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Zubaidah, Een (2026) Efektivitas paket edukasi pembatasan cairan terhadap kepatuhan pembatasan cairan pada pasien congestive heart failure (CHF) di Ruang ICVCU RSUD Dr. Doris Sylvanus Palangka Raya. Skripsi thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Congestive Heart Failure (CHF) merupakan penyakit kronis progresif dengan morbiditas dan mortalitas yang tinggi. Paket edukasi pembatasan cairan dikembangkan sebagai media self-monitoring untuk meningkatkan kepatuhan pasien terhadap pembatasan cairan. Tujuan Penelitian: Menganalisis efektivitas paket edukasi pembatasan cairan terhadap kepatuhan pembatasan cairan pada pasien Congestive Heart Failure (CHF) di ruang ICVCU RSUD dr. Doris Sylvanus Palangka Raya. Metode Penelitian: Penelitian ini menggunakan desain quasi-experimental dengan nonrandomized pretest-posttest control group design. Sampel sebanyak 20 responden dipilih menggunakan consecutive sampling dan dibagi menjadi kelompok intervensi (n=10) dan kelompok kontrol (n=10). Kelompok intervensi diberikan paket edukasi pembatasan cairan, sedangkan kelompok kontrol diberikan edukasi standar. Analisis perubahan kepatuhan menggunakan uji McNemar, perbandingan antar kelompok menggunakan Fisher's Exact Test, sedangkan analisis faktor perancu menggunakan regresi logistik. Hasil Penelitian: Uji McNemar menunjukkan peningkatan kepatuhan pembatasan cairan yang bermakna pada kelompok intervensi (p=0,008), sedangkan kelompok kontrol tidak menunjukkan perubahan yang bermakna (p=0,500). Fisher's Exact Test menunjukkan bahwa tidak terdapat perbedaan bermakna antar kelompok (p=0,057). Analisis regresi logistik menunjukkan bahwa tidak terdapat faktor perancu yang berpengaruh signifikan terhadap kepatuhan pembatasan cairan (seluruh p>0,05). Kesimpulan: Paket edukasi pembatasan cairan meningkatkan kepatuhan pembatasan cairan pada kelompok intervensi. Namun, dibandingkan edukasi standar, perbedaan efektivitas antar kelompok belum mencapai signifikansi statistik. Penelitian dengan sampel lebih besar diperlukan untuk mengonfirmasi efektivitas intervensi. Kata kunci: Congestive Heart Failure, kepatuhan pembatasan cairan, paket edukasi, selfmonitoring Background: Congestive Heart Failure (CHF) is a progressive chronic disease associated with high morbidity and mortality. A fluid restriction education package was developed as a selfmonitoring tool to improve patients' adherence to fluid restriction. Research Objective: To analyze the effectiveness of a fluid restriction education package on fluid restriction adherence among patients with Congestive Heart Failure (CHF) in the ICVCU of dr. Doris Sylvanus Regional General Hospital, Palangka Raya. Research Methods: This study employed a quasi-experimental design using a nonrandomized pretest-posttest control group design. A total of 20 participants were selected using consecutive sampling and assigned to an intervention group (n = 10) and a control group (n = 10). The intervention group received the fluid restriction education package, whereas the control group received standard education. Changes in adherence were analyzed using the McNemar test, between-group comparisons were performed using Fisher's Exact Test, and potential confounding factors were analyzed using logistic regression. Research Results: The McNemar test demonstrated a significant improvement in fluid restriction adherence in the intervention group (p = 0.008), whereas no significant change was observed in the control group (p = 0.500). Fisher's Exact Test showed no statistically significant difference between the two groups (p = 0.057). Logistic regression analysis indicated that no confounding factors were significantly associated with fluid restriction adherence (all p > 0.05). Conclusion: The fluid restriction education package improved fluid restriction adherence in the intervention group. However, compared with standard education, the difference in effectiveness between the two groups did not reach statistical significance. Further studies with larger sample sizes are needed to confirm the effectiveness of this intervention.. Keywords: Congestive Heart Failure, education package, fluid restriction adherence, selfmonitoring

Item Type: Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan / Skripsi / Tesis / Disertasi (Skripsi)
Uncontrolled Keywords: Congestive Heart Failure, kepatuhan pembatasan cairan, paket edukasi, selfmonitorin Congestive Heart Failure, education package, fluid restriction adherence, selfmonitoring
Subjects: 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111008 Nursing Practical
11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111009 Nursing Research
11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions: Jurusan Keperawatan > Program Studi Diploma IV Keperawatan
Depositing User: S.IP Yusril Kemal Hikam
Date Deposited: 29 Oct 2026 02:05
Last Modified: 29 Oct 2026 02:05
URI: http://repo.polkesraya.ac.id/id/eprint/4197

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