Effectiveness of Health Management Education for Congestive Heart Failure Patients in Surabaya

Main Article Content

Erika Martining Wardani
Riezky Faisal Nugroho
Eppy Setiyowati
Muhammad Khafid
Nunik Purwanti


BACKGROUND: Health problems with cardiovascular system disorders including congestive heart failure (CHF) still rank highly. CHF is one of the heart diseases that continue to increase in incidence and prevalence every year, including in Indonesia. Lack of health education about how home care is a factor increases the incidence of rehospitalization in CHF patients. Here, researchers have provided knowledge to patients about how things to avoid, foods to avoid, recommended foods, and diet to do.

OBJECTIVE: This study aimed to analyze effectiveness of health management education for CHF patients in Surabaya.

METHODS: The research method used is quantitative analytics with a pre-experimental design with an approach (one group pre-post-test design). The population in this study was all CHF patients admitted to hospitals in Surabaya as many as 150 respondents. Sampling using accidental  sampling technique. Data were analyzed using and Wilcoxon test.

RESULTS: Wilcoxon test results obtained knowledge (p = 0.000), diet (p = 0.001), and physical activity (p = 0.001) which means there is an influence on providing health management education for CHF patients.

CONCLUSION: Health management education effectiveness for CHF patients in Surabaya. Health-care providers can add health education programs for patients with CHF or other diseases, as a form of nursing service implementation.


Download data is not yet available.

Article Details

How to Cite
Wardani EM, Nugroho RF, Setiyowati E, Khafid M, Purwanti N. Effectiveness of Health Management Education for Congestive Heart Failure Patients in Surabaya. SEE J Cardiol [Internet]. 2023 Jun. 30 [cited 2023 Dec. 2];4(1):18-21. Available from: https://seejca.eu/index.php/seejca/article/view/6041
General Cardiology


Nussbaumerová B, Rosolová H. Diagnosis of heart failure: The new classification of heart failure. Vnitr Lek. 2018;64(9):847-51. PMid:30441997 DOI: https://doi.org/10.36290/vnl.2018.116

Prahasti SD, Fauzi L. Risk of death in heart failure patients congestive heart failure (CHF): A hospital-based retrospective cohort study. JPHN. 2021;1(3):388-95. https://doi.org/10.15294/IJPHN.V1I3.48101

AHA. 2021 Heart Disease and Stroke Statistical Update Fact Sheet. Global Burden of Disease. India: AHA; 2021. https://doi.org/10.1161/CIR.0000000000000950 DOI: https://doi.org/10.1161/CIR.0000000000000950

WHO. Cardiovascular Diseases. Switzerland: World Health Organization; 2019. Available from: https://www.who.int/ health-topics/cardiovascular-diseases

Kemenkes RI. Profil Kesehatan Indonesia. Jakarta: Kementrian Kesehatan Republik Indonesia; 2020.

Dinas Kesehatan. Hasil Utama Riset Kesehatan Dasar Jawa Timur 2020. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Kementrian Kesehatan Republik Indonesia; 2020.

Dinas Kesehatan. Hasil Utama Riset Kesehatan Dasar Jawa Timur 2021. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Kementrian Kesehatan Republik Indonesia; 2021.

Angermann CE, Wallenborn J. Psychological comorbidities in heart failure. In: Cardiovascular Medicine. Germany: Springer;

p. 179-89. https://doi.org/10.1007/978-3-319-98184-0 DOI: https://doi.org/10.1007/978-3-319-98184-0

Aggelopoulpou Z, Fotos NV, Chatziefstratiou AA, Giakoumidakis K, Elefsiniotis I, Brokalaki H. The level of anxiety, depression and quality of life among patients with heart failure in Greece. Appl Nurs Res. 2017;34:52-6. https://doi.org/10.1016/j.apnr.2017.01.003 PMid:28342624 DOI: https://doi.org/10.1016/j.apnr.2017.01.003

