Abdullah, Khatijah Lim
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The Fluid Management Experience in Patients with Chronic Kidney Disease Undergoing Hemodialysis in Indonesia: A Qualitative Study Mailani, Fitri; Muthia, Rahmi; Herien, Yelly; Huriani, Emil; Chan, Chong Mei; Abdullah, Khatijah Lim
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.38838


Background: Fluid management can reduce mortality, severe comorbidities, and debilitating symptoms in patients on hemodialysis. Therefore, a restricted fluid intake plan is crucial for patients with chronic kidney disease (CKD). Little evidence has been found to date on exploring the experience in fluid management of CKD patients in Indonesia.Purpose: This study aimed to explore the fluid management experience of adults with chronic kidney disease participating in hemodialysis treatment in Indonesia.Methods: A qualitative study with a phenomenological approach was conducted. Purposive sampling was used to recruit 14 adults patients with chronic kidney disease undergoing hemodialysis in a tertiary hospital in Padang between July and September 2020. Manual content analysis using the Colaizzi approach was used to identify themes.Results: Data analysis revealed four themes with 12 sub-themes. The four major themes include the challenge of thirst control, fluid/diet restriction management, inadequate information, and the support system.Conclusions: The result showed the severe suffering and sadness experienced by CKD patients who conform to fluid restrictions. It is important to provide clear information on the fluid prescription or the exact consumable amount per day. Structured education with a personal approach is recommended to ensure detailed information regarding "fluid prescribing". The support obtained from family, friends, and dialysis staff is a significant factor in promoting acceptance and adherence.
Factors Influencing Depression among Indonesians during the COVID-19 Outbreak Sarfika, Rika; Malini, Hema; Putri, Dewi Eka; Buanasari, Andi; Abdullah, Khatijah Lim; Freska, Windy
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.36783


Background: The 2019 Coronavirus pneumonia disease (COVID-19) has gained intense attention globally, including in Indonesia. The rapid transmission and clinical effects of the virus can cause depression in Indonesian society. However, information on risk factors for depression during COVID-19 in this country is not known. Purpose: This study aimed to determine the level of depression and identify factors influencing depression in Indonesian society during the COVID-19 outbreak.Methods: An online-based cross-sectional study was conducted among Indonesian society aged ≥12 years old in April 2020. A total of 1,622 participants from 34 provinces in Indonesia were involved in this study and completed the online questionnaires on demographics, social media exposure, self-rated health, and depression levels with the WHO-Five Well-being Index (WHO-5). Ordinal logistic regression analysis was used to identify the factors associated with depression levels.Results: Of the total sample analyzed, the overall prevalence of depression levels was 28.5% mild depression, 18.4% moderate depression, and 24.8% severe depression. Social media exposure (SME), age, gender, occupation, and self-rated health (SRH) were significantly influencing depression (p<0.05). The factor that most influenced the level of depression was self-rated health (p=0.0001; OR=2.72).Conclusion: This study highlights depression in Indonesian society during the COVID-19 pandemic and provides an understanding of the effects of demographics, social media exposure, and self-rated health. The study suggests the importance of implementing a multi-disciplinary approach (e.g., a collaboration between mental health nursing and community nursing) to deal with depression.