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Multidimensional Symptom Burden among Patients with Hemodialysis in Indonesia Hinin Wasilah; Dhea Natashia; Chen- Hui Huang; Hsing- Mei Chen; Miaofen Yen
Jurnal Keperawatan Padjadjaran Vol. 9 No. 2 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i2.1660

Abstract

Background: Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies analyzed the symptoms as one dimension such as the severity dimension. Conducting the comprehensive symptom assessment among patients with hemodialysis is necessary to gain a better understanding of the symptom burden. Purpose: The aim of this study was to identify symptom burden among patients with hemodialysis comprehensively. Methods: This study was a descriptive study. A convenience sample of 320 patients undergoing hemodialysis was recruited from the dialysis units at two referral hospitals in Indonesia (Fatmawati Hospital and Cipto Mangunkusumo National Hospital). Indonesian Version of Chronic Kidney Disease – Symptom Burden Index (CKD-SBI) was used. For the data analysis, descriptive analysis was used. Results: Total 320 subjects were collected. This study found that lack of energy was the highest physical symptom burden under 4 dimensions: occurrence 269 (84.0%), severity (mean = 4.28, SD = 3.08), distress (mean = 4.42, SD = 3.09), and frequency (mean = 4.41, SD = 3.27). Furthermore, decreased interest in sex was the highest psychological symptom burden under for dimensions: occurrence 210 (65.6%), severity (mean = 3.39, SD = 3.38), distress (mean = 2.92, SD = 2.99), frequency (mean = 3.70, SD = 3.65). Conclusion: Lack of energy and decreased interest in sex were consistently the highest symptom burden among patients with hemodialysis. Creating appropriate interventions and managing the symptoms experienced by patients with hemodialysis comprehensively is very important to improve their quality of life.  
Slow Deep Breathing dan Alternate Nostril Breathing terhadap Penurunan Tekanan Darah pada Pasien Hipertensi Faradilla Miftah Suranata; Agung Waluyo; Wati Jumaiyah; Dhea Natashia
Jurnal Keperawatan Silampari Vol 2 No 2 (2019): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (669.643 KB) | DOI: 10.31539/jks.v2i2.702

Abstract

The purpose of this study is to determine the effectiveness of slow deep breathing and alternate nostril breathing on reducing blood pressure in patients with hypertension. This study uses a quasi-experimental design with a pretest-posttest group design approach. Friedman test results showed that there were differences in systolic blood pressure (x2 = 34.09; p <0.001) and diastolic (x2 = 28.74; p <0.001) in the slow deep breathing intervention group. Based on the post hoc test, measurements from time to time obtained p values ​​(p = 0.001) for both systolic and diastolic blood pressure. Meanwhile there were differences in blood pressure in the alternate nostril systolic breathing group (x2 = 15.50; p <0.001), diastolic (x2 = 17.18; p <0.001). Post hoc test found a significant decrease in systolic and diastolic blood pressure from each measurement time during the intervention period with p values ​​0.005 and 0.025, respectively. Conclusion, in this study that slow deep breathing is much more effective in reducing blood pressure in hypertensive patients. Keywords: Alternate Nostril Breathing, Hypertension, Decreased Blood Pressure, Slow Deep Breathing
Stimulasi Auditori Menggunakan Murottal terhadap Vital Signs Pasien Stroke Fase Akut Irman Irman; Dhea Natashia; Dewi Gayatri
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.603 KB) | DOI: 10.31539/jks.v4i2.1926

Abstract

This study aims to determine the effect of auditory stimulus therapy using murotal on changes in vital signs in acute phase stroke patients. This research is a Randomized Controlled Trial (RCT) with the single-blind method and parallel design without matching. The results of statistical tests using the T-test to determine the difference in the mean decrease in the five vital signs showed that there was a decrease in the average pain scale, blood pressure, and heart rate in the intervention group, which was more significant than the control group (p-value < 0,05). In conclusion, auditory stimulation therapy using murotal significantly reduces pain scale, blood pressure, and heart rate in acute phase stroke patients. Keywords: Murotal, Auditory Stimulation, Acute Phase Stroke, TTV
Intervensi Back Massage Aromaterapi terhadap Kualitas Tidur pada Pasien Diabetes Mellitus Type 2 Ahmad Syaripudin; Dhea Natashia; Dewi Gayatri
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.957 KB) | DOI: 10.31539/jks.v4i2.1930

Abstract

This study aims to determine the effectiveness of aromatherapy back massage interventions on patients' sleep quality with type 2 diabetes mellitus. Methods This study was a randomized controlled trial. The results of this study obtained the mean value for the control group before the intervention was 4.77. After the intervention, the mean value was 5.17, which means the level of sleep quality was poor. In the intervention group, the mean value was 5.03 before the intervention, while after the intervention, the mean value was 4.30, which means an increase in sleep quality. Good. The difference in scoring between the control group's sleep quality is 1.17. The intervention group is 2.47 with a P-value of 0.001 (α <0.05), which means a significant difference in the average score of sleep quality between the control group and the intervention group. In conclusion, aromatherapy back massage intervention can significantly improve sleep quality in patients with type 2 diabetes mellitus. Keywords: Aromatherapy Back Massage, Diabetes Mellitus Type 2, Sleep Quality
Fatigue Dan Kualitas Hidup Pada Pasien Gagal Ginjal Kronis Dengan Terapi Hemodialisa Dhea Natashia; Diana Irawati; Fajar Hidayat
Jurnal Keperawatan Muhammadiyah Vol 5, No 2 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v5i2.6540