Alhurani AS, Dekker RL, Abed MA, Khalil A, Al Zaghal MH, LeeKS, et al. The association of co-morbid symptoms of depression and anxiety with all-cause mortality and cardiac rehospitalization in patients with heart failure. Psychosomatics. 2015;56(4):371-80. https://doi.org/10.1016/j.psym.2014.05.022 PMid:25556571 DOI: https://doi.org/10.1016/j.psym.2014.05.022

Rispawati BH. Effect of cardiac diet counseling on knowledge of the patient’s cardiac diet. Real Nurs J. 2019;(2):77-84. https://doi.org/10.32883/rnj.v2i2.523.g131 DOI: https://doi.org/10.32883/rnj.v2i2.523

Chen Y, Funk M, Wen J, Tang X, He G, Liu H. Effectiveness of a multidisciplinary disease management program on outcomes in patients with heart failure in China: A randomized controlled single center study. Heart Lung. 2018;47(1):24-31. https://doi.org/10.1016/j.hrtlng.2017.10.002 PMid:29103661 DOI: https://doi.org/10.1016/j.hrtlng.2017.10.002

Polikandrioti M, Goudevenos J, Michalis LK, Koutelekos J, Kyristi H, Tzialas D, Elisaf M. Factors associated with depression and anxiety of hospitalized patients with heart failure. Hellenic J Cardiol. 2015;56(1):26-35. PMid:25701969

Khachian A, Seyedoshohadaee M, Haghani H, Aghamohammadi F. Family-centered education and self- care behaviors of patients with chronic heart failure. JCCNC. 2016;2(3):177-84. https://doi.org/10.32598/jccnc.2.3.177 DOI: https://doi.org/10.32598/jccnc.2.3.177

Gulati M, Buffomante AA, Wenger NK. Depression and anxiety in women with heart disease. Curr Cardiovasc Risk Rep. 2016;10(32):1-8. DOI: https://doi.org/10.1007/s12170-016-0512-7

Ikawati Z. Faktor-faktor yang mempengaruhi kualitas hidup pasien gagal jantung kronik factors that influence quality of life in chronic heart failure. J Manage Pelayanan Farmasi. 2015;4(4):259-66. https://doi.org/24432946

Notoatmodjo S. Pendidikan Kesehatan. Jakarta: Rineka Cipta; 2018.

Wardani EM, Setiyowati E. Education relationship with knowledge of early-aged women about pap smears at the hut Al Hidayah Islamic boarding school, Kendal Ngawi. J Ilmiah Kesehatan. 2018;3(1):92-6. https://doi.org/10.33086/jhs.v11i1.123 DOI: https://doi.org/10.33086/jhs.v11i1.123

Wulandari DF, Hariyati T. Pelaksanaan discharge planning di ruang ICU RS X Jakarta. J Pendidikan Keperawatan Indones. 2019;5(1):67-76. https://doi.org/10.17509/jpki.v5i1.16008 DOI: https://doi.org/10.17509/jpki.v5i1.16008

Putradana A, Mardiyono M, Rochana N. Pengaruh diet sodium dan pembatasan cairan berbasis aplikasi android terhadap keseimbangan cairan dan dyspnea pada pasien gagal jantung kongestif (CHF). J llsmu Soc Pendidikan. 2021;5(1):528-43. https://doi.org/10.58258/jisip.v5i1.1768 DOI: https://doi.org/10.36312/jisip.v5i1.1768

Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr., Drazner MH, et al. 2013 ACCF/AHA guideline for the management of heart failure. A report of the American college of cardiology foundation/American heart association task force on practice guidelines. J Am Coll Cardiol. 2013;62(16):e147-239. https://doi.org/10.1016/j.jacc.2013.05.019 PMid:23747642 DOI: https://doi.org/10.1161/CIR.0b013e31829e8776

Most read articles by the same author(s)