Optimizing Self-Care Practices: A Quasi-Experimental Study on the Impact of the Teach-Back Method for Hemodialysis Patients

Authors
W. Trisnaningtyas
N. Kurnia Wulandari
S. Metasari
S. Sawab
Abstract
Aims Self-care is essential for improving clinical outcomes among hemodialysis patients; however, limited health literacy often hinders patients’ ability to meet treatment demands. The objective of this research was to examine the efficacy of the teach-back technique as a health education strategy in promoting self-care behaviors among individuals receiving hemodialysis treatment in Indonesia.

Methods This research employed a quasi-experimental design incorporating a control group among haemodialysis patients recruited from two tertiary hospitals between May and August 2025. A total of 158 eligible participants (79 intervention, 79 control). Information was gathered through a researcher-constructed questionnaire assessing sociodemographic and clinical characteristics, along with the established Self-Care Agency Scale (SCAS). Statistical analyses were performed with IBM SPSS, applying descriptive statistics, Chi-square, and independent t-tests. Significance was set at P < 0.05.

Findings No notable disparities existed between the groups at the initial assessment. Following a two-month period, the experimental group exhibited markedly elevated self-care scores in every domain, namely medication adherence, self-monitoring, dietary management, personal hygiene, and psychological well-being relative to the comparison group (p < 0.05).

Conclusion The teach-back technique demonstrated substantial efficacy in bolstering self-care abilities in individuals receiving hemodialysis treatment.. Integration of this approach into nursing practice can strengthen patient engagement, enhance self-management, and optimize long-term outcomes.


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Health Education and Health Promotion
Volume 1, Issue 0
Winter 2022