HEALTH BELIEF MODEL APPROACH STRUCTURED HEALTH EDUCATION ON SELF-EFFICACY IN COMPLIANCE WITH HEMODIALISA

Morbidity and mortality rates for chronic kidney failure increase every year due to age and style factors living , smoking, intake fluid, obedience diet and hemodialysis. CKD patients become dependent on dialysis machines, the threat of job loss, complications and death, so that the patient's life expectancy is low. This affects self - efficacy in healthy behavior and compliance with hemodialysis. This research determines the effect of structured health education with a health belief model approach on self-efficacy in compliance with hemodialysis . The research design used a quasi-experimental pretest and posttest with control group . The number of respondents, 31 patients in the intervention and control groups, were selected using purposive sampling . The instrument used is the chronic kidneys disease self-efficacy (CKD-SE) contains 37 statements. The intervention was given in 4 sessions lasting 60-90 minutes. Data analysis used the t-test with levels significance 95%. There are differences in self-efficacy in compliance with hemodialysis before and after the intervention. Structured health education has an effect on increasing self-efficacy in CKD patients undergoing hemodialysis with (p value = 0.000 < 0.05) . There is an influence of structured health education with a health belief model approach on self-efficacy in compliance with hemodialysisKeywords: Health Belief Model; Hemodialysis; Self-Efficacy;Structured Health Education