IMPLEMENTATION OF THE KMB DIGITAL EDUCATION APPLICATION ON COMPLIANCE AND WOUND HEALING OF POST-ABDOMINAL SURGERY PATIENTS AT PEMANGKAT REGIONAL HOSPITAL
DOI:
https://doi.org/10.36720/nhjk.v14i2.815Keywords:
Digital Application, Patient Adherence, Wound Healing, Post-Abdominal SurgeryAbstract
Background: Health education is a crucial component in improving patient adherence to wound care, particularly among individuals recovering from abdominal surgery. Improper wound care can increase the risk of infection and delay the healing process. The integration of digital technology in healthcare provides innovative solutions for patient education. The KMB Digital Education Application serves as a medium to enhance patients’ understanding of postoperative wound management, enabling them to follow care instructions more consistently and achieve faster recovery.
Objectives: This study aimed to determine the effect of the KMB Digital Education Application on patient adherence and wound healing among post-abdominal surgery patients at Pemangkat Regional Hospital.
Methods: This research employed a quasi-experimental design with a pretest-posttest control group approach. A total of 50 post-abdominal surgery patients were selected using purposive sampling and divided equally into intervention and control groups. The intervention group received education through the KMB Digital Application, while the control group received standard education. Data were collected using observation sheets and analyzed using Repeated Measure ANOVA.
Results: The findings revealed a significant improvement in patient adherence within the intervention group, increasing from 31.12 ± 1.20 to 46.44 ± 1.56, compared to the control group, which only rose from 28.68 ± 1.07 to 33.24 ± 0.97 (p < 0.001). Wound healing outcomes also showed significant differences between groups, where the intervention group’s healing scores improved from 42.32 ± 2.19 to 21.84 ± 2.19, while the control group improved from 42.36 ± 1.87 to 36.48 ± 1.16 (p < 0.001).
Conclusion:The implementation of the KMB Digital Education Application significantly enhances patient adherence to wound care and accelerates wound healing among post-abdominal surgery patients. The use of digital education technology can therefore be an effective innovation to support postoperative recovery and improve the quality of nursing care.
Downloads
References
Chen, L., Zhang, X., & Wu, Y. (2021). Mobile health application improves postoperative adherence and recovery among surgical patients: A randomized controlled trial. International Journal of Nursing Studies, 118, 103916.
Fitriani, A., & Santoso, H. (2020). The relationship between compliance level and wound healing time in post-abdominal surgery patients. Journal of Medical Surgical Nursing, 6(2), 99–106.*
Kumar, S., Gupta, R., & Patel, A. (2022). Digital monitoring in wound care: Enhancing patient engagement and healing outcomes. Wound Care Journal, 31(5), 221–230.*
Kurniawati, R., Lestari, D., & Siregar, E. (2023). Development of digital nursing education application for post-surgical patients: An evidence-based approach. Journal of Health Informatics, 12(4), 250–259.*
Lestari, H., Pradana, S., & Wibowo, T. (2024). The role of digital learning in improving postoperative patient care in Indonesia. Indonesian Journal of Health Science, 15(1), 55–63.*
Ministry of Health of the Republic of Indonesia. (2022). Indonesian health profile 2022. Jakarta: Ministry of Health of the Republic of Indonesia.
Nugroho, A., & Dewanti, L. (2023). The role of patient compliance in the post-operative wound healing process at a provincial referral hospital. Journal of Nursing Indonesia, 26(2), 145–153.*
Nursalam, Rahmawati, D., & Dewi, F. (2020). The relationship between postoperative patient compliance and wound healing in the operating room of a regional general hospital. Journal of Clinical Nursing, 13(1), 45–53.*
Orem, D. E. (2021). Nursing: Concepts of practice
(8th ed.). St. Louis: Mosby Elsevier.
Pender, N. J. (2022). The health promotion model: Manual. Michigan: University of Michigan.
Pratiwi, R., & Sari, M. (2023). The effectiveness of digital educational media in accelerating wound healing in post-laparotomy patients. Journal of Medical Surgical Nursing, 9(2), 112–120.*
Putri, D., Yuliana, & Hartono, A. (2021). Utilization of digital technology in patient health education: Challenges and opportunities for modern nursing. Journal of Indonesian Nursing Science, 14(2), 89–97.*
Rahayu, I., Hidayati, S., & Sutopo, B. (2021). The use of interactive educational media to improve postoperative patient wound care compliance. Journal of Nursing and Health, 12(3), 221–228.*
Rahmawati, N., & Dewi, I. (2022). Digital nursing education and its impact on patient compliance and wound care outcomes. Journal of Nursing Practice, 6(1), 14–22.*
Sari, W., Utami, L., & Hidayat, R. (2023). Determinants of wound healing delay in postoperative abdominal patients in non-urban hospitals. Indonesia Nursing Journal, 8(3), 233–242.*
Siregar, E., & Lestari, D. (2023). Implementation of nursing digital education to improve postoperative wound care adherence. Journal of Nursing Indonesia, 26(1), 77–86.*
Wahyuni, N., Pradana, A., & Rahman, T. (2022). The effectiveness of digital-based health education on postoperative patient adherence: A quasi-experimental study. Nurse Media Journal of Nursing, 12(3), 301–309.*
World Health Organization. (2021). Digital health: Transforming and extending the delivery of health services. Geneva: WHO.
Zhang, H., Li, P., & Chen, X. (2021). Mobile app- based wound care education accelerates healing and reduces infection rates after surgery. International Wound Journal, 18(7), 851–859.
Downloads
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2025 Putra Ardhana, Lydia Moji Lautan, Marsela Renasari Presty, Apriliana Pipin, Asmaurina Pramulya, Eben Haezar Kristian

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Nurse and Health: Jurnal Keperawatan agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.






