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EFEKTIVITAS PENDIDIKAN KESEHATAN MENGGUNAKAN VIDEO TERHADAP KEPATUHAN PEMBATASAN CAIRAN PADA PASIEN HEMODIALISA DI KLINIK PANDAONI MEDIKA JAKARTA Azzahra, Maulyda; Herlina, Santi
Indonesian Journal of Health Development Vol 6 No 1 (2024): IJHD
Publisher : Fakultas Ilmu kesehatan UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52021/ijhd.v6i1.136

Chronic kidney disease is a metabolic disease that can be seen in a decrease in kidney function. Patients with chronic kidney failure who do hemodialysis have a lot of fluid overload problems that cause an increase in IDWG. Patients who have excess fluids need to limit fluids. One effort to increase adherence is to provide education in advance to increase knowledge about the disease by providing health education using video. The purpose of this study was to determine the effectiveness of health education using video on compliance with fluid restrictions in hemodialysis patients at the Klinik Pandaoni Medika Jakarta. This study used a quantitative approach with a quasi-experimental design with two control groups for pre- and post-tests. The sampling technique used was purposive sampling on a total sample of 78 respondents. The analysis used is a paired sample t-test and an independent t-test. After the intervention was carried out and the results obtained, the intervention group experienced an average decrease indicating the influence of health education using video (p = 0.000), while in the control group the average compliance value increased with a value of p = 0.002, which indicated the influence of health education using video with a bad influence on the level of adherence to fluid restriction in the control group. There were differences in adherence to fluid restriction in the intervention group and the control group (p = 0.000).

Aerobe Fermentation Enhanced Antioxidant Activity Index of Citrus limon Leaves Herlina, Santi; Setiawansyah, Arif; Hidayati, Nurul
Journal of Food and Pharmaceutical Sciences Vol 12, No 2 (2024): J.Food.Pharm.Sci
Publisher : Integrated Research and Testing Laboratory (LPPT) Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jfps.12005

The chemical composition and antioxidant activity of a natural product are directly correlated with the preparation process which can alter certain enzymatic pathways, leading to the alteration of the production of secondary metabolites affecting its biological activity. This study aims to observe the effects of the pre-extraction process of Citrus limon on its TFC, TPC, and antioxidant activity. Samples were prepared by two different pre-extraction techniques (solar drying and aerobe fermentation) and extracted using ultrasound-assisted extraction with ethanol 96%. The TFC and TPC were measured by a colorimetric method using a spectrophotometer UV-Vis. The antioxidant activity was tested on DPPH and calculated as AAI with ascorbic acid as a standard. The result showed that solar dried sample exhibited higher TFC and TPC than the fermented sample with TFC and TPC values of 32.165 mg QE/g and 335.80 mg GAE/g extract. In contrast, the antioxidant activity assay revealed that fermented samples provided higher antioxidant activity than solar-dried samples and even better than ascorbic acid with an IC50 value of 2.52 µg/mL. The pre-extraction process significantly influences the TFC, TPC and antioxidant activity of Citrus limon.

Determinan Efikasi Diri Pada Pasien Diabetes Mellitus Herlina, Santi; Sitorus, Seven
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 8 No 04 (2018): Jurnal Ilmiah Ilmu Keperawatan Indonesia edisi Desember 2018
Publisher : UIMA Press

Riskesdas, 2013 dari 6,9% penderita diabetes mellitus yang didapatkan, 30,4 % yang telah terdiagnosa sebelumnya dan 69,6% tidak terdiagnosis sebelumnya. Hasil tersebut menunjukkan pasien DM mengalami peningkatan yang signifikan. Penelitian ini bertujuan menganalisis faktor faktor yang paling berpengaruh terhadap efikasi diri pada pasien diabetes mellitus. Penelitian ini menggunakan metode Deskriptik Analitik dengan desain penelitian “cross sectional” pada 87 pasien diabetes melitus. Penelitian ini dianalisis menggunakan uji univariat, biavariat dan multivariate. Hasil penelitian ini menunjukkan bahwa hasil analisis regresi logistic berganda terlihat nilai OR Exp (B) pengalaman orang lain sebesar 0.195 (OR<1 = faktor protektif) dapat diartikan bahwa responden yang menggunakan pengalaman orang lain dalam menjalankan pengobatan diabetes mellitus memiliki peluang 0.567 kali lebih besar untuk memiliki efikasi diri yang baik dibandingkan dengan yang tidak menggunakan pengalaman orang lain.

