PENGARUH PELATIHAN PALIATIF HOMECARE TERHADAP SELF-EFFICACY DAN KESIAPAN KADER KESEHATAN BERFOKUS PADA PEMENUHAN KEBUTUHAN SEHARI-HARI PASIEN PALIATIF DI SLEMAN DIY

ANISA RAYU I D, Dr. Christantie Effendy., S.Kp., M.Kes; Intansari Nurjannah., S.Kp., M.N.Sc., Ph.D

2022 | Tesis | MAGISTER KEPERAWATAN

Latar Belakang: Keterlibatan kader kesehatan diperlukan untuk membantu menyiapkan keluarga dalam merawat pasien paliatif. Self-efficacy dan kesiapan kader dibutuhkan dalam membantu keluarga pasien paliatif. Self-efficacy dan kesiapan kader dalam menerapkan paliatif homecare dapat meningkat salah satunya dengan adanya pemberian suatu pelatihan. Tujuan Penelitian: Mengukur adanya pengaruh pelatihan paliatif homecare terhadap self-efficacy dan kesiapan kader kesehatan berfokus pada pemenuhan kebutuhan sehari-hari pasien paliatif Metode: Penelitian ini merupakan penelitian Quasi Experimental dengan rancangan non equivalent pretest-repeated posttest with control group design. Pada penelitian ini subjek dibagi menjadi dua kelompok. Subjek penelitian ini merupakan kader kesehatan di Desa Banyuraden dan Desa Nogotirto. Pemilihan sampel menggunakan purposive sampling berjumlah 72 kader. Instrumen penelitian menggunakan kuesioner general self-efficacy scale (GSES) dan kuesioner kesiapan kader. Uji hipotesis menggunakan uji Unpaired t-tes, uji Mann-whitney, uji Friedman test dan uji Cohen's d effect size. Hasil: Hasil penelitian menunjukkan bahwa tidak ada perbedaan rerata self-efficacy dan kesiapan kader antara kelompok intervensi dan kelompok kontrol dengan nila p>0,05. Hasil uji beda rerata self-efficacy kader dalam penerapan paliatif homecare pada kelompok intervensi diperoleh nilai p=0,022 (p<0,05) sedangkan pada kelompok kontrol diperoleh nilai p=0,26 (p<0,05). Hasil uji beda rerata kesiapan kader dalam penerapan paliatif homecare pada kelompok intervensi diperoleh nilai p=0,009 (p<0,05) sedangkan pada kelompok kontrol diperoleh nilai p=0,012 (p<0,05). Hasil uji efek intervensi diperoleh nilai d<0,2 baik pada kelompok intervensi maupun kelompok kontrol sehingga pengaruh intervensi termasuk dalam kriteria sangat kecil. Kesimpulan: Pada penelitian ini pemberian pelatihan paliatif homecare berpengaruh sangat kecil terhadap self-efficacy dan kesiapan kader kesehatan dalam penerapan paliatif homecare yang berfokus pada pemenuhan kebutuhan sehari-hari pasien paliatif.

Background: The involvement of health cadres is needed to help prepare families in caring for palliative patients. Self-efficacy and cadre readiness are needed in helping palliative patient families. Self-efficacy and cadre readiness in implementing homecare palliative can increase one of them by providing a training. Objectives: Measuring the influence of homecare palliative training on self-efficacy and the readiness of health cadres focuses on meeting the daily needs of palliative patients Method: This study is a Quasi Experimental study with a nonquivalent pretest-repeated posttest with control group design. In this study, the subjects were divided into two groups. The subject of this study was a health cadre in Banyuraden Village and Nogotirto Village. Sample selection using purposive sampling amounted to 72 cadres. The research instruments used a general self-efficacy scale (GSES) questionnaire and a cadre readiness questionnaire. Hypothesis test using Unpaired t-test, Mann-whitney test, Friedman test and Cohen's d effect size test. Results: The results showed that there was no difference in the average self-efficacy and readiness of cadres between the intervention group and the control group with p>0.05. The results of the test of differences in the average self-efficacy of cadres in the palliative application of homecare in the intervention group obtained a value of p = 0.022 (p<0.05) while in the control group a value of p = 0.26 (p<0.05) was obtained. The results of the test of differences in the average readiness of cadres in the application of homecare palliatives in the intervention group obtained a value of p = 0.009 (p<0.05) while in the control group a value of p = 0.012 (p<0.05) was obtained. The results of the intervention effect test obtained a value of d<0.2 in both the intervention group and the control group so that the influence of the intervention was included in the criteria very small. Conclusion: In this study, the provision of homecare palliative training had a very small effect on the self-efficacy and readiness of health cadres in the application of palliative homecare which focused on meeting the daily needs of palliative patients.

Kata Kunci : pelatihan paliatif homecare, self-efficacy, kesiapan, kader kesehatan