Efektifitas Telemonitoring Perawatan Diri Berbasis Smartphone terhadap Readmisi dan Self Care Behavior pada Pasien Heart Failure di Pusat Jantung Terpadu RSUP Haji Adam Malik Medan

Abstract

Heart failure ( HF) is an issue that needs a complex treatment plan. Due to its high risk of recurrence, individuals with heart failure require more days of treatment and run the risk of staying longer in the hospital. rate in heart failure patients causes days of treatment and the possibility of patients being readmitted. The concept of independent self-care is increasingly developing, this is related to autonomy and personal responsibility for healthy behavior, developing activities needed to manage health. Good self-care plays an important role in the management of heart failure. Patients with good self-management have good self-care behavior, reducing readmissions thereby reducing hospital costs and reducing mortality rates. This study aims to identify the effectiveness of self-care telemonitoring on readmissions and self-care behavior in heart failure patients. The research design used was a quasi-experimental design with a non-equivalent pretest-posttest control group design. The sample in this study consisted of 102 respondents with intervention and control groups. The instrument used to measure self-care behavior is the European Heart Failure Self-care Behavior Scale (EHFScB ). The results of this study show that for readmission there is no significant relationship with a p-value = 0.558, while for self-care behavior it shows a significant relationship with a p-value = 0.000. The conclusion of this study shows that telemonitoring of self-care is very important in improving self-care of heart failure patients who have been discharged increasing independence and behavior to maintain health and prevent readmissions. Further research is needed _ carried out to look deeper into the influence of telemonitoring self-care for readmissions and self-care behavior.