Quick Of Blood dan Ultrafiltrasi Terhadap Nilai Ureum Pada Pasien Hemodialisis Hanivah, Ita Ulva; Herlina, Santi
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 9 No 01 (2019): Jurnal Ilmiah Ilmu Keperawatan Edisi Maret 2019
Publisher : UIMA Press

Patients with hemodialysis (HD) need to be assessed for their HD adhesions periodically. One parameter of adequation of HD action is to measure the values of Ureum to know the Ureum reduction ratio (URR). The purpose of this research is to know the relation of quick of blood (QB) and ultrafiltration (UF) to urea value in hemodialysis patient at Klinik Klinik Khusus Hemodialisa Sahabat Keluarga. This study was conducted on 68 respondents (accidental sampling) using medical record data and written on the questionnaire. The result of the first measurement is known that the QB relations with ureum post HD value has weak relation and negative pattern (r = 0,049), and P Value 0,034 (α 0,05), so it can be concluded that there is a QB relations to ureum value. In the second measurement analysis, the result of QB relationsh with ureum value of post HD has a weak and negative correlation (r = 0,187), and the second measurement is P value 0,127 (α 0,05), so it can be concluded there is no relation of QB to value of ureum. The result of first measurement is known that UF relationship with ureum post HD value has weak relation and negative pattern (r = 0,220), and P Value 0,071 (α 0,05) found no relation of UF to ureum value. In the second measurement, the result of UF relations with ureum value of post HD has moderate and negative relationship (r = 0,335), and the second measurement is P value 0,005 (α 0,05), so it can be concluded that there is UF relation to value ureum.

Efikasi Efikasi Diri Pembatasan Cairan Terhadap Intradialytic Weight Gain Pasien Gagal Ginjal Kronik di Ruang Hemodialisa RSUD Pasar Minggu Priska, Ni Putu; Herlina, Santi
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 9 No 02 (2019): Jurnal Ilmiah Ilmu Keperawatan Indonesia Edisi Juni 2019
Publisher : UIMA Press

The common problems experienced by patients undergoing hemodialysis related to their non adherence againts the intake of fluids. Non adherence of patients with renal failure can causes excess volume of fluid in the body. To monitoring the success management of fluids intake can be measured by the Intradialytic Weight Gain (IDWG). IDWG was influenced by several factors, one of which factors is self-efficacy. The research’s aim is to know the relationship between self-efficacy’s fluid restriction with IDWG on chronic renal failure patients undergoing hemodialysis at RSUD Pasar Minggu. This research use analytic survey design with Cross Sectional approach. Self-efficacy’s fluid restriction measured by using questionnaires, whereas IDWG observed during pre and post hemodialysis accordinng to patient’s schedule. Of 40 respondents undergoing hemodialysis in RSUD Pasar Minggu, 20 patients have high self-efficacy and 20 other patients have low self-efficacy. While the averange of IDWG on patients is 2,188 Kg. The satistical test using Mann Whitney test shows that there is a relationship between self-efficacy’s fluid restriction and IDWG (p value = 0,001, α = 0,05). Thus, self-efficacy can affect IDWG.

Penolakan Hemodialisis Pada Pasien dengan Gagal Ginjal Kronis Herlina, Santi; Ladesvita, Fiora; Diane, Christine
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 10 No 01 (2020): Jurnal Ilmiah Ilmu Keperawatan Indonesia Edisi Maret 2020
Publisher : UIMA Press

Introduction: The incidence rate of chronic kidney failure in Indonesia in 2013 was 2.0% per mil and in 2018 it increased to 3.8% per mil. Objective: The purpose of this study is to analyze the determinants of rejection of hemodialysis in Chronic Kidney Failure patients. Method: This research is a quantitative study with cross sectional approach. The population in the study were all kidney failure patients in August, amounting to 149 people. Sampling with total sampling in accordance with inclusion criteria, there were 10 patients who refused hemodialysis. Results: The results of a study with 10 patients who refused hemodialysis, 6 people (60%) covered by insurance, 5 people (50%) had kidney failure due to diabetes mellitus, 6 people (60%) patients who refused hemodialysis had poor drinking patterns, 6 people (60%) patients who reject hemodialysis have bad psychological conditions, 5 people (50%) patients who reject hemodialysis have poor family support and 6 people (60%) have poor health service support. Conclusion: The majority of hemodialysis rejection in patients with chronic kidney failure is influenced by drinking patterns, psychological conditions, family support, and poor health service support. This can be a consideration of nurses and other health teams in preparing patients and their families to make decisions according to conditions or needs of patients with chronic kidney failure. Health services can provide counseling services related to the importance of dialysis for patients with late stage chronic kidney failure, so patients choose dialysis therapy as kidney replacement therapy.

