Gambaran Self Efficacy dan Kualitas Hidup Pada Pasien Yang Menjalani Hemodialisa: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 446-455
Author(s):  
Nurul Karimah ◽  
Rita Dwi Hartanti

AbstractChronic renal failure (CKD) is a condition that progressive and irreversible decline in kidney function. One of the therapies to maintain the life of CKD patients is hemodialysis. Hemodialysis is a procedure in which blood from the patient’s body is flowed into a dialyzer machine which is then carried out by the filtration process of metabolic waste substances. Hemodialysis is carried out for a lifetime that can affect patient’s quality of life. The quality of life among hemodialysis patients can be influenced by self-efficacy. Self-efficacy is believed to play an important role in self-management in the maintenance of health behavior. So that increasing self-efficacy can provide motivation to recover and improve the quality of life of hemodialysis patient. The study aimed to describe self-efficacy and quality of life in patients undergoing hemodialysis. The study accessed the Springer database, Garuda, and Google Scholar. The search was conducted with the keywords “self efficacy”, “quality of life”, and “hemodialysis”. The subjectof this study were patients undergoing hemodialysis. The are five articles reviewed. The result show that the majority of hemodialysis patients were male, age was ranged from 30 to 65 years old, the majority of the respondents did not work. The majority of the respondents undergo hemodialysis for more than 2 years. The self-efficacy was categorized in high and good category. The quality of life was categorized in good and low category. Self-efficacy and quality of life are two components that have a close relationship in the hemodialysis process. The highest self-efficacy contributes to the better of the quality of life among hemodialysis patients.Keywords: Hemodialysis; quality of life; self-efficacy AbstrakGagal ginjal kronik (GGK) merupakan suatu kondisi dimana terjadi penurunan fungsi ginjal secara progesif dan irreversibel. Salah satu terapi untuk mempertahankan hidup pasien GGK adalah hemodialisa. Hemodialisa adalah suatu tindakan dimana darah dari tubuh pasien dialirkan ke dalam mesin dializer yang selanjutnya dilakukan proses filtrasi dari zat-zat sisa metabolisme. Terapi hemodialisa dilakukan selama seumur hidup, sehingga dapat mempengaruhi terhadap kualitas hidup mereka. Kualitas hidup pasien hemodialisa dipengaruhi oleh beberapa faktor, salah satunya adalah self efficacy. Self efficacy diyakini memegang peran penting dalam manajemen diri dalam pemeliharaan perilaku kesehatan. Sehingga peningkatan self efficacy mampumemberikan motivasi untuk sembuh dan meningkatkan kualitas hidup pasien hemodialisa. Penelitian ini bertujuan untuk mengetahui gambaranself efficacy dan kualitas hidup pada pasien yang menjalani hemodialisa. Penelitian ini mengakses database Springer, Garuda, dan Google Scholar. Pencarian dilakukan dengan kata kunci “self efficacy”, “quality of life”, dan “hemodialysis”. Subjek penelitian ini adalah pasien yang menjalani hemodialisa. Hasil literatur review dari lima artikel menunjukkan bahwa pasien hemodialisa mayoritas berjenis kelamin laki-laki, usia terbanyak pada rentang 30-65 tahun, mayoritas tidak bekerja, mayoritas menjalani hemodialisa selama <2 tahun, self efficacy paling banyak pada kategori tinggi dan baik, dan kualitas hidup paling banyak pada kategori baik dan rendah.Self efficacy dan kualitas hidup merupakan dua komponen yang mempunyai keterkaitan erat dalam proses terapi hemodialisa. Semakin tinggi self eficacy yang dimilki individu, maka semakin baik pula kualitas hidup pasien hemodialisa.Kata kunci: Efikasi diri; hemodialisa; kualitas hidup

2010 ◽  
pp. 1-6
Author(s):  
Carol A. Mancuso ◽  
Wendy Sayles ◽  
John P. Allegrante

2020 ◽  
Author(s):  
Rebecca O’Hara ◽  
Heather Rowe ◽  
Jane Fisher

Abstract STUDY QUESTION What self-management factors are associated with quality of life among women with endometriosis? SUMMARY ANSWER Greater self-efficacy was associated with improved physical and mental quality of life. WHAT IS KNOWN ALREADY Women with endometriosis have an impaired quality of life compared to the general female population. However, most studies have investigated quality of life in a hospital or clinic setting rather than a community setting and the association between self-management factors and quality of life have not, to date, been investigated. STUDY DESIGN, SIZE, DURATION A cross-sectional, population-based online survey was performed, which was advertised through women’s, community and endometriosis-specific groups. PARTICIPANTS/MATERIALS, SETTING, METHODS A total of 620 women completed the survey for this study. Mental and physical quality of life was assessed using the standardized SF36v2 questionnaire. Self-management factors included self-efficacy, partners in health (active involvement in managing the condition) and performance of self-care activities. Treatment approaches included the use of hormonal treatment, pain medications and complementary therapies and whether the participant had a chronic disease management plan. Hierarchical regression analyses were used to examine whether self-management and treatment factors were associated with quality of life. MAIN RESULTS AND THE ROLE OF CHANCE Both physical and mental quality of life were significantly lower among women with endometriosis compared to the mean scores of the general Australian female population (P &lt; 0.001). Physical quality of life was positively associated with income sufficiency (P &lt; 0.001) and greater self-efficacy (P &lt; 0.001), but negatively associated with age (P &lt; 0.001), pain severity (P &lt; 0.001), use of prescription medications (P &lt; 0.001), having a chronic disease management plan (P &lt; 0.05) and number of self-care activities (P &lt; 0.05). Mental quality of life was positively associated with being older (P &lt; 0.001), partnered (P &lt; 0.001), having a university education (P &lt; 0.05), increasing self-efficacy (P &lt; 0.001) and higher partners in health scores (P &lt; 0.001). LIMITATIONS, REASONS FOR CAUTION Results are derived from a cross-sectional study and can only be interpreted as associations not as causal relationships. The sample was more educated, more likely to speak English and be born in Australia than the general Australian female population of the same age, which may influence the generalizability of these results. WIDER IMPLICATIONS OF THE FINDINGS This study investigated a knowledge gap by investigating quality of life of women with endometriosis in a large community sample. Self-efficacy was significantly associated with both physical and mental quality of life. Supporting women with endometriosis to improve self-efficacy through a structured chronic disease management programme may lead to improvements in this aspect of wellbeing. STUDY FUNDING/COMPETING INTEREST(S) R.O. undertook this research as part of her PhD at Monash University, which was supported by an Australian Government Research Training Program Stipend. J.F. is the Finkel Professor of Global Public Health, which was supported by the Finkel Family Foundation. There are no conflicts of interest to declare. TRIAL REGISTRATION NUMBER NA.


