Abstract

Nadhifah Rahmawati*, Tri Johan Agus Yuswanto and Diyah Fatmasari

ABSTRACT

Chronic kidney failure (CRF) is one of the leading causes of death in Indonesia. This is a concern for health workersto keep the disease under control, prevent physical, psychological and social damage and complications. KActive involvement in patient self-management is one of the keys to prevent further damage to kidney function and slowing the progression of the CRF stage. Improved self-management of CKD patients can be provided through education and training programs such as self-efficacy training and cognitive behavior therapy (CBT). Both methods focused on reducing anxiety and depression as well as increasing self-efficacy have been shown to improve patient self-management behavior. In this systematic review study, several research literature on CBT interventions and self-efficacy were reviewed in patients with end-stage renal failure. This study reviews CBT interventions and self-efficacy training on self-management in chronic renal failure patients. Systematic review by looking for research studies from electronic databases (Scopus, PubMed, Science direct and ProQuest) with randomized control trial and quasi-experimental designs published in 2015-2020 and have been published internationally indexed Scopus Q1, Q2 and Q3 and indexed SINTA-2. The research studies analyzed were related to CBT, self-efficacy training and self-management with chronic kidney failure patient respondents. Based on the literatures, therapies that have a high level of recommendation in improving self-care in patients with CRF are CBT and training to increase self-efficacy. This is evidenced by the strong effect size value. However, some journals use a sample size that is not representative, the instrument used is the previous instrument and the intervention method used is quite complex. Twenty five reports have been reviewed shows that CBT and self-efficacy can be an effective intervention that can be applied to improve self-management in CRF patients.