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All Journal Jurnal Jendela Inovasi Daerah Juru Rawat. Jurnal Update Keperawatan
Sunarmi Sunarmi
Poltekkes Kemenkes Semarang
Decision Sciences, Operations Research & Management Environmental Science Law, Crime, Criminology & Criminal Justice Nursing Public Health Social Sciences

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PERBANDINGAN HASIL PENGUKURAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI BERBAGAI POSISI TUBUH Renita Anankaristi; Dwi Ari Murti Widigdo; Bambang Sarwono; Sunarmi Sunarmi
Jendela Inovasi Daerah Vol 9 No 1 (2026): Februari
Publisher : Badan Perencanaan Pembangunan, Riset dan Inovasi Daerah Kota Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56354/jendelainovasi.v9i1.244

Abstract

Blood pressure is influenced by various factors, including age, sex, and body position during measurement. Variations in body position, particularly the lateral position, may affect hemodynamic status and potentially result in differences in blood pressure values. This quantitative study employed a comparative design to determine differences in systolic blood pressure (SBP), diastolic blood pressure (DBP), and Mean Arterial Pressure (MAP) among hypertensive patients measured in the supine, left lateral, and right lateral positions. The study involved 65 respondents selected using non-probability sampling with a purposive sampling technique. The inclusion criteria were male and female patients aged 40–60 years, having both upper limbs intact, and not being ill or experiencing paralysis. The instruments used included a digital sphygmomanometer, a standard operating procedure (SOP) for blood pressure measurement, and an observation sheet. Data were analyzed using the Kruskal–Wallis test and epsilon squared (ɛ²) effect size calculation. The Kruskal–Wallis test showed statistically significant differences in SBP, DBP, and MAP among the three measurement positions (p = 0.000 [<0.001]). The highest mean values of SBP, DBP, and MAP were found in the supine position, while the lowest were observed in the right lateral position. The effect size (ɛ²) was categorized as relatively strong (0.16–0.36). Body position was shown to have a relatively strong influence on blood pressure values in hypertensive patients. These findings highlight the importance of maintaining consistent body positioning during blood pressure measurement to ensure accurate and comparable results.
PENGARUH MANAJEMEN KESEIMBANGAN CAIRAN BERBASIS SMARTPHONE TERHADAP KEMAMPUAN SELF-CARE PASIEN PENYAKIT GINJAL KRONIS DENGAN HEMODIALISIS DI RST dr. SOEDJONO MAGELANG Fandi Solehan; Heru supriyatno; sunarmi sunarmi; Bambang Sarwono
Juru Rawat. Jurnal Update Keperawatan Vol 5 No 2 (2025): Desember 2025
Publisher : Prodi Keperawatan Tegal Program Diploma III Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v5i2.13193

Abstract

Chronic kidney disease (CKD) is a global health issue with a steadily increasing prevalence. One of the main challenges for hemodialysis patients is the increase in interdialytic weight gain (IDWG) due to fluid imbalance. Effective fluid management is crucial for improving patients' self-care abilities, one of which is through the use of smartphone technology. The objective of this study was to determine the effect of using a smartphone based self-care management application on improving self-care management skills in maintaining Interdialytic Weight Gain (IDWG) in patients with chronic kidney disease undergoing hemodialysis at RST dr. Soedjono Magelang.The study design was quasi-experimental with a pretest-posttest design and a control group. The study was conducted at dr. Soedjono General Hospital in Magelang with a total of 56 participants, divided into two groups: 28 in the experimental group and 28 in the control group. The sample was selected using purposive sampling. The intervention involved the use of a smartphone-based fluid management app over a specific period. Data analysis was performed using a paired t-test.The results showed a significant improvement in self-care ability after the app intervention, with a p-value of 0.000 (p < 0.05). This indicates that the use of a smartphone app effectively supports fluid management in CKD patients.In conclusion, smartphone-based self-care applications have a positive effect on improving the self-care abilities of PGK patients undergoing hemodialysis. The use of smartphone-based fluid management self-care applications needs to be promoted.
Co-Authors Bambang Sarwono Dwi Ari Widigdo Fandi Solehan Heru Supriyatno Renita Anankaristi