2020 ◽  
Vol 34 (4) ◽  
pp. 304-314 ◽  
Author(s):  
Lilian Bravo ◽  
Mary K. Killela ◽  
Beck L. Reyes ◽  
Karla Marie Bathan Santos ◽  
Vanessa Torres ◽  
...  

10.2196/14297 ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. e14297
Author(s):  
Peter Joseph Jongen ◽  
Gezien ter Veen ◽  
Wim Lemmens ◽  
Rogier Donders ◽  
Esther van Noort ◽  
...  

Background Empowerment helps persons with a chronic disease to self-manage their condition and increase their autonomy and participation. MSmonitor (Curavista bv) is an interactive Web-based program for self-management and multidisciplinary care in multiple sclerosis (MS). It includes, among others, short questionnaires on fatigue (Modified Fatigue Impact Scale-5 [MFIS-5]) and health-related quality of life (HRQoL, Leeds Multiple Sclerosis Quality of Life [LMSQoL]); long questionnaires on disabilities, perception of disabilities (Multiple Sclerosis Impact Profile), and HRQoL (Multiple Sclerosis Quality of Life-54); a Medication and Adherence Inventory and an Activity Diary. The combination MFIS-5, LMSQoL, and Medication and Adherence Inventory constitutes the Quick Scan. Objective This study aimed to investigate the short-term effects of MSmonitor on empowerment in patients with MS. Methods We conducted a quasi-experimental study in a general hospital. Of the 180 patients with MS, 125 were eligible, 30 used MSmonitor, and 21 participated in the study (mean age 45.4 years, SD 10.2 years). A total of 24 eligible patients who did not use MSmonitor constituted the control group (mean age 49.3 years, SD 11.4 years). At baseline and at 4 months, we assessed self-efficacy (Multiple Sclerosis Self-Efficacy Scale [MSSES]), participation and autonomy (Impact on Participation and Autonomy [IPA] questionnaire), and self-management (Partners In Health [PIH] questionnaire). Differences between time points and groups were tested with paired t tests and χ² tests. Results In the MSmonitor group, follow-up values remained unchanged for MSSES control (P=.19), MSSES function (P=.62), IPA limitations (P=.26), IPA problems (P=.40), PIH recognition and management of symptoms (P=.52), PIH adherence to treatment (P=.80), and PIH coping (P=.73), whereas the PIH knowledge score had improved (mean 27.8, SD 1.7 vs mean 28.7, SD 2.0; P=.02). The overall utilization rate of the program components was 83% and that of the Quick Scan was 95%. In the control group, all outcomes had remained unchanged. Conclusions The results suggest that for first-time users of the MSmonitor program and their health care providers, it may not be justified to expect a short-term improvement in empowerment in terms of self-efficacy, self-management, autonomy, or participation. Furthermore, a lack of effect on empowerment is not because of nonusage of the program components.


2019 ◽  
Vol 25 (3) ◽  
pp. 195 ◽  
Author(s):  
Hassan Hosseinzadeh ◽  
Mahmmoud Shnaigat

Chronic obstructive pulmonary disease (COPD) is one of the more disabling diseases and the third cause of mortality worldwide. Self-management is considered an effective strategy for controlling and managing COPD. This review aims to summarise the available evidence on the effectiveness of COPD self-management in primary care settings. Social Sciences, Citation Index, MEDLINE, CINAHL, Academic Search Complete and Scopus were searched for randomised controlled trials of COPD self-management in general practice between 2001 and 2018. Ten randomised controlled trials of COPD self-management trials conducted in primary care settings were included in this review. The identified trials have recruited stable patients; a majority having mild to moderate COPD. The trials implemented different types of interventions and measured improvements in knowledge, skills and behaviours of self-management, mental health, self-efficacy and endpoint outcomes such as hospitalisation and quality of life. The findings showed that COPD self-management trials had positive effects on COPD knowledge and improved self-management behaviours such as adherence to medication, physical activities and smoking cessation in some cases; however, the effect of trials on hospitalisation rate, quality of life and healthcare utilisation were not conclusive. There was also not enough evidence to suggest that the trials were efficient in improving self-efficacy, a major driver of self-management behaviours. Primary care COPD self-management trials are efficient in improving surrogate outcomes such as knowledge of and adherence to self-management behaviours; however, such improvements are less likely to be sustainable in the absence of self-efficacy. Future studies should also focus on improving endpoint self-management outcomes like hospitalisation rate and quality of life to benefit both patient and healthcare system.


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