Aerobe Fermentation Enhanced Antioxidant Activity Index of Citrus limon Leaves Herlina, Santi; Setiawansyah, Arif; Hidayati, Nurul
Journal of Food and Pharmaceutical Sciences Vol 12, No 2 (2024): J.Food.Pharm.Sci
Publisher : Integrated Research and Testing Laboratory (LPPT) Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jfps.12005

The chemical composition and antioxidant activity of a natural product are directly correlated with the preparation process which can alter certain enzymatic pathways, leading to the alteration of the production of secondary metabolites affecting its biological activity. This study aims to observe the effects of the pre-extraction process of Citrus limon on its TFC, TPC, and antioxidant activity. Samples were prepared by two different pre-extraction techniques (solar drying and aerobe fermentation) and extracted using ultrasound-assisted extraction with ethanol 96%. The TFC and TPC were measured by a colorimetric method using a spectrophotometer UV-Vis. The antioxidant activity was tested on DPPH and calculated as AAI with ascorbic acid as a standard. The result showed that solar dried sample exhibited higher TFC and TPC than the fermented sample with TFC and TPC values of 32.165 mg QE/g and 335.80 mg GAE/g extract. In contrast, the antioxidant activity assay revealed that fermented samples provided higher antioxidant activity than solar-dried samples and even better than ascorbic acid with an IC50 value of 2.52 µg/mL. The pre-extraction process significantly influences the TFC, TPC and antioxidant activity of Citrus limon.

KEPATUHAN PENGOBATAN DAN DUKUNGAN KELUARGA DENGAN RISIKO GAGAL GINJAL KRONIK PADA PASIEN HIPERTENSI Firmansyah, Anasya; Herlina, Santi
Indonesian Journal of Health Development Vol 6 No 2 (2024): IJHD
Publisher : Fakultas Ilmu kesehatan UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52021/ijhd.v6i2.427

Hypertension is a non-communicable condition (NCD) characterized by an increase in systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. Measuring the success of hypertension treatment is based on the extent to which an individual adheres to treatment. One aspect that plays a role in the level of compliance with hypertension treatment is support from the family. Compliance with hypertension treatment and support from the family is crucial in preventing complications due to high blood pressure. One of the impacts of hypertension is chronic kidney failure. The aim of this study was to examine the correlation between adherence to hypertension treatment and family support and the risk of developing chronic kidney failure. This research is a quantitative study that uses a cross-sectional approach and involves 86 respondents at Depok Regional Hospital who were selected using the purposive sampling method. Data collection used two questionnaires and one observation sheet. Hypertensive patients have a high risk of developing chronic kidney failure. There was no relationship between the risk of chronic kidney failure with gender (p=0.784), education level (p=0.264), duration of suffering from hypertension (p=0.051), adherence to hypertension treatment (0.760), and family support (p=1.000). However, there was a relationship between age (p=0.003) and occupation (p=0.013) with the risk of chronic kidney failure and there was no relationship between adherence to hypertension treatment and family support with the risk of chronic kidney failure.

Manajemen Perawatan Kaki Diabetes Melitus dengan “Happy Foot Care Program” sebagai Pencegahan Komplikasi pada Penderita Diabetes Melitus Rosaline, Mareta; Herlina, Santi; Anggraeni, Diah Tika; Tobing, Duma Lumban; Sari, Sintha Legita; Lestari, Sofia Eka; Mauliya, Naddiyah; Oktalia, Clara
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 3 (2025): Volume 8 No 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i3.19282

