined with cognitive training can effectively improve the patients’ cognitive function, improve the patients’ awareness of stroke disease and the compliance of health education, improve the patients’ self-care ability in daily life and the satisfaction of nursing work, so as to improve the patients’ quality of life and quality of living.


2020 ◽  
Author(s):  
Zahra Sadat Hashemi ◽  
Mahboobeh khorsandi ◽  
Mohsen Shamsi ◽  
Rahmatollah Moradzadeh

Abstract Background: In order to prevent oral diseases, the use of appropriate educational methods at childhood is one of the most important determinants of the public health. Therefore, the aim of this study was to investigate the effect of training through animations and games on oral health self-efficacy and self-care behaviors in students aged 6-12 years old. Methods: In this interventional study, 82 students were selected using cluster random sampling (38 subjects in the case group and 44 in the control group). The case group received 4 sessions of blended learning per week including animations and games while the control group received routine school education. Data were collected in six domains, including demographics, self-care, knowledge, attitude, behavior and self-efficacy before and 5 months after the intervention using a questionnaire. SPSS version 20 was used for data analysis. Results: Five months after the intervention, the mean score of self-care increased from 3.8 to 4.8 of 5, the mean score of self-efficacy increased from 36.8 to 48.9 of 70, and the mean score of behavior increased from 17.07 to 18.29 of 32, indicating significant changes (p < 0.05). There were no significant changes in these variables in the control group (p >0.05) Conclusion: Use of combined methods for oral health self-care education has positive effects on the students' performance and self-efficacy. IRCT registration number: This trial has been registered at IRCT. IRCT2017042133565N1 Registration date: 2017-05-17 https://en.irct.ir/trial/25851


2021 ◽  
pp. 1-8
Author(s):  
Roshdy M. Kamel ◽  
Samir M Mounir ◽  
Mohamed Ahmed Elbedewy ◽  
Mohamed M. Essa ◽  
Lamyaa A. Fergany ◽  
...  

BACKGROUND: Sensorineural hearing loss is the most common type of permanent hearing impairment and results in balance and motor deficits in children which may affect and/or delay all developmental indicators. OBJECTIVE: The purpose of this study was to investigate the consequences of sensorineural hearing loss regarding fine motor skills in children and adolescents. METHODS: Two hundred children with an age range between 7 to 18 years and diagnosed with sensorineural hearing loss were selected from the Public School for the Deaf and Hard of Hearing in El-Minia district, Minia governorate, Egypt. The outcome was assessed by the use of Bruininks-Oseretsky Test of Motor Proficiency Second Edition scale (BOT-2) to measure fine motor skills. RESULTS: There was a statistically significant difference between the scores of Fine Motor Precision and Fine Motor Integration subtests of each study subgroup and its counterpart subgroup in the control group (normative values according to the scale) which has the same age and gender characteristics where p value equals (0.0008 or less, 0.0009 or less) respectively, with a large effect size less than –0.83. CONCLUSION: The findings of this study suggest that children with sensorineural hearing loss have a defect in their fine motor skills when compared to normal children of the same gender and age groups according to Bruininks-Oseretsky scale.


2016 ◽  
Vol 33 (S1) ◽  
pp. S323-S323
Author(s):  
S. Buchris Bazak

My study presents and explores the emotional functions and the sense of self-efficacy among school-age children (6–10) with sensory processing disorder manifested in sensory processing disorder (SPD) while addressing their temperament. Central questions in this study involve the element of temperament, which determined the emotional functioning of children who suffer from SPD and examined whether temperament explaining the variance in these children's self-efficacy. The SPD was the independent variable. Emotional functioning and the sense of self-efficacy were the dependent variables and temperament served as the mediating variable.The study focused on 209 students (129 boys, 80 girls) between the ages 6–10 (M = 8, SD = 1.13), studying in schools in different geographical areas in Israel. The Short Sensory Profile (SPS) Questionnaire was administered to the students in order to characterize their sensory profiles and served as a tool for screening and identifying the children with SPD and children who will be included in the control group. The questions raised in this study, have both educational and clinical research importance. They can be used as the basis for educational interventions for children with SOR and may be useful in supporting the building of an integrated intervention and treatment program.Disclosure of interestThe author has not supplied his declaration of competing interest.


2019 ◽  
Vol 12 (1) ◽  
pp. 1-11
Author(s):  
Kusnanto Kusnanto ◽  
Moh Zen Arifin ◽  
Ira Suarilah ◽  
Hidayat Arifin

Introduction: Diabetes mellitus was an uncurable metabolic disease but it can be controlled. Diabetes can be controlled independently by diabetic with diabetes self-care behavior. Self-care behavior was challenge problem causing in adherence in majority diabetic clients especially in Persadia Darmo Hospital. Method: Research design was Quasy-Experiment study among type 2 diabetic client. This study involved 30 samples taken by purposive sampling. The independent variable were What is Important For You (WIFY) and Life Map. The dependent variable was self-care behavior. Data were taken by using SDSCA questionnaire then analyzed by using t-test with a= £0.05. Result and Analyze: WIFY and Life Map change self-care behavior in treatment group before and after treatment significantly with p value = 0,024. There was significant difference between treatment and control group of self-care behavior with p value = 0,029. Discussion: It could be concluded that application of WIFY and Life Map with goal attainment model increase self-care behavior in type 2 diabetic clients. The use of this approach could be optimizing diabetic counseling and education for clients. Further research to investigate WIFY and Life map effect on blood glucose level and HbA1c test in Type 2 Diabetic.


2020 ◽  
Vol 3 (1) ◽  
pp. 54-65
Author(s):  
Lola Despitasari

Diabetes Mellitus tipe 2 merupakan hasil dari kegagalan atau penolakan tubuh mnggunakan zat insulin (resistensi insulin). Pada orang dengan diabetes tipe 2 diperlukan self care management untuk mengelola penyakitnya. Diabetes knowledge, self efficacy, self care agency merupakan faktor internal yang mempengaruhi self care management. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor internal yang mempengaruhi self care management pada pasien diabetes mellitus tipe 2 di poli klinik khusus penyakit dalam RSUP. Dr. M. Djamil Padang. Jenis penelitian ini bersifat deskriptif analitik melalui pendekatan cross sectional. Penelitian ini  dilakukan di Poli Klinik Khusus Penyakit Dalam RSUP Dr. M. Djamil Padang. Sampel berjumlah 60 orang dengan teknik accidental sampling, dan instrumen penelitian menggunakan kuesioner SDSCA, ASAS-R, DMSES, dan kuesioner diabetes knowledge. Analisis data bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa 56.7% responden memiliki self care management yang kurang baik, 50% responden dengan self care agency kurang baik, 46.7% responden dengan self efficacy kurang baik, dan 61.7% responden dengan diabetes knowledge kurang baik. Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management dengan nilai p value (≤ 0.05). Terdapat hubungan antara self care agency, self efficacy, dan diabetes knowledge dengan self care management di poli klinik khusus penyakit dalam RSUP Dr. M. Djamil Padang. Disarankan kepada pasien diabetes mellitus tipe 2 untuk meningkatkan self care agency, self efficacy, dan diabetes knowledge nya. Kata Kunci : Diabetes mellitus tipe 2, self care management, self care agency, self efficacy, diabetes knowledge


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