Abstract

Objective: The aim of this study was to investigate the relationship of fatigue to the quality of life among patients who undergo hemodialysisMethods: A descriptive correlative study with purposive sampling technique was applied in this study. Data obtained from direct observation using the FACIT-F questionnaire and WHOQOL BREF. A total of 80 respondents was recruited.Results:   The results of the study showed the average age of the subject were 47 years, 56% of them were male, and the majority had a high school educational background. Most of the patients had a length of hemodialysis for more than two years. Hemodialysis patients were experienced fatigue with a mean value of 26,50 (SD = 7.07). Among domains of quality of life, the social domain had the lowest score (9.38). Multivariate analysis showed there was a consistent correlation between fatigue and four domains of quality of life.Conclusion:   Fatigue is a major problem experienced by the patient’s hemodialysis and influences their quality of life. The researchers suggest the health services can improve promotive and preventive efforts through education, training, related to fatigue to promote quality of life for clients who undergo hemodialysis, especially female, older age, and lower educational status. Further research is expected to examine the other variables such as social support and environment
Pengaruh Akupresur terhadap Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2 di Persadia RS Islam Jakarta Cempaka Putih Jumari Jumari; Agung Waluyo; Wati Jumaiyah; Dhea Natashia
Journal of Telenursing (JOTING) Vol 1 No 1 (2019): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (574.574 KB) | DOI: 10.31539/joting.v1i1.536

Abstract

This study aimed to identify the effect of acupressure on blood glucose levels in type 2 diabetes mellitus patients. This study used a quasi-experimental design with a pre-post test design approach. The results showed a significant difference in blood glucose levels between the intervention group and the control group (t = 4.22; p = 0.001). In conclusion, acupressure is an effective intervention to reduce blood glucose levels in patients with type 2 diabetes mellitus. Keywords: Acupressure, Type 2 Diabetes Mellitus, Blood Glucose Levels
Hubungan Tingkat Spiritualitas dengan Kualitas Hidup Pasien Gagal Ginjal Kronik selama Masa Pandemi Covid-19 dewi adnan; Dewi Gayatri; Dhea Natashia; Wati Jumaiyah; Kustiyuwati Kustiyuwati
Jurnal Kesehatan Komunitas Vol 8 No 2 (2022): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss2.1178

Abstract

Patients with chronic kidney disease who undergo hemodialysis are very susceptible to COVID-19 infection. The level of spirituality has a very important role in alleviating suffering and also has an influence on health outcomes in order to maintain the quality of life of patients with CKD. This study aims to identify the relationship between Spirituality and Quality of Life of patients with CKD during the COVID-19 pandemic. This research method uses descriptive analytic with cross sectional approach. The sample of this study were 154 patients with Chronic Kidney Failure who were at the Islamic Hospital Jakarta Pondok Kopi. The measurement instrument uses a Spirituality Level scale that adapts the daily spiritual experience scale (DSES) and a quality of life scale that adapts kidney disease and quality of life (KDQOL-36TM). Data collection using google form is carried out for ± 1 month, data processing using SPSS version 25. Results Statistical test using binary logistic regression analysis found a significant relationship between spirituality level and quality of life (B: 1.513. p = 0.001, OR: 4.539, 95% CI: 1.880; 10.963). The conclusion is that the quality of life of patients with CKD during the COVID-19 pandemic can be maintained by increasing the patient's spirituality level after being controlled by social support, Hb value, length of illness and comorbidities. This study recommends the need for nurses to increase the level of spirituality in patients with chronic kidney failure in order to improve their quality of life.
Hubungan spiritualitas dengan kesejahteraan psikologis pasien positif Covid-19 di RS Islam Jakarta Dede Kurniati; Dewi Gayatri; Dhea Natashia
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 18, No 2 (2022): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.2444