ABSTRAK Diabetes mellitus (DM) adalah salah satu penyakit kronis yang paling umum dan terus meningkat prevalensinya secara global. Penyakit ini mempengaruhi metabolisme tubuh dan dapat menimbulkan berbagai komplikasi serius, seperti kaki diabetik yang sering kali berujung pada amputasi. Program Kreativitas Mahasiswa (PKM) bertema "Manajemen Perawatan Kaki Diabetes Melitus dengan ‘Happy Foot Care Program’ sebagai Pencegahan Komplikasi" dilaksanakan di Mushola Al Hidayah, Cinere, Kota Depok, bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat terkait pencegahan komplikasi DM melalui edukasi dan pelatihan. Program ini menggunakan metode action research dengan langkah-langkah persiapan, pelaksanaan, observasi, dan evaluasi. Hasilnya menunjukkan peningkatan signifikan dalam pengetahuan masyarakat, dari 62,5% dengan pengetahuan rendah pada pre-test menjadi 84,4% dengan pengetahuan tinggi pada post-test, serta peningkatan keterampilan dalam perawatan kaki. Keberhasilan ini menegaskan efektivitas program dalam mengedukasi dan melatih masyarakat untuk mencegah komplikasi DM, serta pentingnya edukasi berkelanjutan dalam manajemen penyakit kronis. Kata Kunci: Diabetes Melitus, Program Perawatan Kaki Bahagia, Pijat Kaki ABSTRACT Diabetes mellitus (DM) is one of the most common chronic diseases, with a globally increasing prevalence. This disease affects the body's metabolism and can lead to various serious complications, such as diabetic foot, which often results in amputation. The Student Creativity Program (PKM) titled "Diabetes Foot Care Management with the 'Happy Foot Care Program' as a Complication Prevention" was implemented at Al Hidayah Mosque, Cinere, Depok City. The program aimed to improve community knowledge and skills related to DM complication prevention through education and training. This program employed action research methods, including preparation, implementation, observation, and evaluation steps. The results showed a significant increase in community knowledge, from 62.5% with low knowledge in the pre-test to 84.4% with high knowledge in the post-test, as well as an improvement in foot care skills. This success confirms the program's effectiveness in educating and training the community to prevent DM complications, and underscores the importance of ongoing education in chronic disease management. Keywords: Diabetes Mellitus, Happy Foot Care Program, Foot Massage.

HUBUNGAN TEKANAN DARAH INTRADIALISIS DAN KADAR HEMOGLOBIN DENGAN KEJADIAN FATIGUE PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS Rahma Nabila, Putri; Herlina, Santi
Jurnal Keperawatan Widya Gantari Indonesia Vol 9 No 1 (2025): JURNAL KEPERAWATAN WIDYA GANTARI INDONESIA (JKWGI)
Publisher : Nursing Department, Faculty of Health, Universitas Pembangunan Nasional "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v9i1.10482

Pasien hemodialisis seringkali mengalami ketidakstabilan hemodinamik, seperti fluktuasi tekanan darah dan kadar hemoglobin yang dapat memperburuk fatigue dan menurunkan kualitas hidup. Meskipun terapi hemodialisis berdampak besar, efek samping seperti kelelahan fisik yang perlu diperhatikan. Penelitian ini bertujuan menganalisis hubungan antara tekanan darah intradialisis dan kadar hemoglobin dengan kejadian fatigue. Desain penelitian kuantitatif cross sectional menggunakan metode total sampling dengan 73 responden yang memenuhi kriteria. Data dikumpulkan melalui observasi tekanan darah intradialisis, pengukuran kadar hemoglobin, dan kuesioner FACIT. Hasil menunjukkan responden berusia rata-rata 51 tahun, mayoritas laki-laki (57,5%), sebagian besar berpendidikan SMA (54,8%) dan tidak bekerja (45,2%). Hipertensi diderita 32,9% dengan rata-rata lama menjalani hemodialisis 34 bulan, rata-rata IDWG 2,98% serta kadar hemoglobin rata-rata 9,7 g/dL. Peneliti menemukan hubungan antara tekanan darah sistolik pada jam ke-5 intradialisis dan fatigue (p-value 0,005, r = 0,327) hubungan sedang dan berpola positif, serta kadar hemoglobin dan fatigue (p-value 0,017, r= -0,278) hubungan cukup lemah dan berpola negatif. Tidak ditemukan hubungan signifikan pada tekanan darah sistolik jam ke 1-4 dan diastolik pada jam ke 1-5 dengan fatigue (p-value > 0,005). Temuan ini menunjukkan pentingnya pengelolaan tekanan darah dan kadar hemoglobin yang optimal selama dialisis untuk meningkatkan kualitas hidup pasien hemodialisis dan mengurangi fatigue.

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