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All Journal Jurnal Keperawatan Priority Jurnal Pengabdian Masyarakat (ABDIRA)
Marthalena Siahaan
Institut Kesehatan Sumatera Utara
Aerospace Engineering Computer Science & IT Dentistry Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Correlation of Anxiety Level to Cimino Puncture Pain Intensity in Patients Undergoing Regular Hemodialysis Marthalena Siahaan; Eka Isranil Laily; Donisman Bu'ulolo; Murni Aritonang
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8594

Abstract

Patients with chronic kidney failure who undergo regular hemodialysis experience repeated cannulation of the arteriovenous fistula (Cimino), which produces pain arising not only from the physical trauma of needle insertion but also from the patient’s psychological state, particularly anxiety. This study aimed to analyze the correlation between anxiety level and pain intensity during Cimino puncture among regular hemodialysis patients at a hospital in Medan, Indonesia. A quantitative correlational design with a cross-sectional approach was used. Thirty-three respondents were recruited through purposive sampling. Anxiety was measured using the Hamilton Rating Scale for Anxiety (HRS-A), while pain intensity was assessed with the Numeric Rating Scale (NRS). Data were analyzed using the Spearman Rank correlation test. Most respondents experienced mild anxiety (78.8%), and pain intensity was predominantly moderate (57.6%). The Spearman Rank test showed a strong, statistically significant positive correlation between anxiety level and pain intensity (r = 0.590; p = 0.000; p < 0.05), indicating that higher anxiety was associated with greater pain during Cimino puncture. These findings confirm that psychological factors contribute meaningfully to the pain experienced during invasive hemodialysis procedures. Hemodialysis nurses are recommended to conduct routine anxiety assessment before Cimino cannulation and to apply non-pharmacological interventions, such as distraction and relaxation techniques, to reduce both anxiety and pain during the procedure.
Edukasi dan Aksi Kemanusiaan: Kegiatan Donor Darah di Balai Desa Sei Gelugur, Kecamatan Pancur Batu, Kabupaten Deli Serdang Nela Rosa; Martina Evlyn Romauli Hutahaean; Maita Sarah; Harry Permana Wibowo; Elyani Sembiring; Dameria Br Ginting; Arlis Arlis; Kalvin Ginting; Marthalena Siahaan; Mazly Astuty
Jurnal Pengabdian Masyarakat (ABDIRA) Vol 6, No 2 (2026): Abdira
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdira.v6i2.1879

Abstract

This community service project was conducted through a blood donation campaign at the Sei Gelugur Village Hall, Pancur Batu District, Deli Serdang Regency. The activity aimed to foster a healthy lifestyle and increase community awareness about the importance of blood donation as a humanitarian act. This event was a collaboration between the Indonesian Red Cross (PMI) Medan City and the Institute of Health of North Sumatra, involving nursing students in the community nursing stage. The activity was carried out on July 4, 2025, from 09.00–12.00 WIB, providing education and conducting a blood donation drive for the community, and it received strong enthusiasm from the community. The results showed increased awareness, participation, and understanding among residents regarding the importance of regular blood donation, which supports national blood supply sustainability and strengthens social solidarity.
Co-Authors Arlis Arlis Dameria Br Ginting Donisman Bu'ulolo Eka Isranil Laily Elyani Sembiring Harry Permana Wibowo Kalvin Ginting Maita Sarah Martina Evlyn Romauli Hutahaean Mazly Astuty Murni Aritonang Nela Rosa