Abstract

Corona virus menimbulkan dampak bagi kesehatan fisik,ekonomi,sosial,kesehatan mental sehingga mempengaruhi kesejahteraan psikologis. Tujuan mengetahui hubungan antara spiritualitas dengan kesejahteraan psikologis pada pasien yang terkonfirmasi positif Covid-19. Desain cross-sectional dan 216 responden terkonfirmasi Covid-19 menggunakan google form dengan analisis regresi logistik ganda. Skala kesejahteraan psikologis mengadaptasi PWBS, skala spiritualitas mengadaptasi DSES. HasiI adanya hubungan bermakna antara spiritualitas dengan kesejahteraan psikologis, adapun individu yang mempunyai spiritualitas tinggi 2,8 kali lebih besar mempunyai kesejahteraan psikologis baik dibandingkan dengan individu yang memiliki spiritualitas rendah setelah dikontrol oleh pernikahan, pendidikan, pekerjaan, pendapatan, komorbiditas, stadium penyakit, lama masa perawatan, frekuensi pemeriksaan swab, komorbiditas, dukungan sosial.
PERUBAHAN FISIK DAN PSIKOSOSIAL MEMPENGARUHI KUALITAS HIDUP PASIEN HEMODIALISIS: Physical and Psychosocial Changes Affect the Quality of Life of Hemodialysis Patients Diana Irawati; Slametiningsih; Rizki Nugraha; Dhea Natashia; Asri Narawangsa; Nyimas Heny Purwati; Roswati Handayani
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 1 (2023): JIKep | Februari 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i1.1426

Abstract

Pendahuluan : Hemodialisis (HD) merupakan intervensi yang paling banyak dipilih oleh pasien End Stage Renal Disease (ESRD). Terapi ini dilakukan sepanjang hidup pasien sehingga dapat menyebabkan perubahan fisik dan psikologis. Perubahan yang kompleks dapat menjadi pemicu munculnya kondisi yang dapat mempengaruhi kualitas hidup pasien. Tujuan: Mengidentifikasi hubungan perubahan fisik dan psikososial pasien ESRD yang menjalani HD dengan kualitas hidupnya. Metode: Desain cross-sectional. Sebanyak 117 pasien di unit HD Rumah Sakit Islam Jakarta Cempaka Putih terlibat sebagai partisipan dalam penelitian ini. Hasil: Perubahan fisik berhubungan dengan kualitas hidup (PCS) pasien dengan HD (t = -2.061, p value = 0.042). Perubahan psikologis berhubungan dengan kualitas hidup pasien dengan HD pada komponen PCS dan MCS. Analisis multivariat menunjukan ansietas sebagai prediktor kualitas hidup pada aspek fisik (? = - .252, p = .038), sedangkan lama HD merupakan prediktor kualitas hidup pada aspek psikososial (? = .235, p = .006) Kesimpulan: Perubahan fisik dirasakan oleh pasien dengan frekuensi dan tingkat keparahan yang bervariasi. Berkaitan dengan indikator psikososial, kecemasan merupakan gangguan yang paling banyak dialami oleh pasien yang menjalani HD. Kualitas Hidup Komponen Fisik (PSC) lebih rendah dari Kualitas Hidup Komponen Mental (MCS) sebagai indikator Kualitas Hidup Penyakit Ginjal (KDQOL). Kecemasan dan Durasi HD adalah prediktor potensial Kualitas Hidup Pasien dengan HD
KESIAPAN IBU DALAM MERAWAT ANAK DENGAN PNEUMONIA PASCA HOSPITALISASI: Readiness of Mothers in Treating Children with Pneumonia Post Hospitalization Nyimas Heny Purwati; Dhea Natashia; Anita Apriliawati; Emmy Putri Wahyuni
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 1 (2023): JIKep | Februari 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i1.1427

Abstract

Pendahuluan : Pneumonia merupakan salah satu masalah kesehatan dan penyumbang terbesar penyebab kematian balita di dunia. Upaya perlu dilakukan untuk menyiapkan keluarga dalam asuhan maupun pemberian informasi sebagai persiapan pulang kepada keluarga tentang cara perawatan anak dengan pneuomonia. Hal tersebut menjadi dasar bagi keluarga menindaklanjuti pelaksanaan perawatan dan cara pencegahan pneumonia di rumah secara mandiri. Tujuan: Penelitian ini bertujuan untuk menilai kesiapan ibu dalam merawat anak dengan pneumonia pasca hospitalisasi. Metode: Desain penelitian ini adalah deskriptif analitik dengan metode cross-sectional, dengan sampel dalam penelitian ini adalah ibu yang memiliki balita pneumonia usia 2 sampai dengan 59 bulan. Hasil: Hasil analisis uji fisher exact didapatkan p value < 0,05 yang artinya ada hubungan yang bermakna antara pengetahuan, persepsi, dan psikomotor/keterampilan ibu dalam merawat balita dengan pneumonia pasca hospitalisasi. Hasil analisis juga didapatkan nilai OR yang bermakna ibu dengan pengetahuan dan sikap rendah memiliki risiko 88,0 kali lebih besar untuk tidak siap merawat anak dengan pneumonia, dan ibu yang tidak terampil berisiko 16,0 lebih besar untuk tidak siap merawat anak dengan pneumonia pasca hospitalisasi. Kesimpulan: Sehingga penting dilakukannya edukasi kepada orang tua terutama ibu saat berada di rumah sakit untuk meningkatkan pengetahuan, sikap, dan keterampilan dalam rangka kesiapan merawat anak dengan pneumonia pasca hospitalisasi