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PENYULIT DOMINAN YANG DIALAMI SELAMA INTRADIALISIS PADA PASIEN YANG MENJALANI TERAPI HEMODIALISIS DI BRSU TABANAN-BALI Astuti Dewi, I Gusti Ayu Puja; Parut, Anselmus Aristo
Jurnal Riset Kesehatan Nasional Vol 3, No 2 (2019)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (328.709 KB) | DOI: 10.37294/jrkn.v3i2.173

Abstract

Gagal ginjal adalah suatu keadaan klinis yang ditandai dengan penurunan fungsi ginjal yang irreversible dan membutuhkan terapi pengganti ginjal untuk mempertahankan hidup yaitu melaksanakan hemodialisis (HD). HD adalah dialisis yang dilakukan di luar tubuh. Perhimpunan Nefrologi Indonesia (Pernefri) menyebutkan jumlah pasien HD baru dan pasien HD aktif di Indonesia tahun 2007-2012 terjadi peningkatan sekitar 14.644 pasien HD baru dan 7.276 pasien HD aktif di Indonesia. Penelitian ini merupakan penelitian deskriptif analitik dengan desain cross-sectional untuk menentukan penyulit dominan yang terjadi pada pasien HD. Penentuan lokasi penelitian dilakukan dengan teknik purposive sampling di BRSU Tabanan. Pengambilan sampel dilakukan dengan teknik non-probability sampling yaitu total populasi dengan jumlah sampel 180 orang. Alat pengumpulan data menggunakan kuesioner yang terdiri dari kuesioner tentang karakterisktik responden dan lembar observasi penyulit yang terjadi selama intradialisis. Berdasarkan hasil analisis penyulit yang sering dialami pasien HD yaitu  hipertensi sebanyak  98 responden (54,4%). Rata- rata tekanan darah mengalami penurunan di jam pertama, dan mengalami peningkatan di jam ke empat. Faktor-faktor yang mempengaruhi terjadinya hipertensi intradialisis masih perlu dilakukan penelitian lebih lanjut. 
Factor Assocoated with Stigma Towards People Living With HIV/AID Among Nursing Students Parut, Anselmus Aristo; Astuti Dewi, I Gusti Ayu Puja; wulandari, Pw
Jurnal Riset Kesehatan Nasional Vol 3, No 2 (2019)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.576 KB) | DOI: 10.37294/jrkn.v3i2.160

Abstract

Background: Stigma towards people living with HIV/AIDS is a problem in control, prevention and treatment of HIV/AIDS. Stigma by health care worker in hospital is one of the  main challenges in preventing and manage HIV/AIDS especially in developing country. Methods : this is a cross-sectional study, respondents were bachelor of nursing students program regular, program transfer and recognition of prior learning program. We used KQ-18 questionnaire to assess HIV/AIDS related knowledge,  belief and values questionnaire to asses religiosity, modified Nurse AIDS Attitude Scale to assess stigma and stigma perception in workplace. Data were analyzed using SPSS 20. Descriptive statistics were conducted to summarize the sample characteristics. Results: A total 132 nursing students participated, recognition of prior learning nursing students have higher knowledge about HIV/AIDS (mean=13,84), bachelor of nursing students regular program have higher stigma (mean=96,30), person correlation analysis showed that there is a significant correlations between knowledge and stigma towards people living with HIV ( p= 0,001), regression analysis showed that p value = 0,000 which mean that educational background, work experiences and knowledge simultaneously affect stigma towards people living with HIV/AIDS. Conclusions : the finding of this research showed high magnitude of stigma towards people living with HIV/AIDS among nursing students, training and continuing education are needed to improve knowledge and reduce stigma towards people living with HIV/AIDS.
DOMINAN FACTORS RELATED TO QUALITY OF LIFE OF PATIENTS WITH END STAGE RENAL FAILURE UNDERGOING HEMODIALYSIS AT TABANAN GENERAL HOSPITAL Parut, Anselmus Aristo; Dewi, I Gusti Ayu Puja Astuti
Jurnal Riset Kesehatan Nasional Vol 2, No 2 (2018)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1064.094 KB) | DOI: 10.37294/jrkn.v2i2.120

Abstract

Background : Renal failure is a clinical condition which irreversible reduction in renal function and need hemodialysis as replacement for kidney function. Hemodialysis is a dialysis that perform outsite the body. Indonesian Association Of Nephrology (Pernerfi) stated that new hemodialysis and active hemodialysis patients in Indonesia since 2007-2018 increased, 14.644 new hemodialysis patients and 7.276 active hemodialysis patients.Method : This is a descriptive analysis study with cross-sectional design and multiple logistic regression to identify dominant factor related to quality of life hemodialysis patients. Location of this research was Tabanan General Hospital. The sampling technique was nonprability sampling with total population were 166 patients. Data collected using insomnia questionnaire, family support questionnaire, quality if life questionnaire and complication observation form. Result : The result showed that, higher OR found in intra hemodialysis variabel (OR:180,917), which mean that intra hemodialysis complication is a dominan factor related to quality of life hemodialysis patients. Patients who had complication were more likely to have low quality of life. Further study are needed to identify factors related to intra hemodialysis complications.  Keywords : Dominan factors, intra hemodialysis complications, quality if life, end stage renal failure, hemodialysis.